Individual psychotherapy as an adjunct to group psychotherapy

This paper describes a form of combined psychotherapy in which the individual sessions are used as an adjunct to group therapy. Each group member is seen regularly in individual sessions to focus primarily on the member's ongoing group work. The individual sessions are scheduled on a rotating basis. Typically, each group member is seen in an individual session once every four weeks. Additional individual sessions are available only when immediate attention is appropriate and necessary. The group is viewed as the primary therapeutic component. A cost-effective therapeutic approach that uses both individual and group methods, this modality lends itself well to a clinic and to a private practice setting.     

Pastoral psychotherapy as Gnostic event

An essay suggesting ways in which the accelerating recovery of ancient Gnostic literatures might have relevance for contemporary pastoral psychotherapeutic practice.Terrill L. Gibson, Ph.D., is an Associate with Pastoral Therapy Associates in Tacoma, WA, He is a pastoral psychotherapist and a diploma Jungian analyst.     

Franklian psychotherapy with adults molested as children

A Franklian approach to treatment with adults who were molested as children recognizes that the trauma client's experiences of trauma and terror as a child can be transformed to discover real meaning potentials in the adult's daily life. In this paper the authors present a five-stage treatment approach based upon the Logotherapy concepts of Viktor Frankl which they have found to be helpful with adult survivors of childhood sexual abuse. Case material is presented to illustrate the described intervention approach.     

Transference as a religious phenomenon in psychotherapy

An analysis is presented of the conventional and far-reaching existential interpretations of the concept of transference. Analogies are drawn between the deepest meanings of transference and interpersonal and religious (man-and-God) dialogue. By way of case illustrations, it is shown that transference from patient to therapist can have implications for the patient's real relationship with God.     

Altruism and forgiveness as therapeutic agents in psychotherapy

This article suggests that a more altruistic or other-directed perspective is as therapeutic for clients as a self-centered orientation which is more often promoted by psychotherapists. It also proposes that forgiveness may be an important therapeutic factor in helping clients deal with anger and resentment. Religious and spiritual teachings (especially those of Christianity), which have been greatly ignored by mental health professionals, are viewed as potentially valuable resources.     

Emotion-regulation skills as a treatment target in psychotherapy

Background

Deficits in emotion-regulation skills have been shown to be integral to the development and maintenance of a wide range of mental disorders.

Aim

To evaluate the importance of these skills as a treatment target in psychotherapeutic interventions.

Method

Nine specific emotion-regulation skills were assessed in a sample of 289 inpatients before and after cognitive-behavioural treatment. Self-reports of success in pretreatment skills application were first compared to those of 246 non-clinical controls. Pretreatment skills application and change in skills application during therapy were then related to a variety of outcome measures. Finally, the effects of integrating a brief training of general emotion-regulation skills into the CBT-based treatment were evaluated in a controlled trial.

Results

Uni- and multivariate analyses identified the skills of acceptance, tolerance, and active modification of negative emotions as particularly important for current mental health and treatment outcome. Replacing parts of the standard CBT treatment with the emotion-regulation training enhanced the effects of the CBT treatment on skills application and on other measures of mental health.

Conclusion

Incorporating interventions that directly target general emotion-regulation skills may improve the effectiveness of psychotherapeutic interventions.     

The polar unities as a guide to psychotherapy

The author recognizes the need for a psychotherapy that aims to be either spiritual or wholistic to ground itself in appropriate philosophical and theological constructs. As one small step in this direction, the ontological elements as discussed by Paul Tillich are applied to some specific therapeutic issues. Striking parallels are found between Tillich's first two ontological elements (individualization-participation, and dynamics-form) and the two dimensions (cohesion and adaptability) of the circumplex model of family therapy. It is suggested that Tillich's third ontological element (freedom-destiny) throws useful light on the educational and psychotherapeutic issue of permissiveness versus authoritarianism.     

The practice of awareness as a form of psychotherapy

Summary The practice of awareness most clearly defined by Buddhist writers is described. The effect of the practice on thought processes and the views of Jung and of Fromm on such exercises are discussed. There are many resistances both to the idea of doing the exercise and within the exercise. The writer describes his own experience and suggests that the practice may be an important aid to analytical psychotherapy for those in whom the critical analytical type of thinking is highly developed.     

The group as selfobject: brief psychotherapy with women

This article applies the theory of self psychology, which was developed by Heinz Kohut, to brief group psychotherapy. The article discusses the significance of the group as an expanded selfobject for individuals who do not have appropriate, available selfobjects in their environment. The article addresses the rationale for developing a 12-week women's group from a self-psychological perspective and illustrates key theoretical concepts in the beginning, middle, and end phases with group process. The role of the therapist in each phase of group development is emphasized.