Combined group and individual treatment for the borderline patient

This article discusses the attenuating mechanisms of group psychotherapy that support and enhance analytic work with borderline patients in combined group and individual psychotherapy. A group case study is presented which addresses the manifestations and management of transference and countertransference in a combined treatment approach. Combined treatment was observed to respond effectively to both the intrapsychic and interpersonal difficulties of borderline patients. A multidimensional model for treating these patients in a community mental health setting is proposed.     

Assessment of Executive Functions after Treatment of Childhood Acute Lymphoid Leukemia: a Systematic Review

Neuropsychology Review - Individuals treated for childhood acute lymphoblastic leukemia (ALL) have a high survival rate. This fact, however, may lead to neurocognitive impairments in survivors, as...     

Cognitive processes in social anxiety: the effects of self-focus, rumination and anticipatory processing

We examined three cognitive processes hypothesized to contribute to biases in judgments about and memory for social events: self-focused attention, post-event rumination, and anticipatory processing. Socially anxious (N = 58) and nonanxious (N = 58) subjects participated in a social interaction and then completed measures of self-focused attention and anxiety-related physiological sensations and behavior. The next day, subjects completed measures that assessed frequency of post-event processing and recall of the interaction. The results indicated that selective attention to negative self-related information led to biases in social judgments and recollections and that post-event processing contributed to the recall of negative self-related information. No evidence was found for selective retrieval of negative self-related information prior to a second social interaction. The results reconcile inconsistent previous findings related to memory bias in social anxiety.     

Children who question their heterosexuality

Many gay, lesbian, and bisexual adults report a period of childhood sexual questioning--an uneasy questioning of their heterosexuality brought on by same-sex attractions and motivating same-sex sexual exploration. This article evaluates hypotheses about the correlates, causes, and consequences of childhood sexual questioning. Participants were 182 children in the 4th through 8th grades. Compared with children more confident in their heterosexuality, sexual-questioning children reported more impaired self-concepts, fewer same-sex-typed attributes (but not more cross-sex-typed attributes), a greater sense of feeling different from same-sex others, and lesser satisfaction with their gender assignment. Short-term longitudinal analyses indicated that sexual questioning is more likely a determinant than a consequence of these correlated variables. However, influences of sexual questioning on these outcomes were small.     

Framing social information and generalized social phobia

Patients with generalized social phobia (GSP, N=33) and matched community controls (N=31) engaged in a social interaction that was constructed to go well, and then received feedback that framed social cues reflecting either the absence of negative outcomes or the presence of positive outcomes. Following feedback that framed positive social cues, the GSP group predicted they would experience more anxiety in a subsequent interaction than did non-phobic controls. In contrast, following feedback framing the absence of negative outcomes, the GSP group did not differ from controls in their anxiety predictions. The results demonstrated that framing paradigms and methods can be usefully applied to the study of cognitive processes in social phobia and indicated that research to examine how GSP patients process specific types of social information is needed.     

Cultural meanings of nature: an analysis of contemporary motion pictures

To evaluate current cultural meanings of nature, the authors asked 65 undergraduate students to "list 3 movies in which nature was an important aspect of the film." They also were asked to specify the natural element that stood out to them and describe "how it related to the overall theme of the movie." Two independent groups of raters skilled in interpretive analysis developed thematic meanings from these responses. Following this, in a 2nd study, a different group of participants rated the 18 most frequently mentioned natural elements on thematic scales derived from the initial interpretive analysis. Participants in the 1st study mentioned 33 different movies at least twice and 5 themes that captured the meaning of nature in these films. Correlational results derived from the 2nd study indicated that rating scales reflecting these 5 themes formed 2 distinct groups; the first group described settings in which nature is experienced as adversarial and plays a significant role in dramatic action, and the second group defined settings in which nature is viewed either as a place of refuge or simply as a locale in which ongoing narrative action occurs. The general conclusion reached in both studies concerns the often noted but not always appreciated fact that movies--similar to everyday events and actions--always take place in specific settings and that neither life events nor dramatic narratives can be understood apart from specific settings.     

The Role of Intimate Exchange in the Link Between Reactive Aggression and Child Depressive Symptoms

Although the link between reactively aggressive behavior and depressive symptoms in childhood has been demonstrated in previous work, few studies have examined how peer factors may influence this association. Examining the role of peers in the link between reactive aggression and depressive symptoms is necessary, as peers have been found to buffer the impact of factors that contribute to depressive symptoms in childhood. Accordingly, we examined whether intimate exchange with a best friend moderated the association between reactive aggression and depression in childhood in a sample of 115 children (aged 5–14; M = 8.88; 87 % minority; 53 % male) who attended a community based summer program. Consistent with expectation, reactive aggression was positively associated with child depressive symptoms whereas proactive aggression was negatively associated with depressive symptoms. Further, the interaction between intimate exchange and reactive aggression was associated with child depressive symptoms. Specifically, the association between reactive aggression and depressive symptoms was weaker when levels of intimate exchange were high. Thus, the current study suggests that close peer relationships may help to buffer the link between reactively aggressive behavior and depressive symptoms. Implications for findings include the need to target friendships to help prevent depressive symptoms for reactively aggressive youth.     

Repetition priming reveals hemispheric differences in compound word processing

The left (LH) and right (RH) hemispheres are thought to implement different mechanisms for visual word recognition; the LH’s parallel encoding strategy is more efficient than the RH’s serial, letter-by-letter analysis. Here we examine differences in hemispheric language processing strategy by investigating repetition priming of compound words (e.g. buttercup) and their constituents (e.g. butter, cup). Eighty-eight right-handed participants (29 M, 59 F) completed a lexical decision experiment in which centrally-presented compounds primed related (whole compound, first constituent, second constituent) and unrelated targets presented laterally to the left or right visual field; participants made button-press word/nonword decisions. Consistent with the LH parallel/RH serial distinction, repetition priming prompted an RH advantage for first constituents, whereas the LH performed equally efficiently in response to both first and second constituents. These data thus highlight differences in the hemispheres’ language processing strategies, offering new evidence supporting a relative parallel/serial distinction in LH/RH visual word recognition.