USE OF COMPONENT ANALYSES TO IDENTIFY ACTIVE VARIABLES IN TREATMENT PACKAGES FOR CHILDREN WITH FEEDING DISORDERS

We evaluated the separate components in treatment packages for food refusal of 4 young children. First, treatment packages were implemented until food acceptance improved. Next, a component analysis was conducted within a multielement or reversal design to identify the active components that facilitated food acceptance. The results indicated that escape extinction was always identified as an active variable when assessed; however, other variables, including positive reinforcement and noncontingent play, were also identified as active variables for 2 of the children. The results suggest that the component analysis was useful for identifying variables that affected food acceptance.     

Compulsive "helpfulness": or, how I learned to stop working so hard and love the group

Compulsive helpfulness, an anxiety-laden need by the therapist to feel helpful, akin to the notion of rescuing others, is a potential pitfall in developing an effective psychotherapy group. It can be regarded variously: (1) as a reaction formation against feelings of boredom and frustration stimulated by such phenomena as group resistance or the enactment of inauthentic relationships in the group; (2) as a therapist style driven by a transferential reaction to be regarded as competent and worthy; (3) as an induced countertransference enactment tied to group members' frustration and passivity about their own interpersonal inadequacies; (4) and as a manic defense against despair over the feeling that one's loving has not done any good. In this essay, the author explores his struggle to identify and come to terms with compulsive helpfulness as a dominant theme in the early stages of his tenure as leader of a psychotherapy group.     

Midlife Women's Negotiations of Barriers to and Facilitators of Physical Activity: Implications for Counselors

The authors investigated barriers to exercise and facilitators that enable midlife women to engage in an active lifestyle. Findings provide counselors with insight into the meanings that women ascribe to physical activity so they can better assist clients in making choices that enhance their overall health and wellness.     

On the function of a ‘break’ within the psychoanalytic double session

This article considers theoretical and clinical implications of the practice of ‘double sessions’ as defined by two consecutive sessions of psychotherapy divided by a 10-minute break. Limited existing literature of ‘double sessions’ is critiqued and the therapeutic significance of the 10-minute break provides the focus for this article with reference to the Lacanian practice of ‘scansion’. The author draws on relevant therapeutic experience and case material to elucidate the potential benefits of the introduction of double sessions with particular client groups. It is argued that the break provides the opportunity to access often hidden archaic defences as the effects of rupture and reconnection are worked through. Equally, the separation of the break allows the patient's immediate associations following the end of the first session to be brought immediately back into the work. The practice is problematised in relation to potential contraindications with particular patient groups and this, in turn, elucidates the conceptual differences between Freudian/Lacanian and object relations traditions.     

Clinical Commentary

Abstract

This paper is the narrative of a first-time father with a son born seven weeks early by Caesarean section. Against the anxiety and trauma of his infant's birth and his wife's illness, another inner darker drama is being relived. Michael shows all the wounds of a battered child. He asks two awesome questions - Will I be to my son as my father was to me? Will my son be to me as I was to my father? Fearful and at first unvoiced questions, the developing interviews gave them a voice. We respected Michael's sharing of the early and fearful days and nights when his infant first came home. We sometimes found it hard to empathize with his running away to hide in work, until we understood what he was hiding from. Most poignant was his struggle with his anger and hurt with his father and his desire to understand, ‘Why?’, so that he would not be like this to his son. We saw a sensitive revelation of life being born inside him anew, as he made contact with his real infant and his psychic infant within. Of particular interest was the therapeutic use of the research interview space and the interviewer.     

Self‐promotion Statements in Video Resumes: Frequency,intensity, and gender effects on job applicant evaluation

Although video resumes have received a substantial amount of media attention and there seems to be a growing awareness among Human Resource professionals of video‐based job applications, little is known about the effect of video resumes on applicant evaluation. This research investigates the effectiveness of self‐promotion within the context of video resumes. Self‐promotion frequency and intensity and applicant gender were manipulated. Ratings by recruiters and college students indicate that high levels of self‐promotion in video resumes are ineffective for male applicants and potentially detrimental for female applicants. Job applicants should use caution when attempting to promote themselves using video resumes. More research is needed on impression management tactics used at the earliest stages of selection and on the mechanisms operating within video resumes that impact applicant evaluation.     

When theory abandons us – wading through the 'swampy lowlands' of practice

This paper uses three clinical examples to illustrate the experience of feeling abandoned by theory – times when no one model has sufficient signposts to show the way. Therapy is considered to be an endlessly creative interpersonal encounter, to which the client brings the major resource for change. It is argued that the therapist is influenced by worldview, values and beliefs, and personal style, as well as by theoretical model. Further, it is suggested that there is a need to acknowledge and investigate the limitations of therapy. An argument is made for 'going beyond the model', for seeking an ethical practice based on what our clients tell us is important, and for sharing across models the common dilemmas and goals of therapy. Clinicians are encouraged to articulate their own 'swampy lowland' principles of practice.