An Overdue Reunion

The announcement of his high school class’ fiftieth year reunion prompted the author to read a short story and an essay he had written in high school. He discovered considerable continuity between the themes with which the boy was preoccupied (especially hope but also wisdom and love) and his adult vocational interests and writings. Invoking John Bunyan’s The Pilgrim’s Progress (1956) the author concludes that the high school boy who lives inside of him has been his faithful companion throughout the years. He also observes that the short story has proven prophetic because it tells about an old man in search of a young boy who appears to have found what both are searching for.     

Inference,practice and theory

Reichenbach held that all scientific inference reduces, via probability calculus, to induction, and he held that induction can be justified. He sees scientific knowledge in a practical context and insists that any rational assessment of actions requires a justification of induction. Gaps remain in his justifying argument; for we can not hope to prove that induction will succeed if success is possible. However, there are good prospects for completing a justification of essentially the kind he sought by showing that while induction may succeed, no alternative is a rational way of trying.Reichenbach's claim that probability calculus, especially via Bayes' Theorem, can help to exhibit the structure of inference to theories is a valuable insight. However, his thesis that the weighting of all hypotheses rests only on frequency data is too restrictive, especially given his scientific realism. Other empirical factors are relevant. Any satisfactory account of scientific inference must be deeply indebted to Reichenbach's foundation work.     

Containment in theory and practice

Abstract

This article selects the term ‘containment’ as a vehicle for an exploration of multi-professional work and communication in the general practice setting. The term was selected because of its widespread use by and relevance to the different professionals who work in general practice. It is sufficiently elastic to be applied to one-to-one work between patients and GPs, counsellors, nurses or complementary therapists, and to a multi-professional teamwork process.

The exploration of the concept in use at Marylebone Health Centre is complicated by the multi-professional nature of the team and then-wide range of belief systems and language groups. In the process of exploring the term, members of the team had to cope with their discovery that it was being used in contradictory ways. They decided that a new and more grounded definition in shared and ordinary (nonprofessional) language was needed, if the term were to become a vehicle for inter-professional collaboration and if unhelpful, anti-task social defences were to be minimised.     

Group-as-a-whole systems theory and practice

Group-as-a-whole systems theory is presented and applied to the practice of group psychotherapy. The individual and the group are conceptualized as two isomorphic systems in a hierarchy of living systems. The basic component of the group-as-a-whole is its subgroups, which exist independent of individuals whose subgroup memberships may change while subgroups remain stable. Subgroups come together around similarities and separate on differences, and contain differences for the group-as-a-whole to integrate in relationship to primary and secondary goals. The primary goals of system survival and maturation take precedence over the secondary goals, which relate to the environment. Goal achievement and individual change is explained as a function of group dynamics. In a therapy group, the dynamics of each phase of group-as-a-whole development serve as a major therapeutic force. Within each member, salient developmental issues are aroused, which resonate with the issues that the group is in the process of mastering. The task of the group-as-a-whole therapist is to facilitate the developmental process at both the group and the individual level. Therapeutic interventions are designed to facilitate the discrimination and integration of information at the boundaries between systems and subsystems: within the individual member system (intrapersonal) and between individual member systems (interpersonal), within the group-as-a-whole system, within subgroups, between subgroups, and between all systems in the relevant hierarchy and their environments.     

Object relations theory in clinical practice

This paper outlines the psychoanalytic techniques derived from ego psychology-object relations theory. It stresses the centrality of affects to interpretation and describes how the focus on dominant object relations in the transference modifies the economic, dynamic, and structural criteria for interpretation. Clinical examples illustrate this technique across a broad spectrum of psychopathology. The technique for genetic constructions and reconstructions in the transference is described, and this approach is contrasted with other object relations theories. Finally, the application of this approach to countertransference and dream analysis is summarized.     

Countertransference evolution in theory and practice

A framework is suggested for conceptualizing countertransference, based on expansion of the concept emerging subsequent to Freud's original view of the phenomenon: from Ucs to Cs, from reactions to transference to all reactions, from the analyst's neurosis to the analyst's functioning, from self-analysis to self-scrutiny, from obstacle to contribution. Particular attention is called to the advantages of maintaining the distinction between the patient's transference and the analyst's countertransference; the importance for successful psychoanalytic work of being aware of the subtleties of countertransference in work with neurotic patients, especially in contrast to the blatant countertransference experiences more disturbed patients thrust upon the analyst; the need for further investigation of the relations between the analyst's empathy, regression, and countertransference; the lack of understanding of and information about the homosexual countertransference, based on insufficient knowledge of the mechanisms of resistance to self-analysis, among other reasons; and the need for more reliable information about the limits of and indications for using countertransference responses in particular kinds of clinical situations, whether for informing the patient as to the analyst's responses to him, for informing the analyst in the interpretive process, or in formulating reconstructions. A clinical example provides an illustration of the complexity of countertransference-transference interaction and of the impact of countertransference on the transference.     

Rhetorical theory and family therapy practice

The study found that a connection exists between rhetoric and therapy because both fields are interested in using language as a tool for generating change. Persuasion is viewed as inherent in human communication, even though people do not necessarily intentionally attempt to persuade others. Following a brief (but detailed) explanation of the theoretical stance which informs the implementation of rhetorical techniques in therapy, three pragmatic exemplars are offered to demonstrate the employment of two classical rhetorical concepts, the parastasis catalogue and syncrisis.The authors are grateful to Sandra Kodner, MS for her participation in the development of this project.     

Problems in relating theory to practice

Two kinds of difficulties, which should be made explicit, face a researcher undertaking empirical work in an institution. First, he must explain how he chooses his theoretical framework, in so far as what he sees and the information he obtains will depend far more than is often admitted on the type of questions he asks. Secondly, he must try to clarify the way in which he adapts his original intentions in the light of the practical difficulties that occur in the actual research situation, and how he interprets the evidence he finally decides is relevant. These points are illustrated by the study of an ‘open’ Borstal for girls. The aim of the study was to try to understand the workings of the institution, to outline the process which led to the Borstal sentence, and to attempt to discover the way the girls looked at the situation. The research was motivated by Matza's guiding principle, ‘to be true to the phenomena’, but even this, as this paper tries to show, does not lead to an unambiguous body of facts which can be presented unequivocally as ‘findings’.     

Between practice and theory: Melanie Klein,Anna Freud and the development of child analysis

An examination of the early history of child analysis in the writings of Melanie Klein and Anna Freud reveals how two different and opposing approaches to child analysis arose at the same time. The two methods of child analysis are rooted in a differential emphasis on psychoanalytic theory and practice. The Kleinian method derives from the application of technique while the Anna Freudian method is driven by theory. Furthermore, by holding to the Freudian theory of child development Anna Freud was forced to limit the scope of child analysis, while Klein's application of Freudian practice has led to new discoveries about the development of the infant psyche.     

rethinking domestic violence in theory and practice

Drawing on the author's previous work, this article suggests that conceptual advantages result from envisioning domestic violence on a larger continuum of “normalized” to “extreme” sadomasochistic interactions (including gendered interactions that can also range from “ordinary” to “deviant” in how they are perceived). Thereafter, it may be harder to ignore how redressing social inequities involving gender as well as racial and class imbalances can amount, at least in terms of prevention, to anti-domestic violence measures of one important kind. More concretely, proceeding from the assumption that domestic violence remains disturbingly common (even though its exact scope is difficult to ascertain), this article contrasts how this social problem would best be approached in theory and how it often continues to be dealt with in practice. In making this comparison, a cursory review of recent policy developments in this area, from mandatory arrest policies and laws (and the criticisms these have engendered) to more recent interest in restorative justice and collaborative empowerment, is presented and incorporated into the paper's larger argument.     

Clinical pragmatism: bridging theory and practice

This response to Lynn Jansen's critique of clinical pragmatism concentrates on two themes: (1) contrasting approaches to moral epistemology and (2) the connection between theory and practice in clinical ethics. Particular attention is paid to the status of principles and the role of consensus, with some closing speculations on how Dewey might view the current state of bioethics.