Symptom reduction and termination: client change and therapist identified reasons for saying goodbye

Empirical efforts have focused on predicting whether or not clients prematurely terminate therapy, with nonattendance of last session equated to premature termination. However, this fails to explore the relationship between clients’ distress reduction and reasons for termination. With this study, we aimed to understand how clients’ distress change relates to premature termination and examine clients’ distress change in conjunction with therapists’ perceptions of termination reasons. We collected data from 797 clients who prematurely terminated or attended termination but completed therapy a minimum of three individual sessions provided by 38 therapists. Clients completed an assessment of psychological symptoms before each session. At the end of treatment, therapists identified the reasons they believed termination occurred for all clients in the sample. Results demonstrate that total sessions attended and missed predict premature termination, whereas distress change does not. Additionally, clients who were believed to accomplish goals do show greater change. However, therapists’ indicated that over half of clients did not reach goals at termination and they did not perceive nonattendance at last session to equate to drop out in all cases. Implications are discussed with respect to understanding why clients’ terminate, therapeutic goal conceptualization, and review of goals during termination in time-limited psychotherapy.     

How to endure presentism

Presentism and endurantism are natural bedfellows: arguments have been mounted from endurantism to presentism and vice versa. I generalise an argument against the compatibility between presentism and endurantism offered recently by Tallant (forthcoming. “Presentism, Persistence and Trans-temporal Dependence.” Philosophical Studies). I then show how to reformulate endurantism so that it is compatible with presentism. I demonstrate that this reformulated version of endurantism can do the same work with respect to the problem of temporary intrinsics as can standard definitions.     

Introducing Science to the Psychology of the Soul: Experimental Existential Psychology

ABSTRACT— Humans live out their lives knowing that their own death is inevitable; that their most cherished beliefs and values, and even their own identities, are uncertain; that they face a bewildering array of choices; and that their private subjective experiences can never be shared with another human being. This knowledge creates five major existential concerns: death, isolation, identity, freedom, and meaning. The role of these concerns in human affairs has traditionally been the purview of philosophy. However, recent methodological and conceptual advances have led to the emergence of an experimental existential psychology directed toward empirically investigating the roles that these concerns play in psychological functioning. This new domain of psychological science has revealed the pervasive influence of deep existential concerns on diverse aspects of human thought and behavior.     

Dynamic probability of reinforcement for cooperation: Random game termination in the centipede game

Experimental games have previously been used to study principles of human interaction. Many such games are characterized by iterated or repeated designs that model dynamic relationships, including reciprocal cooperation. To enable the study of infinite game repetitions and to avoid endgame effects of lower cooperation toward the final game round, investigators have introduced random termination rules. This study extends previous research that has focused narrowly on repeated Prisoner's Dilemma games by conducting a controlled experiment of two‐player, random termination Centipede games involving probabilistic reinforcement and characterized by the longest decision sequences reported in the empirical literature to date (24 decision nodes). Specifically, we assessed mean exit points and cooperation rates, and compared the effects of four different termination rules: no random game termination, random game termination with constant termination probability, random game termination with increasing termination probability, and random game termination with decreasing termination probability. We found that although mean exit points were lower for games with shorter expected game lengths, the subjects' cooperativeness was significantly reduced only in the most extreme condition with decreasing computer termination probability and an expected game length of two decision nodes.     

Dynamic stability during running gait termination: Predictors for successful control of forward momentum in children and adults

Reported differences between children and adults with respect to COM horizontal and vertical position to maintain dynamic stability during running deceleration suggest that this relationship may not be as important in children. This study challenged the current dynamic stability paradigm by determining the features of whole body posture that predicted forward velocity and momentum of running gait termination in adults and children. Sixteen adults and 15 children ran as fast as possible and stopped at pre-determined location. Separate regression analyses determined whether COM posterior and vertical positions and functional limb length (distance between COM and stance foot) predicted velocity and momentum for adults and children. COM posterior position was the strongest predictor of forward velocity and momentum in both groups supporting the previously established relationship during slower tasks. COM vertical position also predicted momentum in children, not adults. Higher COM position in children was related to greater momentum; consistent with previously reported differences between children and adults in COM position across running deceleration. COM vertical position was related to momentum but not velocity in children suggesting that strategies used to terminate running may be driven by demands imposed not just by velocity, but also the mass being decelerated.     

British and Pakistani children's understanding of death: Cultural and developmental influences

This study explored British and Pakistani 4‐ to 7‐year‐olds’ (N = 188) understanding of death. The aim was to examine possible influences on the acquisition of the subcomponents of the death concept by investigating how they are understood by children of different ages and cultural and religious backgrounds. Three groups of children were compared: White British and British Muslim living in London, and Pakistani Muslim living in rural Pakistan. In line with previous research (Slaughter, 2005, Aust. Psychol., 40(3), 179), irreversibility of death was one of the first subcomponents to be acquired, while causality was the last. The two groups of British children shared many similarities in their understanding of inevitability, applicability, irreversibility, and cessation. Pakistani Muslim children understood irreversibility earlier than did children in both British groups. In all three cultural groups, children's responses demonstrated very limited understanding of causality. Our findings support the view that aspects of a mature understanding of death develop between the ages of 4 and 7 years and that the process of understanding death as a biological event is, to a great extent, universal. They also suggest that aspects of children's reasoning are influenced by culturally specific experiences, particularly those arising from living in rural versus urban settings.     

Punishment of responding under schedules of stimulus-shock termination: effects of d-amphetamine and pentobarbital.

Responding maintained in squirrel monkeys under 5-min fixes-interval schedules of either food presentation or termination of a visual stimulus associated with electric-shock delivery was suppressed by presenting an electric shock for every thirtieth response (punishment). In monkeys responding under the schedule of food presentation, d-amphetamine sulfate only further decreased punished responding, and pentobarbital sodium markedly increased punished responding, as expected from previous reports. In monkeys responding under the schedule of stimulus-shock termination, however, the effects of the two drugs were opposite: d-amphetamine markedly increased punished responding, whereas pentobarbital only decreased responding. Thus, the effects of these drugs on punished responding were different depending on the type of event maintaining responding. These and previous results indicate that it may be misleading and inaccurate to speak of the effects of drugs on "punished responding" as though punishment were a unitary phenomenon. As with any behavior, the effects of drugs and other interventions on punished responding cannot be accurately characterized independently of the precise conditions under which the behavior occurs.     

Containment lost: the challenge to child psychotherapists posed by modern CAMHS

The paper is an examination of some emotional challenges facing child psychotherapists working in modern CAMHS following the introduction of the NHS internal market for commissioning and providing services. Its introduction has brought the loss of organisational containment for all CAMHS clinicians. The meaninglessness in work reported by clinicians is a clue to this loss. This loss is especially difficult for child psychotherapists because of their particular investment in the apprehension of meaning in symptoms and other presentations by patients. The paper proposes that meaninglessness is itself a clue to the ascendancy of what Freud called the death instinct, and that this is inherent within the internal market model. Because service design and delivery is predicated upon it, the internal market model structurally determines that clinicians are bound to senior management in a way that leaves child psychotherapists open to professional life-threatening dynamics associated with the death instinct. The ?K (Bion) world of CAMHS is thus deathly, leaving child psychotherapists vulnerable to self-destruction. We have lost a workplace in which our approach flourished conferring on us the identity of a discipline structurally favoured, because of the help we provided through this approach to patient and clinic work. This loss of identity brings the dangers of containment lost. This situation leaves child psychotherapists emotionally vulnerable and is akin to Satan’s loss in Milton’s Paradise Lost.     

Never ready: Addictions counselors dealing with client death

This study explored the experiences of addictions counselors who have undergone client death and the immediate and long-lasting impacts of client death on addictions counselors through the consensual qualitative research (CQR) method. We conducted semistructured interviews with 10 participants exploring their lived, in-depth, experiences in working with clients with addictive disorders with focus given to the death of clients and how they responded to the experience. Results from a data analysis process using the CQR method indicate eight domains: (a) professional ethics, (b) coping skills, (c) client care, (d) preparation for profession, (e) experience of addiction, (f) agency impact, (g) exploring the death experience, (h) recommendations, and 28 categories embedded in each of these domains. Implications for counselor education, training, and practice are discussed.     

Managing the death of close others: Evidence of higher valuing of ingroup identity in young adults who have experienced the death of a close other

The death of a close other (DOCO) is perhaps the most difficult experience that people endure. According to terror management theory (TMT), people manage the potentially terrorizing awareness of their mortality by immersing in cultural worldviews that allow them to feel like valuable members of a meaningful universe who may have some existence or trace after death. Although TMT has potential implications for understanding how people cope with DOCO, few studies have examined this possibility. We report results from four studies showing that, in line with TMT, students who experienced DOCO reported stronger valuing of their identification with their in-groups, which in turn was associated with higher levels of self-esteem. These findings shed new light on the social-psychological dynamics of DOCO.     

The role of psychologists in requests to hasten death: A literature and legislation review and an agenda for future research

The opportunity for patients to request support to die is legalised in several countries and is associated with the development of a social and political debate that has taken place in recent years. We believe that psychologists can contribute to this debate. Here, we conducted a literature and legislation review with the aim of understanding arguments regarding the roles of the psychologist in hastening death. A systematic review of the peer-review literature in this field was carried out. The legislation of each country with hasten death practices was analysed to understand if psychologists are included in the protocols of hasten death practices. Despite a lack of literature, we found competence assessment, communication, psychological counselling, research and training and public policy to be the possible roles of psychologists in requests to hasten death. Based on the review, an agenda for future research is developed. We highlight the importance of psychology, raising its profile in the study of the various forms of death hastening requests.     

Searching for the Self: An Identity Control Theory Approach to Triggers of Occupational Exploration

Identity control theory researchers have found evidence for two processes of identity development (identity defense and identity change) and have theorized a third process (identity exploration). College students (N = 123) self-rated as high or low in occupational identity certainty and importance received self-discrepant feedback to induce identity disturbance, and dependent measures of identity defense, identity change, and identity exploration were obtained. As predicted, high certainty about identity standards led to identity defense, while low certainty led to identity change. Although an interaction between certainty and importance was hypothesized to predict identity exploration, results showed that the two operated independently. Low certainty predicted exploration of additional occupational areas, whereas high importance predicted exploration of self, environment, and additional occupational areas.     

Return to Sepharad: Is it possible to heal an ancient wound? A reflection on the construction of large-group identity

Abstract

Spanish parliament recently issued a new law offering Spanish nationality to Sephardic Jews who so desired and could demonstrate a basic knowledge of the Spanish language and culture. This law attempted to redress a five-centuries-old injustice and was expected to unleash both criticism and praise. Surprisingly, reactions in the public or the press were minimal or absent. Reasons for this are explored through a qualitative study with focus groups, which showed ideas that can be grouped into four main categories: ignorance, justice, distrust, and fear. It is hypothesized that the predominantly silent response to the new law might be due to the fact that it touches on an extremely sensible issue: the historically fragmented Spanish identity. A position of negation is constructed, to avoid deep anxieties related to the fragile core of a collective identity built from many “others” forced to the refuge of an introspection that protects them from the conviction of not fulfiling the ideal identity status, known by all but reached by none. All those “others” have mixed their bloods with the Old Christians along the centuries, possibly transmitting a profound insecurity about their personal and collective identity that might contribute to understanding current social reactions.     

When and how social movements mobilize action within and across nations to promote solidarity with refugees

When and how do social movements form to mobilize action across national boundaries? In the context of the 2015 movement to support Syrian refugees, we develop an integrative model of transnational social movement formation shaped by pre-existing world-views (social dominance orientation and right-wing authoritarianism) and social media exposure to iconic events, resulting in an emergent group consciousness (“we are”, “we believe”, “we feel”). Group consciousness is, in turn, the proximal predictor of solidarity with refugees. Participants were from six countries: Hungary (N = 267), Romania (N = 163), Germany (N = 190), the United Kingdom (N = 159), the United States (N = 244) and Australia (N = 344). Multi-group structural equation models confirmed that group consciousness, shaped by individual differences and exposure to events through social media, was the proximal predictor of solidarity. The subjective meaning of group consciousness varied across samples, reflecting national differences. Results support the importance of considering individual and national differences, and group processes in understanding emergent social movements.     

The death of an analysand: transference, countertransference and desire

This paper is offered as an exploration of transference and countertransference issues when, in the process of analysis, the analysand becomes terminally ill. Written from the point of view of the analyst, eros and boundary issues are discussed. It is proposed that those who are about to die may form particularly intense erotic attachments and that this is characteristic of a speeded up individuation process. The paper is based on the case of a suicidally depressed man who formed an immediate, dependent and erotic transference. After three months, he was diagnosed as having an inoperable lung cancer. From then on the analytic frame was challenged by pressures to act out in a number of different ways. It is argued that gender difference and the heterosexual pairing facilitated the differentiation of adult, sexual and Oedipal feelings from infantile, pre-Oedipal ones. Maintenance of the analytic frame enabled the individuation process to continue to the end.     

Aggression,violence, and the death of a Dutch soccer hooligan: A reversal theory explanation

In March 1997, an aggressive and violent confrontation took place between more than 3000 rival soccer hooligans in the small town of Beverwijk in the Netherlands. In the prearranged and well‐organized confrontation, a 35 year‐old man was beaten and stabbed to death and others were seriously wounded. In this paper, the details of what happened at Beverwijk and the response of the Dutch authorities, including the subsequent arrest and conviction of the main perpetrators, are reviewed. In addition, the psychological approach of reversal theory [Apter MJ. 1992. The Dangerous Edge. New York: The Free Press] is used to answer several unresolved questions about the motivation of the Dutch soccer hooligans involved in the aggressive behavior and violent fighting at Beverwijk. Aggr. Behav. 28:1–10, 2002. © 2002 Wiley‐Liss, Inc.     

Becoming a leader: catalysts and barriers to leader identity construction

ABSTRACT

In response to increased calls for research that can provide greater understanding of the relational and contextual issues surrounding leader identity construction processes, this qualitative study aims to provide insights into the subjective experience of constructing a leader identity within the context of organizations. Drawing on data from 50 semi-structured interviews, this paper focuses on significant sub-themes, which were grouped into two categories, namely identity catalysts (e.g. issues that participants identified as positively aiding in their leader identity construction process) and identity barriers (e.g. issues that participants identified as negatively impacting their leader identity construction process). These catalysts and barriers will be elaborated upon and their relationship to leader identity explained. This paper provides new insights into the leader identity construction process by using Leadership Identity Construction Theory as a lens for interpretation, and offers notable implications for theory, research and practice.