Therapeutic popularity and personality: Association between peer therapist nominations and the “Big Five” personality factors

The “Big Five” personality factors of three groups of psychology students differing in popularity as therapist among their peers were compared (n=33). In agreement with earlier research, popular therapists are “agreeable”, “conscientious” and “stable”. However, popular therapists are not “surgent/extravert” and especially not “dominant” and “talkative”. No support was found for the hypothesis that similarity in “agreeableness” or dissimilarity in “surgency” (the complementarily hypothesis derived from interpersonal theory) predicts therapist popularity. However, similarity between client and therapist in “stability” was predictive of nominations for therapist. On the assumption that therapist popularity predisposes good therapeutic alliances, the results indicate that therapists agreeableness, conscientiousness and emotional stability are relative to success in therapeutic interventions.     

Psychoanalysis: Practical and Research Aspects by Willi Hoffer

The outcome of clients who saw one of four “expert” professional group therapists selected by peer nomination or four “natural helper” nonprofessionals nominated by students is contrasted in a 15-session psychotherapy group. Process measures tapping specific group and “common factors” were drawn from sessions 3, 8, and 14; outcome was assessed at pre-, mid-, posttreatment, and a 6-month follow-up. Results were examined by leader condition (professional vs. nonprofessional therapists) and time (group development). Virtually no reliable differences were found on measures of outcome primarily because of a floor effect on several measures. Therapist differences on the process measures tapping the “common factors” of therapeutic alliance, client expectancy, and perception of therapists were either nonsignificant or disappeared by the end of treatment. A complex picture of differences on one therapeutic factor (insight), common factor measures, and subtle variation in the outcome data suggests a distinct pattern of change, however. Methodological limitations are also addressed including problems inherent in large-scale clinical-trial studies, ethical concerns raised by using nonprofessional leaders, and problems with generalizability, given the absence of significant psychopathology in group members.     

A High By Any Other Name: Exploring the Motivations for Consumption of “Legal Highs”

A large number of legal, semi-legal, synthetic, and organic drugs are sold online or through commercial vendors as novelties, often labeled as “not for human consumption.” It is fairly common knowledge, however, that many, if not all, of the purchasers of such products buy them for personal use. This study conducted ethnographic interviews with 26 synthetic and organic drug users over a five month period. Using a grounded theory approach, the authors created a typology of users that fell into three general categories: Risk reducers (who saw these drugs as either safer or less likely to be detected than illegal drugs), plan “B” users (those who preferred illegal drugs but used these drugs when their preferred drugs were unavailable), and novelty seekers (who used these drugs experimentally, or simply for fun and recreation).     

What do psychodynamic therapists make of their reveries in the therapeutic encounter? A constructivist grounded theory study

ABSTRACT

The therapist’s mind can wander to daydreams, fantasies and preoccupations: mental events termed “reveries” in this study. As therapists attend to the current of their thought in the therapeutic encounter, the question of how to approach their reveries can arise. This qualitative study used semi-structured interviews with nine qualified psychodynamic therapists to investigate therapists’ attitudes to reveries. The research design and analysis followed the principles of Charmaz’s [Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. London: Sage; Charmaz, K. (2014). Constructing grounded theory (2nd ed.). London: Sage] constructivist grounded theory. Results showed that therapists experienced diverse reveries sometimes felt to yield deeper clinical understanding. Reveries were also seen to have a “freeing-up” function for the therapist and patient, and to require mental freedom to operate. Implications for theoretical understanding and recommendations for clinical technique are discussed.     

UNIVERSITY WITH CONDITIONS: A DECONSTRUCTIVE READING OF DERRIDA'S “THE UNIVERSITY WITHOUT CONDITION”

The possibility of a Derridian theory of the university lies not in the discussion of the “as if” in “The University without Condition” but, rather, in a theoretical crack that Derrida's book promised to elucidate—between the “as if” and the “perhaps,” the performative and the event, transcendence and immanence. Moreover, we see a kind of rupture between this book and numerous texts from the 1970s and 80s, which are collected and published under the title of Right to Philosophy. Here lies a real philosophical stake. We see between the early Derrida and the later Derrida not only an ethico‐political turn but also, so to speak, a radical transition from the problematic of institution or case law (jurisprudence) to the axiomatic of law (loi) by aggravation of the transcendental.     

Framing of imprecise quantities: When are lower interval bounds preferred to upper bounds?

Imprecisely known quantities (e.g., predictions) are often described in approximate terms as “more than X” or “less than Y” (e.g., “Ann will earn more than $50 000” or “less than $60 000”). Such phrases carry both quantitative and qualitative (pragmatic) information. Three studies are reported showing that lower limit estimates (more than, over, minimum) are generally more frequent, and considered more appropriate than upper limit estimates (less than, under, maximum) over a wide range of contexts. This is partly due to scalar properties of the number system, where lower numbers are attained before, and included in higher numbers, but not vice versa. As a result, upper limit statements are perceived as negations, and carry more specific information about the speaker's communicative concerns. Upper limit statements are preferred with amounts or quantities that can be perceived as small, whereas lower limit statements can be used both to indicate large quantities and as a default. Copyright © 2009 John Wiley & Sons, Ltd.     

The Exorcist and the Spiritual Problem of Modern Woman

The archetype is not evoked by will; it appears in a situation which demands compensation (spontaneous archetypal intervention). Religion calls such happenings “God's will.” A situation may present one with illness or endanger one's life. Consciousness finds this state overwhelming. Even people who boast no particular religious belief find themselves forced involuntarily to give way to prayer: that is, the archetype of a helpful being is constellated producing at the last moment a turn which is felt to be miraculous

C. G. Jung A letter (modified), written February 1960, in Spring, 1961.

It appears almost incredible to us that late into the 18th century it should have been possible that emotional confusions and erotic abberations of phantasy were brought in relation to demons and witchcraft. States of “ possession,” “obsession” or certain types of “imagination,” but above all “anaestesia,” the stigma diaboli par excellence, mutism, sleep-walking and convulsive states. were all condemned as the work of demons

Liliane Frey-Rohn from The Beginning of Depth Psychology     

The Al-Sābiū’n (the Sabians) in the Quran: An Overview from the Quranic Commentators,Theologians, and Jurists

The term ‘al-Sābiū’n,’ as literally employed in the Qur’ānic commentaries, denotes “peoples who shift from one religion to another” or “peoples who take on a new religion other than their own.” This term is the plural of sābī’ and it derives from the root sabā, which signifies “turn to” or “lean towards to.” The term al-Sābiū’n as applied in the Qur’ān indicates various technical meanings, since almost all commentators of the Qur’ān and the earliest scholars have left the identification of al-Sābiū’n vague. Such a vague identification is plausible, since al-Sābiū’n is represented by a conglomerate of various views comprising remnants of sects who were oriented to cultic practices, ancient heathen sects of several nationalities, namely Greeks, Persians, and Indians, and sects who were Neo-Platonic in their origin and character. This article thus has a distinct purpose. It attempts to exhibit the features of the Sabians as perceived and conceived by the Quranic Commentators, Theologians, and Jurists. It is hoped that the article will provide a preliminary yet clear understanding of the Sabians as interpreted by themselves.     

“Why would you want to do that work?” The positive impact on therapists of working with child victims of sexual abuse in Ireland: a thematic analysis

Abstract

Research on the impact on psychotherapists of working with trauma has typically focused on negative impact and protective strategies and supports for therapists working in this field, such as self-care strategies and supervision. Yet many clinicians speak of the rewarding and fulfilling experiences of working with those who have been sexually abused. This study explored the positive impact of working with children who have been sexually abused in a sample of psychotherapists in Ireland. Unstructured interviews were conducted with nine female therapists who work in a specialist sexual abuse service with child victims of sexual abuse. An inductive thematic analysis identified four key themes: “the struggle to talk about the positive impact”, “professional satisfaction from helping children”, “learning life lessons from children” and “the magical connection that happens in therapy”. The findings show that, despite therapists’ tendency to think about negative impact, when encouraged to do so they described finding the work professionally rewarding, experiencing an enhancement of their own attitudes and lives through learning from the children they worked with and feeling uplifted within the therapeutic relationship with the child. Suggestions are offered for future research that may provide a broader understanding of the positive impact of this work.     

Perceptions of the Limitations of Confidentiality Among Chinese Mental Health Practitioners,Adolescents and Their Parents

The present study aims to (a) survey Chinese mental health professionals’ attitudes toward therapeutic confidentiality with adolescent patients in specific clinical situations, and (b) compare Chinese adolescents’ and parents’ beliefs about when most mental health professionals would breach confidentiality. A sample of 36 mental health practitioners, 152 parents, and 164 adolescents completed a survey to assess their opinions about when confidentiality should be breached in 18 specific clinical situations (e.g., an adolescent tells his or her therapist that he or she smoked a cigarette, had unprotected sex, or attempted suicide). Nearly half of the parents (46%) and adolescents (41%) and 78% of the therapists in our sample selected “yes” in response to the question of whether the principle of confidentiality applies to adolescents. However, 49% of parents indicated “no,” and 53% of adolescents indicated “not sure.” Compared to adolescents, parents were significantly more likely to believe that therapists would breach confidentiality for the high-breach-likelihood items. For the low-breach-likelihood items, adolescents and parents were significantly more likely than therapists to believe confidentiality should be breached. Results from this study provide data to inform the development, refinement, practical implementation, and communication of guidelines and recommendations specific to adolescents receiving psychotherapy in China.     

Motives and Values to Achieve: Different Constructs With Different Effects

ABSTRACT Motives to achieve and values associated with achievement were conceptualized as distinct and independent personality constructs, one nonconscious, the other conscious, each predictive of a different type of achievement-related behavior It was hypothesized that (a) motive and value measures would be uncorrelated, (b) motives would predict “operant” or spontaneous behaviors while values would predict “respondent” or stimulus-driven behaviors, and (c) motives and values would interact such that subjects with high values relating to achievement would perform better than those with low values, but only when their motives were also high Hypotheses (a) and (b) were strongly supported m two studies, and Hypothesis (c) was supported in Study 2 In that study, the motive for achievement was a particularly strong predictor of operant math performance among those subjects who valued achievement as opposed to affiliation The findings suggest that nonconscious (motive) and conscious (value) measures are both useful in different cases–the former for predicting “real” (doing) activity, the latter for predicting self-report (thinking) responses Questions concerning how motives and values might combine to predict different kinds of behavior are addressed     

A meta-analysis of executive functioning in dyslexia with consideration of the impact of comorbid ADHD

Grapheme coding was examined in French Grade 6 and Grade 8 children and adults who learned English as a second language (L2). In Experiments 1 and 2, three conditions were compared in a letter detection task in L2: (1) simple grapheme (i.e., detect “a” in black); (2) complex language-shared grapheme (i.e., “a” in brain) and (3) complex L2-specific grapheme (i.e., “a” in beach). The data indicated that graphemes in L2 words were functional sub-lexical orthographic units for these L2 learners. Moreover, L2-specific graphemes took longer to process than language-shared complex graphemes. Using the same task, Experiment 3 examined phonological influences by manipulating the cross-language congruency of grapheme-to-phoneme mappings (detect “a” in have [congruent] vs. take [incongruent]). The outcome of this study offers preliminary evidence of graphemic coding during L2 word recognition both at the orthographic and the orthography-to-phonology mapping levels.     

Socioeconomic Status and the Diagnostic Significance of Healthy and Unhealthy Group Rorschach Content

Three hypotheses were put to test, using group Rorschach protocols and a content scoring approach: (a) when neutral content is disregarded, upper social class subjects (Ss) will report predominantly “healthy” group Rorschach content while lower social class Ss will report predominantly “unhealthy” content; (b) perceiving “unhealthy” content will prove an abnormal diagnostic indicant only among upper social class Ss; (c) these findings will hold across racial identity. Rorschach content data and independent measures of personality were obtained from five samples of adolescent Ss differing in race and social class. The experimental hypotheses were supported. A theoretical interpretation making use of social class values is presented to explain the findings.     

Older Adults’ Psychosocial Responses to a Fear of Falling: A Scoping Review to Inform Occupational Therapy Practice

Abstract

Falls in older adults are a major health concern, yet the “fear of falling”, a common psychosocial response that can occur post-fall, has seldom been investigated. A scoping review was conducted to identify and map interventions that occupational therapists can use to manage the fear of falling psychosocial response (FoFPR) among older adults. Thirteen electronic databases were searched and 22 studies were retrieved. Cognitive behavioral therapy, guided imagery, and Tai Chi were interventions found to help older adults deal with their FoFPRs. Occupational therapists assisting older adults in this area can play a significant role.     

“Phobie à deux” and other reasons why clinicians do not apply exposure with response prevention in patients with obsessive–compulsive disorder

Meta-analyses suggest that exposure with response prevention (ERP) is the most efficacious treatment for obsessive–compulsive disorder (OCD) and treatment guidelines for the disorder accordingly recommend ERP. Despite this, many therapists, including those with a cognitive-behavioral therapeutic background, do not perform ERP in patients with OCD. The present study aimed to elucidate the reasons why. German therapists (N = 216) completed an anonymous online survey, the newly developed Reasons for Not Performing Exposure in OCD Scale (REPEX), that inquired whether, to what extent, and how they perform ERP in the treatment of OCD. We also asked their reasons for not applying ERP in the past. Most therapists considered ERP an efficient treatment for OCD. Marked differences emerged between physicians and psychologists, however. The former used exposure less often and for a shorter period, preferred in sensu to in vivo exposure, and conducted exposure less often in the personal environment of the patient than did psychologists. Both groups were familiar with clinical guidelines to a similar extent. A factor analysis of the REPEX scale revealed five factors. Patient lack of motivation, preference for exposure to be self-help as well as alleged organizational difficulties were endorsed most often. The latter was correlated with the age of the therapist and was far more often affirmed by physicians. Fear of side effects was named by a subgroup of clinicians; in the context of patient ambivalence, this may foster “phobie à deux”. Unlike prior research, lack of expertise was rarely identified as a reason not to use ERP. Recommendations for improving adherence to guidelines are discussed.     

Twenty-First Annual AGPA Conference January 23–25, 1964 Barbizon-Plaza Hotel

The experience of being in individual and group psychotherapy concurrently with different therapists is discussed. A semi-structured interview protocol was used to explore a variety of dimensions of “conjoint” treatment. The potential benefits and difficulties associated with receiving different perspectives about the same issues are delineated. The necessity of working with the inevitable comparisons of therapists and treatments is underscored. A number of aspects of the transference phenomena that emerge are discussed, including “splitting,” which is construed as a process that may be destructive, but that may also be valuable if handled well. Countertransference dangers are explored, as is the question of whether, and under what circumstances, communication between the treating therapists is necessary or desirable.     

Hume's Reflections on the Identity and Simplicity of Mind1

The article presents a new interpretation of Hume's treatment of personal identity, and his later rejection of it in the “Appendix” to the Treatise. Hume's project, on this interpretation, is to explain beliefs about persons that arise primarily within philosophical projects, not in everyday life. the belief in the identity and simplicity of the mind as a bundle of perceptions is an abstruse belief, not one held by the “vulgar” who rarely turn their minds on themselves so as to think of their perceptions. the author suggests that it is this philosophical observation of the mind that creates the problems that Hume finally acknowledges in the “Appendix.” He is unable to explain why we believe that the perceptions by means of which we observe our minds while philosophizing are themselves part of our minds. This suggestion is then tested against seven criteria that any interpretation of the “Appendix” must meet.     

Three Aspects of the Therapeutic Conversation in Couples Therapy

Abstract

Feminist scholars have revealed the importance of examining the influence of gender on the therapeutic process. Gender differences in the treatment of clients may reveal inequitable or traditionally Stereotypie treatment of clients by therapists. This study examined gender differences in three conversational strategies widely used by therapists: expressions of empathy or understanding, compliments or praise, and challenges or requests for change. Fourteen tapes of live therapy sessions conducted by “master” therapists were examined using an exploratory, qualitative methodology based on Conversation Analysis. Results of this exploration revealed that therapists who are not self identified as “feminist challenged female clients more than male clients, and complimented male clients more than female clients. Feminist therapists challenged male clients more than female clients, and complimented female clients more than male clients. Feminist therapists used more challenges designed to facilitate non-stereo-typic gender behavior in both male and female clients. Only male therapists used disrespectful challenges of female clients, and were more often disrespectful to female clients than to male clients. Implications for the therapist-client relationship and the feminist critique are provided.     

Therapist perspectives on working with fears,blocks and resistances to compassion in compassion focused therapy

Objective

A core aspect of compassion focused therapy (CFT) is addressing fears, blocks, and resistances (FBRs) to compassion. How CFT therapists do this with clients remains unclear. This study aims to explore the perspectives of well-trained, experienced CFT therapists regarding how they work with FBRs in the context of CFT.

Methods

A qualitative study was conducted. Participants were asked five open-ended questions regarding (a) their experiences of working with FBRs to compassion, (b) how they understand and formulate FBRs, (c) specific ways they address FBRs, (d) how other therapists might learn about working with FBRs, and (e) their top recommendations. A total of 64 participants completed the online questionnaire, and the qualitative data were analysed using thematic analysis.

Results

The analysis produced four interrelated superordinate themes: (a) Getting “alongside” and “behind”: The central role of formulation, (b) “It's not your fault”: Psychoeducation, (c) “Get experiential”: An emphasis on experiential interventions, and (d) “Respect the wisdom”: The importance of therapeutic process.

Conclusions

Working with FBRs to compassion is critical in CFT. Understanding the wisdom in the client's FBRs, and validating and de-shaming the client's FBRs are crucial. We provide clinical recommendations regarding working with FBRs as part of CFT.