The differential use of metaphor in psychotherapy

Metaphor is seen to play a significant role in psychoanalytic theory and technique. While acknowledging this view, this paper examines the differences in which individuals of varying developmental profiles, experience, comprehend and use metaphor in the context of psychotherapy. Differences in the capacity to play, adaptively regress, regulate affect, maintain ego boundaries, and symbolize, are found to affect capacities to employ those figures of speech in words or phrases literally denoting one type of object or idea but used in place of others by suggesting likenesses or analogies. A rationale for differential use of interventions involving metaphor is offered.     

Uncanny Repetitions. Abu Ghraib in Afterthought

In this article we investigate the imagery that came to light with the Abu Ghraib scandal. We take up both the original photographs of humiliation and torture that were published by 60 Minutes and The New Yorker in 2004, and examples of the many varied responses that have since then emerged on the internet in the form of caricatures and imitations. In analysing this imagery we introduce the theoretical concepts of the uncanny and of repetition. By analysing both the form and the content of these various images, we argue that it is necessary to introduce a further theoretical concept: comedy. Drawing upon our analysis, we conclude by discussing what the Abu Ghraib images can tell us about the present state of Western culture.     

Elderly migration: For sun and money

Discussions about elderly migration and its implications for growth planning tend to neglect the role of economic forces. Our view is that cost-of-living variations among states give elderly households on fixed incomes an incentive to move that closely resembles the effects of wage opportunities on workers who migrate. To test this view, we employ a state-by-state index of cost of living for a retired couple to explore its impact on migration choices of the elderly. The effects of cost of living on migration are investigated in terms of the probability that an elderly person will move out-of-state during a five-year period and the probability that a given state will be chosen as destination once a decision has been made to migrate. The influences of cost of living at both origin and destination are strongly confirmed.     

Elderly migration: For sun and money

Discussions about elderly migration and its implications for growth planning tend to neglect the role of economic forces. Our view is that cost-of-living variations among states give elderly households on fixed incomes an incentive to move that closely resembles the effects of wage opportunities on workers who migrate. To test this view, we employ a state-by-state index of cost of living for a retired couple to explore its impact on migration choices of the elderly. The effects of cost of living on migration are investigated in terms of the probability that an elderly person will move out-of-state during a five-year period and the probability that a given state will be chosen as destination once a decision has been made to migrate. The influences of cost of living at both origin and destination are strongly confirmed.     

Corporate Strategy and Gendered Professional Identities: Reorganization and the Struggle for Recognition and Positions

Will decentralization of responsibilities in services give women service workers at the lower levels of the organization better and more ‘professional’ jobs and a recognition of their importance in the organization? This article looks at the valuation of so‐called women's skills in services in reorganization processes involving dehierarchization and decentralization of responsibilities. Through four cases of reorganized private and public services in Norway it is shown that more focus on customers and decentralization of responsibilities for the services may lead to recognition of gendered skills and an improved position for women service workers at the lowest levels of the organization. When the tasks of the workers are closely linked to the core function of the organization and not dominated by the organization's ‘dirty work’, the women at the lowest levels may obtain a more ‘professional’ work role and their work be recognized as important for the organization.     

Nuclear Plant PRA: How Far Has It Come?

Nearly ten years have passed since the publication in August 1974 of the draft Reactor Safety Study (WASH 1400), the first detailed attempt to apply probabilistic risk assessment (PRA) techniques to estimate the public risks posed by commercial nuclear power plants. Now is an opportune time to look back and see how PRA has fared over these ten years. We will not attempt to pass judgement on how the Reactor Safety Study report itself has withstood the test of time, as that task is best left to others less directly involved in preparing the report. Instead, we will examine advances in the understanding, acceptance, and utilization of PRA techniques, as well as technical advances in PRA methods. Some of the significant insights gained from PRAs will be discussed. Finally, some observations on the future of PRA will be offered.     

Human Non-linguistic Vocal Repertoire: Call Types and Their Meaning

Recent research on human nonverbal vocalizations has led to considerable progress in our understanding of vocal communication of emotion. However, in contrast to studies of animal vocalizations, this research has focused mainly on the emotional interpretation of such signals. The repertoire of human nonverbal vocalizations as acoustic types, and the mapping between acoustic and emotional categories, thus remain underexplored. In a cross-linguistic naming task (Experiment 1), verbal categorization of 132 authentic (non-acted) human vocalizations by English-, Swedish- and Russian-speaking participants revealed the same major acoustic types: laugh, cry, scream, moan, and possibly roar and sigh. The association between call type and perceived emotion was systematic but non-redundant: listeners associated every call type with a limited, but in some cases relatively wide, range of emotions. The speed and consistency of naming the call type predicted the speed and consistency of inferring the caller’s emotion, suggesting that acoustic and emotional categorizations are closely related. However, participants preferred to name the call type before naming the emotion. Furthermore, nonverbal categorization of the same stimuli in a triad classification task (Experiment 2) was more compatible with classification by call type than by emotion, indicating the former’s greater perceptual salience. These results suggest that acoustic categorization may precede attribution of emotion, highlighting the need to distinguish between the overt form of nonverbal signals and their interpretation by the perceiver. Both within- and between-call acoustic variation can then be modeled explicitly, bringing research on human nonverbal vocalizations more in line with the work on animal communication.     

A Less Gendered Access to Land? The Impact of Tanzania's New Wave of Land Reform

Contemporary land reforms in sub‐Saharan Africa tend to be evaluated based on the state‐centric reforms of the past, which disadvantaged women. However, this article argues that the new‐wave of land reforms and their decentralised administration institutions and anti‐discriminatory legal frameworks may be different. Based on field research on the implementation of Tanzania's 1999 Land Acts, it identifies an institutional reconfiguration in which the formal institutions are gradually strengthened and the customary institutions slowly changed. This does not in itself pose a threat to women's access to land and some women, who are otherwise often perceived to be weak, are left better‐off. Nevertheless, access to land becomes socially more uneven.     

Dose intra-subject escalation to an event (DIETE): A new method for phase 1 dose-finding utilizing systematic intra-subject dose escalation with application to T-cell engagers

T-cell engagers are a class of oncology drugs which engage T-cells to initiate immune response against malignant cells. T-cell engagers have features that are unlike prior classes of oncology drugs (e.g., chemotherapies or targeted therapies), because (1) starting dose level often must be conservative due to immune-related side effects such as cytokine release syndrome (CRS); (2) dose level can usually be safely titrated higher as a result of subject's immune system adaptation after first exposure to lower dose; and (3) due to preventive management of CRS, these safety events rarely worsen to become dose limiting toxicities (DLTs). It is generally believed that for T-cell engagers the dose intensity of the starting dose and the peak dose intensity both correlate with improved efficacy. Existing dose finding methodologies are not designed to efficiently identify both the initial starting dose and peak dose intensity in a single trial. In this study, we propose a new trial design, dose intra-subject escalation to an event (DIETE) design, that can (1) estimate the maximum tolerated initial dose level (MTD1); and (2) incorporate systematic intra-subject dose-escalation to estimate the maximum tolerated dose level subsequent to adaptation induced by the initial dose level (MTD2) with a survival analysis approach. We compare our framework to similar methodologies and evaluate their key operating characteristics.     

Comparing Observed and Unobserved Components of Childhood: Evidence From Finnish Register Data on Midlife Mortality From Siblings and Their Parents

In this study, we argue that the long arm of childhood that determines adult mortality should be thought of as comprising an observed part and its unobserved counterpart, reflecting the observed socioeconomic position of individuals and their parents and unobserved factors shared within a family. Our estimates of the observed and unobserved parts of the long arm of childhood are based on family-level variance in a survival analytic regression model, using siblings nested within families as the units of analysis. The study uses a sample of Finnish siblings born between 1936 and 1950 obtained from Finnish census data. Individuals are followed from ages 35 to 72. To explain familial influence on mortality, we use demographic background factors, the socioeconomic position of the parents, and the individuals’ own socioeconomic position at age 35 as predictors of all-cause and cause-specific mortality. The observed part—demographic and socioeconomic factors, including region; number of siblings; native language; parents’ education and occupation; and individuals’ income, occupation, tenancy status, and education—accounts for between 10 % and 25 % of the total familial influence on mortality. The larger part of the influence of the family on mortality is not explained by observed individual and parental socioeconomic position or demographic background and thus remains an unobserved component of the arm of childhood. This component highlights the need to investigate the influence of childhood circumstances on adult mortality in a comprehensive framework, including demographic, social, behavioral, and genetic information from the family of origin.