“Why Do I Get in Trouble So Much?”: A Family Therapeutic Assessment Case Study

Recent case studies have demonstrated the potential benefits of Finn's Therapeutic Assessment (TA) model with families (e.g., Handler, 2007 Handler, L. 2007. “The use of therapeutic assessment with children and adolescents”. In The clinical assessment of children and adolescents: A practitioner's handbook, Edited by: Smith, S. R. and Handler, L. 53–72. Mahwah, NJ: Lawrence Erlbaum Associates.  [Google Scholar]; Tharinger, Finn, Wilkinson, &; Schaber, 2007 Tharinger, D. J., Finn, S. E., Wilkinson, A. D. and Schaber, P. M. 2007. Therapeutic assessment with a child as a family intervention: A clinical and research case study. Psychology in the Schools, 44: 293–309. [Crossref], [Web of Science ®] , [Google Scholar]). This case study of a 6-year-old girl and her family follows the Therapeutic Assessment (TA) model, focusing on the specified goals of each session and how those goals were accomplished. In this article, we illustrate the flexibility afforded by the TA model to tailor an appropriate intervention for a specific family and also show that extensive experience with the TA model is not necessary for this approach to yield clinically significant results.     

“Is Our Daughter Crazy or Bad?”: A Case Study of Therapeutic Assessment with Children

In this paper we present a new model of intervention with documented efficacy that combines psychological tests and assessment methods with therapeutic techniques to promote change in clients. We will discuss Therapeutic Assessment of Children and their families (TA-C) through the case of a 4-year-old girl, Clara, and her family. Clara’s parents were distressed by her uncontrollable rage outbursts and feared she might be “crazy”. The treatment helped to shift the narrative the parents had about Clara and give new meanings to her behaviors. We describe in detail the steps of the assessment and provide a theoretical discussion of the therapeutic processes involved.     

“Am I Going Crazy,Doc?”: A Self Psychology Approach to Therapeutic Assessment

In this case study, we explore the effectiveness of Therapeutic Assessment with a severely disturbed 25-year-old man, referred by his therapist, following Finn's (2007; Finn & Tonsager, 1992, 1997) model. This patient–therapist pair had been working together for approximately 2 months, but the therapy had ceased to progress. The therapist requested a clearer picture of his patient's affective functioning, interpersonal functioning, and self-functioning that might facilitate more effective treatment. Through a collaborative assessment process informed by the principles of Kohutian self psychology, the evaluator and patient slowly formed a working alliance that proved useful for the eventual communication to the patient of his psychologically tenuous reality. This case illustrates the utility of a collaborative, multimethod Therapeutic Assessment with a severely ill patient and the use of Therapeutic Assessment by a less experienced clinician.     

“Why Won't My Parents Help Me?”: Therapeutic Assessment of a Child and Her Family

We present a case study of a child's psychological assessment using the methods of Therapeutic Assessment (TA). The case illustrates how TA can help assessors understand the process and structure of a family by highlighting how maladaptive family processes and interactions impact a child's development. It also illustrates how TA with a child can serve as a family intervention. In this case, it became apparent that the child's social difficulties were significant, not minor as initially reported by the parents, and were rooted in an insecure attachment, underlying depression, an idiosyncratic view of the world, and longing for attention, all of which were hidden or expressed in grandiose, expansive, and off-putting behaviors. In addition, the familial hierarchy was inverted; the parents felt ineffective and the child felt too powerful, leading to enhanced anxiety for the child. Intervention throughout, punctuated by the family session and feedback sessions, allowed the parents to develop a new “story” about their child and for the child to experience a new sense of safety. Following the TA, the parents and child indicated high satisfaction, enhanced family functioning, and decreased child symptomatology. Subsequent family therapy sessions allowed the family to further implement the interventions introduced in the TA.     

“Why Am I so Anxious?” A Study of Attention Bias in Obsessive Compulsive Disorder

Previous research investigating attentional bias has produced intriguingly equivocal results. The present large-scale study explored attentional bias in subjects diagnosed with obsessive-compulsive disorder (OCD) and in a control group (n = 80) using the Emotional Stroop Test. Results clearly indicated poorer performances across the board amongst patients diagnosed with OCD compared to the control group, particularly in the case of anxiety-related stimuli. This paper discusses, in the light of current models of attentional bias towards threat in anxiety disorders, the processes whereby attentional bias towards anxiety stimuli might play a vital role in the causation and maintenance of OCD.     

A microprocessor-based psychopathology laboratory: I. Why bother?

The greater than usual need for stimulus control, closed-loop design to control for organic state variables, and the acquisition of complex data on thought disorders makes on-line microprocessors especially important in psychopathology research.     

From I: A/M to “Who am I?”—Aggregation/Massification and Trauma-Based Affects and Object Relations in Groups: A Response to Earl Hopper

Hopper's portrayal of the fourth basic assumption of Incohesion: Aggregation/Massification has two components: (1) a revision of Turquet's theory of BA Oneness to incorporate the polarity of aggregation and massification stemming from annihilation anxiety; and (2) a conception of the difficult patient as having an encapsulated psychosis. Hopper's theory of the encapsulated psychosis offers an important but incomplete perspective in explaining borderline and narcissistic pathology, as well as psychological trauma. In this response to Hopper, I suggest that the fourth assumption is in fact a still more primitive state of boundary opening and closing. I also see a need to differentiate trauma as such from borderline pathology, and further hold that the relationship between Hopper's British Independent theory and trauma theories based on dissociation needs to be clarified.     

Changes in the Rorschach and MMPI–2 After Electroconvulsive Therapy (ECT): A Collaborative Assessment Case Study

We used before-and-after testing with the Rorschach Inkblot Test (Exner, 1997/2003) and the Minnesota Multiphasic Personality Inventory–2 (Butcher et al., 2001 Butcher, J. N., Graham, J. R., Ben-Porath, Y. S., Tellegen, A., Dahlstrom, W. G. and Kaemmer, B. 2001. Minnesota Multiphasic Personality Inventory–2: Manual for administration, scoring, and interpretation, , rev. ed., Minneapolis: University of Minnesota Press.  [Google Scholar]) to assist a psychotherapy client—a survivor of child abuse suffering from depression accompanied by hallucinations—in evaluating a course of electroconvulsive therapy that she underwent. The results of both tests indicated positive changes. During the collaborative discussion of the test results, especially the changes seen on the Rorschach, a deeper understanding of her skeptical response to evidence of improvement came to light and helped to refocus the ongoing psychotherapy work.     

Clinical Utility of the MMPI–2 Restructured Clinical (RC) Scales in Therapeutic Assessment: A Case Study

Summary: In a recent paper, Haan and Livson reported sex differences between male and female psychologists in their evaluations of adult men and adult women. Their conclusions have implication for the validity of clinical, assessments and were interpreted in terms of stereotypic sex rote perceptions. However, their statistical analysis was in fundamental error. When the data they employed were reanalyzed, no reliable sex differences between men and women psychologists were found, a finding in accord with a number of previous investigations of this problem.     

Making Good Use of Combined Therapeutic Modalities: Discussion of “Somatic Experiencing”

A positive view is taken of integrative analytic and bio-psychological Somatic Experiencing (SE) therapy for trauma. Levit’s case report is viewed as reflecting an early stage of the analyst’s development as an integrative clinician. A risk of integrative treatments is splitting between modalities of analytic functions including affect regulation. The present case is read closely. Commentary focuses on enactment and missed opportunities for analytic reflection, including (transference) meanings of SE interventions. Increased analytic attention to therapeutic process aims to open reflective space to discuss a wide range of experiences in treatment, including disappointments and other (more negative) aspects of transference, deepening the therapeutic experience, and reaching more broadly into sequelae of the patient’s developmental trauma than SE intervention alone. Integrated bio-psychological interventions are compared and contrasted with use of psychotropic medications in analytic therapy. Bio-psychological interventions such as SE have the advantage of adding resources for the analyst’s self-regulation as well.     

Therapeutic Assessment With Children: Intervening With Parents “Behind the Mirror”

All the steps in the model of therapeutic assessment used with children (TA–C) are designed to involve and impact the child's parents. However, a distinctive process that parallels and accompanies the testing sessions with the child might be the most significant in helping parents shift their story of their child and family. In this process, parents are invited to observe their child's testing sessions (in an adjacent room through a live video feed, through a 1-way mirror, or in the corner of the testing room) and process the experience with the assessor (either simultaneously in the case of the 2-assessor model or after the fact in the 1-assessor model). We discuss the development and evolution of what we have come to call the “behind the mirror” method. We describe the therapeutic intent of the method and delineate 13 techniques utilized to enlist parents as active collaborators. We illustrate each technique using the case study of a 10-year-old boy where the 2-assessor model and live video feed method were used. We also provide research findings from the case study that address the parents’ experience of the assessment and their changed view of their child.     

The Anxious Amalgam of the Wish for “Recognition/Revenge/Reparation”: Discussion of Rina Lazar’s “What Are We Doing There? A Therapeutic Tale”

In this discussion, the clinical utility of Winnicott’s notion of “object usage” is described and applied to Rina Lazar’s clinical material. In the light of this concept, our understanding of trauma and the role of the other in both constituting and ameliorating the effects of trauma are considered. A related area of inquiry is how the realm of intergenerational transmission of trauma might be traced out by the particular conjunction of the object’s availability for use in the face of the subject’s trauma. In weaving together the ideas of “use of the object” and trauma, the question of regression and its manifestations and meanings in clinical work are illuminated.     

I am I:A/M—The Therapist as Personification of Hopper's Fourth Basic Assumption

The group therapist often and perhaps necessarily personifies Incohesion and displays its predominant defenses of contact-shunning Aggregation, and merger-hungry Massification. Hence, I am I:A/M. In Hopper's group example, and in each of three of this author's groups, the therapist displayed aggregative and massified defenses, countertansferential duals of basic assumptive transferences. In any therapeutic interaction, it is possible to find elements of incohesion, dependency, pairing, and fight/flight. The incohesion concept has significant clinical utility. A theoretical question remains, whether Hopper's proposed axis of experience and defense merits the special status, basic assumption, or whether incohesion may be collapsed into the existing triad of basic assumptions.     

What Women Want: A Discussion of “Childless”

Rebecca Harrington’s “Childless” breaks the cultural and psychoanalytic silence about the idiosyncratic meanings of maternality—challenging our pronatalist assumptions. Following suit, this discussion questions our understanding of what women want. Freud was famously confounded by that question, and still, the psychological processes leading to decisions about motherhood are largely absent from psychoanalytic theory. Because of this, the heteronormative, socially agreed-upon dictum that women must be, and want to be, mothers remains locked in place. The conflation of feminine, woman, and motherhood serve to negate female subjectivity, limiting the possibilities for other creative pursuits. Contemporary psychoanalysis eschews the primary importance of instinctual drives yet has not challenged the notion of a maternal instinct that drives women to desire motherhood. The cultural and psychoanalytic silence about the complexities of reproduction and child-rearing has rendered individual women silent and their desires toward and away from motherhood unarticulated.     

Ethical Issues in Neuromarketing: “I Consume,Therefore I am!”

Neuromarketing is a recent interdisciplinary field which crosses traditional boundaries between neuroscience, neuroeconomics and marketing research. Since this nascent field is primarily concerned with improving marketing strategies and promoting sales, there has been an increasing public aversion and protest against it. These protests can be exemplified by the reactions observed lately in Baylor School of Medicine and Emory University in the United States. The most recent attempt to stop ongoing neuromarketing research in France is also remarkable. The pertaining ethical issues have been continuously attracting much attention, especially since the number of neuromarketing companies has exceeded 300 world-wide. This paper begins with a brief introduction to the field of neurotechnology by presenting its current capabilities and limitations. Then, it will focus on the ethical issues and debates most related with the recent applications of this technology. The French Parliament’s revision of rules on bioethics in 2004 has an exemplary role in our discussion. The proposal by Murphy et al. (2008) has attracted attention to the necessity of ethical codes structuring this field. A code has recently been declared by the Neuromarketing Science and Business Association. In this paper, it is argued that these technologies should be sufficiently discussed in public spheres and its use on humans should be fully carried out according to the ethical principles and legal regulations designed in line with human rights and human dignity. There is an urgent need in the interdisciplinary scientific bodies like ethics committees monitoring the research regarding the scientific and ethical values of nonmaleficence, beneficence, autonomy, confidentiality, right to privacy and protection of vulnerable groups.     

I am so Happy ’Cause Today I Found My Friend: Friendship and Personality as Predictors of Happiness

Relying on the theoretical model of [Lyubomirsky et al. 2005, Review of General Psychology, 9, pp. 111–131], the present study investigated the relationship between personality, number of friends, best friendship quality and happiness among 423 young adults (n = 300 women). The main interest was to examine whether friendship contributed to happiness while controlling for personality. Friendship variables accounted for 58% of the variance in happiness. Results revealed that friendship quality predicted happiness above and beyond the influence of personality and number of friends, but friendship conflict was not a significant predictor. Additional analyses revealed that the companionship and self-validation features of friendship quality were predictive of happiness while controlling for gender and personality. The findings were discussed in the light of theory and empirical research and suggestions were made for future research. An erratum to this article can be found at     

Reconstruction of things past: Why do some memories feel so close and others so far away?

The vast majority of work in construal level theory focuses prospectively on the future. Through a series of studies controlling for knowledge about an event, we look retrospectively at the past and demonstrate that construal mindsets can materially influence how a past event is reconstructed in memory. Specifically, an event recalled in a more concrete mindset feels subjectively closer than when recalled in an abstract mindset (Studies 1-3). We present evidence suggesting this is because a concrete mindset actually makes people feel as though they know more, even if they were initially exposed to the same set of information—perceived information accessibility mediates the effect of construal level on temporal distance (Study 2). The effect of construal level on memory reconstruction extends to judgments of blame, where judgments of greater temporal distance drive a greater propensity to blame parties for negative events and temporal distance mediates these judgments (Study 3). Together, these studies are the first to demonstrate that the mindset employed when recalling an event shapes its remembrance.     

Catholic priests who sexually abuse minors: Why do we hear so much yet know so little?

A tremendous amount of media attention has been directed towards sexual abuse perpetrated by Roman Catholic priests in recent years. While there are countless research studies on both sexual abuse victims and perpetrators in the professional literature, there are very few comprehensive research studies specifically investigating Roman Catholic priests who sexually abuse minors or studies concerning the victims of priests themselves. While the scientific professional community could offer a great deal to this problem, their voice appears silent. The purpose of this article is to examine what is known about sexual abuse among the Catholic clergy and briefly suggest directions for future research and intervention.