The group as selfobject: brief psychotherapy with women

This article applies the theory of self psychology, which was developed by Heinz Kohut, to brief group psychotherapy. The article discusses the significance of the group as an expanded selfobject for individuals who do not have appropriate, available selfobjects in their environment. The article addresses the rationale for developing a 12-week women's group from a self-psychological perspective and illustrates key theoretical concepts in the beginning, middle, and end phases with group process. The role of the therapist in each phase of group development is emphasized.     

Child vocational development: A review and reconsideration

Childhood marks the dawn of human development. To organize, integrate, and advance knowledge about vocational development during this age period from a life-span perspective, we conducted a comprehensive review of the empirical vocational development literature that addresses early-to-late childhood. The review considers career exploration, career awareness, vocational expectations and aspirations, vocational interests, and career maturity/adaptability. By conducting the review, we sought to consolidate knowledge and identify avenues for further research concerned with vocational development in childhood and across the life span. Linking knowledge of child vocational development with what is known about adolescent and adult vocational development and conducting research that embeds vocational development within the fabric of a life-span developmental framework could move the field of vocational psychology from a disjointed perspective on career as studied in isolated age groups and toward an integrated life-span conceptualization.     

Attachment disorders: review and current status

Developmental research on attachment has flourished in the past 15 years (C. H. Zeanah, 1996). However, there has been relatively scant empirical investigation of disorders in attachment. In this article, the pertinent developmental research on the attachment cycle is delineated and the current status of disordered attachment is examined. A particular focus is given to the conceptualization of the most severe form of disordered attachment, Reactive Attachment Disorder.     

The current status of clinical geropsychology in Australia: A survey of practising psychologists

Little recent objective evidence exists to qualify past concerns regarding the low numbers of psychologists working with older adults in Australia. The present study reports on figures from two surveys of Australian psychologists, finding that of the 1,699 psychologists surveyed, only 6% specialise in treating older adults. This figure is comparable to those from studies conducted overseas, where more training and employment opportunities are available. Reasons for such low figures are explored together with recommendations to meet the future demand for psychological services as the proportion of elderly adults within the Australian population increases.     

Reversal theory and psychotherapy: A review

The present paper aims to review the emerging practice of structural phenomenological psychotherapy derived from the theory of psychological reversals and to provide some extensions of this practice. The paper does not provide a full account of reversal theory, which is available elsewhere (Apter, 1982; Apter et al., 1985). It does, however, provide an account of the way in which this theory can be applied to the practice of therapy. Throughout this paper, counselling and psychotherapy are regarded as synonymous.     

The relevance of current clinical practice in child psychotherapy to child psychiatry

SUMMARY

The role of child psychiatrists is evolving. Economic and psychosocial factors such as marital breakdown, inner city decline, unemployment, plus increased awareness of conditions such as Substance Abuse and all forms of Child Abuse have led to stress for children and their caretakers. There is also increasing recognition that with help many troubled children and their families can emerge better able to function. Child psychiatrists occupy a pivotal position in the child mental health team and need to be familiar with all the treatment options available to ensure their effective use. This paper presents examples of current work being undertaken by child psychotherapists and discusses the implications of this for the training of child psychiatrists as well as for clinical work.     

Sustained empathic focus and the clinical application of self-psychological theory in group psychotherapy

The concept of focus can provide a meaningful bridge between theory and practice. The authors' aim in this paper is to demonstrate that for theory to be clinically useful, it should provide a sense of focus and organization for clinical work. They illustrate how their particular use of a self-psychological/intersubjective model leads to an emphasis on what they refer to as "sustained empathic focus." The authors' choice of concepts leads them consistently to stress the patient's subjective experience and emerging vulnerability.     

Electromyography: A review of the current status of subvocal speech research

Electromyographic studies of subvocal speech are evaluated with two different aims: (1)a methodological review of controls for nonspeech artifact and of data analysis techniques, and (2) a review of substantive findings and suggestions for future research. A highly effective procedure, involving manipulation of phoneme content in certain trials, has been developed to control nonspeech artifact generated by the speech musculature. The commonly used data analysis technique of amplitude measurement of the single highest polygraph pen deflection is inadequate. Techniques which take frequency into account, such as analog computer integration of voltage values, are more sensitive. Even greater sensitivity is needed to isolate individual words so that rehearsal strategies can be investigated. It has been clearly established that preschool children as young as age 4 engage in spontaneous subvocalization that is related to recall in boys but not in girls.     

Evaluation of changes in mother-infant brief psychotherapy: A single case study

Representation-oriented brief psychotherapy with mother-infant dyads is used to examine correspondences between maternal behaviors and maternal representations of her infant. A single case study is presented to illustrate how one can objectify interactional variables that may correspond behaviorally to underlying maternal mental representations. This paper presents the results of a collaboration that focuses on the process of enacting fantasy via the domain of behavior. Attention is drawn to interacted themes that are enacted versions of representational themes. Enacted themes are pathogenic in behavioral terms for the infant. Five themes are identified in the case material. Changes in the mother's representations affect both the mother-infant relationship and the infant's functioning.     

The challenge of understanding process in clinical behavior analysis: the case of functional analytic psychotherapy

Whether explicitly acknowledged or not, behavior-analytic principles are at the heart of most, if not all, empirically supported therapies. However, the change process in psychotherapy is only now being rigorously studied. Functional analytic psychotherapy (FAP; Kohlenberg & Tsai, 1991; Tsai et al., 2009) explicitly identifies behavioral-change principles used to bring about therapeutic improvements in adult outpatients whose clinical problems stem from ineffective interpersonal repertoires. These principles include contingent responding to behavioral excesses and deficits by a therapist who has established him- or herself as a salient source of social reinforcement. Empirical support for FAP is emerging, but a variety of pragmatic and theoretical questions warrant investigation. Among the issues described in this paper are the training and dissemination of procedures for how to conduct a functional analysis, how to train therapists to identify functional stimulus classes, how to best address decreasing problem behavior without creating an aversive environment, how to enhance generalization, and how to account for the principle of equifinality when trying to specify therapeutic procedures. These and other issues stem largely from trying to disseminate a behavioral principle-based intervention rather than a topographically specified intervention. These issues present challenges and research opportunities for applied clinical behavior analysts if they wish to extend their science to address clinical issues important to the treatment of adult outpatients with normal intellectual functioning.     

The unwanted child and mental illness: A brief,selective review

A commonly held belief is that the unwanted child is at risk for emotional disorders. This article teases out the aspects of unregulated fertility that are likely to result in an unwanted child and examines the evidence that suggest their relationship to mental illness.Samuel O. Okpaku, M.D., Ph.D., is in private practice.     

Regulatory focus and work-related outcomes: A review and meta-analysis

Regulatory focus theory (Higgins, 1997) has received growing attention in organizational psychology, necessitating a quantitative review that synthesizes its effects on important criteria. In addition, there is need for theoretical integration of regulatory focus theory with personality research. Theoretical integration is particularly relevant, since personality traits and dispositions are distal factors that are unlikely to have direct effects on work behaviors, yet they may have indirect effects via regulatory focus. The current meta-analysis introduces an integrative framework in which the effects of personality on work behaviors are best understood when considered in conjunction with more proximal motivational processes such as regulatory focus. Using a distal-proximal approach, we identify personality antecedents and work-related consequences of regulatory foci in a framework that considers both general and work-specific regulatory foci as proximal motivational processes. We present meta-analytic results for relations of regulatory focus with its antecedents (approach and avoid temperaments, conscientiousness, openness to experience, agreeableness, self-esteem, and self-efficacy) and its consequences (work behaviors and attitudes). In addition to estimates of bivariate relationships, we support a meta-analytic path model in which distal personality traits relate to work behaviors via the mediating effects of general and work-specific regulatory focus. Results from tests of incremental and relative validity indicated that regulatory foci predict unique variance in work behaviors after controlling for established personality, motivation, and attitudinal predictors. Consistent with regulatory focus theory and our integrative theoretical framework, regulatory focus has meaningful relations with work outcomes and is not redundant with other individual difference variables. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

The helping process in group therapy: A review and discussion

The essential activity of group therapy consists of members taking an interest in each other by asking questions, showing concern, and conveying understanding. When members have not done this it has often been taken as a sign of resistance. A review of the research on helping suggests that there are four social factors that affect assistance giving in groups: 1) ambiguity-often people fail to give help because they are uncertain about who should give it, what should be done, and how it should be done; 2) often help is not given because of the way in which problems are presented; 3) the social comparisons that individuals make affect help-giving; and 4) there are costs associated with providing assistance. This discussion suggests that leaders can facilitate interaction among group members as teachers who clarify and as indirect helpers who redirect concerns back to group members.     

An analysis of pretraining work behavior as a composition variable in group psychotherapy

Pretraining work behavior was investigated as a composition variable for group psychotherapy. The work behavior of sixty-six outpatients in nine pretraining groups was measured. Six of the pretraining groups were recomposed into either high or low work therapy groups on the basis of the pretraining scores. The other three groups entered therapy intact. Audiotapes from the first six months were analyzed to assess therapy process. Outcome measures were administered before therapy and after six months of therapy. Hypotheses concerned the effects of composition on process and outcome and the relationship between pretraining work behavior and outcome. The results suggest that pretraining work behavior has merit as a composition variable and may have promise as a selection variable. Therapeutic uses of pretraining are discussed.