Family therapy alone is not enough or the dirty story of Dorian

When serious malfunctioning of an individual occurs in a secondary system (school, hospital, rehabilitation center, dormitory setting), the tendency often is to focus on the family as both the cause of the malfunctioning and the arena of intervention. Many times, family therapy alone is not enough because a parallel destructive constellation has formed around the Identified Patient in the secondary system as well and the symptoms catalyze that system's own maladaptive patterns. Often the IP is caught in the web of rigid pathological patterns of interactions between the two systems. A unique model of conjoined intersystemic intervention for dealing with such resistance to change is presented.     

The association between maternal smoking and secondhand exposure and autonomic functioning at 2-4 weeks of age

This study examined the association between maternal smoking and exposure to environmental tobacco smoke (ETS) during pregnancy and infant heart rate. Participants were 62 mother-infant dyads where mother smoked during pregnancy, 47 dyads where mother did not smoke during pregnancy but was exposed to ETS and 47 dyads where mother did not smoke and was not exposed to ETS. Average heart rate (HR) and respiratory sinus arrhythmia (RSA) were assessed at 2-4 weeks of age during sleep. Infants in both exposure groups had higher HR and lower RSA than nonexposed infants. Furthermore, boys in both exposure groups had higher HR and lower RSA than girls. These results highlight the importance of considering prenatal ETS exposure and infant gender when assessing infant outcomes.     

EFFECTS OF CONTEXTUAL RICHNESS ON WORD RECOGNITION IN POINTED AND UNPOINTED HEBREW

Forty Israeli adults, fluent readers of Hebrew, and 40 Israeli children, age 11‐12, participated in two studies which investigated the contextual facilitation and word frequency effects upon word recognition accuracy and reading rate while reading two types of Hebrew texts (pointed and unpointed). In the first experiment pointed Hebrew text was read more accurately and rapidly than unpointed text by both groups, but only the children's performances were significantly different on the two text types.

In the second experiment both groups displayed significant effects for context richness, word frequency and type of Hebrew text based upon an analysis of errors made when reading experimental sentences. These results challenge Levy's (1943) contention that unpointed Hebrew text is superior to pointed text and add support to the universality of contextual facilitation effects upon word recognition.     

What Are We Doing There? A Therapeutic Tale

In this paper I try to portray our interpsychic work as reflective of an infinite conversation: an intersubjective dreaming of one’s life, moving between multiple positions/self-states, those of the patient and our own; becoming involved while pondering the movement we are part of, sometimes in our hearts and minds, many times aloud and openly with our patient; recognizing her experience and enabling her to see us, and sometimes not reflecting at all—“the “moving talk.” The dilemma of the therapist’s positioning, internally and interpersonally, is further postulated, especially in regard to the posttraumatic patient who suffered severe childhood abuse.     

The association between prenatal exposure to cigarettes and infant and maternal negative affect

This study examined the association between prenatal exposure to cigarettes and infant and maternal negative affect. Participants were 115 mother-infant dyads (69 prenatally exposed to cigarettes and 46 nonexposed). Infant and maternal negative affect were both assessed during the neonatal period (2-4 weeks of age) and again at 7 months of infant age. Results indicated that only prenatal exposure to cigarettes predicted infant negative affect. Infants who were prenatally exposed to more cigarettes had higher levels of negative affect at both time points. Furthermore, regression analyses indicated that both infant and maternal negative affect during the neonatal period predicted maternal negative affect at 7 months of age. These results highlight the importance of considering the reciprocal relationship between infant and maternal behavior when examining developmental outcomes among infants prenatally exposed to cigarettes.     

“[G]azing into the synaptic chasm”: the Brain in Beckett’s Writing

This paper argues that Samuel Beckett’s interest in functions of the brain is not only evidenced in his notebooks, taken from a number of psychology and psycho-physiognomy texts in the early 1930s, but is also explored and expanded in his fiction and drama. This paper investigates Beckett’s fascination with the limits of “cerebral consciousness” and the brain’s failure to consciously perceive certain bodily modifications especially when processing emotion. Like Antonio Damasio’s definition of emotion as essentially the bodily modifications that include chemical changes, Beckett often exploits the idea of emotion as sorely a bodily phenomenon by creating characters who are unable to consciously perceive and process their emotion. For example, when talking about his own weeping, the narrator of The Unnamable attributes the tears to the malfunctioning of the brain, “liquefied brain”, denying, displacing or making physical the feeling of sadness. By examining the ways in which Beckett emphasizes a somatic dimension of emotion and its relation to the brain function and perception in his writing, this paper reveals how he explores the idea of the self and extends the idea to what he calls the “impenetrable self” that cannot be consciously recognized. I argue that if, for Joseph LeDoux, the “notion of synapses as points of communication between cells is […] essential to our efforts to understand who we are in terms of brain mechanisms”, for Beckett to expose such unconscious biological mechanisms and “gaps” becomes his own artistic challenge.     

We Were the Future

In this paper, I try to decipher the era we are living in when our basic matrix collapses and our thinking apparatus is incessantly attacked. I look at the way these social and political processes we know through living in Israel impacts our daily life as human beings who work together with other human beings in order to decipher our and their ways of coping in a place where traumas pile one on the other as victims and perpetrators alike. I use a therapeutic tale not as an example of the intrusions of the political into our clinics but as a way to read the political through it. I choose this vignette as a metaphor to our situation in Israel.     

The Wiseman and the Sage:Metaphysics as Wisdom in Aristotle and the Neo-Confucian School of Principle

Among scholars of classical philosophy in the West, it is not uncommon to hesitate about the existence of metaphysics in non-Western philosophical traditions. At times, the dilemma seems due to culture-specific ideas or standards about what metaphysics is or how it should be done. Other times the problem seems to lie in a general lack of awareness about the methods and approaches of divergent philosophical traditions. This article explores an often ignored Aristotelian notion of metaphysics: That it is wisdom. If we acknowledge wisdom to be a common value or ideal found in different cultures, then characterizing metaphysics as wisdom promises to be more inclusive than prevalent ideas about it, being broad enough to allow for the appreciation of metaphysical insights and achievements in non-Western schools. I first examine Aristotle’s account of what wisdom consists of. I shall then test the inclusivity of this conception of metaphysics by showing how its characteristic features are manifest in the Neo-Confucian ideal of sagely learning.     

Prenatal Cocaine Exposure and Infant Sleep at 7 Months of age: The Influence of the Caregiving Environment

The primary goal of this study was to examine sleep problems in a sample of cocaine-exposed 7-month-old infants and to determine if maternal psychopathology mediated any existing association between substance exposure and sleep behaviors. We also examined the differences in sleep behaviors of cocaine-exposed infants in parental custody and cocaine-exposed infants in nonparental custody. Participants were 65 cocaine-exposed and 53 nonexposed infants and their primary caregivers who were recruited at delivery and assessed at 7 months of infant age. As expected, women who used cocaine during pregnancy had more psychiatric symptoms than nonusers. Prenatal exposure to heavier amounts of cocaine was significantly related to more severe sleep difficulties, and maternal anxiety mediated this association. Approximately 28% of cocaine mothers lost custody of their infants by 7 months of age. Nonmaternal caregivers had significantly fewer symptoms of psychopathology than the cocaine-using women who retained custody of their children. Infants who were in nonparental care at 7 months of age also had less severe sleep problems than did infants who remained in parental care.