Therapeutic Assessment With an Adolescent: Choosing Connections Over Substances

This case study provides an in-depth example of a comprehensive therapeutic assessment with an adolescent (TA–A) and his parents. The TA–A addressed parental concerns about their son's drug experimentation as well as the adolescent's own private questions about his distinctiveness from others, all set against a backdrop of ongoing parental conflict and poor communication. The TA–A process and how it is specifically tailored to balance the needs of adolescents and their parents is discussed. Subsequently, each step of TA–A is illustrated through the case study. Research findings at the conclusion of the assessment and at follow-up indicated significant decreases in internalizing symptomology and school problems, increases in self-esteem and self-reliance, and improved family functioning as reported by the adolescent. At follow-up, the father spoke of developing a more assertive parenting approach and successful follow-through on recommendations. This case study provides a template for clinicians interested in conducting TA–A.     

Meditating selflessly at the dawn of a new millennium

Increasingly open to question are the efficacies and timing of some traditional, conventional and current meditative techniques. Recent brain research emphasizes that it is important to distinguish between the Self-centred (egocentric) and other-centred (allocentric) streams of processing. It also proves useful to view as complementary the assets of the concentrative and receptive styles of meditation, especially when one's practices cultivate an appropriate balance between their top-down and bottom-up systems of attentive processing. From this neural perspective, Part I ventures a small sample of empirical suggestions. Some of these could help practitioners engage in more open, effortless, choiceless, varieties of receptive meditation–indoors and outdoors. Part II discusses recent research that illuminates issues arising at the interface between Self and other. The evidence suggests how a balanced attentiveness might enable long-term meditators to enhance mindfulness of the present moment, while simultaneously becoming much less fearful and, ultimately, freer to openly express their most objective, innate instincts of selfless compassion.

The art of Progress is to preserve order amid change and to preserve change amid order. (Alfred North Whitehead 1861–1947)     

Development and Validation of a Situational Judgment Test of Emotional Intelligence

The present study describes the development and validation of a situational judgment test (SJT) of emotional intelligence (EI). Initially, 80 situations and three response alternatives for each situation were created based on the available theoretical models. Principal component factor analysis with direct oblimin rotation of data (N = 213) yielded a three‐factor structure with 46 items. These factors were (1) utilizing own emotion, (2) sensing other's emotion, and (3) understanding emotional context. Additional studies showed that the measure had good internal consistency and test‐retest reliability. None of the three factors strongly correlated with the Big Five factors of personality (NEO Five‐Factor Inventory, thus establishing its identity as a construct distinct from personality. Findings of confirmatory factor analysis on secondary data reconfirm the three‐factor model for a 46‐item SJT of EI. The second study also found no correlation among these three factors, intelligence scores measured using Raven's Matrices, and trait EI score measured using the Trait Emotional Intelligence Questionnaire. The third study was conducted in order to determine the relationship of SJT of EI with academic achievement and life satisfaction. All three factors of SJT‐based EI measure were significantly associated with academic achievement and life satisfaction.     

Sex Referent Cues,Success Estimations,and Performance of Children on a Lateral Jumping Task

This study examined the effects of sex referent cues for the estimation of success, as well as actual performance on a simple motor endurance task. Boys and girls in grades 3 and 5 (N = 160) were randomly assigned to one of three referent groups or a control group. Subjects in the referent groups were given an identical referent score, (48), presented in three different forms: the average score for boys, the average score for girls, and the average score for children. The control group was given no referent score. Subjects were required to estimate their own success and then perform a timed side-to-side jump over a rope. Results suggest that as girls increase in age there is a decrease in their confidence in performing motor skills. Further, boys and girls at the two grade levels responded differently to the sex referent cues.     

Conceptualizing Genetic Counseling as Psychotherapy in the Era of Genomic Medicine

Discussions about genetic contributions to medical illness have become increasingly commonplace. Physicians and other health-care providers in all quarters of medicine, from oncology to psychiatry, routinely field questions about the genetic basis of the medical conditions they treat. Communication about genetic testing and risk also enter into these conversations, as knowledge about genetics is increasingly expected of all medical specialists. Attendant to this evolving medical landscape is some uncertainty regarding the future of the genetic counseling profession, with the potential for both increases and decreases in demand for genetic counselors being possible outcomes. This emerging uncertainty provides the opportunity to explicitly conceptualize the potentially distinct value and contributions of the genetic counselor over and above education about genetics and risk that may be provided by other health professionals. In this paper we suggest conceptualizing genetic counseling as a highly circumscribed form of psychotherapy in which effective communication of genetic information is a central therapeutic goal. While such an approach is by no means new—in 1979 Seymour Kessler explicitly described genetic counseling as a “kind of psychotherapeutic encounter,” an “interaction with a psychotherapeutic potential”—we expand on his view, and provide research evidence in support of our position. We review available evidence from process and outcome studies showing that genetic counseling is a therapeutic encounter that cannot be reduced to one where the counselor performs a simple “conduit for information” function, without losing effectiveness. We then discuss potential barriers that may have impeded greater uptake of a psychotherapeutic model of practice, and close by discussing implications for practice.     

Linking job demands and resources to burnout and work engagement: Does passion underlie these differential relationships?

This study examined the role of passion for work in the health impairment and motivational processes proposed by the job demands-resources model. Based on the dualistic model of passion, we proposed that harmonious and obsessive passion intervene simultaneously in the relationship between (1) job demands and burnout/engagement, and (2) job resources and burnout/engagement. This model was tested in two occupational samples: nurses (n = 1,179) and teachers (n = 745). Results from structural equation modeling support the proposed model in both samples. That is, both types of passion partially mediated the relationship between job demands and burnout, while harmonious passion partially mediated the relationship between job demands and engagement. Moreover, harmonious passion partially mediated the relationship between job resources and burnout/work engagement. Implications for burnout research and management practices are discussed.     

Working with chronic and relentless self‐hatred,self‐harm and existential shame: a clinical study and reflections

This paper is the first of a two‐part series which explores some of the theoretical and experiential reference points that have emerged in my work with people whose relationship to their body and/or sense of self is dominated by self‐hatred and (what Hultberg describes as) existential shame. The first paper focuses on self‐hatred and the second paper focuses on shame. This first paper is structured around vignettes taken from a 14‐year analysis with a woman who was bulimic, self‐harmed and repeatedly described herself as ‘feeling like a piece of shit’. It draws together elements of Jung's concepts of the complex and symbol, and Laplanche's enigmatic signifier to focus on experiences of ‘inner otherness’ around which we are unconsciously organized. It also brings Jung's understanding that emotion is the chief source of consciousness into conversation with Laplanche's approach to the transference which is that by being aware that they do not ‘know’, the analyst provides a ‘hollow’ in which the patient's analytic process can evolve. These combinations of ideas are linked speculatively to emerging understandings of the neuroscience of perception and throughout the paper clinical material is used to illustrate these discussions.