The Therapist’s Needs: Beyond Mutual Recognition

Abstract

As early as 1965, Harold Searles argued that therapists’ needs for healing and growth are part and parcel of their work with patients. Since then, the relational movement has corroborated this idea by articulating the healing function of treatment for both patient and clinician. In this article, the authors examine therapists’ needs that have been overlooked or those that have not been considered fully in the literature. Using various ideas related to the concept of what the authors call therapeutic freedom, this article argues that clinicians must strive to adopt a therapeutic vision that aims to loosen their own ties to safe, familiar modes of engaging with patients, particularly in moments of enactment or impasse. The authors elucidate these ideas with case material from their clinical work and show how embracing various forms of therapeutic freedom results in a type of mutual surrender on the part of both patient and therapist, creating opportunistic conditions that generate therapeutic action and new possibilities for the dyad.     

Contextualizing and Clarifying Criticisms of Memory Work in Psychotherapy

This article aims to reduce the polarization that has characterized discussion of memory work in psychotherapy. First, the article attempts to help critics of memory work understand the cultural and historical context in which their arguments have been received by practitioners and victim advocates: There are good reasons why attacks on memory work have been viewed with suspicion. Second, the article tries to convince practitioners and victim advocates that there nonetheless are legitimate grounds for concern about some forms of memory work. The goal here is to persuade practitioners whose work includes a focus on childhood trauma to be cautious in their use of memory recovery techniques, without undermining support for survivors of childhood sexual abuse.     

Examining variation in working memory capacity and retrieval in cued recall

Groups of individuals often work together to generate solutions to a problem. Subsequently, one member of the group can plagiarise another either by recalling that person's idea as their own (recall-own plagiarism), or by generating a novel solution that duplicates a previous idea (generate-new plagiarism). The current study examines the extent to which these forms of plagiarism are influenced by the quality of the ideas. Groups of participants initially generated ideas, prior to an elaboration phase in which idea quality was manipulated in two ways: participants received feedback on the quality of the ideas as rated by independent judges, and they generated improvements to a subset of the ideas. Unconscious plagiarism was measured in recall-own and generate-new tasks. For recall, idea improvement led to increased plagiarism, while for the generate-new task, the independent ratings influenced plagiarism. These data indicate that different source-judgement processes underlie the two forms of plagiarism, neither of which can be reduced simply to memory strength.     

Why do I always have the best ideas? The role of idea quality in unconscious plagiarism

Groups of individuals often work together to generate solutions to a problem. Subsequently, one member of the group can plagiarise another either by recalling that person's idea as their own (recall-own plagiarism), or by generating a novel solution that duplicates a previous idea (generate-new plagiarism). The current study examines the extent to which these forms of plagiarism are influenced by the quality of the ideas. Groups of participants initially generated ideas, prior to an elaboration phase in which idea quality was manipulated in two ways: participants received feedback on the quality of the ideas as rated by independent judges, and they generated improvements to a subset of the ideas. Unconscious plagiarism was measured in recall-own and generate-new tasks. For recall, idea improvement led to increased plagiarism, while for the generate-new task, the independent ratings influenced plagiarism. These data indicate that different source-judgement processes underlie the two forms of plagiarism, neither of which can be reduced simply to memory strength.     

Modeling adaptive cooperative and competitive metaphors as mental models for joint decision making

In this paper, joint decision making processes are studied and the role of cognitive metaphors as mental models in them. A second-order self-modeling network model is introduced based on mechanisms known from cognitive and social neuroscience and cognitive metaphor and mental model literature. The cognitive metaphors were modeled as specific forms of mental models providing a form of modulation within the joint decision making process. The model addresses not only the use of these mental models in the decision making, but also their hebbian learning and the control over the learning. The obtained self-modeling network model was applied to two types of metaphors that affect joint decision making in different manners: a cooperative metaphor and a competitive metaphor. By a number of scenarios it was shown how the obtained self-modeling network model can be used to simulate and analyze joint decision processes and how they are influenced by such cognitive metaphors.     

Alignment and commitment in joint action

Important work on alignment systems has been applied to philosophical work on joint action by Tollefsen and Dale. This paper builds from and expands on their work. The first aim of the paper is to spell out how the empirical research on alignment may be integrated into philosophical theories of joint action. The second aim is then to develop a successful characterization of joint action, which spells out the difference between genuine joint action and simpler forms of coordination based on alignment. I begin by introducing the empirical research and two definitions of joint action. I then argue that instead of using this research in conjunction with Searle’s account of collective intentionality, as Tollefsen and Dale suggest, we would be better served by applying this research to Gilbert’s account of plural subjects. In the final sections I distinguish between alignment, coordination, and joint action, clarify the roles of joint commitment and sub-personal alignment in joint action, and argue that these concepts are both consistent and mutually supportive. Combining these two research programs gives us an account of joint action that does justice to both the empirical and philosophical research.     

Open live supervision in family therapy

This article reviews changes in models of supervision, resulting from technological developments and reflecting a variety of theoretical approaches. The focus is on open live supervision, conducted in the presence of the family. The supervisor and a therapeutic team join the therapist and the family, creating a complex supra-system that opens up several options for therapeutic intervention. Sessions are videotaped, and therapists use recordings for additional supervision and independent study. Therapists may also show recordings to the family as part of the therapeutic process. The advantages and disadvantages of the model are considered, and examples of some of the therapeutic options are described.This model was developed in the course of the author's work teaching and supervising students at the Counseling Department of the School of Education at the Hebrew University of Jerusalem, and supervising a multi-disciplinary team including physicians, psychologists, and social workers engaged in family therapy at the Municipal Psychological Services for Schools in Jerusalem. A shorter version of this article appeared in Hebrew inSihot 5 1991. Appreciation is expressed to Batya Stein for translating the final version of this article from Hebrew. Reprint requests should be addressed to Katrit Ron, Neve Granot 3-B, Jerusalem 93706, Israel.     

Neglecting neglect: some thoughts about children who have lacked good input,and are ‘undrawn’ and ‘unenjoyed’

This paper looks at emotional neglect in the early years of life, and postulates some probable long-term sequelae of such neglect. It argues that there is a continuum of neglect; ranging from the severest form, as seen in institutional orphanages, to milder variations. A range of theoretical and research traditions, including developmental psychology, attachment theory and neuroscience are used, alongside psychoanalytic ideas, to attempt to delineate some of the key features and patterns that arise. A question is raised as to whether we have sufficient diagnostic categories or theoretical ideas to make sense of neglected children. Thought is given to the very specific clinical challenges of working with children who are neglected, and how the clinical task might differ from working with children who have suffered other forms of early damage, such as physical abuse. It is argued that these children suffer a multiple, overdetermined form of neglect; their initial neglect because of the form of caretaking they did (or did not) receive being compounded by their inability to use help and then also the tendency of professionals to similarly neglect these children, who can be difficult to relate to and hard to ‘warm’ to.     

Typology,the eight-function model,and archetypal complexes

This clinical presentation shows what insights a typology-conscious analysis of clients and their families may lead to and points out what is added by applying John Beebe’s eight-function, eight-archetype model. To reflect on the inner balance between archetypal complexes in the eight-function structure that holds our psyche, the author invites clients to do a typological analysis, including an analysis of their archetypal patterns, which may, itself, provoke anxiety. This article includes a presentation of ideas and experiences sparked when confronting these complexes in clinical work. Clients are introduced to six stages of coping with stress that may allow them to be more conscious of their complexes when triggered. These stages are Faint, Freeze, Flight, Fidget, Fight, and Flow. To identify whether the stress is physiological, emotional, or intellectual, the idea of the Triune Brain is introduced. The therapeutic work may lead to redemption from opposites, which is an ethical task.     

“I don't reject the Catholic Church—the Catholic Church rejects me”: How Twenty- and Thirty-somethings in Poland Re-evaluate their Religion

Abstract

Given measures of religious belief and participation, young adults in Poland are becoming increasingly disengaged from the Catholic Church. Broad theories of secularisation are less useful for making sense of this trend than an analysis of the role of Catholicism in Polish society in the twentieth century, which demonstrates the ways in which forms of belief are contingent upon wider social and political transformations. This article argues that, since 1989, attempts by the Catholic Church in Poland to influence public life through conservative social and political interventions have alienated young people who are looking for religious resources with which to make sense of their lives in a rapidly changing social milieu. Alongside disengagement from conservative, propositional forms of Catholic truth and rejection of direct authority, young people still possess ‘religious capital’ and look upon religious ideas to orientate their personal lives. However, disaffection from the propositional truths offered by the Church and disengagement from rituals and practices of ‘folk Catholicism’ at the level of the family and local parish have not led to widespread expressions of atheism among young people. Instead, there is a sacralisation of everyday life and there are attempts to use ‘religious capital’ to help young people make choices for life. The reconfigured ‘religious capital’ is often expressed through diffuse Catholic symbols and sentiment as well as the periodic use of major religious festivals as a means of finding access to some form of collective religious experience. The article concludes by reflecting on the implications of these changes for the future religious landscape of Polish society.     

Family logotherapy

This paper presents a model of family treatment based upon the ideas and concepts of Victor Frankl. Franklian principles and their use in family therapy are outlined and a brief review of Frankl's philosophy is used to clarify further the use of these ideas when working with the family group.     

Creative Behavior through Basic Inferences: Evidence from Person-Computer Interactions

This article reviews the contributions of basic reasoning mechanisms to the generation of creative ideas. The investigated reasoning mechanisms are deduction, induction, abduction, specialization/generalization, and elementary memory associations. The article claims that if we measure creativity by outcomes, that is, by the quality of the resulting ideas, then these basic forms of reasoning can be considered at least mildly creative. The claim is backed by references to computer programs which have generated creative outcomes, and by the outcomes of computer based reasoning activities shown in the article. Limitations of this approach to creativity are also discussed, particularly, difficulties in the recognition of creative ideas.     

A systems model of leadership: WICS

This article reviews a systems model of leadership. According to the model, effective leadership is a synthesis of wisdom, creativity, and intelligence (WICS). It is in large part a decision about how to marshal and deploy these resources. One needs creativity to generate ideas, academic (analytical) intelligence to evaluate whether the ideas are good, practical intelligence to implement the ideas and persuade others of their worth, and wisdom to balance the interests of all stakeholders and to ensure that the actions of the leader seek a common good. The article relates the current model to other extant models of leadership.     

An integration of process and decision scheme explanations of group problem solving performance

This article develops a model of group problem solving in which performance is a function of group resources and strategies for their use. Resources are defined as the joint task knowledge of a group's two most expert members. Decision scheme is essentially defined as the degree of influence of these two experts and is shown, for certain composition conditions, to be related to group process, specifically, effective conflict management. Similarities between the model and other social influence theories are examined, and implications for organizational problem solving are explored. The task is the “Moon Survival” problem, and the subjects are 102 managers and graduate management students, working in 21 groups.     

Errors in Creative Thought? Cognitive Biases in a Complex Processing Activity

The generation of new ideas is a complex demanding activity involving multiple processing operations. As is the case in other forms of complex cognition, biases in process execution can induce errors that limit peoples' ability to generate viable new ideas. In the present effort, the nature of these biases, and their impact on creative thought, are examined. It is noted that these biases arise from multiple sources including knowledge, limitations in processing capacity, patterns of information use, and the strategies applied in process execution. The implications of these observations for enhancing creative performance are discussed along with potential strategies for error remediation.     

Determining the degree of inconsistency in a set of paired comparisons

Consistency in paired comparison data is defined. Two types of inconsistency which may arise are defined. Computational formulas for these types of inconsistency are derived, and examples illustrating the use of these formulas are presented.These ideas were developed while the first author was on the staff of the Research Center for Human Relations. The work was made possible by the ONR contract NONR 285(10). The authors are indebted to Jack Moshman for his helpful critical suggestions. The United States Government is authorized to reprint this article in whole or in part.     

Effects of speech accents on interpersonal evaluations: implications for counseling practice and research

This article reviews literature from the fields of psycholinguistics, communications, and social psychology that has examined the effects of speech accents (i.e., regional, national, and international variations in same-language use) on interpersonal attitudes, casual attributions, and subsequent behaviors. The authors link selected findings from this literature to the field of counseling to show that these findings can inform service delivery, particularly counseling conducted with ethnic minority and immigrant populations in the United States. Implications for practice and ideas for future research in this area are also discussed.     

Is There a Role for Publication Consultants and How Should Their Contribution be Recognized?

When a scientific paper, dissertation or thesis is published the author(s) have a duty to report who has contributed to the work. This recognition can take several forms such as authorship, relevant acknowledgments and by citing previous work. There is a growing industry where publication consultants will work with authors, research groups or even institutions to help get their work published, or help submit their dissertation/thesis. This help can range from proof reading, data collection, analysis (including statistics), helping with the literature review and identifying suitable journals/conferences. In this opinion article we question whether these external services are required, given that institutions should provide this support and that experienced researchers should be qualified to carry out these activities. If these services are used, we argue that their use should at least be made transparent either by the consultant being an author on the paper, or by being acknowledged on the paper, dissertation or thesis. We also argue that publication consultants should provide an annual return that details the papers, dissertations and thesis that they have consulted on.     

Dancing on a razor's edge: systemic group work with batterers

This paper describes a systemic approach to working with domestic violence which does not focus upon couple therapy but rather adapts the Duluth 'co-ordinated community response' model. It proposes that this model may be understood from a systemic perspective by drawing upon the 'levels of context' ideas prevalent within systemic therapy. The paper then demonstrates the practice of group work with men who are violent to their partners from this systemic perspective. The group work undertaken with these men may be understood as 'systemic' from a number of viewpoints. These include constructing the work within a systemic context , retaining a systemic perspective in the work, and adapting various systemic methods in the group work itself. In describing this approach to work with men who have abused their women partners, the authors hope to contribute to the domestic violence literature, to the understanding of group work methods within systemic work, and to the knowledge of practitioners who need to engage and work with abusive men.