Ethical Considerations in Psychotherapeutic Systems

Theoretical Medicine and Bioethics - In the process of individual psychotherapy, the client and the therapist work together towards clarifying the client's problems, unlocking vicious circles,...     

A SCIENTIST AND A THEOLOGIAN SEE THE WORLD: COMPROMISE OR SYNTHESIS?

Abstract. A scientist (for whom the world is the universe) and a theologian (for whom the world is planet Earth) engage in dialogue, not contrived Platonic or Galilean dialogue, but true bidisciplinary dialogue that strives for higher viewpoint. S: Is the preservation of the human species a primary human responsibility? T: It may be a responsibility we share with God. S: The human species has a limited future if confined to the planet Earth. We must diversify our habitat by colonizing space. T: We are responsible for other life on the planet as well. The discussants conclude that besides protecting Earth ecologies, we should create new ecologies in space.     

“Operationalism” in psychotherapy: A possible means of putting a sorry state of theory in better order?

It will be shown in this paper that the study of the actual conduct of psychotherapy, at least in its classical form with a patient speaking his or her mind in any way the patient desires and a therapist helping the patient pursue those thoughts and wishes and conflicts and hopes for better luck in real life than before, is more conducive to agreement among rather different therapists, to clearer reasoning over psychotherapeutic interventions, and to more promising theoretical articulations than anything available in the theoretical texts of psychotherapy.     

‘So you did what you wanted then’: Discourse analysis,personal agency,and psychotherapy

This paper explores issues concerning personal agency in discursive psychology and discourse analysis, with a particular emphasis on agency in terms of motivational accounts of the person. Issues are discussed in relation to the efficacy, acceptability, and accessibility of discourse analytic research for the practising psychotherapist. We suggest that such an approach may raise problems in four areas. First, we argue that without explicit theorization of the subject as language user, discourse analysis may be vulnerable to the charge of determinism. Second, theorization of the subject as language user may be required to account successfully for individual consistency and continuity of identity. Third, although claiming to critique commonsense notions of subjectivity, implicit dualist assumptions facilitate a reading of discursive psychology that is compatible with a motivational model of the person. Finally, we argue that discursive psychology itself implies a particular model of the strategically motivated language user. We conclude that, although these issues require clarification, discursive psychology and discourse analysis have much to offer psychotherapy research.     

The trauma triangle

Recent research supports the hypothesis that more active engagement of the patient in occurring illnesses improves quality of life and probably even life expectancy.In this study experience and theoretical knowledge from psychotherapy is transplanted to clinical practice in order to improve the physician's engagement in the patient-disease relationship. By defining severe and long-term illnesses as a psychotrauma, the transfer of the psychotherapeutical model leads to the creation of a new triangular relationship: patient-illness-doctor. Practical examples are used as illustrations for the conceptual differences between psychotherapy and clinical medicine. Options for dialogue show the difference between adaptation (learning to live with) and adjustment (active coping strategies and controlling). The hypothesis is that a better dialogue will reduce illness-related stress, giving the patient better and more effective access to personal psychic and physical support systems.     

Residual ability to use grapheme-phoneme conversion rules in phonological dyslexia

A case of acquired phonological dyslexia is described (P.M.). The patient was encouraged to read nonwords by analogy with real words, i.e., by changing phonemes in real words to produce pronounceable nonwords. P.M. was able to perform this task suggesting that he retained some ability to use grapheme-phoneme conversion rules. On the basis of P.M.'s performance an additional connection in Morton's logogen model is postulated.     

A new processing model for predicting performance on Pascual-Leone's test of M-space

A new model is proposed for explaining children's performance on Pascual-Leone's test of M-space. The model differs from Pascual-Leone's in three regards. (1) It assumes that children do not stop sampling a compound stimulus until every simple stimulus in their field of attention has already been noticed and responded to. (2) It assumes that the probability of sampling different combinations of simple stimuli conforms to the laws of Maxwell-Boltzman statistics rather than Bose-Einstein statistics. (3) It assumes that children's ability to detect all the simple stimuli in a compound stimulus is highly dependent both on the relative saliencies of the simple stimuli and on the length of time for which the compound stimulus is exposed. Using the developmental values of M hypothesized by Pascual-Leone, and standard techniques of computer simulation, the new model is used to generate theoretical performance curves for children at four different age levels and seven different levels of stimulus complexity. It is shown that the predicted performance curves for an exposure time of 5 sec provide a reasonable fit to the data originally reported by Pascual-Leone (1970), and that the predicted performance curves for an exposure time of 10 sec provide a reasonable fit to data obtained more recently by Parkinson (1976). Finally, it is shown that the order of children's responses as well as the number of their responses can be predicted. Two conclusions are drawn. (1) The new processing model offers a viable alternative to the model originally proposed by Pascual-Leone. (2) Regardless of which processing model is employed, the M-values originally postulated by Pascual-Leone are valid.     

Less is not more: Further observations on nonlinguistic strategies

In an attempt to clarify the role of nonlinguistic preferences in children's responses to the words more and less, children 3–4 years of age were administered three tasks. Two of these required the child to indicate which of two arrays had more or less items, as instructed; the third task required the child to point to any one of two arrays. Children consistently selected the arrays with more items on all three tasks. The present finding of a response bias necessitates a reinterpretation of earlier studies of more and less. The results are discussed in terms of the full and partial semantics hypotheses as articulated by E. Clark.     

Baseline differences,attention, and age differences in time-sharing performance

The purpose of this experiment was to determine whether age differences noted when two tasks are performed concurrently can be accounted for in terms of age differences in single task baseline performance. Two groups of 12 8-year-olds and one group of 12 13-year-olds performed a compensatory tracking task and an auditory matching task, first alone and then time shared. The 8- and 13-year-old baseline groups performed baseline trials on each task prior to time-sharing trials. Each training group 8-year-old was randomly paired with a 13-year-old and given sufficient single task practice before time sharing to equate the 8- and 13-year-old pair members' baselines on both tasks. Results showed trained 8-year-olds to be indistinguishable from 13-year-olds in time sharing, whereas the 8-year-old baseline group showed significantly greater decrements in time-sharing and higher baseline scores on both tasks. These data provide support for the hypothesis that time-shared performance is directly related to level of baseline performance.