Sado-masochism as a defense against merging: Six case studies

This paper reports on several patients who use sado-masochism as a defense against an unconscious wish for and fear of merging. The sado-masochism can be expressed as a sexual perversion or in a difficult ungratifying interpersonal relationship. These relationships have some of the quality of addictions in that the patients have a compulsive need to continue them and find it extremely difficult to leave them. Therapy must focus on helping the patient become more separate, rather than on other problems which may also be present. Initially, the therapist needs to take an educational stance in regard to the process the patient must complete, rather than the more traditional analytic stance.     

Mental image reversal and verbal recoding: When ducks become rabbits

A recent debate has concerned whether classical bistable configurations (e.g., duck/rabbit) can be reinterpreted using mental imagery. Research in this field indicates that image reversal is possible only when subjects change their specification of orientation. In a series of four experiments, we demonstrate that mental reversal of classical bistable configurations( CBCs) is impeded by verbally recoding the visual pattern at the time of input. When subjects were prevented from verbally recoding visual stimuli in short-term memory, they fared systematically better in mentally reversing the CBC, even when they received no instructions to change their reference frame or specification of orientation. On this basis, we suggest a model of image reversal that takes into account the interaction between memory codes and provides a new perspective on verbal recoding, verbal overshadowing, and mental discoveries.     

Disordered eating in women of color

It has been assumed that the occurrence of eating disorders in American racial minority groups are rare. Indeed, whereas the cultural context may afford “protection” to the group, it does not necessarily protect specific individuals. Individuals within each racial/ethnic group are subject to the standards of the dominant culture, particularly when the culture-of-origin is devalued by the dominant culture. Social, familial, and individual factors which contribute to disorders eating symptomatology are discussed. Discussions of obstacles to detecting eating disorders and guidelines for developing more inclusive theory of and treatment of persons with eating disorders is included.     

Positive Psychological States in the Daily Life of a Sample of Working Women

This study of a sample of working women investigated where positive experiences were derived from in everyday life, focusing on the domains of work and nonwork (leisure). It examined how aspects of the situation, in terms of principal environmental influences in work and leisure, and the person, in terms of locus of control, were associated with positive subjective states and psychological well-being. The study employed questionnaires and also the experience sampling method. The results showed that both work and leisure were important for positive psychological states and that internal locus of control was associated with greater enjoyment, interest, feelings of immediate control, intrinsic motivation, life satisfaction, and affective well-being and a number of principal environmental influences.     

The logics of orthoalgebras

The notion of unsharp orthoalgebra is introduced and it is proved that the category of unsharp orthoalgebras is isomorphic to the category of D-posets. A completeness theorem for some partial logics based on unsharp orthoalgebras, orthoalgebras and orthomodular posets is proved.     

The recollective experience of cross-modality confusion errors

There are at least two qualitatively different types of subjective experience that can accompany accurate recognition memory. Sometimes recognition is accompanied by conscious recollection of the learning episode (i.e., it isremembered), and in other cases it is not (i.e., it is simplyknown that the item is old). In the present study, we assessed the subjective experience that accompanies crossmodality confusion errors (misidentifying words as pictures) by measuring the extent to which subjects claimed toremember versusknow that the item was presented as a picture. The results of two experiments demonstrate that cross-modality confusion errors are often accompanied by conscious recollection, although not to the same extent as accurate memories. The findings also show that there is considerable overlap in the recollective experience that accompanies accurate and erroneous memories. Finally, the results support the contention that recollective experience cannot be directly inferred from test performance.     

Stories for therapy: The right story to the right person at the right time

In the postmodern information era with its increasing complexity and demands on my time, I find storytelling increasingly attractive. The right story told to the right person(s) at the right time in the right way can powerfully define and shape both individuals and the systems into which they organize themselves. As interventions go, I find stories to be relatively high impact, low-risk, parsimonious, and user-friendly. This paper contains some of my favorite teaching stories and describes why and how I use them as both a family therapist and teacher of family therapy.     

The self-narrative and acute psychosis

The aim of this study was to apply the narrative approach in analyzing family therapy meetings in cases of acute psychosis. The self-narrative is essential in acute psychosis since it is either collapsed or not coherent enough. The results indicate that it is important to create concrete practices that produce stories concerning the patient in relation to others. The self-narrative must be re-authored by the patient even though it is socially constructed. This is achieved by creating multiple perspectives of self-narratives in so-called therapy meetings with the patient, family members, and staff members representing different professionals.     

“Not with me you don't”: A story of narrative practice and dissociative disorder

This paper discusses issues relating to therapeutic practice based upon the narrative metaphor. A case of someone suffering the effects of Dissociative Identity disorder is used to illustrate the difficulties that clients can experience with the “expert” knowledge conception of therapy. The value of the “respectful” and “non-expert” emphasis of Narrative Practice emerges even when the therapist believes that he or she lacks expertise in the client's apparent “condition.” Three themes emanating from the case form the basis for the discussion: the client's experience of being recruited into accepting the diagnostic label of Dissociative Identity Disorder; the effects of being forced to accept a contract to eliminate self-abusive behaviour; and the therapist's dealing with a gun in the therapy room.     

The recovering female alcoholic: A family affair

Supported by a review of relevant literature and a case study, the author argues that family therapy intervention enhances the likelihood of a female alcoholic's positive prognosis. With a basis in systems theory, family therapy views the family as a system and, hence, perceives the alcoholism as a symptom of that family. A profile of the female alcoholic, how her drinking affects her family, and the role that family therapy plays in the recovery process are examined.