Psychotherapists' dreams about their patients

Abstract This study examines therapists’ dreams about their patients from the Jungian and the relational perspectives. Few clinical and empirical references to this subject are to be found in the literature. In the present study 31 dreams were collected from 22 therapists. Dreams were collected using anonymous self‐report inventory. The research focused on three theoretical research questions: 1. What themes appear in the manifest content of therapists’ dreams about their patients? 2. What contributions are made by Jungian interpretation of therapists’ dreams about their patients? 3. To what extent are masochistic contents present in the manifest content of therapists’ dreams about their patients? The first question was addressed using categorical content analysis of a) themes common to different dreams and b) pre‐determined themes for all dreams. The third research question was addressed using Beck's (1967) ‘Masochistic Dream’ measure. Results: Among the themes common to different dreams were: therapist‐patient role reversal; therapist and/or patient attends and remains in meeting, departs/doesn’t depart; cancellation of therapy session; sexuality between therapist and patient; aggression; presence vs. absence; non‐verbal relationship and communication; time; driving vs. stopping. With regard to pre‐determined themes it was found that in 20 of the 31 dreams, the therapist had a negative experience and was characterized as vulnerable. Likewise it was found that 26 out of 31 dreams took place in either a) a street, a road, a route, a corridor; b) en route to somewhere; c) a therapy room and/or building; d) a house. With regard to the contribution of Jungian interpretations of the dreams it was found that 17 of the dreams had diagnostic and prognostic elements, 4 of which were initial dreams, 9 of them were compensatory dreams and in 14 it was found that the patient represents the shadow of the therapist. With regard to the third question it was found that 18 of the 31 dreams met Beck's (1967) criteria for masochistic dreams. The theoretical discussion examines the findings from a Jungian perspective, with an emphasis on also understanding the dream in terms of its expression of relational aspects of the therapist‐patient relationship. The findings affirm the presence of the ‘wounded healer’ archetypes in therapists’ dreams about their patients. The results of the study indicate that therapists’ dreams about their patients can be a valuable tool for deepening understanding of the therapeutic relationship and process.     

When it's not easy to do the right thing: Developmental changes in understanding cost drive evaluations of moral praiseworthiness

Recent work identified a shift in judgments of moral praiseworthiness that occurs late in development: adults recognize the virtue of moral actions that involve resolving an inner conflict between moral desires and selfish desires. Children, in contrast, praise agents who do the right thing in the absence of inner conflict. This finding stands in contrast with other work showing that children incorporate notions of cost and effort into their social reasoning. Using a modified version of Starmans and Bloom's (2016) vignettes, we show that understanding the virtue of costly moral action precedes understanding the virtue of resolving inner conflict. In two studies (N = 192 children, range = 4.00–9.95 years; and N = 193 adults), we contrasted a character who paid a personal cost (psychological in Study 1, physical in Study 2) to perform a moral action with another who acted morally without paying a cost. We found a developmental progression; 8- and 9-year-old children and adults recognized the praiseworthiness of moral actions that are psychologically or physically costly. Six- and 7-year-old children only recognized the praiseworthiness of moral actions that are physically costly, but not actions that are psychologically costly. Moreover, neither adults nor children inferred that paying a cost to act morally required having a moral desire or resolving inner conflict. These results suggest that both adults and children conceptualize obligation as a direct motivational force on actions. They further suggest that costly choice—a hallmark of moral agency—is implicated in judgments of praiseworthiness early in development.     

Impact of Summer Trip to Israel on the Self-Esteem of Jewish Adolescents

Psychological research has identified many positive effects of adolescents being aware of their religious and cultural backgrounds (Fiese, 1992). Religious rituals and community support facilitate developmental transitions. They also instill a stronger sense of identity. Mainstream North American society's emphasis on autonomy and individuality has meant that people are less reliant on religious and cultural rituals as a source of community strength. The lack of defined traditions and spiritual goals has left many of today's American adolescents confused. Jewish American adolescents, in particular, may not achieve a full sense of their religious and cultural background due to the preponderance of Christian symbols and ideology as well as to a de-emphasis of religion due to America's scientific/secular world view. A trip to Israel, the Jewish homeland, gives Jewish adolescents the chance to meet other Jewish people and to spend time in an environment which promotes Jewish ideology, history, and culture. Although past research on Jewish adolescents has found that a trip to Israel enhances a sense of Jewish identity, personality, and leadership skills (Kafka, London, Bandler, & Frank, 1990), no recorded empirical research has looked at possible changes in self-esteem. The goal of this research project was to determine if learning about and experiencing Israeli religious practices and culture foster greater Jewish self-esteem, Jewish identity, and/or self-concept for Jewish adolescents. The compiled data reveal that Jewish identity and Jewish self-esteem have a direct and positive bearing on each other. Jewish adolescents with a strong sense of Jewish identity are more likely to develop a higher level of Jewish self-esteem. Likewise, enhanced Jewish self-esteem is connected to a greater sense of Jewish identity. Although scores on the Jewish Identity and Jewish Self-Esteem Scales did not significantly correlate with self-concept scores on the Piers-Harris Children’ Self Concept Scale (1984), and the Piers-Harris scores did not significantly change over time, these results may be due to the above average pre-test self-concept scores of the participants. Adolescents from both the Camp and Israel groups scored in the above average range on the Piers-Harris Self-Concept Scale prior to and following the summer excursion. Directed at parents, scholars, and communities, this study calls attention to the importance of religiosity and culture to adolescent development. This research project also confirms this study's hypothesis that sending all Jewish adolescents to Israel between Middle and Late Adolescence lessens developmental ambiguity and strengthens self-esteem. By gaining an understanding of roots, identity, and self-esteem, adolescents and adults may become more accepting of themselves, thus enhancing their ability to be open and accepting of others—much needed qualities.     

When words lose their power: Shiatsu as a strategic tool in psychotherapy

A psychotherapist sometimes reaches the edge of his abilities, the point at which he/she realizes that for a certain client, words lose their power. The therapist may try a variety of psychological approaches, but with no effect, until he/she comes to feel that perhaps the patient simply cannot be helped. This article points the possibility that in certain cases, when psychotherapy is not bearing fruit, the psychotherapist can make use of additional tools to break through the barrier to treatment. These tools can include psychodrama, movement or dance therapy, and many other non- verbal techniques. The additional tool discussed here is Shiatsu (Acupressure), whose integration in certain cases was found to bring about the desired breakthrough, ultimately bringing the patient to the point at which talking was meaningful and effective again.     

Anxiety Reactions and Coping Modalities with the COVID-19 Pandemic: A Cross-Sectional Study Comparing a Population of Religious Patients with Mental Illness and their Health Caregivers

Journal of Religion and Health - This study evaluates the nature and intensity of anxiety, interpretations of the COVID-19 pandemic and coping modalities of hospitalized patients with mental...     

A Value-Added Health Systems Science Intervention Based on My Life,My Story for Patients Living with HIV and Medical Students: Translating Narrative Medicine from Classroom to Clinic

Journal of Medical Humanities - In 2018-2019, at the Keck School of Medicine of the University of Southern California (KSOM), we developed and piloted a narrative-based health systems science...     

Intercontinental telehealth coaching of therapists to improve verbalizations by children with autism

This study examined the effects of intercontinental telehealth coaching on the mastery of therapists’ skills and improvements in verbalizations by children with autism, testing whether telehealth can be a solution for underserved communities in developing countries such as Georgia‐Sakartvelo in Eastern Europe. Three therapists delivering and three children with autism receiving early‐intervention services from the nongovernmental organization Children of Georgia in Tbilisi participated. Experimenters provided coaching from Virginia, USA to therapists in Georgia‐Sakartvelo. Observers in Georgia‐Sakartvelo and in Virginia conducted the behavioral observations. We used inexpensive communications technology to provide the coaching and a multiple‐baseline design across participants to evaluate the effects of the intervention. Therapists demonstrated improvements in two classes of behaviors: correct command sequences and positive consequences. The children demonstrated improvements with echoics and mands. The study demonstrated that telehealth can be a good model for delivering early‐intervention services to children with autism in underserved and distant regions of the world.     

Intergroup emotions and gateway groups: Introducing multiple social identities into the study of emotions in conflict

After 2 decades of extensive empirical studies on affective intergroup processes, it is now clear that emotional processes play a critical role in the dynamics of intergroup conflict. However, it seems that much of the research in this domain views intergroup relations in a dichotomous manner of pure in‐groups and out‐groups despite the developments in the realm of social identity that suggest otherwise. We here suggest that the incorporation of more complex social identity models into the study of affective social science can not only help to better understand intergroup conflict dynamics but can also offer new possible venues for conflict resolution. Specifically, we claim that the presence of groups with multiple identities, which include both the in‐group's and the out‐group's identity (e.g., biracial groups that encompass both a White and a Black social identity) can impact intergroup emotional processes between the different groups comprising those multiple identities (e.g., between Whites and Blacks). Accordingly, we review recent developments in the literatures of emotion in intergroup conflict and multiple social identity and offer a conceptual integration of the two. Thus, we attempt to enrich the theory in both fields, better explain intergroup conflict, and possibly pave the way for the development of novel conflict resolution methods.     

Neuropsychological,Cognitive, and Theoretical Considerations for Evaluation of Bilingual Individuals

As the number of bilinguals in the USA grows rapidly, it is increasingly important for neuropsychologists to be equipped and trained to address the unique challenges inherent in conducting ethical and competent neuropsychological evaluations with this population. Research on bilingualism has focused on two key cognitive mechanisms that introduce differences between bilinguals and monolinguals: (a) reduced frequency of language-specific use (weaker links), and (b) competition for selection within the language system in bilinguals (interference). Both mechanisms are needed to explain how bilingualism affects neuropsychological test performance, including the robust bilingual disadvantages found on verbal tasks, and more subtle bilingual advantages on some measures of cognitive control. These empirical results and theoretical claims can be used to derive a theoretically informed method for assessing cognitive status in bilinguals. We present specific considerations for measuring degree of bilingualism for both clients and examiners to aid in determinations of approaches to testing bilinguals, with practical guidelines for incorporating models of bilingualism and recent experimental data into neuropsychological evaluations. This integrated approach promises to provide improved clinical services for bilingual clients, and will also contribute to a program of research that will ultimately reveal the mechanisms underlying language processing and executive functioning in bilinguals and monolinguals alike.     

E-mentoring for youth with special needs: preliminary results.

Recently, a growing number of electronic mentoring (e-mentoring) Web sites have become available that provide vocational and career support. To date, few researchers have addressed the phenomenon of e-mentoring from a socioemotional perspective for populations with special needs. This paper presents a pilot study designed to test and evaluate an e-mentoring intervention program based on mutual self-disclosure and friendship for youth with special needs. Using qualitative methods, the study characterized the e-mentoring process and its contributions to this population. Results provided support for the socioemotional potential of computer-mediated communication for youth with special needs, although some barriers were found. Practical implications for implementing feasible e-mentoring programs for youth with special needs are discussed.