Using rituals in couple therapy in cases of wife battering

This article describes the work of a unit specializing in helping couples where there is violence towards the woman. It focuses particularly on ritual, describing couple violence as a type of family ritual, and outlines a number of specific healing rituals which can be substituted for the destructive ritual of violence.     

Neutralizing increases discomfort associated with obsessional thoughts: an experimental study with obsessional patients

Cognitive-behavioral theories suggest that the development of neutralizing is crucial in the development and persistence of obsessional problems (OCD). Twenty-nine patients with a Diagnostic and Statistical Manual of Mental Disorders (4th ed., American Psychiatric Association, 1994) diagnosis of OCD were randomly allocated to 2 conditions. Both listened to repeated recorded presentations of their intrusive thoughts and either neutralized (experimental group) or distracted themselves (control). Discomfort was rated during this 1st phase and then during a 2nd phase without neutralizing or distraction. The experimental group showed a similar level of discomfort in the 1st phase, which significantly reduced during the period compared with controls. The experimental group experienced significantly more discomfort during the 2nd phase, and significantly stronger urges to neutralize and distract at the end of this phase than controls.     

Healing rituals with families in exile *

This paper describes work with families who have been subjected to torture and atrocity and forced into political exile. Exile is described as a state of limbo which may be resolved by involving families in rituals which reconnect them to communal life. Therapeutic dilemmas when working with families affected by torture and atrocity are discussed. The culture of refugee families is a resource which can be used to enable them to integrate experiences of atrocity and adapt to life in exile. Therapeutic strategies are discussed through case histories.     

The power of rituals in dealing with traumatic stress symptoms: cleansing rituals for former child soldiers in Northern Uganda

International guidelines for emergency response note the importance of cultural adaptions and facilitation of local spiritual and religious healing practices when appropriate. Deciding whether traditional medicine is safe, effective and appropriate is a complex matter. This study explores the therapeutic factors of a local cleansing ritual in Northern Uganda aimed at healing former child soldiers. The components of the ritual are analysed and compared with research-based therapy for post-traumatic stress disorder. Participant observation was used during the ritual, followed by qualitative in-depth interviews and follow-up interviews over three years. The key informant is a former child soldier participating in the ritual. He was abducted and forced to commit several killings during a three-year period. The collective mobilisation of social support, the collective forgiveness and the strength of the psycho-education appear central for the effect of the ritual. In addition, the ritual draws on common therapeutic factors. The findings indicate that such a ritual involves elements that safely and effectively deal with symptoms in accordance with modern research on trauma therapy, perhaps more powerfully than Western-style therapy. Implications for collaboration with local healers in emergency settings are indicated.     

Cognitive control of obsessional thoughts

A defining characteristic of obsessive-compulsive disorder (OCD) is unsuccessful suppression of unwanted thoughts. Recent evidence of individual differences in ability to control intrusive thoughts may inform our understanding of failures of cognitive control associated with OCD symptomatology. The current study investigated characteristics of cognitive style that are potentially associated with OCD symptoms and may influence response to unwanted thoughts, including perceived ability to control thoughts and tendency to ruminate. Undergraduate students (N = 166) completed self-report measures of OCD symptoms, perceived thought control, and ruminative thinking. They were then presented with a distressing target thought and completed a standard thought suppression paradigm. Correlational results indicated that, controlling for anxiety and depression, OCD symptoms were positively associated with rumination and inversely associated with perceived thought control ability. In addition, OCD symptoms were associated with higher levels of distress and greater spontaneous efforts to suppress the target thought during a baseline period, while perceived thought control ability predicted frequency of target thoughts during suppression. Finally, results of the experimental manipulation confirmed that participants instructed to suppress experienced more intrusions during the recovery period. Clinical implications and future directions are discussed.     

Tyranny of the obsessional character

This essay relates many of the unwelcome features of modern life to the increasing influence of obsessional personality traits. This influence is becoming more pronounced as civilization advances and comes to be increasingly reliant upon depersonalized mechanical and commercial systems. The result has been a glut of unwanted information, an exaggerated reliance upon computing and numbers, an overgrowth of bureaucracy, a discarding of intuitive wisdom in favor of calculative reasoning, a loss of simplicity, a jargonized language, and ultimately, the degradation of human relationships and of human beings themselves.     

Appraisals of obsessional thoughts in normal samples

Cognitive theories of obsessive-compulsive disorder (OCD) posit that appraisals about the significance of thoughts are critical in the development and persistence of obsessions. Rachman [(1997). A cognitive theory of obsessions. Behaviour Research and Therapy, 35, 793-802.] proposes that appraisals of unwanted thoughts distinguish clinical obsessions from normal intrusive thoughts; thoughts appraised as important and personally significant are expected to be upsetting and recur. Appraisals are also expected to be related to symptoms of OCD. To explore the features of normal appraisals of obsession-like thoughts, nonclinical participants in two studies rated the personal significance of intrusive thoughts portrayed in vignettes containing prototypical themes associated with primary obsessions: aggressive, sexual, and blasphemous thoughts. Unwanted intrusive thoughts that were described as occurring more frequently were appraised as more personally significant, but participants appraised these socially unacceptable thoughts similarly whether they imagined having personally experienced them or a friend confiding about having experienced them. Appraisals in both studies were related to subclinical OC symptoms and OC beliefs.     

Facebook rituals: Identifying rituals of social networking sites using structural ritualization theory

This article applies structural ritualization theory (SRT) to identify different rituals and determine their importance in the daily lives of social networking sites (SNS) users, especially Facebook users. A mixed‐methods approach of in‐depth interviews and netnography viewed through the lens of SRT allowed us to identify and analyze the types of rituals users engaged in, and how these rituals impacted users and evolved over time. During customer journeys on the SNS of Facebook, users shared daily ritual practices in distinct behavioral stages. Production and consumption of these daily rituals are important to marketers in SNS platform design for building and maintaining connectivity between users and the SNS platform.     

Allegations of sexual abuse in Satanic rituals

H. L. Seneviratne. The Work of Kings: The New Buddhism in Sri Lanka. Chicago, University of Chicago Press, 1999, xvi+358 pp., $49 (hardback) ISBN 0 226 74865 0, $22 (paperback) ISBN 0 226 74866 9.

Michael W. Myers. Brahman: A Comparative Theology. Richmond, Curzon, 2001, xiii+268 pp., £45 ISBN 0 7007 1257 7.

Todd T. Lewis, in collaboration with Subarna Man Tuladhar and Labh Ratna Tuladhar. Popular Buddhist Texts from Nepal: Narratives and Rituals of Newar Buddhism. Foreword by Gregory Schopen. Albany, State University of New York Press, 2000, xviii+236 pp., $59.50 (hardback) ISBN 0 7914 4611 5, $19.95 (paperback) ISBN 0 7914 4612 3.

Walter Burkett. Savage Energies: Lessons of Myth and Ritual in Ancient Greece. Chicago, University of Chicago Press, 2001, xiv+110 pp., $28.00, £18.00 ISBN 0 226 08085 4.

Text by Massoud Fourouzandeh and Alain Brunet. Photos by Abbas Tahvildar. Baptists of Iran. Les baptistes d'Iran. Tehran, Key Press, 2001, 173 pp. (with 5 pages in Farsi), n.p. ISBN 964 90645 5 9.     

Assessment and treatment of obsessional harassment

Obsessional harassment and stalking have become increasingly recognized as significant social problems, often with dramatic negative repercussions on the lives of victims. As the public awareness of this problematic behavior has grown, the amount of clinical attention and empirical research focused on understanding the perpetrators of harassment has increased accordingly. Nevertheless, relatively little research has addressed the numerous issues involved in the assessment and treatment of obsessional harassment offenders. This article reviews the existing research on obsessional harassment/stalking, and offers a diagnostic typology of these offenders based on the nature of the relationship with the victim and the motivation of the offender. Treatment modalities are then discussed with regard to each of the primary diagnoses that occur among obsessional harassment offenders. Finally, strategies for initiating treatment for unmotivated or unwilling offenders are discussed, along with clinical issues that arise in the evaluation and treatment process.     

Parting gifts: termination rituals in group therapy

A patient's termination from group therapy is a powerful experience for the departing patient, the therapist, and all group members. Unless the feelings evoked are channeled into constructive expression, they may undermine this potentially valuable phase of both the departing patient's group treatment and the life of the group as a whole. A termination ritual, styled by a particular patient according to his or her own need, therapy goals, and personality may help the patient achieve a more clearly defined sense of self. The authors suggest that the group therapist's careful attunement to and thorough exploration of the significance of any termination ritual or gift will help to extract maximum therapeutic benefit for the departing member and the group as a whole.