The self-reference effect: Methodological issues and implications from a schema-theoretical perspective

A number of investigators demonstrated that processing verbal stimuli by encoding them in reference to the self facilitates recall for these stimuli, compared with other kinds of semantic processing. On the basis of a critical discussion of the relevant research, it is hypothesized that the superiority of self-reference is due to some specific features of semantic orienting tasks that serve as control groups for self-referent encoding. This hypothesis is tested in three experiments demonstrating that, when changing certain features of these semantic orienting tasks, the self-reference-effect (SRE) is no longer obtained. In Experiment 3, the statistical difficulties are addressed that arise when not rejecting the null-hypothesis. Furthermore, several implications of schema-oriented explanations of the SRE are tested. Several dependent measures provide evidence in support of the motion that a self-schema is activated during encoding and retrieval of self-relevant material. However, results show that self-referent processing — in contrast to the most general claim of the relevant literature—does not lead to superior recollection.     

A response to Maggie Turp's paper from a body psychotherapy perspective

Whilst appreciating the quality of containment in Turp's work as a learning point for the Body Psychotherapy tradition, the author argues that Turp does not represent a psychotherapeutic way of ‘working with the body’. This would require a deconstruction of the body/mind dualism inherent in much psychotherapeutic (and psychodynamic) theory, so that the complexity of the spontaneous and reflective body/mind processes, especially in their polar extremes (body/mind dissociation – body/mind integration / ‘psyche/soma unity’), can be contained. An holistic body/mind formulation of countertransference is approached by which – rather than being used as a gratifying or cathartic therapeutic shortcut which avoids the intensity of the transference – the body can be seen to constitute an avenue into the full experience of the transference/countertransference process and its relational sources in early development.     

Malpractice arising from negligent psychotherapy: ethical, legal, and clinical implications of Osheroff v. Chestnut Lodge

Traditionally, there have been few legal actions brought against psychotherapists that allege negligent psychotherapy and negligent treatment of psychiatric disorders. However, in the case of Osheroff v. Chestnut Lodge, a patient-physician (Dr. Osheroff) sued Chestnut Lodge, a private psychiatric facility, for negligence based on the staff's decision to apply a psychodynamic model of treatment (through psychotherapy) and not a biological model. The case sparked a heated debate between adherents of the psychodynamic model and those of the biological model. This article explores the implications of the Osheroff litigation for mental health professionals. It is proposed that an interactive informed consent process be used to protect psychotherapists against Osheroff-type litigation.     

Teaching history and systems from a clinical perspective

There is a need to make the teaching of the history and systems of psychology course more relevant for students in professional training programs. Most typical courses and textbooks are oriented around the history of the science of psychology, giving scant and generally passing attention to the development of the profession of psychology. The author draws on his experience teaching a history and systems course in PsyD programs and provides a structure for enhancing the relevancy of such courses in professional training programs. Two frameworks are used. The author develops a conceptualization of 4 archetypes as defining of the range of roles, activities, contexts, and justification of professional psychologists: (a) the shaman/priest, (b) the physician, (c) the teacher, and (d) the scientist. Stephen Pepper's (1942) world hypothesis theory, which characterizes the epistemic approaches underlying modern science and philosophy, is used to organize the development of the science of psychology. The integration of these 2 frameworks is discussed, and the circular modifications that flow from it are outlined.     

Humour as a tool in counselling and psychotherapy: A reversal-theory perspective

Humour has occasionally been regarded as a valuable tool in counselling and psychotherapy. The specific uses of humour and its potential as a coping tactic are rarely described. The therapeutic use of humour is accordingly examined in the light of reversal theory (Apter, 1982a). It is suggested that the use of humour needs to be related to the motivational task implicit in the therapeutic interaction.     

Psychological trauma reconsidered: Overview and proposed psychotherapy for survivors

Abstract

This paper attempts to establish a conceptual approach to the etiology of psychological trauma. The literature on the subject of the impact of trauma–particularly on the coherent sense of self and effective ego functioning–is reviewed. The case of a young victim of trauma is included to exemplify hew the disruption of social relationships and their internal cognitive representations, through abuse, exploitation, and other acts of unpredictable trauma, can interfere with the normal functioning of personality in the posttraumatic state until an appropriate therapeutic intervention or experience occurs. A construct for the psychotherapy treatment of trauma is suggested.     

Group psychotherapy and neuro-plasticity: an attachment theory perspective

This article selectively highlights relevant areas of neuroscience research which have direct application for attachment theory and group psychotherapy. Emerging evidence from the neurosciences is revealing that the developing brain of the infant, sculpted by the earliest attachment relationships, continues to be malleable in adulthood and can be profoundly influenced by ongoing relationships throughout one's lifespan. Advances in the neurosciences are also supporting the idea that strong attachment bonds and external interpersonal interactions that arise within the context of these attachments are registered as a person's neurophysiology and neurobiology. Attachment theory in particular provides a common language and conceptual framework from which the contributions from the neurosciences can be made applicable to group psychotherapy.     

Universes of discourse: implications for counselling and psychotherapy

All individuals can be envisaged as living within a number of parallel universes of discourse, where different meanings and values may apply; these may be characterised by different language 'registers'. The process of counselling and psychotherapy itself constitutes such a universe. The inner and outer worlds of the client also constitute different universes that may themselves each consist of a number of distinct universes. Decisions made with respect to one universe may have different meanings or adverse consequences in another; it therefore beholds the therapist to be aware of, and alert to, these differences.     

Collective memory: a perspective from (experimental) clinical psychology

This paper considers the concept of collective memory from an experimental clinical psychology perspective. Exploration of the term collective reveals a broad distinction between literatures that view collective memories as a property of groups (collectivistic memory) and those that regard these memories as a property of individuals who are, to a greater or lesser extent, an integral part of their social environment (social memory). First, we argue that the understanding of collectivistic memory phenomena may benefit from drawing parallels with current psychological models such as the self-memory system theory of individualistic autobiographical memory. Second, we suggest that the social memory literature may inform the study of trauma-related disorders. We argue that a factual focus induced by collaborative remembering may be beneficial to natural recovery in the immediate aftermath of trauma, and propose that shared remembering techniques may provide a useful addition to the treatment of post-traumatic stress disorder.     

Counselling and psychotherapy as a form of learning: some implications for practice

This paper explores counselling and psychotherapy as a form of learning. Previous experiences may create distortions in meaning-making perspectives, distortions that create templates for evaluating future experience. These templates act as barriers to being open to experience; thus there is an inability to learn from experience. The process of therapy can provide a learning milieu for the exploration and working through of these barriers, with a potential outcome of a return to learning from experience. It is suggested here that intrinsic to the learning milieu created in therapy there are elements of significant, transformative and emotional learning. Therapy is thus a reparative discourse that facilitates a return to learning from experience. A deconstruction of this concept is provided here as a way of developing the exploration of counselling and psychotherapy as a form of learning.     

Mirror neurons: their implications for group psychotherapy

Recently discovered mirror neurons in the motor cortex of the brain register the actions and intentions of both the organism and others in the environment. As such, they may play a significant role in social behavior and groups. This paper considers the potential implications of mirror neurons and related neural networks for group therapists, proposing that mirror neurons and mirror systems provide "hard-wired" support for the group therapist's belief in the centrality of relationships in the treatment process and exploring their value in accounting for group-as-a-whole phenomena. Mirror neurons further confirm the holistic, social nature of perception, action, and intention as distinct from a stimulus-response behaviorism. The implications of mirror neurons and mirroring processes for the group therapist role, interventions, and training are also discussed.     

Psychotropic medication from an object relations theory perspective: an analysis of vignettes from group psychotherapy

In this article we explore the content and dynamics of patients' verbalizations within a "living with medications" group. Patients' perceptions of their psychotropic medications are interpreted and classified within the framework of object relations theory. One's perception of the role of medication in one's life can serve as a gateway to one's inner world and the way that he or she perceives authority figures, peers, and oneself. We suggest that working through patients' relationships with their medications can help them to achieve better integration of internal object relations. Discussing patients' views about medications should therefore be seen as an important part of psychotherapy with many individuals. Such a discussion may enhance and improve efficacy of both psychotherapy and pharmacotherapy. It is of particular importance in group therapy, within milieu environments and with individuals reluctant to explicitly discuss interpersonal matters. Vignettes from the group sessions illustrate the way in which discussing medication advances group process.     

Maternal styles in infant psychotherapy: Treatment and research implications

Infant psychotherapy, in which the mother is requested to follow the baby's activities without initiating or directing, is described. Mothers demonstrate different styles of involvement with their infants: a protective mode, a prohibitive mode, a competitive mode, and other ways of interfering with their infants' tendency to explore the environment. Attempts to analyze such factors as position, distance and movement are discussed. Research for recording and analyzing the movement of infant and mother dyads is proposed.