Behind the (Virtual) Mirror: Online Live Supervision in Couple and Family Therapy

Online therapy and supervision, a rapidly rising practice in couple and family therapy, has been the subject of a growing body of literature. From its early days, family therapy training has included live supervision, which has typically been conducted by a supervisor and a team of trainees situated on the other side of a one-way mirror. With the outbreak of the COVID-19 global pandemic, we—the staff of supervisors at the Barcai Institute in Tel Aviv, Israel—were compelled to find solutions to continue meeting with clients and to provide supervision for family therapy trainees. To this end, we have shifted our live supervision courses (“practicums”) to the virtual arena, adapting the popular application “Zoom” into what we call “PractiZoom.” Based on over 100 PractiZoom sessions conducted between March and May 2020, involving 14 supervisors and 28 therapists-in-training and their clients, the article reflects on this pioneering online practicum for the online live supervision of therapists with geographically distributed participants. In this article, we outline our operational methods and adaptations for conducting live behind-the-mirror supervision online. Following a short theoretical background, we outline the process of online live supervision, discuss our reflections and those of our trainees on the challenges and possibilities it poses, and offer a number of preliminary conclusions and recommendations.     

The Pantheon of National Hero Prototypes in Educational Texts Understanding Curriculum as a Narrative of National Heroism

This essay explores the relationship between Israeli public and educational discourse and, in particular, how, by implementing various pedagogical strategies aimed at inculcating a typology of national heriosm during the state's first three decades, the state sponsored curriculum “translated” ideological discourse into educational text, integrating the state's ideological value-system into a series of educational messages. The mapping of heroic prototypes in the national curriculum was conducted along the classic time-axis of Jewish history. The earliest prototype was the ancient Hebrew hero of the Bible and the most recent the “soldier as redeemer” of the Six Day War. At the same time, specific values constantly shifted to reflect changing perceptions and definitions of the heroic, including, eventually, the heroism of the Holocaust “survivor.” What remained invariable was the symbolic importance Israeli children living in a society accustomed to wars and continuously threatened violence were taught to attach to the ideal of the national hero and heroism itself. This revised version was published online in August 2006 with corrections to the Cover Date.     

Usage of and Compliance with Power Tactics in Routine Versus Nonroutine Work Settings

This study examines situational determinants of power usage and compliance derived from the Interpersonal Power Interaction Model. Organizations where routine tasks predominate were compared with those where complex tasks prevail. Samples of workers (N = 194) and supervisors (N = 100) from four companies representing routine tasks and complex ones completed three versions of the Interpersonal Power Inventory (Raven, Schwarzwald & Koslowsky, 1998). Results indicated that in settings where routine tasks predominate usage of and compliance with harsh power tactics was greater than in complex ones. Yet, soft tactics were not related to task complexity. It was also found that rank and tactics interacted. Regardless of settings, supervisors as compared to subordinates reported more frequent usage of soft tactics and less frequent usage of harsh ones. The discussion suggests a mechanism for understanding these patterns.     

Hemispheric processing of idioms in schizophrenia and autism spectrum disorder

Studies conducted on individuals with schizophrenia (SZ) and autism spectrum disorder (ASD) show that they find it difficult to comprehend figurative language, and have a tendency to interpret it literally. This study examines hemispheric processing of idioms in patients with SZ, in comparison to individuals with ASD. Seventeen adults with SZ and 18 adults with ASD participated in the study. The two clinical groups were matched in age, vocabulary scores and verbal executive function scores. Using the divided visual field paradigm, the participants performed a lexical decision task for a target word related to either a literal or a figurative interpretation of an idiom. Whereas SZ patients showed the typical right lateralisation for non-salient literal interpretations of idioms, adults with ASD showed atypical bilateral processing. These findings indicate different hemispheric lateralisation in idiom processing in the two clinical groups.     

Slow and steady: sustained effects of lexico-semantic associations can mediate referential impairments in schizophrenia

The present study investigated the contribution of lexico-semantic associations to impairments in establishing reference in schizophrenia. We examined event-related potentials as schizophrenia patients and healthy, demographically matched controls read five-sentence scenarios. Sentence 4 introduced a noun that referred back to three possible referents introduced in Sentences 1–3. These referents were contextually appropriate, contextually inappropriate but lexico-semantically associated, and contextually inappropriate and lexico-semantically nonassociated. In order to determine whether participants had correctly linked the anaphor to its referent, the final sentence reintroduced each referent, and participants indicated whether the last two sentences referred to the same entity. Results indicated that between 300 and 400 ms, patients, like healthy controls, used discourse context to link the noun with its preceding referent. However, between 400 and 500 ms, neural activity in patients was modulated only by lexico-semantic associations, rather than by discourse context. Moreover, patients were also more likely than controls to incorrectly link the noun with contextually inappropriate but lexico-semantically associated referents. These results suggest that at least some types of referential impairments may be driven by sustained activation of contextually inappropriate lexico-semantic associations.     

Non-conscious goal conflicts

The question raised in this paper is whether goal conflicts can occur outside of conscious awareness. Given the numerous and potentially conflicting goals people pursue, and the severe scarcity of mental resources, we offer a positive answer. Six experiments that employed a dissociation paradigm tested this hypothesis. Using three implicit behavioral markers of goal conflict (increased decision times, increased decision variance and heightened sensitivity to environmental information), and one physiological marker (increased arousal as measured by skin conductance level), these experiments document goal conflicts that do not reach conscious awareness.     

Caffeine enhances real-world language processing: evidence from a proofreading task

Caffeine has become the most prevalently consumed psychostimulant in the world, but its influences on daily real-world functioning are relatively unknown. The present work investigated the effects of caffeine (0 mg, 100 mg, 200 mg, 400 mg) on a commonplace language task that required readers to identify and correct 4 error types in extended discourse: simple local errors (misspelling 1- to 2-syllable words), complex local errors (misspelling 3- to 5-syllable words), simple global errors (incorrect homophones), and complex global errors (incorrect subject-verb agreement and verb tense). In 2 placebo-controlled, double-blind studies using repeated-measures designs, we found higher detection and repair rates for complex global errors, asymptoting at 200 mg in low consumers (Experiment 1) and peaking at 400 mg in high consumers (Experiment 2). In both cases, covariate analyses demonstrated that arousal state mediated the relationship between caffeine consumption and the detection and repair of complex global errors. Detection and repair rates for the other 3 error types were not affected by caffeine consumption. Taken together, we demonstrate that caffeine has differential effects on error detection and repair as a function of dose and error type, and this relationship is closely tied to caffeine's effects on subjective arousal state. These results support the notion that central nervous system stimulants may enhance global processing of language-based materials and suggest that such effects may originate in caffeine-related right hemisphere brain processes. Implications for understanding the relationships between caffeine consumption and real-world cognitive functioning are discussed.     

A developmental study of the role of word order in comprehending Hebrew

Monolingual Hebrew-speaking subjects, 3, 4, 5, 6, 7, and 11 years old, as well as adults, were asked to interpret utterances consisting of two nouns and a verb. Some utterances included only word order cues while others included direct object marker and subject-verb gender agreement cues. Even though Hebrew word order is relatively free, when subjects used word order as an interpretive cue they generally assigned sentence relations according to the dominant SVO order of modern Hebrew. This trend was less strong for the interpretations of NNV utterances than of NVN and VNN utterances. There was no evidence of a developmental sequence for word order strategies. In addition, there was no evidence that word order, for any age group, was necessarily a dominant cue for assigning sentence relations when other linguistic information was available.     

Using strategic psychotherapy: A case study of chronic PTSD after a terrorist attack

This article describes a case of chronic post traumatic stress disorder (PTSD). The patient came to psychotherapy three years after he was injured in a terrorist attack. He was in a state of dysfunction. The article elaborates on theoretical issues, the choice of strategic model of psychotherapy, the various phases of the therapeutic process and the specific difficulties that such a case presents.