Poetry as a therapeutic avenue

The significance of poetry in the context of pastoral psychology has not, as yet, received the attention it has in professional psychoanalytic literature. The authors of this series (eventually to be published at book-length) provide a terse but extensive review of such research, underscoring the therapeutic value of symbolic,intrapsychic artistry. Religious ideation, as well as other intrapsychic expressions, are incorporated by means of personal therapeutic situations focused on a patient's or client's poetry. With permission, these poems are quoted directly. From this data and their clinical experiences, the authors set forth two modes for considering unconsciously defensive or consciously self-disclosive uses of written poetry in and during psychoanalytic pastoral counseling or psychotherapy.Dr. Christensen is in the private practice of psychiatry, Northbrook, Illinois. He holds senior academic positions at the medical schools of Northwestern University and the University of Illinois, Chicago, as well as the post of Consulting Psychiatrist to The Community Pastoral Counseling and Consultation Center, Lutheran General Hospital, Park Ridge. Dr. Moss is the Executive Director of The Seabury Institute for Pastoral Psychotherapy, Atlanta. He is also the co-editor ofThe Organization and Administration of Pastoral Counseling Centers, Book Review Editor of theJournal of Religion and Health, and Editor of Artistic Photography forPilgrimage: The Journal of Existential Psychology. Reprint requests should be directed to: All Saints' Episcopal Church, 634 West Peachtree Street, N.W., Atlanta, GA 30308.     

Dependence and manhood

American culture is at best ambivalent and at worst hostile to the appropriateness of dependency in males. To reorient this cultural misconception, a healthful model of male dependency is needed-especially for health care and pastoral professionals. This paper offers such a construct by bringing the perspectives of a theologian, Dietrich Bonhoeffer, and a psychoanalyst, Heinz Kohut, to an examination of this issue. Out of this discussion, an ethic can be formulated which offers guidelines for the exercise of male dependency and a more complete model of manhood.Thomas L. Truby, D. Min., an ordained minister of the United Methodist Church, completed this paper while serving as a Counseling Associate of The Center for Religion and Psychotherapy, Chicago. It was subsequently used by Dr. Randall C. Mason as an illustration of synthesized depth-psychology and theological reflection (Advances in Self Psychology. Ed. Arnold Goldberg. New York, International Universities Press, 1980, p. 421). For their guidance on this project the author is especially grateful to Dr. Mason and Dr. David M. Moss of The Seabury Institute for Pastoral Psychotherapy, Atlanta.     

Psychoanalysis and theology: Jacques Lacan and Paul

The nature of humanity—or the human situation-has been an area of thought intensely studied by theologians and philosophers for centuries. In more recent times, however, psychology has made serious advances into this field of inquiry. It has been able to provide insights applicable to previous theological ideas. The author brings to the reader's attention his twofold purpose: to present an interpretation of the human situation as understood by Jacques Lacan—as informed by such forerunners as Sigmund Freud and Martin Heidegger— and expressed by psychoanalytic method. These same ideas are then examined in light of the writings of St. Paul. From a sensitive study of these two thinkers the author has been able to draw numerous correlations pertinent to contemporary studies within religion and psychology.is in the private practice of psychotherapy at the Peachtree-Parkwood Mental Health Center in Atlanta. He is an Episcopal priest. For their thoughtful suggestions and editorial assistance, the author is grateful to: Dr. David M. Moss, The Seabury Institute for Pastoral Psychotherapy, and Jean Levenson, M.Div., Darby Printing Company, Atlanta.     

A survey of recent publications in pastoral psychological fields

The author calls attention to a number of recent publications to assist pastors in selecting titles which will prove most helpful to them. He discusses books of general interest on religion and ministry, books on counseling and psychotherapy, books on psychology and personality, and books in theology, ethics and philosophy.Dr. Hunter is Associate Professor of Pastoral Theology at Candler School of Theology, Emory University, Atlanta, Georgia 30322, and serves as Book Review Editor ofPastoral Psychology.     

“Heroic struggle”: A medieval and modern dilemma

In the medieval tale ofSir Gawain and The Green Knight there is a portrait of an archetypal hero who succumbs to the pressures of living up to his reputation by resorting to behavior which compromises the code of ethics of knighthood. The lives of contemporary men and women are much more complex by comparison, though not always quite so dramatic. The pressures we face on a daily basis are cumulatively greater. Choices we make may be determined by our need to filter the realities of our world through a characterological lie which we have fashioned in ourselves as a way of protecting a vulnerable psyche from the truths of existence. Events in this fourteenth-century narrative are reexamined in the light of Dr. Ernest Becker'sThe Denial of Death, which strongly implicates the confrontation between the individual and the environment.William A. Paris is a freelance writer who also works with mentally handicapped students in Georgia's Dekalb County School System. This paper is part of a lengthier study presented in the 1978 Ohio Conference for Medieval Studies, John Carroll University, Cleveland. Mr. Paris is completing a novel based on this research. For their editorial supervision, the author is grateful to Dorothy Ann Saye and David M. Moss, of Coventry Associates for Pastoral Psychotherapy in Atlanta.     

A bibliographic sampler

The author presents a critical survey of recent books in or related to pastoral care. A review of books that may be considered of immediate benefit to the pastor and practitioner is followed by comments on several books of a more specialized and theoretical nature. A final section describes several recent publications that reflect psychosocial critiques of contemporary society and the place of psychology in it.Dr. Hunter is the Book Review Editor ofPastoral Psychology. He serves as Assistant Professor of Pastoral Theology, Candler School of Theology, Emory University, Atlanta, Georgia 30322.     

Marriage counseling with clergy couples

An experienced pastoral counselor, working exclusively with clergy families, draws on his clinical experience to review the needs of clergy couples. Typical patterns of crisis in clergy marriages, and procedures for effective intervention, are described.Dr. Houts is Director of Pastoral Care and Counseling, The Illinois Area, for the United Methodist Church. He is actively involved in the work of the American Association of Pastoral Counselors and contributed an earlier article on The Pastoral Care of Pastors to the Spring, 1977 issue of this journal. Reprint requests for the present article should be addressed to him at 1701 South Prospect, Suite 19, Champaign, Illinois 61820.     

Voices outside the camp: Some significant nonpastoral books in 1979–80

A review article of recent books in disciplines related to pastoral care which may increase the effectiveness of the pastor's care and counseling ministries. Books selected challenge prevailing assumptions, offer new ways to perceive the pastoral task, and provide new and significant information. Books are reviewed from personality and psychotherapy, family history, theory and therapy, studies of violence and victimization, psychology and theology, and general ministry theory.Dr. Hunter is Associate Professor of Pastoral Theology and Book Review Editor ofPastoral Psychology. His address is: Candler School of Theology, Emory University, Atlanta, Georgia 30322.     

Training in group-analytic psychotherapy in Europe

Group-analytic psychotherapy focuses on the making and maintaining of close, emotionally fulfilling relationships. Its practitioners attempt to fuse an individual and a whole-group perspective, and seek to provide the enabling conditions for freer communication between group members. The group-analytic approach is widely used in the United Kingdom, and many experiential groups on psychotherapy training courses are conducted on group-analytic lines. The Institute of Group Psychotherapy in London recognizes eight one-year courses in England and Scotland specifically oriented to group-analytic theory and methods. These courses provide an introduction to group psychotherapy to over 300 professionals of varied backgrounds every year. There are also two courses in the United Kingdom that provide a full training in group-analysis and group-analytic psychotherapy, and 11 courses on the continent of Europe. The number of courses is growing and there is now a European Group-Analytic Training Network providing formal links between them. Results of a postal survey indicate that few (10%) attenders at a one-year course have a negative response and that many (85%) recommend the course to colleagues. The efficiency and therefore reduced cost of group teaching and the incorporation of a group experience may be contributing factors to the increasing demand for this type of training.This paper is based on a presentation at an Open Session on Training in Group Psychotherapy: The Quest for a Viable Model at the American Group Psychotherapy Association Annual Meeting, Boston, February 1990. This paper represents the author's own views and is not an official statement of the Institute of Group Analysis [London]. However, members and staff of the Institute have made helpful contributions to the author in preparing it. He is especially grateful for the assistance of Mrs. Liesel Hearst (Chairperson, Overseas Training Sub-Committee, Institute of Group Analysis, London), Dr. Keith Hyde (Convenor, Manchester Course in Group Psychotherapy), Fr. Jim Christie (Convenor, Glasgow Course in Group Psychotherapy), and Dr. Vivienne Cohen (Chairperson, Training Committee, Institute of Group Analysis, London, in preparing this paper. The questionnaire study was conducted with the assistance of the Training Section of the North-Western Regional Health Authority.     

Psychic development and the group analytic situation

Psychic development can be viewed as the emergence and establishment of coherency which is an aspect of organization. This paper discusses the concept of coherency and reviews some early developmental processes in the mother/infant interaction that establish coherency. The development of the matrix of the analytic group is viewed as the establishment and development of group coherency. Finally, the link between the development of individual coherency and group coherency is outlined.Dr. Malcolm Pines is a Consultant Psychotherapist at Tavistock Clinic, founder member of the Institute of Group Analysis (London), member of the British Psychoanalytical Society, and Past President of the International Association of Group Psychotherapy.     

Some thoughts on the existential lens in group psychotherapy

Existential psychotherapy provides a useful perspective, or lens through which to view the practice of group psychotherapy. The field encompasses a variety of theoretical and practical points of view, many not usually thought of as existential. Some relate to the therapist, some to the enterprise of psychotherapy, and some to conceptions of psychic or external reality. This paper identifies several of these vertices, emphasizing especially (1) the importance of relationship in psychotherapy, (2) the problem of meaning (3) addressing existential concerns, especially the centrality of death as a problem in living, and (4) the task of the therapist. Attention is paid to the historical development of these ideas. The work of Martin Buber, Otto Rank, Wilfred Bion, and Viktor Frankl is especially emphasized, although proto-existential concepts from other waters are also noted. The heart of the paper deals with the application of these vertices to group psychotherapy. Extensive attention will be given to the differing viewpoints of Hugh Mullan and Irvin Yalom. Practical applications in group psychotherapy, including clinical vignettes, are offered.This paper was originally delivered, in somewhat different form, at the National Group Psychotherapy Institute of the Washington School of Psychiatry on April 23, 1995. It was dedicated to Hugh Mullan, who had been one of my teachers at the school two decades earlier.     

Acceleration of the therapeutic process with group

This paper deals with the impact of adding group to individual treatment of patients with neurotic character problems and attempts to illustrate the efficacy of this dual approach. The formidable task for the individual therapist is to make these patients see that their habitual ways of reacting are pathological and stem from repressed intrapsychic conflicts. This task is facilitated in a group in a number of ways since the group setting becomes an arena that affords wider therapeutic scrutiny. Having become aware that behavioral characteristics disguise anxiety, other group members initiate independent efforts to extract the underlying meanings for their fellow members. Their interventions are often more effective and acceptable because they are less likely than the therapist to be perceived in the projected image of the bad parent.Copyright, 1980, Washington Square Institute for Psychotherapy and Mental Health, which published this paper in No. 7 of the Group Psychotherapy Monograph Series, after the paper had been presented at the Seventh Annual Conference of the Group Psychotherapy Department.     

How Does Change Occur Within the Psychoanalytic Encounter?

On November 6, 2002, Dr. James Fosshage delivered the following talk at a Clinical Training Conference held at the Blanton-Peale Institute. The Clinical Training Conference at Blanton-Peale provides experiential and conceptual resources to support the therapist-in-training in the context of his/her professional identity. The training conference is attended by candidates of all phases of the Psychoanalytic Program, the Pastoral Psychotherapy Program, and the Marriage and Family Program, as well as faculty members, administrators, staff, and interns of the institute. The residents were asked to review three articles written by Dr. Fosshage in preparation for his presentation: Toward Reconceptualising Transference: Theoretical and Clinical Considerations, International Journal of Psycho-Analysis (1994) 75 (2): 265–280; Countertransference as the Analyst's Experience of the Analysand: Influence of Listening Perspectives, Psychoanalytic Psychology (1995) 12 (3): 375–391; and Listening/Experiencing Perspectives and the Quest for a Facilitating Responsiveness, Conversations in Self Psychology: Progress in Self Psychology, (1997) 13: 33–55.     

Does Every Good Behaviorist Deserve Favor? A Reply to Neil Jacobson

This is a response to Dr. NeilJacobson's article, An Outsider's Perspective on Psychotherapy Integration, which appears in this issue. It addresses the issue of the differences between eclecticism and psychotherapy integration as well as the possible advantages integration holds over a one-model therapy system. This article suggests that virtually all psychotherapy systems operate under an integrated three paradigm model, and offers some concrete examples of this explanation. It also suggests that the use of psychotherapy integration may lead to a better paradigm match between client and therapist, and ultimately to better outcome. This article concludes that psychotherapy integration possibly offers the best alternative in terms of reducing the biases of one's underlying treatment oaradiem.     

Theological and religious dimensions in pastoral psychotherapy

This article seeks to consider the theological and religious dimensions in pastoral psychotherapy. Using Erik Erikson's view of personality growth and development, the author presents a view of man as the basis for exploring the theological and religious dimensions of psychotherapy and offers five approaches to arguing for theological and religious significance in psychotherapy. The article then considers what the pastoral psychotherapist brings to this process.Dr. Jenkins is Director of Pastoral Counseling, Georgia Baptist Medical Center, 300 Boulevard, N.E., Atlanta, GA 30312. This paper was delivered to the Annual Meeting of the Southeast Region of American Association of Pastoral Counselors, October, 1980, Kanuga, North Carolina.     

My current views on Rational-Emotive Therapy (RET) and religiousness

Comments on W. B. Johnson's (1992) Rational Emotive Therapy and Religiousness: A Review. Outlines the author's current views on regular religion and on dogmatic, absolutist, devout religiosity, in order to clarify how rational-emotive therapy (RET) and rational-emotive psychology (REP) actually hold, and do not hold, certain attitudes toward religion. Albert Ellis, Ph.D., is the founder of Rational-Emotive Therapy, President of the Institute of Rational-Emotive Therapy in New York, and the author of over fifty books on RET and Psychotherapy.Albertt Eillis, Ph.D., is the founder of Rational-Emotive Therapy, President of the Institute of Rational-Emotive Therapy in New York, and the author of over fifty books on RET and Psychotherapy.     

Shared Wisdom: Use of the Self in Pastoral Care and Counseling (Person, Culture, and Religion Group, American Academy of Religion, November 18, 2005)

This article summarizes the method of pastoral assessment and theological reflection detailed in Shared Wisdom, with particular attention to pastoral counselors’ countertransference or intersubjective “use of the self” as a tool for empathic understanding of clients. A model of multiplicity of mind, subjectivity, and God is advanced in contrast to more traditional views. The article concludes with an appeal for messiness, complexity, and kenosis in both psychology and theology.Pamela Cooper-White is Professor of Pastoral Theology at the Lutheran Theological Seminary at Philadelphia, and recipient of the American Association of Pastoral Counselors’ 2005 National “Distinguished Achievement in Research and Writing” Award. She is the author of four books: Many Voices: Pastoral Psychotherapy and Theology in Relational Perspective (forthcoming, Fortress, 2006), Shared Wisdom: Use of the Self in Pastoral Care and Counseling (Fortress, 2004), The Cry of Tamar: Violence Against Women and the Church's Response (Fortress, 1995) which won the 1995 Top Ten Books award from the Academy of Parish Clergy, and Schoenberg and the God Idea (UMI Research Press, 1985). An Episcopal priest and pastoral psychotherapist, Cooper-White is certified as a clinical Fellow in the American Association of Pastoral Counselors, and serves as Co-Chair of the Person, Culture, and Religion Group of the American Academy of Religion.     

Significant events in a psychodynamic psychotherapy group for eating disorders

This qualitative pilot study was designed to identify and explain significant events for patients participating in a psychodynamic psychotherapy group for eating disorders. Specifically, seven members of a mixed (i.e., anorectic, bulimic, obese) eating disorders group recorded what they perceived as the three most significant events in group meetings for 14 weeks. In addition, group members were instructed to record why each event was significant. Manifest and latent content analyses of the data revealed that members found feedback and observing others the two most common types of significant events, and emotional experience, insight, and relationship the reasons these events had such impact. The implications of these results for working with the eating-disordered patient in group, as well as their implication for general group theory and practice, are discussed.An earlier vesion of this paper was presented at the 1991 meeting of the American Group Psychotherapy Association, New York. This paper was funded, in part, by a California State Faculty Support Grant and a Santa Barbara Cottage Hospital Research Grant awarded to the first author. The authors would like to thank Sean T. Casey, Sally Barton, Dr. Allison Wollitzer, Tom Knowlton, Craig Park, and Beth Buxton for their assistance in the preparation and execution of this study.     

From the word to the conversation: Paradigms and psychology in German protestant pastoral thought

Under steady pressure from ordinary pastoral practice German Protestantism gradually made proclamatory pastoral care more responsive to human need and more adequate to human complexity. In doing so it drew heavily from psychology, but the very refinements helped obscure its original intent. For that and other reasons it came into crisis and was replaced by therapeutic pastoral care, which now dominates German pastoral thought and practice. Each of these paradigms of pastoral work reflected in its own way on the theological aspects of pastoral care, producing quite different theologies of pastoral care and employing psychology in that process in quite different ways.Dr. Burck is Assistant Professor of Religion and Health and Chaplain-Supervisor at Rush-Presbyterian-St. Luke's Medical Center, 1753 W. Congress Parkway, Chicago, Illinois 60612. This article is a sequal to his The New Pastoral Care in Germany, published in the Summer, 1978 issue ofPastoral Psychology.     

Repeated measurements analysis of variance when the correlations have a certain pattern

Consider a repeated measurements study in which a single observation is taken at each oft(t > 2) equally spaced time points for each ofn subjects. This paper uses a result of Box to find the appropriate multiplicative correction term for the degrees of freedom in the analysis of variance table for the case when there is equal variability per time point, and when the correlation between observationsu time units apart is equal to ^u . For large values oft, the multiplicative correction has a lower bound approximately equal to 2.5/(t – 1).Dr. Fleiss is also with the Biometrics Research Unit of the New York State Psychiatric Institute. This work was supported in part by grant DE 04068 from the National Institute of Dental Research.