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Interpersonal Psychotherapy (IPT) is an empirically validated treatment for a number of psychiatric disorders. Like all psychotherapies, IPT can be described by its theoretical foundations and its primary targets, tactics, and techniques. The need for continued creativity in IPT and other treatments is reviewed, and several specific proposals for change in IPT based on clinical observations and theoretical considerations are discussed. A paradigm for collaboration between academic research and clinical observation required for continued creativity is offered. Change is inevitable, and the empirically validated therapies such as IPT will be even more effective as they incorporate and test new and creative elements.
Scott StuartEmail:
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The American Journal of Psychoanalysis - It is argued that, in the course of the history of psychoanalysis since 1914 or thereabouts, the clinical and theoretical interests of psychotherapy have...  相似文献   

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This essay presents a phenomenological analysis of the functioning of symbols as elements of the life-world with the purpose of demonstrating the interrelationship of individual and society. On the basis of Alfred Schutz's theory of the life-world, signs and symbols are viewed as mechanisms by means of which the individual can overcome the transcendences posed by time, space, the world of the Other, and multiple realities which confront him or her. Accordingly, the individual's life-world divides itself into the dimensions of time, space, the social world and various reality spheres which form the boundaries or transcendences that the I has to understand and integrate. Signs and symbols are described as appresentational modes which stand for experiences originating in the different spheres of the life-world within the world of everyday life, within which they can be communicated, thereby establishing intersubjectivity. Schutz's theory of the symbol explains how social entities – such as nations, states or religious groups – are symbolically integrated to become components of the individual's life-world. The following paper reconstructs Schutz's concept of the symbol as a crucial component of his theory of the life-world, which is seen as an outstanding phenomenological contribution to the theory of the sign and the symbol in general.  相似文献   

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Rao (this issue) offers a trenchant critique of the field of positive psychology. He clearly shows the way positive psychology, as it has been thus far considered, is clearly a product of a Westernized psychology. He goes further though and proposes that some of the limitations of positive psychology might be addressed by considering the insights of Indian indigenous psychology. In this commentary I suggest that these limitations of positive psychology can be fruitfully framed by considering the nature of the self and the nature of the positive or good that any understanding of positive psychology must presuppose.  相似文献   

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The “language of the gods” is conceived as a kind of language more complex than what we associate with human tongues in the strict sense of the term. Certain arbitrary regularities throughout the rational disciplines appear to indicate the existence of this language. The present article explores this new concept and applies it in an attempt to provide a logical clarification of the notions of individual consciousness and physical reality.  相似文献   

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Jessel et al. (2015) provided some evidence to suggest that “other” behavior is strengthened in the differential reinforcement of other behavior (DRO). The present study is a systematic replication of the Jessel et al. procedures. The effects of DRO and extinction on target responding, target-other responding (a response with an established history of reinforcement), and nontarget-other responding emitted by children with intellectual and developmental disabilities and children with no known diagnoses were compared. Other behavior increased in at least one DRO condition for each participant, suggesting that other behavior increases when using DRO, at least initially. Under extinction, target responding and target-other responding decreased to low rates for three of the five participants; however, rates of nontarget-other responding were elevated compared to the DRO condition. These results suggest that increased rates of target-other responding and nontarget-other responding during the DRO condition may be a result of extinction-induced variability.  相似文献   

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The view that aging provokes its own form of masquerade raises the question of what lies behind the mask and whether it is possible to outline what an authentic existence in later life might be like. Contemporary trends toward a narrative explanation of identity, exemplified by the growth of narrative therapies, may pose particular difficulties for theorising about aging. These therapies are associated with a submersion of the personal and social past under demands in the here and now and the de-contextualisation of old age from the lifecourse as it has been lived. Memory and lifecourse context are examined as possible foundations for authenticity and a model is suggested that contains postmodern preoccupations with multiple identity choices, the personal past and the possibilities for expression made available by particular social spaces or contexts.  相似文献   

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This article presents analyses on psychometric properties of a recent revision of the Substance Abuse Subtle Screening Inventory (SASSI-3). Participants were 772 individuals from a range of clinical settings who were independently diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R]; American Psychiatric Association [APA], 1987) or DSM-IV (APA, 1994) criteria regarding the presence or absence of a substance-dependence disorder. A development sample (n = 391) was used to formulate SASSI-3 decision rules that yielded 95% agreement with clinical diagnoses of substance dependence. Correspondence with the criterion variable was shown to be 97% in a cross-validation sample (n = 381) from the same clinical settings. Convergent relations were demonstrated with a variety of other indexes of substance misuse, including clinical assessments of substance abuse history, alcohol and drug-related arrests, self-reported use of illicit drugs, and other instruments designed to screen for substance misuse. Further, logistic regression analyses indicated no significant differences in the overall accuracy of the SASSI-3 as a function of respondents' demographic characteristics or clinical ratings of respondents' level of adjustment and functioning (Global Assessment of Functioning ratings; APA, 1987, 1994).  相似文献   

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It is the author's belief that psychoanalytic interpretations of unconscious phantasies, rather than discrediting them vis-à-vis reality, actually reinforce and substantiate their functioning. Following Bion, it is his belief that all psychopathology can be considered to be id pathology, that is, pathology that results from an inadequate transformation of “O,” Bion's term for the Absolute Truth about Ultimate Reality (infinity, chaos). Normally, dreaming/phantasying acts as a containing contact-barrier between consciousness and the unconscious. Psychopathology is a testimony to a failure in the containment-dreaming-phantasying-contact-barrier continuum. Rather than defending against the libidinal and aggressive or destructive drives, an individual defends against the “truth instinct,” which emanates from evolving “O.” Dreaming and phantasying are first conducted for the infant by its mother, who, in a state of reverie, “dreams” him and “becomes” him in a non-Cartesian mode of knowing him and his pain. This process is repeated by the psychoanalyst.  相似文献   

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The “end of history” by Fukuyama is mainly based on Hegel’s treatise of the end of history and Kojeve’s corresponding interpretation. But Hegel’s “end of history” is a purely philosophical question, i.e., an ontological premise that must be fulfilled to complete “absolute knowledge.” When Kojeve further demonstrates its “universal and homogeneous state,” Fukuyama extends it into a political view: The victory of the Western system of freedom and democracy marks the end of the development of human history and Marxist theory and practice. This is a misunderstanding of Hegel. Marx analyzes, scientifically, the historical limitation of Western capitalism and maintains, by way of a kind of revolutionary teleology, the expectation of and belief in human liberation, which is the highest historical goal. His philosophy of history is hence characterized by theoretical elements from both historical scientificalness and historical teleology.  相似文献   

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The topic to be addressed in this paper, that is, the distinction between the “concept” of time and the being of the clock, divides into two parts: first, in the debate between Albert Einstein and Henri Bergson, one discovers the ground for the diverging concepts of time characterized by physics in its opposing itself to philosophy. Bergson’s durée or “duration” in opposition to Einstein’s ‘physicist’s time’ as ‘public time,’ one can argue, sets the terms for Martin Heidegger’s extending, his ontological analysis of Da-sein, as human being-in-the-world. Second, in this the ‘concept of time’ gives way to the analysis of the ‘being of the clock.’ What is this being of the clock that makes evident the fundamental temporality of Da-sein? This question is rehearsed in Division Two of Being and Time. My claim is that the fundamental insight into the nature of time revealed by the encounter between Bergson and Einstein is that time extemporizes itself. Temporality “is” not a being but a process that temporalizes itself, precisely because it “is not.”  相似文献   

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