Personality characteristics of Divorce-Prone individuals: A preliminary clinical study

This study focuses on Divorce-Prone individuals and the question of why some persons fail in one marriage after another. The authors studied 12 individuals who had each been divorced two or more times. They found that the cases fell into one of three broad and overlapping groups. The groups have been called the Self-Involved Narcissists, the Compliant Depressed, and the Casualties of Life's Vicissitudes. The individuals and the groups demonstrate a different etiology, different treatment problems, and a very different prognosis.     

“Not with me you don't”: A story of narrative practice and dissociative disorder

This paper discusses issues relating to therapeutic practice based upon the narrative metaphor. A case of someone suffering the effects of Dissociative Identity disorder is used to illustrate the difficulties that clients can experience with the “expert” knowledge conception of therapy. The value of the “respectful” and “non-expert” emphasis of Narrative Practice emerges even when the therapist believes that he or she lacks expertise in the client's apparent “condition.” Three themes emanating from the case form the basis for the discussion: the client's experience of being recruited into accepting the diagnostic label of Dissociative Identity Disorder; the effects of being forced to accept a contract to eliminate self-abusive behaviour; and the therapist's dealing with a gun in the therapy room.     

A bribe, “living-bread,” and a white tablecloth

This article describes marital therapy with a Holocaust survival couple in which the wife's demands for living bread plays a highly symbolic role in the marital dynamics. The author draws interesting parallels between the experience of the couple and the meaning of the therapy experience for herself.     

Art in existential psychotherapy with couples and families

The authors describe and outline how art can be used in existential psychotherapy to help a couple or family uncover, discover, and make use of the meanings and meaning potentials to be found in marital and family life. In existential psychotherapy with couples and families, art can be used to help the members of the relationship notice meaning potentials in the future, honor meaning potentials that have been actualized and deposited in the past, and discover new ways to actualize meaning potentials in the here and now.     

The matryoshka: The three-generation soviet family in Israel

Among the 200,000 immigrants who entered Israel in 1990 were a considerable number of families headed by single mothers. Their most prominent feature was the fact that a three-generation system—a single Soviet mother, her own mother, and a single child—formed the family unit. Rooted in changes occurring in the Soviet family life cycle over the past 70 years, this configuration is uniquely self-contained. This article is an early inquiry into a new family structure that will become part of the social fabric of the multi-ethnic society in Israel. The challenge will be to help in the absorption process by recognizing, encouraging, and facilitating the strengths this type of family brings with it and to plan support networks to substitute for those left behind.A previous version of this article was presented at the Third World Family Therapy Congress, June 2–6, 1991, Jyvaskyla, Finland.     

Hypnosis for young adults: Freeing “the doctor who resides within”

This paper explains that the phenomenon of hypnosis is a naturally occurring talent, capacity, and skill that some practitioners suggest exists in nearly 90% of the population. Erickson's concept of and utilization of indirect suggestion is described and critiqued as an approach consistent with the separation/individuation issues confronting contemporary young adults. Hypnotherapy is recommended as a highly effective tool in a society suffering from severe alienation and lack of identity. Hypnosis is compared and contrasted with Cousin's discussion of placebo utilization in medicine. Hypnosis, akin to the placebo, is recognized as giving the doctor who resides within each patient a change to go to work.     

Midlife divorce initiation: From crisis to developmental transition

The midlife phase in the marital relationship is a complicated transition period, challenging the flexibility and coping skills of every couple. Separation-Divorce Initiation (S/DI) at this time can serve a special function in the change process required in this stage. A comprehensive therapeutic model for S/DI couples is described. It includes (1) assessment of the relationship's stamina and the function of the S/DI; (2) treating symptoms and reactions to the traumatic event in an emergency intervention mode; (3) steps and techniques to help the couple overcome the traumatic effects of the SD/I and to rebuild their relationship on a more appropriate basis.     

A Safety and Coping Planning Intervention for Suicidal Adolescents in Acute Psychiatric Care

Transitioning from an acute psychiatric care setting to a less restrictive environment after a suicidal event is arguably the most critical period of suicide risk for adolescents, making comprehensive safety and coping plans for this population ever more critical. In this paper we provide theoretical and empirical rationale for the need for developmental adaptations to current safety planning procedures for suicidal adolescents, as well as the standardization of pediatric safety plans for broader use across settings that provide acute psychiatric care to adolescents. We describe how we developed the Adolescent Safety and Coping Plan (ASCP) using qualitative in-depth interviews with 20 adolescents and their parents, explain the specific components of the ASCP, and give a case example of the ASCP being used with a young adolescent and her parents. Finally, we conclude with a discussion of the barriers and facilitators of the use of the ASCP in settings that provide acute psychiatric care, as well as the need for future research to test the ASCP with diverse adolescent and family populations and settings.     

Meaning and Melancholia: Life in the Age of Bewilderment,by Christopher Bollas,Routledge, Abingdon and New York, 2018, 130 pp.

The American Journal of Psychoanalysis -     

The Role of Children's Neurophysiological Functioning in the Links Between Emotion-Parenting Behaviors and Child Anxiety Symptoms: A Biological Sensitivity to Context Framework

A plethora of data supports links between parenting behaviors and child anxiety, but few studies have examined factors that can contribute to variability in these relations. Adopting a biological sensitivity to context framework, this study explored the role of children's physiological stress reactivity in the links between emotion-parenting and child anxiety symptoms in a group of Chinese families. Sixty-one parent–child dyads (child M_age = 8.21 years, SD = 1.40, range = 6–12 years) participated in an acute stress protocol, from which children's physiological (cortisol and respiratory sinus arrhythmia) responses to a social speech task were recorded. Participants then completed questionnaires assessing parents’ emotion-parenting behaviors and children's anxiety symptoms. Results showed that the relation between supportive emotion-parenting and child anxiety was stronger in the context of greater child RSA suppression to acute stress, such that children higher in RSA suppression exhibited lower anxiety symptoms when supportive emotion-parenting was higher than when it was lower. Thus, these findings supported the biological sensitivity to context model. No significant moderation effect was detected for cortisol reactivity or recovery. Instead, exploratory mediation analyses showed that supportive emotion-parenting was negatively related to child anxiety via greater cortisol recovery. There was also a significant indirect path where unsupportive emotion-parenting was related to blunted cortisol recovery, which in turn was associated with higher child anxiety. The results highlight the importance of coaching parents to respond in supportive ways to children's emotional expressions, particularly in the context of greater child reactivity, to help buffer against childhood anxiety symptoms.