Dual realities – The search for meaning: Psychodynamic therapy with physically ill people

Abstract

We summarize Kohut's (1971) bi-polar self which enables counsellors to understand and treat narcissistic behaviours and narcissistic personality disorders in a psychoanalytic framework. After Patton and Meara (1992), we describe Kohut's formulations regarding self-development and disorders of self and how such formulations inform critical components of psychoanalytic counselling with particular emphasis on the explicit and implicit strategies and characteristics the counsellor brings to the process. Finally, we suggest that a promising arena for future theorizing and applications of Kohut's ideas is consultation with parents, teachers and other community leaders to help prevent or remedy psychological self-injuries with systemic interventions outside short-term counselling or long-term therapy.

We have suggested that Kohut's self psychology is a good vehicle for understanding what brings a client to counselling: namely, disorders of the self or self-injury. We review strategies and ‘ways of being’ a counsellor must bring to and offer in the counselling encounter if the work is to succeed. We also examine implicit qualities (beyond the achievement of a mature bipolar self) we believe a counsellor or any facilitator must have if counselling or other helping relationships are to be effective. We purpose further conversations and empirical analyses which specifically and conceptually link critical components of psychoanalytic counselling to self psychology and to essential counsellor traits or virtues that seem intrinsic to good counselling practice.     

A four‐disc version of the Tower of London for clinical use

Three studies are reported on the development of a four‐disc version of the Tower of London test of planning ability. The first (n = 138) involved the selection of items based on rational and empirical criteria to provide a short test of graded difficulty suitable for use with children and clinical populations. The second study (n = 480) checked the properties of the 10‐item test on a new sample and in addition examined the internal consistency and factor structure of the test. The third study (n = 61) examined the test – retest reliability of the test over a period of 1 month. The difficulty level of the test remained relatively stable from sample to sample and was sensitive to linear trend in performance from age 5 years up to 30 years. Total score did not reflect the action of a single underlying construct but rather appeared to index a number of factors. Scores were reasonably stable over the 1‐month period studied, at least for the children's sample employed. The four‐disc version is a promising method of assessing planning in children and adolescents in clinical situations.     

A note on the PMT as an objective test of achievement motivation

Summary: Studied the properties of the PMT when used with 102 male cadets of the Australian Army's Officer Training Unit. Internal consistency of the PMT was high, while intercorrelations of the test with other measures in the battery supported the validity of the PMT as a measure of achievement motivation, but indicated its limitation in a practical situation of officer selection. The English version of the PMT would benefit from a rewriting of Items 81 and 88.     

Development of speech and language following bilateral frontal lesions

Language and speech were studied in a young child with perinatally acquired bifrontal lesions. Bilateral frontal pathology seriously interfered with the development of intelligible speech and resulted in a persistent expressive aphasia. Analysis of the neuropsychological profile indicated impairments in intelligence and language comprehension. These deficits, however, were considered secondary to the profound speech programming disorder. The findings indicate that, despite the plasticity of the immature central nervous system, bilateral frontal injury sustained at an early age precludes the development of intelligible speech. Furthermore, structurally intact cortical regions outside the territories of the speech zones fail to mediate normal speech and language development.     

Multilevel Selection Theory and Major Evolutionary Transitions: Implications for Psychological Science

ABSTRACT— The concept of a group as comparable to a single organism has had a long and turbulent history. Currently, methodological individualism dominates in many areas of psychology and evolution, but natural selection is now known to operate at multiple levels of the biological hierarchy. When between-group selection dominates within-group selection, a major evolutionary transition occurs and the group becomes a new, higher-level organism. It is likely that human evolution represents a major transition, and this has wide-ranging implications for the psychological study of group behavior, cognition, and culture.     

Relations between implicit and explicit measures of attitudes and measures of behavior: evidence of moderation by individual difference variables

The moderating role of individual difference variables (Self-Reported Habit Index [SRHI], Need for Cognition [NFC]) on relationships between implicit (Implicit Association Test [IAT], Extrinsic Affective Simon Test [EAST]) or explicit measures of attitude and behavior is assessed in two studies. A dissociation pattern is found on self-report diary measures of behavior. In Study 1, the EAST-behavior relationship is moderated by SRHI; explicit measures of the attitude-behavior relationship are moderated by NFC. In Study 2, the IAT-behavior relationship is moderated by SRHI; explicit measures of the attitude-behavior relationship are moderated by NFC. Higher levels of SRHI and NFC are associated with stronger relationships between the implicit or explicit measures of attitude and the measure of behavior. In Study 2, the SRHI x IAT interaction is replicated for an objective behavior measure. Implications for understanding the relationship between implicit and explicit measures of attitudes and measures of behavior are discussed.     

Confirmation of the factor structure of the EPQ using an Australian sample

Confirmatory factor analysis was used to test the goodness of fit of a four-factor model to item-response data for the Eysenck Personality Questionnaire (EPQ) collected from 212 Australian females and 214 Australian males. A statistically significant fit to the EPQ scoring key was observed. Differences between the two sexes both within the sample and between the sample and the English norms were found to replicate the findings of an earlier study by S. B. G. Eysenck and colleagues.     

Perception of hostility in the TAT as a function of defensive style

Groups of male and female students with high, intermediate, and low scores on Byrne's Scale of Repression-Sensitization judged the amount of hostility and the darkness of 10 TAT cards, including the blank. The groups' judgments for each card were expressed in terms of the statistic E, a non-parametric index of discriminability derived on the basis of the theory of signal detection. Subjects with low scores on the scale showed significantly lower E values for hostility (p less than .05), but not for darkness, than the other two groups. It was concluded that differences in sensitivity to affective stimulation underlie the dimension of Repression-Sensitization.