Between the street and the consulting room: The role of therapeutic frame in working with homeless clients

This paper explores the context of psychotherapy with people who are homeless and the kinds of dynamics and challenges that typically arise in this work. The paper specifically considers the process of therapy as it takes place with clients who have been recurrently homeless and who have difficulties with sustaining shelter that has its roots in deficits in early containment. Clinical case material from psychotherapy conducted with two homeless men is presented and the implications of the approach adopted are explored both in relation to policies around the provision of services for homeless people and the more specific issue of psychotherapy intervention.

It is argued that a clear, well-articulated set of expectations has to be developed around this work in order to protect it and to provide it with the greatest opportunity for providing the kind of safety that is required for the development of this work. It is argued that the most important issue here relates to the provision of a consistent therapeutic framework and a care around the development of the specific psychotherapeutic frame within, and in relation to, the other frames present in the person's life.     

‘Othering’ and ‘selving’ in therapeutic dialogue

In this article we consider therapeutic conversations about suffering and sexual identity through an ethical and practical lens we refer to as ‘othering’ and ‘selving’. The ethical lens is shaped by recent developments in discursive theory and approaches to therapy. Our practical lens draws from research by discourse analysts showing how conversational practices feature in consequential ways in delicate discussions such as those about suffering and sexual identity. After helping readers understand these lenses we then use them in examining actual discussions about identity and suffering. We conclude with some general ideas and reflective questions for therapists wishing to extend these kinds of sensitivities and conversational practices in their work with clients.     

A trans-disciplinary study of the therapist's self

Participation in personal therapy during training is required by British accreditation bodies for counselling psychology as well as by most psychotherapy trainings. By contrast, trainee clinical psychologists are not required to undertake personal therapy, although they may elect to. Prior research in Britain and the US suggests that practitioners have a wide range of motives for entering therapy as well as motives for not doing so (Norcross &; Connor, 2005). This study addresses the fact that no research to date has specifically explored what individuals beginning their counselling psychology, clinical psychology and counselling training think and feel about participation in personal therapy during training. Data from open-ended questionnaires was analysed using inductive thematic analysis. Two main themes were identified. These consisted of: ‘Personal therapy helps me to be a better practitioner’, and ‘Personal therapy costs me’. The study results are considered in light of the limited prior research and recommendations for training are made.     

A response to Dr Anthony Daniels

One of the sources of the diversity within psychotherapy is the conceptualization of the body. There are three main ways in which the body is seen. These correspond to three levels within the Wilber (1996) structural model. At level 1 the body is seen as something quite separate from the mind. We can treat the mind independently and leave the body to other specialists, such as medical doctors. If we do deal with the body, it is only in an external and behavioural way. At level 2 the body is seen as integrated with the mind, and the client is encouraged to see it this way too. One of the aims is bodymind unity. The body is continually referred to, and may be touched or asked to go through certain motions as part of the therapy. At level 3 the body is seen as the site for symbolic representations of divine archetypes, and reference is made to the subtle body. Both mind and body are seen as part of something greater, the soul. All three of these approaches are to be found within psychotherapy. It is argued that, unless these divisions are taken seriously, psychotherapy will remain confused. It is already confusing to others. By removing this particular form of confusion, it will be easier for psychotherapists to know what they are doing, and the scope and limits of their own particular orientation. Of these three versions of the body, the third is probably the least well known, but is growing the fastest. More lengthy attention is therefore paid to that.     

Social phobia in ultra-orthodox Jewish males: culture-bound syndrome or virtue?

Social difficulties of the performing variety are reported by ultra-orthodox male referrals to a psychiatrist in Jerusalem and confirmed by key communal informants. Three cases of social phobia are presented, and the content concerns performing, either speaking on religious matters publicly, a role associated with status and authority, or leading prayers and ceremonies, a role of sanctity and duty. The absence of women sufferers may be understood as a consequence of the value placed on modesty in women and there being no expectation of women to participate in study and public prayer, while the absence of complaints of interactional social phobia may be a consequence of the general discouragement of social intercourse not related to religious study. Aymat zibur, literally meaning fear of the community, is a term used by ultra-orthodox Jews to describe these fears of performance, although in its original meaning the term expresses the respect that the leader of prayers is expected to have for his awesome role. The cases described, however, were motivated by personal shame, similar to social phobia of the performance variety found in other cultures, rather than fear and respect. The values of ultra-orthodox religious life are presented that invest a person who avoids interactional social behaviors with the status of zaddik (a righteous person) while one who avoids the performance behaviors of speaking publicly on religious matters or leading prayers suffers from an idiom of distress in this particular society. Religious law and societal mores appear to be critical factors in deciding whether symptoms of social phobia are perceived and experienced as idioms of distress.     

Other than “the set pattern”: Developing one’s own thoughts about spirituality and religion

In qualitative research, psychoanalysts and psychoanalytic psychotherapists who had continued to have a personal interest in religion or spirituality reflected on their religious upbringing. The 25 participants interviewed often gave their responses in what can be identified as narrative form. These narratives articulated participants’ often poignant and distinctive, sometimes humorous, experiences. They relate how and why accepted teaching regarding religious and spiritual issues was challenged, usually in adolescence, but for several participants much earlier. Important aspects included differing responses of significant others to the participants’ independent thinking, the beginnings of subsequent religious and spiritual questing, and, for some, the decision to become a psychotherapist.     

A Comparison of Forgetting Rates in Older and Younger Adults

Two experiments investigated the rate of forgetting for recently learned information in older and younger adults. Previous research has been inconclusive, with some studies reporting more rapid forgetting in older adults, whereas others have failed to find any age differences. In several different comparisons, older participants consistently forgot recently studied target words more rapidly than younger participants over a 1 hr retention interval. It appears that age-related difficulties in free recall become more pronounced as the interval between study and test increases, at least under some conditions. Results also confirm a powerful effect of prior testing on episodic memory: Both older and younger participants recalled more words after a delay of 1 hr if they had attempted recall shortly after the study session.     

How to Gain Eleven IQ Points in Ten Minutes: Thinking Aloud Improves Raven's Matrices Performance in Older Adults

ABSTRACT

Few studies have examined the impact of age on reactivity to concurrent think-aloud (TA) verbal reports. An initial study with 30 younger and 31 older adults revealed that thinking aloud improves older adult performance on a short form of the Raven's Matrices (Bors & Stokes, 1998 Bors, D. A. and Stokes, T. L. 1998. Raven's Advanced Progressive Matrices: Norms for first-year university students and the development of a short form. Educational and Psychological Measurement, 58: 382–398. [Crossref], [Web of Science ®] , [Google Scholar], Educational and Psychological Measurement, 58, p. 382) but did not affect other tasks. In the replication experiment, 30 older adults (mean age = 73.0) performed the Raven's Matrices and three other tasks to replicate and extend the findings of the initial study. Once again older adults performed significantly better only on the Raven's Matrices while thinking aloud. Performance gains on this task were substantial (d = 0.73 and 0.92 in Experiments 1 and 2, respectively), corresponding to a fluid intelligence increase of nearly one standard deviation.