Primary and secondary reflection in existential family therapy

The author uses Gabriel Marcel's topology of primary and secondary thought to clarify and outline the process of reflection in Existential Family Therapy. Clinical material is used to illustrate the differences between primary and secondary reflection during the practice of Existential Family Therapy.     

Marcel's “availability” in existential psychotherapy with couples and families

Gabriel Marcel was a French, Catholic, existential philosopher who first presented the concept of human availability as a central way of strengthening the self and facilitating the experience of human freedom. In this article Marcel's ideas about availability are described, reviewed, and examined for their implications for the practice of existential psychotherapy with couples and families.     

Towards authentic conversations. Authenticity in the patient-professional relationship

The purpose of this paper is to evaluate the significance of the existential notion of authenticity for medical ethics. This is done by analyzing authenticity and examining its implications for the patient-professional relationship and for ethical decision-making in medical situations. It is argued that while authenticity implies important demand for individual responsibility, which has therapeutic significance, it perpetuates ideas which are antithetical both to authentic interaction between patients and professionals and to fruitful deliberation of moral dilemmas. In order to counteract these consequences, an alternative idea of authenticity is introduced. According to this idea, authenticity is not regarded primarily as individual sovereignty, but as an ability to participate in a dialogue in which the subjectivity of both partners is respected. Such practice, based on mutual trust and responsibility, would enhance common decision-making and overcome the alienation between patients and professionals.     

Sensorimotor synchronization: Motor responses to pseudoregular auditory patterns

Musically trained and untrained subjects (N=30) were asked to synchronize their finger tapping with stimuli in auditory patterns. Each pattern comprised six successive tonal stimuli of the same duration, the first of which was accented by a different frequency. The duration of interstimulus onset intervals (ISIs) gradually increased or decreased in constant steps toward the end of the patterns. Four values of such steps were used in different trials: 20, 30, 45, and 60 msec. Various time-control mechanisms are hypothesized as being simultaneously responsible for subjects’ incorrect reproduction of the internal temporal ratios of the stimulus patterns. The mechanism of assimilation (of a central tendency) led subjects to enforce a regular (isochronous) structure on the patterns. The influence of other time-control mechanisms (distinction, subjective expression of an accent, sequential transfer) was expressed mainly in differences between intertap onset intervals (ITIs) and the corresponding ISIs at the beginning of the patterns. The duration of the first two ITIs was in the majority of the trials in an inverse ratio to the ratio of the respective ISIs. The distortions resulting from the timing mechanisms concerned were more pronounced in the performance of nonmusicians than in that of musicians.     

Local and global factors of similarity in visual search

Effects of the similarity between target and distractors in a visual search task were investigated in several experiments. Both familiar (numerals and letters) and unfamiliar (connected figures in a 5 × 5 matrix) stimuli were used. The observer had to report on the presence or absence of a target among a variable number of homogeneous distractors as fast and as accurately as possible. It was found that physical difference had the same clear effect on processing time far familiar and for unfamiliar stimuli: processing time decreased monotonically with increasing physical difference. Distractors unrelated to the target and those related to the target by a simple transformation (180° rotation, horizontal or vertical reflection) were also compared, while the physical difference was kept constant. For familiar stimuli, transformational relatedness increased processing time in comparison with that fort unrelated stimulus pairs. It was further shown in a scaling experiment that this effect could be accounted for by the amount of perceived similarity of the target-distractor pairs. For unfamiliar stimuli, transformational relatedness did have a smaller and less pronounced effect. Various comparable unrelated distractors resulted in a full range of processing times. Results from a similarity scaling experiment correlated well with the outcome of the experiments with unfamiliar stimuli. These results are interpreted in terms of an underlying continuum of perceived similarity as the basis of the speed of visual search, rather than a dichotomy of parallel versus serial processing.     

The temporal selectivity of additive factor effects on the reaction process revealed in ERP component latencies

An experiment was conducted to relate individual components of the event-related brain potential to specific stages of information processing in a two-choice reaction time (RT) task in a group of undergraduate students. Specifically, the latency of the P300 component and the lateralized readiness potential (LRP) were studied as a function of variations in stimulus degradation and response complexity. It was hypothesized that degrading the stimulus would delay the P300 and LRP to the same extent as RT, and that increasing response complexity would affect RT but not P300 latency. The extant literature did not permit any hypothesis regarding the effect of response complexity on LRP latency. The two task variables were found to have additive effects on RT. As predicted, variations in stimulus degradation influenced the latencies of both components, whereas alterations in response complexity had no effect on P300 latency. A significant new finding was that the onset latency of the LRP remained unchanged across levels of response complexity. The overall pattern of results supports the notion of temporal selectivity of stage manipulations that is derived from discrete stage models of human information processing. Furthermore, these results refine the functional interpretation of the LRP by indicating that within the conceptual framework of a stage model the processes this component indexes succeed the start of response choice but precede the start of motor programming.     

Cholinergic rebound after chlorpromazine exacerbates lithium muscarinic-induced limbic seizures in rats: implications for psychiatric treatment.

When lithium serum levels were within the (human) therapeutic range, young and old adult male and female rats (housed singly or in groups) all displayed faster limbic seizure onset times in response to a muscarinic cholinergic agonist (pilocarpine 20 mg/kg) if a single systemic dosage of chlorpromazine was injected 24 hours previously. The effect was comparable to injecting an additional 10 mg/kg of pilocarpine. These results strongly suggest that cholinergic rebound from chlorpromazine administrations during lithium treatment could facilitate subclinical electrical lability and very localized neuronal necrosis within the limbic system of clinical patients, resulting in normalization of psychiatric symptoms.     

Victim-Blaming and Society-Blaming Scales for Social Problems

Until now, no general scales have been available for measuring victim or society blaming. This constraint has been an impediment to policymaking with regard to those who are affected by social problems. Four scales were constructed: stable victim-blaming scale, unstable victim-blaming scale, stable society-blaming scale, and unstable society-blaming scale. Based on the results of the preliminary exploratory factor analysis and the reliability coefficients, the unstable society-blaming scale was deleted from further analysis. Then, a confirmatory factor analysis using the LISREL 7 program was conducted to evaluate the parameter estimates of the scale items and examine the construct validity of the 3 scales. The scales were judged to have construct validity with satisfactory reliability.     

The Career Satisfaction of the Association for Counselor Education and Supervision Members

Members of the Association for Counselor Education and Supervision completed a questionnaire on career satisfaction. A majority reported being quite satisfied with their careers. Most experienced only occasional burnout, and over half perceived their career stress as no greater than moderate.