Eye movement desensitization and reprocessing (EMDR): An overview

Eye movement desensitization and reprocessing (EMDR) is a recently developed psychotherapy procedure which has been reported to dramatically increase efficiency in the treatment of psychological disturbances rooted in traumatic memories. Following a review of the research on EMDR's efficacy, clinical considerations are addressed, including the client's experience and the potential for negative effects or treatment failure. Finally, the role of EMDR in clinical practice is discussed. Initial reports are encouraging, and further research is recommended. Clinicians who choose to use EMDR are urged to obtain formal training.     

An action perspective on motor development

Motor development has all too often been considered as a set of milestones with little significance for the psychology of the child. Nothing could be more wrong. From an action perspective, motor development is at the heart of development and reflects all its different aspects, including perception, planning and motivation. Recent converging evidence demonstrates that, from birth onwards, children are agents who act on the world. Even in the newborn child, their movements are never just reflexes. On the contrary, they are purposeful goal-directed actions that foresee events in the world. Thus, motor development is not just a question of gaining control over muscles; equally important are questions such as why a particular movement is made, how the movements are planned, and how they anticipate what is going to happen next.     

Using session-by-session measurement to compare mechanisms of action for acceptance and commitment therapy and cognitive therapy

Debate continues about the extent to which postulated mechanisms of action of cognitive behavior therapies (CBT), including standard CBT (i.e., Beckian cognitive therapy [CT]) and acceptance and commitment therapy (ACT) are supported by mediational analyses. Moreover, the distinctiveness of CT and ACT has been called into question. One contributor to ongoing uncertainty in this arena is the lack of time-varying process data. In this study, 174 patients presenting to a university clinic with anxiety or depression who had been randomly assigned to receive either ACT or CT completed an assessment of theorized mediators and outcomes before each session. Hierarchical linear modeling of session-by-session data revealed that increased utilization of cognitive and affective change strategies relative to utilization of psychological acceptance strategies mediated outcome for CT, whereas for ACT the mediation effect was in the opposite direction. Decreases in self-reported dysfunctional thinking, cognitive "defusion" (the ability to see one's thoughts as mental events rather than necessarily as representations of reality), and willingness to engage in behavioral activity despite unpleasant thoughts or emotions were equivalent mediators across treatments. These results have potential implications for the theoretical arguments behind, and distinctiveness of, CT and ACT.     

An overview on Primary Progressive Aphasia and its variants

We present a review of the literature on Primary Progressive Aphasia (PPA) together with the analysis of neuropschychological and neuroradiologic profiles of 42 PPA patients. Mesulam originally defined PPA as a progressive degenerative disorder characterized by isolated language impairment for at least two years. The most common variants of PPA are: 1) Progressive nonfluent aphasia (PNFA), 2) semantic dementia (SD), 3) logopenic progressive aphasia (LPA). PNFA is characterized by labored speech, agrammatism in production, and/or comprehension. In some cases the syndrome begins with isolated deficits in speech. SD patients typically present with loss of word and object meaning and surface dyslexia. LPA patients have word-finding difficulties, syntactically simple but accurate language output and impaired sentence comprehension. The neuropsychological data demonstrated that SD patients show the most characteristic pattern of impairment, while PNFA and LPA overlap within many cognitive domains. The neuroimaging analysis showed left perisylvian region involvement. A comprehensive cognitive, neuroimaging and pathological approach is necessary to identify the clinical and pathogenetic features of different PPA variants.     

The dynamics,processes, mechanisms,and functioning of personality: An overview of the field

Personality psychology has long focused on structural trait models, but it can also offer a rich understanding of the dynamics, processes, mechanisms, and functioning of individual differences or entire persons. The field of personality dynamics, which works towards such an understanding, has experienced a renaissance in the last two decades. This review article seeks to act as a primer of that field. It covers its historical roots, summarizes current research strands – along with their theoretical backbones and methodologies – in an accessible way, and sketches some considerations for the future. In doing so, we introduce relevant concepts, give an overview of different topics and phenomena subsumed under the broad umbrella term ‘dynamics’, and highlight the interdisciplinarity as well as applied relevance of the field. We hope this article can serve as a useful overview for scholars within and outside of personality psychology who are interested in the dynamic nature of human behaviour and experience.     

Multiple family therapy: an overview

In recent years there has been increased interest in working with groups of families systemically. Multiple family therapy is applied in different settings and to a whole range of different presentations. These include work with multi-problem families; with schools, parents and pupils; with adult mentally ill individuals and their families; and with eating-disordered teenagers and their families. Principles and aims of multiple family therapy are presented, specific projects described and trends for future work outlined.     

An overview of paradoxical counseling and its congruence with biblical writings

Paradoxical counseling (PC) became popular in the second part of last century with the advent of systemic and multi-relational therapies. Since then, it has changed into a variety of behavioral techniques still in use today. How consistent or inconsistent is PC will depend a great deal upon each counselor's beliefs, including those who consider themselves pastoral counselors or Christian counselors. The authors suggest, however, that using workbooks written in both linear-straight-forward or circular-paradoxical ways as homework assignments may enlarge the expertise of a variety of counselors in ways perhaps heretofore unfamiliar to them.     

Informed consent: An overview

Over the past 25 years, obtaining informed consent for the performance of many medical procedures has become part of the practice of medicine. As opposed to the “duty to warn” that is enforced by the law, informed consent should be a cornerstone of a fully collaborative decision-making process, the elements of which are presented in this paper. The responsibility for this process rests upon health care institutions and financing arrangements, as well as upon physicians and courts. In response to emergencies, patient preferences, and public interests, the consent process is justifiably abbreviated. However, as presently articulated, the consent process treats communication too simplistically, is distorted by the way it is enforced in litigation, is inattentive to social justice issues, and is not integrated into the moral commitment of physicians.     

School phobia: An overview

This article discusses general features of school phobia and specific clinical and familial traits and characteristics. Included are overviews of theoretical explanations, types of school phobia, suggested methods of treatment, and their efficacy.     

Father-daughter incest: An overview

The problem of father-daughter incest is discussed from the perspectives of the offender, mother, victim, and family. The literature is reviewed for areas of consensus and disagreement. Conclusions describe the state of the art of current knowledge and suggest areas for research and theory development.     

Medical ethnomethodology: An overview

This paper gives a selective overview of studies in medical ethnomethodology. It starts with the 1967 contributions by Garfinkel and Sudnow, which focus on medical action as accountable Then it discusses the many CA-inspired studies of doctor-patient interaction published during the 1980s. Finally, it points to scattered studies that suggest several ways in which this latter approach can be deepened and enlarged. In this way, it formulates the contours of a program for ethnomethodological studies in the medical field.Revised draft of a paper read at the Conference: Ethnomethodology: Twenty Five Years Later,International Institute for Ethnomethodology and Conversation Analysis, Bentley College, Waltham, Mass. 13–16 August, 1992