Diagnostic judgments as a function of client and therapist race

The purpose of the present investigation was to examine the process of differential evaluation of clients as a function of client and therapist race. It was hypothesized that race of client and therapist would interact, influencing the judgments of client psychopathology, appropriateness for therapy, verbal facility, and likelihood of treatment success despite standardization of the clinical stimuli. Graduate students in clinical psychology and with varying levels of training (i.e., 1 to 5 years) were asked to rate videotaped interviews of clients in which race of the client and level of psychopathology (i.e., normal, neurotic, and psychotic) were systematically varied. There were significant differences in ratings as a function of race of client, race of therapist, and level of psychopathology observed. Black clients were not rated differently on degree of psychopathology but were rated as less verbally skilled and less appropriate for treatment but more likely to benefit from treatment than white clients. Contrary to expectations, white therapists tended to underrate the pathology of black clients. On the other hand, black therapists tended to overrate the pathology of white clients and made mixed judgments of black clients. The implications of these findings are discussed.This study was supported in part by NIMH Research Centers in Minority Institutions (RCMI) Grant G12RR03206-2.     

Embodied female experience through the lens of imagination

Abstract: In 1971, I made a film entitled Self Portrait of a Nude Model Turned Cinematographer in which I explore the objectifying ‘male’ gaze on my body in contrast to the subjective lived experience of my body. The film was a radical challenge to the gaze that objectifies woman – and thus imprisons her – which had hitherto dominated narrative cinema. Since the objectification of women has largely excluded us from the privileged phallogocentric discourses, in this paper I hope to bring into the psychoanalytic dialogue a woman's lived experience. I will approach this by exploring how remembering this film has become a personally transformative experience as I look back on it through the lens of postmodern and feminist discourses that have emerged since it was made. In addition, I will explore how this process of imaginatively looking back on an artistic creation to generate new discourses in the present is similar to the transformative process of analysis. Lastly, I will present a clinical example, where my embodied countertransference response to a patient's subjection to the objectifying male gaze opens space for a new discourse about her body to emerge.     

The relation of client behavior and therapist helping skills to reduced aggression of boys in individual and group treatment

In this study behavioral processes in the individual and group therapies of aggressive boys were compared and the relationship between these variables and treatment outcome was examined. Level of aggression was the outcome variable, measured by both self-report and teacher-report instruments. Hill's Client Behavior System (CBS; Hill, 1986) with our own ad hoc categories of Reference to Literary Figures and Response to Another, and therapist Helping Skills System (HSS; Hill & O'Brien, 1999) were the behavioral process measures. In terms of the boys' behaviors, discriminant function analyses revealed that Reference to Literary Figures and Response to Another differentiated the treatment formats; with regard to therapists' behaviors, Questions and Challenge differentiated the modalities. Results offered partial support for the greater effectiveness of group, compared to individual, therapy in reducing aggression. Outcome, however, as measured by teacher reports of aggression, was adversely affected in group therapy by the presence of specific behaviors in the boys. Implications of the findings for modifying the group therapy program as well as for the search for process variables appropriate to the treatment of aggressive children are discussed.     

Enhancing the Self-Esteem and Social Competence of Hyperactive Children: A Semi-Structured Activity Group Therapy Model

This article proposes a semi-structured activities group model for addressing the fragile self-esteem and social discord often shown by hyperactive children. Included is a discussion of the amount of structure and types of activities necessary to foster effective group work with this client population. The author asserts that hyperactivity oftentimes is better conceptualized in terms of unmet exhibitionistic needs, the sensitive handling of which can impact the acquisition of healthy self-esteem. Another key focus is the role of shame in manifestations of aggression and externalization of blame that diminish the social competence of hyperactive children. Clinical vignettes are used to illustrate key points.     

Development of a measure of the experience of being bullied in youth

The Personal Experiences Checklist (PECK) was developed to provide a multidimensional assessment of a young person's personal experience of being bullied that covered the full range of bullying behaviors, including covert relational forms of bullying and cyber bullying. A sample of 647 school children were used to develop the scale, and a 2nd sample of 218 children completed the PECK and a battery of measures of bullying (including peer nomination), anxiety, depression, and self-esteem, to provide validity evidence. Test-retest reliability was assessed in a further sample of 78 students. Four factors emerged from a principal axis factoring consistent with the domains of relational-verbal bullying, cyber bullying, physical bullying, and bullying based on culture and were confirmed with confirmatory factor analysis. The data also supported a higher order bullying factor with direct effects on these 4 factors. All PECK scales showed good to excellent internal consistency (Cronbach's α range = .78-.91) and adequate test-retest reliability (range r = .61-.86). Most, but not all, expected relations were found with alternative methods of assessing bullying and measures of psychopathology. Taken together, the PECK provides a promising comprehensive and behaviorally focused dimensional measure of bullying.     

Temporal shifts in eye gaze and facial expressions independently contribute to the perceived attractiveness of unfamiliar faces

ABSTRACT

We investigated whether attractiveness ratings of expressive faces would be affected by gaze shifts towards or away from the observer. In all experiments, effects of facial expression were found, with higher attractiveness ratings to positive over negative expressions, irrespective of effects of gaze-shifts. In the first experiment faces with gaze shifts away from the observer were preferred. However, when the dynamics of the gaze shift was disrupted, by adding an intermediate delay, the effect of direction of gaze shift disappeared. By manipulating the relative duration of each gaze direction during a gaze shift we found higher attractiveness ratings to faces with a longer duration of direct gaze, particularly in the initial exposure to a face. Our findings suggest that although the temporal dynamics of eye gaze and facial expressions influence the aesthetic evaluation of faces, these cues appear to act independently rather than in an integrated manner for social perception.     

Psychological well-being in adolescence: the contribution of interpersonal relations and experience of being alone

This study investigated the influence of loneliness and relationships with parents and friends on the psychological well-being or adolescent malaise. Data were collected via two questionnaires (LLCA-Marcoen, Goossens & Caes, 1987; TRI-Bracken, 1996) from a sample of 330 Italian adolescents, males and females, aged between 11 and 19. As hypothesized, results showed that a positive relationship with friends and parents promotes psychological well-being in adolescents and reduces malaise. In addition, the study showed that the adolescents were able to distinguish between different states of loneliness; on one hand they could recognize the pain of isolation and social refusal, and on the other, they could recognize the pleasant dimension of loneliness, according to the age and sex. Therefore loneliness can be a risk for the adolescent's well-being if it is caused by social refusal, but it can also be a developmental need (parallel to the need for attachment), and can promote psychological well-being when adolescents choose to be alone.     

Infants perceiving and acting on the eyes: tests of an evolutionary hypothesis

It has been hypothesized that an evolutionarily ancient mechanism underlies the ability of human infants to detect and act upon the direction of eye gaze of another human face. However, the evidence from behavioral studies with infants is also consistent with a more domain-general system responsive to the lateral motion of stimuli regardless of whether or not eyes are involved. To address this issue three experiments with 4-month-old infants are reported that utilize a standard face-cueing paradigm. In the first experiment an inverted face was used to investigate whether the motion of the pupils elicits the cueing effect regardless of the surrounding face context. In the second experiment pupil motion and eye gaze direction were opposed, allowing us to assess their relative importance. In a third experiment, a more complex gaze shift sequence allowed us to analyse the importance of beginning with a period of mutual gaze. Overall, the results were consistent with the importance of the perceived direction of motion of pupils. However, to be effective in cueing spatial locations this motion needs to be preceded by a period of direct mutual gaze (eye contact). We suggest that evolution results in information-processing biases that shape and constrain the outcome of individual development to eventually result in adult adaptive specializations.     

Spontaneous Moments and the Domain of Non-Verbal Communication

Abstract

This paper investigates the impact of non-verbal interactions and spontaneous encounters on the therapeutic process and on a client's structural and behavioral patterns. The following case vignette concerns a client who presents with a pattern of non-verbal relational schemas based on his early traumatic experiences. The non-verbal and verbal role reenactments that unfold between client and therapist will be examined from an intersubjective, dialogical and self psychological perspective. Finally, the paper will explore how important therapeutic shifts may occur by attending to and working through these non-verbal aspects of the treatment, leading to new relational structures.     

Reflections under the lens: observations of a systemic therapist on the experience of participation and scrutiny in a research project

The London Depression Intervention Trial (LDIT) was set up in the early 1990s by Professor Julian Leff ( Leff et al., 2000 , and in this issue) to compare the relative efficacy and costs, in work with depressed adults, of systemic couple therapy, drug treatment and individual cognitive behaviour therapy (CBT). The research found that systemic therapy compared favourably with the other modalities in respect of fewer drop‐outs, improvement in measured depression at the end of therapy and on follow‐up after a second year without therapy, and was not – contrary to the usual assumptions – more expensive. I was one of the two therapists, together with Eia Asen ( Jones and Asen, 2000 , and Asen in this issue) practising systemic therapy with diagnosed depressed patients and their partners. In this paper I will discuss the experience of being the object of research scrutiny, and the reflections that have come to me during and subsequent to the research period. To put it more challengingly: What are the consequences for systemic psychotherapists of co‐operation with researchers? Can a circular epistemology survive being scrutinized through a lineal grid?     

The watching eyes phenomenon: The role of a sense of being seen and public self‐awareness

In recent years, a growing number of researchers have examined the watching eyes phenomenon (i.e., increased prosocial and decreased antisocial behavior when subtle watching eyes are present in the environment). Somewhat surprisingly, the questions of how and under what conditions subtle cues of being watched operate have been unanswered so far. The present contribution addresses this research gap. In two studies, we document that (a) subtle cues of being watched induce a sense of being seen and (b) chronic public self‐awareness moderates the watching eyes phenomenon in that specifically individuals with strong chronic public self‐awareness show more prosocial behavior under conditions of watching eyes. The applicability of subtle cues of being watched in research on social presence is discussed.     

Coordinating cognition: the costs and benefits of shared gaze during collaborative search

Collaboration has its benefits, but coordination has its costs. We explored the potential for remotely located pairs of people to collaborate during visual search, using shared gaze and speech. Pairs of searchers wearing eyetrackers jointly performed an O-in-Qs search task alone, or in one of three collaboration conditions: shared gaze (with one searcher seeing a gaze-cursor indicating where the other was looking, and vice versa), shared-voice (by speaking to each other), and shared-gaze-plus-voice (by using both gaze-cursors and speech). Although collaborating pairs performed better than solitary searchers, search in the shared gaze condition was best of all: twice as fast and efficient as solitary search. People can successfully communicate and coordinate their searching labor using shared gaze alone. Strikingly, shared gaze search was even faster than shared-gaze-plus-voice search; speaking incurred substantial coordination costs. We conclude that shared gaze affords a highly efficient method of coordinating parallel activity in a time-critical spatial task.     

Revenge of the fathers Incest and the male therapist

Abstract

This paper argues that the socio-psychological foundation of incestuous relations between father and daughter resides in the primordial rivalry between father and son and is a manifestation of the property relations existing between them throughout the period of patriarchy. After an attempt to trace this rivalry along a path through Western civilization by summarizing evidence from both religious and mythological sources, I introduce it into our own times by using two case illustrations from my own clinical work. Here I claim that when a male counsellor/therapist engages a sexually abused female patient he, at the same time, encounters the incestuous father in a potentially rivalrous struggle over the patient. For genuine healing to take place in the patient, the counsellor/therapist must form an alliance with the father and utilize his hidden value in enhancing his own therapeutic capability.

I began by stating that particular clinical complexities exist when male therapists engage with female clients who have been the victims of paternal incest. I then postulated the idea that the socio-psychological foundation of such relationships is the primordial rivalry between father and son and is in fact a particular manifestation of the property relations existing between them. I then traced this father/son rivalry along its path down through Western civilization via Jerusalem and the Judaic/Christian religions, and Athens with its early creation myth, and the somewhat later myth of Oedipus. I then pursued the course of its influence to our own times, to the incestuous father/daughter relationship, and, using examples from my own clinical work, I attempted to show how this father/son rivalry survives as a powerfully pervasive influence in the clinical relationship between the female patient who has experienced paternal incest and her male therapist.     

A longitudinal study of the development of shifts of gaze to a peripheral stimulus in preterm infants with transient periventricular echogenicity

Shifts of gaze to peripheral targets were studied longitudinally, between 6 and 26 weeks corrected age, in full-term and very preterm infants with transient periventricular echogenicity (PVE). Before 10 weeks, simple shifts of gaze were faster and more frequent in preterms with PVE<14 days than in full-terms, suggesting these preterms profited from additional early visual experience. After 16 weeks, there were subtle differences between full- and preterm infants in the development of shifts of gaze requiring disengagement. The differences suggest that, after disengagement had become established, its fine-tuning occurred more slowly in the preterms. Slower fine-tuning of disengagement was not associated with duration of PVE, since it was more marked in preterms with PVE<14 days than in preterms with PVE> or =14 days. The differences in performance between full- and preterm infants were small. However, even small differences may affect the efficiency of visually guided behaviors.     

Affect in the eyes: explicit and implicit evaluations

The present study investigated whether another individual’s gaze direction influences an observer’s affective responses. In Experiment 1, subjective self-ratings and an affective priming paradigm were employed to examine how participants explicitly and implicitly, respectively, evaluated the affective valence of direct gaze, averted gaze, and closed eyes. The explicit self-ratings showed that participants evaluated closed eyes more positively than direct gaze. However, the implicit priming task showed an inverse pattern of results indicating that direct gaze was automatically evaluated more positively than closed eyes were. Experiment 2 confirmed that the opposite patterns of results between the two tasks were not due to differences in presentation times of the gaze stimuli. The results provide evidence for automatic affective reactions to eye gaze and indicate a dissociation between explicit and implicit affective evaluations of eyes and gaze direction.     

Utility of computerized case simulations in therapist training and evaluation

The present quasi-experimental study attempted to evaluate the utility of a set of three computer simulations for therapist training and evaluation by comparing psychology students from two universities at three training levels. The three groups consisted of junior and senior level undergraduates, first year graduate students, and third or fourth year graduate students. Analysis of outcome measures indicated subjects were generally accepting of computer simulation use for therapist training and evaluation and performance differences between the groups could be explained by group population differences. The results are discussed relative to the utility for computer simulations use for therapist training and evaluation.