Paranoia and narcissism in psychoanalytic theory. Contributions of self psychology to the theory and therapy of the paranoid disorders

Many factors go into a choice of a therapeutic focus: the patient's psychopathology; the therapist's training, countertransference reactions, and ideological beliefs; and, importantly, a decision about what seems most amenable to treatment and change. As a theory, self psychology describes one aspect of the paranoid process; as such, it is an incomplete theory that complements rather than invalidates more classical theories. As a technique, however, it suggests a style and focus conducive to working with paranoid patients, one that is markedly supportive, nonconfrontational, yet also interpretive. In this context, it must be remembered how difficult it is to treat paranoid patients psychotherapeutically, much less to keep them in treatment. The strategies discussed above do not wholly replace other dynamic approaches (e.g., counterprojective techniques), nor are they universally applicable. Some patients may be more amenable than others. However, the techniques provide a very supportive framework that may help the therapist to be more available to and in contact with the paranoid patient. More broadly, this paper's application of self psychology to the theory and therapy of the paranoid disorders further illustrates the practical utility of this approach. Attention to the narcissistic developmental line, interpersonal selfobject relationships, intrapsychic conflicts and deficits, and empathic immersion in the patients's world are important adjuncts to the psychotherapy of paranoid patients. Rather than an either/or dichotomy, the principle of overdetermination suggests a both/and relationship between self psychology and traditional theory, such that the self psychological approach complements rather than contradicts the classical psychoanalytic theory. The vicissitudes of the self simply add another perspective or vantage point from which to understand and respond to the patient, one which has perhaps more applicability for preoedipally disordered patients.     

The relation between problem categorization and problem solving among experts and novices

These investigations were conducted to examine the relationship between problem-solving ability and the criteria used to decide that two classical mechanics problems would be solved similarly. We began by comparing experts and novices on a similarity judgment task and found that the experts predominantly relied on the problems' deep structures in deciding on similarity of solution, although the presence of surface-feature similarity had a clear adverse effect on performance. The novices relied predominantly on surface features, but were capable of using the problems' deep structures under certain conditions. In a second experiment, we compared groups of novices, at the same level of experience, who tended to employ different types of reasoning in making similarity judgments. Compared to novices who relied predominantly on surface features, novices who made greater use of principles tended to categorize problems similarly to how experts categorized them, as well as score higher in problem solving. These results suggest that principles play a fundamental role in the organization of conceptual and procedural knowledge for good problem solvers at all levels.     

USING REINFORCEMENT AND CUEING TO INCREASE HEALTHY SNACK FOOD CHOICES IN PRESCHOOLERS

We examined the effects of behavioral procedures to modify the food choices of preschoolers during a snack period at school (training setting) and at home (generalization setting). In the first experiment, we evaluated the usefulness of nutrition training and a generalization programming strategy of cueing to improve healthy snacking; in the second experiment we investigated the effect of nutrition training alone. In addition, three cases are presented that illustrate individualized procedures to facilitate generalization of healthy snacking to home. Results indicated that children's healthy snack choices increased in the preschool training setting, that generalization to home was achieved only when procedures to program it were implemented, and that the best results were found when the generalization procedures were tailored to the individual child.     

The electronic chalkboard

The present paper describes “the electronic chalkboard” (TEC), a teaching innovation made possible by the recent development, under a FIPSE grant to CONDUIT, of specialized instructional software. The instructional power of TEC casts the computer in the role of catalyst in the student-teacher dyad and leads to the emergence of the more powerful student-computer-teacher triad. Relevant educational principles and CAI techniques that should ensure the intelligent use of TEC are discussed.     

An apparatus for apparent conditioning ofOctopus cyaneus Gray

An ann-out-of-water response was conditioned as an operant inOctopus cyaneus Gray. The response was limited to a vertical tube, 2.54 em i.d, Photoresistive sensors, illuminated with modulated light arranged around the tube above the waterline, detect the presence of an opaque object in the tube. The signal from this response detector is amplified and used to initiate a commercial motor-driven universal feeder according to the reinforcement schedule maintained by the logic control circuit. A sample cumulative record for perfonnance on a CRF schedule is given.     

Contralateral and heteromodal interaction effects in somatosensation: Do they exist?

In this paper we concern ourselves with the problem of whether or not conditioning stimuli of other modalities or stimuli applied to a distant locus of the body interact with a sensitive test of somesthetic temporal acuity we have called the gap test. The results of the experiment indicate that visual stimuli do not exert an observable influence on this temporal judgment, but that auditory stimuli and contralateral stimulation in the same modality do show a significant but relatively small effect. This is compared and contrasted with the very large and persistent effect reported when the conditioning stimulus is applied to the same electrodes as the gap test. By comparing our results with experiments of similar design carried out on lower animals by other investigators, some insights into the neural localization of the reported effects is obtained.     

Rehabilitation Counselling: The Development of a New Course Specialism in British Counselling

The introduction of rehabilitation counselling to the UK in 1990-initially as a diploma and now as an MSc—is described. The worldwide development of rehabilitation counselling from its beginnings in America in the 1950s is outlined, highlighting key areas of debate. Evidence of the need for rehabilitation counselling in the UK is presented, and the current course is described with reference to its integrative counselling approach and specialist areas of enquiry. The future development of rehabilitation counselling in the UK is considered, emphasising the need for this specialism as we move towards more holistic models of care.     

Gender differences in preference to offer social support to assertive men and women

Although gender bias is clearly evident in the provision of institutional social support, it is unclear whether such bias exists on a more subtle and interpersonal level. When women act appropriately assertive at work, they may actually alienate support. This paper reports an experimental study that addressed this general issue of social support among employed men and women. A sample of 61 males and 55 females (predominantly white; N=116), employed by four northeast Ohio employers participated. The extent of preference to offer support to assertive males and females was explored. An unexpected double bias was found, with each sex preferring to offer support to their own sex.This project was funded by a grant received by the Applied Psychology Center of Kent State University, from the Ohio Department of Development through the Northeast Ohio Center for the Advancement of Labor Management Cooperation. We gratefully acknowledge this financial assistance.     

Psychological well-being and homemaker vs. retiree identity among older women

Social roles have been a central focus in both sociological and developmental theories of adjustment in late life. Research on roles and well-being, however, has focused on earlier adulthood or on comparisons of tenuous roles (such as retiree) with institutional roles (such as employee), especially among men. The few studies comparing older women in the tenuous roles of homemaker and retiree all compare single-role women, and show contradictory results. One possibility is that multiple role identities are linked to greater well-being in older women, as they are among younger women. In this paper the life satisfaction, depression, and self-esteem of older women who consider themselves retired only, homemakers only, or both are compared. The sample includes 864 Black (N=242) and White (N=622) women ages 60 and over from a 1986 national survey. Retired women and homemakers did not differ in well-being; women who called themselves both had higher self-esteem and lower depression than single-role women. In analyses exploring what tenuous role content (daily activities) might explain group differences in well-being, do-it-yourself activities and volunteer activities were significant. Age, education, health, and marital status were also important factors. Recommendations include adopting a multiple role perspective with older women and encouraging their participation in instrumental, informal role activities to maximize well-being.Northwestern University