The process-observer in group therapy

This case study describes the inclusion of a nonverbal, trained process-observer into therapy groups for parents having severely disturbed family systems. The observer remained nonverbal during the sessions while taking notes to be used in writing a one-page clinical summary, which was mailed to each group member. The process-observer was included to improve the clients' initial involvement in dealing with personal problems and as a catalyst for group development. Among the important functions of the written summaries were: reduction of initial anxiety, focusing the group on important issues, enhancement of continuity across sessions, and promoting therapeutic work between sessions. The observer was also valuable in providing feedback to the therapists. Specific guidelines for the use of a process-observer are provided.     

The dialectical approach in group therapy

A dialectical therapeutic approach has been used in treating individuals and families. Its application in group therapy is described with the aid of several anecdotal examples.     

The shamanic narrative in the postmodern age

Abstract

The current effacement of a deterministic, universal, scientific narrative to explain and control reality has left in its place a play of alternative narratives. The range of these explanations starts in a philosophical discourse we call deconstruction, an epistemology of textual criticism previously restricted to literary analysis. Now the entire infrastructure inherited from classic mechanics is being called into question, including its totalizing positivistic off‐shoots in the social sciences, leaving uncertain what is real, actual, or true. In this competition of narratives, the shamanic explanation provides additional answers to these categories. It distinguishes itself from alternative versions by a drive to bridge and unify the naterial here‐and‐now and the non‐material otherworld.     

Apophasis and the turn of philosophy to religion: From Neoplatonic negative theology to postmodern negation of theology

This essay represents part of an effort to rewrite the history metaphysics in terms of what philosophy never said, nor could say. It works from the Neoplatonic commentary tradition on Plato’s Parmenides as the matrix for a distinctively apophatic thinking that takes the truth of metaphysical doctrines as something other than anything that can be logically articulated. It focuses on Damascius in the 5–6th century AD as the culmination of this tradition in the ancient world and emphasizes that Neoplatonism represents the crisis of Greek metaphysics on account of the inability to give a rational account of foundations for knowing and of the ultimate principle of beings. Neoplatonism discovered how all such ultimate principles were necessarily beyond the reach of reason and speech. This apophatic insight is drawn out with the help of contemporary criticism of Neoplatonic philosophy, defining also some points of divergence. The essay then discusses the motives for thinking the unsayable in postmodern times on the basis of this parallel with Neoplatonic thought. Discourse’s becoming critical of itself to the point of self-subversion animates them both. However, the tendency in postmodern thought to totally reject theology, including negative theology, is a betrayal of its own deepest motivations. This tendency is debated through an examination of the thought of Jean-Luc Nancy. While any traditional discourse can be negated, the negating and self-negating capacity of discourse itself is infinite, and this is where a perennial negative theological philosophy of the unsayable is to be located. Language, eminently the language of philosophy, as infinitely open, points in a direction which becomes equally and ineluctably theological.     

Foucault and the turn to narrative therapy

Narrative therapy evolved in the family therapy arena in the late 1980s in Australia and New Zealand. Since then it has been extended to other counselling settings and a burgeoning literature has arisen around it. It is situated in the social constructionist, postmodern, poststructuralist discourses that challenge and force a re-evaluation of humanism and traditional psychological and counselling discourses. Its pioneering authors, White and Epston, state clearly that, amongst others, they have been influenced by the work of the French theorist Michel Foucault to not only question the dominant assumptions underlying humanism and psychology, but also to address issues of meaning, subjectivity, power and ethics. This paper briefly outlines some features of narrative therapy, examines the Foucauldian themes in White and Epston's theory, and explores narrative therapy's poststructuralist challenge to humanist assumptions in 'therapy culture'.     

The role of group therapy in incest counseling

The use of group therapy is an essential component in the treatment program for victims of incest, their families, and offenders at the Center Against Sexual Assault in Phoenix, Arizona. Four types of groups are conducted on a continuous basis: (a) adults who were victims as children, (b) families of victims, (c) offenders, and (d) child victims. Group therapy is the predominant treatment modality for the 400 incestuous families seen at CASA. Details of each of the four groups are given in this article.     

The freedom of the deconstructed postmodern subject

Poststructuralists have tried to deconstruct the subject, that is, demonstrate that it is constituted by the system of cultural and linguistic relations in which it is found. The result is that just at the moment when self-actualization seems for the first time to be politically possible for many hitherto marginalized subjects, they, and subjects more generally, appear to have been denatured – reduced to the cultural systems which are the condition of their possibility and consequently deprived of the freedom which is clearly necessary for any form of self-actualization. This paper, while acknowledging that subjects are indeed culturally and linguistically constituted, argues on the basis of a holistic, emergent property hypothesis that structure or form can generate content that nevertheless transcends the structure or form that constitutes it. On this view the subject is irreducibly transcendent to the system of relations from within which it arises, and the deconstructed subject thus remains capable of free choice and self-actualization.     

The efficacy of rational-emotive group therapy in psychiatric inpatients

The impact of rational-emotive theory and therapy upon the practice of clinical psychology has been profound, and many purportedly objective experimental tests of its efficacy as a mode of treatment have been reported. Yet the great majority of these reports have failed to utilize actual clinical populations. This study evaluated rational-emotive group therapy with psychiatric inpatients. Results supported the claim that irrational beliefs are related to emotional disturbance. It was also shown that patients undergoing rational-emotive group therapy changed their self-reported irrational beliefs more than did a control group. Finally, there was a trend for the experimental subjects to be more likely to have been discharged from the hospital during the 90-day follow-up period than were control subjects. However, this study failed to demonstrate that change in irrational beliefs was related to improvement in psychiatric symptoms or rates of discharge from the hospital. Some of the difficulties in conducting treatment evaluation research in a psychiatric hospital setting are discussed with respect to these results.     

Searching for a better story: harnessing modern and postmodern positions in family therapy

In this paper it is argued that modern and postmodern positions on reality and knowledge should not create a theoretical division in family therapy and that rather, by harnessing the two together, each may restrain the other. This combination creates the potential for drawing widely from the whole field of family therapy as well as challenging the separation of mainstream family therapy models from psychoanalysis. The concept of better story is used to replace both the polarized modern position of an objective discoverable truth and the polarized postmodern position of all stories having equal validity. It is suggested that better stories, which evolve in the meeting of family and therapist, may include those which are more congruent, object-adequate, encompassing, holding, shared, emotional, conscious, just, provisional and hopeful.