Reversal theory and psychotherapy: A review

The present paper aims to review the emerging practice of structural phenomenological psychotherapy derived from the theory of psychological reversals and to provide some extensions of this practice. The paper does not provide a full account of reversal theory, which is available elsewhere (Apter, 1982; Apter et al., 1985). It does, however, provide an account of the way in which this theory can be applied to the practice of therapy. Throughout this paper, counselling and psychotherapy are regarded as synonymous.     

Systems theory and psychotherapy

All systems behave, interact, vary in their level of complexity, and are related in subsystem-suprasystem hierarchical relationships. The behaviour of the whole system is more complex than the sum of its parts. Systems are seen to evolve in complexity along a continuum from nonliving matter, to simple living matter with the ability to reproduce itself, and on to organisms with increasing levels of complexity and consciousness.     

A theory of causality: Causality=interaction (as defined by a suitable quantum field theory)

In this paper I put forward a suggestion for identifying causality in micro-systems with the specific quantum field theoretic interactions that occur in such systems. I first argue — along the lines of general transference theories — that such a physicalistic account is essential to an understanding of causation; I then proceed to sketch the concept of interaction as it occurs in quantum field theory and I do so from both a formal and an informal point of view. Finally, I present reasons for thinking that only a quantum field theoretic account can do the job — in particular I rely on a theorem by D. Currie and to the effect that interaction cannot be described in (a Hamiltonian formulation of) Classical Mechanics. Throughout the paper I attempt to suggest that the widespread scepticism about the ability of quantum theory to support a theory of causality is mistaken and rests on several misunderstandings.     

Group psychotherapy and neuro-plasticity: an attachment theory perspective

This article selectively highlights relevant areas of neuroscience research which have direct application for attachment theory and group psychotherapy. Emerging evidence from the neurosciences is revealing that the developing brain of the infant, sculpted by the earliest attachment relationships, continues to be malleable in adulthood and can be profoundly influenced by ongoing relationships throughout one's lifespan. Advances in the neurosciences are also supporting the idea that strong attachment bonds and external interpersonal interactions that arise within the context of these attachments are registered as a person's neurophysiology and neurobiology. Attachment theory in particular provides a common language and conceptual framework from which the contributions from the neurosciences can be made applicable to group psychotherapy.     

Essential theory, processes, and procedures for successful group psychotherapy: Group cohesion as exemplar

With few exceptions or at the very least cautions (cf. Burlingame, MacKenzie & Strauss, 2003) group psychotherapy has proven to be an effective and efficient treatment for a number of psychological disorders (Burlingame, Kapetanovic, & Ross, 2005). This article will briefly describe a theory that underlies successful group therapies. In addition, certain group processes—those elements that occur during the group itself that appear to be necessary conditions for improved patient outcomes—will also be addressed, although unfortunately, the sufficient conditions tying moment-to-moment process to actual outcome (improved patient functioning by the end of therapy, and at 6-month follow-up, for instance) are not quite as easily delineated. A closer study of the group therapeutic factor cohesion will be utilized as an example of these practice and research dilemmas. Finally, suggestions for future directions, which might more clearly uncover important connections between process and outcome, are addressed.     

Consciousness as a concrete physical phenomenon

The typical empirical approach to studying consciousness holds that we can only observe the neural correlates of experiences, not the experiences themselves. In this paper we argue, in contrast, that experiences are concrete physical phenomena that can causally interact with other phenomena, including observers. Hence, experiences can be observed and scientifically modelled. We propose that the epistemic gap between an experience and a scientific model of its neural mechanisms stems from the fact that the model is merely a theoretical construct based on observations, and distinct from the concrete phenomenon it models, namely the experience itself. In this sense, there is a gap between any natural phenomenon and its scientific model. On this approach, a neuroscientific theory of the constitutive mechanisms of an experience is literally a model of the subjective experience itself. We argue that this metatheoretical framework provides a solid basis for the empirical study of consciousness.     

Perceptual Consciousness as a Mental Activity

I argue that perceptual consciousness is constituted by a mental activity. The mental activity in question is the activity of employing perceptual capacities, such as discriminatory, selective capacities. This is a radical view, but I hope to make it plausible. In arguing for this mental activist view, I reject orthodox views on which perceptual consciousness is analyzed in terms of (sensory awareness relations to) peculiar entities, such as, phenomenal properties, external mind‐independent properties, propositions, sense‐data, qualia, or intentional objects.     

Using cultural theory to analyze psychotherapy

This paper introduces cultural theory, which used to be called Grid-Group theory, as a useful model to provide a basis for ordering research, for understanding face-to-face relationships and linking together various levels of human experience.     

Exercise as psychotherapy

The use of exercise as a psychotherapeutic agent is reviewed. The benefits of exercise are considered to impact both physiological processes and psychological factors such as self-esteem and more efficacious self-talk. The possibility of the use of exercise as an adjunct to both pharmacotherapy and psychotherapy is suggested.