Unpublished draft paper on sexuality by Donald Meltzer

Editor's note : Albert Mason discovered an unpublished paper by Donald Meltzer dating from around 1968 and has made the text available to the IJP. He writes “my best guess is that Meltzer gave me the paper to read/approve about the time I was preparing to move to Los Angeles (1968–69) and that I hastily packed it away with other papers. It got buried, and only came to light recently, kind of like a lost score that turns up in someone's attic!” The patient Meltzer discusses in his paper is a patient who Dr Mason treated for approximately 11 years, and about whom Dr Mason consulted with Dr Meltzer early in the treatment. Dr Mason has also provided the original report he wrote about the patient in the 1960s. Following an introduction by Dr Abbot Bronstein, we have published extracts from Dr Mason's report, including the following: details about the case, the two dreams which Dr Mason believes were ‘turning point dreams’, and a third dream called the ‘hula hula dream’, as well as the clinical material leading up to it.     

The unconscious ego-ideal and analytic group psychotherapy

The theoretical position of this paper is that the essential character of the ego-ideal, a part of superego functioning, is unconscious, universal, and functions automatically. Precursors to superego development and ego-ideal formation begin at early preoedipal levels, and derivations in adult behavior contain primitive aspects. Ego-ideal is perfectionistic and impossible to obey;therefore, projection of this phenomenon as well as its activity leads to disappoinment, anger, anxiety, depression and despair. Pseudomoral injunctions frequently rationalize and disguise early primitive aspects of unconscious superego development and ego-ideal formation. These points are illustrated by clinical material, showing the therapeutic action in the group which leads to a modification of this critical, self-defeating aspect of adult functioning.Copyright, 1987, Washington Square Institute for Psychotherapy and Mental Health, which published this paper in No. 14 of the Group Psychotherapy Monograph Series, after the paper had been presented at the Fourteenth Annual Conference of the Group Psychotherapy Department, and presented by invitation at the ninth congress of the International Association of Group Psychotherapy, Zagreb, Yugoslavia, August 1986.Dr. Edwards was formerly an Associate Supervisor and Faculty Member in the Group Department at the Postgraduate Center for Mental Health.     

Does Every Good Behaviorist Deserve Favor? A Reply to Neil Jacobson

This is a response to Dr. NeilJacobson's article, An Outsider's Perspective on Psychotherapy Integration, which appears in this issue. It addresses the issue of the differences between eclecticism and psychotherapy integration as well as the possible advantages integration holds over a one-model therapy system. This article suggests that virtually all psychotherapy systems operate under an integrated three paradigm model, and offers some concrete examples of this explanation. It also suggests that the use of psychotherapy integration may lead to a better paradigm match between client and therapist, and ultimately to better outcome. This article concludes that psychotherapy integration possibly offers the best alternative in terms of reducing the biases of one's underlying treatment oaradiem.     

Instituting music in the Boston public school curriculum: A classic example of the diffusion of innovation

Music came into American public schools via stages now identified as typical in the diffusion process. Pioneer educator Lowell Mason won acceptance for curricular music in Boston in 1838. His experience exemplifies steps characteristic in the diffusing of educational innovation. American music education owes its acceptance to his skillful handling of factors and processes identified by modern diffusion research. Carol A. Pemberton is the author ofLowell Mason: His Life and Work (1985),Lowell Mason: A Bio-Bibliography (1988), and many articles on music, music education, interdisciplinary studies, and English. Dr. Pemberton teaches English composition at Normandale Community College, Bloomington, Minnesota. Her composition textbook,Practical English, will be published in 1989 by Scott, Foresman/Little, Brown.     

Training in group-analytic psychotherapy in Europe

Group-analytic psychotherapy focuses on the making and maintaining of close, emotionally fulfilling relationships. Its practitioners attempt to fuse an individual and a whole-group perspective, and seek to provide the enabling conditions for freer communication between group members. The group-analytic approach is widely used in the United Kingdom, and many experiential groups on psychotherapy training courses are conducted on group-analytic lines. The Institute of Group Psychotherapy in London recognizes eight one-year courses in England and Scotland specifically oriented to group-analytic theory and methods. These courses provide an introduction to group psychotherapy to over 300 professionals of varied backgrounds every year. There are also two courses in the United Kingdom that provide a full training in group-analysis and group-analytic psychotherapy, and 11 courses on the continent of Europe. The number of courses is growing and there is now a European Group-Analytic Training Network providing formal links between them. Results of a postal survey indicate that few (10%) attenders at a one-year course have a negative response and that many (85%) recommend the course to colleagues. The efficiency and therefore reduced cost of group teaching and the incorporation of a group experience may be contributing factors to the increasing demand for this type of training.This paper is based on a presentation at an Open Session on Training in Group Psychotherapy: The Quest for a Viable Model at the American Group Psychotherapy Association Annual Meeting, Boston, February 1990. This paper represents the author's own views and is not an official statement of the Institute of Group Analysis [London]. However, members and staff of the Institute have made helpful contributions to the author in preparing it. He is especially grateful for the assistance of Mrs. Liesel Hearst (Chairperson, Overseas Training Sub-Committee, Institute of Group Analysis, London), Dr. Keith Hyde (Convenor, Manchester Course in Group Psychotherapy), Fr. Jim Christie (Convenor, Glasgow Course in Group Psychotherapy), and Dr. Vivienne Cohen (Chairperson, Training Committee, Institute of Group Analysis, London, in preparing this paper. The questionnaire study was conducted with the assistance of the Training Section of the North-Western Regional Health Authority.     

The therapist's poetry as a therapeutic incident

Poetry can be understood as an intrapsychic record of introspection, and as a means for interpretation in the therapeutic situation. In this installment (the second of a series to be eventually published at book-length) the authors examine from their personal research the uses, as well as dangers, of utilizing poetry in therapy. Poetry should not be used as a gimmick to direct the process of therapy, but as a point of spontaneous interaction, insight, and empathy. Used appropriately, poetry may bring to the client and to the therapist insight and meaning. The therapist may also use his or her own poetry as a creative means for recognizing countertransference in the therapeutic setting.Dr. Moss is an Episcopal Priest and the Executive Director of The Seabury Institute for Pastoral Psychotherapy, Atlanta, Georgia. He is also the co-author ofThe Organization and Administration of Pastoral Counseling Centers and Book Review Editor ofThe Journal of Religion and Health. Dr. Christensen is Senior Consulting Psychiatrist to the Pastoral Psychotherapy Institute, Park Ridge Illinois. In 1981 he was the recipient of the American Association of Pastoral Counselors' Distinguished Contributions Award. This paper was initially presented at the Southeast Regional Conference of The American Association of Pastoral Counselors, Hendersonville, N.C., 1983. Reprint requests should be directed to: The Seabury Institute, 2997 Piedmont Road N.E., Atlanta, 30305.     

The Hispanic Female Adolescent: A Group Therapy Model

This essay serves as an introduction to a collection of articles on group psychotherapy for children that appears in the following pages. These articles are an outgrowth of a symposium on children's group treatments presented at the 1990 Annual Conference of the American Group Psychotherapy Association. The present author provides a general overview of relevant literature and offers an orientation to the subsequent theoretical and practical integrations.     

In and Out the Garbage Pail

The following comments provided by Dr. Saul Scheidlinger are in response to the article Psychodynamic Group Psychotherapy written by J. Scott Rutan, which appears in the January 1992 issue of the Journal.     

Men,shame and antisocial behavior: A psychodynamic perspective

This paper discusses the psychosocial factors that contribute to male antisocial behavior. The role of shame and related affects is emphasized. Compensatory defenses associated with these affects are also described. Developmental concepts are reviewed in the light of recent research. Finally, some of the issues involved in doing psychotherapy with this population are discussed, with an emphasis on the value of group therapy.Parts of this paper were presented at the second annual conference onCulture, Race and Ethnicity in Group and Family Therapy which was sponsored by the Eastern Group Psychotherapy Society and New York University and was held in New York City, March 20–22, 1987.     

Group psychotherapy with alcoholics: Interface with self-help groups

This paper addresses recovering alcoholics' concurrent involvement in psychotherapy groups and self-help groups. A developmental model of alcoholism group psychotherapy is presented, differentiating between early and advanced sobriety. Psychotherapy and self-help groups are compared and contrasted. Multiple group membership entails various areas of compatibility. Divergence and conflict result from differences in underlying conceptual framework and approach. Clinical implications of members' involvement in partially discrepant group settings are explored with an emphasis on transference and countertransference reactions. Multiple group membership is identified as a salient factor in alcoholism group psychotherapy at all levels of recovery.She is also in private practice.This paper was presented at the American Group Psychotherapy Association Annual Conference, Boston, February 1990.     

Editorial

This paper is a response to William Meredith-Owen’s paper presented at the inaugural joint conference on ‘Alchemy, a bridge to Jung’s objective psyche’, for The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in autumn 2020. The paper presents a way of understanding the collective unconscious through the functioning of the core self, and thus offers a bridge which addresses the indivisibility of the personal and collective psyche/unconscious, referencing Mary Williams’ (1963) classic paper. Specifically, this is applied to Winnicott’s dream of destruction that he had after reviewing Memories, Dreams, Reflections, as well as to parts of the psyche that were dissociated due to significant early deprivation – the primary narcissistic wounds. Alchemical metaphors are shown to relate to the analytic process, which allows the primitive core self (with its identificatory, participatory, connecting nature), when integrated through relationship, to sink back into the unconscious and function as the Self.     

Developing a research tradition consistent with the practices and values of counselling and psychotherapy: Why Counselling and Psychotherapy Research is necessary

Despite the general acknowledgement that it is important for counselling and psychotherapy practice to be informed by research, it is clear that in recent years a widening gap has emerged between research and practice. This paper briefly reviews some of the factors responsible for the current crisis in therapy research and offers a number of reasons why a healthy relationship between research and practice is necessary. It is suggested that, at present, there exists within psychology and social science a level of acceptance of pluralistic and innovative approaches to research, which may facilitate the emergence of a new genre of practitioner‐oriented inquiry in the field of counselling and psychotherapy. Some of the ways in which Counselling and Psychotherapy Research intends to contribute to this movement are described, for example the promotion of new forms of writing, use of information technology, and the creation of knowledge communities. Readers are invited to participate in this endeavour.     

A Japanese View of Dependency:

White American culture celebrates independence, self-reliance, and individual choice as hallmarks of healthy mental and emotional functioning. However, from a feminist perspective, the disproportionate emphasis on independence in American culture reflects the predominance of the white, middle-class, male point of view; appropriate models for health dependency have been neglected. This paper offers an alternative view of dependency from the perspective of Japanese culture. The structure of Japanese society is predicated on subordinating the needs of the individual to that of family or community and interdependency is highly valued. A psychodynamic theory proposed by Doi (1973) is used to explain the role of dependency in Japanese society. The concept of amae is examined as the central organizing dynamic and its influence on Japanese psychotherapy is also discussed. The Japanese emphasis on amae is often misunderstood by Western thinkers and one example of a racist interpretation of Japanese behavior by a prominent Western theorist is critically reviewed. Lastly, some suggestions are made regarding applications of amae psychology to feminist theory and therapy.     

Psychic development and the group analytic situation

Psychic development can be viewed as the emergence and establishment of coherency which is an aspect of organization. This paper discusses the concept of coherency and reviews some early developmental processes in the mother/infant interaction that establish coherency. The development of the matrix of the analytic group is viewed as the establishment and development of group coherency. Finally, the link between the development of individual coherency and group coherency is outlined.Dr. Malcolm Pines is a Consultant Psychotherapist at Tavistock Clinic, founder member of the Institute of Group Analysis (London), member of the British Psychoanalytical Society, and Past President of the International Association of Group Psychotherapy.     

Processing local and unbounded dependencies: A unified account

This paper proposes an account of incremental sentence processing and the initial stage of syntactic ambiguity resolution, based on the claim that the processor seeks to provide semantic interpretations for sentence fragments as soon as it possibly can. In this model, there is no fundamental distinction between local and unbounded dependencies. The processor employs a version of categorial grammar based on dependency grammar, in which dependency constituents are derived from dependencies between words and are permitted to overlap. The processor seeks to form dependency constituents as soon as it can, and to give interpretations to these fragments immediately. The initial stage of ambiguity resolution is determined by theprinciple of dependency formation, under which the processor automatically chooses an analysis that allows a single dependency constituent to be formed in preference to one that does not. The motivation is semantic: Such an analysis maximizes the amount of incremental interpretation that is possible. But if more than one analysis is compatible with the formation of a single constituent, the processor can appeal to a range of sources of nonsyntactic information in making its choice. I show how this account can capture a range of psycholinguistic evidence without positing any fundamental distinction between local and unbounded dependencies.     

Termination in a work group: Four models of analysis and intervention

Four alternative models for understanding and consulting with work groups are presented. The major propositions of each model are summarized and then applied to the same case of work group functioning. The author is interested in the application of theory and especially how differing models focus upon the same or different group phenomena. The author advocates the importance of increased attention to the functioning of professional work groups as a means of improving training and the delivery of health services. However, such analysis should include the use of social science models as well as the more commonly employed understandings derived from an intrapsychic model of group behavior.The author wishes to thank Dr. Marvin Aronson, Dr. Nina Fieldsteel, Dr. Marcia Lawler and Dr. Bennett Roth for their encouragement and assistance during the development of this paper.     

Poetry as a therapeutic avenue

The significance of poetry in the context of pastoral psychology has not, as yet, received the attention it has in professional psychoanalytic literature. The authors of this series (eventually to be published at book-length) provide a terse but extensive review of such research, underscoring the therapeutic value of symbolic,intrapsychic artistry. Religious ideation, as well as other intrapsychic expressions, are incorporated by means of personal therapeutic situations focused on a patient's or client's poetry. With permission, these poems are quoted directly. From this data and their clinical experiences, the authors set forth two modes for considering unconsciously defensive or consciously self-disclosive uses of written poetry in and during psychoanalytic pastoral counseling or psychotherapy.Dr. Christensen is in the private practice of psychiatry, Northbrook, Illinois. He holds senior academic positions at the medical schools of Northwestern University and the University of Illinois, Chicago, as well as the post of Consulting Psychiatrist to The Community Pastoral Counseling and Consultation Center, Lutheran General Hospital, Park Ridge. Dr. Moss is the Executive Director of The Seabury Institute for Pastoral Psychotherapy, Atlanta. He is also the co-editor ofThe Organization and Administration of Pastoral Counseling Centers, Book Review Editor of theJournal of Religion and Health, and Editor of Artistic Photography forPilgrimage: The Journal of Existential Psychology. Reprint requests should be directed to: All Saints' Episcopal Church, 634 West Peachtree Street, N.W., Atlanta, GA 30308.     

Acceleration of the therapeutic process with group

This paper deals with the impact of adding group to individual treatment of patients with neurotic character problems and attempts to illustrate the efficacy of this dual approach. The formidable task for the individual therapist is to make these patients see that their habitual ways of reacting are pathological and stem from repressed intrapsychic conflicts. This task is facilitated in a group in a number of ways since the group setting becomes an arena that affords wider therapeutic scrutiny. Having become aware that behavioral characteristics disguise anxiety, other group members initiate independent efforts to extract the underlying meanings for their fellow members. Their interventions are often more effective and acceptable because they are less likely than the therapist to be perceived in the projected image of the bad parent.Copyright, 1980, Washington Square Institute for Psychotherapy and Mental Health, which published this paper in No. 7 of the Group Psychotherapy Monograph Series, after the paper had been presented at the Seventh Annual Conference of the Group Psychotherapy Department.     

Bidirectionality of parallel process and the ego syntonic learning system

A model is presented of an ego syntonic learning system which functions through the use of the parallel process. It is proposed that a bidirectional parallel process may be observed across various teaching modalities and used to understand learning problems in a group psychotherapy training pmgram. One stream of parallel process issues from the trainees, who unconsciously act out their unresolved conflicts and unsatisfied learning needs in the training program. The second stream emanates from the training staff, whose unresolved conflicts over leadership and training philosophies interfere with optimal learning conditions for the trainees. Clinical examples illustrate this bidirectional phenomenon.An earlier version of this paper was presented at the Seventh Annual Conference of the Canadian Group Psychotherapy Association, Ste. Jovite, Quebec, October 1986.     

Unity in duality: The synthesis of individual and group psychoanalytic psychotherapy

Contrary to the notion that individual and group therapy tap differing psychic functions, developmental levels, or therapeutic goals, in this paper the two modalities are seen as parts of an integrated whole, to be understood via the metaphorical and symbolic communications in each; each is a holographic reflection of the whole, the two together being internally consistent. Different levels of defensive operations may be observable in each, but taken together they reflect the entirety of the patient's psyche. The group's developmental level as well as the active use of this integrative approach by the therapist are also important. Clinical illustrations are presented.Paper presented at the Xth International Congress of Group Psychotherapy, Amsterdam, August 1989. The author acknowledges with gratitude the numerous invaluable contributions by Ms. Anna Aragno in the preparation of this paper.