The Nature of Client Agency Prior to Therapy: A Qualitative Study on Clients’ Narratives

Client agency is considered a crucial contributor to good treatment outcome. Recent studies, however, differ strongly in how they conceptualise and investigate agency. The current study explores the nature of client agency in ten clients’ pre-treatment interviews. Applying Consensual Qualitative Research, we constructed three overarching categories, subdivided into 14 sub-categories capturing both between- and within-person differences in agency before therapy. We found that all participants oscillated between the experience of a lack of grip on problems on the one hand and noticing their involvement in the problem and taking action on the other. These results present a dynamic conceptualisation of client agency. This allows us to ask pertinent questions for both future research and clinical practice.     

Cooperative social coordination and aggression: Sex and strain differences in the effects of housing on gonadectomized rats with hormone replacement

Laboratory rats were used to investigate sex and strain differences in the effects of aggression on a cooperative behavior in which pairs learn to coordinate shuttling in a rectangular chamber. The level of aggression was manipulated by comparing males and females of the aggressive S3 strain and a less aggressive Sprague-Dawley-derived strain and by housing same-sex partners either together or individually (eight groups, n = 7 pairs per group). Hormone levels were stabilized by gonadectomy and daily injections of the appropriate sex hormone. The only serious coordination deficits were in individually housed males, associated with violent fighting and an extreme dominance/subordinance relationship that was not observed in females. All other groups readily learned and performed the coordination, with evidence that low and moderate levels of aggression could facilitate coordination by evoking species-typical behaviors that increased proximity, synchrony, and differentiation within pairs. The discussion focused on models of affiliative behavior in the study of aggression and the compatibility between moderate levels of aggression and cooperation.     

No indication that the ego depletion manipulation can affect insight: a comment on DeCaro and Van Stockum (2018)

Abstract

Recently, DeCaro and Van Stockum have suggested that ego depletion following intensive self-control can improve insight problem-solving; this finding was interpreted in terms of insight relying on decreased control over attention and memory. However, DeCaro and Van Stockum used three variants of the single matchstick arithmetic problem. Experiment 1 involved low sample and non-standard problem application, while the more powered Experiment 2 yielded a surprisingly low solution rate. These facts made both studies problematic and called for their replication. In the two present studies, the DeCaro and Van Stockum ego-depletion manipulation and their matchstick problems were administered to a total of 316 people. Furthermore, various other insight problems, subjective ratings of insight experience, analytical problems and executive control tests were applied. The key result was that no reliable effect of ego depletion could be found for any of these measures.     

Evidenzbasierte Psychotherapie

Zusammenfassung Seit einiger Zeit wird auch in der Psychotherapie – so wie in anderen Bereichen der Medizin – eine intensive und kontroverse Diskussion über die wissenschaftlichen Standards und deren Praxisrelevanz geführt. Dabei nehmen Fragen der Qualitätssicherung und der Entwicklung von Leitlinien einen zunehmenden Raum ein. Von besonderer Bedeutung sind in diesem Zusammenhang die Evidence Based Medicine (EbM) und ihre methodischen Standards, in deren Mittelpunkt experimentelle Therapiestudien stehen. Im Beitrag wird das Konzept der Evidence Based Medicine im Kontext der Psychotherapie (Evidence based Psychotherapy) vorgestellt und unter methodischen und inhaltlichen Gesichtspunkten diskutiert. Eine zentrale Frage ist dabei die inhaltliche Aussagekraft und die Übertragbarkeit von wissenschaftlichen Befunden auf die klinische Praxis.      

Bedürfnis- und Motivorientierte Beziehungsgestaltung

According to the Bernese concept of motivational attunement therapists are supposed to offer each patient a custom tailored relationship taking into account the patients’ individual motivational goals. While empirical studies validate the concept, concrete implementation of motivational attunement into practice is not always easy. Therapists have to be able to correctly identify the patients’ motivational goals and attune their behavior to them flexibly. In the following article concrete instructions for therapists are given in order to better realize motivational attunement.     

Leitlinie für die Begutachtung von Schmerzen

The present guidelines for expert testimony have been elaborated for the first time in 2004 by medico-legal representatives from several German professional academic societies (neurology, orthopedic surgery, psychiatry, psychosomatic medicine, psychotherapy). Their aim is to standardize the course and the content of expert testimony in subjects, who complain about chronic pain as the leading symptom for seeking pension or other compensation. In 2006, the guidelines have been revised and completed by adding detailed data about classification and prognosis of chronic pain, about causality questions, and about estimation of functional impairment in different legal areas.     

Zur Dynamik der Interaktion in der Supervision

The manifold functions of a supervisor in following the course of complex processes together with the trainee, are: ? to keep the goals of the supervision in view, ? to establish a teaching alliance and to support the wish and ambitions of the candidate to learn, ? to build a platform for the complex interactions with the trainee with regard to the dynamics of the training situation and keeping in mind the institutional influences, ? to lay down the setting for the work, ? to explore and to reflect how transference and counter-transference influence the interaction between patient and analyst as well as between trainee and supervisor, ? to examine these interactions together focussing continuously on the interaction between candidate and patient, and to encourage the candidate to do the same on his own, ? to continuously formulate hypotheses about the core conflict, the transference phenomena and resistance of the patient, ? to explore and reflect on the cooperative work.