Tymieniecka,Anna-Teresa and Evandro Agazzi,eds., Life: Interpretation and the Sense of Illness within the Human Condition: Medicine and Philosophy in Dialogue

Theoretical Medicine and Bioethics -     

Supportive and interpretative interventions in fostering mentalisation during counselling

ABSTRACT

This work analysed which profiles of counsellors’ supportive and interpretative actions emerged in two group counselling interventions designed to promote mentalisation in underachieving university students. The Psychodynamic Intervention Rating Scale was used to analyse this and the level of depth of defence interpretations. Two outcome measures were administered to analyse student mentalisation and their academic achievements. Process findings showed that supportive actions were used for the most part in both counselling interventions; however, only one group improved in terms of mentalisation and academic performance. In the good-outcome group, there were more defence interpretations, especially during the early sessions, and with a deeper level of elaboration. The innovative relevance of these findings and their implications for practice among counsellors are discussed.     

Reflective Writing: Enhancing Students Cognitive Complexity Through Ethics Education

ABSTRACT

Counselors will inevitably encounter ethical dilemmas. Since they are expected to practice within the code of ethics, the skills to make an appropriate decision are necessary. It is generally agreed that the best place to start this training is in graduate school. More than a standard didactic approach is desired to address student attitudes, values, and beliefs while developing cognitive complexity. Creative approaches can address the specialized goals inherent in ethics education. This article reviews the use of a reflective writing assignment to guide students’ exploration of their values and beliefs when confronted with a value based ethical dilemma. The students’ writings demonstrate an increase in cognitive complexity because of this assignment.     

BORDERLINE PERSONALITY TRAITS AND INTIMATE PARTNER AGGRESSION: AN INTERNATIONAL MULTISITE, CROSS-GENDER ANALYSIS

Although research has consistently shown that men and women use intimate partner aggression (IPA) at approximately equal rates, there is little empirical research on whether the predictors of IPA are the same for men and women. The current study investigated whether borderline personality (BP) differentially predicted the use of IPA for men and women across 67 university sites from around the world. Results showed that BP predicted several forms of IPA and that gender did not moderate the association between IPA and BP. Although the strength of the association between IPA and BP significantly differed across sites, it was in the predicted direction for the overwhelming majority of sites. Implications of these results and suggestions for future research are discussed.     

Coupling Longitudinal Data and Multilevel Modeling to Examine the Antecedents and Consequences of Jealousy Experiences in Romantic Relationships: A Test of the Relational Turbulence Model

We used longitudinal data and multilevel modeling to examine how intimacy, relational uncertainty, and failed attempts at interdependence influence emotional, cognitive, and communicative responses to romantic jealousy, and how those experiences shape subsequent relationship characteristics. The relational turbulence model ( Solomon & Knobloch, 2004 ) highlights how intimacy, relational uncertainty, and interference from partners influence and reflect reactions to events that occur within romantic relationships. Drawing from the theory, we predicted that (a) relational uncertainty and interference from partners are positively associated with cognitive and emotional jealousies; (b) the intensity of romantic jealousy, relational intimacy, and a partner’s interference is positively associated with the directness of communication about jealousy; (c) relational uncertainty is negatively associated with communicative directness; and (d) cognitive jealousy, emotional jealousy, and the directness of communicative responses to jealousy influence subsequent relationship characteristics. The results of the multilevel modeling revealed mixed support for our predictions. We explore the implications of this study for research on the relational turbulence model, relationship development, and jealousy.     

Parsing the Mechanisms that Increase Relational Intimacy: The Effects of Uncertainty Amount,Open Communication About Uncertainty,and the Reduction of Uncertainty

This study examined amount of uncertainty, openness of communication about uncertainty, and the uncertainty reduction process as three competing mechanisms that account for increased intimacy in romantic relationships. To test these competing mechanisms, we used multilevel modeling to analyze longitudinal data that were collected from individuals in romantic associations over a 6‐week period. Results of separate analyses indicated that the amount of uncertainty was negatively associated with concurrent intimacy and the openness of communication about uncertainty, and decreases in uncertainty were positively associated with subsequent intimacy. When all three predictors were considered simultaneously, the decrease in uncertainty was the only significant predictor of intimacy. These findings highlight the importance of the uncertainty reduction process, rather than low amounts of uncertainty, for increased intimacy.