The precision fluency shaping program: Replication and evaluation

The purpose of this article is to present the results of a two-year project to evaluate the Precision Fluency Shaping Program (Webster, 1980) in a community speech and hearing center. Fifty stutterers participated in therapy. Results indicated that Precision Fluency Shaping was an effective therapy for the treatment of stuttering. In addition, stutterer's perception of their speech changed from pre to post therapy. Follow-up data are presented on 28 clients. Advantages of conducting Precision Fluency Shaping, meeting accountability standards, and procedures for collecting follow-up data are discussed.     

Fancy Justice: Martha Nussbaum on the Political Value of the Novel

Abstract: Martha Nussbaum's Poetic Justice undertakes a defense of the novel by showing it to develop the sympathetic imagination. Three parts of her argument come in for criticism, with implications for other such political defenses. Nussbaum sometimes interprets the imagination practically, sometimes theoretically; the two forms have different effects on deliberation. Nussbaum credits the novelistic tradition with fostering the imagination; her example of Hard Times interferes with establishing this general point. Nussbaum suggests an aesthetic element in literature that produces its effect, but does not succeed in identifying that element so as to preserve the consequences of art while avoiding reductionism.     

Art, dreams and active imagination: a post-Jungian approach to transference and the image

The term active imagination is sometimes applied rather uncritically to describe all forms of creative activity that take place in depth psychology. Whilst there are many forms of expression that evoke or are evoked by active imagination, they cannot automatically be classed as active imagination. In this article investigation of visualized mental imagery, dreams and art reveals three distinct forms of image-based psychological activity. Integrated and mediated within the transference and countertransference dynamic, it is proposed that the engagement in active imagination reflects and is influenced by the transference. Distinctions between sign and symbol, simple and big dreams as well as diagrammatic and embodied imagery clarify the differences. Examples from clinical practice demonstrate each mode in action within the analytic frame.     

Motor imagery in typing: effects of typing style and action familiarity

The influences of typing style and action familiarity on executed and imagined typing were investigated. A group of touch typists and a group of hunt-and-peck typists were asked to imagine and execute typing texts of different lengths in two different styles: with ten fingers (familiar for touch typists, unfamiliar for hunt-and-peck typists) and with two fingers (unfamiliar for touch typists, familiar for hunt-and-peck typists). The imagination (but not the execution) of familiar and unfamiliar typing was correlated in both groups, indicating that participants used skill knowledge from the familiar action to imagine the unfamiliar action. Only when touch typists imagined familiar typing accurate motor imagery was observed (similar durations of and positive correlations between imagination and execution). When touch typists imagined unfamiliar typing, the average imagination durations resembled the execution durations, but correlations indicated individual differences in the processes of imagination and execution. Hunt-and-peck typists showed shorter imagination than execution durations with both familiar and unfamiliar typing, indicating that in both styles they did not imagine all details of typing. Also, they did not imagine some details specifically related to unfamiliar typing (reflected in particularly high percentages of absolute error). However, correlations indicated that individual difficulties in executing the unfamiliar action were reflected in the imagination durations. In conclusion, skill knowledge from familiar actions is used to imagine unfamiliar actions. Familiarity with actions promotes accurate motor imagery, but only if stable internal action representations have been acquired, and not if action control relies on online, step-by-step control. However, stable internal action representations of familiar actions may be detrimental for imagery of unfamiliar actions.     

积极想象的理解与应用

本文探讨了积极想象的含义、运用条件、操作步骤、本质特征、应用拓展, 并对积极想象、催眠、自由联想三种无意识心理治疗技术进行对比。积极想象技术已经发展出多种形式, 与艺术疗法、身体因素相结合, 应用范围也从个体形式发展到团体形式, 还应用于理解和处理医患之间移情、反移情关系等问题。理解和应用积极想象时, 应从方法论意义上运用, 把握其本质特征, 并同时加强荣格分析心理学与中国思想文化之间的理论联结。     

Can Internalism Be Saved?

Abstract: Richard Feldman argues that a good deal more of Chisholm's approach can be saved than I allow in “Roderick Chisholm and the Shaping of American Epistemology.” More than this, Feldman argues that there are other, and still more defensible, forms of internalism. I argue here that the problems I presented for Chisholm's view are not so easily sidestepped either within Chisholm's system or by other forms of internalism.     

Patient personality and time-limited group psychotherapy for complicated grief

We used a randomized clinical trial to investigate the interaction of two patient personality characteristics (quality of object relations [QOR] and psychological mindedness [PM]) with two forms of time-limited, short-term group therapy (interpretive and supportive) for 139 psychiatric outpatients with complicated grief. Findings differed depending on the outcome variable (e.g., grief symptoms, general symptoms) and the statistical criterion (e.g., statistical significance, clinical significance, magnitude of effect). Patients in both therapies improved. For grief symptoms, a significant interaction effect was found for QOR. High-QOR patients improved more in interpretive therapy and low-QOR patients improved more in supportive therapy. A main effect was found for PM. High-PM patients improved more in both therapies. For general symptoms, clinical significance favored interpretive therapy over supportive therapy. Clinical implications concerning patient-treatment matching are discussed.     

The Group Life of the Schizophrenic Patient: A Social Work Investigation by Leslie John Shellhase

Abstract

We used a randomized clinical trial to investigate the interaction of two patient personality characteristics (quality of object relations [QOR] and psychological mindedness [PM]) with two forms of time-limited, short-term group therapy (interpretive and supportive) for 139 psychiatric outpatients with complicated grief. Findings differed depending on the outcome variable (e.g., grief symptoms, general symptoms) and the statistical criterion (e.g., statistical significance, clinical significance, magnitude of effect). Patients in both therapies improved. For grief symptoms, a significant interaction effect was found for QOR. High-QOR patients improved more in interpretive therapy and low-QOR patients improved more in supportive therapy. A main effect was found for PM. High-PM patients improved more in both therapies. For general symptoms, clinical significance favored interpretive therapy over supportive therapy. Clinical implications concerning patient-treatment matching are discussed.     

Interpersonal predictors of group therapy outcome for complicated grief

This study investigated three aspects of patients' interpersonal functioning as predictors of outcome for two forms of group psychotherapy for complicated grief. Patients presented with a variety of death losses and met criteria for complicated grief. The three aspects of interpersonal functioning were the patient's (1) attachment to the lost person, (2) quality of object relations (QOR), and (3) level of recent social role functioning. A more secure attachment to the lost person and better social role functioning were associated with more favorable outcome in both forms of therapy. In addition, patients with higher QOR had more favorable outcome in interpretive therapy while lower QOR patients had more favorable outcome in supportive therapy. The results suggest that each aspect of interpersonal functioning is important to consider when treating patients for complicated grief.     

Affirming the Existential within Medicine: Medical Humanities, Governance, and Imaginative Understanding

This paper first distinguishes governance (collective, autonomous self-regulatory processes) from government (externally-imposed mandatory regulation); it proposes that the second of these is essentially incompatible with a conception of the medical humanities that involves imagination and vision on the part of medical practitioners. It next develops that conception of the medical humanities, as having three distinguishable aspects (all of them distinct from the separate phenomena popularly known as "arts-in-health"): first, an intellectual enquiry into the nature of clinical medicine; second, an important dimension of medical education; third, a resource for moral and aesthetic influences upon clinical practice, supporting "humane health care" as the moral inspirations behind organised medicine. Medical humanities sustains these three aspects through paying proper attention to the existential and subjective aspects of medicine. By encouraging authentic imagination among health care practitioners, medical humanities aligns well with both humane health care and governance in the sense of self-regulation. However, it can neither be achieved mechanistically nor well-measured through proxies such as patient satisfaction. Above all, it should not be allowed to supply, through inappropriate qualitative "targets," new forms of management tyranny.     

Flooding in imagination vs flooding in vivo: A comparison with agoraphobics

In this investigation of agoraphobic patients, 3 different flooding procedures were compared: (1) prolonged exposure in vivo, (2) flooding in the imagination by a ‘live’ therapist and (3) a combination of flooding in the imagination and flooding in vivo. After an intermediate-test all clients were treated by the self-observation method, with a minimum of therapeutic intervention. Assessments were made at the beginning of treatment, during and at the end of treatment and at the follow-up one month later. Assessments were carried out by the therapist (in vivo measurement; phobic anxiety and avoidance scales; anxious mood and panic), by an independent observer (idem. minus in vivo measurement) and by the client (phobic anxiety and avoidance scales; FSS; social anxiety scale; SDS and I-E scale). Prolonged exposure in vivo plainly proved to be superior to flooding in the imagination. Combined flooding resulted in a greater improvement than flooding in the imagination, though only on the therapist's ratings. Self-observation did not add much to the effect of prolonged exposure in vivo and of flooding combined whereas self-observation, preceded by flooding in the imagination, resulted in a significant improvement on nearly all the variables.     

Perceptual evaluation of the speech before and after fluency shaping stuttering therapy

An often-cited criterion for assessing the effect of a stuttering therapy is the ability of the stutterers to produce normally fluent speech. Many modern stuttering therapies use special techniques that may produce stutter-free speech that does not sound completely normal. The present study investigates this problem in the framework of the Dutch adaptation of the Precision Fluency Shaping Program.

Pre-, post-, and -year follow-up therapy speech samples of 32 severe stutterers who were treated in a four-week intensive therapy are compared with comparable samples of 20 nonstutterers. For that aim the samples were rated on 14 bipolar scales by groups of about 20 listeners. The results show that the speech of the stutterers in all three conditions differs significantly from the speech of the nonstutterers. The pretherapy speech takes an extreme position on a Distorted Speech dimension, due to the large proportion of disfluencies. The posttherapy speech has extremely low scores on a Dynamics/Prosody dimension, a‘1 while the follow-up therapy speech differs from the normal speech on both dimensions, but now the distances are smaller. These results are discussed in relation to the severity of the stuttering problem in the group of treated stutterers. Finally, implications for future research on therapy evaluation are discussed.     

Against Cognitivism About Supposition

A popular view maintains that supposition is a kind of cognitive mental state, very similar to belief in essential respects. Call this view “cognitivism about supposition”. There are at least three grades of cognitivism, construing supposition as (i) a belief, (ii) belief-like imagination or (iii) a species of belief-like imagination. I shall argue against all three grades of cognitivism and claim that supposition is a sui generis form of imagination essentially dissimilar to belief. Since for good reasons (i) is not supported in the literature, I shall dwell on (ii) and (iii). Without further explanation supposition has been very often merely postulated as being nothing but belief-like imagination—that is, (ii). I shall show that at least two considerations undermine (ii). First, supposition and belief-like imagination are governed by different norms, more precisely the former is freer than the latter and requires minimal or no mental effort. Second, contrary to belief-like imagination, supposition is “cold”, in that it is typically dissociated from emotional reactions. Proponents of (iii) face the pressure of explaining these differences between supposition and belief-like imagination too. I shall argue that they have not sufficiently motivated the claim that supposition is belief-like. In particular they fail to accommodate precisely the dimensions of supposition pertaining to its normativity and emotionality. I shall close with a sketch of a new account of supposition.     

Hatred,hostility, and faith: A theological perspective

This essay proffers a theological-ethical analysis of hate and hostility. More specifically the dynamics of protracted hate and hostility are explored utilizing Niebuhr's concept of evil imagination and his notion of the dialectical structures of human faith. There are two major claims in this article. First, evil imagination, which includes diverse forms of violence, hatred and hostility, is a response to the anxiety and fear associated with powerlessness and absolute dependence; it may be viewed as an attempt to secure one's personal and intersubjective identity and continuity against coming destruction and loss. Second, the protracted hate and hostility of evil imagination manifests a particular type of faith involving particular conscious and unconscious beliefs as well as objects of trust and distrust and loyalty and disloyalty.     

Abortion, Religious Conflict, and Political Culture

Shaping Abortion Discourse: Democracy and the Public Sphere in Germany and the United States Shaping Abortion Discourse: Democracy and the Public Sphere in Germany and the United States . By Myra Marx Ferree , William Anthony Gamson , Jurgen Gerhards , and Dieter Rucht . Cambridge , UK : Cambridge University Press , 2002 . xx + 350 pp. $60.00 cloth, $23.99 paper .     

Mirror neurons and embodied simulation in the development of archetypes and self-agency

Abstract :  In this paper I explore the role of mirror neurons and motor intentionality in the development of self-agency. I suggest that this will also give us a firmer basis for an emergent view of archetypes, as key components in the development trajectory of self-agency, from its foundation in bodily action to its mature expression in mentalization and a conscious awareness of intentionality. I offer some ideas about the implications of these issues of self-agency for our clinical work with patients whose developmental trajectory of self-agency has been partially inhibited, so that their communications have a coercive effect. I discuss the possibility that this kind of clinical phenomenon may relate to Gallese and Lakoff's hypothesis that abstract thought and imagination are forms of simulated action, and that the same sensory-motor circuits that control action also control imagination, concept formation and understanding, but with a crucial development, that of an inhibition of the connections between secondary pre-motor cortical areas and the primary motor cortex. I shall speculate that in the earlier developmental stages of self-agency, the separation of secondary from primary motor areas is not complete, so that imagination and thought are not entirely independent of physical action.     

心理治疗两种范式的对立及其整合

心理治疗有两种不同的范式:科学主义治疗范式和人文主义治疗范式。前者主要由行为疗法和认知—行为疗法的诸种治疗形式所构成;后者则包括当事人中心疗法、存在疗法等。两种范式在人性观、心理诊断、治疗关系、治疗方法和治疗目的等方面存在着明显的对立。对此进行分析,并提出两者整合的构思,以期裨益于心理治疗实践。     

Memorial consequences of imagination in children and adults

Recent work with adults suggests that imagination can impair later recall of previously encoded events but can improve recall of subsequently encoded events. The present study examined the memorial consequences of imagination in children. Kindergartners, first and fourth graders, and young adults studied two successively presented lists of items. Between the two lists, participants were given an imagination task supposed to create a change in mental context. As expected, in adults, the imagination task impaired recall of the previously encoded material (List 1) and improved recall of the subsequently encoded material (List 2). In children, significant List 1 impairment was present from first grade on, but even fourth graders failed to show improvement for List 2. The results challenge a purely context-based explanation of the memorial costs and benefits of imagination. Instead, they suggest that the two effects are mediated by different mechanisms with different developmental trajectories.