Transsexuality as Sinthome: Bracha L. Ettinger and the Other (Feminine) Sexual Difference

This article uses Bracha L. Ettinger’s theory of the matrixial borderspace in relation to Jacques Lacan’s analytic of sexuation to argue that transsexuality isn’t reducible to psychosis. Rather, transsexuality taps into an Other (feminine) sexual difference that is subjectifying and can be understood in relation to Ettinger’s conception of metramorphosis and the matrixial. Transsexuality involves the somatization of the Other sexual difference and the creative use of this difference as sinthome. The sinthome of transsexuality can enable the subject to negotiate the aporia of sexual difference. I establish parallels between the (neurotic) hysteric and the transsexual to argue that transsexuality can be a subset of neurosis. The transsexual transition (which often involves Sex Reassignment Surgery) can be understood as a metramorphical becoming, a borderlinking enabling separation and distance in proximity. It is not as Catherine Millot (1990) contends an attempt to abolish the “nature” of the Real but rather a means to achieve a sinthomatic reknotting of the 3 Registers such that one’s relation to a parental image and to an Other’s primordial traces can be reconfigured.     

Do the DSM-5 diagnostic revisions affect the psychometric properties of the Brief Biosocial Gambling Screen?

Several significant changes in the diagnostic criteria for gambling disorder occurred with the newest revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The changes aim to simplify and streamline the diagnosis without compromising its validity. Yet many of the tools used to screen and diagnose the disorder are based upon the prior fourth edition of the DSM, and it is unclear how they perform with the revised diagnostic criteria. The aim of this study is to examine the psychometric properties of a common pathological gambling screen, the Brief Biosocial Gambling Screen (BBGS; Gebauer, LaBrie, & Shaffer, 2010), in the context of DSM-5 criteria within a help-seeking sample. Gamblers calling a helpline (N = 2750) completed a semi-structured interview assessing DSM-IV past-year pathological gambling criteria with a trained clinician. Sensitivity, specificity, positive predictive value, negative predictive value and differences by sex were examined. The BBGS had high sensitivity as well as positive and negative predictive values. In light of the revisions made to the diagnostic criteria in DSM-5, the BBGS remains a psychometrically supported instrument for gambling disorder.     

Depressive Symptoms among Former Spousal Caregivers: Comparing Stressors,Resources, and Circumstances of Caregiving Cessation among Older Husbands and Wives

Little research focuses on the mental health of caregivers (CGs) who stop providing care to their community-dwelling spouse. We examine depressive symptoms of former primary CG spouses who stopped caregiving over a two-year follow-up period when the care recipient (CR): (1) no longer has functional problems; (2) continues having functional problems; or (3) dies. Using data from the Health and Retirement Study (2000–2014), we located 2,370 couples who were both 50+ at baseline and where one partner provided help with ADL and/or IADL limitations but did not do so two years later. OLS regressions stratified by gender indicated that both male and female former spousal CGs whose CR died had significantly more depressive symptoms than those who ceased caregiving when their spouse did or did not still have functional problems. Former wife CGs who were older and whose husbands had more baseline ADLs had fewer follow-up depressive symptoms; wife CGs whose husbands had a nursing home stay had more depressive symptoms. Former husband CGs who had provided longer monthly hours of care had fewer follow-up symptoms. Findings underscore the importance of targeting mental and physical health services to both former caregiving husbands and wives, especially after spousal death.     

The Earned Income Tax Credit and Rural Families: Differences Between Non-participants and Participants

Differences between rural low-income mothers who were non-participants and participants in the Earned Income Tax Credit (EITC) were examined. About one-third (35%) of the 224 eligible mothers in a multi-state USDA study, Rural Families Speak, did not claim the tax credit. The EITC non-participants were more likely to be Hispanic, be less educated, have larger families, perceive their income as being inadequate, live in more rural counties, and possess little understanding of the EITC. Participating mothers were more likely to be single, food secure, and satisfied with life. Analysis of qualitative data revealed that the mothers had many misconceptions about the EITC. These findings assist in formulating policies and outreach efforts that may increase rural low-income families’ EITC participation.     

Consideration of future consequences and unprotected anal intercourse among men who have sex with men

This study of men who have sex with men (MSM) examined whether tendencies to consider the future consequences of one's actions were associated with sexual behaviors that place oneself at risk for HIV infection. A total of 339 HIV-negative MSM responded to the Consideration of Future Consequences Scale (CFC; Strathman et al., 1994) and to questions about their anal intercourse practices in the past year. In bivariate analyses, men with a stronger future orientation were less likely to engage in anal intercourse unprotected by a condom (p < .05). Multivariate analyses revealed that CFC accounted for significant variance in three of four measures of unprotected anal sex after statistically controlling for demographic covariates (education, income, ethnicity, age). CFC was a better predictor of sexual behavior and accounted for more unique variance than any of the demographic factors. Additional research is needed to confirm that CFC is an antecedent of behavior and to examine the feasibility and efficacy of focusing on CFC in HIV prevention interventions.     

Using Theraplay in shelter settings with mothers & children who have experienced violence in the home

This article describes a group program for women and children exposed to violence in the home. The program is primarily based on Theraplay, an attachment-based intervention approach for working with both adults and children who have a variety of emotional and behavioral difficulties. The theoretical and research bases, as well as the guiding principles of Theraplay, will be outlined and discussed, and the rationale for its application to a shelter setting will be highlighted. Finally, the benefits of and challenges to implementing such a program and the implications for practice and further evaluation will be explored.     

Performance: self as the principal evaluator

The paper proposes an alternative way of looking at performance management by placing the 'performer' in the leading role of evaluator. The proposition is rooted in the evidence that, when performance is primarily evaluated by someone other than 'self', this robs individuals of a sense of responsibility for their own work performance and reduces the quality of both process and output. The paper suggests that learning is the premier skill at the root of performance improvement. Further, a systems view of the organization is essential if employees are to be given the freedom to self-evaluate.