An Independent Theory of Clinical Technique Viewed Through a Relational Lens: Commentary on Paper by Michael Parsons

This discussion of Michael Parsons's exposition of the Independent Tradition's clinical theory of technique compares and contrasts the British Independent and American Relational perspectives in regard to their approach to technique. In this discussion I will consider the question whether, given strong object relational influences on relational psychoanalytic theory, we are able to locate systematic differences in the way that Independent and Relational analysts attempt to work, to be with, and to relate to their patients in the psychoanalytic situation. Overlapping historical roots of the two traditions are considered, along with apparent differences in the ways in which the contributions of common ancestors, such as Ferenzci, are applied. I suggest that the integration of American Interpersonal School ideas with Object Relations theory in American Relational Psychoanalysis led to a different therapeutic sensibility, different ways of thinking about and participating in the analytic process from those that are reflected in the Independent Tradition as Dr. Parsons describes it. The discussion includes an imaginative reconsideration of clinical process along relational lines, in an attempt to clarify different emphases in technique between the two schools.     

The Mutuality of Change and Personal Growth in Analytic Relations: Commentary on Paper by Lauren Levine

This discussion explores the ways in which the multiple roles that analysts assume in their training years and beyond (analyst, patient, supervisor, supervisee, student, and teacher) are complementary and mutually enhancing. I suggest that our patients' personal growth, expanded and enhanced sense of self, and healing of old wounds are integrally linked to our own. Our work with our patients informs our personal analytic work, which expands our work with patients, deepening our capacity for knowing ourselves and others, in a continuous mutually enriching loop of psychoanalytic exploration.     

Emotional impacts of participation in an Australian national survey on mental health-related discrimination

Institutional Review Boards have expressed concern that research into sensitive topics such as mental disorder will cause participants undue distress. This study investigated the emotional responses of 5,220 Australians to a survey on mental-health-related discrimination. Participants were interviewed about their mental health and experiences of discrimination across 10 life domains and then the emotional impacts of the survey. Results suggested that a minority experienced a negative reaction (2.8% felt depressed, 5.3% distressed, 9.5% reported intrusion on privacy, 2.5% regretted participation) in contrast to 88% reporting positive experiences. A mental health problem was associated with both negative and positive reactions.     

Parental Emotional Response to Children’s Traumas

To better understand how parents react to their child’s trauma exposure and evaluate whether different reactions are related to different types of traumas, 120 parents (79.2% mothers, 18.3% fathers, 2.5% other caregivers) were asked about their emotional reactions related to their child’s self-reported worst trauma. Emotional reactions were assessed with the Parental Emotional Reactions Questionnaire (PERQ). Parents reported high levels of distress and guilt. Furthermore, there was a significant relationship between type of trauma and parents’ overall emotional reactions. Parental distress was equally endorsed among the different trauma groups. Parents of children who experienced intrafamilial violence and extrafamilial sexual abuse reported the highest levels of guilt, and child exposure to intrafamilial violence was associated with higher levels of parental shame.     

African American and White Women’s Experience of Sexual Assault and Services for Sexual Assault

This article presents the results of a study assessing the needs and experiences of African American and White female survivors of sexual assault in the state of Maryland. Eight specific hypotheses regarding differences in the needs and experiences of African American as compared to White women receiving partial or no support through analyses of interview data drawn from 213 survivors (African American survivors, n = 133; White survivors, n = 80) were explored. No differences were reported in medical care received; however, in comparison to their White counterparts, African American women reported decreased use of sexual assault crisis centers and mental health services, and postassault help-seeking through use of sexual assault hotlines. Barriers and facilitators associated with treatment experiences differed by ethnicity. Findings are discussed in relation to future directions for research, and service and policy improvement for survivors of sexual assault.     

Effects of informative peripheral cues on eye movements: Revisiting William James’ “derived attention”

Two experiments examined effects of peripheral information on the latency of saccadic eye movements. In Experiment 1, simple target stimuli were presented to the left or right visual field. Prior to each target, a pair of cue letters was presented for 40msec bilaterally. The relative location of the letters (W-S or S-W) was related to target location, but participants were not informed of this contingency. After a brief practice period, saccadic latencies were faster for targets at the likely location, as indicated by the letter pair. This derived peripheral cueing effect was related to participants' awareness of the relation between cue type and target location. Experiments 2A and 2B employed monocular viewing in order to compare performance across the nasal and temporal visual fields. The effect observed in Experiment 1 was confined to the nasal visual field. In a reflexive orienting condition, the effect of a unilateral letter cue was larger in the temporal visual field. It is concluded that the neurocognitive processes responsible for derived peripheral cueing are distinct from those involved in either reflexive or voluntary orienting.     

Spirituality and Confidence to Resist Substance Use Among Celebrate Recovery Participants

Since self-efficacy is a positive predictor of substance use treatment outcome, we investigated whether it is associated with spirituality within a religious 12-step program. This was a cross-sectional survey (N = 91) of 10 different Celebrate Recovery sites held at community churches. The mean spirituality score for those with high confidence was significantly greater than those with low confidence. Spirituality associated with greater confidence to resist substance use (OR = 1.09, 95% CI 1.02–1.17, P < 0.05). So every unit increase of measured spirituality increased the odds of being above the median in self-efficacy by 9%. We conclude that spirituality may be an important explanatory variable in outcomes of a faith-based 12-step recovery program.     

A Research Note on Adolescent Steroid Use: An Examination of Social Learning Theory and Self-Control Theory

This study compared the criminological theories social learning theory and low self-control to determine their effects on adolescent steroid use. The data for this study came from the 12th-grade survey of the 2009 Monitoring the Future Project Form 6 that is a nationally representative sample. We found that social learning theory and the sex (i.e., male) of the adolescent are all significant predictors of adolescent steroid use.     

Twelve-Year Review of Major Family Therapy Journals: Topic Areas,Authors' Characteristics and Publishing Institutions

Topics of interest, authors' characteristics, and institutions in three major MFT journals (American Journal of Family Therapy, Family Process, and Journal of Marriage and Family Therapy) from 1992 to 2004 were reviewed. The findings indicated that most authors had earned a Ph.D. and worked in a university setting as a faculty member. Publishing institutions were equally distributed throughout the United States. Six topics areas accounted for 42% of articles written including (1) Theory; (2) Techniques and Interventions; (3) Assessments and Instruments; (4) Ethnic, Minority, and Cross-cultural Issues; (5) Violence, Abuse, and Incest; and (6) Training and Supervision. As in the earlier reviews, faculty and/or students from Purdue University and Brigham Young University authored the highest percentage of papers.