Reality therapy: Icing on the cake of behavior modification

The paper presents a conceptual model for therapeutic intervention based on a behavioral orientation. Behavioral therapy is viewed on a continuum ranging from basic operant techniques to cognitive strategies applied to human interaction. It is hypothesized that the elements of reality therapy, with its emphasis on human interaction, are needed to provide closure to the therapeutic intervention and to help maintain new coping behaviors. Utilizing the context of an institutionalized client, suggestions for how this process might occur are discussed.     

虚拟与虚拟实在

虚拟是这个时代的热门词,也是当下文化的关键词.在三亿多的网民中,很多人见面时的问候语从吃过没有变为魔兽了吗抑或摘菜了没有,网络虚拟生活已经成为国人乃至世人一种必不可少的生活方式.二十年前美国学者迈克海姆写过一本关于虚拟实在的书,大约十年前引入国内,引发了国内学者关于虚拟实在的研究和讨论.但由于当时国内的信息技术尚未普及,网民数量稀少,所以他的书和这场讨论未能引起社会轰动并深入持久下去.如今恰逢读网时代,我们重拾虚拟实在,重新探讨它的形而上以及与虚拟的区别与联系,因为它是我们在谈及当下文化时绝不能回避和忽略的问题.     

Reality Testing and Testing Reality in Group TreatmentPart I: Reality and Reality Testing

This two-part contribution addresses reality, reality testing, and testing reality—how we think about and may technically approach these concepts. Part I provides a topic overview and focuses on reality testing. Part II (in an upcoming issue) focuses on testing reality and how it promotes emergence of new or previously inhibited forms of engagement.

Reality testing and testing reality represent two fundamental, reciprocal manifestations of the drive to know and of tasks of learning: approaching problems and solving them. While testing reality involves approaching reality without necessarily looking for or coming to definition or clarity, reality testing centers on a particular theme or object. It evolves towards organization and rationality, with a goal to define and solve problems—or to avoid them.

Engaging the group and supporting individuals in these two types of approaches to learning requires a well-defined therapeutic focus on process and purpose; at times, different tactics and techniques are appropriate.     

Reality Testing and Testing Reality in Group Treatment

This two-part contribution addresses concepts of “reality,” “reality testing,” and “testing reality,” as they apply to group treatment. Part I provided topic overview and focused on reality testing. Part II focuses on testing reality and how it promotes emergence of new or previously inhibited forms of engagement.

Whereas reality testing centers on a particular theme or object, with a goal to define and solve problems, testing reality involves approaching targets of interest without necessarily looking for or coming to definition or clarity. It is wide open, spontaneous, and unbounded, and may take the individual and group into realms that are uncomfortable and even unwanted. Engaging the group and supporting individuals in these two approaches to learning requires a well-defined therapeutic focus on process and purpose; at times, different tactics and techniques are called for.     

Resistance revisited

It was a coincidence that I was asked to talk about resistance at Ground Rounds at the University of Texas, Department of Psychiatry, on the tenth anniversary of mailing the first version of Death of Resistance to a journal in 1979. Although the paper was subsequently rejected 17 times and revised six times, it was eventually published inFamily Process (de Shazer, 1984). I still insist that the concept of resistance was a bad idea for therapists to have in their heads.This paper was presented April 14, 1989, at Ground Rounds, University of Texas, Southwest Medical Center, Department of Psychiatry, Dallas, Texas.     

Restructuring revisited

The Gestalt psychologists proposed that restructuring ( Umstrukturierung ) is an essential process in thinking. This concept has not been integrated into the information processing theory of problem solving. As a preparation for such an integration, the Gestalt writings about restructuring in problem solving are summarized in a set of principles. Critical scrutiny shows that some Gestalt principles are overstated; others have very weak empirical support. But the psychological reality of restructuring is not in doubt, in spite of the recent criticism by Weisberg and Alba (1982 a ). A unified theory of thinking should interpret restructuring in information processing terms, and explain the relation between restructuring and search.     

Reduction revisited

Abstract

This is a first tentative examination of the possibility of reinstating reduction as a valid candidate for presenting relations between mental and physical properties. Classical Nagelian reduction is undoubtedly contaminated in many ways, but here I investigate the possibility of adapting to problems concerning mental properties an alternative defmition for theory reduction in philosophy of science. The defmition I offer is formulated with the aid of non-monotonic logic, which I suspect might be a very interesting realm for testing notions concerning localized mental-physical reduction. The reason for this is that non-monotonic reasoning by defmition is about appeals made not only to explicit observations, but also to an implicit selection of background knowledge containing heuristic information. The flexibility of this defmition and the fact that it is not absolute, i.e. that the relation of reduction may be retracted or allowed to shift without fuss, add at least an interesting alternative factor to current materialist debates.     

Countertransference revisited

A female patient of mine recounts her week. I listen with interest, waiting for her to arrive at particular conclusions. She has suffered a great deal and still does, but prefers not to dwell on it. My interest turns into patience as she continues to talk but circumvents her discontent. She is adroit at avoidance, but easily offended when I point such things out. "I'd better wait" I think. I grow more aware that I must encourage her digressions. I feel frustrated. Getting further and further away, she skirts the issue with supple grace, then strays off into tangentiality. I forget her point and lose my focus, then get down on myself. The opportunity is soon gone. I glance at the clock as her monologue drones on into banality. I grow more uninterested and distant. There is a subtle irritation to her voice; a whiney indecisive ring begins to pervade my consciousness. I home in on her mouth with aversion, watching apprehensively as this disgusting hole flaps tirelessly but says nothing. It looks carnivorous, voracious. Now she is unattractive, something I have noticed before. I forget who my next patient is. I think about the meal I will prepare for my wife this evening, then glance at the time once more. Then I am struck: Why am I looking at the clock? So soon? The session has just begun. I catch myself. What is going on in me, between us? I am detached, but why? Is she too feeling unattuned, disconnected? I am failing my patient. What is her experience of me? I lamentingly confess that I do not feel I have been listening to her, and wonder what has gone wrong between us. I ask her if she has noticed. We talk about our feelings, our impact on one another, why we had lost our sense of connection, what it means to us. I instantly feel more involved, rejuvenated, and she continues, this time with me present. Her mouth is no longer odious, but sincere and articulate. She is attractive and tender; I suddenly feel empathy and warmth toward her. We are now very close. I am moved. Time flies, the session is soon over; we do not want it to end.