The Direct Use of Projective Techniques in Psychotherapy

Relationships between MMPI scales and criteria were evaluated to determine if the MMPI is racially biased with a juvenile delinquent population. The MMPI was administered to 333 white and 107 Black male juvenile delinquents, and criterion data were collected. The regression equations developed for Blacks and whites resulted in similar accuracies. However, the weights of the regression equations tended to differ for the two races. How they differed depended on the criterion predicted by the equations. Consequently, it was impossible to state unconditionally that the use of the MMPI with Black delinquents will have an adverse impact. In fact, one interpretation of the results suggested that the MMPI may not be racially biased for predictions with juvenile delinquents because the amount of constant error in prediction for a racial group decreased toward zero as the apparent objectivity of the criteria increased.     

The Qualified Pronoun Count as a Measure of Change in Family Psychotherapy

The purpose of this study was to evaluate the original Multiple Family Psychotherapy group at Georgetown University, Department of Psychiatry. The author, a clinician, used the technique of content analysis of recorded interviews and developed a “change ratio” which is called the “qualified pronoun count.” Although “therapeutic improvement” is not the main goal of the treatment strategy under research here, ordinarily anyone that exhibits the kind of change in differentiation from “family ego mass” ( 1 ) reflected in this study, also experiences diminution or remission of symptoms. Preliminary findings indicate this new system of observing change is useful in determining variations in differentiation, and that these families did change.     

Meaning and Change in Psychotherapy

Starting from two accounts of psychological change in therapeutic settings, based respectively on the analysis of metaphors (Faccio et al. 2011, this issue) and on transformative moments in self narratives (Ribeiro and Gon?alves 2011, this issue), this paper examines core processes of psychological change. Drawing on sociocultural psychology, the paper first argues that core processes of change in such therapeutic settings take place at the level of the organization of a person's semiotic sets. Second, the paper suggests that such therapeutic frames are likely to provoke changes in other aspects of a person's life as these aim at transforming the persons thinking capacities, and as these have as objects situations external to them.     

Time-Limited Dynamic Psychotherapy as a Model for Short-Term Inpatient Groups

The present article proposes a method, practiced by the author, to adapt time-limited dynamic psychotherapy (TLDP), a short-term individual psychodynamic therapy, for use with inpatient psychotherapy groups. Characteristics of TLDP which suggest the usefulness of such an adaptation, including short-term duration, specific treatment focus, rapid conceptualizations and broad selection of patients, and emphasis on the here-and-now in therapy, are discussed. The general approach to treatment, a supportive stance that involves an identification of maladaptive interpersonal issues, and then working on these issues without directly confronting the patients, is described. Specific therapeutic techniques for common inpatient group situations are also discussed.     

Personality Disorder Attributes as Supplemental Goals for Change in Interpersonal Psychotherapy

Interpersonal Psychotherapy (IPT) is a manualized, short-term (usually 12–16 sessions) based on the assumption that psychological disorders often emerge secondary to social and interpersonal problems that require active intervention to achieve symptom remission. The time-limited nature of IPT compels therapists to establish the goal of diminishing, on a weekly basis, a small number of focused interpersonal problems with a decided emphasis on proximal rather than historic conflicts and associated patterns of behavior. This strategy discourages the adoption of diffuse therapy goals and directions that have more opportunity to emerge in long-term, unstructured treatment modalities. The role of traditional personality testing in short-term therapy, when it occurs, is to identify and quantify symptom clusters that warrant attention as dependent measures in the treatment process. The role of personality factors in the genesis or maintenance of psychological disturbance is rarely addressed. The present article explores theoretical and pragmatic objections to the use of personality testing in IPT. A method is proposed for the limited but systematic incorporation of personality testing in the IPT treatment process using the Millon Clinical Multiaxial Inventory (MCMI-III). While unreasonable to expect personality transformation through short-term therapy, the partial attenuation of maladaptive behavioral, attitudinal, and emotional reactions to stressors could prove exceedingly helpful to short-term treatments such as IPT.     

The Process of Personal Change Through Reading Fictional Narratives: Implications for Psychotherapy Practice and Theory

This qualitative study provides an understanding of how and when individuals experience transformational change as a consequence of reading narratives. Six participants who attributed significant personal changes to reading were recruited and interviewed. The investigators used grounded theory method to analyze these interviews and identify processes through which change unfolded. The core category of the analysis was identification with characters' experiences created a safe venue to consider threat and experiment with new possibilities and perspectives. Empathizing with protagonists enabled readers to integrate new modes of responding to personally difficult situations. Implications for bibliotherapy and narrative therapy are discussed.     

The Effect of Group Psychotherapy in Reducing Resistance to Individual Psychotherapy: A Case Study

Abstract

Cohesion in group treatment of spouse abusers plays an important and often overlooked role. Involuntary abuser groups can benefit from cohesion, but due to their unique structure, cohesion may develop differently than in voluntary psychotherapy groups. Initially, abuser groups may develop premature levels of cohesion that can make group members unwilling to express conflict, develop intimacy, and take responsibility for their actions. Understanding the abuser personality and the unique characteristics of involuntary abuser groups can shed light on why cohesion develops the way it does and the importance it plays in abuser groups. Developing effective interventions that target premature cohesion can help the group members express conflict, develop intimacy, and take responsibility for their actions, thus bringing about therapeutic levels of cohesion.     

Supporting Clients Through a Change in Perspective

A series of 12 reframing strategies used by employment counselors are briefly described. These strategies are designed to support clients through facilitating a change of perspective.     

Three Contributions of a Spiritual Perspective to Counseling,Psychotherapy, and Behavior Change

This article describes three areas that a spiritual approach can contribute to the modern applied science of behavior change. One of these is a modified conception of human nature that takes into account the spiritual dimension of experience. The second is a moral frame of reference. Because treatment is guided by goals, values must be invoked to determine what are good behavior changes. The third contribution is composed of techniques that are unique to a spiritual orientation. These consist of various methods, including the transitional person technique. Together, these contributions represent a growing orientation that complements what we already know and accept from our continuing commitments to empirical science and human welfare.     

Dynamics and Techniques of Group Psychotherapy in Private Practice

In rearing a mentally retarded child, parents are confronted with a number of taxing stresses and problems. As a result, many in this parent population need and could benefit from a social support network. Unfortunately, such networks often do not exist or parents make no effort to join them. One seemingly useful means of providing a facilitative social system for parents of retardates is via the support group. In this article, two support groups—each developed to assist parents in adjusting to their retarded children—are described. Also, the process stages of these groups are discussed.     

Employee Cynicism and Resistance to Organizational Change

We offer a reconceptualization of employee cynicism and present the results of two studies to test the hypotheses that (a) cynicism about an organizational change is distinguishable from skepticism about the change, more general forms of cynicism (disposition and management), and trust in management, (b) change-specific cynicism and skepticism relate differently to personal and situational antecedent variables, and (c) change-specific cynicism accounts for variance in employees intention to resist change not explained by skepticism, trust, and more general forms of cynicism. Study 1 was conducted with employees (N=65) from several organizations undergoing various changes, and Study 2 with employees (N=701) from a single organization undergoing restructuring and culture change. Results were generally consistent with prediction. Implications for future research and for the management of change are discussed.     

The Theology of Atonement in Eastern Orthodoxy and Lutheranism Viewed Through Hymnody

Abstract : The last twenty years have seen a resurgence in dialogue between Lutheranism and Eastern Orthodoxy, especially as the dialogue pertains to deification, known as theosis. For Eastern Orthodox Christians, theosis is one way to describe atonement. This paper approaches the theology of atonement through the lens of each tradition's hymnody. Although the images in the hymns are not identical, their themes are similar enough to reinforce the present‐day dialogue between these two traditions.     

Achieving Population-Level Change Through a System-Contextual Approach to Supporting Competent Parenting

The quality of parenting children receive affects a diverse range of child and youth outcomes. Addressing the quality of parenting on a broad scale is a critical part of producing a more nurturing society. To achieve a meaningful population-level reduction in the prevalence rates of child maltreatment and social and emotional problems that are directly or indirectly influenced by parenting practices requires the adoption of a broad ecological perspective in supporting families to raise children. We make the case for adopting a multilevel, whole of population approach to enhance competent parenting and describe the essential tasks that must be accomplished for the approach to be successful and its effects measurable. We describe how a theoretically integrated system of parenting support based on social learning and cognitive behavioral principles can be further strengthened when the broader community supports parental participation. Implications for policy and practice are discussed.     

Emotional Schemas and Resistance to Change in Anxiety Disorders

Cognitive-behavioral treatment for all anxiety disorders involves exposure to feared situations and feared emotions. Dropout from therapy is a continued problem for final treatment effectiveness. A meta-emotional model of fear of negative emotions (and anxious sensations and thoughts) is advanced that can be used as a transdiagnostic treatment model for anxiety disorders. According to this model, anxious individuals hold theories of anxiety that interfere with effective treatment. Specific treatment recommendations are developed from this model to counter roadblocks in cognitive-behavioral therapy of the various anxiety disorders.     

Ego Development and a General Model for Counseling and Psychotherapy

Swensen describes a general model within which various techniques of counseling and psychotherapy may be integrated. This model is based on Lewin's formula, B = f (P, E), that is, behavior is a function of the person and the environment. Therapists should assess both the personality of the client and the environment. Client assessment is based on the concept of ego development. The behavior of clients who are at simpler levels of ego development is determined largely by reward and punishment in the environment. As a consequence, professionals should direct therapy with these clients toward changing the reinforcement contingencies in the environment. On the other hand, behavior of clients at more complex levels of ego development is more self-controlled. Therefore, therapy with these clients should concentrate on self-directed and self-controlled change.