Reconceptualizing difficult groups and difficult members

Group leaders can expect to encounter group and member behaviors and attitudes that are usually termed as difficult. This article presents a different perspective that focuses on how the group leader can better understand and make visible what the troubling behavior is communicating about unspoken or unconscious needs, fantasies and desires. Suggestions for more effective interventions are proposed.     

Why Skinner is difficult

Skinner's views are commonly misrepresented. One reason for this difficulty is that changes in the way that Skinner formulated his views occurred in a gradual evolution over time throughout Skinner's career, and the changes and their significance were not as conspicuously marked as they might have been. Among these changes were a movement from a two-term necessity to a three-term contingency; a movement from discriminative stimulus to setting as the first term in his three-term contingency; and a movement from determinism to random variation as a foundational principle in his selectionist behaviorism. When not seen in their historical development over time, a sample reading of Skinner's views may readily result in misleading or inaccurate interpretations, particularly in respect to his later work. Seen in historical context, however, the accounts that survived after the changes Skinner made are well integrated in a selectionist theory of behavior.     

Toward engaging the difficult patient

The difficult patient is here described as the one who does not readily accept the usual definitions of the treatment relationship and who tends to get the therapist to be overly-engaged in the therapeutic process. The therapist must be clear not only about his own characterological issues and counter-transference predispositions, but also about the unique propensity of these patients for the enactment of conflicts. While empathy is the sine qua non of our therapeutic work, the need to set limits and to address hostility should not be underestimated if these patients are to be engaged in any meaningful psychotherapy. To maintain an empathic perspective, the therapist must appreciate the purposefulness of the patient's defensive characterological behavior and that it cannot simply be dismissed as mere pathology. Such a perspective may help the therapist to better respond to the patient's behavior as a communication about his sense of self and his concerns about relatedness. This will facilitate the engagement process.     

Advantages of difficult tasks1

If people work on a hard task before proceeding to one of intermediate difficulty, success will be relevant (predictive of future success) while failure will be irrelevant (not predictive of future failure). However, if they work first on an easy task, success will be irrelevant (not predictive of future success) while failure will be relevant (predictive of future failure). Previous research thus suggests that experience with hard tasks should always lead to more favorable evaluations of one's performance and better future performance than experience with easy tasks. The present study tested these predictions by manipulating initial expectancy (high or low), perceived difficulty of a set of practice problems (practice problems easier, harder, or equal in difficulty to those on a subsequent test), and practice problem feedback (success or failure). As predicted, experience with hard practice problems was most beneficial, regardless of the level of the feedback which students received. This was more true for males than females and for students with high ability than students with low ability.     

Psychoanalytic supervision of the difficult patient

Control cases from the broad group of non-neurotic but potentially analyzable patients appear with increasing frequency. The intense, complex transferences they develop place great stress on the psychoanalytic relationship and evoke marked countertransference reactions in psychoanalytic candidates, which reverberate within the supervisory relationship. Through application of a case study method, common themes emerge in the candidate-supervisor dyad: idealization of the supervisor and of classical technique, identification with the patient, parallel process enactments, difficulty maintaining the analytic frame, and the importance of concurrent training analysis. Classical supervisory techniques must be adapted to the "difficult" (non-neurotic) control case. Complex countertransference issues must be carefully addressed while maintaining the teach/treat boundary.     

Knowledge management in decision making and decision support

A knowledge-oriented view of decisions and decision making is introduced, as a complement to classical perspectives and as a contribution of under-standing computer-based possibilities for relaxing strains on decision makers. This perspective includes a model of knowledge management activities performed by a decision maker and a taxonomy of knowledge types. It leads to a characterization of decision-support-system purpose, traits, and potentials that offers a basis for new research into computer-based possibilities for knowledge management. Clyde W. Holsapple holds the Rosenthal Endowed Chair in Management Information Systems and is Professor of Decision Science and Information Systems at the College of Business and Economics, University of Kentucky.     

Response modes, decision processes and decision outcomes

Until recently, research on riskless multiattribute decision making has generally ignored a distinction among response modes, i.e. the type of response required of the decision maker. This neglect persisted in spite of the results of early studies on preference reversals in gambles, which showed a distinct difference between the decision outcomes of choice and those of judgment. This article examines the effects of response modes in relation to two explanations proposed in recent response mode studies: the compatibility hypothesis and the response mode continuum. An experiment was conducted with a process tracing technique (information boards), in which 104 subjects made decisions on the quality of student papers submitted for publication. Four response modes were compared: selecting, rejecting, classifying, and ranking of alternatives. In addition, information load was manipulated. Response mode influenced both the decision process and the decision outcome. The results are interpreted as supporting the response mode continuum idea, but not the compatibility hypothesis. A classification of response modes is proposed.     

Endless forms most beautiful 1

Beautiful form rather than efficient cause is the crucial category for understanding living processes, especially evolution. Drawing on the fields of non-equilibrium thermodynamics and citing Darwin's own observations, the author proposes a new understanding of form that corresponds to the dynamism present in living forms and overcomes the limitations of other metaphysical notions of form. Form as beautiful “dynamic form” promises an enriched empiricism, which not only can speak “correctly” about nature but also “well” of nature. In other words, an enriched empiricism of beautiful dynamic forms allows for a fruitful dialogue between science and theology. It avoids theological explanations that call for special divine intervention in the world of Nature which threaten the dignity and self-integrity of Creation. It opens up a view, however, of a divine “milieu,” a divine “Openness,” that providentially calls for beautiful dynamic forms to emerge and entangle through the evolutionary process of nature.     

Information about expert decision and post‐decision distortion of facts of own decision

Cognitive representations of decision problems are dynamic. During and after a decision, evaluations and representations of facts change to support the decision made by a decision maker her‐ or himself (Svenson, 2003). We investigated post‐decision distortion of facts (consolidation). Participants were given vignettes with facts about two terminally ill patients, only one of whom could be given lifesaving surgery. In Study 1, contrary to the prediction, the results showed that facts were distorted after a decision both by participants who were responsible for the decisions themselves and when doctors had made the decision. In Study 2 we investigated the influence of knowledge about expert decisions on a participant's own decision and post‐decisional distortion of facts. Facts were significantly more distorted when the participant's decision agreed with an expert's decision than when the participant and expert decisions disagreed. The findings imply that knowledge about experts' decisions can distort memories of facts and therefore may obstruct rational analyses of earlier decisions. This is particularly important when a decision made by a person, who is assumed to be an expert, makes a decision that is biased or wrong.