Religious integration in a residential treatment center

Summary After many years of service to the community, the Children's Home of Baltimore recently admitted its first Jewish child. While the basic content of the youngster's feelings and behavior, both prior and subsequent to placement, has been no different from that of a number of other children with similar backgrounds, it has been expressed in a fashion colored by the history of the agency and the child's religion. The psychological phenomena that have been witnessed have been no different from those seen in a host of other children; only the choice of a mode of expression has been altered. Some of this behavior, as well as verbalizations during the treatment sessions, has been characterized by unconscious feelings focused on the issue of religion. On other occasions, the boy has made conscious attempts to use this to his own advantage, to curry favor or to gain privileges denied others.The history of the home, with its beginnings rooted in Christian charitable endeavors, has provided a background against which may be viewed the chameleon-like quality of these psychological processes as they take on the coloration of the environment.     

The phases of renewal: Steps to integration of the self in psychotherapy

This is a study of the psychology of self-renewal. The myth of Psyche is examined since it is among the finest rebirth stories antiquity has left us and can be read as representative of the renewal process in general. The story as such, points to a number of psychological states of being necessary for the self to pass through if change is to occur. Renewal can be understood as a series of ontological situations, and these can be structurally considered in terms of phases. This in turn, provides a general theoretical framework for a psychological analysis of self-renewal. The phases of renewal, derived from the Latin, are:immanence, obstruence, descendence, experience, ascendence, emergence andtranscendence. The case of Lee is used to illustrate the process of integration of self in psychotherapy.     

Researching psychotherapy integration: A heuristic approach

Moustakas argues that questions and methodology in heuristic research flow out of inner awareness, meaning and inspiration. The approach might arguably embrace a combination of qualitative research methods, and constitute a kind of bricolage. This paper describes a heuristic enquiry into psychotherapy integration that used such a combination of methods – an interpretative phenomenological approach, case studies, reflexive action, and writing. It demonstrates how each of these methods contributed to the six phases of heuristic enquiry, from the initial engagement with psychotherapy as a trainee to the creative synthesis of published works and a PhD thesis, together with some reflection on the enquiry's limitations and rigour. Published texts, training, clinical practice and reflexivity constituted the material from which a new organizing framework for understanding psychotherapy integration was formulated. The author reflects on how the research design allowed deep engagement with this material, and changed his perspective of psychotherapy integration. In conclusion, this paper suggests that both psychotherapy integration and heuristic enquiry can only be conducted on an individual and personal basis, and that it is the quality of the relationship, with the client, or the research material, that produces results.     

Community integration of the mentally III in residential facilities

Much of the empirical research on the social adjustment of the mentally ill has focused on client variables. More recently, recognition of environmental factors as influences on behavior has led to attempts to determine environmental factors that may play a role in former mental patients' community integration. The secondary data analysis of 87 former state hospital patients in residential facilities suggests that while client characteristics are important in explaining community integration, facility, and community characteristics, particularly the level of skills training offered in the facility, size of city, and level of depersonalization of residents, have a significant impact. Results indicating the major importance of informal interactions between staff and clients are discussed, with implications for facility staff noted.     

Grounded Theory methods in child psychotherapy research

This article considers the place of qualitative research in psychoanalysis and child psychotherapy. It discusses why research methodology for many years occupied so small a place in these fields, and examines the cultural and social developments since the 1960s which have changed this situation, giving formal but also qualitative methods of research much greater significance. It reflects on the different pressures to develop explicit research methods which arise both from outside the psychoanalytic field, as a condition of its continued professional survival, and from within it, where its main aim is the development of fundamental psychoanalytic knowledge. It suggests that the conduct of mainly quantitative research into treatment outcomes is largely a response to these external pressures, whilst the main benefits to be gained from the development of qualitative research methods, such as Grounded Theory, are in facilitating the knowledge-generating capacities and achievements of child psychotherapists themselves. The paper describes Grounded Theory methods, and explains how they can be valuable in the recognition of hitherto unrecognised meanings and patterns as these are made visible in clinical practice. Finally, it briefly describes three examples of completed doctoral studies, all of which have added significantly to the knowledge-base of child psychotherapy, and which demonstrate how much can be accomplished using this method of research.     

Complexity science: A framework for psychotherapy integration

The paradigm of complexity science provides a new way to address the problem of psychotherapy integration and allows us to bypass the various shortcomings of the linear-interventionist perspective. Nine criteria are outlined, which should be satisfied by any integrative approach to psychotherapy: (a) the use of complexity science to provide a meta-theoretical and generic understanding of change processes (from neuronal to social system levels); (b) a comprehensive and formalised modelling of change processes and personality development; (c) an integrative method of case formulation; (d) the ability to understand a variety of techniques in terms of basic change principles; (e) criteria to guide microdecisions; (f) the application of data-driven feedback and real-time monitoring of change dynamics; (g) standardised assessment of outcomes in naturalistic settings; (h) guidelines for training; and (i) strategies that are well-suited to science–practice integration. Using these criteria as a framework for evaluation, one may grasp the potential of complexity science to drive innovation in the pursuit of psychotherapy integration.     

Role of countertransference in complex psychotherapy]

The psychotherapist has a key position in any psychotherapeutic situation, participating in the psychotherapeutic process with all his personality and responding both consciously and unconsciously to the patient and the entire psychotherapeutic system. Countertransference consists of those actions and emotional manifestations on the part of the psychotherapist, which originate from his unconscious strata as a reaction to the overall situation. The existence of countertransference and its possible interference with, and perhaps adverse effect on, the psychotherapeutic process require close scientific and social controls. Also, it will be necessary to make "self-experience" psychotherapy (educational analysis) a required subject. Countertransference also has important perception- and empathy-promoting functions.     

Psychogymnastics in group psychotherapy for in-patients]

The author describes specific problems arising in the use of psychogymnastics as a part of group psychotherapy for in-patients. She also discusses sociometric, diagnostic and therapeutic aims, and the potential and limitations of the method.     

'Joined-up psychotherapy': the place of individual psychotherapy in residential therapeutic provision for children

This paper looks at the provision of individual psychotherapy within a residential setting for young children. It gives a brief historical context of the work of therapeutic communities, and describes one such community in detail. The paper emphasizes the need for psychotherapy to be fully 8 integrated into the overall treatment of severely damaged children, and seeks to raise questions about the need to modify ideas on confidentiality and boundaries in such a setting. Case material is presented to illustrate this.