The co-therapy relationship: Mutuality,agreement and client outcome

This project, utilizing a pretest and posttest design, studied interactions between co-therapists and the relationships of their interactions to client outcome. Six co-therapist pairs at a counseling center saw two clients in multiple treatments yielding twelve cases. The study investigated co-therapist relationships in regard to: (a) their level of mutuality or caring for their partners, (b) their ratings of the quality of their relationships, and (c) their agreement as to perceptions and behavior during sessions. Also investigated were: the relation of co-therapist interaction to client outcome and the personal growth of the therapists over the course of therapy. Results supported success claims of the literature concerning co-therapy.     

Successful psychotherapy

This paper develops an existential explanation for the position that different psychotherapeutic modalities enjoy comparable success rates. The explanation provides necessary and sufficient conditions for a successful outcome, related to the actualization level of both client and therapist, and is shown to imply equal theoretical probability of success across modalities.     

Variables related to reported learning in brief experiential groups held at professional meetings

Reports of learning from 119 participants of 18 general psychodynamic groups from the 1981 and 1982 annual meetings of the Canadian Group Psychotherapy Association were investigated. Two main learning factors emerged from a factor analysis of participant ratings, learning about oneself in a small group (factor one) and learning how to be an effective leader with professional skills (factor two). Participants reported moderate to considerable learning for both factors even though the stated task of the groups did not emphasize the learning of professional skills. Relationships between several classes of variables (group, leader, demographic) and reported learning were studied. Results that were consistent with several previous investigations were found. The discovery of a participant, sex-difference finding, i.e., greater reported learning by the women, generated a number of questions that may be addressed in future investigations.This article was derived from a paper presented at the Fourth Annual Meeting of the Canadian Group Psychotherapy Association, October 27, 1983, Banff, Canada.     

A process recording for evaluating group psychotherapy training methods

This paper discusses an exploratory investigation concerned with the long range questions: How does group psychotherapy help patients? and How can psychiatry residency programs best train residents to treat patients in therapeutic groups? Group psychotherapy has come to be accepted in its own right as a decisive contribution to the study of and relief of emotional disorders. As a component of comprehensive psychiatric services it is indispensable. However, while its clinical value has been demonstrated, its scientific validity has not. A Group Process Inventory has been developed by the author and has been utilized for the past two years by psychiatric residents in recording the process of their therapeutic groups in a teaching hospital mental hygiene clinic. The preliminary use of this recording as a clinical-teaching instrument has proven effective. This inventory is being revised to serve as a research instrument.     

Perspectives on individual-family-social network interrelations

The author focuses on the trend in the family therapy field toward an expanded view of families in the context of their social environments. Within this broader eco-system perspective attention is given to individual-family-social network interrelations with implications for the family therapist.An earlier version of this paper was presented at the American Association for Marriage and Family Therapy, Dallas, Texas, October 29, 1982. Appreciation is expressed to Alice Lynn for her comments and suggestions on an earlier draft of this paper. The author has also benefitted from discussions with Douglas Sprenkle on paradigms and contexts.     

Active-interactional cotherapy

In the literature on cotherapy, little attention has been focused on maximizing the effectiveness of two therapists working in tandem with families and couples. While cotherapists may at times share their ideas and feelings with their clients, and after the therapeutic session exchange views between themselves, generally little interaction occurs between them during the session. In this paper, a case is presented for more active interactions between cotherapists during the session, in order to expedite and facilitate change and growth in their clients. Anecdotal examples are provided to illustrate the approach.     

Follow-up of a full-scale network assembly

The authors conducted two full-scale network assemblies for the family network of a suicidal adolescent. Findings from the clinical follow-up and telephone interviews with 21 of 65 participants revealed benefits for the index family and the network members who participated in the meetings. A ripple effect in which the participants' own personal networks improved was also demonstrated. Benefits included resolution of a suicidal crisis, better understanding of depression and family stress, more adaptive responses to depression and suicidal risk, and improved personal relationships. No casualties from this intervention were discovered. This report is intended to stimulate future, more systematic outcome studies.     

Pastoral visitation to the institutionalized aged: Delivering more than a lick and a promise

A representative nationwide survey of elderly in nursing home facilities was conducted by the Lutheran Council U.S.A. Visitation by family ministers and facility chaplains, a major study focus, was characterized by the elderly as not meeting their needs in terms of frequency and time available with clergy. Time constraints of the clergy are communicated to the elderly, who are understanding but nevertheless felt shortchanged. The elderly without visits from relatives or significant others are particularly vulnerable. Dominant themes within pastoral care visitation are highlighted.Dr. Uhlman is Director of Research and Evaluation and Reverend Steinke is Director of the Clinical Pastoral Education Program with Mental Health Services of the Roanoke Valley, 920 South Jefferson Street, Roanoke, Virginia 24016. The authors wish to acknowledge the Aid Association for the Lutheran Insurance Company and Concordia Teachers College (River Forest, Illinois), which assisted with financial costs and data analysis. Special recognition and appreciation should be noted for the elderly respondents whose participation made our experience both rewarding and enlightening.     

Incarnation and pastoral care

This essay is an examination of the usefulness of incarnation as a theological metaphor for pastoral care and counseling. Understanding the incarnation as both an event and as a paradigm of God's relationship to the world provides a theological perspective for examining four interrelated questions about identity and the helping relationship frequently asked by the pastoral care-giver. The incarnation metaphor finally frees us to care in the confidence that in God the Incarnating One, all things, including our care for the sick, are held together.Dr. Anderson is Associate Professor of Pastoral Theology and Counseling at Wartburg Theological Seminary, 333 Wartburg Place, Dubuque, Iowa 52001.     

Pastoral theologian of the year,William Barr Oglesby,Jr.

This article acknowledging and celebrating William Barr Oglesby, Jr. as Pastoral Theologian of the Year for 1983, was originally published inPastoral Psychology 32(1) in Fall, 1983. As a result of some errors that inadvertently modified both the tone and the meaning of the text, we are republishing this article here in its entirety.