Male liberation

This article on Liberation approaches the subject from the perspective ofmen. Women have taken the lead in trying to throw off the bondage of patriarchy. Men have, for the most part, been reactors to the evolving changes. The author feels that there is a more creative role for men to play, but first, we must become more conscious of the ways in which our privileged position oppresses us. The author documents this dynamic as well as points to some possible directions for men to move in their personal and professional lives. The priority on developing collegiality and inclusiveness in our professional associations gives this subject an important place in our thinking and decisionmaking.This paper was read at a workshop on male liberation at the National A.A.P.C. Convention in San Antonio, April 30,1982.     

The Protean Therapist

SUMMARY

The subject of the following article is the protean journey therapists make as they adapt to changing situations and challenges in their own lives and the ultimate impact it has on their clinical work with patients. I have used the example of my own life, in which certain critical events have transformed me from a person with a rather ordinary perspective to someone who has come to appreciate the fragile nature of life with its rich tapestry of complicated ties and patterns. I have tried to demonstrate that significant events in my life and my personal development over the past thirty years have furthered my appreciation and treatment of my patients. I have also come to recognize that my patients' particular journeys, on which I have accompanied them, have similarly contributed to and enriched my life in myriad ways.     

Tales of a Therapist

ABSTRACT

Historically, theorists and clinicians from various schools of family therapy have discussed therapist self-disclosure in terms of either helping or inhibiting therapeutic progress. Although postmodern language-based theorists and therapists accept and encourage its use, few clinical examples of therapist self-disclosure exist in the family therapy literature. In this paper, a postmodern family therapist working within the language-based tradition describes the use of self-disclosures with a couple. The therapist then reviews the effects of those self-disclosures through the eyes of husband, wife, and therapist.     

Waking the Dead Therapist

The treatment of persons with dissociative adaptations is often filled with the stirring and emergence of intense affective states. Often bereft of words, these affective states remain to be articulated by either patient or analyst, as best they can tolerate. I present a case to illustrate the ongoing struggle in a countertransference analysis of unbidden and initially uncontrollable sleepiness in the analyst as a pathway toward greater understanding of intense affects in both patient and analyst. The benefits and risks of disclosing the analyst's subjective experience is explored.     

Therapist Perceptions of Client Reactions

This study examined therapist ability to identify client-reported reactions. Sixteen therapists each saw two volunteer clients for single counseling sessions. In postsession reviews, clients rated the helpfulness of, and indicated their reactions to, each therapist intervention. Therapists also rated the helpfulness of, and indicated their perceptions of client reactions to, each therapist intervention. In 50% of the instances therapists matched clients, that is, reported the same reaction cluster as the clients did. There were higher match rates on the reaction clusters of therapeutic work (62%), supported (54%), and no reaction (46%) than negative reaction (27%) and challenged (14%). When therapists matched on therapeutic work, helpfulness ratings for the following intervention were higher than when therapists did not match. In contrast, when therapists matched on negative reactions and no reaction, helpfulness ratings for the following intervention were lower than when they had not matched. Thus, therapists' ability to match client reactions was related to their ability to generate helpful interventions. Implications for practice and future research are discussed.     

Unconventional Therapist: Albert Ellis

Albert Ellis is one of counseling's most prolific authors, having written more than 40 books and 500 articles, most on the topic of Rational Emotive Therapy (RET). As RET's progenitor, he has been a moving force in the current renaissance of interest in the cognitive behavior movement. In this interview Ellis discusses his theory and its application and aspects of his personal and family life.     

Reassessing Predictors of Therapist Competence

Clinicians frequently cite theoretical orientation and training as the central aspects of therapist competence: however, research has indicated that neither is predictive of therapy outcome. Instead, nonspecific factors such as therapist personal characteristics may be the primary determinants of successful outcome. A redefinition of therapist competence is necessary to complement the continued search for significant predictors of therapy outcome.     

Therapist Self-as-Context and the Curative Relationship

This article discusses how the way the therapist relates to his or her personal responses to client material during the session contributes to making the relationship with the client an effective tool for treatment. Ideas from third wave behavior therapy are used to describe aspects of therapist involvement in the relationship and modes of therapist awareness of inner responses. In two vignettes, negative client reactions to an intervention bring problematic therapist material to the fore. Both cases highlight how the stories the therapists spun about themselves as professionals and persons could easily have limited their effectiveness in responding to the material. The vignettes also illustrate how clinicians can overcome personal meanings and judgments to access a more productive mode of interacting with the feelings a critical incident in the relationship evokes in them. It is argued that observing their own content from a psychological distance makes it possible for clinicians to use their feelings without getting caught up in them. These same feelings may then help the therapist perceive how the incident relates to the client’s daily life problems. The therapist’s engagement in a sense of self-as-context is described as a therapeutic stance that provides the psychological distance needed to help overcome alliance ruptures and other potential gridlocks and which may transform the therapist’s inner response to client content into a tool for addressing important client issues.     

The Masochism of the Group Therapist

With tongues firmly in cheek, the authors catalogue and explicate the many miseries of the group therapist. They hypothesize a deep well of masochism to account for the otherwise inexplicable tenacity of group therapists in forming and leading their groups.