Themes in Therapist Development During the First Three Months of Clinical Experience

The results of a qualitative research study designed to better understand the developmental processes active in beginning therapists during the first three months of clinical contact is reported. Thirteen beginning therapists were asked to complete a monthly log describing experiences impacting their clinical work and themselves as therapists during their first three months of client contact. Data analysis revealed that the primary developmental theme active during this period of time is the development of therapist confidence. Two additional themes, the development of an internal gauge on which to evaluate current experiences and the development of boundaries around the self as a professional, were also found to be active during this time. These additional themes support the development of therapist confidence. Implications for training and research are identified.     

EXAMINING THE THEORY AND CLINICAL UTILITY OF WRITING ABOUT EMOTIONAL EXPERIENCES

Abstract— Pennebaker's (this issue) intervention for writing about emotional experiences shows promise as a module for inclusion in therapeutic packages. There are conceptual, methodological ant practical issues to be considered, however. These issues are discussed, and parallels are drawn from the literatures on the moodregulatory function of dreams and on the effects of social support on health. Although there is evidence that anything about emotional experiences has beneficial effects on health, it is premature to recommend writing intervention as a treatment component for specific problems. What is needed at this point is systematic research to evaluate to clinical utility.     

SIGNIFICANCE TESTING IN PSYCHOLOGICAL RESEARCH:

Abstract— Empirical surveys show that reports of significance tests appear in the vast majority of articles in psychological research journals and are relied on by both investigators and journal reviewers when making decisions about replication of experiments and submission and acceptance of research reports Evaluation of claims by critics that significance testing is, nonetheless, counterproductive yields suggestions for improvements of prevailing practices, but also the recommendation that decisions about significance testing versus alternative procedures should remain the province of the individual investigator, unconstrained by mandates or prohibitions by publishers or officials of scientific associations. The prime focus for efforts toward improvement of research design and data analysis in psychology and other behavioral sciences should be upgrading the mathematical and general scientific preparation of students preparing for research careers in these fields     

New Roles for Rhetoric: From Academic Critique to Civic Affirmation

The classical conception of rhetoric as the method of reasoned political judgment survived into the Renaissance but was reduced to academic critiques of style and "empty" public rhetoric with the rise of modern science and its representationalist theories of language. Recently, however, rhetoric, textuality, and the "linguistic turn" generally, have become central metaphors in the human sciences. This renewed rhetorical perspective not only fosters a critique of positive philosophy and of scientism in public discourse, it also offers affirmative methods by which persons can construct their civic lives.     

Family Functioning and Mental Illness: A Comparison of Psychiatric and Nonclinical Families

The primary objective of the present investigation was to examine adaptive functioning in the families of patients with a wide range of psychiatric disorders. Seven dimensions of family functioning, as measured by the Family Assessment Device (FAD), were compared across families of patients with a schizophrenia spectrum disorder (n = 61 ), bipolar disorder (n = 60 ), major depression (n = 111 ), anxiety disorder (n = 15 ), eating disorder (n = 26 ), substance abuse disorder (n = 48 ), and adjustment disorder (n = 46 ). Families in each psychiatric group were also compared to a control group of nonclinical families (N = 353 ). Results indicated that regardless of specific diagnosis, having a family member in an acute phase of a psychiatric illness was a risk factor for poor family functioning compared to the functioning of control families. However, with few exceptions, the type of the patient's psychiatric illness did not predict significant differences in family functioning. Thus, having a family member with a psychiatric illness is a general stressor for families, and family interventions should be considered for most patients who require a psychiatric hospitalization for either the onset of, or an acute exacerbation of, any psychiatric disorder.     

The Sublime and the Other

What is the philosophical significance of the “sublime”, and does this concept still have any relevance to contemporary life? In this essay, I argue that the experience of the sublime is exceptionally important, insofar as it presents us with a general model for the experience of otherness, the encounter with transcendence itself, which might reasonably be viewed as impossible. As Rudolf Otto suggested, the experience of the sublime is closely related to the experience of the sacred; and even in Burke and Kant, the sublime is to be grasped as both an aesthetic and a religious experience which finally opens the individual to that which is greater than herself. Thus, the sublime has become a major theme in postmodern theory, precisely because it gives us access to the sacred and that which is wholly “other.”     

Towards an Interactive Acculturation Model: A Social Psychological Approach

The first part of this paper proposes a continuum of ideological premises that seeks to account for the broad range of immigrant integration policies adopted by Western democratic states. In the second part, a review of Social Psychological models of immigrant acculturation strategies demonstrates the need to explain more clearly the interactive nature of immigrant and host community relations. The Interactive Acculturation Model (IAM) presented next proposes that relational outcomes are the product of the acculturation orientations of both the host majority and immigrant groups as influenced by state integration policies. The model makes predictions regarding the acculturation combinations most likely to produce consensual, problematic, and conflictual relational outcomes between immigrants and members of the host community. Social psychological research is needed to test the validity of the IAM model empirically.     

DIRECT AND COLLATERAL EFFECTS OF RESTRAINTS AND RESTRAINT FADING

Mechanical restraints are commonly used to reduce the risks associated with severe self-injurious behavior (SIB), but may result in movement restriction and adverse side effects (e.g., bone demineralization). Restraint fading may provide a method for decreasing SIB while increasing movement and reducing these side effects. In the current investigation, rigid arm sleeves and restraint fading (gradually reducing the rigidity of the sleeves) were used with 3 clients who engaged in hand-to-head SIB. Restraints and fading reduced the hand-to-head SIB of all clients. However, for 1 client, the addition of a water mist procedure further reduced SIB to near-zero levels. For a 2nd client, another form of SIB developed that was not prevented by the rigid sleeves. For a 3rd client, a topography of SIB that was not physically prevented by the rigid sleeves was also reduced when restraints and fading were introduced.     

The Development of a Clinical Rating Scale the McMaster Model of Family Functioning

This article describes the development and validation of the McMaster Clinical Rating Scale (MCRS). The MCRS is a 7-item scale designed to be completed by a trained rater after completion of an in-depth interview of the family. We present data from four new studies and review previously published articles concerning the reliability, validity, and clinical utility of the MCRS. Adequate interrater reliability and rater stability were obtained. The MCRS was found to correlate significantly with the self-report Family Assessment Device and to discriminate between families in different phases of a depressive disorder.