Why using “consciousness” in psychotherapy? Insight,metacognition and self-consciousness

Since its early development, clinical psychology has questioned the impact of “consciousness” on the determination of human responsibility across psychiatric disorders. In recent years, specific clinical approaches have focused on “consciousness” work that could play a key role in psychotherapy. We focused our research on clinical psychology's consciousness-related concepts of insight, self-consciousness, and metacognition. Insight and metacognition, for example, have prompted increased interest in schizophrenia (SZ), bipolar disorder (BD), and, more recently, borderline personality disorder (BPD) treatments as representative of the latest advances in the cognitive and behavioral therapy field. Here we review cognitive, social, and clinical psychology research measuring “consciousness” in BPD, SZ, and BD, exploring the implications of different conceptualizations of consciousness-like concepts for treatment adherence, symptom evolution, and related aspects of psychotherapy. Our results show the overall relevance of using measures of clinical and cognitive insight, emphasizing the more central role of cognitive insight and metacognition in psychotherapy, as it appears that consciousness can remain useful if understood as a cognitive skill. The inclusion of a conceptualization of self-consciousness is important in order to address the social component of psychotherapy, as it does in biopsychosocial approaches. We discuss the implications of such results for global efficacy, for the relevance of the “consciousness” concept to clinical psychology, and for the potential need to keep operationalizing different conceptualizations of it in psychotherapy. We open the debate on the definition of consciousness to motivational aspects of change and to general considerations of both legal and ethical aspects.     

Emotion regulation in social anxiety: a systematic investigation and meta-analysis using self-report,subjective, and event-related potentials measures

Recent models of social anxiety disorder emphasise the role of emotion dysregulation; however, the nature of the proposed impairment needs clarification. In a replication and extension framework, four studies (N?=?193) examined whether individuals with social anxiety (HSAs) are impaired in using cognitive reappraisal and expressive suppression. Self-reports and lab-based tasks of suppression and reappraisal were utilised among individuals with high and low levels of social anxiety. A meta-analysis of these studies indicated that, compared to controls, HSAs reported less frequent and effective use of reappraisal and more frequent and effective use of suppression. Counter to most models and our hypotheses, HSAs were more successful than controls in lab-based reappraisal of shame-arousing pictures as measured by subjective ratings, but not by event-related potentials. HSAs were less successful than controls in lab-based suppression of shame-arousing pictures as measured by subjective ratings, but not by event-related potentials. The results held even when participants were under social stress (impromptu speech anticipation). Overall, subjective reports of HSAs reveal strong deficits in emotion regulation whereas lab-based measures provided less conclusive evidence of such deficits. These results suggest that individuals with social anxiety experience difficulties implementing their reappraisal abilities in daily life.     

Reflections on using group therapy as a treatment modality—Why,how, for whom,and when: A guide to clinicians,supervisors, and instructors

This paper emphasizes the potential of group forces for benefit or harm in group therapy as well as human development. Clinical, experimental-historical, and experiential evidence is cited in order to assess methods for harnessing group forces effectively. Ways in which group therapy is particularly valuable for enabling individuals to develop interpersonal skills, resist group pressure, improve communicative skills, deal with problems of inferiority and pessimism, be responsive to feedback, deal with resistance and transference, and manage problems in the working through phase of therapy are focused on. Another emphasis is on how group therapy technique differs from, supplements, and improves on the effectiveness of individual therapy alone. Crucial problems of patient selection and placement are explored, as is the idea that doing group therapy helps the therapist deal with countertransference problems and increases overall effectiveness and personal growth.Dr. Fenster is Professor of Psychology and was founding Chairman of the Psychology Department at John Jay College of Criminal Justice. This paper was written while he was on sabbatical leave and serving as Coordinator of Group Therapy in the Psychiatry Department at Brookdale Hospital Medical Center.     

Supervisors’ work-related and nonwork information sharing: Integrating research on information sharing,information seeking,and trust using self-disclosure theory

Although significant scholarly attention has been devoted to understanding subordinates’ information seeking from supervisors, researchers have not paid adequate attention to information sharing by supervisors. Moreover, research on supervisors’ information sharing behavior has focused almost exclusively on work-related information sharing, disregarding supervisors’ sharing of information not related to work (e.g., that related to family). Drawing on self-disclosure theory, we argue that supervisors share both work-related and nonwork information with their subordinates and propose that these two forms of information sharing are conceptually distinct. Furthermore, to unravel the role of supervisors’ nonwork information sharing, we develop an interactive model to test how it may be associated with important employee outcomes. We conducted pilot studies using five samples and, through a sixth study, tested the hypothesized model using a four-wave data collection design. This study makes three major contributions to research and theory. First, it integrates information sharing and information seeking literatures. Second, it underlines the importance of supervisors’ nonwork information sharing in organizations by testing its direct and interactive effects. Third, it contributes to theory by presenting trust as a mechanism that links information disclosure in dyads. Results obtained using structural equation modeling generally supported the proposed model.     

Empathy,Einfühlung,and aesthetic experience: the effect of emotion contagion on appreciation of representational and abstract art using fEMG and SCR

Since the advent of the concept of empathy in the scientific literature, it has been hypothesized, although not necessarily empirically verified, that empathic processes are essential to aesthetic experiences of visual art. We tested how the ability to “feel into” (“Einfühlung”) emotional content—a central aspect of art empathy theories—affects the bodily responses to and the subjective judgments of representational and abstract paintings. The ability to feel into was measured by a standardized pre-survey on “emotional contagion”—the ability to pick up and mirror, or in short to “feel into”, emotions, which often overlaps with higher general or interpersonal empathetic abilities. Participants evaluated the artworks on several aesthetic dimensions (liking, valence, moving, and interest), while their bodily reactions indicative of empathetic engagement (facial electromyography—EMG, and skin conductance responses—SCR) were recorded. High compared to low emotion contagion participants showed both more congruent and more intense bodily reactions (EMG and SCR) and aesthetic evaluations (higher being moved, valence, and interest) and also liked the art more. This was largely the case for both representational and abstract art, although stronger with the representational category. Our findings provide tentative evidence for recent arguments by art theorists for a close “empathic” mirroring of emotional content. We discuss this interpretation, as well as a potential tie between emotion contagion and a general increase in emotion intensity, both of which may impact, in tandem, the experience and evaluation of art.     

An economical system for collecting and reducing heart-rate data,using someone else’s small computer

Hardware and program are described for a heart-rate data collection and reduction system that uses a small computer at a time removed from the actual data collection. The system is portable and inexpensive; exclusive of the computer, it can cost under $1,500. It uses an ordinary tape recorder to record discrete signals upon each occurrence of a heart beat, and it returns edited second-by-second averages of interheart-beat intervals.     

Education and Psycho-Utopianism—Comenius,Skinner, and Beyond

In the history of ideas some researchers have recently coined the term psycho-utopianism, denoting the notion that the ideal society presupposes a “new man,” that is, the psychological nature of man must change before society can change. Cultural studies have noted this line of thinking also within the so-called New Age movement. However, the notion of a New Age is not really new; it occurred already at the beginning of the Modern Epoch; in seventeenth-century Europe. At that time, the educational philosopher J. A. Comenius was writing his canonical work Didactica Magna and other texts on education, science, and philosophy, with the ultimate aim of contributing to a new world order. Comenius was one of the first modern educators to argue for a general education of both boys and girls irrespective of social class. Three hundred years later, B. F. Skinner suggested psychological methods of education and upbringing, also with the ultimate aim to transform society. In this article I will look closer at the similarities and differences between these two thinkers regarding their psycho-utopian notions. I will conclude with similar reflections on psycho-utopian tendencies in present discourses on information and communication technology (ICT) and education.     

Ethics,metaphysics, and psychoanalysis∗

An attempt is made to point out some of the moral presuppositions and implications of psychotherapy in theory and in practice. In the various forms of dynamically oriented psychotherapy, the setting of goals and decisions concerning maturation and health have value components. Even in psychoanalysis in its strict sense, decisions made in accepting or rejecting contracts and determination of the terminating point of analysis are value laden.

Finally, in the theorizing of Freud and others about psychotherapy moral positions are assumed.     

A tempest, a birth, and death: Freud, Jung, and Shakespeare’sPericles

This essay applies a Freudian psychoanalytic and Jungian archetypal narrative analysis to Shakespeare’s first and oft-criticized romance. The author argues that key structural and thematic elements ofPericles are best illuminated when viewed through a psychological interpretative lens, and that the play is best comprehended when examined in the context of its associative, rather than linear, richness. Masculinity and femininity, central themes of the narrative, are explored both in relation to the Oedipal complex and psychological individuation.Pericles also provides an excellent basis to examine key differences between Freud’s and Jung’s approach, particularly Jung’s widening of the primarily sexual psychoanalytic approach to encompass broader archetypal meaning.     

School Counselors’ General Self-Efficacy,Ethical and Legal Self-Efficacy,and Ethical and Legal Knowledge

School counselors encounter ethical and legal situations that necessitate the knowledge and confidence to apply decision-making skills. We report the findings from a correlational investigation that examines practicing school counselors’ (N = 287) ethical and legal self-efficacy, ethical and legal knowledge, and general self-efficacy. Higher ethical and legal self-efficacy was associated with higher general self-efficacy and ethical and legal knowledge. The implications of these findings are discussed.     

Self-Consciousness,Self-presentation,and Performance Under Pressure: Who Chokes,and When?

Choking under pressure by persons low and high in self-consciousness was examined as a function of two sources of performance pressure: audience and performance feedback. Subjects competed with an alleged opponent on a psychomotor task while alone, before a supportive (same team) audience, or a nonsupportive (opposing team) audience. Before the critical trial, subjects learned that their team was either somewhat ahead of or somewhat behind the opposing team. Self-consciousness, audience, and feedback interacted to affect performance during the critical trial. When disappointing the audience was likely, subjects low in self-consciousness choked. Subjects high in self-consciousness tended to choke when they were told that their team had fallen behind. It is suggested that persons who are low and high in self-consciousness experience different types of performance pressure due to disparate self-presentational motives.     

Reply to Kurth,Crosby, and Basse’s review of Emotions,Values, and Agency

In this reply, I argue that the worries raised by Kurth and this coauthors are not fatal for the perceptual theory of emotions. A first point to keep in mind in discussing the analogy argument in favor of that account is that what counts is the overall balance of similarities and differences, given their respective weight. In any case, I argue that none of the alleged differences between sensory perceptual experiences and emotions are such as to rule out that emotions are a kind of perceptual experience which can confer epistemic justification of our evaluative beliefs. Finally, I suggest that the perceptual theory is in a position to nicely capture what happens when we disagree about evaluative issues.     

Difference and presence: Derrida and Husserl’s phenomenology of language,time, history,and scientific rationality

Continental Philosophy Review - This article seeks to reconstruct and critically extend Jacques Derrida’s critique of Edmund Husserl’s transcendental phenomenology. Derrida’s...     

Separation—Individuation,Self-Concept,and Object Relations in Fraternal Twins,Identical Twins,and Singletons

Identical twins, fraternal twins, and singletons (n = 30 in each group) were compared on objective measures of separation–individuation, object relations, and self-esteem. No significant differences were found. The data did not support the popular notion that twins face special problems with respect to personality development or the idea that twins have more difficulty than others in establishing and maintaining close relationships. Twins and nontwins did not differ significantly with respect to marital status, number of years married, whether married before, number of previous marriages, number of years divorced, or living arrangements if single. The majority of twins had been raised in a way that encouraged at least some individual differences.     

Christ,Country, and Conspiracies? Christian Nationalism,Biblical Literalism,and Belief in Conspiracy Theories

When misinformation is rampant, “fake news” is rising, and conspiracy theories are widespread, social scientists have a vested interest in understanding who is most susceptible to these false narratives and why. Recent research suggests Christians are especially susceptible to belief in conspiracy theories in the United States, but scholars have yet to ascertain the role of religiopolitical identities and epistomological approaches, specifically Christian nationalism and biblical literalism, in generalized conspiracy thinking. Because Christian nationalists sense that the nation is under cultural threat and biblical literalism provides an alternative (often anti-elite) source of information, we predict that both will amplify conspiracy thinking. We find that Christian nationalism and biblical literalism independently predict conspiracy thinking, but that the effect of Christian nationalism increases with literalism. Our results point to the contingent effects of Christian nationalism and the need for the religious variables in understanding conspiracy thinking.     

Moving Beyond Us and Them? Marginality,Rhizomes, and Immanent Forgiveness

Here, I offer a candid response to bell hooks's call for a testimony to the “movement beyond a mere ‘us and them’ discussion” that purportedly informs contemporary radical and feminist thought on difference. In alignment with a tradition that includes bell hooks, Audre Lorde, Gloria Anzaldúa, and Aurora Levins Morales, I offer a personal testimony to the ways in which I—a middle‐class, French, immigrant, continental‐philosophy‐bred incest survivor—envision both that movement and its limits. To establish these alliances means forming necessary (if only momentary and unlikely) communities. I call on the philosophy of Deleuze and Guattari to propose an account of the production of such communities that does not depend only on shared lived experience, but also on shared marginal spatiality (rhizomes), temporality (trauma), and “medicinal history” (nomadology). I suggest that on the one hand, Deleuze's philosophy of immanence may indeed find apt expression in the politics of integrity that hooks, Lorde, and Morales call for. On the other hand, a genuine politics of integrity may benefit from drawing on the philosophy of immanence, which alone offers alternatives to the traditional, oppositional models of difference informed by transcendence. Finally, I propose the concept of “immanent forgiveness” to capture the movement at issue.