Traumatherapy 2001, Part I: “The Reparation of the Self” Revisited on the Way into the 21st Century

This paper highlights the contributions of the article, The Reparation of the Self to trauma practice and science. The article was written almost 20 years ago at a time when little appeared in main stream literature to guide the theory and clinical practice of psychotherapy with trauma patients. At that time the article introduced a post-traumatic developmental theory, and a systematic approach to the treatment of war stress in particular, and, according to contemporary trauma experts, established a general model for the treatment of psychological trauma in general. As the present article reviews the original article, it highlights core trauma responses and treatment principles that are likely to be applicable to traumatherapy far into the 21st Century.     

Perceptual Priming by Invisible Motion

When observers see motion that is not really there, they can nonetheless show evidence of motion priming. And when observers do not see motion that is really there, they also show evidence for motion priming. Evidently, the process responsible for establishing motion correspondence is sensitive to contextual information, and this sensitivity is modulated at preconscious levels of visual analysis.     

Resistance to extinction in the steady state and in transition

Three experiments with pigeons explored the constancy of reinforcer omission during extinction conjectured by rate estimation theory. Experiment 1 arranged 3-component multiple variable-interval (VI) schedules with a mixture of food and extinction trials within each session. Reinforcers omitted to an extinction criterion increased with food-trial reinforcer rate. Experiment 2 arranged 3-component multiple VI schedules where components differed in rate or number of reinforcers. Resistance to extinction depended on the training reinforcer rate but not on the number of reinforcers omitted. Experiment 3 replicated the partial-reinforcement extinction effect within subjects in a discrete-trial procedure and found that more reinforcers were omitted in continuous- than in partial-reinforcement trials. A model of extinction based on behavioral momentum theory accounted for all the data.     

Prospective patterns of resilience and maladjustment during widowhood

Using prospective longitudinal data on an older sample beginning prior to the death of a spouse, G. A. Bonanno et al. (2002) distinguished 5 unique trajectories of bereavement outcome: common grief, chronic grief, chronic depression, depression followed by improvement, and resilience. These trajectories having been identified, the aims of the current study were to examine differences in how respondents in each group reacted to and processed the loss. Specific hypotheses were tested regarding differences in coping, meaning making, context, and representations of the lost relationship. Results suggest that chronic grief stems from the upheaval surrounding the loss of a healthy spouse, whereas chronic depression results from more enduring emotional difficulties that are exacerbated by the loss. Both the resilient and the depressed-improved groups showed remarkably healthy profiles and relatively little evidence of either struggling with or denying/avoiding the loss.     

Measures of effectiveness in a short-term Interpersonal Cognitive Problem Solving programme

The effects of a classroom-based, short-term Interpersonal Cognitive Problem-Solving programme for 24 7- and 8-year-old children were assessed immediately after a 4-week intervention programme and again after a 4-week follow-up period. A previous study (Erwin & Ruane, Counselling Psychology Quarterly, 7, 305–310, 1993) implementing such a short-term programme relied on sociometric testing to measure the social effectiveness of the training and failed to find any changes in social status. The present study incorporated playground observations and found behavioural improvements immediately after training and after the follow-up period for the experimental group. However, confirming the previous study, no significant differences in sociometric status were found. The results highlight the limitations of sociometry as a measure of the effectiveness of a programme of training in Interpersonal Cognitive Problem-solving.