Adjustment to disability: A cognitive-behavioral model for analysis and clinical management

Profound psychological reactions are frequently seen following the onset of severe disability. Stage models of adjustment, although limiting when used dogmatically, can serve as a helpful guideline for intervention when integrated within a framework that also addresses the sequence of associated irrational beliefs. This article proposes a three phase model for analyzing and facilitating the adjustment process which follows disability. Adjustment is analyzed along cognitive, emotional, and environmental dimensions.The first stage immediately follows the onset of incapacitating disability and is termed the Pre-encounter phase. From a rational emotive perspective, the individual in this phase has not yet acknowledged that an activating, or disabling event has occurred. Acknowledgment is limited to brief contact which is then followed by excessive arousal and extreme distortions in evaluative capabilities. Shock and denial are characteristic of this phase. During this stage, strategies for clinical management are specified with a stronger emphasis on targeting the environment and belief system of the rehabilitation team than the beliefs of the patient.The second stage is referred to as the Post encounter phase during which the disabling condition has been acknowledged as a valid activating event. Periods of anxiety, depression, and expressed anger are common at this time. The final stage is coined the Rational re-encounter phase and is highlighted by repeated re-encounters with various forms of the disabling activating event and anticipated activating events. During this phase the patient is more able to benefit from a traditional psychotherapeutic approach which has been tailored to the specific pattern of irrational beliefs often exhibited in response to life with a disability.     

O liczbach kardynalnych

Tre: Wstp. I. Niektóre pojcia i prawa teorii klas stosunków. II. O klasach abstrakcji. III. O równoskadnikowoci. IV. O kardynalnych liczbach skadników. V. O. stosowanej teorii równoskadnikowoci. VI. O relacji równej liczby elementów. VII. Stosunek obu poj liczb kardynalnych. Zakoczenie.Allatum est die 30 Augusti 1961     

“Non-Natural” Qualities in G.E. Moore: Inherent or Contingent?

G.E. Moore's theory of the nature of the quality referred to by the word good asserts that this quality is non-natural. If it is, further, supposed that this non-natural quality belongs necessarily and exclusively to those events, human acts, entities, etc., which possess certain strictly determined natural qualities, and those qualities only, then it becomes difficult to explain the relation and the supposed interdependence allegedly existing between the two so disparate categories of qualities. This paper purports to show that, in fact, any mutual dependence of natural and non-natural qualities, including the causal one, is unconceivable. To deny this would allow no less but the possibility of deriving an ought from an is. A final consequence of this is that a non-natural quality, denoted by the predicate good, does, in fact, attach to a strictly delineated and limited morally relevant behaviour (and whatever else we may consider morally relevant), and to it only. But it is attached there in randomly; it is contingent, not inherent; it is there without regard to, and not as a consequence of, the natural qualities of what is the subject of moral judgment ... whether we like it or not.     

Clients Helping Therapists Find Solutions to their Therapy

This paper is offered as a beginning toward including client perspectives on treatment and client participation in supervision. Rather than see therapists as technical experts who do things to people, many of us now see therapists as nonexperts who create conversations with people (Goolishian & Anderson, 1992). This new shift challenges the traditional training positions of supervisor and supervisee, respectively. Including clients' voices the supervisor participate from a nonexpert position.     

The Self Psychology of Heinz Kohut: What's It All About Theologically?

As a psychoanalytic thinker who offered by means of his self psychology a new paradigm of psychological development and functioning, Heinz Kohut was also a theologian manqué. With the help of the method of interpretation devised by Paul Tillich and David Tracy, Kohut's limit-concepts of tragic man, the self-object, and empathy, all set within his theory of narcissism, are elucidated as theological constructs. These are critiqued for adequacy from a Christian perspective. The conclusion is that Kohut's understanding of the human dilemma and of the way of salvation correlates well with Christianity, while his view of empathy as the means of salvation has created some confusion. Kohut has thus left an unfinished, profoundly important, agenda for theologians and clinicians.     

Fragmentation and re-integration of experience

Secular and religious counselors require a model of psychotherapy that conceptualizes human beings as conscious, goal-seeking entities. Such a model, based on the construct being in one's own world, is sketched in broad outline in this essay. The building blocks for the model are the intentional modes that lie at the heart of the self-world dialectic in which we live our lives. It is demonstrated how these intentional modes are organized into a gestalt-like whole referred to as the existential gestalt. From the diagram of the existential gestalt the concepts of intentional clarity and modal congruence are derived. These concepts enable us to understand the processes of the fragmentation and re-integration of experience that lie at the heart of psychotherapy. Inclusiveness and purposefulness, two additional factors that are important for assessing the adequacy of the existential gestalt, are also briefly touched upon.     

The responsive order: A new empiricism

The uniqueness of logic is upheld and contrasted with twenty roles of a wider responsive order that includes us and our procedures. Empirical responses are precise, but different in different approaches. Procedures and findings are independent of (not separable from) their concepts. Two-way feedback obviates a top-down derivation of findings from assumptions, hypotheses, history, or language. The postmodern problems of interpretation, conditions of appearances and relativism involve the ancient error of making perception the model-instance of experience. Instead, bodily interaction functions in language and precedes perception and interpretation. Logic, space time locations and individuated referents involve positional relations derived from comparing. Beyond Kuhn, Feyerabend, Newton and Einstein, if we can give interaction priority over comparing, the responsive objectivity of both can be upheld. A new empiricism, neither naive nor constructivist, uses the words order, explication, truth, and exactly to build on Wittgenstein and on Dilthey's hermeneutic. Natural language is metaphor-like, originally crossed. Logic must ignore its assumptions. It must render everything as a machine and drop humans and animals out. A new discipline is proposed, to move between the logical and the responsive orders, to deal with the machine/human interface and the social uses of science such as bioengineering.     

Computer content analysis of sex differences in the language of children

This study presents empirical procedures for the collection and content analysis of the oral language of kindergarten children. The analysis technique used material and machines available to most researchers. The results of the analysis of language samples of 144 randomly selected children from the entire kindergarten class of the Ithaca, New York, school system showed that boys produced significantly more language than did the girls as well as significantly more references to aggression, self, time, space, quantity, fears, good, act of oral communication, negation, and affirmation, and asked more questions of the examiner than did the girls. The girls made significantly more female references than did the boys. Implications for future research are discussed.     

On seeing oneself as “left out”: The chronically complaining patient in psychotherapy

A clinical observation regarding patients who complain about feeling left out and/or second best provides the framework for this paper. What is expressed is a form of separation anxiety coupled with a loser self-concept. It is suggested that these patients represent a milder form of the moral masochism. Early theoretical formulations include Freud and his emphasis on the superego and Reich's emphasis on the masochist's fear of being left alone. Kramer's little man phenomenon is an example of a more current theoretical formulation which takes account of the complexities of the ego, and composite self and identity in the clinical phenomena observed. A case of a latency-aged child is provided.     

Fallacies and moral dilemmas

The continuing debate between utilitarians and deontologists often takes the form of disagreement over how particular moral dilemmas are to be resolved, but protagonists on both sides tend to overlook the possibility of resolving a dilemma with remainder, such as regret. The importance of remainder is also overlooked by critics of some absolutist ways of resolving or slipping between the horns of certain moral dilemmas. Moreover, deontologists, if not utilitarians, can be criticised for overlooking the possibility that, according to their theory, some dilemmas may be irresolvable. Virtue ethics, with its concentration on the agent, readily accommodates both mention of remainder and irresolvable dilemmas, and yields a specification of tragic dilemmas which the other two theories might like to take on.     

The artist as transgressor in Mandel'štam's poetry

In Mandel'tam's writing, artistic creativity is described as based on the indispensable yet contradictory modes of compliance and deviation. The artist, by his artistic nature, must be an obedient disciple to the tradition that inspires him, and, at the same time, a violator who renders what inspires him in an individual form. Thus, art implies iterability through novelty. In the totalitarian state, this double nature of art acquires a sinister context and brings the artist to an unavoidable conflict with the state. He has a choice between a servile compliance with the state's command and artistic independence. If the artist complies, he loses his ingenuity; if, on the other hand, he has the courage to break away from the established order, his fate is martyrdom. The criteria of truth and falsehood, the issue of loyalty, of compromise and collaboration or resistance become most relevant. Such words as outcast or non-contemporary acquire the meaning of non-collaborationist or enemy of the people. In the totalitarian state a genuine artist is viewed as a law-breaker, and his art leads him to crime. The notions of compliance and deviation cease being merely aesthetic terms and assume in Mandel'tam's poetry complex, subtle and tragic overtones.I would like to express my gratitude to John Barnstead, Thomas Blakeley, James Doull, Elena Glazov-Corrigan, Gregory Glazov, Leonard Kazdan, Peter Kussmaul, Malcolm Ross, Detlev Steffen, and Ieva Vitins for their valuable criticism, suggestions, and revisions of my English.     

Theorizing Gender for Experimental Game Theory: Experiments with “Sex Status” and “Merit Status” in an Asymmetric Game

In experimental game-theoretic research, to the extent that sex has been considered at all, the approach has been to focus on the individual level of analysis. This paper reports the results of experiments designed to focus on sex/gender and to expand the level of analysis to include the institutional level. An asymmetric game was designed such that players in the male and female institutional locations had 3 and 2 alternatives, respectively. Players earned the institutional locations based on a test, so that top and bottom scorers respectively merited the 3- and 2-alternatives locations. Game-theoretic understandings of sex-of-player were compared to the expectations states theory concept of sex status; that is, men expect and are expected to perform more competently than women. Results indicated that top-scorer men and women behave similarly; bottom-scorer men resist their low merit status (behaving the most rationally of all player groups); bottom-scorer women accept their low merit status (behaving the most irrationally of all player groups). Whereas game theory cannot provide a coherent understanding of these findings, the concept of sex status helps to interpret the behavior of all four player groups and shows how judgments about rationality and irrationality depend critically on the interpretive framework used.     

From I: A/M to “Who am I?”—Aggregation/Massification and Trauma-Based Affects and Object Relations in Groups: A Response to Earl Hopper

Hopper's portrayal of the fourth basic assumption of Incohesion: Aggregation/Massification has two components: (1) a revision of Turquet's theory of BA Oneness to incorporate the polarity of aggregation and massification stemming from annihilation anxiety; and (2) a conception of the difficult patient as having an encapsulated psychosis. Hopper's theory of the encapsulated psychosis offers an important but incomplete perspective in explaining borderline and narcissistic pathology, as well as psychological trauma. In this response to Hopper, I suggest that the fourth assumption is in fact a still more primitive state of boundary opening and closing. I also see a need to differentiate trauma as such from borderline pathology, and further hold that the relationship between Hopper's British Independent theory and trauma theories based on dissociation needs to be clarified.     

On the naturalising of phenomenology

In the attempt to construct a scientific approach to consciousness, it has been proposed that transcendental phenomenology or phenomenological psychology be introduced into the framework of cognitive neuroscience. In this article, the consequences of such an approach in terms of basic assumptions, methods for the collection of data, and evaluation of the collected data are discussed. Especially, the proposed notions of mutual constraint and the second perso are discussed. It is concluded that even though naturalising of phenomenology might not prove impossible, the projec has not yet found a coherent basic ground.     

Michael Balint's Group Approach: The Boston Balint Group

Michael Balint was a physician/psychoanalyst who trained in Hungary and emigrated to England in 1939 when Nazi Germany began to dominate Europe. At the Tavistock Clinic, he and his wife met with social workers and physicians around case discussion seminars. With his strong interest in medicine and his curiosity about the patient-physician relationship, he initiated research/training groups with interested physicians, which ultimately led to publication of the now-classic The Doctor, His Patient, and the Illness, a rich text that has become a virtual staple of family practice residencies, along with Balint Groups for training. Balint refrained from considering his groups psychotherapy in order to minimize resistance of his physician-students. But because the groups lasted sometimes for years and explored transference and countertransference in patient-physician relationships, he acknowledged that the result was personal growth of the participants. His techniques are described and an example of a Balint Group (Boston Group) are presented here.     

Intellectual fascism

Intellectual fascism is the arbitrary belief that individuals possessing certain good traits (such as intelligence and creativity) are intrinsically superior to those possessing bad traits (such as stupidity or lack of artistry). Although it is true that under certain conditions and for various purposes some human traits are more advantageous or better than others, rating people as good or bad on the basis of their intellectual performances is inaccurate and is often as pernicious as is political-social fascism. Moreover, where political fascists at least rate themselves highly while damning and persecuting others, intellectual fascists tend to severely damn themselves (as well as others) when they lack superlative intellectual and artistic traits. According to RET, all global ratings of people tend to be fascistic overgeneralizations. Intellectual fascism is political-social fascism with the trait names changed—the same hearse with different license plates.This article is a revision of one that originally appeared in a book by Dr. Ellis entitledSuppressed.     

“Some more” notes,toward a “third” sophistic

Historians of rhetoric refer to two Sophistics, one in the 5th century B.C. and another c. 2nd century A.D. Besides these two, there is a 3rd Sophistic, but it is not necessarily sequential. (The 3rd is counter to counting sequentially.) Whereas the representative Sophists of the 1st Sophistic is Protagoras, and the second, Aeschines, the representative sophists of the 3rd are Gorgias (as proto-Third) and Friedrich Nietzsche, Jean-François Lyotard, Michel Foucault, Jacques Lacan, and Paul de Man.To distinguish between and among Socrates, Plato, and Aristotle, and then Protagoras, Gorgias, and Lacan, the author determines how far each of these personages can count. The model of counting, used semiotically across the topoi of possible/impossible, is that of the people of New Guinea: one thing, two things, many things. It is determined (generally) that the philosophers, including Aristotle, count to one; the Sophists to two; and Gorgias, Lacan, and Lyotard, et al. count to many things, thereby breaking up a monism or binarism. The ancient philosophers employ a substratum of probability to hold together the contraries of possible/impossible; the Sophists employ anti/logic, which keeps the contraries/antitheses separate and therefore without synthesis, but which eventually threatens the integrity of the substratum, or the law of non-contradiction; and Gorgias, Lacan, Lyotard et al. theorize about the impossibility/Resistance of the Logos (reason, logic, law, argumentation, history) to Theory/Totalization, because of the Gorgian Kairos and the Lacanian Real — both of which enter the Logos and break up the cycle of the antitheses and create something new, irrational (Untersteiner).This breaking up has a negative/positive influence on Protagoras's man-measure doctrine, which in turn has a similar influence on the problem of the ethical subject. The subject/agent not only no longer knows (by way of Logos) but also no longer acts (as independent agent); the subject becomes a function of Logos as determined by Kairos/Real; it moves from a hypotaxis/syntaxis of one and two to a radical parataxis/paralogy of some more.From the Impossibility/tragedy of knowledge, however, comes the Possible, or Possibilisms, which allows for the new (though divided) ethical subject to reclaim its position as individual. Such a reclamation of the subject, however, has a profound effect on argumentation, and especially the notion of consensus. What is wanted, then, in a Third Sophistic ethical — as opposed to a political — rhetoric is dissensus through radical parataxes and paralogies.     

The Client Is the Most Important Common Factor: Clients' Self-Healing Capacities and Psychotherapy

I first briefly review the dodo bird verdict and suggest that we should be responding to it by looking for a new way to conceptualize how therapy works. Then I describe the dominant medical or treatment model of psychotherapy and how it puts the client in the position of a dependent variable who is operated on by supposedly potent therapeutic techniques. Next I argue that the data do not fit with this model. An alternative model is that the client is the most important common factor and that it is clients' self-healing capacities which make therapy work. I then argue that therapy has two phases—the involvement phase and the learning phase—and that the involvement phase is the most important. I next review the five learning opportunities provided by therapy. Finally, I argue that a relational model of therapy focused on consultation, collaboration, and dialogue is better than a treatment model.     

Structuring argumentation in a social constructivist framework: A pedagogy with computer support

What we usually think of as higher order skills in argumentation can be profitably viewed as systematic structures for organizing and representing information. Standard terms like line of argument, synthesis, analysis and draft can be viewed as ways of constructing, storing, and accessing data in a social context — data structures for social communication. What makes argument difficult are the multiple structures that arguers have to construct and negotiate when reading and composing. In this paper, we describe the WARRANT project, a project designed to identify data structures of written argument and to design and implement computer tools to aid in the reading and design of argument.     

Untersuchungen über Zusammenhänge zwischen drei Leistungsfaktoren und Antworten auf Fragebogenitems

Zusammenfassung 90 Oberschüler beantworteten 214 Fragebogenitems und bearbeiteten 41 Leistungsaufgaben, die zusammen drei in einer faktorenanalytischen Untersuchung von Jäger gefundene Faktoren repräsentieren. Die Zusammenhänge zwischen Fragen- und Aufgabengruppen wurden korrelations- und faktorenanalytisch untersucht. Die Leistungen in den den Faktor Anschauungsgebundenes Denken repräsentierenden Aufgaben korrelierten positiv mit durch Fragebogenitems definierten Verhaltensdimensionen Hinwendung zum Konkreten und Wohlbefinden-Emotionale Stabilität-Leistungszuversicht. Die Leistungen in Einfallsreichtum und Produktivität korrelierten positiv mit Überlegenheitsgefühl-Leistungszuversicht-Emotionale Stabilität-Wohlbefinden, sowie mit Spontaneität, Selbständigkeit und Flexibilität. Die Leistungen in einem dritten Faktor, der Tempo-Motivation bei einfach strukturierten Aufgaben benannt werden könnte, korrelierten positiv mit Soziale Zuwendung-Extraversion und scheint darüberhinaus mit einem Merkmal kompensatorischer Leistungsehrgeiz in Beziehung zu stehen. Die Ergebnisse werden diskutiert und Hypothesen zur Überprüfung und Ausweitung der Befunde formuliert.

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Summary 90 subjects answered 214 questionnaire and 41 ability test items, tbe latter representing three factors found by Jäger in an extensive factor analytic investigation. The relations between all the variables were analyzed by correlational and factor analytic methods. It was found that the ability called vision-related thinking is positively correlated with questionnaire-defined behavioral dimensions called reality orientation and well-being-emotional stability-achievement confidence. The ability fluency and productivity is positively correlated with superiority feeling-achievement confidence-emotional stability-well-being, with spontaneity, independence, and flexibility. Speed-motivation in simple tasks is positively correlated with social participation-extraversion and seems to be related to a trait called compensatory achievement orientation. The findings are discussed and hypotheses for subsequent test and extension formulated.

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Wir danken Herrn Dr. A. O. Jäger für die freundliche Erlaubnis, Aufgaben und Ergebnisse aus seiner Forschungsarbeit vor deren Veröffentlichung zu verwerten. Herrn Dipl.-Math. P. Schnell vom Deutschen Rechenzentrum in Darmstadt für die Durchführung der Berechnungen, unseren Kollegen, den Dipl.-Psychologen K. Althoff, Ch. Balzert, K. D. Stoll und P. Wolff für freundliche Mithilfe, nicht zuletzt unseren Vpn für ihren Einsatz und den Herrn Oberstudiendirektoren Jung, Hadamar, Dr. Keller, Montabaur, und Sauer, Limburg, für die Erlaubnis zur Durchführung der Untersuchungen an ihren Schulen.