Working with patients with disruptions in symbolic capacity1

This article focuses on understanding and working with patients who have poorly developed symbolic capacity, or for whom symbolic capacity has been disrupted due to trauma, particularly as it pertains to the use of reverie and interpretation in the analytic process. Many patients who present for Jungian analysis will initially present with deficits in symbolic functioning. This situation results in necessary limitations or modifications in utilizing traditional Jungian techniques such as dream analysis, active imagination, sand tray and other expressive art techniques. The initial phase of analytic work with these patients requires a focus on developing their symbolic capacity before traditional Jungian techniques can be utilized effectively. During the paper Jung's concept of ‘the symbolic attitude’ will be examined as well as the conceptual models of Wilfred Bion and other post-Bionians who outline theories and method for cultivating symbolic capacity and reflective functioning in patients for whom these capacities are impaired or poorly developed.     

The effectiveness of cognitive behavioral group intervention on depression and anxiety in patients with type II diabetes

IntroductionDepression and anxiety are important risk factors for diabetes and high blood pressure.ObjectiveThis study investigated the effectiveness of the Cognitive-Behavioral Group Intervention for Diabetes Disease (CBGI-DD) in reducing depression and anxiety in female patients with type 2 diabetes (T2D).MethodThe CBGI-DD program includes 12 weekly 2.5 h sessions, spread weekly over the course of 3 months. The present study was semi-experimental and controlled, with assessments at pre-test and post-test. It included diagnostic criteria for the diagnosis of T2D in the patient's medical records by a diabetes specialist. Participants (62 female volunteers aged 25 to 75 years) were randomly allocated to a control or test group. Both groups responded to the Second edition of the Beck Depression Inventory (BDI-II) and the Beck Anxiety Inventory (BAI) before (pretest) and immediately after the intervention (posttest). Participants in the test group received CBGI-DD (from April up to the end of September 2018) at Mashhad Diabetes Center. The control group received only medical care during this period.ResultsAn analysis of covariance showed that compared to the control group, the test group had a significant reduction in anxiety and depression from pre-test to post-test (p < 0.05). It was compared post-test scores between the two groups, controlling for pre-test scores.ConclusionThe CBGI-DD program seems to be effective in reducing anxiety and depression in female patients with T2D. However, further research exploring the potential for long-term improvements in depression and anxiety is needed.     

Personal values and unsanctioned aggression inherent in contact sports: The role of self-regulatory mechanisms,aggressiveness, and demographic variables

IntroductionTo date, research-examining factors related to the sociocognitive self-regulatory mechanisms governing unsanctioned aggression have received scant attention in applied sport psychology.ObjectiveA mediating model as influenced by various demographic variables was applied to explore the relationships between athletes’ personal values and their unsanctioned aggression directly and indirectly through the mediating role of resistive self-regulatory efficacy, moral disengagement, and aggressiveness.MethodA sample of 301 French competitors of different age (young: n = 200 and adult: n = 101), gender (male: n = 172 and female: n = 129), type of sport (high: n = 131 and low contact: n = 170), level of competition (beginner: n = 115, intermediate: n = 110, and advanced: n = 76), and length of practice (brief: n = 109, intermediate: n = 49, and extensive: n = 143) completed a questionnaire assessing the aforementioned variables.ResultsStructural equation modelling demonstrates that self-transcendence and self-enhancement values have only indirect negative and positive effects, respectively, on unsanctioned aggression through the full mediating effect of the mediators. Also, age, gender, and type of sport were predictive only of some personal values and mediators.ConclusionThese findings offer evidence that resistive self-regulatory efficacy, moral disengagement, and aggressiveness are mediators that fully govern the impact of athletes’ personal values and certain demographic variables on their unsanctioned aggression. Several limitations, implications and suggestions for further research are discussed.     

Hacia una historia del psicoanálisis

RESUMEN

El autor comienza señalando que la comprensión histórica del psicoanálisis exige un tratamiento plural, cuyo enfoque ilumine las diferentes perspectivas -así como su mutua interrelación- que han venido ilustrando su peculiar entidad. Por ello en este trabajo define de forma sistemática los principales enfoque históricos de los que es susceptible el fenómeno psicoanalítico: analítico-biográfico, socio-cultural, institucional-profesional y epistemológico, señalando los principales intereses temáticos y problemas que incluye cada uno y ofreciendo una selección de fuentes bibliográficas según tres criterios combinados: el mantenimiento de las obras clave clásicas, el carácter contemporáneo de las fuentes y el acceso a las mismas.     

Cognición ambiental

Resumen

Esta investigación revisa el conocimiento espacial humano en los ambientes cotidianos y reales. Los estudios relativos a mapas cognitivos se organizan en cinco categorías empíricas: edad, familiaridad, sexo, clase-cultura y componentes físicos del ambiente. Se discuten las cuestiones metodológicas y conceptuales en los trabajos sobre el conocimiento ambiental, enfatizando los problemas con las metodologías que utilizan el dibujo de mapas cognitivos. En particular se observa una falta de integración entre la investigación cognitiva pertinente y los trabajos de la psicología ambiental sobre mapas cognitivos. Finalmente se discute la aplicación potencial de los trabajos de conocimiento ambiental a la arquitectura, el diseño urbanístico y la educación.     

Influence of in utero exposure to maternal depression and natural disaster-related stress on infant temperament at 6 months: The children of Superstorm Sandy

This study examined the effects of in utero exposure to maternal depression and Superstorm Sandy, a hurricane that hit metropolitan New York in 2012, on infant temperament at 6 months. Temperament was assessed using the Infant Behavior Questionnaire-Revised. Maternal depression was measured by the Edinburgh Postnatal Depression Scale. The main effects and the interaction of maternal depression and Sandy exposure on infant temperament were examined using a multivariable generalized linear model. Results show that prenatal maternal depression was associated with lower emotion regulation and greater distress. Stratification and interaction analyses suggested that the adverse effects of prenatal maternal depression on problematic temperament were amplified by in utero Sandy exposure. This study underscores the importance of providing prenatal screening and treatment for maternal depression during pregnancy while also identifying high-risk families who may have suffered from disaster-related traumas to provide necessary services. As the frequency of natural disasters may increase due to climate change, it is important to understand the consequences of in utero stress on child development and to formulate plans for early identification.     

Pratiquer l’analyse interprétative phénoménologique : intérêts et illustration dans le cadre de l’enquête psychosociale par entretiens de recherche

Introduction

Interpretative phenomenological analysis is a qualitative discourse analysis method that has sprung up much research in psychology over the past 20 years. Grounded in phenomenology, idiography and hermeneutics, this research strategy strongly suits the understanding of individuals lived experience and their sense making of life events.

The Unreal Child1

Unrepresented mental states lead to an impaired ability to feel emotions and trust in oneself, one’s history and in the world. The article explores the question of how representations of oneself and the relevant other, the mother, become possible in the course of therapy when dissociative processes previously made this impossible, and what role unconscious communication plays in the analytic realm. This question will be explored by examining the theories of André Green, Philip Bromberg, and Howard Levine.     

Validation of the French version of the Beliefs about Medicines Questionnaire (BMQ) among diabetes and HIV patients

IntroductionBecause changing personal beliefs about treatment could help improve adherence, having a validated tool for identifying these beliefs is important.ObjectiveThis study sought to validate the French version of the Beliefs about Medicines Questionnaire (BMQ-f^©).MethodData were gathered among 253 patients with type 2 diabetes and 123 HIV patients with the help of self-reported questionnaires, including the Beliefs about Medicines Questionnaire, a French adherence assessment, and some demographic variables.ResultsConfirmatory factor analyses show the French version of the BMQ has the same factorial structure as the English original in both diabetes and HIV samples. All items load on their expected factor namely specific-necessity, specific-concern, general-harm, and general-overuse. Moreover, each scale revealed good internal consistency and retained the psychometric qualities of the original version. These satisfactory properties were consolidated by predictive validity data that demonstrate the impact of treatment beliefs on adherence levels.ConclusionFindings are discussed in light of previous diabetes and HIV studies. The French BMQ proved to be a good way of quickly identifying inaccurate beliefs about treatment. It could be a useful tool in French clinical practice, such as in patient education.     

Elaboración de un modelo empírico sobre la realización de actividades delictivas en la mujer mediante la técnica del Rep-Test

RESUMEN

El objetivo de nuestra investigación era encontrar un modelo explicativo de la conducta delictiva de la mujer de carácter psicosocial (habida cuenta de la falta de la operatividad de las teorías encontradas), y que no fuera específico como tal de la delincuencia femenina. Para ello se emplea la técnica de la rejilla, pero sin las connotaciones de Kelly sobre la misma, puesto que el motivo de este trabajo no era estudiar la complejidad cognitiva. Se hipotetizó que encontrar este modelo era posible, pero no se formularon hipótesis dado el carácter correlational del estudio. A la vista de los resultados obtenidos, se constata que era necesaria la creación de dos modelos diferentes, según que las acciones cometidas por los sujetos sean de satisfacción individual, o de que sean de satisfacción grupal. Dichos modelos ponen de manifiesto que no es posible establecer distinciones entre sujetos delincuentes y no delincuentes.