Can negative attitudes toward patients with borderline personality disorder be changed? The effect of attending a STEPPS workshop

We sought to determine whether negative attitudes toward patients with borderline personality disorder (BPD) can be modified through education. Mental health clinicians attended a 1-day workshop on the Systems Training for Emotional Predictability and Problem Solving (STEPPS) group treatment program for BPD. A questionnaire to assess attitudes towards BPD was given to 271 clinicians before and after the workshop. Following the workshop, clinicians endorsed having significantly greater empathy toward patients with BPD, and having greater awareness of the distress and low self-esteem associated with the disorder. Significant improvement was seen in the clinicians' attitudes toward patients with BPD and their desire to work with them. Clinicians were significantly less likely to express dislike for BPD patients. They also reported feeling more competent in their ability to treat these patients. The study offers preliminary evidence that negative attitudes toward patients with BPD can be modified through education.     

Overcoming Relativism? Levinas's Return to Platonism

Emmanuel Levinas's concept of "the face of the Other" involves an ethical mandate that is presumably transcultural or, in his terms, "precultural." His essay "Meaning and Sense" provides his most explicit defense of the idea that the face has a meaning that is not culturally relative, though it is always encountered within some particular culture. Levinas identifies his position there as a "return to Platonism." Through a careful reading of that essay, exploring Levinas's use of religious terminology and the (some-times implicit) relationships of the essay to the work of other phenomenologists and of Saussure, the author seeks to clarify (1) what Levinas retains and what he rejects in returning to Platonism "in a new way," (2) the sense in which this return constitutes an "overcoming" of relativism, and (3) the nature of the phenomenological warrant that he offers for his position.     

Getting Home: A Discussion of “Accompaniment in Jazz and Psychoanalysis”

Situating his current paper (this issue) within the developing dialogue between psychoanalysis and music, as well as within the evolution of Markman’s own definitive contributions to that dialogue, this discussion identifies Markman’s inspired, embodied musicality as the primary force animating Markman’s writing and clinical work. Markman’s remarkable taxonomy of rhythmic styles of psychoanalytic accompaniment, formed entirely by his clinical experience, is highlighted and elaborated. The value of music as a source of metaphor is contrasted with an understanding of the actuality of music as a dimension of psychical life that is cultivated and healed through psychoanalytic accompaniment. Using “process notes” from a music documentary, the power of actual music is located in the fabric of culture, conducted through musical sound and forms of movement, including the rhythmic practice of the psychoanalytic frame and the antiphonic discourse of psychoanalytic process.     

DOES "FEMINIST" PLUS "THERAPIST" EQUAL "FEMINIST THERAPIST"?

This research examined the therapy behaviors self-identified feminist therapists engaged in. Practicing therapists (N = 101) were asked to endorse various feminist self-labels and to indicate how often they engaged in a variety of feminist (as assessed by the Feminist Therapy Behaviors-Revised [FTB-R] scale; and other therapy behaviors with both women and men clients. The following results were found. First, incrementally specific feminist self-labeling by therapists improved the prediction of therapy behaviors reflecting the notion that the personal is political. Second, the most strongly identified feminist therapists were distinguished from other therapists by their attention to issues of oppression (e.g., sexism, racism, heterosexism) and socialization. Third, therapists reported engaging in FTB-R behaviors with men clients almost as much as with women clients. And finally, FTB-R and other therapy behaviors emerged as distinct, both in terms of the underlying structure of therapists' responses and in terms of the links to feminist self-labeling.