Reminiscence,Ritual, and Beyond Working Through: Commentary on Papers by Joyce Slochower and by Laura Impert and Margaret Rubin

The author examines, contextualizes, and elaborates upon Slochower's psychoanalytic exploration of commemorative rituals and, more specifically, the Jewish tradition of Yitzor as well as upon Impert and Rubin's understanding of embodied nostalgic reminiscences, considering them within a therapeutic context for the mourner entering into the clinical situation. Slochower's experience with commemorative rituals as facilitating environments for the restoration or support of potential space and memorial activity suggests that they can aid in the re-construction and re-shaping of emotional memory, going beyond a notion of “working through.” Impert and Rubin suggest that generative nostalgic reminisces, a soma-sensory based form of memory that holds the potential for activating arrested mourning, may be clinically usefully in awakening dormant or dissociated grief so that patients can access mourning. Extending upon these contributions, the author further considers the possibility that mourning might be more usefully conceived as processes of transformational work for which a fixed resolution or outcome is neither proscribed nor prescribed. This transformational work may be seen, in part, as ongoing cycles of self-surrender to the mourner's swirling constructions of attachments lost, re-found, re-remembered, and re-conceived.     

Recent Adolescent MMPI Norms: T-Score Elevation Comparisons to Marks and Briggs

Minnesota Multiphasic Personality inventory (MMPI) norms developed by Marks and Briggs (1967/1972) have served as the standard adolescent norms used for over 10 years. Additional adolescent, norms, have recently been produced by Gottesman, Hanson, Kroeker, and Briggs (1987) and by Colligan and Offord (1989), thereby providing MMPI users with a potential choice of adolescent norms. Our study examines the effects of these adolescent norm sets on single-scale and profile elevations. In addition, we examine the ability of these norm sets to generate T-score values that would serve to discriminate accurately among adolescents in outpatient (n = 100), inpatient (n = 100), and normal (n = 100) settings. Results indicated teat the choice of adolescent norms resulted in important differences in profile elevation. Findings from the discriminant function analyses, however, indicated that these normative sets were roughly equivalent in discriminating among adolescents in the three settings.     

Borderline Personality Disorder,Divorce and Family Therapy: The Need for Family Crisis Intervention Strategies

Recent literature reviews, point out the lack of crisis intervention and crisis prevention programs that are in existence to address crises experienced by first-degree and divorced family members of Borderline Personality Disorder (BPD) probands. The focus of such intervention programs should be to facilitate the improved ability of the first-degree and divorced family members to manage and transcend the unstable family environment. Correlations between personal instability and frequency of psychosocial crises have been examined, as well as the ripple effect of frequent individual crises on family environments. Reviews of current therapeutic interventions, as well as a synthesis of practical family therapy interventions focusing on breaking the cycle of dysfunctional multi-generational family environments are also examined.     

From Good to Great: Examining Exemplary Counselor Development

Some counselors excel in the profession. Few do so while maintaining a balance in life. This article examines the life of one such individual, Samuel T. Gladding. He models for counselors an aspirational process of making significant contributions to the profession while staying personally grounded. Qualities that propel professionals like Gladding from being good as a young professional into prominence as a mature counselor are examined.     

Anxiety, Sensory Over-Responsivity, and Gastrointestinal Problems in Children with Autism Spectrum Disorders

Children with autism spectrum disorders (ASD) experience high rates of anxiety, sensory processing problems, and gastrointestinal (GI) problems; however, the associations among these symptoms in children with ASD have not been previously examined. The current study examined bivariate and multivariate relations among anxiety, sensory over-responsivity, and chronic GI problems in a sample of 2,973 children with ASD enrolled in the Autism Treatment Network (ages 2–17 years, 81.6 % male). Twenty-four percent of the sample experienced at least one type of chronic GI problem (constipation, abdominal pain, bloating, diarrhea, and/or nausea lasting three or more months). Children with each type of GI problem had significantly higher rates of both anxiety and sensory over-responsivity. Sensory over-responsivity and anxiety were highly associated, and each provided unique contributions to the prediction of chronic GI problems in logistic regression analyses. The results indicate that anxiety, sensory over-responsivity and GI problems are possibly interrelated phenomenon for children with ASD, and may have common underlying mechanisms.     

Self-determination and functional persuasion to encourage physical activity

This research advances a novel approach to promoting physical activity, based on the principle of functional matching in persuasion, and the self-concordance (SC) of people's motivations for physical activity. We propose that SC establishes a positive or negative orientation toward the challenge inherent in physical activity, and that the maximum yield of participation will be achieved by communications that appeal to each orientation. In two studies, we compared how messages emphasizing challenge versus available social support would influence recipients’ self-reported practices of physical activity and attitudes toward a physical activity setting. As hypothesized, these messages had differential effects for recipients whose pursuit of physical activity varied in SC, such that favorable outcomes were more reliably associated with challenge-oriented messages among respondents higher in SC versus support-oriented messages among respondents lower in SC. The findings suggest the merits of using self-regulatory, compared with object- or personality-based, constructs and measures to indicate psychological functions of ongoing health-related behaviors.     

Relations between acceptance of multiple sclerosis and positive and negative adjustments

This study examines relations between acceptance as defined in Acceptance and Commitment Therapy (ACT) and adjustment to multiple sclerosis (MS). A first step in this investigation was the development of a measure of acceptance of MS called the MS Acceptance Questionnaire (MSAQ). Consistent with prior findings and theoretical propositions, it was predicted that acceptance would be associated with better adjustment to MS (lower distress and higher positive affect, life satisfaction and marital adjustment and better health). A total of 128 persons with MS completed measures of demographics, illness and adjustment at Time 1 and measures of acceptance and adjustment 12 months later (Time 2). Factor analyses of the MSAQ revealed two factors, action and willingness. Associations between the MSAQ and other validated acceptance measures supported convergent validity. As predicted, after controlling for the effects of initial adjustment and relevant demographic and illness variables, greater acceptance was related to better adjustment, although the action factor emerged as the strongest predictor of better adjustment. This is the first study to examine the role of acceptance (as defined in ACT) in adjusting to MS over time and as such provides a first step for further investigation of acceptance in MS.     

Mindfulness and acceptance-based group therapy versus traditional cognitive behavioral group therapy for social anxiety disorder: A randomized controlled trial

Recent research has supported the use of mindfulness and acceptance-based interventions for Social Anxiety Disorder (SAD).