A Group Journey—to Hell and Back

The process of a therapy group in an inpatient daycare unit¹ became saturated with anger and detachment, ultimately leading to a despairing silence. Based on Ferenczi’s concept of Orpha, I will explain the group silence as indicative of deep trauma and dissociative self-states. I propose that the therapist’s willingness to “hang in” with his group and be part of a seemingly unbearable enactment enhances the possibility for emergence of hope and restoration of positive communication. It is rare in the literature for authors to expose the pitfalls that they and their group members can fall into, leading to despair, shame, and hopelessness. When working in the complex environment of a mental hospital where every level of staff is stressed, therapists often find themselves without support and consultation. My hope is that my colleagues can learn from my challenges, errors, and lessons, as I have.     

Cognitive–Behavioral-Interpersonal Scenarios: Interformulator Reliability and Convergent Validity

Although a clinical case formulation can help focus treatment, little is known about the reliability and convergent validity of independently generated, cognitive–behavioral or cognitive–interpersonal formulations. Using videotapes of a semi-structured interview, pairs of clinicians independently formulated 2–3 cognitive–behavioral–interpersonal scenarios (CBISs) on each of 4 women with mood or comorbid mood and anxiety disorders. Ten licensed psychologists then rated each CBIS on 15 dimensions involving cognition, affect, symptoms, and interpersonal functioning. Reliability of the mean ratings (aggregated over the 10 raters) was >.83 for all dimensions. The set of CBISs formulated by a clinician for a patient generally demonstrated good convergent (same patient/different formulator) and discriminant (different patient/same or different formulator) validity on three factor-analytically derived general dimensions of depression, anxiety, and interpersonal functioning. Within each of three patients, pairs of formulators generally agreed on the situational components of the CBISs and demonstrated adequate to very good convergent validity of corresponding CBIS content. These results contribute to accumulating evidence for the reliability and validity of clinical scenarios as an idiographic, situation-level case formulation. Such formulations can help identify multiple cognitive, behavioral, or interpersonal intervention points in the causal chain leading to distress or dysfunction.     

Overpaid or Overworked? Cognitive and Behavioral Reactions to Inequitable Rewards1

Although early studies support the equity theory prediction that increasing rewards for task performance enhance the effort devoted to the task, these findings may be challenged on a number of counts. Social exchange theory suggests, for example, that when rewards exceed what is felt to be equitable, the recipient may increase his perception of task difficulty and his estimate of what is a fair return for his efforts. In this case, there should be little need to devote increased energy to task performance. The present study, conducted in both Italy and the United States, supports this reasoning. Compared with equitably rewarded subjects, those rewarded by either 40% or 80% over their estimate of what was fair, altered both their perceptions of task difficulty and of a fair return. No performance differences were found.     

A Journey between Identities: A Story of Education Students’ Journey to Ethiopia

The qualitative case study presented in this article describes and analyzes the experiences of Israeli education students, who joined a delegation to Ethiopia last year. This journey opened the doors of Ethiopia to the Ethiopian community’s younger generation, most of whom were born in Israel, and to the non-Ethiopian Israelis. During the journey, the participants coped with many challenges and a variety of experiences. They returned home having broken the stereotypes regarding the perception of Ethiopian Jewry, as well as racism, pluralism and relations between the majority and minority groups in Israel. In addition, the Ethiopian participants returned with the renewed identity and the new discourse that had been formed within the group as equal members of Israeli society.     

From negation to “notion”: Cognitive processes and argumentative strategies

Summary This article deals with the role of negation as a language and cognitive operation. Such a topic is treated here within the framework of the argumentative strategies which consist in making certain cognitive landmarks of the discourse flip over with the intent of imposing the necessity to choose between two types of notions, aiming at the transformation of this choice into an implication. The reference here to the Aristotelian logic of Prior Analytics appears to be more efficient than any other contemporary logic and the author intends to give account of the role of negation as contrary coming into play on an operational and cognitive basis in all the argumentative strategies which oscillate reciprocally from universal to particular.     

Cognitive Therapy: Nature and Relation to Behavior Therapy – Republished Article

Recent innovations in behavior modification have, for the most part, detoured around the role of cognitive processes in the production and alleviation of symptomatology. Although self-reports of private experiences are not verifiable by other observers, these introspective data provide a wealth of testable hypotheses. Repeated correlations of measures of inferred constructs with observable behaviors have yielded consistent findings in the predicted direction.Systematic study of self-reports suggests that an individual’s belief systems, expectancies, and assumptions exert a strong influence on his state of well-being, as well as on his directly observable behavior. Applying a cognitive model, the clinician may usefully construe neurotic behavior in terms of the patient’s idiosyncratic concepts of himself and of his animate and inanimate environment. The individual’s belief systems may be grossly contradictory; i.e., he may simultaneously attach credence to both realistic and unrealistic conceptualizations of the same event or object. This inconsistency in beliefs may explain, for example, why an individual may react with fear to an innocuous situation even though he may concomitantly acknowledge that this fear is unrealistic.Cognitive therapy, based on cognitive theory, is designed to modify the individual’s idiosyncratic, maladaptive ideation. The basic cognitive technique consists of delineating the individual’s specific misconceptions, distortions, and maladaptive assumptions, and of testing their validity and reasonableness. By loosening the grip of his perseverative, distorted ideation, the patient is enabled to formulate his experiences more realistically. Clinical experience, as well as some experimental studies, indicate that such cognitive restructuring leads to symptom relief.     

Outrage fatigue? Cognitive costs and decisions to blame

Motivation and Emotion - Across nine studies (N?=?1672), we assessed the link between cognitive costs and the choice to express outrage by blaming. We developed the Blame Selection...     

“My Spiritual Journey to Know and Find Myself”: An Interview with Manisha Roy

In this interview, Manisha Roy shares how she became interested in Jungian psychology and how the concept of the shadow became a living help in her life. She relates how she has dealt with the heritage from her native country of India and shares her experience with marriage and divorce. She expresses her opinions about the future of depth psychotherapy.     

Introducing an existential-phenomenological approach: Basic phenomenological theory and research–Part I

What is often referred to as the existential approach to counselling and psychotherapy may be defined as the application of existential-phenomenological philosophy towards psychotherapeutic ends, in which individual practitioners choose how to apply their readings of the leading authors. The first of this two-part exposition introduces a form of ‘experiential’ philosophy called phenomenology, a regular experiential method that is in many ways antithetical to the conventional scientific approach. This first paper concentrates on one of the many successive definitions of phenomenology given by Husserl, the philosopher of science, in 1927, with help from his ex-student Heidegger. In the second paper, phenomenology is brought to bear on human experience, and it is Heidegger in Being and Time who added it to the writings of the earlier existentialists Kierkegaard and Nietzsche; to produce existential psychology and philosophy. Also in the second part, three forms of existential therapy are briefly mentioned. This first paper introduces a handful of key ideas for counselling psychologists, and illustrates how philosophical work is an inherent part of life, as well as the production and use of psychological knowledge.     

Math-gender stereotypes and career intentions: an application of expectancy–value theory

Exposure to negative math-gender stereotypes undermines the intentions of female college students to engage in careers in the math field, yet the mechanisms by which such stereotypes relate to girls’ career intentions remain unclear. We simultaneously tested multiple mediators in a sample of 186 female students from one high school in central China. Participants completed five questionnaires that measured mathematics-related gender stereotypes, competence beliefs, task value, sexual attraction beliefs and career intentions. The path analysis results indicated that math-gender stereotypes were negatively related to adolescent girls’ career intentions in math fields through negative relationships with students’ mathematics-related competence beliefs, task value and sexual attraction beliefs. These results are discussed in terms of their implications for theory and educational practice.     

Reconnecting to Spirituality: Christian-Identified Adolescents and Emerging Adult Young Men’s Journey from Diagnosis of HIV to Coping

Spirituality is important to holistic health, yet little is known about its impact on young people with HIV. To address this knowledge deficit, a grounded theory study used semi-structured interviews of 20 Christian-identified adolescent and emerging adult gay males and one perinatally infected male. This study revealed that, to cope with HIV health issues, participants used a process of reconnecting with their spirituality. In order to successfully reconnect with their spirituality, study participants reported a need to re-embrace and re-engage in spiritual practices, hold onto hope, believe they are normal, and commit to beliefs and practices despite rejection from the church.     

Delivering Intensive PTSD Treatment Virtually: The Development of a 2-Week Intensive Cognitive Processing Therapy–Based Program in Response to COVID-19

Of the many vulnerable groups affected by the spread of COVID-19, veterans have been especially impacted by the pandemic. Beginning in March 2020, nationwide shelter-in-place orders rapidly led to widespread job loss and economic upheaval; disruption and breakdown of multiple support systems; and increases in family stress, all of which may exacerbate underlying PTSD symptoms. Although telehealth has proven an effective means of delivering evidence-based psychotherapies for PTSD, little is known about the delivery of these treatments in an intensive, daily format over telehealth. There is growing need for intensive treatment options to reduce treatment-interfering barriers such as high dropout rates. In order to address this gap in the literature, this paper details several design considerations as well as patient selection procedures for a 2-week virtual intensive treatment program (vITP) for veterans with posttraumatic stress disorder (PTSD), consisting of daily individual Cognitive Processing Therapy (CPT) and other adjunctive interventions. We also describe two cases of veterans who successfully completed the vITP including their clinical outcomes, therapist reflections on the process, feedback regarding the program, as well as challenges patients encountered with the telehealth platform. Intensive evidence-based psychotherapy for PTSD delivered through a virtual format seems to show promise, but more systemic research is needed.     

Globalisation,society and religion: from mono‐metastructural theory to metatheoretical reflexivity

Examining globalisation theories, Eduardo Mendieta has come to the conclusion that there is a conceptual link between religion and social theory when theorising globalisation. His preference is for metatheoretical reflexivity type theories of globalisation that, in contrast with mono‐metastructural and matrix rearrangement theories, incorporate conceptual reflection on ‘religion’. With this typology in mind, the work of Ninian Smart and Wilfred Cantwell Smith, two authors in the study of religion for whom the era of globalisation was a central element in developing their views on religion and the study of religion, will be compared. Whereas Smart's views do not fundamentally break away from mono‐metastructural type theories, Smith's work, although highly problematic, gives some hints for developing a meta‐theoretical reflexivity type theory of religion, society and globalisation.     

Do Cognitive Interview Instructions Contribute to False Beliefs and Memories?

To examine whether exposing people to false events using instructions taken from the cognitive interview creates false beliefs and false memories, we conducted an experiment where participants took part in two sessions. First, they rated how confident they were that they had experienced certain childhood events and their memories of those events; they also rated how plausible they thought the events were. Second, 2 weeks later, participants were exposed to two of three false target events: one high, one moderate, and one low plausibility. For the first event, participants were instructed to either report everything or mentally reinstate the event context. For the second event, participants received both instructions. The third event was the control event about which participants received no instructions. Finally, participants rated their confidence and memories the second time. The results showed that the cognitive interview instructions had little to no effect on the development of false beliefs and false memories. Copyright © 2012 John Wiley & Sons, Ltd.     

Systematic Review and Meta-analysis of Adolescent Cognitive–Behavioral Sleep Interventions

This systematic review and meta-analysis examined the efficacy of adolescent cognitive–behavioral sleep interventions. Searches of PubMed, PsycINFO, CENTRAL, EMBASE, and MEDLINE were performed from inception to May 1, 2016, supplemented with manual screening. Nine trials were selected (n = 357, mean age = 14.97 years; female = 61.74%). Main outcomes were subjective (sleep diary/questionnaire) and objective (actigraphy) total sleep time (TST), sleep onset latency (SOL), sleep efficiency (SE), and wake after sleep onset (WASO). There were a small number of randomized controlled trials (RCTs; n = 4) and a high risk of bias across the RCTs; therefore, within sleep condition meta-analyses were examined (n = 221). At post-intervention, subjective TST improved by 29.47 min (95% CI 17.18, 41.75), SOL by 21.44 min (95% CI ?30.78, ?12.11), SE by 5.34% (95% CI 2.64, 8.04), and WASO by a medium effect size [d = 0.59 (95% CI 0.36, 0.82)]. Objective SOL improved by 16.15 min (95% CI ?26.13, ?6.17) and SE by 2.82% (95% CI 0.58, 5.07). Global sleep quality, daytime sleepiness, depression, and anxiety also improved. Gains were generally maintained over time. Preliminary evidence suggests that adolescent cognitive–behavioral sleep interventions are effective, but further high-quality RCTs are needed. Suggestions for further research are provided.     

The motivation to breastfeed: a fit to the opponent-process theory?

The opponent-process theory, a dynamic model of acquired motivation presented by Solomon and Corbit (1974), was applied to the process of breastfeeding. A modified form of the Nowlis Mood Adjective Checklist (MACL, Nowlis, 1965, 1970) and a discomfort measure were used in assessing through recall the affective course predicted by the theory. The data were analyzed using multivariate analysis of variance (MANOVA) and correlational procedures. Results were highly significant: Women who breastfed for relatively long periods recalled positive affective responses while the baby was at breast and a subsequent negative or dysphoric response. The additional characteristics of acquired motivation, habituation, and withdrawal, were also evidenced in the data. As a control for possible confounding demand characteristics inherent in the methodology, a sample of childless women was surveyed using an "as-if" form of the same questionnaire. Very little similarity to the breastfeeders was found in the pattern of responses yielded by this group. It was concluded that our major findings are quite likely free of influence from this source.