Improvisational therapy: Evolving one's own clinical style

This article offers an invitation to develop one's own unique clinical style, relying less on institutionalized schools of therapy and more on the therapist's own natural resources. An emphasis is placed upon understanding therapy as art, trusting one's imagination, and maintaining a healthy irreverence for professional politics.     

How efficacious,caring samaritans cope when their help is rejected unexpectedly

This experiment, with 167 introductory psychology subjects, successfully replicated and extended to a wider array of affective, evaluative, and cognitive reactions, previous research on how would-be helpers cope when their help is rejected. It again supported the thesis that violation of perceived expectancy of acceptance mediates the effects of rejection. Using an individual difference measure of generalized self-perceptions of being a person who is sufficientlyefficacious and caring (acronym, EFCA) to help others, we found support for the predictions that high EFCAs would react more strongly than low EFCAs on “proximal” forms of coping, but relatively less strongly on “confrontational” (future-oriented) forms. Our rationale was that high EFCAs expect more acceptance, are more optimistic, and have greater self-investment in the outcome. Mixed support was obtained for the prediction that situational differences in prior expectancy of acceptance moderate the effects of rejection. Portions of the research were presented by the first author at the 98th Annual Convention of the American Psychological Association, Boston, August 1990.     

Family coping strategies and the rural Appalachian working poor

Naturalistic research methods were used in this study to collect the voices, ideas, and opinions of rural, working poor, Appalachian families from Southeast Ohio about the stress of poverty in family life and family coping in the face of poverty. This data should be of interest to the professional family therapist who practices with the working poor.     

Live supervision in the postmodern era of family therapy: Issues,reflections, and questions

This article asserts that the family therapy field is approaching an epistemological shift from structuralism and positivism to postmodernism and relativism. The confluence of these movements: feminism, constructivism/constructionism, and cultural relativism is cited as a major impetus for the shift. Live supervision is examined within the context of this transformation, with a discussion of implications for the future.     

Supervising the person of the therapist: Issues,challenges and dilemmas

A major critical issue in marriage and family therapy today is the professionalization of the discipline. Thus the focus on training individuals for a career in marriage and family therapy necessitates the revisitation of the debate over personal growth versus skill development. The trend toward training the person of the therapist, however, would suggest that the field is moving toward the integration of self awareness and skill in the therapeutic system. With the popularization of training the person of the therapist comes other issues, challenges, and dilemmas for the field, including the crucial issue of training gender and culturally sensitive therapists. The potential for creating dual relationships when training the person of the therapist is both a dilemma and a challenge.     

Drawing the boundary between subject and object: Comments on the mind-brain problem

Physics says that it cannot deal with the mind-brain problem, because it does not deal in subjectivities, and mind is subjective. However, biologists (among others) still claim to seek a material basis for subjective mental processes, which would thereby render them objective. Something is clearly wrong here. I claim that what is wrong is the adoption of too narrow a view of what constitutes ‘objectivity’, especially in identifying it with what a ‘machine’ can do. I approach the problem in the light of two cognate circumstances: (a) the ‘measurement problem’ in quantum physics, and (b) the objectivity of standard mathematics, even though most of it is beyond the reach of ‘machines’. I argue that the only resolution to such problems is in the recognition that closed loops of causation are ‘objective’; i.e. legitimate objects of scientific scrutiny. These are explicitly forbidden in any machine or mechanism. A material system which contains such loops is called ‘complex’. Such complex systems thus must possess nonsimulable models; i.e. models which contain impredicativities or ‘self-references’ which cannot be removed, or faithfully mapped into a single coherent syntactic time-frame. I consider a few of the consequences of the above, in the context of thus redrawing the boundary between subject and object.     

Practices and representations of child care and motor development among West Africans in Paris

Massage techniques and postural manipulation used by West African women immigrants in Paris were studied, with the aim of demonstrating that culturally regulated caretaking practices have an influence on infant motor development. Twenty-five infants were observed between the ages of 3 and 12 months and 9 and 15 months. Frequency of massage and its accompanying set of physical exercises were found to be related to age at onset of independent walking. The findings show that infants receiving daily massage walk significantly earlier than infants who do not receive massage, thus confirming other reports that vestibular and postural stimulation have a positive effect on motor development. These results are discussed in relation to the observed frequencey of contact and of physical games with the caregiver for a smaller sample of three infants, and to parental expectations about the age of acquisition of certain cognitive and motor abilities. African immigrant mothers expect their infants to sit and to walk earlier than French mothers. The conclusion emphasizes the contribution of social anthropology, which shows that in all cultures, physical development and body changes elicit symbolic practices and a search for explanation.     

Sado-masochism as a defense against merging: Six case studies

This paper reports on several patients who use sado-masochism as a defense against an unconscious wish for and fear of merging. The sado-masochism can be expressed as a sexual perversion or in a difficult ungratifying interpersonal relationship. These relationships have some of the quality of addictions in that the patients have a compulsive need to continue them and find it extremely difficult to leave them. Therapy must focus on helping the patient become more separate, rather than on other problems which may also be present. Initially, the therapist needs to take an educational stance in regard to the process the patient must complete, rather than the more traditional analytic stance.