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The introduction challenges the conventional modernist approach by tracing the development of psychoanalytic discourse as a network of cultural systems dependent on commercial interests and connected through various authors, editors, publishers, printers, and readers. I explore the discursive ground that religion provided for the establishment of the contemporary “rules” of engaging in the field of psychoanalysis. The prewar period may anticipate postwar psychoanalytic literature on religion, but the journal wars, and the rivalries between the various players for control of the key publications play a much more central role in these works than various views on the role of religion in the psyche.
The final chapter discusses whether or not hippies age differently or better than other older adults.It suggests two complementary perspectives: The perceptions of the researched individuals that emphasize healthy lifestyle, engagement, and social support; and the researcher’s viewpoint, which stresses identity work, generativity, play, spirituality, and psychological sense of community. Discussing the two overarching themes of ideology and adaptability, the chapter also presents a take-home message about commitment and its contribution to wellbeing in old age. Overall, it suggests that we and others may benefit if we make our later years meaningful, satisfying, and hippie to an extent.
The book concludes by looking at what Jung and Freud published and did not publish on Jonah after their break. This retrospective perspective helps us evaluate the legacy and aftereffects of what was written during the founding years of the psychoanalytic periodicals. The book concludes with a reappraisal of Freud’s decision to end his life on the Jewish Day of Atonement during the Second World War in the context of the extraordinary ways the story on the Book of Jonah played out before the First World War.
This chapter maps five stages of the founding history of the psychoanalytic periodical enterprise, beginning with Freud’s pre-analytic phantasies around a journal, its social form, and unavoidable emotional content. Freud later nurtured a small group of followers expressly to establish a periodical and found the discourse on religion critical to the enterprise. With the arrival of competing periodicals on the scene, the use of religious rhetoric editors utilized the discourse on religion to narrate group dynamics within the Freudian circle and to enact change in the periodical enterprise itself. In is only in 1912 that religious content became a charged site in Christian-Jewish debates for working out contemporary rivalries and for marking out one’s territory. Jung and his circle began to abandon the analogic treatment of religion for the evidence that the history of religion could provide as the basis for their theoretical differences with Freud.
Identifies the major features of major depressive episodes, dysthymic episodes, manic episodes, and hypomanic episodes. Describes the essential features of major depressive disorder and persistent depressive disorder. Describes the essential features of bipolar I and bipolar II disorder. Describes the essential features of premenstrual dysphoric disorder, disruptive mood dysregulation disorder, and prolonged grief disorder. Describes the models and treatments for mood disorders.
Describes the symptoms associated with psychotic disorders. Compares the positive and negative symptoms of psychosis. Summarizes the epidemiology, diagnostic criteria, and clinical features of the psychotic disorders. Discusses current theories of the etiology of psychotic disorders. Describes common side effects of antipsychotic medications. Discusses the psychosocial treatments of psychotic disorders.
The dominant paradigm of experiments in the social and behavioral sciences views an experiment as a test of a theory, where the theory is assumed to generalize beyond the experiment's specific conditions. According to this view, which Alan Newell once characterized as “playing twenty questions with nature,” theory is advanced one experiment at a time, and the integration of disparate findings is assumed to happen via the scientific publishing process. In this article, we argue that the process of integration is at best inefficient, and at worst it does not, in fact, occur. We further show that the challenge of integration cannot be adequately addressed by recently proposed reforms that focus on the reliability and replicability of individual findings, nor simply by conducting more or larger experiments. Rather, the problem arises from the imprecise nature of social and behavioral theories and, consequently, a lack of commensurability across experiments conducted under different conditions. Therefore, researchers must fundamentally rethink how they design experiments and how the experiments relate to theory. We specifically describe an alternative framework, integrative experiment design, which intrinsically promotes commensurability and continuous integration of knowledge. In this paradigm, researchers explicitly map the design space of possible experiments associated with a given research question, embracing many potentially relevant theories rather than focusing on just one. Researchers then iteratively generate theories and test them with experiments explicitly sampled from the design space, allowing results to be integrated across experiments. Given recent methodological and technological developments, we conclude that this approach is feasible and would generate more-reliable, more-cumulative empirical and theoretical knowledge than the current paradigm – and with far greater efficiency.
Insomnia and disturbed sleep are more common in autistic adults compared with non-autistic adults, contributing to significant social, psychological and health burdens. However, sleep intervention research for autistic adults is lacking.
Aims:
The aim of the study was to implement an acceptance and commitment therapy group insomnia intervention (ACT-i) tailored for autistic adults to examine its impact on insomnia and co-occurring mental health symptoms.
Method:
Eight individuals (6 male, 2 female) aged between 18 and 70 years, with a clinical diagnosis of autism spectrum disorder, and scores ranging from 9 to 26 on the Insomnia Severity Index (ISI) participated in the trial. Participants were assigned to one of two intervention groups (4 per group) within a multiple baseline over time design for group. Participants completed questionnaires pre-intervention, post-intervention, and at 2-month follow-up, actigraphy 1 week prior to intervention and 1 week post-intervention, and a daily sleep diary from baseline to 1 week post-intervention, and 1 week at follow-up.
Results:
At a group level there were significant improvements in ISI (λ2=10.17, p=.006) and HADS-A (anxiety) (λ2=8.40, p=.015) scores across the three time points. Clinically reliable improvement occurred for ISI scores (n=5) and HADS-A scores (n=4) following intervention. Client satisfaction indicated that ACT-i was an acceptable intervention to the participants (median 4 out of 5).
Conclusions:
This pilot study with eight autistic adults indicates that ACT-i is both an efficacious and acceptable intervention for reducing self-reported insomnia and anxiety symptoms in autistic adults.
Educational attainment is a well-documented predictor of later-life cognition, but less is known about upstream contextual factors. This study aimed to identify which early-life contextual factors uniquely predict later-life global cognition and whether educational attainment mediates these relationships.
Method:
Participants were drawn from the Michigan Cognitive Aging Project (N = 485; Mage = 63.51; SDage = 3.13; 50% non-Hispanic Black). Early-life exposures included U.S. region of elementary school (Midwest, South, Northeast), average parental education, household composition (number of adults (1, 2, 3+), number of children), school racial demographics (predominantly White, predominantly Black, diverse), self-reported educational quality, and school type (public/private). Later-life global cognition was operationalized with a factor score derived from a comprehensive neuropsychological battery. Sequential mediation models controlling for sociodemographics estimated total, direct, and indirect effects of early-life contextual factors on cognition through educational attainment (years).
Results:
Higher educational quality, higher parental education, and attending a private school were each associated with better cognition; attending a predominantly Black or diverse school and reporting three or more adults in the household were associated with lower cognition. After accounting for educational attainment, associations remained for educational quality, school type, and reporting three or more adults in the household. Indirect effects through educational attainment were observed for school region, educational quality, school racial demographics, and parental education.
Conclusions:
School factors appear to consistently predict later-life cognition more than household factors, highlighting the potential long-term benefits of school-level interventions for cognitive aging. Future research should consider additional mediators beyond educational attainment such as neighborhood resources and childhood adversity.
Refugees and asylum seekers present with high levels of post-traumatic stress disorder (PTSD), whilst little research has been conducted to assess the effectiveness or acceptability of psychological interventions for this group. Imagery rescripting is effective in reducing distressing intrusive memories within a range of conditions. The current study evaluates this approach for the treatment of PTSD in refugees and asylum seekers within a UK NHS service.
Aims:
To evaluate the clinical outcomes of using imagery rescripting for the treatment of PTSD in UK-based refugees and asylum seekers.
Method:
Ten adult service-users from an NHS specialist service with a primary diagnosis of PTSD were recruited as part of routine service delivery. A multiple baseline design was used with participants randomly allocated to a baseline varying from 5 to 9 weeks. A baseline wait-period was followed by up to five sessions of psychoeducation and treatment preparation, in turn followed by up to 10 sessions of imagery rescripting. The Post-traumatic Symptom Scale (PSS) and Physical Health Questionnaire-9 (PHQ-9) were collected every week during baseline, at end of treatment and weekly for 5 weeks after treatment, and again at 12-week follow-up. Data were analysed with mixed regression.
Results:
Results indicate a significant improvement both in PTSD symptoms and mood, and that this was attributable to the imagery rescripting phase of the intervention, and not the passage of time or non-specific therapy factors.
Conclusions:
Evidence indicates imagery rescripting to be a safe and effective treatment choice for PTSD in refugees and asylum seekers.
Parental reflective functioning (PRF) is the ability of parents to understand their child’s behavior in light of underlying mental processes; it is a core element in the parent–child relationship. RF is also considered crucial for self-regulation for both parents and their children. We investigated the relationship between improvement in PRF after DUET group intervention (a RF-based intervention) and improvement in the parent–child interaction, child RF, and child adjustment, and we examined whether these improvements were distinct for children with different temperamental traits (e.g., effortful control). Eighty-four parents completed the DUET program and were assessed before and after the intervention. PRF was measured using observation (mind-mindedness) and a questionnaire. Statistical analysis included hierarchical regression and moderation of regression analysis. Results showed that improvement in the parent–child interaction, child RF, and child behavioral problems were related to improvement in PRF. Furthermore, we found that child temperament acted as a moderator in the link between PRF and child RF, supporting a vantage sensitivity model, meaning that it was the more sensitive children who benefitted the most as a result of the positive change in their parents’ RF. Clinical and future directions of this study are discussed.
This article sets out some of the analytical moves that are necessary to developing a distinctive area of research called postcolonial memory studies. A key barrier to synthesising insights from postcolonial and memory studies has been a reductive approach to analogue and digital technologies which operate as vehicles for memory. Three analytical moves are needed to decentre, or at the very least de-naturalise the technological narratives and ecologies of Europe and the US. Media memory studies needs to draw more effectively on postcolonial studies to position mediated memory as inextricably connected to the legacies of colonialism and empire; develop a much broader account of media infrastructures emerging from what is increasingly characterised as ‘global media studies’; make an empirical and analytical shift away from the primacy of digital communications technologies and to explore technologies, not just as artefacts but as knowledge generating cultural practices. The combined value of these three shifts in approaches to media and communications technologies in memory studies research has considerable potential for developing postcolonial media memory studies research which offers a thorough and empirically grounded analysis of the complex ways in which the legacies of colonialism shape and structure the ways in which practices and performances of remembering are mediated in contemporary social life. This shift towards postcolonial memory studies can be seen as part of the wider project of what Anna (Amza) Reading has in this volume called ‘rewilding memory’ by rethinking ‘the underlying ecologies of knowledge within studies of memory’.
Intimate partner violence (IPV) refers to physical, sexual and psychological violence. Here an evolutionary approach is used to compare risk factors for male-to-female IPV perpetration, analysing physical and sexual IPV separately. Two hypotheses based on sexual conflict theory have been applied to IPV perpetration, but they remain largely untested using empirical data: (a) men perpetrate IPV in response to a perceived threat to their paternity certainty; and (b) IPV is caused by men pursuing a higher fertility optima than their partners, either within marriage (reproductive coercion) or outside marriage (paternal disinvestment). Demographic Health Survey data from couples in 12 sub-Saharan African countries (n = 25,577) were used to test these evolutionary hypotheses, using multilevel models and controlling for potential social and environmental confounds. The results show that evolutionary theory provides important insight into different risk factors by IPV type. Indicators of paternity concern are associated with an increased risk of both physical and sexual IPV, indicators of paternal disinvestment are associated with an increased risk of physical IPV only, while reproductive coercion is not associated with either IPV type. The risk factors identified here correspond with proximate-level explanations for IPV perpetration, but an evolutionary interpretation explains why these particular factors may motivate IPV in certain contexts.
Early caregiving adversity (ECA) is associated with elevated psychological symptomatology. While neurobehavioral ECA research has focused on socioemotional and cognitive development, ECA may also increase risk for “low-level” sensory processing challenges. However, no prior work has compared how diverse ECA exposures differentially relate to sensory processing, or, critically, how this might influence psychological outcomes. We examined sensory processing challenges in 183 8-17-year-old youth with and without histories of institutional (orphanage) or foster caregiving, with a particular focus on sensory over-responsivity (SOR), a pattern of intensified responses to sensory stimuli that may negatively impact mental health. We further tested whether sensory processing challenges are linked to elevated internalizing and externalizing symptoms common in ECA-exposed youth. Relative to nonadopted comparison youth, both groups of ECA-exposed youth had elevated sensory processing challenges, including SOR, and also had heightened internalizing and externalizing symptoms. Additionally, we found significant indirect effects of ECA on internalizing and externalizing symptoms through both general sensory processing challenges and SOR, covarying for age and sex assigned at birth. These findings suggest multiple forms of ECA confer risk for sensory processing challenges that may contribute to mental health outcomes, and motivate continuing examination of these symptoms, with possible long-term implications for screening and treatment following ECA.
This longitudinal randomized controlled trial examined the impact of a doula home visiting intervention for young, low-income mothers on parenting and toddler social-emotional development and tested whether intervention effects were moderated by maternal emotional and behavioral health characteristics. 156 mothers were offered home visits from a home visitor starting in mid-pregnancy through several years postpartum, with a community doula also working with the mother during pregnancy and after the birth. 156 received case management. Interviews, video recordings of mother-child interactions, and toddler assessments were conducted at 3 weeks, 3 months, 13 months, and 30 months of age. Intent-to-treat analyses conducted with the full sample showed some intervention effects. Moderation analyses, however, showed that most effects were concentrated among mothers engaged in high levels of risk-taking (delinquent behaviors, school suspensions, smoking, alcohol use, sexual risk-taking). Among higher risk-taking mothers, the intervention was related to less intrusiveness during early infancy, less psychological and physical aggression during toddlerhood, more sensitive parenting attitudes, and greater toddler social relatedness. Maternal depressive symptoms were only a moderator for toddler behavior problems. These findings suggest that doula home visiting may be a particularly effective model for enhancing sensitive, non-aggressive parenting among young mothers with a history of risk-taking behavior.