Reflections on group psychotherapy with eating-disordered patients

This paper addresses some of the dynamics, resistances, and transference and countertransference considerations in group psychotherapy with eating disordered patients. Several resistances are delineated, including guilt over being helped, the recreation of early problems around control and forced feeding, and withdrawal as a defensive operation. A brief vignette is presented which highlights the demand on the part of the therapist as well as the patient to contain and manage feelings rather than acting on them. Lastly, the author argues that group participation helps the patient to identify, articulate, and accept feelings and to promote assertiveness.This paper is based on a presentation given at the Training Institute for Mental Health on May 11, 1991.     

PARADIGMS OF BELIEF, THEORY AND METATHEORY

Abstract. My account of the recent turnabout in the treatment of mental states in science and its basis in a modified concept of causal determinism and my claim that this opens the way for beliefs and values consistent with science are here reaffirmed in response to perceived weaknesses and "inherent incompleteness." Contested issues are reviewed to better clarify the main thesis. An inherent weakness in respect to deep spiritual needs is recognized and tentative remedial measures explored.     

The relationship between attitude,assertiveness and condom use

The Australian study investigated condom-specific assertiveness and condom use as a means of prevention infection from sexually transmitted diseases. 211 men participated including 83 homosexual men (aged 19-62 years) and 128 heterosexual men (aged 17-49) who completed a questionnaire that comprised demographic details such as age, monogamy, and sexual activity as well as attitudinal and assertiveness measures. General assertiveness was measured by the Rathus Assertiveness Schedule (RAS) which had been widely used across a wide range of social situations. Assertiveness relating specifically to situations involving condoms was measured by the Condom Assertiveness Scale (CAS). Intention to use condoms was positively related to favorable attitudes, which were related to condom-specific assertiveness for both groups. For the heterosexual men only, general social assertiveness was negatively related to attitudes toward condoms. For both groups, the condom-specific measure of assertiveness was positively correlated with attitudes toward condoms. Condom-specific assertiveness was positively related to general social assertiveness as measured by the Rathus Assertiveness Schedule for the homosexual, but not for the heterosexual men. The negative relationship between general assertiveness and attitude to condoms among the heterosexual men implies that the risk reducing behavior of condom use did not seem to accord with the perceptions of masculinity and social assertiveness among heterosexual men. Thus, female partners of such heterosexual men exhibiting negative attitudes toward condom use combined with assertiveness would have to overcome resistance to insist on the use of condoms. Recently some advertising campaigns have been directed at women. The promotion of condom use among heterosexual men has to deal with the perceptions of condom use as unmasculine behavior.     

An evaluation of a brief integrity test user orientation program

The purpose of this pilot study was to assess the effectiveness of a brief test user orientation program on increasing service station managers' familiarity with a few key employment testing issues, including their familiarity with theModel Guidelines for Preemployment Integrity Testing Programs. The obtained results reveal that even a brief orientation program was able to significantly increase the managers' stated degree of familiarity with testing issues.     

The development of general competence and domain-specific competencies

The development of competence was studied in a longitudinal sample of 98 children, with measurement points when the children were 7, 10, and 12 years old. Competence was defined in terms of adequate adaptation to developmental tasks, both on a general and on a domain-specijic level. The general form of competence was measured by ego-resiliency, reflecting fexibility and ability to solve developmental problems Domain-specific competencies were measured by school achievement and social preference. The results showed that ego-resiliency was related to the two domain-specific competencies, although the hypothesized causal direction from general competence to specific competencies was not supported. Both domain-specific competencies were found to have a feedback effect on ego-resiliency. This feedback effect was stronger for social preference. These results suggest a transactional relationship between general and domain-specific competencies, and point to the importance of domain-specific competencies (especially social preference by the peer group) in the development of general competence in the child.     

Confidence in expectations: A test of the triangle hypothesis

Kelley and Stahelski's (1970) triangle hypothesis states that competitors hold homogeneous views of others by assuming that most others are competitive, whereas cooperators or pro-social people hold more heterogeneous views by assuming that others are either cooperative or competitive. To evaluate the triangle hypothesis, this study examines differences between pro-socials, individualists, and competitors not only in their expectations about others' choice behaviour, but also in the confidence with which such expectations are held. It was found that pro-social subjects expected more cooperation than individualists and competitors. More importantly, as predicted on the basis of the triangle hypothesis, pro-socials were less confident about their expectations than competitors, with individualists holding intermediate levels of confidence.     

Political families in therapy: The impact of media coverage and therapeutic issues

Many political families are ultra cautious about seeking therapy because of the stigma it carries in the political arena. Various cases on record show where an aspiring political candidate's chances to run for high elected office were destroyed because of publicity over her or his involvement in therapy. Nonetheless, members of families in politics do seek treatment and bring with them their idiosyncratic circumstances. This article attempts to provide an interior view of the politician's family life as seen in the therapist's sanctuary and a consideration of how media coverage may impact politician and family. Clinical data and information from interviews with six acquaintances whose main occupation is politics are presented. It is hoped that the data will enable therapists to understand and treat political families more effectively.Florence Kaslow, PhD, is director of Florida Couples and Family Institute in West Palm Beach. She is a visiting professor of medical psychology in psychiatry at Duke University Medical Center in Durham, NC, and a visiting professor of psychology at Florida Institute of Technology, Melbourne, FL.