Externalizing Metaphors Therapy and Innovative Moments: A Four-Session Treatment Group for Anxiety

The zeitgeist for brief services psychotherapy efficacy is well underway within the individual and family therapy treatment modalities. However, this paradigm shift, to produce clinically significant mental health outcomes in a much shorter time, has evolved to a much lesser degree within the treatment group format. Longer-term treatment group protocols typically do not match treatment-seeking behaviors with high dropout rates for clients. The current authors describe a structured, four-session treatment protocol that integrates the tenets of Externalizing Metaphors Therapy (EMT) with Innovative Moments (IMs) in addressing anxiety for children and youth. EMT is based upon the externalization of problems, transformation of metaphoric imagery, and the shifting of underlying maladaptive emotional schemas. It is suggested that treatment outcomes are enhanced through the integration of three IMs between-session exercises.     

A Family Art Evaluation

A two-hour family art evaluation session has been designed by an art therapist and a clinical child psychologist. It has been used in a child guidance center for the past four years by the authors and other staff. All family members are asked to engage in three tasks: (a) individually developing a scribble into a picture; (b) individually creating a family portrait, and (c) jointly deciding upon and executing a mural. Each task is followed by individual and group discussion of products, associations, and feelings aroused. Occasional “free” art products are collected during the session. The procedure is discussed and illustrated in terms of the rationale for selection of tasks; the sources of data available on individuals, family characteristics, and family interaction patterns; the relationship of the projective and behavioral data to diagnostic conclusions and treatment recommendations; and the implementation and modifications of the technique within the clinic.     

Positive psychotherapy

Positive psychotherapy (PPT) contrasts with standard interventions for depression by increasing positive emotion, engagement, and meaning rather than directly targeting depressive symptoms. The authors have tested the effects of these interventions in a variety of settings. In informal student and clinical settings, people not uncommonly reported them to be "life-changing." Delivered on the Web, positive psychology exercises relieved depressive symptoms for at least 6 months compared with placebo interventions, the effects of which lasted less than a week. In severe depression, the effects of these Web exercises were particularly striking. This address reports two preliminary studies: In the first, PPT delivered to groups significantly decreased levels of mild-to-moderate depression through 1-year follow-up. In the second, PPT delivered to individuals produced higher remission rates than did treatment as usual and treatment as usual plus medication among outpatients with major depressive disorder. Together, these studies suggest that treatments for depression may usefully be supplemented by exercises that explicitly increase positive emotion, engagement, and meaning. ((c) 2006 APA, all rights reserved).     

Self-of-the-Therapist Work: A Balance Between Removing Restraints and Identifying Resources

The authors propose that self-of-the-therapist work is most productive when therapists and supervisors approach family of origin issues and historical life events in a balanced way and suggest that they move to an approach that ideally liberates restraints posed by self-of-the-therapist issues, while at the same time accesses resources available to therapists because of the same issues. This is a shift from the primarily restraint focus that has dominated self-of-the-therapist work. This paper also provides personal experiences of the authors, guidelines on how to create safety and balance, as well as practical examples of self-of-the-therapist exercises.     

Young Children's Learning of Size Comparison Strategies: Effect of Origami Exercises

The authors examined the process of change in size comparison strategies among preschool-age children. Twelve 5- and 6-year-old children were provided with origami exercises and size comparison tasks for 5 days consecutively, and another twelve 5- and 6-year-old children received size comparison tasks only. Children's strategies for the size comparison tasks were analyzed in terms of placement and adjustment. In contrast with the children in the control condition, the children who were provided with exercises in origami increased their use of superimposition and adjustment strategies by 2 dimensions across the 5 days. The authors argue that origami exercises helped the children connect their implicit understanding of relative size with the use of more effective strategies for size comparison.     

Transient Effects of Gaze Stability Exercises on Postural Stability in Patients With Posterior Circulation Stroke

The authors sought to investigate if short-term gaze stability exercises have an effect on postural stability of dynamic standing during neck movement in patients with posterior circulation stroke (PCS). Patients in both PCS and non-PCS groups were assigned to either an intervention or control group. The intervention group performed the gaze stability exercises for 10 min while the control group was merely resting. The center of pressure velocity was calculated to evaluate the postural stability. After intervention, PCS and non-PCS showed a significant reduction in center of pressure velocity during dynamic standing with eyes closed condition, and the PCS group showed a significant improvement in eye-opened condition. This study indicated that gaze stability exercises improve PCS patients' postural control, especially during dynamic standing.     

A Couple-Based Psychological Treatment for Chronic Pain and Relationship Distress

Chronic pain impacts individuals with pain as well as their loved ones. Yet, there has been little attention to the social context in individual psychological treatment approaches to chronic pain management. With this need in mind, we developed a couple-based treatment, “Mindful Living and Relating,” aimed at alleviating pain and suffering by promoting couples’ psychological and relational flexibility skills. Currently, there is no integrative treatment that fully harnesses the power of the couple, treating both the individual with chronic pain and the spouse as two individuals who are each in need of developing greater psychological and relational flexibility to improve their own and their partners’ health. Mindfulness, acceptance, and values-based action exercises were used to promote psychological flexibility. The intervention also targets relational flexibility, which we define as the ability to interact with one’s partner, fully attending to the present moment, and responding empathically in a way that serves one’s own and one’s partner’s values. To this end, the intervention also included exercises aimed at applying psychological flexibility skills to social interactions as well as emotional disclosure and empathic responding exercises to enhance relational flexibility. The case presented demonstrates that healthy coping with pain and stress may be most successful and sustainable when one is involved in a supportive relationship with someone who also practices psychological flexibility skills and when both partners use relational flexibility skills during their interactions.     

Turning art into mere illustration: concretizing art renders its influence context dependent

Broadly speaking, artworks are accorded a special significance and are recognized as powerful communication tools. In the current research, the authors posit that the "specialness" of artworks may be diminished simply by emphasizing that which is depicted in them. This emphasis results in the artwork being viewed as a mere illustration rather than a work of art. Specifically, the influence of an "artwork as art" is context independent, but the influence of an "artwork as illustration" is context dependent. The authors demonstrate this phenomenon in two experiments, in the context of products associated with artworks. In a third experiment, they further demonstrate that an abstract (concrete) mind-set aligns with the influence of an artwork as art (illustration).     

Young children's learning of size comparison strategies: effect of origami exercises

The authors examined the process of change in size comparison strategies among preschool-age children. Twelve 5- and 6-year-old children were provided with origami exercises and size comparison tasks for 5 days consecutively, and another twelve 5- and 6-year-old children received size comparison tasks only. Children's strategies for the size comparison tasks were analyzed in terms of placement and adjustment. In contrast with the children in the control condition, the children who were provided with exercises in origami increased their use of superimposition and adjustment strategies by 2 dimensions across the 5 days. The authors argue that origami exercises helped the children connect their implicit understanding of relative size with the use of more effective strategies for size comparison.     

Prohibited Pictures: Political Education and Platonic Elitism

This paper attempts to bring out the contemporary significance for the philosophy of education of Plato's strictures in the Republic against mimetic art forms. The argument follows a route which leads through an examination of Wittgenstein's picture theory of the proposition to the conclusion that this theory is itself a kind of picture which exercises over the intellect the selfsame erotic magnetism which Plato feared would corrupt the rulers of his ideal state.     

Mentalisierungsbasierte Psychotherapie bei schizophrenen Psychosen

Recently, there has been growing interest in new methods of psychotherapeutic interventions for schizophrenic patients. Social cognition, social functioning and quality of life are central objectives. Mentalization-based therapy (MBT) is a specific psychodynamic method developed from the fundament of attachment theory and empirical psychotherapy research for the treatment of borderline personality disorder, particularly focusing on attachment relationships, mentalizing capacity and affect regulation. Studies have shown that MBT is able to ameliorate interpersonal experience and social life. The latest neuroscientific findings support this view and encourage the application of a modified form of MBT in the treatment of schizophrenic patients. The authors present a concept for disorder-specific interventions in schizophrenia, including psychoeducational aspects and mentalizing exercises which step-by-step lead to a more reflective work in mentalization-based group psychotherapy.     

The Art of Working with Traumatized Couples

SUMMARY

In this article, the authors present a framework for treatment of the traumatized couple and also their belief in the importance of seeing such work as a process of art. Clinical illustrations are used to demonstrate their approach.     

From the Galleries to the Clinic: Applying Art Museum Lessons to Patient Care

Increasingly, medical educators integrate art-viewing into curricular interventions that teach clinical observation—often with local art museum educators. How can cross-disciplinary collaborators explicitly connect the skills learned in the art museum with those used at the bedside? One approach is for educators to align their pedagogical approach using similar teaching methods in the separate contexts of the galleries and the clinic. We describe two linked pedagogical exercises—Visual Thinking Strategies (VTS) in the museum galleries and observation at the bedside—from “Training the Eye: Improving the Art of Physical Diagnosis,” an elective museum-based course at Harvard Medical School. It is our opinion that while strategic interactions with the visual arts can improve skills, it is essential for students to apply them in a clinical context with faculty support—requiring educators across disciplines to learn from one another.     

The effects of actors vocal exercises for relaxation on fluency: A preliminary study

PurposeTo determine the efficacy of treatment based on Kristin Linklater’s technique for vocal preparation for performance for use with people who stutter.MethodA protocol for a treatment for stuttering involving breathing exercises, relaxation techniques, and focus on awareness was designed by the first author from Linklater’s published exercises in her book Freeing the Natural Voice (2006). Four adults who stutter participated in a 12-week, single-case reversal design study. Treatment efficacy was determined by baseline and post-treatment measures on the OASES, self-report naturalness, tension and severity scale, and percentage of stuttering-like disfluency (SLD). Qualitative measures included a daily tension and practice log, a program completion questionnaire, and accounts from the clinicians administering the treatment protocol.ResultsThree of four participants scored lower on the OASES post-treatment, suggesting that the impact of stuttering on their daily lives had decreased. All four experienced a reduction in the number of SLD counted throughout treatment sessions compared to baseline data.ConclusionA treatment for stuttering based on Linklater’s work including regulation of breathing, relaxation, and awareness of breath may be effective in improving fluency and decreasing the impact of stuttering and warrants further study.     

A randomized crossover trial to test the effects of positive psychology intervention delivered by text messaging

Positive psychology (PP) interventions delivered through technology have shown encouraging results. In a crossover design, we randomized 60 participants recruited from the community to two weeks of either text messaging-based PP exercises or control exercises, before being crossed over to receive the other condition. Participants were compensated for maintaining high response rates to the texts. Participants reported greater satisfaction and had higher engagement in the program when PP exercises were received first. Overall, PP exercises did not improve moods significantly more than control exercises. However, baseline depressive symptoms significantly moderated the effect of condition on change in depressive symptoms (p < 0.032) and negative affect (p < 0.006), such that regular completion of exercises resulted in better mood outcomes compared to control exercises for those with high depressive symptoms at baseline. Results suggest that completing PP exercises through text messaging can improve moods in those who have elevated depressive symptoms.     

The effects of attentional shift training on the execution of soccer skills: A preliminary investigation

One of the most important skills in soccer is the ability to respond quickly and accurately to the changing demands of the competitive environment (i.e., position of ball, teammates, opponents). A multiple baseline design across 4 male collegiate soccer players was used to determine the effectiveness of an attentional training program on the execution of targeted soccer skills. The treatment included information and laboratory attentional shift exercises followed by practice of attentional shifting skills on the execution of different soccer exercises. Following treatment, the accuracy of execution of the experimental soccer drill improved.     

A Review of Published Self-help Books for Panic Disorder

This brief review of 14 self-help books on panic disorder compares: target group, treatment time, included components, existence of structured exercises, and whether or not daily record-keeping is encouraged. Six of the books cover all components deemed necessary for a multimodal cognitive-behavioral treatment package, and five of these are recommended. The reviews are followed by a brief summary of published bibliotherapy studies in which a selection of the books has been used. The results of these studies suggest that bibliotherapy is effective, with an effect size ranging from d = 0.5 to d = 1.5.     

Women Creating Public Art and Community, 2000–2014

This narrative describes a series of 15 short‐term public art projects that were part of a program for women and girls in Lowell, Massachusetts, a mid‐size city in the United States. The projects were designed to give public space to women’s stories and perspectives by exhibiting their creative art in response to suggested themes. A few thousand women and girls representing diverse age and cultural groups created art based on their lived experiences. The organizers of the program met people in comfortable settings, tailored their art‐making approaches to particular groups, and used inclusive processes in developing and executing the program. Program successes and challenges were related to the organizational structure of the art projects, the annual themes and art media, the extent of outreach and support, the process of creation, and the impact of art exhibits. Using community psychology and feminist frameworks, authors reflect on the projects and their relevance across contexts, highlight key organizing strategies, and identify ways the project represents community psychology in action.     

A meta-analytic evaluation of the impact of dimension and exercise factors on assessment center ratings

Two recent reviews have attempted to summarize findings quantitatively regarding assessment center (AC) construct-related validity (i.e., Lance, Lambert, Gewin, Lievens, & Conway, 2004; Lievens & Conway, 2001). Unlike these previous studies, which reanalyzed individual multitrait-multimethod (MTMM) matrices from previously published research, the authors recoded and combined past matrices into a single MTMM matrix. This matrix, comprised of 6 dimensions each measured by 6 exercises, was then analyzed, providing a more generalizable set of results. Both dimensions and exercises were found to contribute substantially to AC ratings. Specific dimensions (i.e., communication, influencing others, organizing and planning, and problem solving) appeared more construct valid than others (i.e., consideration/awareness of others and drive). Implications for AC design and practice are discussed.