Constructing and deconstructing psychotherapeutic discourse

This paper reviews recent work on the social construction of the self in counselling and psychotherapy, and argues that we need to attend to the ways in which the therapeutic self is fashioned (a) in relation to the ‘psy-complex' as the network of theories and practices concerned with psychological governance and self-reflection in modern Western culture and (b) in the context of ‘therapeutic domains' outside the clinic and academe, domains of discursive regulation and self-expression which then bear upon the activities of professional and lay counsellors. Therapeutic domains contain repertoires, templates and complexes within which counsellors and clients fabricate varieties of truth and story a core of experience into being. I then turn to describe and assess some of the various ways in which this kind of critical reflection on therapeutic discourse and counselling practice now already underpins the work of social constructionist ‘narrative' therapists. Some attention is given to the different pragmatic and deconstructionist approaches which make the discursive constitution of the problem into the problem, either by dissolving or by externalizing the account the client presents. Here I argue that the activities of social constructionist counsellors can be viewed as forms of deconstruction-in-process (a deconstruction of the discursive frames which have been constructed by the client), but that they should not be viewed as stepping outside the discursive conditions of possibility which ground their work. the psy-complex and therapeutic domains still function as relatively enduring structures which limit the degree to which we may construct and deconstruct psychotherapeutic discourse.     

Disturbances of consciousness in dementia with Lewy bodies associated with alteration in nicotinic receptor binding in the temporal cortex

Disturbances of consciousness, including fluctuations in attention and awareness, are a common and clinically important symptom in dementia with Lewy bodies (DLB). In the present study we investigate potential mechanisms of such disturbances of consciousness (DOC) in a clinicopathological study evaluating specific components of the cholinergic system. [3H]Epibatidine binding to the high-affinity nicotinic receptor in the temporal cortex (Brodmann's areas 20 and 36) differentiated DLB cases with and without DOC, being 62-66% higher in those with DOC (F=4.5,p=.025). The were no differences between DLB patients with or without DOC in 125I-labeled alpha-bungaratoxin binding to the low-affinity nicotinic receptor, [3H]pirenzepine binding to the muscarinic M1 receptor, or in choline acetyltransferase activity. These findings provide support for the hypothesis that cholinergic activity is an important neural correlate if consciousness and suggest a mechanism of DOC in DLB involving alterations in the nicotinic receptor, composed of predominantly alpha4 and beta2 subunits.     

Relationships between ability and personality:does intelligence contribute positively to personal and social adjustment?

Intelligence/personality associations were studied in four large datasets. Correlations between general ability (g) and major personality traits were generally consistent with previous findings. For other traits, an interpretation of the correlation patterning is that traits classifiable as adaptive in terms of personal and social adjustment have positive correlations with g, whilst maladaptive traits have negative correlations. Regression modelling confirmed these associations and structural equation modelling of selected traits showed that Neuroticism acts as a mediator of g on the outcome. Non-linear relationships between intelligence and personality were not found. In two of the datasets the correlation between Neuroticism and Psychoticism decreased with ability level, and the correlation between fluid and crystallised ability increased with level of Neuroticism.     

Evolutionary Psychology of Facial Attractiveness

The human face communicates an impressive number of visual signals. Although adults' ratings of facial attractiveness are consistent across studies, even cross-culturally, there has been considerable controversy surrounding attempts to identify the facial features that cause faces to be judged attractive or unattractive. Studies of physical attractiveness have attempted to identify the features that contribute to attractiveness by studying the relationships between attractiveness and (a) symmetry, (b) averageness, and (c) nonaverage sexually dimorphic features (hormone markers). Evolutionary psychology proposes that these characteristics all pertain to health, suggesting that humans have evolved to view certain features as attractive because they were displayed by healthy individuals. However, the question remains how single features that are considered attractive relate to each other, and if they form a single ornament that signals mate quality. Moreover, some researchers have recently explained attractiveness preferences in terms of individual differences that are predictable. This article briefly describes what is currently known from attractiveness research, reviews some recent advances, and suggests areas for future researchers' attention.     

The Treatment of Substance‐Abusing Clients in Multiservice Mental Health Agencies: A Practice Analysis

This article examines the work behaviors related to counseling substance‐abusing clients by mental health service providers in multiservice mental health agencies. The results support the need for specialized knowledge and skills in working with substance‐abusing clients.     

The Role of Attachment Styles and Interpersonal Problems in Suicide‐Related Behaviors

The relationships among adult attachment styles, interpersonal problems, and categories of suicide‐related behaviors (i.e., self‐harm, suicide attempts, and their co‐occurrence) were examined in a predominantly psychiatric sample (N = 406). Both anxious and avoidant attachment styles were associated with interpersonal problems. In turn, specific interpersonal problems differentially mediated the relations between attachment style and type of suicide‐related behaviors. These findings suggest the importance of distinguishing between these groups of behaviors in terms of etiological pathways, maintenance processes, and treatment interventions.     

Schaffer's Demon

Jonathan Schaffer (2010) has summoned a new sort of demon – which he calls the debasing demon – that apparently threatens all of our purported knowledge. We show that any debasing skeptical argument must attack the justification condition and can do so only if a plausible thesis about justification is false.     

The Effect of Practice on the Control of Rapid Aiming Movements: Evidence for an Interdependency Between Programming and Feedback Processing

The purpose of this experiment was to investigate how the control of aiming movements performed as fast and as accurately as possible changes with practice. We examined: (1) the influence of visual feedback on the initial impulse and error correction phases of aiming movements during acquisition; and (2) the effect of removing visual feedback at different levels of practice. Results from the acquisition trials indicated that vision had a major impact on the organization of the initial impulse and error correction phases. Also, consistent with findings from research involving temporally constrained movements, the cost of removing vision was greater after extensive levels than after moderate levels of practice. Collectively, these results denote the importance of visual feedback to the learning of this particular class of aiming movements. Learning appears to be a dual process of improved programming of the initial impulse and increased efficiency of feedback processing. Practice not only acts on programming and feedback processes directly, but also indirectly through a reciprocal interplay between these two processes.