Sirens, seals, and containers: Reflections on psychotherapy during the 1991 Gulf War.

Presents clinical observations of the impact of the Persian Gulf War on the themes and processes of psychotherapy among a group of Israeli patients. Metaphors of the war period were analyzed in light of contemporary psychoanalytic thinking, with a particular focus on the significance of the sealed room. Issues of the psychotherapeutic technical stance and resistance vs breach in the frame were also addressed, and 2 case vignettes are included. It is concluded that the therapeutic framework is a representational constituent of early experiences pertaining to boundaries, containment, transitionality, and psychic enclosure, and remains sensitive throughout the treatment to vicissitudes of transference or to the reapportionment of psychic space. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Foreword.

Two years ago, the editors reasoned that the diverse and fundamental character of religious experience would promote an equally varied special issue devoted to the topic of psychotherapy and religion. We have not been disappointed. The papers composing this issue vary greatly in terms of literary style, research methodology, theoretical persuasion, and religious topics. There remains a need to clarify the extent to which religious issues or material that emerge during therapy need to be dealt with via "new" techniques (involving major modifications of classical techniques and ideologies) or via the classical methodologies, informed, perhaps, by expanded insights and perspectives. This issue is meant to be both current and historically representative. These two goals have not always been in agreement. The day of monolithic theories, presumed to address all matters of religious and psychotherapeutic importance, has passed, but not without leaving trails along which the present studies follow. Contemporary religious pluralism is more closely matched with the varied beliefs and problems of those seeking psychotherapy. This change has entailed a growing refinement in the psychological study of therapy and religious practice; it also implies a more astute and psychologically informed understanding of both the healthy and pathological aspects of religious experience. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Screen time: Clinical notes regarding Meissner's (2006) chronically late patient.

This communication is a commentary on William W. Meissner's presentation (see record 2006-20697-003) of a patient who chronically came late for sessions. The time duration of analytic work-relatively restricted per hour yet potentially limitless in overall duration-represents an existential paradox that is fundamental to the basic representational qualities of mental experience, and inherent in a mute way in the analytic frame. It is to be expected that the latent temporal elements of the patient's conflicts will inevitably challenge this aspect of the frame, subtly coercing patient and analyst to recreate these novel dimensions. If the analyst is too cautious regarding the inevitability of countertransference reactions to such a patient, important developmental opportunities may be missed. I suspect that the chronic lateness and absence that characterized the work with this patient screened an early, nonmentalized trauma that had torn a hole in the foundations of the patient's sense of time, and was inadvertently expressed by Meissner in an entirely atypical manner. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Depressive symptoms among American Indian adolescents: Psychometric characteristics of the Center for Epidemiologic Studies Depression Scale (CES-D).

The psychometric characteristics of the Center for Epidemiologic Studies Depression Scale (CES–D) were investigated with American Indian boarding school students (N?=?188; Grades 9–12). The CES–D showed good internal consistency (α?=?.82). Its dimensional structure was different from that described for adults, both Indian and non-Indian. Of the Indian students, 58% were classified as depressed, using the standard cutoff score of 16 or more, consistent with past studies of this age group. Alternative scoring methods were considered, based on persistence of symptoms as well as derived Diagnostic and Statistical Manual of Mental Disorders (DSM-III) and Research Diagnostic Criteria algorithms. Major gender differences were observed in the prevalence of reported symptoms as well as patterns of endorsement for certain CES–D items. The CES–D should be used with caution with American Indian adolescents, given the observed variation in its dimensional structure and uncertainty regarding appropriate cutoff scores. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Peer acceptance and school-related variables in an integrated junior high school.

Interracial peer acceptance at the junior high school level was related to 9 predictor variables: grade point average (GPA), IQ, attendance, self-concept of academic ability, sex, race, age, years in the school, and classroom racial composition. 322 7th- and 8th-grade students from predominantly lower-middle-class backgrounds were administered modified Syracuse Scales of Human Relations, measuring academic and social acceptance. Analysis of variance results show that White Ss slightly preferred Whites for the satisfaction of their academic and social needs. However, with stepwise multiple regression analysis, race was not a significant predictor variable for academic or social acceptance by White Ss. GPA and sex were the most prominent predictors of acceptance. Black Ss accepted both Black peers and White peers equally for academic interaction but preferred Blacks for social interaction. Race was a significant predictor variable for academic and social acceptance by Black Ss. However, race was secondary to GPA and/or sex for academic acceptance by Black females and Black males. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An overview on oxyfuel coal combustion—State of the art research and technology development

Oxyfuel combustion is seen as one of the major options for CO₂ capture for future clean coal technologies. The paper provides an overview on research activities and technology development through a fundamental research underpinning the Australia/Japan Oxyfuel Feasibility Project. Studies on oxyfuel combustion on a pilot-scale furnace and a laboratory scale drop tube furnace are presented and compared with computational fluid dynamics (CFD) predictions. The research has made several contributions to current knowledge, including; comprehensive assessment on oxyfuel combustion in a pilot-scale oxyfuel furnace, modifying the design criterion for an oxy retrofit by matching heat transfer, a new 4-grey gas model which accurately predicts emissivity of the gases in oxy-fired furnaces has been developed for furnace modelling, the first measurements of coal reactivity comparisons in air and oxyfuel at laboratory and pilot-scale; and predictions of observed delays in flame ignition in oxy-firing.     

Tissue plasminogen activator as a hemodialysis catheter locking solution

Tunneled hemodialysis catheters require a "locking solution" between treatments to prevent catheter thrombosis. Heparin locks can be unsafe in patients with life-threatening bleeding diathesis because of unintentional anticoagulation. This study was designed to define the hematologic consequences of using tissue plasminogen activator (t-PA) as an alternative locking solution after heparin-free hemodialysis (HF-HD). Following HF-HD, t-PA 2 mg was instilled into each lumen of the dialysis catheter in 10 patients. Euglobulin clot lysis time (ECLT), fibrinogen, D-dimer, and fibrin degradation products were measured during the last hour of dialysis, and repeated 15 and 30 minutes after catheter locking. Dialysis catheter performance was reassessed at the time of the next hemodialysis. Fibrinogen, D-dimer, and fibrin degradation products were elevated at all time points, but did not change after t-PA. ECLT decreased significantly from baseline 15 minutes after catheter locking (217+/-64 vs. 132+/-75 min, p=0.016). ECLT values had returned to baseline (202+/-56 minutes) by 30 minutes. No episodes of bleeding or catheter thrombosis occurred, and catheter performance did not deteriorate. A 2 mg t-PA locking solution preserved dialysis catheter performance. ECLT decreased at 15 minutes, but normalized by 30 minutes, and did not enter the range in which bleeding would be likely. No clinical events were seen during this transient increase in systemic fibrinolysis.     

A method for preparing quick-frozen,freeze-substituted cells for transmission electron microscopy and immunocytochemistry

A quick-freeze, freeze-substitution method is described which employs glutaraldehyde as well as osmium tetroxide (OsO₄) in a ‘double-fixation’ protocol comparable to that used for conventional transmission electron microscopy. Cultured cells are quick-frozen in Freon 22 and freeze-substituted in an ethanolic solution of glutaraldehyde. Specimens destined for TEM are postfixed in OsO₄ in acetone, embedded in Epon-Araldite, and sectioned. This method yielded ultrastructural preservation which was comparable to that obtained from methods employing OsO₄ alone as a freeze-substitution fixative. However, if glutaraldehyde is used alone as a freeze-substitution fixative, specimens can be processed for immunocytochemistry without additional treatment with permeabilizing agents.