Social anxiety and fear of bodily sensations in panic disorder and agoraphobia: A matched comparison

This study tests the hypothesis that social anxiety and fear of bodily sensations are associated with the development of agoraphobic avoidance behavior in panic disorder patients. Twenty patients with panic disorder were compared to 20 patients with panic disorder with agoraphobia, matched by sex and duration of disorder. The two groups did not differ on measures of fear and frequency of assertive social responses. However, the agoraphobics scored higher on measures of interpersonal sensitivity, depression, feelings of inadequacy, and hostility. They also reported higher fear of bodily sensations. Although definitive conclusions need to be postponed until prospective studies have been conducted, there is evidence suggesting that the development of agoraphobia in panic patients is associated with hypersensitivity to bodily sensations and interpersonal situations.This research was supported by Grant 560-268-009 of the Dutch Organization for Scientific Research.     

MOTILITY,AGGRESSION, AND THE BODILY I: AN INTERPRETATION OF WINNICOTT

Among the central ideas associated with the name of Winnicott, scant mention is made of motility. This is largely attributable to Winnicott himself, who never thematized motility and never wrote a paper specifically devoted to the topic. This paper suggests both that the idea of motility is nonetheless of central significance in Winnicott's thought, and that motility is of central importance in the development and constitution of the bodily I. In elaborating both these suggestions, the paper gives particular attention to the connections between motility, continuity, aggression, and creativity in Winnicott's work.     

Pseudoneglect: evidence for both perceptual and attentional factors

When neurologically normal individuals bisect a horizontal line as accurately as possible, they reliably show a slight leftward error. This leftward inaccuracy is called pseudoneglect because errors made by neurologically normal individuals are directionally opposite to those made by persons with visuospatial neglect (Jewell & McCourt, 2000). In the current study, normal right-handed observers bisected horizontal lines that were altered to bias line length judgments either toward the right or the left side of the line. Non-target dots were placed on or near the line stimuli using principles derived from a theory of visual illusions of length called centroid extraction (Morgan, Hole, & Glennerster, 1990). This theory argues that the position of a visual target is calculated as the mean position of all stimuli in close proximity to the target stimulus. We predicted that perceptual alterations that shifted the direction of centroid extraction would also shift the direction of line bisection errors. Our findings confirmed this prediction and support the idea that both perceptual and attentional factors contribute to the pseudoneglect effect.     

The body, adolescence, and psychosis

This article explores aspects of the clinical development of a male 17 year-old patient who had four weekly sessions of psychoanalysis during an acute psychotic crisis. In the context of arrested adolescent development, a psychotic crisis can present an opportunity to set the process of maturation in motion again. Adolescent psychosis is examined in the light of Bion's theories of catastrophic change - in which the container/contained relationship becomes explosive and overwhelming - as well as of Ferrari's and Matte Blanco's hypotheses on the mind-body relationship. The authors emphasize the role of denial of the body and its changes in the genesis of adolescent psychotic conflict, and show how the analytic relationship can offer crucial reverie conditions for promoting recognition of the body, bodily sensations and affects, as a prerequisite for the activation of an autonomous mental system. This clinical approach entails recognizing the urgent need to make room for the elaboration of intrasubjective relationships and for mind-body dialogue, transference interpretations being postponed. Clinical material and fragments of analytic dialogue illustrate the authors' hypotheses and demonstrate the patient's development towards recognition of his body and an incipient capacity to think associated with the perception of the limits set by time and reality.     

Sequential remembering and lived remembering in the flow of experience: a videographic study / Recuerdo secuencial y recuerdo vivido en el curso de la experiencia: un estudio videográfico

Abstract

During the last 30 years the discussion on memory and remembering has advanced from a strictly cognitive perspective to a broader view, involving the body in these processes. Thus, the present article aims to recover Henri Bergson’s main ideas — published more than a century ago — emphasizing the tight relation between immediate experience, memory and bodily movements. First, contemporary perspectives on memory are reviewed. Afterwards, the results from a videographic study are presented, showing how deeply the body is engaged in the act of remembering. These results evidence the presence of two different ways of remembering: sequential and lively-experienced.     

Self-evaluation and self-perception: The role of attention in the experience of anxiety

Abstract

Self-awareness promotes the experience of anxiety in two ways. It does so directly, by enhancing awareness of the emotional state itself, and by initiating the self-evaluation process that is necessary for anxiety to occur. It also does so indirectly, by constraining some behaviors and inhibiting others. In particular, it increases accuracy of self-perception, and, in so doing, retards the process of self-delusion. This is important, because the latter process has been shown to have a salutary effect on mental health, acting as a buffer against dysphoric states such as depression and anxiety.     

Maintaining Life Satisfaction: The Role of Positive Cognitive Bias

Recent research into population standards of life satisfaction has revealed a remarkable level of uniformity, with the mean values for Western populations clustering at around three-quarters of the measurement scale maximum. While this seems to suggest the presence of a homeostatic mechanism for life satisfaction, the character of such a hypothetical device is uncertain. This paper proposes that well-being homeostasis is controlled by positive cognitive biases pertaining to the self. Most particular in this regard are the positive biases in relation to self-esteem, control and optimism. Past controversies in relation to this proposition are reviewed and resolved in favour of the proposed mechanism. The empirical data to support this hypothesis are discussed in the context of perceived well-being as an adaptive human attribute.     

ON BECOMING ABLE TO PLAY: INDIVIDUAL CHILD PSYCHOANALYTIC PSYCHODRAMA AND THE DEVELOPMENT OF SYMBOLIZATION

In this paper, the authors analyze the relevance and transformative potential of individual psychoanalytic psychodrama in the treatment of children with severe impairments in symbolization. Central features of this modality, including promoting the representation of early traumatic experiences, are presented and discussed. Specific features include double‐envelope containment of the co‐therapists’ group and play leader, consequent diffraction of the transference‐determining portrayal, gradual integration, and initial figuration of coexisting split‐off fragments. Drawing on in‐depth clinical material, the authors show how psychodrama tempers the potentially traumatic effects of the encounter with the object, allowing these patients to access the transitional area of play.     

“To‐be‐forgotten” statements become less true: Memory processes involved in selection and forgetting lead to truthfulness changes of ambiguous sentences

What happens when people try to forget something? What are the consequences of instructing people to intentionally forget a sentence? Recent studies employing the item‐method directed forgetting paradigm have shown that to‐be‐forgotten (TBF) items are, in a subsequent task, emotionally devaluated relative to to‐be‐remembered (TBR) items, an aftereffect of memory selection (Vivas, Marful, Panagiotidou & Bajo, 2016). As such, distractor devaluation by attentional selection generalizes to memory selection. In this study, we use the item‐method directed forgetting paradigm to test the effects of memory selection and inhibition on truth judgments of ambiguous sentences. We expected the relative standing of an item in the task (i.e., whether it was instructed to be remembered or forgotten) to affect the truthfulness value of that item, making TBF items less valid/truthful than TBR items. As predicted, ambiguous sentences associated with a “Forget” cue were subsequently judged as less true than sentences associated with a “Remember” cue, suggesting that instructions to intentionally forget a statement can produce changes in the validity/truthfulness of that statement. To our knowledge, this is the first study to show an influence of memory processes involved in selection and forgetting on the perceived truthfulness of sentences.