The Effect of Therapist–Client Racial Similarity on Client Satisfaction and Therapist Evaluation of Treatment

Client satisfaction with therapy services and therapists' perspectives of treatment evaluation were examined in relation to therapist and client racial similarity. Secondary data from a university marriage and family therapy clinic located in the southeast was used to pair therapists and clients on racial similarity or difference. Statistical analyses revealed no major differences in clients' perceptions of satisfaction based on similarity to therapists' race. Therapists indicated some differences in their perceptions of the success of services provided to clients based on similarity to client's race. Implications for researchers, clinicians, and educators are included.     

Promising New Developments in the Therapist–Client Relationship: A Philosophy of Science Review and Preview

Two questions were central: What are the current and what were the past new developments in the therapist–client relationship? By means of a “philosophy of science analysis,” what principles may be taken as helping to account for these new developments? Nine principles were identified in a review, including the articles in the present theme issue of the journal. The proposal and invitation are to use these nine principles to generate further, future, promising new developments in the therapist–client relationship.     

Client Versus Clinicians’ Standards of Clinically Meaningful Change and the Effects of Treatment Expectations on Therapeutic Outcomes in Individuals With Posttraumatic Stress Disorder

There is limited research on the concordance between client perceptions and clinician standards of the degree of symptom change required to achieve meaningful therapeutic improvement. This was investigated in an adult sample (N = 147) who received trauma-focused cognitive-behavioral therapies for posttraumatic stress disorder (PTSD). We examined whether clients’ benchmarks of change were related to actual outcomes and the relationship between client expectations and their treatment outcomes. Clients completed measures indexing the level of symptom reduction required (in their view) to reflect a benefit or recovery from treatment and treatment expectations. Actual PTSD severity was indexed pre- and posttreatment via self-report and clinician-administered interview. Results demonstrated that the amount of change clients said they required to experience a benefit or recovery was significantly larger than typical clinical research standards. Nonetheless, the majority of client benchmarks of change (79.7–81.8%) were consistent with clinical research standards of what constitutes benefit or recovery. Client benchmarks were generally positively correlated with their actual outcomes. Clients’ belief that treatment would be successful was associated with greater reductions in PTSD symptoms. These findings provide preliminary evidence that the standards used to determine clinically significant change are somewhat consistent with clients’ own perceptions of required symptom change.     

Transmission of the Communicative Competence: Genetic,Cultural, When,and How?

Several recent contributions from various disciplines have improved the interpretation of determinants influencing the interrelated processes of speech acquisition, and cognitive and emotional development. The existence of precursors of abstract symbolisation and of words in the animal world suggest a continuity in the evolution of communicative capacities. In man, evolution has not only favoured a specific precocity in communicative development in infants, but also the co-evolution of a species-specific environmental support for speech acquisition in caretakers. Thus, speech acquisition results from both biogenetic predispositions and environmental support as it becomes evident in micro-analysis of parent-infant interactions and experimental verifications. The preverbal period of communicative development appears in a new light from theoretical and clinical views.     

How Do Therapists Understand Their Client’s Problem and Its Resolution: Objectification in Theories of Change

Images and metaphors help to structure the therapist’s belief system in two ways. First, images represent strategies used by therapists in order to simplify the most abstract theoretical concepts. Second, images provide a system according for organizing the information about a client and anticipate the patterns of client change. Within the theoretical frameworks of social representations and of goal directed action theory, the present study explores the metaphorical aspects linked with therapeutic knowledge. This study aims to reconstruct the social representations that therapists use to objectify their theoretical model. The present research relies on a qualitative methodology. The results show that therapists from different orientations rely on different metaphors although, in certain conditions, they tend to share a more general representational system. Implications for psychotherapy training and clinical practice are considered.     

Commentary: What is the Meaning and Utility of the Psychopathy Concept?

The concept and measurement of psychopathy in young people is discussed with respect to five key issues: (1) the respective merits of self-reports and ratings by others; (2) whether callous/unemotional (CU) features may be more appropriately tapped by physiological measures; (3) the possible utility of genetic studies; (4) the distinctiveness of CU from other risk factors for antisocial behavior; and (5) the homogeneity of CU as a construct.     

The Role of the Family Therapist in Divorce: Benevolent Healer or Agent of Social Change?

Essay Review of:
The Dynamics of Divorce: A Life Cycle Perspective , F. W. Kaslow and L. L. Schwartz, New York: Brunner/Mazel, 1987.
Divorced Families: A Multidisciplinary Developmental View , C. R. Ahrons and R. H. Rodgers, New York: W. W. Norton, 1987.
The Difficult Divorce: Therapy for Children and Families , M. B. Isaacs, B. Montalvo, and D. Abelson, New York: Basic Books, 1986.     

Experiments: Why and How?

An experiment, in the standard scientific sense of the term, is a procedure in which some object of study is subjected to interventions (manipulations) that aim at obtaining a predictable outcome or at least predictable aspects of the outcome. The distinction between an experiment and a non-experimental observation is important since they are tailored to different epistemic needs. Experimentation has its origin in pre-scientific technological experiments that were undertaken in order to find the best technological means to achieve chosen ends. Important parts of the methodological arsenal of modern experimental science can be traced back to this pre-scientific, technological tradition. It is claimed that experimentation involves a unique combination of acting and observing, a combination whose unique epistemological properties have not yet been fully clarified.     

What Do People Want to Feel and Why?: Pleasure and Utility in Emotion Regulation

ABSTRACT— It is typically assumed that people always want to feel good. Recent evidence, however, demonstrates that people want to feel unpleasant emotions, such as anger or fear, when these emotions promote the attainment of their long-term goals. If emotions are regulated for instrumental reasons, people should want to feel pleasant emotions when immediate benefits outweigh future benefits, but when future benefits outweigh immediate benefits, people may prefer to feel useful emotions, even if they are unpleasant. In this article, I describe an instrumental account of emotion regulation, review empirical evidence relevant to it, and discuss its implications for promoting adaptive emotional experiences.     

Gender Differences in Personality and Interests: When,Where, and Why?

How big are gender differences in personality and interests, and how stable are these differences across cultures and over time? To answer these questions, I summarize data from two meta-analyses and three cross-cultural studies on gender differences in personality and interests. Results show that gender differences in Big Five personality traits are ‘small’ to ‘moderate,’ with the largest differences occurring for agreeableness and neuroticism (respective ds = 0.40 and 0.34; women higher than men). In contrast, gender differences on the people–things dimension of interests are ‘very large’ (d = 1.18), with women more people-oriented and less thing-oriented than men. Gender differences in personality tend to be larger in gender-egalitarian societies than in gender-inegalitarian societies, a finding that contradicts social role theory but is consistent with evolutionary, attributional, and social comparison theories. In contrast, gender differences in interests appear to be consistent across cultures and over time, a finding that suggests possible biologic influences.     

Psychiatric Treatment of the Homeless in a Group—Based Therapeutic Community: A Preliminary Field Investigation

This preliminary study investigated the effectiveness of a group—based therapeutic community for the homeless. Thirty—seven individuals residing at a homeless shelter participating in a therapeutic community were assessed across time on several variables: psychiatric symptoms, social functioning, and substance abuse. Significant initial improvements in overall distress, psychiatric symptoms, and substance abuse were found. Improvements in social functioning were exhibited in the therapeutic community participants after six months.     

Similarity and proximity: When does close in space mean close in mind?

People often describe things that are similar as close and things that are dissimilar as far apart. Does the way people talk about similarity reveal something fundamental about the way they conceptualize it? Three experiments tested the relationship between similarity and spatial proximity that is encoded in metaphors in language. Similarity ratings for pairs of words or pictures varied as a function of how far apart the stimuli appeared on the computer screen, but the influence of distance on similarity differed depending on the type of judgments the participants made. Stimuli presented closer together were rated more similar during conceptual judgments of abstract entities or unseen object properties but were rated less similar during perceptual judgments of visual appearance. These contrasting results underscore the importance of testing predictions based on linguistic metaphors experimentally and suggest that our sense of similarity arises from our ability to combine available perceptual information with stored knowledge of experiential regularities.     

Doing Therapy in a Foreign Land: When the Therapist Is “Not From Here”

The psychotherapy field has been paying closer attention to how therapists’ characteristics, history, and styles affect therapeutic encounters and contribute to successful therapy outcomes. Therapists have been encouraged to increase self-awareness of their own socio-cultural dimensions to optimally connect with clients. However, the experience of therapists’ own immigration has received little attention. This article highlights the experience of immigration as important for understanding the self of the therapist, describing core experiences related to immigration for immigrant therapists in the United States. This article additionally describes how these experiences can affect immigrant therapists’ clinical encounters. Finally, recommendations are provided for immigrant therapists, clinical supervisors, and training programs.     

Therapeutic tasks: what kind of help is sought in psychotherapeutic sessions?

One of the main conditions for a good psychotherapeutic alliance is the agreement on therapeutic tasks and goals. This article explores the kind of help that clients expect from therapeutic sessions. By means of a written questionnaire, the clients of a private psychotherapy center, prior to the sessions, expressed their priorities regarding the work to be carried out in them. The assessment of 873 questionnaires showed that clients prefer to participate in therapeutic work that helps them plan actions, understand what is happening, and assess possibilities for change. Also important are therapeutic tasks that help clients evaluate their own actions, both past and planned. The importance that clients attach to different kinds of help varies above all according to how near they feel to resolving their problems. Nine different kinds of psychotherapeutic tasks are identified, which cover the possible requests a client can make of his/her therapist. This article discusses the clinical application of this model as a basis for planning and classifying psychotherapeutic interventions.     

Clinical Utility of the MMPI–2 Restructured Clinical (RC) Scales in Therapeutic Assessment: A Case Study

Summary: In a recent paper, Haan and Livson reported sex differences between male and female psychologists in their evaluations of adult men and adult women. Their conclusions have implication for the validity of clinical, assessments and were interpreted in terms of stereotypic sex rote perceptions. However, their statistical analysis was in fundamental error. When the data they employed were reanalyzed, no reliable sex differences between men and women psychologists were found, a finding in accord with a number of previous investigations of this problem.     

Hume and the Problem of Paternalism: When is Humanity Sufficient?

Hume states that if a group of powerless, rational creatures lived amongst human beings, then humans would be required to treat this species with humanity but not with justice. Michael Ridge has argued that this implies humans would be required to engage in a morally dubious form of paternalism toward this imagined species. I argue that a proper understanding of why this imagined species is excluded from the scope of justice shows Hume has a plausible moral reason for requiring paternalism in this instance. The reason the imagined species is excluded is that they are incapable of feeling what I term “the pain of dependence,” or unease arising from complete dependence upon those who are more powerful. Those capable of the pain of dependence will have reason to resent exclusion from the scope of justice (and the accompanying susceptibility to paternalism). However, I contend that Hume did not think that the imagined species was capable of feeling the pain of dependence. This means that the imagined species would not consider themselves wronged when subject to paternalistic treatment, and, consequently, there is good reason to think the sort of paternalism that Hume's theory allows is not morally objectionable.