“Why Won't My Parents Help Me?”: Therapeutic Assessment of a Child and Her Family

We present a case study of a child's psychological assessment using the methods of Therapeutic Assessment (TA). The case illustrates how TA can help assessors understand the process and structure of a family by highlighting how maladaptive family processes and interactions impact a child's development. It also illustrates how TA with a child can serve as a family intervention. In this case, it became apparent that the child's social difficulties were significant, not minor as initially reported by the parents, and were rooted in an insecure attachment, underlying depression, an idiosyncratic view of the world, and longing for attention, all of which were hidden or expressed in grandiose, expansive, and off-putting behaviors. In addition, the familial hierarchy was inverted; the parents felt ineffective and the child felt too powerful, leading to enhanced anxiety for the child. Intervention throughout, punctuated by the family session and feedback sessions, allowed the parents to develop a new “story” about their child and for the child to experience a new sense of safety. Following the TA, the parents and child indicated high satisfaction, enhanced family functioning, and decreased child symptomatology. Subsequent family therapy sessions allowed the family to further implement the interventions introduced in the TA.     

Family Sessions as Part of Child Psychological Assessment: Goals,Techniques, Clinical Utility,and Therapeutic Value

Including a family session in a child assessment can significantly advance the assessor's and parents' understanding of the child's problems and enhance the likelihood that parents will follow through on recommendations after the assessment. A family session allows the assessor to observe the child in the family context, test systemic hypotheses, better understand the meaning of individual test results, and try out possible interventions. A family session may also help parents see systemic aspects of their child's problems, help the child feel less blamed, foster positive experiences among family members, and offer the family a glimpse of family therapy. We describe methods and techniques for structuring family sessions and offer guidance on preparing for and conducting such sessions depending on one's case conceptualization. Detailed case examples illustrate each technique and demonstrate the immediate and subsequent impact of family sessions as well as their therapeutic value. We also address common clinical and pragmatic issues.     

A Review of the Literature on Bullying in U.S. Schools and How a Parent–Educator Partnership Can Be an Effective Way to Handle Bullying

Bullying has been studied for many years in the U.S. and other countries. This article is a review of the literature focusing on the laws (state and federal) pertaining to bullying and the long-term effects of being a bully. In addition, the article provides an overview of the five different types of bullying: (a) physical bullying, (b) verbal bullying, (c) bullying through relational aggression, (d) bullying through social aggression, and (e) cyberbullying. Focus is also given to the emotional and physical behaviors of the (a) bully, (b) passive victim, (c) bully victim, and (d) bystander, as well as the short- and long-term effects of bullying on each of them. The last part of the article focuses on the importance of having a parent–educator partnership with zero tolerance for bullying.     

Psychoanalytic Interpretation as Pharmakon: Applying Derrida’s “Plato’s Pharmacy” to Psychoanalysis

This paper presents a metaphorical heuristic to expand psychoanalysts’ views on the nature and method of interpretation from an intersubjective perspective. It uses one of Jacques Derrida’s findings in his essay “Plato’s Pharmacy,” a critique of Plato’s Phaedrus, as a model of psychoanalytic interaction. A parallel is drawn between psychoanalytic interpretation and the pharmakon—an ancient Greek term for ‘drug’ that means both remedy and poison. From this comparison, the inescapable dependence of personal meaning on contextual factors, specifically the context of the clinical intersubjective field, is shown. As a result, when an interpretation is offered, the analyst cannot truly know if the patient will receive it as remedy or poison. By keeping the context-dependent nature of personal meaning in awareness through the use of the pharmakon metaphor, analysts increase their abilities of interpretive understanding. In further discussion, the classical psychoanalytic concept of ‘negative therapeutic reaction’ is presented as an example of a decontextualized and reified psychoanalytic construct that becomes superfluous when interpretations are viewed through an intersubjective lens as pharmakon. Without the burden of expectation for being the authoritative imparter of reality and truth, the analyst may now attend to the patient in a way that is more fluid and reciprocal, where the relational field becomes what is primarily interpreted. Further, practical clinical implications of the concept of pharmakon suggest that since the analytic interpretation is subjective in every respect, effective clinical practice cannot be reduced to rigid protocols of technique.     

Using Contextual Therapy to Treat Depression with Couples

Abstract

Though depression is one of the most common presenting problems treated by systemic therapists, there have been relatively few attempts to describe how specific systemic therapy models can be applied to treat couples dealing with depression. In this paper, we discuss how contextual therapy can be used to treat depression in couples therapy. We identify multidirected partiality as an intervention and as a characteristic. We introduce letter writing and internalized other interviewing as contextual interventions that help to facilitate partiality and understanding between clients. A clinical vignette illustrates our discussed concepts.     

The single-item need to belong scale

The need to belong is one of the most fundamental and well-researched human motives. Although a valid 10-item need to belong scale (NTB) is now readily available, many research settings may not afford researchers the luxury of including it, despite its potential relevance to a variety of research questions. The current research constructed and validated a single-item measure that could overcome this limitation. Three studies examined the psychometric properties of a single-item need to belong scale (SIN-B). We examined the concurrent validity of the SIN-B with the NTB in a student sample (Studies 1 & 2), the test–retest reliability of the SIN-B across four months (Study 2), and the construct validity of the SIN-B in a diverse international sample (Study 3). Across all studies, the SIN-B showed good reliability and validity, supporting its use and utility in future research.     

Can't Shake It Off? Attachment Moderates the Link Between Hostility and Forgiveness

ABSTRACT

Although previous research has indicated that forgiveness is an essential part of relationships that thrive, forgiveness tends to become increasingly difficult as the intensity and duration of hostility rises. Understanding conditions that help make forgiveness more possible, as well as those that actually make forgiveness more difficult, then becomes an important asset for clinicians promoting healthier relational dynamics and longevity. Using data from 257 participants across two time points, we measured the association between hostility and forgiveness to test the moderating role of attachment. Greater hostility was linked with less benevolent forgiveness and more resentment. Moreover, anxious attachment moderated the association between hostile interactions and resentment—the inability to forgive. Implications for helping professionals and clinicians are discussed.