Definitional and Research Issues in the Common Factors Approach to Psychotherapy Integration: Misconceptions, Clarifications, and Proposals

This paper focuses on two common misconceptions of common factors in therapy. The first misconception entails the confusion between common factors and therapeutic factors, and thus the inappropriate and misleading use of the term therapeutic common factors in various situations. The second misconception is the mixing of commonalities of different kinds and levels in proposed lists and studies of common factors. These areas are discussed and clarified, and recommendations designed to facilitate conceptual and methodological improvements relative to each misconception are offered. The selection of best levels and kinds of common factors to be studied are further explored (i.e., the study of client change events and antecedent therapist behaviors across different therapies), and specific proposals for their research are outlined.     

Psyche and System: On Progress in the Integration of Individual Psychotherapy and Family Psychotherapy

This article addresses the frequency with which the same group of patients utilizes individual and family therapies, and at the same time do not constitute actual integration. The conditions under which such serial or concurrent utilization of the two forms of psychotherapy may be considered to be integrative are discussed.     

Self-Healing Aspects of EMDR: The Therapeutic Change Process and Perspectives of Integrated Psychotherapies

Eye Movement Desensitization and Reprocessing (EMDR) (Shapiro 1989a, 1989b, 1995) is an innovative, comprehensive approach to psychotherapy. While EMDR's use of eye movements has attracted a great deal of attention, the efficacy of the EMDR method can be explained parsimoniously in terms of many different types of therapy. Lang's (1985) information processing networks provide a way to understand the Accelerated Information Processing model proposed by Shapiro to explain EMDR. A representative EMDR session is presented to illustrate the integrative components of EMDR's procedural elements and the range of clinical effects. Therapeutic changes seen as a result of self-healing using EMDR are discussed from the perspectives of other psychotherapeutic approaches in order to understand the contribution of EMDR to the psychotherapy integration movement.     

The Client's Theory of Change: Consulting the Client in the Integrative Process

This article casts a critical eye upon the integration literature and asserts that, as in psychotherapy in general, the client has been woefully left out of the therapeutic process. An alternative that privileges the client's voice as the source of wisdom and solution is presented. It is proposed that conducting therapy within the context of the client's own theory of change offers ways of integrating multiple therapy perspectives. An argument is made for not only recasting the client as the star of the drama of therapy, but also giving the heroic client directorial control of the action as it unfolds.     

东西方医学伦理思维之共通性

从中国古代医者的行医事迹、著作来探寻中国的医者是否在行医过程当中勤守医者的本份,也即类似原则思维的表现。虽然中国古代并没有"医学伦理"这个名词,但从历代具有代表性之医者身上发现,其实在中国古代医者的行医事迹当中,就表现出类似的医学伦理情操。因之,医学伦理原则是俱普世价值的,也即世界上有所谓的共同道德存在。     

Differentiation,perceived stress and therapeutic alliance as key factors in the early stage of couple therapy

A sample of 168 couples were assessed at intake and over the first six sessions of treatment providing the opportunity to investigate not only the impact of client and common factors on initial levels of satisfaction, but also trajectories of change in satisfaction over time. The study used multi‐level modelling to examine changes in relationship satisfaction for both partners, thus enabling the couple to be maintained as the unit of analysis. We first examined changes in satisfaction and, having discovered differences there, we then investigated the impact of client factors of differentiation and stress in explaining these differences in relationship satisfaction. Finally we explored the additional influence of the common factor, therapeutic alliance, while controlling for the client factors, on relationship satisfaction.     

Evidence-Based Psychotherapy and Counselling in the UK: Critique and Alternatives

Developments in empirically supported therapy or evidence-based practice in the UK are outlined and critically examined. Perceived advantages and disadvantages are set out, with a commentary. It is asserted that the evidence-based ethos is seriously flawed and that psychotherapy is essentially a faith-based craft, not a thoroughly researchable scientific enterprise. Some alternatives to evidence-based practice are briefly outlined, before turning to an exploration of the wider context of anthropathology in which therapy takes place and against which it must acknowledge its limitations. Broad-brush conclusions are drawn.     

戒毒者复吸的根本原因及综合治疗模式的构想

造成戒毒者复吸的真正原因是戒毒人员已经改变的神经生化机制,不稳定的心理行为调节模式,以及吸毒的生活环境与生活方式等。解决复吸的问题应整合医疗卫生系统、公安强制戒毒管理系统、司法劳动教养系统以及教育科研系统等多种资源,构建脱毒、治疗、康复、教育、生产与劳动训练等统一的综合戒毒康复模式。     

共享概念的性质对拥有关系句子情景模型建立的影响

应用扇效应技术探讨共享概念的性质对建构拥有关系情境模型的影响。共包括2个实验,探讨在将“多人买1物”句式中的所购“物品”改变为隐含共同地点信息的“物品”条件下,被试对“多人买1物”拥有行为句式的学习是否表现出扇效应。结果表明,当所购物品隐含的相同地点信息的情况下,“多人买1物”的拥有行为句式无论是否具有明确的地点状语,都如同“1人买多物”的句式一样,没有表现出扇效应,与Radvanskv的研究结果不同。据此认为,只有在共享概念是属于情景模型建构的维度信息的情况下,有共享概念的信息才能整合为同一个情景模型。     

Client Uncertainty and the Process of Change in Psychotherapy: The Impact of Individual Differences in Self-concept Clarity and Intolerance of Uncertainty

We describe a number of ways in which two major components of client uncertainty, namely, self-concept clarity and intolerance of uncertainty may either facilitate or impede change in psychotherapy. Clients with low self-concept clarity find it much more difficult to clearly identify and understand their problematic thoughts, emotions, and behaviors; thus slowing down their progress through the various stages identified in Prochaska’s model of psychotherapeutic change. To illustrate, they may engage in much more contemplation prior to action, as they struggle to increase their awareness and insight. Clients with high intolerance of uncertainty experience substantial discomfort when faced with uncertainty, causing them to be highly motivated to avoid or minimize any aspects of psychotherapy that focus on change. This may cause them to avoid confronting their problems during the action stage of therapy. We further suggest that it would be beneficial to assess these two components of client uncertainty very early on in the therapeutic process, in order to facilitate a given client’s progress. Finally, we indicate a need for much more research that explores the role of these two individual difference constructs during therapy. This might include, for example, studies that directly examine how self-concept clarity and intolerance of uncertainty may relate to progress through each stage of change, or the selective use of avoidance strategies. Authorship of this paper is equal. A special thanks to Joan Olinger for her many helpful comments on this paper. This paper won the 2007 Wilfred Quaytman Award for Innovations in Psychotherapy, jointly sponsored by the Long Island Consultation Center and International Scientific Comminucations, Inc. to commemorate the spirit and dedication of Dr. Wil Quaytman, psychologist, psychotherapist, and founding editor of the Journal of Contemporary Psychotherapy.     

周围神经嵌压症诊治过程中的临床思维

运用自然辩证法培养良好的临床思维,指导周围神经嵌压症的诊治过程,有助于获得最佳诊治效果。诊断过程中需全面了解理论知识,学会科学观察,兼顾整体与局部的关系,通过合理分析与综合,可以做出确切诊断。治疗过程中需对有关医师的技术进行评价,采用控制论及系统论方法指导治疗,才能恢复周围神经的结构与功能。     

反人本主义:马克思主义最重要的基本原则--析阿尔都塞的主体哲学批判

本文对阿尔都塞在理论逻辑意义上拒斥人本主义和历史主义,以及把“主体”视为意识形态的建构并应以“过程”概念取代之等极易引发误解的观点进行深层解读,澄清了阿尔都塞关于反人本主义、反历史主义和反对一切主体哲学作为马克思主义哲学基本原则的内涵,并作出自己的批判性分析。     

Reducing Competitive Victimhood in Kosovo: The Role of Extended Contact and Common Ingroup Identity

During intractable conflicts, “competitive victimhood” refers to the subjective belief that one's own ingroup has suffered more than the outgroup. Although competitive victimhood is considered an important inhibitor of reconciliation processes, no research has attempted to examine ways of reducing it. The present study aims to fill this gap. Kosovar Albanians students (N = 170) were asked to report their perception of ingroup and outgroup victimhood during the protracted violence between Serbs and Albanians in Kosovo. Our findings revealed that frequent and high‐quality extended contact with outgroup members and identification with a common ingroup reduced competitive victimhood. The effects of extended contact and common ingroup identification were fully mediated by increased perspective taking and trust toward the outgroup, and by decreased outgroup infrahumanization. The implications of these results for restoring fractured intergroup relations are discussed.     

绘画是人们最适宜的心灵表达方式--绘画在心理治疗中的应用及其作用机理

绘画作为一种心理治疗方法有其独特作用,不仅可以处理人们的情绪和心理创伤问题,而且可以使心理障碍患者的自我形象、自尊或自我概念、社交技能等得到提升,促进语言的发展与认知功能的改善.机理是,绘画是人们最适宜的心灵表达方式,它作为一种人类心理意象的主要表现形式,发展象征性的语言,能触及人所不知的心灵感受,并能创造性地将它们整合到人格里,直至发生治疗性的变化.     

医药回扣是最大的医患利益冲突

分析医患利益冲突如何影响医生的临床决策,并在此基础上探讨如何处理医患利益冲突。医患利益冲突影响医生临床决策有两个环节,其一是影响其专业判断,其二是影响其医疗决定。医药回扣具备商业贿赂的典型特征。医药回扣是最大的医患利益冲突。     

耗散结构视野下神经质症发生机理与心理治疗——从森田疗法到新森田疗法的嬗变

神经质症发病机理至今尚无公认的解释。森田疗法是当前公认用于神经质症治疗的有效手段,该理论是一种集东方智慧生活哲学的体现。可以尝试从系统科学耗散结构论的角度出发来初步探讨森田疗法及其进展对于神经质发生机理与治疗存在的合理性与积极意义。     

The Widening Gulf: Group Therapy Training and Traditional Training Models

The decline of training programs using traditional methods in group psychotherapy training may correspond to a static growth in membership and certifications in the two recognized national group associations. In addition, the increasing distance of group therapy from family therapy, two modalities that utilize group principles, may further illustrate the isolation of group training from the reality of today's practice. New ideas are needed for training programs to combine the varieties of group practice and settings, and the various practitioners, with standards of competency. A three-tiered training model may serve as an example of a training model that moves in a much needed, new direction.