Patient goals and therapist behavior patterns in triadic partnership therapy

From various concepts of therapy an integrative attempt at a three-way partnership therapy (two partners and a therapeutist) has developed, with observable and testable interaction variables (concretised as patients' aims and therapeutists' behavior) being derived. Patients' aims (aims to advance the therapy) are regarded as one aspect of the relationship, which it is attempted to improve. Besides considering the verbal behavior of patients and therapeutist, patients' experience during treatment and experience outside of the therapy were examined. Empirical investigation has show that the integration of therapeutists' variables can frequently achieve certain targets in patients' behavior, and that a partial breakup of destructive communication patterns and alterations on the level of experience attitudes, ........, emotions, etc.) can be achieved.     

Some thoughts on the creation of the child psychotherapist's role in a major teaching hospital

Twenty-three children, aged four to eight years, who had been exposed to violent attacks, were videotaped in individual 40-minute play sessions. These play narratives were recorded by a student researcher trained in narrative analysis and play therapy. She then sorted these play vignettes into three patterns of post-traumatic play, defined in the Children's Play Therapy Instrument/Adaptation for Trauma Research (CPTI/ATR). The three patterns were re-enactment with soothing; re-enactment without soothing; and overwhelming re-enactment. Each pattern was analysed further by the student researcher and the two authors of the scale to specify in detail the qualitative features of each pattern. Factors leading to resilience are identified and the contribution of play activity to repair is discussed.     

Perceptions of the therapist in family therapy

Thirty-five families completed ratings describing their perceptions of their therapists. These ratings were then correlated with measures of outcome to assess whether there was a relationship between experiences of the therapist and treatment outcome. Further, the study addresses whether some family members' perceptions are more influential in affecting the course of treatment. The results showed that family members' perception of the therapist does have an impact on treatment outcome, but not all members affect the outcome equally. Further results and their implications are discussed.     

Marital therapy outcome measured by therapist, client, and behavior change

The present research examined marital therapy outcome, in a sample of 88 couples and 22 therapists, through the use of multidimensional criteria from multiple perspectives. Three paper-and-pencil patient self-report instruments were used to measure different aspects of the couple relationship. In addition, therapist post-therapy ratings and objective observer ratings of the couple behavior during therapy were obtained. Past debates about what the "right" criteria might be for measuring therapeutic change prompted our strategy. Special attention was focused on those criteria that could be classified as "inside" or "outside" of the couple relationship. Data analysis revealed a significant relationship between the couples' and therapists' ratings of improvement in therapy. Additionally, husband and wife negative acts (behaviors) in therapy were also significantly correlated with therapists' ratings of improvement. Both statistically significant and clinically significant criteria were employed to evaluate the therapy outcome. Improvement due to therapy as measured by the three self-report instruments varied from 38% to 58%. These differences appeared to stem from the different kinds of information yielded by the specific tests.     

Some thoughts on impossible figures

Based on an artistic analysis of the construction of "impossible figures," their structure and the origin of the perceptual effects they induce are discussed, including the use of a basic indeterminate space of intersection, penetration of indeterminate solids, and symmetry. These and other points are illustrated by 17 progressively more complex figures constructed by the author.     

Some thoughts on counsellor training

The main object of counsellor training is to help trainees to offer an effective counselling relationship. It is suggested that this requires three main training elements: personal, practical, and academic. Ways in which the personal development of trainees may be fostered include individual support counselling and a weekly encounter group session. While constructive feedback is necessary, a minimum of evaluation is suggested so that the trainee can feel safe and free to explore himself. Pre-placement training focused on empathic understanding is considered essential before the trainee is allowed to embark upon supervised placement, and a programme of practical work training is outlined. Reasons for including academic work are also discussed, and appropriate academic content is suggested. Finally, the problem of obtaining suitably qualified trainers is considered, along with the desirability of trainers continuing to counsel, and the need for adequate administrative support for training programmes.     

Some thoughts on Experiencing Time

This paper examples several arguments from Simon Prosser's book Experiencing Time. His argument against the doctrine of the specious present is applauded. His argument that even if time passes, nothing can detect the passage of time, is questioned. Also challenged are his claims that our experience represents things as enduring, rather than perduring, and represents things as having contradictory properties.     

Some thoughts on moving West

Abstract

This paper outlines an application of psychoanalysis in the tradition of Donald Winnicott in the clinical practice of paediatric diagnostic radiography. A practical way in which psychoanalytic theory may be employed in the care of essentially ‘normal’ children and their parents in the ‘abnormal’ setting of a district general hospital is demonstrated. The themes of holding and the effect of impingements, transitional phenomena and creative apperception and experiencing are addressed. A brief case study of one 15-month-old child is presented.     

Some thoughts on Likert-type scales

Many articles published in the International Journal of Clinical and Health Psychology describe the results obtained in studies that have used Likert-type scales. Such scales have advantages and disadvantages and in this article I comment on some of these. In particular I comment on the effects of using scales that start with the positive end and finish with the negative one, and on those that present high ratings on the left - as opposed to the right. I also consider that scores on negatively-worded items differ from those obtained on positively-worded ones and that it is not, therefore, appropriate to simply reverse the scores obtained on such items. Finally, I note that some items on these scales present more than one issue and it is hard to know whether when responding to these items, respondents are responding to all of the item or just one part.