The game is afoot: A response to three insightful commentaries

This is an author response to commentaries on our original article (Wu, Sheppard & Mitchell, 2016). We abstract two main themes from the commentaries, and they are as follows: (1) What kind of clues in target behaviour allow perceivers to infer target EQ? And related with this, by what process do perceivers infer the target's EQ? (2) Do features of the target group naturally lead to a U‐shaped function, whereby it is easy for perceivers to identify those at the extremes but not those in the middle of the continuum?     

Is empathizing in the E–S theory similar to agreeableness? The relationship between the EQ and SQ and major personality domains

This study investigated the relationship between the Empathy Quotient (EQ) and Systemizing Quotient (SQ) and major personality domains (Neuroticism, Extraversion, Openness to Experience, Agreeableness, Conscientiousness, and Honesty–Humility) using two personality questionnaires: the NEO-FFI and the HEXACO-PI. Participants who responded were 1382 university students for the NEO-FFI, and 842 for the HEXACO-PI, with the EQ and SQ. The results showed almost no relationship between the EQ and SQ and the five-factor personality domains of the NEO-FFI. The regression analysis showed that the NEO-FFI explained only 2–3% of the variance of the EQ/SQ, while in the domains of the HEXACO-PI extraversion moderately correlated with the EQ (r = 0.32) and openness showed the highest correlation with the SQ (r = 0.44). The regression analysis showed that the HEXACO-PI explained 22% of the variance of the EQ and 28% of the variance of the SQ. The strong relationship between the EQ and agreeableness, which was reported as r = 0.75 by Nettle (2007), was hardly found in the results of the NEO-FFI (r = 0.16) and HEXACO-PI (r = 0.17). These results suggest that that empathizing and systemizing, as one-dimensional constructs, are not substantially related to personality, although some weak relationship might be observed between the EQ/SQ and some personality domains.     

Organizational reward systems: Implications for climate

This study investigated the role of systematically different organizational reward structures upon individual perceptions of the reward climate. Nurses in a naval hospital worked for the same supervisors but were subject to either tenure-contingent (N=73) or behavior-contingent (N=50) reward systems. No differences in perceived reward climate were found between the two groups. In the tenure-contingent group, job attitudes reflected individual characteristics rather than perceived climate. The opposite relationship was found for the behavior-contingent group.Support for this research was provided under Office of Naval Research Contract RR942-08-01 NR 170-915. Opinions expressed are those of the author. No endorsement by the Department of the Navy has been given, nor should it be inferred. Portions of the study were conducted while the author was at the Naval Health Research Center in San Diego. The author would like to thank R. J. Bullock, Mark C. Butler, L. R. James, and R. D. Pritchard for their helpful comments and assistance.     

Termination in a work group: Four models of analysis and intervention

Four alternative models for understanding and consulting with work groups are presented. The major propositions of each model are summarized and then applied to the same case of work group functioning. The author is interested in the application of theory and especially how differing models focus upon the same or different group phenomena. The author advocates the importance of increased attention to the functioning of professional work groups as a means of improving training and the delivery of health services. However, such analysis should include the use of social science models as well as the more commonly employed understandings derived from an intrapsychic model of group behavior.The author wishes to thank Dr. Marvin Aronson, Dr. Nina Fieldsteel, Dr. Marcia Lawler and Dr. Bennett Roth for their encouragement and assistance during the development of this paper.     

The Hispanic Female Adolescent: A Group Therapy Model

This essay serves as an introduction to a collection of articles on group psychotherapy for children that appears in the following pages. These articles are an outgrowth of a symposium on children's group treatments presented at the 1990 Annual Conference of the American Group Psychotherapy Association. The present author provides a general overview of relevant literature and offers an orientation to the subsequent theoretical and practical integrations.     

The Chicken Soup Group: Peer Supervision for Orthodox Jewish Therapists Treating Orthodox Jewish Clients

This article describes an ongoing peer supervision group, to which the author belongs, comprised of Orthodox Jewish mental health professionals, all in full-time private practice and specializing in the treatment of Orthodox Jewish patients. The benefits of this group experience are described together with some of the unique features of clinical work with Orthodox Jewish patients.     

Groundhog day: The individual,the couple,the group and the space between

Abstract

The film Groundhog Day first came out in 1993. Five years later, it is still cited in a variety of contexts. The author proposes that this is because the film is a cultural artefact which both elucidates and frustrates the ideal of romantic love in the couple as the agent of internal change.

The author also proposes a re-viewing of the meaning of the concept of couple. The convergence of object relations theories with group analysis suggests that the mind works by repeating and externalizing internal group structures in social relationships. The couple, then, becomes an intermediary structure between the individual and the group where intimacy facilitates a re-working of group internal structures. It is the collapsing and the opening of the ‘space between’ which is the agent of change. This process creates strength, power and a feeling of wholeness. But it also implies the expression of anger, pain and disappointment. The author illustrates these points with an interpretation of the Groundhog Day film and with a clinical case study of a couple in therapy.     

The Patient-Staff Community Meeting: A Tea Party with the Mad Hatter

The author shows how object relations group therapy focuses on primitive defense mechanisms that shape the group-entity image or “basic assumptions group.” Such primitive defense mechanisms as splitting, projective identification, omnipotent denial, projection, and introjection are the mental resources to protect the endangered self and the threatened objects from the fantasized imminent destruction. Object relations group psychotherapy addresses those defenses and the underlying psychotic anxieties, offering members opportunities to search for other ways to respond to their primitive fears. The author introduces two extensive clinical vignettes to illustrate how object relations group methods are different from other group-centered psychoanalytic techniques. He concludes by commenting on future theoretical refinements and on the problems in the professional practice of this modality.     

Organizing Patterns in a Dyad and in a Group: Theoretical and Clinical Implications

This paper describes the importance of group experience in relation to affect regulation for the individual and the group. After surveying work that has significantly influenced the psychoanalytic perspective on the group, the author illustrates how group experience can be a key affect regulator during some developmental phases and can have an important role in development of a person's identity. From an inter-subjective perspective, the author emphasizes how group identity is attained through shared and repeated expectations that regulate the affective life of the group—what he calls group organizing principles. Last, using clinical examples, the author emphasizes the importance of affect regulation and the creation of expectations and group organizing principles in the therapeutic arena.     

How to Begin A Therapy Group: Six Approaches

Japanese “groupism,” or the tendency to emphasize groups rather than individuals, often favors the use of group psychotherapy with Japanese patients. However, the author recommends that the clinician should be sensitive to other cultural phenomena, which are thought to be related to groupism that will influence the nature of group treatments. For example, the traditional Japanese relationship to authority may make it difficult for many patients to express negative attitudes and to share intimate material. Differences regarding confidentiality and gender, distinction between “miuchi” (families) and “tanin” (strangers), and attitudes toward silence may also influence the nature of group therapy. The author discusses these and related cultural differences and highlights implications for the therapist's style of intervention. Finally, the amount of influence that groupism has on group psychotherapy must be considered. The author suggests that it is greater for patients with mild neurosis than severe psychosis.     

Running: An adjunctive group therapy technique

Group therapists who work with severely disturbed patients know that group sessions are often characterized by verbal rambling, frequent and prolonged pauses and high levels of anxiety on the part of group members. This article focuses on the use of a group activity— namely, running—as an adjunct to group psychotherapy. A brief case report will illustrate the application of this innovative treatment technique; then issues that may arise when one leads a running group are dealt with in a question- and -answer format.The author wishes to express his appreciation to Mrs. Vera Kohn for editorial assistance in the preparation of this article.     

Group psychology in the totalitarian system: A psychoanalytic view

The author discusses the ideas of three important psychoanalytic thinkers about group processes in large social groups: Sigmund Freud, Wilfred Bion, and Erich Fromm. Their ideas are developed and applied to analysis of group processes in totalitarian systems, as they were known to the author in Czechoslovakia and the Soviet Union. In conclusion, treatment considerations as they apply to patients who grew up in these regimes are developed and illustrated by clinical cases.This paper is dedicated to Dr. Alexander Wolf, who made his groups growth-promoting, free and holding environments.The author wants to thank Valerie Angel, M.S.W., Eva Papiasvili, Ph.D., Susan Kavaler, Ph.D., Maria Luisa Bastos, Ph.D., and Nancy Smith for their support, critical commentary, and helpful suggestions.     

Use of the Group Therapist's Personality Via the Countertransferences

Rather than use the term therapist personality, the author uses an operational definition of countertransference to examine the intersubjective field between group therapist and individual patients, the group, and subgroups. Differentiating between objective and subjective countertransferences, the author traces their sources to the transferences and resistances that arise from individuals, subgroups, and the group-as-a-whole. The transferences, resistances, and their related countertransferences are then integrated with enactments and history to create interventions. The charismatic leader makes no differentiation between the countertransferences and primarily acts on impulse or a rigid system.     

Group Leader-Recorder Relationship in a State Hospital: A Learning Tool

The process group for staff and trainees in institutional settings has become increasingly unpopular as a resource, although ironically, the need for such a group has grown. The author presents the idea that the process group is not used more often because of a general lack of understanding of the nature of such groups as well as a failure to clearly distinguish process groups from traditional psychotherapy groups. The author goes on to give a clear definition of the task and the boundaries of a process group and, using knowledge of systems thinking, discusses special techniques for running such groups with illustrative examples.     

The making of the group therapist: The role of experiential learning

The purpose of this paper is to review the necessary components of a comprehensive group therapy program. The balancing between the didactic and the experiential portions, and an analysis of the selection criteria, along with the rationale for a particular sequencing of elements in the curriculum, are discussed. A line between supervision and personal therapy is drawn. The author describes the milieu necessary for a successful training program to evolve and makes suggestions for improvements. The various experiential aspects of training are presented and critically evaluated. The training situation is examined from the point of view of the faculty, the trainee and the patients involved. The author marshalls evidence indicating that personal group psychotherapy in a patient group is the preferred form for most trainees for the experiential part of the program. The paper concludes that the sharing and cohesiveness of training philosophies and methods by the faculty is a prerequisite to the success of any training program.     

The homosexual subculture at worship: A participant observation study

The author worked for ten months as Director of Christian Education at a church serving the homophile community of a large metropolitan area. Using the method of participant observation, he concluded that the group is attempting to solve two problems centering on their sexual orientation and their religious needs. Past social conditioning has told the group that they cannot be bothChristian andhomosexual. The group resolves this cognitive dissonance by emphasizing the message that God loves all men, including homosexuals. This religious message is, contrary to expectations, expressed in theologically conservative language.     

Choosing to Suffer: Reflections on an Enigma

Most people pursue pleasure and seek to avoid pain. Some individuals, however, choose a life characterized by pain and suffering. The author describes the most common varieties of such behavior patterns: asceticism, martyrdom, penance and masochism. Critical psychodynamics are discussed and the author proposes a synthesis of the motivation underlying pain/suffering seeking behavior.     

The Value of Marketing Theory for Parochial Schools: Some Parting Thoughts

In this response to Thogmartin's Spring 1994 JRCE article on “The Prevalence of Phonics Instruction in Fundamentalist Christian Schools,” the author offers his suggestions about why fundamentalist Christians are so enamored with intensive phonics reading pedagogy. In the first part of his response, he argues that the rationale for intensive phonics teaching lies in a radical behaviorist anthropology and epistemology of which Christian educators ought to be extremely wary. In the second section, the author provides a review of some empirical evidence for the limited utility of phonics in the teaching of reading and suggests, finally, that Christian teachers should show as much concern about what and why Christian children and adolescents should read as about how to teach them to do so.     

The experiences of transgender and non-binary children and young people and their parents in healthcare settings in England,UK: Interviews with members of a family support group

Abstract

Background: Transgender and non-binary children and young people and their parents in England, UK are poorly served across a range of healthcare settings. Whilst UK equalities legislation and international guidance on transgender healthcare pathways protects this group from discrimination and mandates an affirmative approach, services in England are not keeping pace.

Aims: This study aims to draw on the experiences of transgender and non-binary children, young people and their parents in a support group in England in order to investigate their experiences of healthcare provision, and to develop some ideas for improvement.

Method: Data was collected with participants in a family support group which offers a parent helpline service, social groups for children and parents, and training for schools and other organizations. 65 parents and children from 27 families from the family support group attended participatory workshops where they were given a range of briefs: “health,” “family,” “friends,” and “education.” Their participation involved being asked to define their own interview questions and collect data by interviewing each other. Their interview notes constituted the raw data. Data was coded inductively by the author with respondent checking as a second stage.

Results: Results constitute the views of a small group of people, so cannot be generalized. However, they do illustrate some of the issues which may arise. Participants’ experiences elicited five key themes: professionals’ perceived lack of clinical and therapeutic knowledge; mental distress caused by excessive waiting lists; professionals’ stereotyped gender assumptions; direct discrimination within healthcare settings; and a lack of attention to parent and child voice, especially in terms of school-based experiences and where a patient had a diagnosis of autism.