The effect of therapist interventions on the therapeutic alliance with borderline patients

The authors draw attention to the problems of establishing and maintaining a therapeutic alliance in the psychotherapy of the borderline patient. They elaborate an extensive methodology designed to study the manner in which shifts in collaboration occur in response to therapist interventions. This report demonstrates how one particular borderline patient increased his ability to collaborate with the therapist in response to a transference focus in the psychotherapy. Methodological problems are noted as are directions for future research. Only a series of patients studied with this or with similar methodology will allow for a sophisticated and empirical rationale for choosing a particular form of psychotherapy for a particular kind of borderline patient.     

The effect of affective bibliotherapy on clients' functioning in group therapy

Abstract The effect of affective group bibliotherapy (GB) was compared to affective group therapy (GT) on patients' functioning in therapy and their session impression. Three small groups totaling twenty-five in-patients in a hospital in Israel participated in the study. Clients concurrently participated in both group types, undergoing three sessions in each condition. In-therapy behaviors were assessed through the Client Behavior System (CBS; Hill & O'Brien, 1999). Results indicated that in the GB condition compared to the GT condition, clients showed less resistance, used simple responses less frequently, and expressed greater affective exploration. The Session Evaluation Questionnaire (SEQ; Stiles et al., 1994) was used to measure clients' impressions of the sessions. Results indicated that patients evaluated the two treatment conditions equally. Overall, the results support earlier findings, suggesting that affective bibliotherapy can be an effective method of treatment.     

Identifying and Dissolving the Non-Identity Problem

Philosophers concerned with procreative ethics have long been puzzled by Parfit’s Non-Identity Problem (NIP). Various solutions have been proposed, but I argue that we have not solved the problem on its own narrow person-affecting terms, i.e., in terms of the identified individuals affected by procreative decisions and acts, especially future children. Thus, the core problem remains unsolved. This is a nagging concern for all who hold the common intuition that actions that harm no one are permissible. I argue against Harmon’s and Woodward’s direct, narrow person-affecting solutions, and in favor of a new solution to the NIP. My solution, or, rather, dissolution, is based on the argument that merely possible people, i.e., hypothetical people who could possibly, but will not actually, exist, are morally irrelevant. I show that the NIP only arises when we concern ourselves with merely possible people. Once we are careful to restrict our concerns to only those that do or will exist, the NIP is dissolved.     

Why Do People Stay in Hateful Relationships? The Concept of Malignant Vindictiveness

Why do couples remain in hateful relationships? This article defines theoretically rigorous ways of viewing partners who stay together despite severe strife. A case presentation shows how a relationship of two people, each with his or her character structure and idealized image, creates interpersonal conflict because of opposing demands each makes on self and other. Such conflict requires radical defensive measures including alienation, idealization, and externalization that increase tensions. A vicious circle of malignant vindictiveness cements the relationship. Increasing implacability in the relationship is understood through Horneyan categories of interlocking idealized images, hurt pride reactions, and the externalizing process.

     

Maltreated children's understanding of and emotional reactions to dependency court involvement

Little is known about the extent to which maltreated children understand what is happening during their participation in court proceedings, despite large numbers of children coming into contact with the legal system as victims of maltreatment. In the present study, maltreated 4‐ to 15‐year‐olds were interviewed about their understanding of dependency court on the day of their scheduled court visit. Their feelings about attending their hearings were also assessed, and after their hearing, their understanding of the decisions was examined. Age‐related improvements in children's understanding emerged. Also, children who were more knowledgeable about the legal system were less distressed about attending their hearings, as were younger children who had been in the system a longer time. Finally, a majority of children lacked full or accurate understanding of what actually happened during their hearings. Findings have implications for children's participation in legal proceedings and the development of interventions to facilitate children's legal understanding. Copyright © 2009 John Wiley & Sons, Ltd.     

The On‐Site Mentor of Counseling Interns: Perceptions of Ideal Role and Actual Role Performance

This study examined the role of the ideal on‐site mentor and the actual mentor's role performance, as perceived by 158 mentor counselors and 171 school counseling interns. Results indicated that the ideal mentor's professional traits were given priority by both groups and that the teacher role was the most salient among role domains. In the actual role performance, the 2 groups differed regarding the perceived contribution of the mentor‐specific behaviors in each examined role domain.     

Adult attunement and child availability: Interaction of mother and caregiver with three‐year‐old kibbutz children

Relationships of mother and nonmaternal caregiver with 33 three‐year‐old kibbutz toddlers were investigated. Attunement and intrusiveness of these caregivers in their contact with children were determined by analysis of discrete child–adult interactions rather than by a global assessment of their relationships. The validity of these adult attunement scores was examined first by comparison of the attunement and intrusiveness scores of mother and of caregiver, and second by determining their association with independent scores of child availability to each of these caregiving adults. Results tended to support the validity of the present measures of adult attunement to the child. They indicated that in cases of disagreement mothers were more attuned than nonmaternal caregivers to the signals of the child, and the level of adult attuned agreement to the child was positively associated with cooperative attempts of children to involve caregivers in their activities © 2000 Michigan Association for Infant Mental Health.     

Availability of three-year-old kibbutz children to mothers and metapelets in two functional contexts

Responsiveness and availability of kibbutz children to mothers and to metapelets in two functional contexts were studied. Thirty-three 3-year-old children, participated in the study. Every child participated twice in two co-construction tasks: once with the mother and once with the metapelet. A factor analysis conducted over the present categories yielded six orthogonal factors: Three pertained to cooperative child involvement of the adult and three referred to oppositional involvement. Analyses of variance indicated that children involved the mother more often than the metapelet in their activities and were more responsive to her. Additional analyses conducted on each factor separately showed that this higher level of involvement of the mother was evident in the cooperative factors. The children's involvement of the adults and their responsiveness to the adults' bids differed significantly between tasks. © 1997 Michigan Association for Infant Mental Health