A developmental perspective on psychotherapy process, psychotherapists' expertise, and “Meaning-Making Conflict” within therapeutic relationships: A two-part series

Part I (in this issue)—A Dialectical-Constructivist View of Human Development, Psychotherapy, and the Dynamics of Meaning-Making Conflict Within Therapeutic Relationships— reviews a dialectical-constructivist model of human development and articulates, in the language of that model, how psychotherapy, in general, works. It describes and illustrates three generic processes, which contribute to the frequent successes of an extremely diverse range of psychotherapy theories and practices. This view of psychotherapy focuses on both the client's meaning-making processes and the therapist's meaning-making processes and how they contribute together to effective psychotherapy. Part I also offers a way of understanding what is going on when therapeutic progress is blocked by conflict between the client's and the therapist's meaning-making processes. Part II—Dialectical Thinking and Psychotherapeutic Expertise: Implications for Training Psychotherapists and Protecting Clients from Theoretical Abuse—explores those experiences in which the therapist's own exercise of his or her meaning-making structures, and maintenance of the integrity of his or her theories, has a limiting or destructive impact on the value of therapy to the client. It considers the concept of “theoretical abuse” by psychotherapists as a way of characterizing the most destructive of these experiences. This serves as a rhetorical device for introducing comparisons between these phenomena and the phenomena of sexual abuse by psychotherapists, in terms of dynamics, prevalence, and appropriate strategies for prevention. Part II uses work on the development of dialectical thinking in adulthood to conceptualize how different understandings of the nature of psychotherapists' expertise increase or decrease the likelihood and severity of “theoretical abuse”. Finally, it derives implications for training psychologists and other psychotherapy professionals.     

A developmental perspective on psychotherapy process, psychotherapists' expertise, and “Meaning-Making Conflict” within therapeutic relationships: Part II

Part I—A Dialectical-Constructivist View of Human Development, Psychotherapy, and the Dynamics of Meaning-Making Conflict Within Therapeutic Relationships-reviewed a dialectical-constructivist model of human development and articulated, in the language of that model, how psychotherapy, in general, works. It described and illustrated three generic processes which contribute to the frequent successes of an extremely diverse range of psychotherapy theories and practices. This view of psychotherapy focused on both the client's meaning-making processes and the therapist's meaning-making processes, and how they contribute together to effective psychotherapy. Part I also offered a way of understanding what is going on when therapeutic progress is blocked by conflict between the client's and the therapist's meaning-making processes. Part II—Dialectical, Thinking and Psychotherapeutic Expertise: Implications for Training Psychotherapists and Protecting Clients from ‘Theoretical Abuse’—explores those experiences in which the therapist's exercise of this or her own meaning-making structures, and maintenance of the integrity of his or her theories, has a limiting or destructive impact on the value of therapy to the client. It considers the concept of “theoretical abuse” by psychotherapists as a way of characterizing the most destructive of these experiences. This serves as a rhetorical device for introducing comparisons between these phenomena and the phenomena of sexual abuse by psychotherapists, in terms of dynamics, prevalence, and appropriate strategies for prevention. Part II uses work on the development of dialectical thinking in adulthood to conceptualize how different understandings of the nature of psychotherapists' theories and expertise increase or decrease the likelihood and severity of ‘theoretical abuse’. Finally, it derives implications for training psychologists and other psychotherapy professionals.     

The free will inventory: Measuring beliefs about agency and responsibility

In this paper, we present the results of the construction and validation of a new psychometric tool for measuring beliefs about free will and related concepts: The Free Will Inventory (FWI). In its final form, FWI is a 29-item instrument with two parts. Part 1 consists of three 5-item subscales designed to measure strength of belief in free will, determinism, and dualism. Part 2 consists of a series of fourteen statements designed to further explore the complex network of people’s associated beliefs and attitudes about free will, determinism, choice, the soul, predictability, responsibility, and punishment. Having presented the construction and validation of FWI, we discuss several ways that it could be used in future research, highlight some as yet unanswered questions that are ripe for interdisciplinary investigation, and encourage researchers to join us in our efforts to answer these questions.     

Involving the family in the evaluation and treatment of the child patient: A psychodynamic approach

The purpose of this article is to provide psychotherapists with a tool for family evaluation using the basic principles of psychodynamic work; and to introduce a transitional format for therapists who have practiced family evaluations in their training institutions and now need to adapt this model to the private practitioner's office. A case example illustrates: (1) Use of the therapist's unconscious for diagnosis of the child and its family, (2) joining the family's intersubjective space, and (3) use of play and therapist's neutrality as ways that the psychodynamically oriented clinician involves the family in the evaluation and treatment of the child.     

Free Will and Moral Responsibility: The Trap, the Appreciation of Agency, and the Bubble

In Part I, I reflect in some detail upon the free will problem and about the way its understanding has radically changed. First I outline the four questions that go into making the free will problem. Second, I consider four paradigmatic shifts that have occurred in our understanding of this problem. Then I go on to reflect upon this complex and multi-level situation. In Part II of this essay, I explore the major alternative positions, and defend my views, in new ways. Instead of trying to spread over many issues, I present one new argument against compatibilism, which I call ??The Trap??. This tries to explicate the main problem that I find with this position. Then I present an exposition of what we nevertheless need to follow, which I call ??the Appreciation of Agency??. This supports a measure of compatibilism in a more modest form, and opposes hard determinism. On this basis, we can confront the philosophical and practical questions, as to what we ought to believe and how we ought to live, with respect to free will and moral responsibility. This leads to what I call ??The Bubble,?? which addresses the way in which we deal with the tension between the absence of libertarian free will and The Trap, and the crucial need for the Appreciation of Agency. I conclude by reflecting upon three attributes of the free will problem that I consider central, but that have been neglected in the debate: complexity, risk and tragedy.     

Neutrality And Feminist Perspective: Can They Co-Exist In Family Therapy?

An argument is forwarded for the integration of feminist and systemic perspectives, specifically focusing on neutrality. The position taken is that both feminist principles and systemic practice have indispensable merits when applied to relationship-oriented therapy. Issues of abuse in family therapy are presented by promotion of a view that judgment against the abuser and a neutral investigative process can both be achieved. A neutral stance and circularity contribute to process maps, hypothesis generation, and gaining influence with all family members. Cecchin's updated perspective of neutrality as curiosity about multiple perspectives is emphasized. A case example demonstrates integration of neutrality and a feminist perspective.     

Common impediments to good psychotherapy — or hell is other people

This paper discusses the thesis that the practice of psychotherapy, like other intense human relationships, involves a number of inherent difficulties that must be endured. These common impediments include 1) the identity and status of psychotherapy as a profession, 2) the requirement of a delicate balance in therapy between thought and emotion, 3) the necessity of a resolution to the patient's transferential rage while minimizing the therapist's tendency to avoid that rage, and 4) the therapist's desire and temptation to control and manipulate the patient. These four impediments are built-in barriers with which all therapists must live. Our task is to attack the more approachable, controllable problems in our impediments, such as limitations in our training models, frequent sell-out by psychotherapists to entrepreneurial profit-centered models of practice, and unclear guidelines about which patients should receive which psychotherapy and when.     

Hypothesizing, Circularity, and Neutrality Revisited: An Invitation to Curiosity

This essay examines the systemic guiding principles of neutrality, hypothesizing, and circularity, historically developed by the Milan Team of Selvini-Palazzoli, Boscolo, Cecchin, and Prata (12, 13). With the reorganization of these team members (see 11 for a summary of the distinctions between the work of the Selvini-Palazzoli and Prata research team and the Cecchin and Boscolo training team), different reconstructions of the original systemic principles have evolved. New understanding of the concepts of circularity, hypothesizing, and neutrality are now possible, given the systemic epistemology on which the early Milan model was based. It should be emphasized, however, that the ideas presented in this essay are most associated with the systemic work of the Cecchin and Boscolo team.     

Domestic horses (<Emphasis Type="Italic">Equus caballus</Emphasis>) prefer to approach humans displaying a submissive body posture rather than a dominant body posture

Signals of dominance and submissiveness are central to conspecific communication in many species. For domestic animals, sensitivities to these signals in humans may also be beneficial. We presented domestic horses with a free choice between two unfamiliar humans, one adopting a submissive and the other a dominant body posture, with vocal and facial cues absent. Horses had previously been given food rewards by both human demonstrators, adopting neutral postures, to encourage approach behaviour. Across four counterbalanced test trials, horses showed a significant preference for approaching the submissive posture in both the first trial and across subsequent trials, and no individual subject showed an overall preference for dominant postures. There was no significant difference in latency to approach the two postures. This study provides novel evidence that domestic horses may spontaneously discriminate between, and attribute communicative significance to, human body postures of dominance; and further, that familiarity with the signaller is not a requirement for this response. These findings raise interesting questions about the plasticity of social signal perception across the species barrier.     

The Future of Sales Training: Challenges and Related Research Questions

This paper discusses four key challenges and related research questions that will be critical to the future success of sales training in three major areas: content development, delivery, and evaluation. The four challenges are the changing roles of salespeople, the intensified emphasis on accountability, the enhancement of technological capabilities, and the importance of cultural diversity. To examine these issues and develop future research questions, the paper draws from reports of industry practices and academic literature in sales training, the sales/service interface, customer-oriented selling, social media, self-directed learning, and multicultural communications competency.     

Form and Matter in Kantian Political Philosophy: A Reply

This paper responds briefly to four reviews of Force and Freedom. Valentini and Sangiovanni criticize what they see as the excessive formalism of the Kantian enterprise, contending that the Kantian project is circular, because it defines rights and freedom together, and that this circularity renders it unable to say anything determinate about appropriate restrictions and permissions. I show that the appearance of circularity arises from a misconstrual of the Kantian idea of a right. Properly understood, Kantian rights are partially indeterminate, but not in a way that causes problems for the account. Ronzoni and Williams seek to broaden the reach of public right, arguing that Kant's abstract approach overlooks pressing questions of social and political life, (Ronzoni) and that public right should allow for democratic deliberation about purposes that go beyond the requirement that a state provide a rightful condition for its members (Williams). I argue that the Kantian view makes room for these factors, but that each must be understood in relation to the formal constraints of right.     

Questions of scientific responsibility: the Baltimore case

A number of cases of questionable behavior in science have been extensively reported in the media during the last two or three years. What standards are upheld by the scientific community affect the community internally, and also affect its relations with society at large, including Congress. Here I wish to address questions of scientific responsibility, using the Baltimore case as a concrete instance where they came up. The first part containing historical background is necessary to provide readers with documentation so that they can have some factual bases on which to evaluate respective positions and my conclusions that follow -- based on further but more succinctly summarized documentation. I have reproduced many quotes because I firmly believe people are entitled to be represented by their own wording. Conversely, I hold people accountable for their official positions. Some of these are reproduced in footnotes, and some longer ones are reproduced in appendices. I also do not ask to be trusted. By providing numerous references, I hope that readers who find my documentation insufficient can follow up by looking up these references.... The article is in six parts: Part I. Historical Background. This part gives mostly a historical background of the early phases of the Baltimore case. Part II. The First Issue of Responsibility. This part presents a discussion of certain scientific responsibilities based on that background, specifically: the responsibility of answering questions about one's work, and the responsibility whether to submit to authority. Part III. The NIH Investigations. This part summarizes the two NIH investigations. Part IV. The Dingell Subcommittee. This part deals with the responsibilities of a Congressional Committee vis-à-vis science. Part V. Further Issues of Responsibility. This part goes into an open ended discussion of many issues of responsibility facing scientists, vis-à-vis themselves and vis-à-vis society at large, including Congress. The list is long, and readers can look at the section and paragraph headings to get an idea of their content. Part VI. Personal Credibility, a Shift at the Grass Roots, and Baltimore's Persistence.     

An alternative view of the spouse of the therapist

A therapist's relationship with a spouse, i.e., partner in living, has an important influence on the quality of his or her professional functioning as this relationship offers a vital source of personal support and renewal. This relationship may aid in counterbalancing the weight of the therapist's professional demeanor by focusing on aspects of the therapist's interpersonal relatedness not commonly experienced with other professionals or with clients. The concept of a support-power base from which a therapist extends him or herself toward clients provides a context within which to view the therapist-spouse relationship. If this relationship is approached by the therapist without reliance upon a well-practiced professional role, it can make available opportunities for self-exploration which lead to enhanced personal growth and more effective functioning both personally and professionally.     

The therapist's self in dialogical family therapy: some ideas about not-knowing and the therapist's inner conversation

In this article, the focus is on the therapist's self, which will be in line with Bakhtin's thinking, viewed as a dialogical self. First, the dialogical view of the self is situated in the context of psychology's traditional focus on the individual self. Then, leaning on Bakhtin and Volosinov, the self is described as a dialogue of multiple inner voices. Some of the implications of this concept for family therapy practice are examined, focusing especially on the therapist's participation in the therapeutic process and on the therapist's inner conversation. The author argues that not-knowing does not only refer to the therapist's receptivity and respect but also implies that the therapist is aware of his or her experience and reflects on how his or her inner conversation might inform and enrich the therapeutic conversation. Finally, these ideas are illustrated with a brief clinical vignette.     

SOSA ON EPISTEMIC CIRCULARITY AND REFLECTIVE KNOWLEDGE

Abstract: Ernest Sosa has done important work on epistemic circularity, epistemic virtue, and reflective knowledge. He holds that epistemic circularity need not be vicious and need not prevent us from knowing that our ways of forming beliefs are reliable. In this article, I briefly explore Sosa's defense of this view and raise some questions about what is required for reflective knowledge.     

Sudden Death of the Therapist: The Effects on the Patient

While the termination phase of psychoanalytic psychotherapy has been discussed in the literature, the effects on the patient of a forced termination following the therapist's death have seldom been investigated. In this paper, two groups of patients (N = 35) were compared: those who experienced a planned termination and those who experienced a sudden termination as a result of their therapist's death. Data were gathered by means of detailed questionnaire and formal psychological assessment (i.e., the Grief Experience Inventory). Responses were also solicited from therapists who treated patients subsequent to the original therapist's death. Results indicate that patients forced to terminate due to the therapist's unexpected demise experienced significantly more intense grief reactions with regard to feelings of anger, despair, depersonalization, and somatization. The nature of the transference relationship with the original therapist at the time of the latter's death appeared to influence the subsequent therapeutic relationship as well. The authors present recommendations and practical guidelines concerning therapists' responsibility to their analytic patients to make reasonable accommodations in the event of their unexpected death.     

Authorship Matrix: A Rational Approach to Quantify Individual Contributions and Responsibilities in Multi-Author Scientific Articles

We propose a rational method for addressing an important question—who deserves to be an author of a scientific article? We review various contentious issues associated with this question and recommend that the scientific community should view authorship in terms of contributions and responsibilities, rather than credits. We propose a new paradigm that conceptually divides a scientific article into four basic elements: ideas, work, writing, and stewardship. We employ these four fundamental elements to modify the well-known International Committee of Medical Journal Editors (ICMJE) authorship guidelines. The modified ICMJE guidelines are then used as the basis to develop an approach to quantify individual contributions and responsibilities in multi-author articles. The outcome of the approach is an authorship matrix, which can be used to answer several nagging questions related to authorship.     

Beyond paradox: Issues of control

Abstract

The purpose of this paper is to clarify any possible misinterpretation of paradoxical treatment by reducing it to two major sets of issues: issues of positive refram-ing, and issues of control. Since issues of circularity and positive reframing have been considered at length and in detail in other sources, issues of straight-forward control will be considered here in greater detail than in the past. The major characteristic of symptomatic behavior is its uncontrollability. After consideration of certain paradoxes about control, guidelines to achieve control are given. The goal is to obtain control and give it away to families. The notion of control is considered within the context of positive reframing, which may be the only “circular” procedure in the whole process of intervention.     

What inductive explanations could not be

Marc Lange argues that proofs by mathematical induction are generally not explanatory because inductive explanation is irreparably circular. He supports this circularity claim by presenting two putative inductive explanantia that are one another’s explananda. On pain of circularity, at most one of this pair may be a true explanation. But because there are no relevant differences between the two explanantia on offer, neither has the explanatory high ground. Thus, neither is an explanation. I argue that there is no important asymmetry between the two cases because they are two presentations of the same explanation. The circularity argument requires a problematic notion of identity of proofs. I argue for a criterion of proof individuation that identifies the two proofs Lange offers. This criterion can be expressed in two equivalent ways: one uses the language of homotopy type theory, and the second assigns algebraic representatives to proofs. Though I will concentrate on one example, a criterion of proof identity has much broader consequences: any investigation into mathematical practice must make use of some proof-individuation principle.