‘Just black sometimes’, part 2: reflections on an adolescent's journey

In this second article about work at a refugee centre for unaccompanied minors in Berlin, the author discusses his encounter with Syrian and Afghani adolescents who were enrolled in the program. Issues around adaptation to a new culture are explored with attention to the dynamics of conformity and marginalization. The questions of what happens to adolescent refugees separated from their families, and how their identity formation is shaped by this burden is explored in relation to the author's meeting with a Syrian adolescent living in Berlin. To illustrate the long reach of a missing father who has been left behind, characters from Virgil's Aeneid are discussed to amplify heroic and spiritual aspects within father‐son relationships. The interplay between needing help and allowing for resilience is explored as an important aspect of refugees’ transitions, while also considering variables such as dependence and independence, foreign and familiar, being with or without family, and adjusting to the present and/whilst relating to the past; tensions between these alternatives can create various psychosocial challenges for adolescent refugees.     

Healing Intergenerational Wounds: An Integrative Relational–Neurobiological Approach

Old resentments and unfinished business from the family of origin can constrain adults in current relationships with parents or siblings and negatively affect relationships with partners or children. This article explores how old wounds get reactivated in current relationships and contribute to the intergenerational transmission of painful legacies and trauma. Building on intergenerational family theory and interpersonal neurobiology, the dynamics of reactivity and pathways for growth are explored. While much of the time the human brain is on autopilot, driven by habits and emotional reactivity, we are capable of bringing prefrontal thoughtfulness and choice to close relationships. Rather than being victims of parents or our past, we can become authors of our own relational life. Interventions are offered to help adult clients “wake from the spell of childhood,” heal intergenerational wounds, and “grow up” relationships with family of origin. The damage caused by parent‐blaming in therapy is explored and contrasted with Ivan Boszormenyi‐Nagy's emphasis on rejunctive action and cultivating resources of trustworthiness in intergenerational relationships. The family is considered both in its cultural context—including stressors and resources for resilience—and in its life cycle context. Aging in the intergenerational family is discussed, focusing on ways adult children and their parents can grow and flourish with the challenges at this time of life. Throughout, the theme of relational ethics—how we can live according to our values and “reach for our best self” in intergenerational relationships—informs the discussion.     

Binding legacies: ancestor,archetype and Other

This article discusses the multicultural interconnection between Jungian analysts’ training and Africanist training candidates. The importance of ancestral lineage and archetypal influences in the clinical setting are explored for better understanding of issues related to the transference and therapeutic interventions. A discussion of racial relations and racism is addressed as a frequently missing element in the psychoanalytical training of future Jungian analysts.     

Word matching and Lexical Decisions: A Visual Half-Field study

In unilateral Visual Half-Field tasks visuospatial and linguistic processing were compared. In a Word Matching task subjects judged the physical identity of simultaneously presented pairs of three-letter words or legal nonwords. No mainfield effects were found, but word pairs were recognized better and faster as "same" than nonword pairs. Latencies and errors in "different" pairs increased monotonically with position of letter change in the left but not in the right visual field (RVF), suggesting a serial, letter-by-letter way of processing for the right hemisphere and a whole word approach for the left. At this perceptual level the ability to store lexical information from the icon is stressed as a hemisphere-specific factor. In a Lexical Decision task the same subjects judged the same items on the word/nonword dimension. A RVF advantage associated with words as compared to nonwords occurred, as expected. Additional analysis suggests that order and difficulty of tasks may influence females' laterality, as compared to that of males.     

Reactions to success and failure in public and in private conditions

It was shown that the reaction to success and failure differs when it is communicated publicly or privately and when the reaction to success and failure is measured publicly or privately. Participants took an intelligence test and received fictitious results which were positively or negatively discrepant from the average. The dependent variable was the evaluation of the intelligence test. It was found that when the subject's evaluation of the test was private, the test was evaluated more positively under public than under private success. However, it was evaluated more negatively under public than under private failure. Under public success feedback the test was evaluated more positively under private than under public evaluation, whereas under public failure feedback the effect was reversed. The results are interpreted in terms of a self-presentation model and were discussed in the context of earlier research within the field of interpersonal relations.     

Schedule-induced polydipsia in rats living in an operant environment

The effect of variations in interreinforcement interval on the temporal and distributional relation between feeding and drinking was continuously monitored. Rats were housed continuously in an operant chamber in which water was freely available, but lever pressing was required to obtain food (45-mg pellets). Initially, pellets were delivered on a fixed-ratio 1 schedule of reinforcement, which was followed by testing on response-initiated fixed-interval 15-, 30-, and 60-second schedules. The total number of discrete, daily meals (a period in which several pellets were earned in succession) was slightly higher during the fixed-interval schedules than during the fixed-ratio 1, but there was no systematic effect of fixed-interval length on meal frequency. Total water consumption, in contrast, increased dramatically as the interval was lengthened: both subjects consumed two to three times as much water on the fixed-interval 60-second schedule as on the fixed-ratio 1. The increased water consumption was the result of an alteration in the distribution of drinking relative to eating. During the fixed-ratio 1 condition, drinking occurred infrequently following individual food pellets and represented the smallest percentage of total drinking; drinking occurred predominantly just before or after a meal. As the fixed interval was lengthened, however, the frequency of postpellet drinking gradually increased and eventually comprised the largest proportion of daily drinking.     

Voices of Dialogue and Directivity in Family Therapy With Refugees: Evolving Ideas About Dialogical Refugee Care

In this article, we reflect on our evolving ideas regarding a dialogical approach to refugee care. Broadening the predominant phased trauma care model and its engaging of directive expertise in symptom reduction, meaning making, and rebuilding connectedness, these developing dialogical notions involve the negotiation of silencing and disclosure, meaning and absurdity, hope and hopelessness in a therapeutic dialogue that accepts its encounter of cultural and social difference. In locating therapeutic practice within these divergent approaches, we argue an orientation on collaborative dialogue may operate together with notions from the phased trauma care model as heuristic background in engaging a polyphonic understanding of coping with individual and family sequelae of forced displacement. This locating of therapeutic practice, as informed by each perspective, invites us to remain present to fragments of therapeutic positioning that resonate power imbalance or appropriation in a therapeutic encounter imbued with a social context that silences refugees’ suffering. In a clinical case analysis, we further explore these relational complexities of negotiating directive expertise and collaborative dialogue in the therapeutic encounter with refugee clients.     

Walking in sacred spaces in the therapeutic bond: therapists' experiences of compassion satisfaction coupled with the potential for vicarious traumatization

The therapeutic bond is at the heart of effective therapy, yet few studies have examined therapists' experience of this bond. Using a qualitative study design, this exploratory study examines the experiences of couple and family therapists in relation to their perceptions of the satisfactions and risks involved in the therapeutic bond. The research was conducted using grounded theory methodology and eight in-depth interviews were conducted with therapists working in five counseling agencies in Sydney, Australia. Therapists described the importance of the 3 component parts of the therapeutic bond: the empathic connection between therapist and client; the role investment of the client; and the mutual affirmation experienced by both therapist and client in the therapeutic process. Walking in sacred spaces with the client was seen as both enriching and challenging for the therapist. The therapeutic bond gave therapists intense satisfaction and posed risks for them, especially when working with traumatic client experiences. However, the findings suggest that the experience of compassion satisfaction and the development of vicarious resilience counter-balanced the intense difficulty of bearing witness to clients' traumatic experiences and the potential for vicarious traumatization. The implications for sustaining couple and family therapists in their work are discussed.     

Neurocognitive Impairment: Addressing Couple and Family Challenges

Conditions involving neurocognitive impairment pose enormous challenges to couples and families. However, research and practice tend to focus narrowly on immediate issues for individual caregivers and their dyadic relationship with the affected member. A broad family systems approach with attention to family processes over time is needed in training, practice, and research. In this paper, Rolland's Family Systems Illness model provides a guiding framework to consider the interaction of different psychosocial types of neurocognitive conditions and their evolution over time with individual, couple, and family life‐course development. Discussion addresses key family and couple issues with mild‐to‐severe cognitive impairment and progressive dementias, including: communication, multigenerational legacies, threatened future neurocognitive disability, ambiguous loss, decisional capacity, reaching limits, placement decisions, issues for adult children and spousal caregivers, and the transformation of intimate bonds. Principles and guidelines are offered to help couples and families master complex challenges, deepen bonds, and forge positive pathways ahead.