Socratic Questioning and Irony in Psychotherapeutic Practices

Journal of Contemporary Psychotherapy - Socratic questioning is employed in therapeutic interventions when the beliefs that clients express are critically evaluated using reason and logic. In this...     

Forming Canada 's Ethnoracial Identity: Psychiatry and the History of Immigration Practices

Although most Canadians agree that theirs is not a perfect society, they see it as capable of perfection and take comfort in knowing that it is certainly better than most. The conservative implications of such a position are quite clear, and this is the basis on which we describe Canada as a nation in denial. It is a denial based on the myth of classlessness and general refusal to acknowledge the existence of systemic or structured inequalities along gender, racial, and many other lines. Our principal focus is the issue of racial inequality in the history of Canada 's immigration policies and practices, and we contend that denial is an intrinsic aspect of the national mythology of Canada as a benign, innocent country comprising the Great White North. We take a critical look at immigration entry restrictions that were aimed at ensuring a certain racial and ethnic purity in the new nation, what we call sanitization. To this end both the profession of psychiatry and psychiatric practitioners were enlisted. Thus, it was common to find that "lunacy and idiocy "were invoked as justifications for eliminating certain categories of potential immigrants. To this end psychiatry, eugenics, and "sanitary science "were closely connected, and their collective effect was to intensify boundaries of nation, citizen, and health. Social issues were transformed into personal defects associated with entire races through the use of terms like feeble-mindedness and degeneration. The seemingly unconscious infiltration of religious, color or moral polarities in the theories of the "new sciences "likewise became embedded in racist government policies, which served to inform the emerging national identity.     

Implementation and Evaluation of Evidence-Based Psychotherapeutic Practices for Youth in a Mental Health Organization

The current initiative and program evaluation study is a demonstration of the research to practice process in youth-focused psychotherapy. We collaborated within a community-university partnership to create practice and research infrastructure in order to develop, implement, and evaluate two new models of service founded on evidence-based psychotherapeutic practice parameters. The two new service models incorporated validated interventions to address behavior problems in elementary age children, and depression in adolescents, which were delivered in separate but similarly run intensive outpatient programs within a mental health setting. We utilized a rigorous training, technical assistance, fidelity monitoring, and outcome measurement strategy to promote the integrity and quality of services provided. The resultant programs were delivered with acceptable to high fidelity and effects on youth and parenting measures collected during program and from pre to post showed a decrease in targeted problems in youth and positive benefits for families. This initiative and program evaluation adds to the accumulating research-to-practice literature in children’s mental health.     

精神科复诊的处理

当精神科复诊病人主诉疗效不好、不良反应或药价太贵时,精神科医生应当做些什么,同时,能否处理好医、患、药之间的相互关系,对病人的病情转归都有十分重要的影响。     

Correcting the Scholarly Record in the Aftermath of Plagiarism: A Snapshot of Current‐Day Publishing Practices in Philosophy

Individuals discovered to have engaged in serial plagiarism in philosophy are few, but the academic publishers falling victim to them are many. Some of the most respected publishing houses in philosophy have recently dealt with the problem of having published plagiarized material. The various responses by these publishers to an instance of serial plagiarism, one that involves forty‐three articles and book chapters, provides a real‐time snapshot of the practices for correcting the scholarly record. The analysis offered in this article yields a twofold conclusion: first, there is relatively little uniformity among publishers in philosophy for responding to plagiarism; and second, in comparison with the natural sciences the discipline of philosophy often falls short of the accepted practices for correcting the scholarly record. The article considers only public, documented cases of academic plagiarism in philosophy and makes no new allegations of plagiarism.     

An Approach to the Study of the Small Group in a Psychiatric Day Hospital

Adults in midlife can be significantly helped through group treatment that is sensitive to the developmental issues of the age period. The author suggests that the developmental crisis of midlife—Generativity versus Stagnation—can, through unconscious processes, become a group crisis as well. A group state of stagnation, enveloping the members as well as the leader, if understood and worked through, can significantly facilitate the developmental progress of its midlife members. A clinical example demonstrates how a therapist helped his midlife group move out of stagnation and toward generativity.     

Psychotherapeutic work with refugees: Understanding the therapist's countertransference

Abstract

Most therapists are chosen to work with refugees because they speak the language or come from the same cultural or racial background and/or have had experiences which resonate with those of the client. They are often people who can easily understand the clients' experiences, which creates interesting and potent therapeutic dynamics. They can offer a great deal of support to the person, but often with the high risk of over-identification. This paper is an attempt to examine from the therapist's perspective the complex dynamics involved in working with refugee clients. It is a collection of thoughts and feelings expressed in psychotherapeutic and supervisory work by different types of refugee mental health workers. It is an attempt to understand the therapeutic relationship further by focusing on the therapist's psychological response to the client. The paper will outline briefly some of the common themes reported by refugees, but the primary aim is to focus on the therapist's countertransference feelings. Countertransference in this context is defined as a personal psychological response, as well as consisting of socio-political components.     

Psychiatry in the labyrinth: Deconstructing deviancy

Abstract

Deviancy is a key concept in psychiatry and other therapeutic disciplines, because it dramatizes the way in which they depend on the establishment of norms, in order to justify their theory and practice. The writings of Derrida as well as Goethe provide a different view: that “deviation” from a “norm” can be fundamentally important to the well‐being of the norm. Thus deviancy can be viewed not as something to be “corrected” but rather as a creative possibility to be encouraged and shaped in productive ways. As a case of “deviancy” we have selected the writings of John Perceval, whose Narrative provides a critique of the mental‐health establishment of his day, particularly the asylum, and offers an alternative to 19th‐century views of “lunacy.” We see his “schizophrenic” commentary on his “psychosis” and its treatment as analogous to the deconstructive, “schizophrenic” discourse of postmodernity which is similarly critical of the reigning, modernist psychiatric order.     

Staff Practices and Social Skill Outcomes in a Sport-Based Youth Program

Staff are key contributors to quality sport-based youth programming. Specific practices leading to positive youth outcomes warrant further investigation. This study examined social skill outcomes resulting from participation in a sport-based youth program, LiFEsports. In addition, relationships among emotional and autonomy supportive staff practices and outcomes were examined. Results pointed to the value of sport-based youth programs for promoting self-control among youth from vulnerable backgrounds and indicated that youth-perceived emotional and autonomy supportive staff practices predicted improvements in perceived self-control but not perceived externalizing behaviors.     

Evaluation of Symptoms and Alexithymia in Psychiatric Patients: A Naturalistic Longitudinal Study in a Day Hospital

This study aimed to examine the effectiveness of a time-limited (10 months), combined individual and group treatment in a Day Hospital (DH) setting. Participants (N = 73) completed measures of general symptoms and alexithymia. We hypothesized improvements in these symptoms at the end of the overall therapeutic treatment. Results showed significant improvement in ability to identify and describe emotions and feelings, and in general symptoms. Differences in age and personality disorders were found at the end of the treatment: younger patients had less difficulty in identifying emotions, and psychotic patients have higher difficulty to describe feelings compared to patients with personality disorders. Furthermore, patients with schizophrenia had lower pathological symptoms compared to patients with mood disorders. This naturalistic longitudinal study demonstrates that DH treatments in group setting increase the patient‘s ability to symbolize and to connect their symptoms to thought and emotions.     

Behavioral Treatment of Test Anxiety in a Drug Abuse Vocational Rehabilitation Day Program

Anxiety is one of the critical factors present in initiating and maintaining a drug-dependent pattern of behavior. This study examines test anxiety. The objective was to determine if a behavioral approach can be applied to the treatment of test anxiety in a vocational rehabilitation program for drug abuse clients. A case history is presented. Procedural details for applying behavioral techniques are discussed. The results of the study indicate that the treatment strategies selected were effective in reducing test anxiety. One of the side effects of using an approach that puts the technology of behavior change into the hands of the client is that the skills learned during treatment can be used to cope with problems other than those discussed with the counselor.     

A Survey of Management Selection Practices in Greece

The results of a study of managerial recruitment and selection methods in Greece are presented. Forty-eight organizations responded to the postal survey. Questionnaires addressed the frequency of use of different methods and attitudes towards their use. Greek firms tend to use intuitive and subjective methods, such as interviews, curriculum vitae and personal recommendations. Interviews are considered the most valid predictors of future job performance followed by written examinations and psychological tests, while application forms followed by references and personal recommendations are viewed as the least valid.     

Dream Reflection in Logotherapy: Facilitating the Psychotherapeutic Process and Case Studies

Logotherapy or Existenzanalyse is a treatment orientation developed by the late Viennese psychiatrist, Dr. Victor Frankl. Frankl's orientation places primary emphasis upon helping the client to notice, actualize and honor the meaning and meaning potentials in his or her life. This helps the client to shrink his/her existential meaning vacuum, and the symptoms and problems that grow and flourish in this existential vacuum. In this article Frankl's treatment orientation is briefly outlined, with a focus on the use of dream reflection to facilitate the Logotherapeutic process which is illustrated through case material.     

Nursing Practices in Catholic Healthcare: A Case Study of Nurses in a Catholic Private Hospital

We aimed to investigate Catholic Identity and Mission communication specifically how nurses were expressing the Catholic healthcare values in practice. A mixed-methods, case study design was used and included non-participant observation, a mid-level manager focus group (n = 7) and online surveys (n = 144). Document and observational data analysis revealed the organisation’s commitment to visible indication of Catholic values adherence. Focus group analysis revealed two themes, ‘Catholic values in action’ and ‘taking the extra step’. The impact of Catholic Identity and Mission on nurses and nursing care recipients remains elusive and warrants further understanding.