Breaking Up Is Hard to Do: Dismissing Students From MFT Training Programs

Dismissing a student from an MFT training program can be challenging from an ethical and professional perspective. A thorough review of the literature regarding dismissal procedures in MFT training programs was conducted in order to increase discussion around circumstances under which dismissal is warranted and necessary for the protection of the public, the student, and the profession with specific attention to the dismissal process. The authors present the current state of the literature, include a case scenario for facilitating a conversation about this topic, and provide guiding principles for faculty and supervisors who might engage in a dismissal process.     

A Behavioral Analysis of Morality and Value

Morality has long been conceived as divinely instituted, so otherworldly, rules meant not to describe or explain behavior but to guide it towards an absolute good. The philosophical formulation of this theory by Plato was later grafted onto Christian thought by Augustine and Aquinas. The equally ancient theory of the Greek sophist Protagoras (that the good is relative to personal preferences and morality to man-made social customs) was forgotten until revived in the 18th and 19th centuries by such empiricists as David Hume and J. S. Mill. Then it was dismissed again in the 20th century by G. E. Moore and W. D. Ross as naturalistic fallacy, that is, conflation of what is with what ought to be. However, those who took this dismissive attitude themselves made the reverse mistake of conflating what ideally ought to be with what actually is. In other words, they mistook ideals for actualities. As B. F. Skinner (1971) said in Beyond Freedom and Dignity, sorting things out requires behaviorist parsing of the good (the personally reinforcing) and duty (the socially reinforced).     

A laboratory analogue of mirrored-self misidentification delusion: The role of hypnosis,suggestion, and demand characteristics

Mirrored-self misidentification is the delusional belief that one’s own reflection in the mirror is a stranger. In two experiments, we tested the ability of hypnotic suggestion to model this condition. In Experiment 1, we compared two suggestions based on either the delusion’s surface features (seeing a stranger in the mirror) or underlying processes (impaired face processing). Fifty-two high hypnotisable participants received one of these suggestions either with hypnosis or without in a wake control. In Experiment 2, we examined the extent to which social cues and role-playing could account for participants’ behaviour by comparing the responses of 14 hypnotised participants to the suggestion for impaired face processing (reals) with those of 14 nonhypnotised participants instructed to fake their responses (simulators). Overall, results from both experiments confirm that we can use hypnotic suggestion to produce a compelling analogue of mirrored-self misidentification that cannot simply be attributed to social cues or role-playing.     

Paying attention to reading errors in acquired dyslexia

The important role of selective attention in normal reading is illustrated by a relatively rare form of acquired dyslexia known as 'attentional dyslexia'. Theories of the functional deficit underlying this disorder differ as to the locus of the attentional dysfunction. A recent study by Mayall and Humphreys has contributed to this debate by studying letter migration errors in an attentional dyslexic.     

Satir's Therapeutically Oriented Educational Process: A Critical Appreciation

Virginia Satir, one of the most influential of the early family therapists, reached millions of people throughout the world through her writings, videotapes, workshops, and personal appearances. Yet the Satir model has never been fully accepted by the mainstream of the family therapy movement. This article introduces Satir and her work, and outlines the conceptual foundations of the model, organized in terms of presuppositions, basic constructs, therapeutic process, and methods, and offers some reasons for this lack of acceptance. The relation of theory to method and practice is the least developed aspect of the Satir model.     

Personality Dysfunction and the Management of Chronic Medical Illness: A Community Health Sample

The purpose of this study was to determine the influence of personality disorders on perceived health status, self-efficacy for management of the chronic illness, and physician perception of patient health. A total of 607 patients with self-identified chronicillness(es) volunteered to participate in the study. Out of this sample, 147 had collaborative physician data indicating a chronic illness. The final sample was 143 due to incomplete data. Results suggested that maladaptive personality characteristics, as measured by the Short-Form of the Coolidge Axis II Inventory (SCATI), were related to a number of important factors that influence self-management of chronic illnesses. When the personality constellations were broken into 3 groups (normal, subclinical, and clinical) significant differences were found on the 3 groups of dependent variables (Subjective Health, Self-Efficacy, Physician Appraisal) for the different personality disorders. These data provide useful information on several factors that influence effective disease management. Clinical implications and directions for future research are provided.     

Übertragung und Übertragungsneurose

The authors investigate Freud's concepts of transference, transference neurosis and their mutual relationship. They discuss the current criticism made on the concept of transference neurosis and raise the question, why patients accept the analyst's interpretations? They suggest understanding transference neurosis as conscious manifestations of transference referring to the analyst which are the outcome of successive interpretations of the type "just-like" followed, changed, and removed again by "just-like-it-was"-interpretations. They conclude that the patient does accept these interpretations not for reasons that are rational, but for reasons pertaining the transference situation.     

Stationäre oder teilstationäre Psychotherapie?

In a pilot study we compared two groups, one of inpatients and one of day clinic patients who were treated between January 1999 and December 2001 at the Department of Psychosomatics and Psychotherapeutic Medicine in Freiburg/Germany. Both settings offer a similar, multimodal and intensive psychotherapy program on a psychodynamic background. In a first explorative data analysis (sociodemographic data, SCL-90-R, IIP-C) we studied differences in severity of initial symptomatology and differences in outcome (prae/post). Patients with anorexia nervosa and a very low weight were preferentially treated in the inpatient setting. In addition the inpatient group of patients with a somatoform disorder showed higher degrees of somatization, as compared to patients with a somatoform disorder in the day clinic. Therapeutic change with respect to psychopathology however did not differ between the two settings: both groups showed a significant improvement during the course of therapy.