Perceptions of psychotherapy trainees of psychotherapy research

Aims: The research‐practice gap and lack of engagement with research by trainees and qualified therapists is a widely discussed issue amongst psychotherapy researchers. The present study investigates the perceptions of psychotherapy trainees of psychotherapy research and explores what would encourage them to participate in research. Method: Two focus groups of 16 trainees in total were conducted at two separate psychotherapy training institutes to explore trainees’ attitudes and perceptions. Data was analysed using Braun and Clarke's (2006) thematic analysis. Results: Three superordinate themes emerged: negative perception of research; recognition of the importance of research; and what would be needed to facilitate engagement in research. Discussion: The results suggest that interest in and willingness to participate in research exists, however it is necessary for negative perceptions about research to be addressed and for researchers to design projects which are supportive of participants.     

Bringing history to life: simulating landmark experiments in psychology

The course in history of psychology can be challenging for students, many of whom enter it with little background in history and faced with unfamiliar names and concepts. The sheer volume of material can encourage passive memorization unless efforts are made to increase student involvement. As part of a trend toward experiential history, historians of science have begun to supplement their lectures with demonstrations of classic physics experiments as a way to bring the history of science to life. Here, the authors report on computer simulations of five landmark experiments from early experimental psychology in the areas of reaction time, span of attention, and apparent motion. The simulations are designed not only to permit hands-on replication of historically important results but also to reproduce the experimental procedures closely enough that students can gain a feel for the nature of early research and the psychological processes being studied.     

Single-participant research design. Bringing science to managed care

The ongoing transition to managed health care continues to have repercussions for health care providers, perhaps the most important of which is an emphasis on accountability for demonstrating the usefulness of clinical interventions. This requirement places a premium on intervention research and highlights the historically strained relationship between psychological research and professional practice. In the midst of this challenge, researchers have increasingly criticized the logic and practice of traditional null hypothesis significance testing. This article describes the history, epistemology, and advantages of single-participant research designs for behavioral scientists and professionals in clinical settings. Although its lack of correspondence with the Fisherian tradition has precluded widespread adoption, the single-participant alternative features a design power and flexibility well suited to both basic science and applied research.     

Bringing the script to life: The case of Flannery O'Connor

Journal of Medical Humanities -     

Bringing life history theory into relationship science

In this article, I review three longitudinal studies that have investigated how exposure to more versus less predictable environments shunt individuals down different developmental pathways. After describing key principles of life history theory and how stress can shape social development over time, I discuss an interrelated set of findings from the Minnesota Longitudinal Study of Risk and Adaptation. Collectively, these studies reveal the pathways through which exposure to more unpredictable, chaotic early‐life environments prospectively forecast engaging in riskier behaviors and shorter‐term, more opportunistic, and less investing orientations to mating and parenting in one or both genders. I conclude by discussing the broader goals underlying this program of research.     

How treating psychoanalysts respond to psychotherapy research constraints.

The psychoanalytic community increasingly recognizes the importance of research on psychoanalytic treatments, yet a significant number of psychoanalysts continue to believe that research is either irrelevant to psychoanalysis or impossible to accomplish. Psychoanalysts who accept the value of research express concern that intrusions required by research protocols create significant distortions in the psychoanalytic process. The authors, all psychoanalysts, are studying the outcome of a brief (twenty-four-session) psychodynamic treatment of panic disorder. They report their experiences and struggles with the intrusions of videotaping, working with a treatment manual, and time-limited treatment. This research process required them to question old beliefs and to confront feelings of disloyalty toward their analytic training and identity, particularly with regard to keeping a "clean field" and routinely performing long-term analysis of character. The therapists' psychoanalytic knowledge, however, emerged as crucial for them in managing specific research constraints. Despite concerns about providing inadequate treatment, therapists were found to engage patients with psychoanalytic tools and focus in vibrant and productive therapies that led to significant improvements in panic symptoms and associated quality of life. The authors suggest that psychoanalysts have been overestimating the potential damage of research constraints on psychoanalytic process and outcome.     

Bringing deadness to life: An appreciation of Rosenfeld's contribution to thinking about narcissism

SUMMARY

In this paper I have described some of Rosenfeld's ideas about narcissism, and in particular the distinction he makes between libidinal and destructive narcissism. Using a clinical example to illustrate the struggle between dependency and the power of excitement and destruction, I have attempted to show some narcissistic defences in action. I have argued that while Rosenfeld's differentiation may not hold, in that both constructive and destructive elements are always present, he has identified vividly important elements. The degree of the destructiveness, the extent to which it is split-off, hidden and unavailable, the extent to which it is maintained by excitement and eroticisation, and the rigidity of the organisation that has been set up (that is, where or not much is allowed in from outside) are all crucial. What needs to be distinguished are states of mind, and which state of mind is in the ascendancy at any one time. I have reviewed briefly some of the theories advanced to explain why these defences come into existence, and I have mentioned some of the consequent implications for technique.     

Developmental issues in psychotherapy research

Research on psychosocial interventions with children requires attention to developmental principles such as age-specific competence, maturational shifts, increasing cone of relevant contacts, and socioeconomic context of biological stages. Research strategies that include such variables should lead to ecologically sound investigations and the correct selection of outcome variables. A consideration of the specificity of treatment and controlled design alone are not sufficient to guide the study of the psychological treatment of developing organisms and persons.     

The challenge of counselling and psychotherapy research

Aims: The purpose of this commentary is to argue that the value of counselling and psychotherapy research lies, not only in what it teaches us as therapists, but also in its ability to challenge us and our assumptions. Method: The paper identifies eight beliefs that may be prevalent in sections of the counselling and psychotherapy community, and presents evidence that challenges them. Findings: While many of our beliefs may hold true for some clients some of the time, the research evidence suggests that they are unlikely to be true for all clients all of the time. Discussion: By questioning and challenging therapists' a priori assumptions, research findings can help counsellors and psychotherapists to be less set in their beliefs; and more open to the unique experiences, characteristics and wants of each individual client.     

Reciprocal language style matching in psychotherapy research

Successful coordination of language, that is language style matching (LSM; Gonzales, Hancock, & Pennebaker, 2010) indicated by interdependent use of function words, might be of particular relevance to the psychotherapy process. Empirically, two previous psychotherapy studies indicate that LSM may provide a deeper understanding of the quality of the therapeutic alliance. Theoretically, this process of implicit linguistic coordination may be conceptualised as interpersonal synergy (Riley, Richardson, Shockley, & Ramenzoni, 2011). To illustrate the potential of LSM in psychotherapy research, patterns of LSM per 5 min segments and reciprocal LSM per speaking turn were assessed in a seven‐session treatment demonstration of a narcissistic client. First, LSM predicted observed frequency of ruptures but did not predict observer‐rated working alliance in the corresponding 5 min segments. Second, LSM in these 5 min segments showed a quadratic trajectory of change within session and a stable pattern between sessions. Reciprocal LSM per speaking turn showed that within the majority of this treatment, the client followed the therapist's language style; however, this influence appeared to be bidirectional during the time of a physical altercation in session five. LSM may thus provide a novel way to study some of the more elusive aspects of the therapeutic interaction.