Practicing Harm Reduction Psychotherapy: An Alternative Approach to Addictions

P. Denning (2000). Practicing Harm Reduction Psychotherapy: An Alternative Approach to Addictions.     

An Integrative Clinical Approach to Cultural Competent Psychotherapy

To provide effective psychotherapy in cross-cultural situations, cultural issues need to be adequately addressed. We describe core concepts of cultural competence relevant for psychotherapists to consider. A contextualized approach to conducting cultural competent assessment and formulation is recommended, including the use of DSM-5 Outline for Cultural Formulation and Cultural Formulation Interview. We introduce a cultural competent framework to help therapists become more mindful of culturally relevant interactions in therapy. Finally, a three-tier system is proposed for the examination of psychotherapy models through a cultural lens. The concepts and framework described can be flexibly and pragmatically integrated into a therapist’s regular clinical work, increasing the therapy’s effectiveness across diverse populations.     

An Object-Relations Approach to Psychotherapy with Marital Couples,Families, and Children

AN APPROACH to object relations is presented here that conceptualizes the dynamics of interpersonal relationships. Although it is beyond the scope of this paper to provide a thorough review of the object-relations school of thought, the concepts introduced here have direct clinical implications for understanding and influencing the dynamics of the patient-therapist dyad, of the marital pair, and of the family unit. Included are the following concepts: (a) Couples in conflict are viewed as more similar than dissimilar despite apparent differences; (b) The therapist's countertransference reactions are seen as not irrational but a valid reflection of the patient's struggle; (c) The adult or child who is the identified patient is often a carrier or container of the split-off, unacceptable impulses of the other(s); (d) The individual is perceived as part of a unit in which even the more obvious pathological traits have an inherent healthy reparative function.     

Family-Focused Relational Psychotherapy: An Integrative Approach and Its Application to Adult Children of Divorce

This paper presents an integrative model of treatment—family focused relational psychotherapy—and applies it to work with adult children of divorce (ACDs). Three areas of assessment are identified—(a) assessment of individual ego development, (b) assessment of family of origin functioning, and (c) assessment of the nature of the parents' divorce (e.g., level of conflict). Based on this assessment, the treatment model is presented, which integrates strategies from relational/psychodynamic therapy, family of origin work, and experiential techniques. Case examples are presented to demonstrate the appropriate integration of these techniques with clients at different levels in the assessment schema. In addition, a review of the literature on the long-term effects of divorce on children suggests several specific issues that may arise in treatment. These include low self-esteem, emotional distress, externalizing problems, and interpersonal problems such as fear of commitment, difficulty trusting, a high rate of divorce, and strained relationships with parents.     

Definitional and Research Issues in the Common Factors Approach to Psychotherapy Integration: Misconceptions, Clarifications, and Proposals

This paper focuses on two common misconceptions of common factors in therapy. The first misconception entails the confusion between common factors and therapeutic factors, and thus the inappropriate and misleading use of the term therapeutic common factors in various situations. The second misconception is the mixing of commonalities of different kinds and levels in proposed lists and studies of common factors. These areas are discussed and clarified, and recommendations designed to facilitate conceptual and methodological improvements relative to each misconception are offered. The selection of best levels and kinds of common factors to be studied are further explored (i.e., the study of client change events and antecedent therapist behaviors across different therapies), and specific proposals for their research are outlined.     

Leadership in the Therapist-Centered Group-as-a-Whole Psychotherapy Approach

Psychodynamic group therapy, by definition, offers group members an opportunity to revisit some of the earliest developmental stages. The authors argue that conflicts around separation and individuation are stimulated with each beginning and ending of an intimate group. The leader of that group is similarly challenged around these primary conflicts. The question of group contagion, difficulties around the capacity to be alone, and the problems of projective identification are explored as they have an impact on leaders in a group. Case examples are offered to illustrate leadership problems along these dimensions.     

Tao Psychotherapy: Introducing a New Approach to Humanistic Practice 1

This article introduces a relatively new and unknown approach to humanistic psychotherapy, called Tao Psychotherapy that was founded by a Korean psychiatrist, Dr. Rhee Dongshick, in 1974. Today, Tao psychotherapy is a synthesis of Eastern and Western psychotherapies seeking to integrate psychoanalytic, existential, humanistic, and transpersonal, and Eastern perspectives in a single coherent approach. The article opens with a brief overview of the Tao and Taoism. A sample of writings attributed to Lao Tzu and Chuang Tzu is presented as a prelude to a discussion of the meaning of the Tao itself. Following this, the author, a daseinsanalytic psychotherapist who has been studying Tao psychotherapy in South Korea for over two years, presents an overview of this approach, introducing Rhee Dongshick and the Korean Academy of Psychotherapists as well as the distinctive character of this new approach to humanistic practice. The article closes with a reflection on the ancient allegory of the ox herder, as seen in the famous ten ox herder pictures, discussing it from Taoist and Heideggerian perspectives, especially as it is relevant to the process of psychotherapy. Throughout the article the author reflects on the cultural sources of Tao psychotherapy and on the implications of the approach for humanistically attuned, depth psychological thought and practice.     

Mordechai Rotenberg's Dia-logo Therapy: A New Approach to Dialogical Psychotherapy

This article attempts an overview of Mordechai Rotenberg's second and third books, Dialogue with Deviance and Re-Biographing and Deviance, and an in-depth analysis of his fourth book Dia-logo Therapy. It shows how Rotenberg builds on his early studies of Protestantism and American individualism and on his Talmudic, Hasidic, and Jewish hermeneutic background to offer a challenging rereading of the task of the therapist. This includes the bridging of the rational and the irrational, the factual and the mystical, through psychonarration and re-biographing. It also includes a trenchant distinction between the unilateral truth of Aristotle, Hegel, Marx, and Freud and the multilateral truth of Socrates, the Talmud, and Martin Buber. Throughout the article a comparison is made between Rotenberg's thought and that of both Martin Buber and Maurice Friedman.     

心理咨询中的突然获益：工作同盟及初始症状的影响

对82位当事人在咨询中的症状改变过程进行纵向研究,检验突然获益模式（Sudden Gain, SG）的发生及其与咨询效果的联系,并探索初始症状水平、工作同盟对SG的影响。结果表明,24.93%的当事人经历了SG,咨询效果显著好于其他当事人;SG组与对照组在初始症状水平和总体工作同盟水平上差异显著。结论：SG出现于本土心理咨询中,经历SG的当事人取得了更好的咨询效果,工作同盟与初始症状水平与SG的发生相关。     

Fortunate Strangers: An Experience in Group Psychotherapy by Cornelius Beukenkamp,Jr.

The subjective response of aliveness in the work of the group may be a valuable signal on the journey toward creative character change in group therapy. In order to promote change in others, the group therapist must engage deeply and use internal responses as guides during interactions with group members as well as in relation to the group as a whole. Subjective awareness of increased aliveness that is linked with a sense of the work of the group may guide both therapist and group participants in the midst of inevitable anxieties and passions aroused during this quest for new vitality and freedom in relationships in the group. Winnicott's concept of potential space as well as group-relations theory about the primary task provide a conceptual foundation for this approach not only on the level of the individual member within the group but also on the level of the group as a whole.