Transitional phenomena as evidenced in prayer

In this paper, we demonstrate that the study of prayer facilitates understanding of the deeply personal object related nature of religious experience. Within prayer, individuals enter the transitional sphere and meet their God representation. Both conscious and unconscious aspects of prayer can be made available through the use of a projective test developed by the authors, known as STARR: Spiritual Themes and Religious Responses test. The data obtained suggest the usefulness of Winnicottian concepts of transitional phenomena, playing, communicating, and capacity to be alone as a contemporary psychoanalytic framework for interpreting religious experience.     

Art,logotherapy, and the unconscious God

In this article the author outlines how art can be used in Logotherapy and Existenzanalyse to help the client uncover, discover, and make use of the meaning and spiritual potentials in his or her life. In Logotherapy and Existenzanalyse art can be used to help over-come fear of verbal communication, to help overcome fear of the spiritual and meaning potentials in the client's life, and to help the client gain awareness and contact with the unconscious God.     

What is a difficult mental health case? An empirical study of relationships among domain variables

A difficult case in psychotherapy can be defined in many ways. This study proposes a model for that definition, in which three domains (patient characteristics, case characteristics, and therapist characteristics) are considered to impact on that definition. A total of 264 professionals received a questionnaire to assess the relative importance of a series of variables within and across these domains. Wilcoxon Matched-Pairs Signed-Ranks tests indicated that patient characteristics were considered more important than therapist or case characteristics in defining a difficult case. Case characteristics were considered more important than therapist characteristics. Pearson correlations, however, suggested that the three domains in the model are related. Correlations (for years of experience) and Kruskal-Wallis one-way ANOVA for ranks (for professions) also indicated that participants were able to identify variables within domains as important in that definition regardless of years of experience or professions. Across domains, the most important variables included the motivation of the client (a patient characteristic), dropout/attrition and multiple diagnoses (case characteristics), and the degree of therapist-client racial similarity (a therapist characteristic).     

Short-term psychodynamic intervention in an urban health clinic: A case report

This paper describes the application of short-term dynamic therapeutic techniques to treat both symptom disturbance and character pathology in an urban mental health clinic. Short-Term dynamic psychotherapy focuses extensively on the subjectivity and inner life of the patient with emphasis on repressed anger, sadness and desire. Methods to overcome patient ambivalence and resistance to psychotherapy are presented. The clinical psychodynamics associated with early life trauma are illustrated with a case of an African-American patient.Acknowledgments for support & critical feedback are expressed to Christine Baker, Ph.D., John Swanson, ACSW, Duncan Walton, Ph.D., and Isabelle Beveridge (Graphics).     

Psychotherapy with families of psychosomatic patients

Paradigmatic complexes in family psychotherapy have been indicating a revolutionary change and the creation of new paradigms for the past thirty years. Starting with the application of the general systems theory and the development of those concepts that have been emerging regarding psychosomatic illnesses we discuss the epistemological confusion created, the methodological problems and the dissociation between theory and practice. We suggest a double process of investigation of the family structure using a knowledge of the basic attitudes and the development of a psychotherapy programme within the family of the psychosomatic patient.     

Ethnotherapeutic empathy (EthE)—Part I: Definition,theory, and process

This paper introduces the concept of ethnotherapeutic empathyin working with ethnoculturally different patients to increase the efficacy of therapy. This form of empathy is used instrumentally to get to know the patient's inner problematic images, anxieties, fears, depressive affect, suffering, hurt, disillusionment, rage, joy, and triumph. Clinical empathy with ethnic patients is instrumental in that it is purposive:it sets out to achieve what might be called patient-comprehending(that is, finding out the nature of the patient's problems) using this as guide to intervening—a form of creativity-in-action. Ethnotherapeutic empathy utilizes active ego processes, in contrast to the passive processes implied in artistic appreciation and surrender. This article presents the definitions of empathy, and associated intrapsychic and social factors, as well as physiological responses in empathie responding. The implications for clinical practice with patients of differing ethnocultural and racial groups are discussed. The article develops a foundation for understanding the therapeutic matrix of applied ethnotherapeutic empathy which is detailed in the second part of this article (Ethnotherapeutic Empathy [EthE]—Part II: Techniques of Vicarious experiencing Across Cultures).     

How much can people really change?

The basic purpose of pastoral counseling, and counseling in general, is to help people change. Therefore, it's critically important to understand the nature of change and to have realistic expectations with respect to how much people can change. To expect too little change can lead to underachievement and despair, whereas to expect too much change can cause needless frustration and an abiding sense of failure. This article discusses behavioral change, its potential and its limits, from the point of view of genetic potential and offers some specific pastoral implications.     

Gods and REMS: The implications of recent dream research for the psychology of religion

Throughout history dreams have been primarily the province of religion. People in many cultures have looked to dreams as sources of spiritual insight and divine revelation. The relationship between traditional religious views of dreams and modern psychological views of dreams has long interested psychologists of religion—for dreams are a uniquely fertile subject for comparing religious and psychological understandings of human experience. In recent years there have been many revolutionary discoveries in dream research, discoveries that have taken us far beyond the seminal works of Freud, Jung, and the early sleep laboratory researchers. This essay describes the work of three leading contemporary dream researchers (neurophysiologist J. Allan Hobson, psychologist Stephen LaBerge, and anthropologist Barbara Tedlock) and evaluates the implications of their findings for our understanding of the religious dimensions of dreams. The essay concludes with some reflections on the valuable role of dream study in the psychology of religion. The primary claim is that recent dream research can make important contributions to current psychology of religion discussions about such issues as interdisciplinary inquiry, hermeneutics, the cross-cultural study of religious experience, the cultural and religious context of modern psychology, and the practical concerns of pastoral counselors.This essay is based on a paper presented on November 25 at the 1991 Annual Meeting of the American Academy of Religion, Kansas City, Missouri.     

Parental functioning and children's adjustment in families of divorce: A prospective study

This paper prospectively examined relations between marital status, predivorce parenting practices, and children's adjustment, using data from the New York Longitudinal Study (NYLS). Prospective analyses of children's predivorce adjustment indicated that neither boys nor girls showed more problematic behavior prior to parental separation, and only boys had more difficulties after divorce. However, parents of to-be-divorced families reported more difficulties in childcare practices before divorce than did parents of always-married families. Parenting difficulties in to-be-divorced families were found consistently for boys but not for girls. Results suggest that the difficulties found among boys after divorce may be linked with parenting problems that begin before divorce.The authors are indebted to Alexander Thomas and Stella Chess, the original investigators of the project. We also would like to thank Jacqueline and Richard Lerner, and the John D. and Catherine MacArthur Foundation for their efforts in preserving this data base.