Clinical practice as natural laboratory for psychotherapy research: a guide to case-based time-series analysis

Both researchers and practitioners need to know more about how laboratory treatment protocols translate to real-world practice settings and how clinical innovations can be systematically tested and communicated to a skeptical scientific community. The single-case time-series study is well suited to opening a productive discourse between practice and laboratory. The appeal of case-based time-series studies, with multiple observations both before and after treatment, is that they enrich our design palette by providing the discipline another way to expand its empirical reach to practice settings and its subject matter to the contingencies of individual change. This article is a user's guide to conducting empirically respectable case-based time-series studies in a clinical practice or laboratory setting.     

Time as a guide to cause

How do people learn causal structure? In 2 studies, the authors investigated the interplay between temporal-order, intervention, and covariational cues. In Study 1, temporal order overrode covariation information, leading to spurious causal inferences when the temporal cues were misleading. In Study 2, both temporal order and intervention contributed to accurate causal inference well beyond that achievable through covariational data alone. Together, the studies show that people use both temporal-order and interventional cues to infer causal structure and that these cues dominate the available statistical information. A hypothesis-driven account of learning is endorsed, whereby people use cues such as temporal order to generate initial models and then test these models against the incoming covariational data.     

Individual psychotherapy as an adjunct to group psychotherapy

This paper describes a form of combined psychotherapy in which the individual sessions are used as an adjunct to group therapy. Each group member is seen regularly in individual sessions to focus primarily on the member's ongoing group work. The individual sessions are scheduled on a rotating basis. Typically, each group member is seen in an individual session once every four weeks. Additional individual sessions are available only when immediate attention is appropriate and necessary. The group is viewed as the primary therapeutic component. A cost-effective therapeutic approach that uses both individual and group methods, this modality lends itself well to a clinic and to a private practice setting.     

Consciousness as a guide to personal persistence

Mentalistic (or Lockean) accounts of personal identity are normally formulated in terms of causal relations between psychological states such as beliefs, memories, and intentions. In this paper we develop an alternative (but still Lockean) account of personal identity, based on phenomenal relations between experiences. We begin by examining a notorious puzzle case due to Bernard Williams, and extract two lessons from it: first, that Williams's puzzle can be defused by distinguishing between the psychological and phenomenal approaches, second, that so far as personal identity is concerned, it is phenomenal rather than psychological continuity that matters. We then consider different ways in which the phenomenal approach may be developed, and respond to a number of objections.

That with which the consciousness of this present thinking thing can join itself, makes the same person, and is one self with it, and with nothing else; and so attributes to itself and owns all the actions of that thing, as its own, as far as that consciousness reaches, and no farther; as every one who reflects will perceive.

Locke, Essay Concerning Human Understanding [II.xxvii.17]     

The practice of awareness as a form of psychotherapy

Summary The practice of awareness most clearly defined by Buddhist writers is described. The effect of the practice on thought processes and the views of Jung and of Fromm on such exercises are discussed. There are many resistances both to the idea of doing the exercise and within the exercise. The writer describes his own experience and suggests that the practice may be an important aid to analytical psychotherapy for those in whom the critical analytical type of thinking is highly developed.     

Counterfactuals versus conceivability as a guide to modal knowledge

Philosophical Studies - I compare two prominent approaches to knowledge of metaphysical modality, the more traditional approach via conceiving viz. imagining a scenario and a more recent approach...     

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.     

Transference as a religious phenomenon in psychotherapy

An analysis is presented of the conventional and far-reaching existential interpretations of the concept of transference. Analogies are drawn between the deepest meanings of transference and interpersonal and religious (man-and-God) dialogue. By way of case illustrations, it is shown that transference from patient to therapist can have implications for the patient's real relationship with God.     

The use of early recollections as a narrative aid in psychotherapy

A narrative framework is put forward for using early recollections as a narrative aid in psychotherapy. According to this framework, early recollections are beginning episodes in the current version of an autobiography or self-narrative which is continuously updated to make sense of current concerns. Inclusion of these episodes in psychotherapy can provide therapists who share an interest in narrative and their clients with a quick way to recognize central themes that are restricting clients’ lives and detect openings to revise them. Revisions regard the form and content of early recollections. Three case examples propose ways of incorporating early recollections in empathic dialogs, including the process of detecting restricting themes and encouraging persons to tell stories in more compassionate voices. Group therapy is proposed as one of the contexts where early recollections can be discussed, but readers are encouraged to extend these ideas to work with individuals and families.     

Accessibility as input: The use of construct accessibility as information to guide behavior

Priming typically increases behavioral enactments of primed constructs. The current work explored a novel mechanism for the behavioral effects of priming, termed the “accessibility as input” account. In two experiments, participants were nonconsciously primed and then completed anagrams until they judged themselves to have reached a particular state. Two different states, or stop rules, were specified, and were matched to the primed constructs such that the combination either implied that the state had been met (e.g., “slow” prime and “tired” stop rule) or had not been met (e.g., “fast” prime and “tired” stop rule). The priming and stop rule manipulations interacted to determine persistence on the anagram task. The results demonstrate that the heightened accessibility resulting from priming can be used as information about one’s current state in relation to situational requirements and, hence, can produce varying, contextually-dependent behavior.