The psychology of anxiety: A phenomenological description

Abstract

The psychology of anxiety continues to be debated by researchers, as well as therapists. By investigating it with phenomenological methods, I have been able to determine its three existential preconditions; the way in which an anxious situation announces a crisis of one's efforts to surpass one's unacceptable incompleteness; being anxious as being impeded, if not fundamentally blocked, and moving beyond being anxious as either ambivalently reaffirming the viability of the projects and relations in which one was already invested, or as transformatively accepting those projects and relations as fundamentally uncertain and hence, as open to future determination.     

The psychology of anxiety: A phenomenological description

Abstract

The psychology of anxiety continues to be debated by researchers, as well as therapists. By investigating it with phenomenological methods, I have been able to determine its three existential preconditions; the way in which an anxious situation announces a crisis of one's efforts to surpass one's unacceptable incompleteness; being anxious as being impeded, if not fundamentally blocked, and moving beyond being anxious as either ambivalently reaffirming the viability of the projects and relations in which one was already invested, or as transformatively accepting those projects and relations as fundamentally uncertain and hence, as open to future determination.     

Personality assessment and counseling psychology

This article examines the place of personality assessment in counseling psychology. Three areas are considered: (a) the types of tests counseling psychologists use, (b) the perspective counseling psychologists apply to the use of tests, and (c) projective techniques and counseling psychology. Each area is examined, and the issues it raises for counseling psychology are presented. Some conclusions about personality assessment practices in counseling psychology are made, and several directions for future training are identified.     

Individualized assessment moderates the impact of HIPAA privacy rules

In this comment, I express appreciation of Erard's (this issue) review, and urge psychologists to continue to protect test security. I disagree with Erard's belief that the Health Insurance Portability and Accountability Act of 1996 (HIPAA) is salient for nonhealth forensic issues. I then review some ways in which individualized assessment practices can moderate the negative impact of the HIPPA privacy rules. Assessors can use tests as a ground forjoint exploration of the client's experience, behavior, and their contexts. Clients may later ask for a review of test data and collaborative life findings, but they rarely are interested in acquiring test records. Attorneys, after discovering that assessment conclusions are based largely on events/contexts provided by the client and others, are less interested in acquiring test records that the psychologist used as tools rather than as evidence for conclusions.     

Personality assessment training in counseling psychology programs

Although data about personality assessment training in clinical psychology programs have often been gathered, little comparable data have been collected about assessment training in counseling psychology programs. To collect such information, we conducted a survey of all programs identified as part of the Council of Counseling Psychology Training Programs. A two-page questionnaire was sent out to the 64 program directors, with 56 (88%) of the questionnaires being returned. Information about availability of required personality assessment courses, availability of elective assessment courses, and types of personality tests covered in the counseling curriculum is presented and discussed.     

Needs assessment activities in school psychology program development

Needs assessment activities are presented as a basis for gathering information essential to program development, revision, and evaluation. Needs assessment activities include surveys of trends advocated by national authorities and consumers and identification of needs of students and local school systems. These data form the basis for developing program objectives in a sequentially ordered multilevel program.     

Ethical issues in personality assessment in forensic psychology.

In this article we address several ethical issues of concern for psychologists who are engaged in personality assessment in forensic settings such as for courts or attorneys. The ethical issues reviewed include the role of the psychologist as an expert witness, matters of competence, informed consent, confidentiality, multiple relationships, and special issues related to billing. Emphasis is placed on how psychologists can provide useful information to the courts in a manner consistent with the American Psychological Association's Ethical Principles of Psychologists and Code of Conduct, the Committee on Ethical Guidelines for Forensic Psychologist's Specialty Guidelines for Forensic Psychologists, and the APA's Guidelines for Child Custody Evaluations in Divorce Proceedings. The practical recommendations made in this article are consistent with the APA's Ethical Principles of Psychologists and Code of Conduct.     

Heterophenomenology and phenomenological skepticism

This paper is an attempt to clarify and assess Dennett’s opinion about the relevance of the phenomenological tradition to contemporary cognitive science, focussing on the very idea of a phenomenological investigation. Dennett can be credited with four major claims on this topic: (1) Two kinds of phenomenological investigations must be carefully distinguished: autophenomenology and heterophenomenology; (2) autophenomenology is wrong, because it fails to overcome what might be called the problem of phenomenological scepticism; (3) the phenomenological tradition mainly derived from Husserl is based on an autophenomenological conception of phenomenology, and, consequently, can be of no help to contemporary cognitive science; (4) however, heterophenomenology is indispensable for obtaining an adequate theory of consciousness. In response to Dennett’s analysis, the paper develops two main counterclaims: (1) Although the traditional conception of phenomenology does indeed fit Dennett’s notion of autophenomenology, his sceptical arguments fail to rule out at least the possibility of a modified version of this traditional conception, such as the one defended in Roy et al. (Naturalizing Phenomenology, 1999); (2) the distinction between autophenomenology and heterophenomenology is at any rate misconceived, because, upon closer analysis, heterophenomenology proves to include the essential characteristics of autophenomenology.     

Introspection and phenomenological method

It is argued that the work of Husserl offers a model for self-knowledge that avoids the disadvantages of standard introspectionist accounts and of a Sellarsian view of the relation between our perceptual judgements and derived judgements about appearances. Self-knowledge is based on externally directed knowledge of the world that is then subjected to a cognitive transformation analogous to the move from a statement to the activity of stating. Appearance talk is (contra Sellars) not an epistemically non-committal form of speech, but talk to which we are fully committed. However, it is a commitment to a certain kind of claim about our experiences, viewed as cognitive phenomena, after a process of transformation. Such reductive and hypostatizing transformations can exhibit the intentional structure of consciousness. Phenomenology thus gives a form of knowledge about our mental states that is first personal but not introspective knowledge in any philosophically problematic sense. The account offered is also, in key respects, dissimilar to Sellars's outer directed view of the origin of self-knowledge.     

Psycho-ophthalmology: Contributions of Health psychology to the assessment and treatment of glaucoma

Background: Asymptomatic in its early stages, glaucoma is the second leading cause of blindness worldwide. While psychosocial factors are taken into consideration for a host of diseases such as cancer, heart disease and autoimmune conditions, to date, psychological issues have been ignored in the clinical management of glaucoma.

Objective: This work reviews the most relevant contributions from a health psychology perspective for the assessment and treatment of glaucoma, which is emerging in the field of psycho-ophthalmology.

Method: To provide scientific evidence regarding contributions of psychology to the comprehension of glaucoma, a bibliographic review of three databases (Psicodoc, PsycInfo and Medline) was conducted, spanning the period between 1940 and 2016.

Results: This review yielded a total of 66 studies published in the period analysed and identified three areas where health psychology has made substantive contributions to glaucoma screening, monitoring and treatment: the emotional impact on patients suffering from glaucoma, the adherence to treatment and the effects of stress on intraocular pressure.

Conclusions: A health psychology approach for research and therapy of glaucoma must focus on the management of the negative affect associated with the diagnosis, the optimisation of treatment adherence and the stress management of the intraocular pressure measurements.     

Feminist phenomenological voices

A feminist phenomenological analysis of voice, rooted in both the feminist understanding of the role of voice in identity, agency, and the creation of meaning, and the phenomenological thematization and theorization of phenomenal, lived experience, leads to a deeper understanding of the importance of the materiality of the voices with which we speak, and their role in both subjective and intersubjective experience. Starting from an analysis of the intertwined associations and imageries of the feminine, voice, and embodiment, I discuss the denaturalization and abstraction of voice in standard narratives of voice and voice metaphorization, and the corresponding forgetting of the living, bodily voice. In looking to recall a re-naturalized and immanent corporeality and retrieve the material voice through an account of embodied vocality, I consider examples of the power and immediacy of the corporeal voice in the female operatic voice, and in contrast, the compromised agency and attenuated (inter)subjectivity which attends the impaired or lost physical voice. These vocal counterpoints of presence and absence are often separated by corporeal disturbance or limitation, underscoring the importance of corporeality and the material voice as intermediary between the individual and the social world. This sets the contours of a phenomenology of embodied voice and vocality, holding implications for accounts of identity and intersubjectivity, gendered vocality and expressive agency, and an intercorporeality mediated by the living material voice.     

Megatrends in personality assessment: toward a human science professional psychology

Societal megatrends have assessment counterparts--superempiricism, biopsychosocial perspective, person-centering, population-specificity, self-assessment--which are used to examine the contemporary status of professional psychology. A human science approach to research, training, and practice can exemplify a profession that acknowledges these megatrends. The nurture of competent professional psychologists requires a reinvestment in Boulder Model ideology, a human science that is shared with consumers on the basis of values which communicate caring and understanding.     

Historical influences on the use of assessment methods in counseling psychology

This paper considers the effects of four historical influences on the use of assessment methods in counseling psychology: the vocational guidance, psychometric, mental hygiene, and Rogerian counseling/psychotherapy traditions. Each historical influence is examined, and some of the implications each influence has had on our current use of or manner in approaching assessment methods are considered.