Reflections of Authority in Psychotherapy

Abstract

This article examines how therapists' expressions of authority affect the psychotherapeutic relationship. The article is based on the proposition that the clinical practitioner is always in a position of authority, regardless of how the role of authority is conceptualized within treatment approaches. The article includes an investigation of power and authority differentials within and across therapeutic approaches that espouse both hierarchical and egalitarian authority relationships. Process material from these approaches is analyzed to identify therapists' exercise of authority within these two approaches. It is suggested that researchers and therapists might use a heuristic research design to study the conveyance of therapeutic authority to identify whether dimensions of authority are overtly or covertly expressed, and whether or how such expression might affect practice and a client's exercise of personal authority.     

Reflections on Twenty-Five Years of Group Psychotherapy

The use of Interactive Psychoeducational Group Therapy to ameliorate authority problems of veterans with combat-related posttraumatic stress disorder is described. Despite the common occurrence of authority problems in this population, and the degree of damage they have caused in family, work, and legal domains, they are rarely specifically targeted by treatment interventions. A conceptual framework linking psychological trauma with distortions in authority relations is presented, followed by the format, procedures, and case examples of this form of group therapy. By uncovering the distorted beliefs associated with traumatic schemas as they emerge in the group interaction, the group therapist can first help the clients question their assumptions about authority, and then explore more adaptive behaviors. The need to examine in greater detail the causes and impact of authority problems among clients with posttraumatic stress disorder is emphasized.     

当代心理治疗整合的反思与展望

心理治疗整合是指试图超越某单一心理治疗流派的局限,借鉴其他流派的优势,对各种不同的治疗理论和方法持包容和开放的态度的一种当代心理治疗取向.心理治疗整合主要有四种模式:技术折衷、共同因素、理论整合、同化整合.整合取向仍是目前心理治疗的大势所趋,越来越多的治疗师开始接受整合理念,不仅不同的治疗理论和方法之间需要整合,而且理论研究与临床实践也需要整合.     

Reflections on Contemporary Psychotherapy Practice, Research, and Training

We do not lack for criticism about psychotherapy practice, research, and training. Admittedly, there is much there that needs to change. But, thus far, what have we done right? What are some of the positive, affirming, constructive strides that have been made with regard to therapy practice, research, and training? In this paper, those questions are addressed. Ten broad-based themes about some aspects of psychotherapy are presented and discussed; while by no means exhaustive, each is considered to be quite robust and clearly reflective of some of the truly constructive facets now evident in the field.     

Book Review: Feminism and Psychotherapy: Reflections on Contemporary Theories and Practices

Abstract

I felt a compulsion to return to the Roseland Peninsula in Cornwall late last autumn. My son had returned for his third university year, my daughter had left for her first university term. I felt very sad as one glorious autumn day succeeded another and I walked until I was exhausted. I felt full of memories, of endless summer and Easter holidays, of excited children running to beaches, of expeditions, of tired children trailing home, of prawning, sailing, picnics, crabbing—and later of long walks and evenings spent playing chess, racing demon or scrabble. All past. A chapter had closed, everything around me echoed and I mourned for what had passed. I remember vividly sitting alone gazing at a favourite view, acknowledging my womb had done its work, and how immensely sad that felt.     

Confirming Mathematical Theories: an Ontologically Agnostic Stance

The Quine/Putnam indispensability approach to the confirmation of mathematical theories in recent times has been the subject of significant criticism. In this paper I explore an alternative to the Quine/Putnam indispensability approach. I begin with a van Fraassen-like distinction between accepting the adequacy of a mathematical theory and believing in the truth of a mathematical theory. Finally, I consider the problem of moving from the adequacy of a mathematical theory to its truth. I argue that the prospects for justifying this move are qualitatively worse in mathematics than they are in science. This revised version was published online in June 2006 with corrections to the Cover Date.     

Treatment Parameters and Structural Change: Reflections on the Psychotherapy of a Male Homosexual

Abstract

Shechter R. A. Treatment Parameters and Structural Change: Reflections on the Psychotherapy of a Male Homosexual. Int Forum Psychoanal 1992;1:197-201. Stockholm. ISSN 0803-706X

Sequential highlights from a four-year treatment period demonstrate specific instances when technique parameters, defined as deviations from psychoanalytic neutrality, triggered the emergence of repressed memories. These memories were connected to forbidden impulses and intense annihilation and castration anxiety. Parameters also functioned to keep anxiety at tolerable levels, allowing the working-through and rechanneling of highly charged libidinal and aggressive wishes and fears, and the establishment of a reparative transference. As the patient explored affect and memory, he incorporated a more benign superego. Drive was neutralized, sublimation occurred, and structural change unfolded. Intrapsychic change led to behavior change. The patient moved from a monogamous, sadomasochistic, homosexual lifestyle to a more positively invested and pleasurable heterosexual relationship.

Treatment was not a defense analysis. The patient's ego structure could not have tolerated the anxiety of a transference neurosis that mirrored the abuse of childhood. The treatment dyad was a reparative force. Parameters indirectly functioned as interpretations of repressed longings, surgically cutting through false self-deception.     

Linguistic Reflections on Psychotherapy: Change in Usage of The First Person Pronoun in Information Structure Positions

Aim of present study was to understand changes in speech of clients with regard to certain linguistic features from 5th to 15th session of psychotherapy. First person pronoun use in information structure positions were analyzed in speech of clients. Participants of this study were 11 psychotherapists (clinical psychology master and doctorate students) and 16 clients (applicants to AYNA Psychotherapy Unit). In present study word count results of clinets’ speeches were analyzed by ANOVA method. According to results, use of first person pronoun changed significantly in preverbal position from 5th to 15th sessions of psychotherapy. Findings of this study suggest that, psychotherapy leads to certain linguistic changes, and these changes discussed to be means of understand change of clients during psychotherapy     

Reflections on receiving an award

Reflecting on the events that culminated in her receiving the Award for Distinguished Contributions to Applied Psychology as a Professional Practice, Canter, an independent practitioner, discusses the road she traveled to become a clinical psychologist and to become involved in professional organizational activities. She believes that this award was given to her because of her contributions to psychology over her lifetime as an effective and hardworking leader, mentor, and role model in her home state of Arizona and nationally. She addresses some of her ideas about effective leadership and mentoring in the American Psychological Association (APA), providing many examples from which she has learned. Canter also shares some thoughts about APA's position as a leader in the development and enforcement of professional ethics.     

Screening for Psychotherapy by an Open-Ended Group

A developmental model of conducting a time-limited, short-term inpatient psychotherapy group is described. The therapist's primary goal in this model is to promote members' awareness of their dysfunctional interpersonal behaviors and the conflicts underlying these behaviors. The therapist pursues this goal by facilitating the group in resolving the conflicts of the four phases through which the group passes. In Phase I, the group addresses conflicts related to the establishment of trust. In Phase II, issues related to dependency wishes focused upon authority figures occupy the group's attention. In Phase III, conflicts within peer relation-ships become focal. In Phase IV as the group approaches termination, group members explore feelings related to the acceptance of loss. For each phase, optimal therapist interventions are described.     

Faith Alone: Reflections on an Adverb

In response to critics of his New Testament translation, Luther points out that they simply do not understand the grammar restrictions of language that requires the addition of the word alone in his translation of Paul's letter to the Romans. Luther also points out that they do not understand that alone in this passage is an adverb and not an adjective. This article explores the significance of the word alone (in “faith alone”) when it is considered an adverb as opposed to an adjective. As an adverb, alone resists attempts to manipulate it into a metaphysical principle. Alone as an adverb keeps faith as a living, dynamic relationship that God established and which comes to expression in the celebration of the sacrament.     

Multiple Points of Intervention as an Approach in Child Psychotherapy

ABSTRACT

This article develops an integrated model that emphasizes multiple points of intervention in therapeutic work with children. It draws on nonlinear dynamic systems theory, Winnicott's theory of play and transitional space, elements of contemporary relational theory, client-centered therapy, Gestalt therapy, family systems, behavior therapy, selected aspects of cognitive behavior therapy, psychological education, and school consultations.