The Hispanic Treatment Program: Principles of effective psychotherapy

The Hispanic Treatment Program was an inpatient psychotherapy Unit at the Colorado State Hospital that operated from October 1979 to February 1982. Staffed exclusively with personnel of Hispanic heritage, the Program emphasized the use of linguistic and cultural elements, as well as the customs and beliefs characteristic of Hispanic culture. A specialized inpatient treatment unit for Hispanic patients with psychotic (especially, schizophrenia) disturbances, the Program offered a unique opportunity to these patients by providing a variety of psychotherapies conducted in a culturally-sensitive manner. Spanish and English were used in a manner conducive to enhancing the treatment process, with flexibility in use of language.This project was supported by Grant No. ROlMH29016-01A2, awarded by the National Institute of Mental Health, Center for Minority Group Mental Health.The authors acknowledge Gregorio Kort, M.D. and Wayne Smyer, M.A. and other staff for their contributions to the development and success of the Hispanic Treatment Program.Original version of paper was selected for the First Senior Award given by the Psychological Services Center's (NYSCP) Minority Mental Health Award Competition.     

Conceptual models and functions of meditation in psychotherapy

Although meditation is increasingly being employed as an adjunct in psychotherapy, there has been practically no comprehensive evaluation of its usefulness in this respect. This paper seeks to address this issue through conceptual models of the meditation experience. It is concluded that meditation practice may be associated with the acquisition of some useful skills (e.g., focused attention), that practice may be physiologically relaxing, that meditation may decrease anxiety, insomnia and drug usage, while enhancing hypnotic induction and self-actualization. There is still no compelling evidence, however, that meditation practice is associated with unique state effects compared with other relaxational procedures. Those who appear to benefit most from meditation appear to be those who present with milder disorders. The clinical value of meditation, therefore, appears to be limited. Furthermore, the long-term objectives of meditation are not in general congruent with those of mainstream psychotherapy, as they go beyond therapeutic gain in the clinical sense.     

Facilitating autonomy in passive-dependent persons: An integrative model

Passive and dependent qualities are commonly found in psychiatric patients suffering from a variety of disorders. While such tendencies are often secondary to an Axis I clinical syndrome, they are occasionally more persistent and refractory. The present article attempts to provide therapeutic guidelines useful when working with clients displaying stable personality traits of passivity and dependency. An attempt is made to adapt and combine several therapeutic techniques to be applicable to passive-dependent clients. More specifically, problem-solving approaches and self-control strategies can be used to facilitate autonomy if precautions are taken to reduce the dogmatic and didactic styles commonly employed with these techniques. The Socratic method of interviewing is posited as a useful means of developing problem-solving skills without creating unnecessary dependence on the therapist. Self-control strategies can help reduce the reliance on others as the primary source of satisfaction for dependent clients. In this way, passive-dependent clients may become more self- reliant and autonomous in their daily functioning.The author would like to thank Patti Watson, Katie Brooks, and Estyn Williams for comments made on an earlier draft of this article.     

Psychoanalytic training and its effect on the candidate's clinical work

This paper explores the effects of the psychoanalytic candidate's role, supervision, training analysis, office setting, and emerging professional identity on his clinical work. The strains associated with institute candidacy and how these may be perceived by patients are explored. The author suggests that further study of the process of becoming an analyst could ultimately improve training.     

Selection, evocation, and manipulation

This article proposes three key mechanisms by which personality and social processes are intrinsically linked. Selection deals with the manner in which individuals choose to enter or avoid existing environments. Evocation is defined by the ways in which individuals unintentionally elicit predictable reactions from others in their social environments. Manipulation deals with the tactics that individuals use intentionally to alter, shape, exploit, or change the social environments they inhabit. Empirical findings from 57 dating couples (undergraduates), and previous research within social, personality, and developmental psychology, are used to illustrate the heuristic value of this framework.     

Romantic love conceptualized as an attachment process

This article explores the possibility that romantic love is an attachment process--a biosocial process by which affectional bonds are formed between adult lovers, just as affectional bonds are formed earlier in life between human infants and their parents. Key components of attachment theory, developed by Bowlby, Ainsworth, and others to explain the development of affectional bonds in infancy, were translated into terms appropriate to adult romantic love. The translation centered on the three major styles of attachment in infancy--secure, avoidant, and anxious/ambivalent--and on the notion that continuity of relationship style is due in part to mental models (Bowlby's "inner working models") of self and social life. These models, and hence a person's attachment style, are seen as determined in part by childhood relationships with parents. Two questionnaire studies indicated that relative prevalence of the three attachment styles is roughly the same in adulthood as in infancy, the three kinds of adults differ predictably in the way they experience romantic love, and attachment style is related in theoretically meaningful ways to mental models of self and social relationships and to relationship experiences with parents. Implications for theories of romantic love are discussed, as are measurement problems and other issues related to future tests of the attachment perspective.