Enhancing the Self-Esteem and Social Competence of Hyperactive Children: A Semi-Structured Activity Group Therapy Model

This article proposes a semi-structured activities group model for addressing the fragile self-esteem and social discord often shown by hyperactive children. Included is a discussion of the amount of structure and types of activities necessary to foster effective group work with this client population. The author asserts that hyperactivity oftentimes is better conceptualized in terms of unmet exhibitionistic needs, the sensitive handling of which can impact the acquisition of healthy self-esteem. Another key focus is the role of shame in manifestations of aggression and externalization of blame that diminish the social competence of hyperactive children. Clinical vignettes are used to illustrate key points.     

Unravelling the riddle of exhibitionism: a lesson in the power tactics of perverse interpersonal relationships

Through an examination of the varied paradoxes embedded within the phenomenon of genital exhibitionism, the author establishes exhibitionism as a paradigm for interpersonal relations whereby one individual entices another to lose himself, to a benign or dangerous degree, in a presented portrayal/enactment. Efforts to entice that cause an extreme loss of the subject's sense of self--making it exceedingly hard to break free of--are designed to render the subject powerless and take psychic possession of him. The perpetrator accomplishes this feat by interacting with his victim in ways capable of producing a sudden and profound regression with sufficient loss of autonomous ego functioning that the subject finds it hard, if not impossible, to act on his own behalf. The essential feature of the perpetrator's efforts is his violation of the unspoken but understood rules of interpersonal engagement that, when violated, cause extreme disorientation and a loss of trust in one's most basic assumptions about how humans treat one another. When this happens, we would describe the interaction as having been perverted to serve the exclusive needs of the predator--to gain as complete control over the other as possible.     

Seeing and being seen in the experience of the client and the therapist

There is more to non-verbal communication than observing the client, although intense observation of the client has taken second place to listening to their words. After reflecting on the history of the use of sight in medicine and psychoanalysis, the author examines the significance for Freud and others of the ‘senses at a distance' (hearing and sight), and issues such as voyeurism and exhibitionism in the therapeutic relationship. The phenomenon of seeing and being seen is related through case examples to issues about distance and space, paranoid anxiety and communication disorders. Attention is also paid to illusion as a way of seeing, and its relevance in the counter-transference. The article concludes by looking at the way clients see therapists, tracing briefly the progression from self-pre-occupation to seeing the therapist as a separate other.     

自我感知的外表吸引力与自拍发布行为的关系：一个有调节的中介模型

采用问卷法对377名高校学生进行调查,以考察自我感知的外表吸引力、外倾性、表现欲及自拍发布行为四者之间的关系。结果显示：(1) 自我感知的外表吸引力显著地正向预测个体的自拍发布行为;(2)外倾性在自我感知的外表吸引力与自拍发布行为之间起部分中介作用;(3) 表现欲能调节外倾性与自拍发布行为的关系,随着表现欲的增加,外倾性的中介作用增大。本研究进一步揭示了个体自拍发布行为的作用机制,促进了人们对网络自我表露行为的认识。