Therapeutic immediacy across long-term psychodynamic psychotherapy: an evidence-based case study

C. E. Hill (2004) recently developed the concept of therapist immediacy to capture discussion by the therapist about the therapeutic relationship that occurs in the here-and-now of a therapy session. This concept has been expanded to include discussion about the therapeutic relationship by both the client and therapist, captured by the term therapeutic immediacy (K. Kuutmann & M. Hilsenroth, 2011). Although prior research has examined the use of therapeutic immediacy across short-term treatment, the present study is the first to examine the use of immediacy across a long-term (4 years) psychotherapy. Also, this is the first study to assess the interrater reliability of therapeutic immediacy, which was found to achieve good to excellent levels across raters. The most frequently used categories of client and therapist immediacy are presented. Finally, the authors provide an in-depth qualitative examination of 5 therapeutic immediacy segments across the treatment judged by the raters to have high levels of depth/intensity (4.5 or higher out of 5) to examine the role of therapeutic immediacy in exploring meaningful treatment issues. Clinical utility, potential limitations, and future research on therapeutic immediacy are discussed.     

Symmetry axiom of Haken–Kelso–Bunz coordination dynamics revisited in the context of cognitive activity

We present an axiomatic derivation of a model proposed by Haken, Kelso, and Bunz (1985) that describes dynamical aspects of the rhythmic coordination between two limbs. Elaboration of this model has included a symmetry parameter that captures the coordination consequences of an inherent or imposed frequency difference between the limbs. We modified one of the axioms involved in the model derivation, a symmetry axiom, in order to incorporate a new symmetry parameter. This new parameter defines a shift between (a) the laboratory coordinate system, in which the behavior is observed, and (b) a second, postulated coordinate system. It is this second coordinate system, in which the relevant state dynamics is assumed to take place and in which the state dynamics evolves under the impact of an attractor. The state dynamics as described in the attractor coordinate system is then mapped by means of the new symmetry parameter to the laboratory coordinate system. We discuss analytically the bifurcation diagram of the model and determine main effects and interaction effects of manipulations related to the symmetry parameters and related to the mode of coordination (in-phase and anti-phase). The theoretical results are brought to bear on the challenging experimental observation that concurrent cognitive activity (counting, encoding, retrieving, sentence analysis) changes the location of the bimanual coordination attractor but not its strength. The theoretical results suggest that cognitive activity may have the effect it has because it shifts the attractor coordinate system relative to the laboratory coordinate system.     

Putting the brakes on aggression toward a romantic partner: the inhibitory influence of relationship commitment

Why do people behave aggressively toward romantic partners, and what can put the brakes on this aggression? Provocation robustly predicts aggression in both intimate and nonintimate relationships. Four methodologically diverse studies tested the hypothesis that provocation severity and relationship commitment interact to predict aggression toward one's romantic partner, with the aggression-promoting effects of provocation diminishing as relationship commitment increases. Across all four studies, commitment to one's romantic relationship inhibited aggression toward one's partner when individuals were severely (but not mildly) provoked. Study 4 tested the hypothesis that this Partner Provocation × Commitment interaction effect would be strong among individuals high in dispositional tendencies toward retaliation but weak (perhaps even nonexistent) among individuals low in such tendencies. Discussion emphasizes the importance of understanding instigating, impelling, and inhibiting processes in the perpetration of aggression toward intimate partners.     

Spinoza on Friendship

Friendships have always been one of the most valuable assets in the lives of human beings, and friendships were of utmost importance to Spinoza. There are different kinds of friendship but for Spinoza genuine friendship can only occur among those who pursue the truth. In this paper I will (1) point out what Spinoza means by the truth, (2) show how friendships are possible even though there is tension in our lives between our desire to preserve ourselves and our desire to preserve others, (3) differentiate two kinds of friendship, and (4) see what if anything is missing from his account of friendship.     

Disguised Ideologies in Counseling and Social Justice Work

A social justice orientation for counseling is appealing to many but appears to some to violate counselor neutrality and respect for client freedom and rights. Confusion about neutrality and advocacy in the counseling field seems to reflect confused assumptions and values in the wider culture. As a result, counseling is guided more by a disguised ideology of liberal individualism than an objective theory or value‐neutral principles. The authors suggest that a hermeneutic, dialogical framework for counseling has the potential to resolve much of this confusion and to refine and broaden a social justice approach in needed ways.     

Human values: Genetic and environmental effects on five lexically derived domains and their facets

Whereas a substantial genetic component of Conservatism and Religiosity is well documented, there is little evidence with respect to the behavior genetics of other aspects of human values. A sample of 157 monozygotic and 74 dizygotic twins reared together received the Austrian Value Questionnaire (AVQ), which measures a broad variety of value domains and their facets, found by the lexical approach in the German language. Family resemblance of Intellectualism, Harmony, Materialism, and Conservatism was best explained by additive or dominance genetic and non-shared environmental effects, whereas the influence of the environment shared by twins was negligible. In contrast, Religiosity was transmitted by additive genetic, shared and non-shared environmental influences. At the level of facets, the Intellectualism and Harmony showed a homogenous etiology while Religiosity, Materialism, and Conservatism were etiologically heterogeneous.     

Gratitude and depressive symptoms: the role of positive reframing and positive emotion

Eight studies (N=2,973) tested the theory that gratitude is related to fewer depressive symptoms through positive reframing and positive emotion. Study 1 found a direct path between gratitude and depressive symptoms. Studies 2-5 demonstrated that positive reframing mediated the relationship between gratitude and depressive symptoms. Studies 6-7 showed that positive emotion mediated the relationship between gratitude and depressive symptoms. Study 8 found that positive reframing and positive emotion simultaneously mediated the relationship between gratitude and depressive symptoms. In sum, these eight studies demonstrate that gratitude is related to fewer depressive symptoms, with positive reframing and positive emotion serving as mechanisms that account for this relationship.     

Brain activation during spatial updating and attentive tracking of moving targets

Keeping aware of the locations of objects while one is moving requires the updating of spatial representations. As long as the objects are visible, attentional tracking is sufficient, but knowing where objects out of view went in relation to one's own body involves an updating of spatial working memory. Here, multiple object tracking was employed to study spatial updating and its neural correlates. In a dynamic 3D-scene, targets moved among visually indistinguishable distractors. The targets and distractors either stayed visible during continuous viewpoint changes or they turned invisible. The parametric variation of tracking load revealed load-dependent activations of the intraparietal sulcus, the superior parietal lobule, and the lateral occipital cortex in response to the attentive tracking task. Viewpoint changes with invisible objects that demanded retention and updating produced load-dependent activation only in the precuneus in line with its presumed involvement in updating spatial working memory.