Negotiating ending: A qualitative study of the process of ending psychotherapy

Objectives: When psychotherapy is open-ended, the question of termination is a matter for negotiation. A model based on both content and the process of ending may explain how ‘good enough’ psychotherapies can be brought to ‘good enough’ endings.

Design: Twelve processes of ending were explored through a combination of audio recordings made during therapy sessions and post-therapy interviews with clients and therapists. Therapies had been tailored to the needs of the clients and were based on a broad spectrum of theoretical affiliations.

Methods: A procedure for systematic text condensation was used on a case-by-case basis. Issues surrounding the initiation and negotiation of ending were pointed out in each case and were then compared across cases.

Results: The initiation of ending and exchanges concerned with when and how to end therapy unfolded as a concerted process because both parties seemed to be aware that the theme of ending contained a potential challenge to the alliance. Dual affect regulation, implicit communication and a future-oriented perspective were important features. Structural elements such as schedule changes and temporary breaks served several psychological functions. Therapies seemed to reach ‘good enough’ endings when the client and therapist joined in their efforts to resolve basic ambivalences embedded in the decision to terminate contact with the affirmation of a continuing emotional bond.     

Epistemic dependence in interdisciplinary groups

In interdisciplinary research scientists have to share and integrate knowledge between people and across disciplinary boundaries. An important issue for philosophy of science is to understand how scientists who work in these kinds of environments exchange knowledge and develop new concepts and theories across diverging fields. There is a substantial literature within social epistemology that discusses the social aspects of scientific knowledge, but so far few attempts have been made to apply these resources to the analysis of interdisciplinary science. Further, much of the existing work either ignores the issue of differences in background knowledge, or it focuses explicitly on conflicting background knowledge. In this paper we provide an analysis of the interplay between epistemic dependence between individual experts with different areas of expertise. We analyze the cooperative activity they engage in when participating in interdisciplinary research in a group, and we compare our findings with those of other studies in interdisciplinary research.     

Neuropsychological assessment with the Visual Gestalt Test: psychometric properties and differential diagnostic probabilities

The Visual Gestalt Test is a neuropsychological instrument developed for evaluation of learning and memory of visuo-spatial material. A revised strategy of scoring has motivated the present study, where data from 153 normal persons, 99 epilepsy patients, and 24 depressed patients are presented and compared. The Visual Gestalt Test is observed to discriminate between normal and diagnosed groups in several ways. Additionally it is found to discriminate between depressed and brain damage subgroups of patients. Data are presented in order to supplement previously published ways of scoring and norms. Practical guidelines for the clinical applications of the test are suggested as perspectives.     

Maternal soothing and infant stress responses: soothing, crying and adrenocortical activity during inoculation

The relation between maternal soothing and infant stress response during inoculation was examined in a sample of 37 mothers and their 3-month-old infants. The mothers' soothing and the infants' cry vocalizations and the mothers' and the infants' salivary cortisol level pre- and post-injection were analysed. There was a positive relation between infants' cry vocalization post-injection and maternal soothing pre- and post-injection. The sample was divided in two sub-groups depending on whether the mothers evidenced most soothing of the infants in the period before (Preparatory group; n=20) or after (Contingent group; n=17) the syringe injection. In the Preparatory group, the duration of infant cry vocalizations was related to amount of maternal soothing before and after the injection, while cry vocalizations in the Contingent group was related to amount of maternal soothing after the injection. The Contingent infants responded to the injection with a significant increase in cortisol, while there was no increase in the Preparatory infants. The Preparatory infants evidenced significantly longer duration of looking at the target stimuli in a visual marking task, suggesting greater difficulties in disengaging attention. These findings indicate that 3-month-olds' stress responses and their mothers' situational behaviour are mutually regulated.     

Multidimensional set switching

The present study examined the organization of preparatory processes that underlie set switching and, more specifically, switch costs. On each trial, subjects performed one of two perceptual judgment tasks, color or shape discrimination. Subjects also responded with one of two different response sets. The task set and/or the response set switched from one to the other after 2-6 repeated trials. Response set, task set, and double set switches were performed in both blocked and randomized conditions. Subjects performed with short (100-msec) and long (800-msec) preparatory intervals. Task and response set switches had an additive effect on reaction times (RTs) in the blocked condition. Such a pattern of results suggests a serial organization of preparatory processes when the nature of switches is predictable. However, task and response set switches had an underadditive effect on RTs in the random condition when subjects performed with a brief cue-to-target interval. This pattern of results suggests overlapping task and response set preparation. These findings are discussed in terms of strategic control of preparatory processes in set switching.     

The development of children's achievement-related expectancies and subjective uncertainty

Children between the ages of 3 and 6 years were asked to predict their success or failure in two different tasks: a box-lifting task and a task in which marbles had to be rolled through gates of different widths. Both tasks had five difficulty levels which were presented either simultaneously or successively. Along with the verbal or nonverbal responses to questions about their chances of success, the time children needed to make the prediction (decision time), the number of eye movement during the decision time, and, in the box-lifting task, the time taken to approach the box were assessed. The results indicated that children from 3 years on make realistic assessments of their chances for success at the five different difficulty levels. The simultaneous presentation mode enables the children to make more realistic success predictions only in the marble-rolling task. For the box-lifting task, children seem to have a stabilized difficulty scale which allows sure predictions without the whole range of difficulty levels being physically presented.     

Spatial orientation from optic flow in the central visual field

Previous research has shown that stimulation of the central visual field with radial flow patterns (produced by forward motion) can induce perceived self-motion, but has failed to demonstrate effects on postural stability of either radial flow patterns or lamellar flow patterns (produced by horizontal translation) in the central visual field. The present study examined the effects of lamellar and radial flow on postural stability when stimulation was restricted to the central visual field. Displays simulating observer motion through a volume of randomly positioned points were observed binocularly through a window that limited the field of view to 15 degrees. The velocity of each display varied according to the sum of four sine functions of prime frequencies. Changes in posture were used to measure changes in perceived spatial orientation. A frequency analysis of postural sway indicated that increased sway occurred at the frequencies of motion simulated in the display for both lamellar and radial flow. These results suggest that both radial and lamellar optic flow are effective for determining spatial orientation when stimulation is limited to the central visual field.     

Gender,profession, and non‐conformal religiosity

Possible relations between gender, profession and non‐conformal religiosity are discussed, and patterns of religiosity are analysed among Danes in the social, educational, and health care (SEH) professions with a view to clarifying the role of gender versus that of profession in propagating non‐conformal religiosity. The data were taken from an interview study of the Danish Baha'i community and from the Danish part of the European Values Study (EVS). The conversion accounts of SEH professionals among the Danish Baha'is indicate a specific religious socialization in the SEH professional environment. The EVS data demonstrate that non‐conformal religiosity is much more prevalent among SEH professionals than among the rest of the population. Three to five times as many practised meditation, yoga, or healing, and belief in reincarnation was also more widespread. Regarding these indicators of non‐conformal religiosity, no differences were found between men and women in the SEH professions. For persons not in the SEH professions, indicators of both conformal and non‐conformal religiosity showed a higher prevalence among women than among men. This corroborates the hypothesis that the female‐dominated SEH professional environment exerts a strong socialization to non‐conformal religiosity, a socialization that may outweigh the general effect of gender.     

Smoothness of the velocity field and three-dimensional surface detection from optic flow

Five experiments were conducted to determine the importance of smoothness of the velocity field in detecting 3-D surfaces from optic flow. Subjects were presented with optic flow displays simulating either points positioned on a corrugated 3-D surface or points randomly positioned within a 3-D volume. The subject’s task was to indicate whether or not the display appeared to be a 3-D surface. Smoothness of the velocity field was examined by systematically varying the speed of individual velocities in the flow field according to a Gaussian distribution withM = 0 andSD = σ. Variations in frequency, amplitude, density, and surface complexity were also examined. Detection of the corrugated surfaces systematically declined with an increase in σ. An increase in frequency of the corrugation for simple (single-frequency corrugation) surfaces resulted in a decrease in surface detection accuracy. Accuracy increased with an increase in density and amplitude for both simple and complex (multiplefrequency corrugation) surfaces. An analysis of the deformation of the displays predicted performance on the basis of human observers, providing further support for the importance of deformation for 3-D surface detection.