Regression II. Development through regression

As shown in our previous paper (‘Regression I. Experimental approaches to regression’, JAP, 65, 2, 345-65), the common mechanism of regression can be described as reversible dedifferentiation, which is understood as a relative increase of the proportion of low-differentiated (older) systems in actualized experience. Experimental data show that regression following disease (chronic tension headache) is followed by adaptation and an increase in system differentiation in that experience domain which contains systems responsible for that adaptation. The results of mathematical modelling support the idea that reversible dedifferentiation can be one of the mechanisms for increasing the effectiveness of adaptation through learning. Reversible dedifferentiation, which is phenomenologically described as regression, is a general mechanism for restructuring the organism-environment interactions in situations where behaviours that were effective in the past become ineffective. Reversible dedifferentiation has evolved as a component of adaptation when new behaviours are formed and large-scale modifications in the existing behaviours are required in the face of changes in the external and/or internal environment. Thus, the authors believe that this article provides evidence for Jung’s view that regression is not only a ‘return’ to past forms of thinking, affects and behaviour, but that regressive processes provide a significant impetus for psychological growth and development.     

Problemas metodológicos y conceptuales en el estudio de la función autorreguladora del habla

Resumen

Desde una perspectiva vygotskiana se revisa la evolución de las investigaciones relativas al desarrollo de la función reguladora del habla. Se discuten la metodología y el soporte conceptual de los estudios originales de Luria y de los intentos de replicación realizados por autores occidentales. Se presentan y comentan también varias aportaciones posteriores: tanto los nuevos planteamientos empíricos como los nuevos desarrollos conceptuales. Finalmente, se señala la necesidad de atender a nuevos criterios en la elección de las tareas, de registrar las verbalizaciones espontáneas y de analizar el proceso de sociogénesis. Se concluye identificando dos factores influyentes en la emisión del habla egocéntrica (dificultad relativa de la tarea y percepción del contexto social) y distinguiendo, dentro del funcionamiento de la autorregulación verbal, entre el sistema activador, ligado a los aspectos de impulso, y el sistema de planificación y control, asociado a la propiedad de mediación semiótica.     

Los niveles de análisis de la emoción: James,cien años después

RESUMEN

En este artículo se analizan las implicaciones de la teoría de James con un siglo de perspectiva y, se realiza un amplio estudio de la noción de emoción y su significación psicológica y epistemológica. Se exponen los principios fundamentales de la Teoría de James-Lange, además de exponer la teoría de Canon que se enfrentaba a la Teoría de James-Lange, se recogen también, aquellas teorías que se sitúan en un punto intermedio de estas dos teorías. Finalmente se analiza en mayor profundidad la teoría de James en la actualidad y sus implicaciones epistemológicas.     

Incidencia de las representaciones gráficas en la solución de problemas por analogía. Réplica a Gick y Holyoak

RESUMEN

Sierra y Froufe cuestionan un trabajo anterior sobre la utilidad de representaciones gráficas en la solución de problemas mediante razonamiento analógico y presentan un análisis detallado de algunos procesos fundamentales en esta clase de pensamiento. Empiezan por describir los experimentos llevados a cabo por Gick y Holyoak (1983) y discutir algunas de sus conclusiones, ofreciendo interpretaciones alternativas. A continuación exponen cómo se explica la inducción de un esquema a partir del establecimiento de una analogía y, en segundo lugar, comparan los diagramas utilizados por Gick y Holyoak con los obtenidos en un trabajo de uno de los autores (Sierra, 1985) tomando como marco de referencia la exposición acerca de la inducción de esquemas. Finalmente se concluye que, en parte, los sujetos del experimento anterior no recurrían al diagrama porque, al ser incompleto, no les permitía solucionar el problema, sugiriendo que un sistema representacional basado enteramente en las proposiciones resulta insuficiente y que la imagen mental del dibujo juega una función cognitiva en la solución.     

Newborn behavioral observations system in rural Pakistan: A feasibility and acceptability study

The Newborn Behavioral Observations (NBO) system is a relationship-based tool that helps parents recognize their infant's competencies and learn their behavioral cues, with the goals of enhancing parental responsiveness and satisfaction in the infant-parent relationship. In our study, a pediatrician integrated the NBO into 44 pediatric health care visits of infants in rural Pakistan villages, under the remote guidance of two U.S.-based child psychiatrists. A clinician then gave the mothers a survey about their experience of the NBO and found that the mothers were highly satisfied, reporting greater appreciation of their infant's strengths, greater understanding of their infant's behavioral cues, stronger attachment to their infant, and greater self-confidence as a mother. In their consideration of these results, the authors explore cultural reasons for the mothers’ responses and generate hypotheses to inform an outcome study of a similar intervention. This was a feasibility and acceptability study and was not randomized, had no control group, and did not use objective measures of outcome.     

Opening the closed heart: affect-focused clinical work with the victims of early trauma

This paper begins with the understanding that early trauma leads to powerful dissociative defenses which injure the capacity to feel. It further explores ways to restore this capacity through body-centred attention to affect-in-the-moment in the psychoanalytic situation. Using the author’s personal experience while in analysis as well as a case of severe early trauma, he demonstrates the consciousness-killing effect of primitive defenses and shows how body-sensitive techniques hold the promise of restoring the patient’s sense of aliveness and hence, opening the unconscious to those affect-images that are the building blocks of the human imagination. A final section focuses on the neglect of feeling in Jungian psychology and suggests that the “creation of consciousness” which Jung described as his personal myth, is quintessentially a process of emotional transformation – of bringing unconscious suffering into consciousness – as feelings.     

Neuropsicología cognitiva: Consideraciones metodológicas

Resumen

El presente trabajo es teórico y pretende ofrecer una revisión metodológica en una rama de la psicología que está en pleno auge, la neuropsicología cognitiva. El trabajo consta de los siguientes puntos: definición de la neuropsicología cognitiva y delimitación del concepto frente a la neuropsicología tradicional; relaciones entre la neuropsicología y la psicología cognitivas; métodos actuales en neuropsicología cognitiva, esto es, descripción y consideraciones de las distintas aproximaciones metodológicas; razones para el estudio de caso único, el método de la coherencia con el paciente, el método de la disociación en base a la hipótesis de la modularidad, el método de las constelaciones de síntomas y, por último, los requisitos necesarios para el sistemático estudio de caso único; críticas y conclusiones.     

Revisioning Fordham's ‘Defences of the self’ in light of modern relational theory and contemporary neuroscience

This paper explores the evolution of Michael Fordham's ideas concerning ‘defences of the self’, including his application of this concept to a group of ‘difficult’ adult patients in his famous 1974 paper by the same name. After tracing the relevance of Fordham's ideas to my own discovery of a ‘self‐care system’ in the psychological material of early trauma patients (Kalsched 1996 ), I describe how Fordham's seminal notions might be revisioned in light of contemporary relational theory as well as early attachment theory and affective neuroscience. These revisionings involve an awareness that the severe woundings of early unremembered trauma are not transformable through interpretation but will inevitably be repeated in the transference, leading to mutual ‘enactments’ between the analytic partners and, hopefully, to a new outcome. A clinical example of one such mutual enactment between the author and his patient is provided. The paper concludes with reflections on the clinical implications of this difficult case and what it means to become a ‘real person’ to our patients. Finally, Jung's alchemical views on transference are shown to be useful analogies in our understanding of the necessary mutuality in the healing process with these patients.     

Prospective Pilot Study of the Mastering Each New Direction Psychosocial Family Systems Program for Pediatric Chronic Illness

Psychosocial interventions for pediatric chronic illness (CI) have been shown to support health management. Interventions that include a family systems approach offer potentially stronger and more sustainable improvements. This study explores the biopsychosocial benefits of a novel family systems psychosocial intervention (MEND: Mastering Each New Direction). Forty‐five families participated in a 21‐session intensive outpatient family systems‐based program for pediatric CI. Within this single arm design, families were measured on five domains of Health‐Related Quality of Life (HRQL) self‐report measures; Stress, Cognitive Functioning, Mental Health, Child HRQL, Family Functioning. Both survey and biological measures (stress: catecholamine) were used in the study. Results from multivariate general linear models showed positive pre‐, post‐, and 3‐month posteffects in all five domains. The program effects ranged from small to moderate (η² = .07–.64). The largest program effects were seen in the domains of cognitive functioning (η² = .64) and stress (η² = .27). Also, between disease groups, differences are noted and future implications for research and clinical practice are discussed. Conclusions suggest that the MEND program may be useful in helping families manage pediatric chronic illnesses. Study results also add to the growing body of literature suggesting that psychosocial interventions for pediatric chronic illness benefit from a family systems level of intervention.