Fleshing Out the Omnipotent Child in Group Psychotherapy

This article gives clinical examples of the fleshing out and working through of the omnipotent child (OC), as manifested in an open-ended twice-weekly group over a span of five years. Emphasis is placed on the role of the leader during the course of the group work. The fantasy of the therapist's lap is explored in detail as the core for the development of the analytic culture which exposes the OC along with its attendant resistances and narcissistic investments. This article highlights the necessity to explore the OC in all the developmental phases the members go though leading to maturation.     

Aggression Observation Scale for Group Psychotherapy: The Next Phase

An observational scale to record aggressive behaviors, defenses, and interventions that occur during a psychotherapy group has been developed. Content and process items are included. The content items focus on the spoken material and are on a continuum of increasing group members' awareness of and responsibility for their anger. The process items are directed to underlying psychodynamic issues on a continuum from avoiding anger, to indirect and then direct expression of anger. Leader interventions (responses) are also included. The development of the scale, the Aggression Observation Scale for Group Psychotherapy (AOSGP), is described, including pilot testing and beginning reliability and validity findings. Several years later further testing has been completed and is now reported.     

Dynamic Relational Group Psychotherapy: A Neurobiologically Informed Model of Change

In this article, we introduce a preliminary, neurobiologically informed model of group therapy that links the timing and nature of specific group interventions with hypothesized changing neurobiological needs of the group. We suggest that the observed phases of group development reflect an underlying reorganization of neuronal circuitry that occurs as members progress through a hierarchically organized treatment, and that this reorganization involves the integration and homeostatic rebalancing of subcortical and neural networks. Our preliminary Dynamic Relational Model suggests that an understanding of the neurobiological processes involved in group development may help inform and direct effective group-based psychotherapy interventions.     

Difficult Days: On the Use of Theory in Group Psychotherapy Reply to Grossmark and Weinberg

My response to Grossmark’s and Weinberg’s commentaries consists of four parts: The first relates to the use of theory in the analytic endeavor, emphasizing its relational quality, suggesting that our ability to reflect on how we unconsciously use theory is part of the therapeutic process. In the second part I discuss the relations between theory and metatheory, suggesting a possible parallelism between aggression in group therapy, and the existing debate about theorizing aggression. The third part briefly presents the affinity between relational psychoanalysis and the concept of The Social Unconscious. Finally, the fourth part notes the different languages of theory and poetry.     

Attachment and Relational Aggression: Power as a Mediating Variable

Evidence illustrates that insecure romantic attachment predicts higher levels of relational aggression. However, no research has attempted to explain that relationship with mediating variables, such as relationship power, which is associated with attachment and partner violence. Data for this study included 457 couples from Wave 2 of the Flourishing Families Study. Actor Partner Interdependence results indicated that insecure attachment was significantly predictive of relational aggression actor effects. There was also a significant partner effect between male insecure attachment and female relational aggression, and power was a significant mediator between attachment and relational aggression for males and females.     

The Dialectics of Relational Psychoanalysis and Group Psychotherapy: Commentary on Paper by Robert Grossmark

In this commentary, I address the question of why so few psychoanalysts become group therapists as I respond to the thoughtful and impressive paper written by Robert Grossmark on his work with a psychotherapy group, now in its 10th year of meeting. Prior to discussing the clinical material, and to set the stage for a discussion of Grossmark's work, I comment on my sense of the prevailing attitudes on group affiliations and group therapy within our culture and field as they have progressed over time. I then discuss my reactions to Grossmark's handling of his group session. Many of his conceptualizations of group treatment are in accordance with my own beliefs. There are some differences, however, in how I view my role as a leader and some ideas I have about group treatment that Grossmark did not address.     

Relational and Social Aggression and Reflective Processing in a University Sample

This study examined whether the dimension of reflective processing (e.g., deep and elaborative processing) was connected to the use of relational aggressions, social aggression, or both. A convenience sample of 629 college students (66% female, 91.6% White) was surveyed to ascertain the relation between self-reported relational and social aggression and deep and elaborative processing. The overall multivariate regression model was significant, Wilks’s λ = .12, F(4, 2162) = 1010.80, p < .001. Univariate results were used to show that the two predictors (relational and social aggression) significantly and strongly positively predicted the use of deep processing, R² = .81, p < .001, as well as the use of elaborative processing, R² = .87, p < .001. In summary, higher levels of social and relational aggression were related to higher levels of deep and elaborative processing. Implications for these findings are presented.     

A Cross-Cultural Investigation of Relational and Social Aggression in Female College Students from Puerto Rico and the United States

Researchers compared scores on a self-report measure of relational and social aggression using 2 groups, European American female university students (M = 20.23 years, SD = 3.88) from the mid-Atlantic region of the United States and Hispanic females from Puerto Rico (M = 19.34 years, SD = 1.26). Results indicate that cultural differences were evident in the use of relational and social aggression. The exclusively Hispanic Puerto Rican sample reported being more socially aggressive than the European American, mid-Atlantic sample. In contrast, the European American sample identified as being more relationally aggressive in their relationships than the Hispanic Puerto Rican sample. This distinction allows us to consider potential cultural differences in interpersonal relations in college-age females.     

Connected and Isolated Victims of Relational Aggression: Associations with Peer Group Status and Differences between Girls and Boys

Some adolescents who are relationally victimized by gossip and ostracism have limited close connections to a peer or friendship group, but victimization also can be group-based, occurring between or within friendship groups. The purpose of this study was to test gender differences in these two forms of victimization, referred to as isolated and connected victimization, and to test associations of each form with peer status (social prominence and preference within the peer group) and aggressive behavior. We expected that associations between victimization, especially connected victimization, peer status and aggressive behavior would differ for boys and girls. Australian students (N = 335, M _age = 12.5 years) self-reported victimization, and nominated peers who were victimized, accepted, rejected, socially prominent, and unpopular. Connected and isolated forms of victimization were correlated, but differences were found in their correlations with other measures and by gender. Especially when reported by peers, adolescents higher in connected victimization were also higher in both aggression and social prominence (i.e., they were more popular and considered leaders); yet, they were also more disliked (rejected). In contrast to connected victimization, isolated victimization was associated with negative peer status only, and weakly and inconsistently associated with aggression. Finally, gender moderation was found, which showed a pattern of aggression, prominence and dislike among adolescent females who were connected victims, but this pattern was not nearly as pronounced in their male counterparts.     

Measuring Relational Aggression in Middle Childhood in a Multi-Informant Multi-Method Study

Relational aggression includes behaviors intended to damage the social status and relationships of others. Recent work has demonstrated problematic outcomes for both aggressors and victims. These behaviors have been associated with psychopathology, including early borderline personality pathology. Despite the importance in better understanding these behaviors, numerous questions remain regarding the validity of different informants and methods for assessing relational aggression. In a community-based sample of 330 families evenly split by child gender (50.3% female), relational aggression data was assessed via multiple informants (mother, father, and self) and multiple methods (questionnaire and interview). The results suggest that mothers and fathers show higher agreement for girls’ relational aggression than for boys’ and that the presence of gender differences depends on the method of measurement. In addition, both mothers and fathers reports of relational aggression uniquely predicted internalizing behaviors, externalizing behaviors, and social problems, with fathers’ reports emerging as a particularly robust predictor. Relational aggression scores accounted for a greater amount of predicted variance in externalizing behaviors than in the other two domains. Results are discussed in the context of the utility of multiple informants and the conceptualization of relational aggression in a broader externalizing psychopathology framework.     

Testing a Bifactor Model of Relational and Physical Aggression in Early Childhood

Different approaches have been used to classify children as relationally aggressive, physically aggressive, or both relationally and physically aggressive (co-occurring aggression). The goal of the current study (N = 164, 50.9% boys, M _age = 47.75 months, SD = 7.37) was to test a bifactor model of aggression, which allows for aggression to be assessed dimensionally, and postulates a co-occurring aggression factor as well as unique relational and physical aggression factors, during early childhood. Aggression was measured using reliable observer and teacher reports of physical and relational aggression subscales. The two-factor model was an adequate fit to the data but the bifactor model was a significant improvement in model fit compared to the two-factor model. Alternative statistics for evaluating bifactor models were used in the current study. The measurement invariance (e.g., configural invariance, metric invariance, and scalar invariance) of the bifactor model was tested across gender and results from the bifactor model using teacher report showed that the model was invariant across gender. Lastly, the criterion validity of the model was examined by evaluating the relations between the bifactor model and observations of physical and relational aggression and results generally supported the validity of the bifactor model. Overall, results suggest that a bifactor model of aggression may be a useful method for studying aggression in early childhood.     

Taking Relationship Seriously in Psychotherapy: Radical Relationality

Psychologists who have historically focused on relationships have tended to underestimate the radical nature of human relationship. A “serious” or an ontological relationality would change the nature of psychotherapy. We describe this change in a discussion of two approaches to relationship, weak and strong relationality. We argue that weak relationality, the general conception of relationship in mainstream psychology, does not ultimately take even the therapeutic relationship seriously. We then discuss and illustrate ten practical implications that a strong relationality would have for psychotherapy.

Overt and Relational Aggression and Victimization: Multiple Perspectives within the School Setting

The current study involved a comprehensive comparative examination of overt and relational aggression and victimization across multiple perspectives in the school setting (peers, teachers, observers in the lunchroom, self-report). Patterns of results involving sociometic status, ethnicity and gender were explored among 4th graders, with particular emphasis on girls. Controversial and rejected children were perceived as higher on both forms of aggression than other status groups, but only rejected children were reported as victims. Both European American and African American girls showed a greater tendency toward relational aggression and victimization than overt aggression or victimization. Results indicated negative outcomes associated with both relational and overt victimization and especially overt aggression for the target girl sample. Poorer adjustment and a socially unskillful behavioral profile were found to be associated with these three behaviors. However, relational aggression did not evidence a similar negative relation to adjustment nor was it related to many of the behaviors examined in the current study. Implications of these results are discussed.     

Patient Personality and Relational Patterns in Psychotherapy: Factor Structure,Reliability, and Validity of the Psychotherapy Relationship Questionnaire

The aim of this study was to examine the factor structure and the psychometric properties of the Psychotherapy Relationship Questionnaire (PRQ; Bradley, Heim, &; Westen, 2005 Bradley, R., Heim, A. K., &; Westen, D. (2005). Transference patterns in the psychotherapy of personality disorders: Empirical investigation. The British Journal of Psychiatry, 186, 342–349. doi:10.1192/bjp.186.4.342[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]), a clinician report instrument that measures a wide spectrum of thoughts, feelings, motives, conflicts, and behaviors expressed by patients toward their therapists in psychotherapy. A national sample of psychiatrists and clinical psychologists (N = 314) of different theoretical orientations completed the PRQ, as well as the Shedler–Westen Assessment Procedure–200 (SWAP–200; Westen &; Shedler, 1999a Westen, D., &; Shedler, J. (1999a). Revising and assessing Axis II, Part I: Developing a clinically and empirically valid assessment method. The American Journal of Psychiatry, 156, 258–272.[PubMed], [Web of Science ®] , [Google Scholar], 1999b Westen, D., &; Shedler, J. (1999a). Revising and assessing Axis II, Part I: Developing a clinically and empirically valid assessment method. The American Journal of Psychiatry, 156, 258–272.[PubMed], [Web of Science ®] , [Google Scholar]) to assess the personality of a patient in their care. Factor-analytic procedures identified 6 transference dimensions that showed excellent internal consistencies: (a) hostile, (b) positive/working alliance, (c) special/entitled, (d) anxious/preoccupied, (e) avoidant/dismissing attachment, and (f) sexualized. Factor scores were significantly related to patients’ personality characteristics and psychological functioning, regardless of the clinicians’ orientations. The findings support that the PRQ is a valid and reliable tool for evaluating the patients’ relational patterns emerging in clinical practice in a clinically coherent and psychometrically robust way. Clinicians’ careful understanding of these patterns can be very useful for making accurate diagnostic formulations, as well as for providing a roadmap for effective therapeutic intervention.