Posts

Book: Living with Schizophrenia

Book Title:

Living with Schizophrenia.

Author(s): Neel Burton.

Year: 2012.

Edition: Second (2nd).

Publisher: Acheron Press.

Type(s): Paperback. Audiobook, and Kindle.

Synopsis:

This prize-winning book, now in its second edition, provides schizophrenia sufferers and their carers with a source of information about the illness that is accessible, reliable, and comprehensive. By teaching you about the condition, ‘Living with Schizophrenia’ aims to alleviate any feelings of fear and isolation that you may have, and provide you with a realistic sense of hope and optimism. Simple and practical advice about day-to-day management enables you to take greater control over the illness, make the most of the services that are available to you, and ultimately improve your chances of once again leading a healthy, productive, and fulfilling life.

Book: Schizophrenia: The Complete Beginners Guide To Understanding Schizophrenia Symptoms, Diagnosis And Treatment!

Book Title:

Schizophrenia: The Complete Beginners Guide To Understanding Schizophrenia Symptoms, Diagnosis And Treatment!

Author(s): Lillian Brown.

Year: 2016.

Edition: First (1st).

Publisher: Createspace Independent Publishing Platform.

Type(s): Paperback.

Synopsis:

Schizophrenia is a serious illness that affects a large amount of people across the globe. It is serious because it affects a person’s ability to think, feel, and act. It also affects the people around them.

Within these pages you will find information on:

  • What schizophrenia really is versus what society believes it is.
  • The Causes of schizophrenia.
  • The Mechanisms of Schizophrenia.
  • Diagnosis and Treatments.

This book has information that will help people diagnosed with schizophrenia as well as those that it touches: family, friends, and other loved ones of those who have been diagnosed. The schizophrenia spectrum is an illness which is both prevalent and treatable.

Book: Schizophrenia: Understanding Symptoms Diagnosis & Treatment

Book Title:

Schizophrenia: Understanding Symptoms Diagnosis & Treatment. How To Deal With A Loved One With Schizophrenia.

Author(s): Anthony Wilkenson.

Year: 2014.

Edition: First (1st).

Publisher: Createspace Independent Publishing Platform.

Type(s): Paperback, Audiobook, and Kindle.

Synopsis:

Schizophrenia has become a recognised psychotic disorder in modern day psychology and research has shown that 1 in 100 people suffer from this disease in some proportion or degree. It is a dreaded disease and comes as a near death blow to those who are diagnosed with this condition. This fear does not necessarily arise from the scary disease it actually is, but various misconceptions, myths and misunderstanding that surround it.

This disorder has been very thoroughly misunderstood and misrepresented. As a result, there is great confusion and stigma attached to it. This stigma, social pressure, and public opinion have made it very difficult to get the disorder diagnosed, treated or managed. Persons suffering from schizophrenia or under a risk of being affected by it are very insecure due to this public opinion. There has been so much talk about this psychotic disorder with little or no knowledge about it, that it has spread a rumour about the hopelessness and incurability of it.

This book aims at spreading awareness and information about Schizophrenia and act as a guide for those who want to have a better understanding of this horrible condition.

What is Free Association (Psychology)?

Introduction

Free association is the expression (as by speaking or writing) of the content of consciousness without censorship as an aid in gaining access to unconscious processes.

The technique is used in psychoanalysis (and also in psychodynamic theory) which was originally devised by Sigmund Freud out of the hypnotic method of his mentor and colleague, Josef Breuer.

Freud described it as such: “The importance of free association is that the patients spoke for themselves, rather than repeating the ideas of the analyst; they work through their own material, rather than parroting another’s suggestions”.

Background

Freud developed the technique as an alternative to hypnosis, because he perceived the latter as subjected to more fallibility, and because patients could recover and comprehend crucial memories while fully conscious. However, Freud felt that despite a subject’s effort to remember, a certain resistance kept him or her from the most painful and important memories. He eventually came to the view that certain items were completely repressed, cordoned off and relegated only to the unconscious realm of the mind. The new technique was also encouraged by his experiences with “Miss Elisabeth”, one of his early clients who protested against interruptions of her flow of thought, that was described by his official biographer Ernest Jones as “one of the countless examples of a patient’s furthering the physician’s work”.

“There can be no exact date for the discovery of the ‘free association’ method… it developed very gradually between 1892 and 1895, becoming steadily refined and purified from the adjutants – hypnosis, suggestion, pressing, and questioning – that accompanied it at its inception”.

Subsequently, in The Interpretation of Dreams, Freud cites as a precursor of free association a letter from Schiller, the letter maintaining that, “where there is a creative mind, Reason – so it seems to me – relaxes its watch upon the gates, and the ideas rush in pell-mell”. Freud would later also mention as a possible influence an essay by Ludwig Börne, suggesting that to foster creativity you “write down, without any falsification or hypocrisy, everything that comes into your head”.

Other potential influences in the development of this technique include Husserl’s version of epoche and the work of Sir Francis Galton. It has been argued that Galton is the progenitor of free association, and that Freud adopted the technique from Galton’s reports published in the journal Brain, of which Freud was a subscriber. Free association also shares some features with the idea of stream of consciousness, employed by writers such as Virginia Woolf and Marcel Proust: “all stream-of-consciousness fiction is greatly dependent on the principles of free association”.

Freud called free association “this fundamental technical rule of analysis… We instruct the patient to put himself into a state of quiet, unreflecting self-observation, and to report to us whatever internal observations he is able to make” – taking care not to “exclude any of them, whether on the ground that it is too disagreeable or too indiscreet to say, or that it is too unimportant or irrelevant, or that it is nonsensical and need not be said”.

The psychoanalyst James Strachey (1887-1967) considered free association as ‘the first instrument for the scientific examination of the human mind’.

Characteristics

In free association, psychoanalytic patients are invited to relate whatever comes into their minds during the analytic session, and not to censor their thoughts. This technique is intended to help the patient learn more about what he or she thinks and feels, in an atmosphere of non-judgemental curiosity and acceptance. Psychoanalysis assumes that people are often conflicted between their need to learn about themselves, and their (conscious or unconscious) fears of and defences against change and self-exposure. The method of free association has no linear or pre-planned agenda, but works by intuitive leaps and linkages which may lead to new personal insights and meanings: ‘the logic of association is a form of unconscious thinking’.

When used in this spirit, free association is a technique in which neither therapist nor patient knows in advance exactly where the conversation will lead, but it tends to lead to material that matters very much to the patient. ‘In spite of the seeming confusion and lack of connection…meanings and connections begin to appear out of the disordered skein of thoughts…some central themes’.

The goal of free association is not to unearth specific answers or memories, but to instigate a journey of co-discovery which can enhance the patient’s integration of thought, feeling, agency, and selfhood.

Free association is contrasted with Freud’s “Fundamental Rule” of psychoanalysis. Whereas free association is one of many techniques (along with dream interpretation and analysis of parapraxis), the fundamental rule is a pledge undertaken by the client. Freud used the following analogy to describe free association to his clients: “Act as though, for instance, you were a traveller sitting next to the window of a railway carriage and describing to someone inside the carriage the changing views which you see outside.” The fundamental rule is something the client agrees to at the beginning of analysis, and it is an underlying oath that is intended to continue throughout analysis: the client must promise to be honest in every respect. The pledge to the fundamental rule was articulated by Freud: “Finally, never forget that you have promised to be absolutely honest, and never leave anything out because, for some reason or other, it is unpleasant to tell it.”

Freudian Approach

Freud’s eventual practice of psychoanalysis focused not so much on the recall of these memories as on the internal mental conflicts which kept them buried deep within the mind. However, the technique of free association still plays a role today in therapeutic practice and in the study of the mind.

The use of free association was intended to help discover notions that a patient had developed, initially, at an unconscious level, including:

  • Transference: Unwittingly transferring feelings about one person to become applied to another person.
  • Projection: Projecting internal feelings or motives, instead ascribing them to other things or people.
  • Resistance: Holding a mental block against remembering or accepting some events or ideas.

The mental conflicts were analysed from the viewpoint that the patients, initially, did not understand how such feelings were occurring at a subconscious level, hidden inside their minds. ‘It is free association within language that is the key to representing the prohibited and forbidden desire…to access unconscious affective memory’.

Further Developments

Jung

Jung and his Zurich colleagues ‘devised some ingenious association tests which confirmed Freud’s conclusions about the way in which emotional factors may interfere with recollection’: they were published in 1906. As Freud himself put it, ‘in this manner Bleuler and Jung built the first bridge from experimental psychology to psychoanalysis’.

Ferenczi

Freud, at least initially, saw free association as a relatively accessible method for patients. Ferenczi disagreed, with the famous aphorism: ‘The patient is not cured by free-associating, he is cured when he can free-associate’.

Lacan

Lacan took up the point. ‘Free association is really a labour – so much so that some have gone so far as to say that it requires an apprenticeship, even to the point of seeing in such an apprenticeship its true formative value’.

20th Century

By the late twentieth century, ‘analysts today don’t expect the free-association process to take hold until well into the analysis; in fact, some regard the appearance of true free association as a signal to terminate the analysis’.

As time went on, other psychologists created tests that exemplified Freud’s idea of free association including Rorschach’s Inkblot Test and The Thematic Apperception Test (TAT) by Christina Morgan and Henry of Harvard University. Although Rorschach’s test has been met with significant criticism over the years, the TAT is still used today, especially with children.

Criticism

As object relations theory came to place more emphasis on the patient/analyst relationship, and less on the reconstruction of the past, so too did the criticism emerge that Freud never quite freed himself from some use of pressure. For example, ‘he still advocated the “fundamental rule” of free association…[which] could have the effect of bullying the patient, as if to say: “If you do not associate freely – we have ways of making you”‘.

A further problem may be that, ‘through overproduction, the freedom it offers sometimes becomes a form of resistance to any form of interpretation’.

Coda

Adam Phillips suggests that ‘the radical nature of Freud’s project is clear if one imagines what it would be like to live in a world in which everyone was able – had the capacity – to free-associate, to say whatever came into their mind at any given moment…like a collage’.

What is the Goldberg Test?

Introduction

Goldberg test may refer to any of various psychiatric tests used to assess mental health in general or as screening tools for specific mental disorders e.g. depression or bipolar disorder.

Goldberg, after whom some psychiatric tests are named, might be one of two psychiatrists who share the same last name:

  • Ivan Goldberg, an American psychiatrist; and
  • Sir David Goldberg, a British psychiatrist.

Psychiatric screening tests generally do not substitute getting help from professionals.

Tests Developed by Ivan K. Goldberg

  • Goldberg Depression Test is an 18-question screening tool for depression.
  • Goldberg Mania Scale is an 18-question screening test for mania.

Tests developed by Sir David Goldberg

  • General Health Questionnaire or Goldberg Health Questionnaire (GHQ):
    • Developed in 1972 in its initial format as a 60-question test (GHQ-60) with a four-point scale for each question.
    • It is used to measure the risk of developing psychiatric disorders.
    • Other forms of GHQ are:
      • GHQ-30;
      • GHQ-28; and
      • GHQ-12.
  • Together with Simpson, they developed Personal Health Questionnaire (PHQ) in 1995.
    • It is a 10-question screening instrument for depression.
    • It should not be confused with the 9-question patient health questionnaire (PHQ-9) developed by Spitzer also to quantify the risk for depression.
    • Personal Health Questionnaire is sometimes abbreviated as PHQ-G to differentiate it from PHQ-9.

Are There Gender-Related Differences in Internet Gaming Disorder?

Research Paper Title

Gender-related differences in frontal-parietal modular segregation and altered effective connectivity in internet gaming disorder.

Background

Although previous studies have revealed gender-related differences in executive function in internet gaming disorder (IGD), neural mechanisms underlying these processes remain unclear, especially in terms of brain networks.

Methods

Resting-state fMRI data were collected from 78 subjects with IGD (39 males, 20.8 ± 2.16 years old) and 72 with recreational game use (RGU) (39 males, 21.5 ± 2.56 years old). By utilising graph theory, the researchers calculated participation coefficients among brain network modules for all participants and analysed the diagnostic-group-by-gender interactions. They further explored possible causal relationships between networks through spectral dynamic causal modelling (spDCM) to assess differences in between-network connections.

Results

Compared to males with RGU, males with IGD demonstrated reduced modular segregation of the frontal-parietal network (FPN). Male IGD subjects also showed increased connections between the FPN and cingulo-opercular network (CON); however, these differences were not found in female subjects. Further spDCM analysis indicated that the causal influence from CON to FPN in male IGD subjects was enhanced relative to that of RGU males, while this influence was relatively reduced in females with IGD.

Conclusions

These results suggest poor modular segmentation of the FPN and abnormal FPN/CON connections in males with IGD, suggesting a mechanism for male vulnerability to IGD. An increased “bottom-up” effect from the CON to FPN in male IGD subjects could reflect dysfunction between the brain networks. Different mechanisms may underlie in IGD, suggesting that different interventions may be optimal in males and females with IGD.

Reference

Zeng, N., Wang, M., Zheng, H., Zhang, J., Dong, H., Potenza, M.N. & Dong, G-H. (2021) Gender-related differences in frontal-parietal modular segregation and altered effective connectivity in internet gaming disorder. Journal of Behavioural Addictions. doi: 10.1556/2006.2021.00015. Online ahead of print.

What is the International Day of Happiness?

The International Day of Happiness is celebrated throughout the world on the 20th of March. It was established by the United Nations General Assembly on 28 June 2012.

Assembly Resolution A/RES/66/281 states in pertinent part:

The General Assembly,[…] Conscious that the pursuit of happiness is a fundamental human goal,[…] Recognizing also the need for a more inclusive, equitable and balanced approach to economic growth that promotes sustainable development, poverty eradication, happiness and the well-being of all peoples, Decides to proclaim 20 March the International Day of Happiness, Invites all Member States, organizations of the United Nations system and other international and regional organizations, as well as civil society, including non-governmental organizations and individuals, to observe the International Day of Happiness in an appropriate manner, including through education and public awareness-raising activities[…] (United Nations General Assembly, Resolution adopted by the General Assembly on 28 June 2012).

On This Day … 20 March

People (Births)

  • 1895 – Fredric Wertham, German-American psychologist and author (d. 1981).
  • 1904 – B. F. Skinner, American psychologist and author (d. 1990).

Frederic Wertham

Fredric Wertham (born Friedrich Ignatz Wertheimer, 20 March 1895 to 18 November 1981) was a German-American psychiatrist and author. Wertham had an early reputation as a progressive psychiatrist who treated poor black patients at his Lafargue Clinic at a time of heightened discrimination in urban mental health practice. Wertham also authored a definitive textbook on the brain, and his institutional stressor findings were cited when courts overturned multiple segregation statutes, most notably in Brown v. Board of Education.

Despite this, Wertham remains best known for his concerns about the effects of violent imagery in mass media and the effects of comic books on the development of children. His best-known book is Seduction of the Innocent (1954), which asserted that comic books caused youth to become delinquents. Besides Seduction of the Innocent, Wertham also wrote articles and testified before government inquiries into comic books, most notably as part of a US Congressional inquiry into the comic book industry. Wertham’s work, in addition to the 1954 comic book hearings led to creation of the Comics Code, although later scholars cast doubt on his observations.

B.F. Skinner

Burrhus Frederic Skinner (20 March 1904 to 18 August 1990) was an American psychologist, behaviourist, author, inventor, and social philosopher. He was a professor of psychology at Harvard University from 1958 until his retirement in 1974.

Considering free will to be an illusion, Skinner saw human action as dependent on consequences of previous actions, a theory he would articulate as the principle of reinforcement: If the consequences to an action are bad, there is a high chance the action will not be repeated; if the consequences are good, the probability of the action being repeated becomes stronger.

Skinner developed behaviour analysis, especially the philosophy of radical behaviourism, and founded the experimental analysis of behaviour, a school of experimental research psychology. He also used operant conditioning to strengthen behaviour, considering the rate of response to be the most effective measure of response strength. To study operant conditioning, he invented the operant conditioning chamber (aka the Skinner Box), and to measure rate he invented the cumulative recorder. Using these tools, he and Charles Ferster produced Skinner’s most influential experimental work, outlined in their book Schedules of Reinforcement (1957).

Skinner was a prolific author, having published 21 books and 180 articles. He imagined the application of his ideas to the design of a human community in his utopian novel, Walden Two (1948), while his analysis of human behaviour culminated in his work, Verbal Behaviour.

Contemporary academia considers Skinner, along with John B. Watson and Ivan Pavlov, a pioneer of modern behaviourism. Accordingly, a June 2002 survey listed Skinner as the most influential psychologist of the 20th century.

Book: DBT Skills Training Manual

Book Title:

DBT Skills Training Manual.

Author(s): Marsha M Linehan.

Year: 2015.

Edition: Second (2nd).

Publisher: Guildford Press.

Type(s): Hardcover, Paperback, and Kindle.

Synopsis:

From Marsha M. Linehan – the developer of dialectical behaviour therapy (DBT) – this comprehensive resource provides vital tools for implementing DBT skills training. The reproducible teaching notes, handouts, and worksheets used for over two decades by hundreds of thousands of practitioners have been significantly revised and expanded to reflect important research and clinical advances. The book gives complete instructions for orienting clients to DBT, plus teaching notes for the full range of mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills. Handouts and worksheets are not included in the book; purchasers get access to a Web page where they can download and print all the handouts and worksheets discussed, as well as the teaching notes. The companion volume is available separately: DBT Skills Training Handouts and Worksheets, Second Edition.

New to This Edition

  • Handouts and worksheets (available online and in the companion volume) have been completely revised and dozens more added – more than 225 in all.
  • Each module has been expanded with additional skills.
  • Multiple alternative worksheets to tailor treatment to each client.
  • More extensive reproducible teaching notes (provided in the book and online), with numerous clinical examples.
  • Curricula for running skills training groups of different durations and with specific populations, such as adolescents and clients with substance use problems.
  • Linehan provides a concise overview of “How to Use This Book.”

See also DBT Skills Training Handouts and Worksheets, Second Edition, a spiral-bound 8 1/2″ x 11″ volume containing all of the handouts and worksheets and featuring brief introductions to each module written expressly for clients.

Book: The Dialectical Behaviour Therapy Skills Workbook

Book Title:

The Dialectical Behaviour Therapy Skills Workbook: Practical DBT Exercises for Learning Mindfulness, Interpersonal Effectiveness, Emotion Regulation, and Distress Tolerance.

Author(s): Matthew McKay and Jeffrey C. Wood.

Year: 2019.

Edition: Second (2nd).

Publisher: New Harbinger.

Type(s): Paperback and Kindle.

Synopsis:

A clear and effective approach to learning evidence-based DBT skills-now in a fully revised and updated second edition.

Do you have trouble managing your emotions? First developed by Marsha M. Linehan for treating borderline personality disorder, dialectical behaviour therapy (DBT) has proven effective as treatment for a range of other mental health problems, and can greatly improve your ability to handle distress without losing control and acting destructively.

However, to make use of these techniques, you need to build skills in four key areas: distress tolerance, mindfulness, emotion regulation, and interpersonal effectiveness.

The Dialectical Behavior Therapy Skills Workbook, a collaborative effort from three esteemed authors, offers
evidence-based, step-by-step exercises for learning these concepts and putting them to work for real and lasting change. Start by working on the introductory exercises and, after making progress, move on to the advanced-skills chapters.
Whether you’re a mental health professional or a general reader, you’ll benefit from this clear and practical guide to better managing your emotions.

This fully revised and updated second edition also includes new chapters on cognitive rehearsal, distress tolerance, and self-compassion. Once you have completed the exercises in this book and are ready to move on to the next level, check out the authors’ new book, The New Happiness Workbook.