Resistance revisited

It was a coincidence that I was asked to talk about resistance at Ground Rounds at the University of Texas, Department of Psychiatry, on the tenth anniversary of mailing the first version of Death of Resistance to a journal in 1979. Although the paper was subsequently rejected 17 times and revised six times, it was eventually published inFamily Process (de Shazer, 1984). I still insist that the concept of resistance was a bad idea for therapists to have in their heads.This paper was presented April 14, 1989, at Ground Rounds, University of Texas, Southwest Medical Center, Department of Psychiatry, Dallas, Texas.     

PSYCHOLOGY AND HEALTH: CONTRIBUTIONS OF PSYCHOLOGY TO THE IMPROVEMENT OF HEALTH AND HEALTH CARE

Psychology as both a science and a profession has been closely identified with other disciplines in the broad field of health since the turn of the century. Recent advances in health care have reinforced the growing belief that the promotion of health and the prevention and treatment of illness can be greatly enhanced by incorporating the scientific findings and modern technology of psychology into everyday practices. Outlining the contributions of psychology to health care throughout the world is the primary purpose of this report. In this brief survey, only some of the most timely and relevant issues can be mentioned, together with examples of current work in the field. The reader interested in pursuing these psychological contributions more thoroughly is encouraged to review pertinent references from the citations at the end of this report. After an introductory overview, special attention is given to each of the major areas within the broad field of health care where psychological applications have been particularly useful.     

A preliminary report on defenses and conflicts associated with borderline personality disorder

The authors present preliminary psychodynamic findings from a naturalistic study of borderline personality disorder compared to antisocial personality disorder and bipolar type II (depression with hypomania) affective disorder. An independent psychodynamic interview of each subject was videotaped from which ratings were made of the presence of 22 defense mechanisms and 11 psychodynamic conflicts. A factor analysis of ratings from 81 subjects supported the separation of borderline (splitting, projective identification) from narcissistic defenses (devaluation, omnipotence, idealization, mood-incongruent denial). While certain groups of defenses were associated with each diagnosis, defense ratings did not significantly discriminate the three diagnostic groups, suggesting a limit to their diagnostic value. Among 27 subjects rated, borderline personality was strongly associated with two conflicts: separation-abandonment, and a global conflict over the experience and expression of emotional needs and anger. Antisocial personality was psychodynamically distinct and more heterogeneous. Bipolar type II was associated with two hypothesized depressive conflicts: dominant other and dominant goal. Chronic depression, which was more common in both personality disorder groups than in bipolar type II, was associated with a third depressive conflict, overall gratification inhibition. Overall, conflicts were powerful discriminators of the three diagnostic groups. The heuristic value of these findings is discussed.     

Computing stress

This article is based on a review of recent literature on “computing stress”; that is, on the psychological stress effects of working with computer systems. Current research into the sources of computer-related stress has tended to concentrate on those employees who operate Visual Display Units (VDUs), either on a full-time professional basis as word-processor (WP) operators, data-entry clerks, secretaries, or those dealing with enquiries from the public; or employees who use the VDU irregularly as part of their other duties. A few studies have looked at specific occupation groups, such as printers (Kalimo & Lepp?nen, 1985), information technology professionals (programers and analysts), process workers, and college students (Sproull, Kiesler, & Zubrow, 1984). Generally, however, research has been carried out on office workers, more often women, carrying out administrative tasks. An attempt is made to identify those potential work-related stressors that have been isolated by these studies, and also included are criticisms of the general methodologies used in many of them. The terms “visual display unit,” “visual display terminal,” VDU, VDT, and “terminal” are used interchangeably.     

Computing stress

This article is based on a review of recent literature on “computing stress”; that is, on the psychological stress effects of working with computer systems. Current research into the sources of computer-related stress has tended to concentrate on those employees who operate Visual Display Units (VDUs), either on a full-time professional basis as word-processor (WP) operators, data-entry clerks, secretaries, or those dealing with enquiries from the public; or employees who use the VDU irregularly as part of their other duties. A few studies have looked at specific occupation groups, such as printers (Kalimo & Leppänen, 1985), information technology professionals (programers and analysts), process workers, and college students (Sproull, Kiesler, & Zubrow, 1984). Generally, however, research has been carried out on office workers, more often women, carrying out administrative tasks. An attempt is made to identify those potential work-related stressors that have been isolated by these studies, and also included are criticisms of the general methodologies used in many of them.     

Book reviews

Current Psychology -     

Flexibility of Labor, Well-Being, and Stress

After a short introduction into the changing nature of our society and organizations, we outline two kinds of flexibility of labor: qualitative flexibility, that is the degree to which people who work in or for a certain organization can and do perform different tasks, and quantitative flexibility, that is, varying the quantity of personnel and their working hours. Then, the different ways in which we organize our work and organizations are dealt with in terms of quantitative and qualitative flexibility. Next, we survey these ways of organizing on the degree to which they moderate the positive individual outcomes, or individual goals, of work. It can be concluded that quantitatively flexible work, besides some minor positive consequences, may have serious negative consequences for one's well-being, health, and personal development, while qualitative flexibility may have many more advantages, though it may lead to a devastating task overload. Last, we explore some ways to alleviate these negative effects.     

A call for a pluralist epistemological understanding in the assessment and evaluation of counselling

The authors outline and posit the futility of the 'paradigm war' between reductionistic/positivistic and phenomenological/naturalistic philosophies within counselling evaluation, pointing out that the notion of such competition is itself based on positivist thinking. They trace attempts at creating a 'truce' in the war based on strict demarcation of territory. They conclude that in the longer term more might be gained by accepting the veracity of both philosophies and creating a pluralist model which will be more fully equipped to evaluate the human process of counselling.     

Book reviews

Enlightenment East and West Leonard Angel, 1994 Albany, State University of New York Press 388 pp.

Visions of Power: Imagining Medieval Japanese Buddhism Bernard Faure, trans, by Phyius Brooks, 1996 Princeton, Princeton University Press 329 pp.

Pāli Buddhism. Curzon Studies in Asian Philosophy Frank J. Hoffman & Deegaixe Mahinda (Eds), 1996 Richmond, Curzon Press xiii + 233 pp., ISBN 0 7007 0359 4, hb £40

Friendship East and West: philosophical perspectives Oliver Leaman (Ed.), 1996 Richmond UK, Curzon Press ix + 288 pp., ISBN 0 7007 0358 6, hb £40

Heidegger's Hidden Sources: East Asian Influences on his work Reinhard May, trans, by GRAHAM PARKES, 1996 London, Routledge xviii+ 121 pp., hb £35.00, pb £11.99

The Social Self in Zen and American Pragmatism Steve Odin, 1996 Albany, SUNY Press xvi + 482 pp., ISBN 0 9714 2492 8, pb $24.95

The Art of living. Aesthetics of the Ordinary in World Spiritual Traditions Crispin Sartwell, 1995 Albany, State University of New York Press xiv+ 163 pp., hb

East‐West Encounters in Philosophy and Religion Ninian Smart & B. Srinivasa Murthy (Eds), 1997 London, Sangam Books xxiii + 411 pp., ISBN 0 8613 2375 0, hb £24.95

Confucianism and Christianity: a comparative study of Jen and Agape Xinzhong Yao, 1996 Brighton, Sussex Academic Press viii+ 164 pp., ISBN 1 8987 2325 7, hb £35 and $55