The Need for Synergy in Academic Policies: An Introduction to the Dialogue on Pre‐registration

There has been much debate on the need for preregistering experimental studies. Opinions differ with some people believing that “pre‐registration should be required—for us to believe the results of papers,” and others believing that “pre‐registration makes no difference to science and just adds work.” This research dialogue brings differing viewpoints together, in an open academic dialogue. Two target articles and two commentaries discuss what pre‐registration does for replicability of studies, and what cost it adds on authors and reviewers. Additionally, in my introduction to the research dialogue, I deliberate on the need for synergy between our journals, review teams, authors, and institutions, in order for any new policies on pre‐registration to be successfully adopted.     

Women's Psychological Experiences in a Narrative Therapy-Based Group: An Analysis of Participants' Writings and Beck Depression Inventory–Second Edition

The purpose of this study was to explore women's experiences in a narrative therapy-based group conducted to help participants re-author their stories. Seven women who were either patients or individuals enrolled in Transition Support for Employment at a psychiatric clinic participated in the meetings, one every fortnight. Each session explored a theme based on narrative therapy techniques such as externalization. The participants wrote their reflections during each session, and completed the Beck Depression Inventory-Second Edition (BDI-II) during the initial and final sessions. An affinity diagram was developed to classify their written reflections into 22 lower categories (e.g., new understanding of self, forward-looking-understanding of life) and 4 upper categories (“Insight,” “Sharing with others,” “Changes with understanding of lives,” “Higher motivation”). The relationship among five lower categories comprising “Insight” was explored, and it became apparent that clarification of participants' own thoughts about social problems functioned as a mediator promoting the process. The largest portion of depressed feelings emerged during the initial session, and four participants had lower scores for BDI-II items such as self-criticism in the final session. The results suggest that the group's purpose was realized. However, future studies should examine participants' feelings more closely, especially during the initial session.     

Narrative of “Here-and-Now”: Cancer Survivors in a Group Psychotherapy Using SCT® (Systems-Centered Therapy)1,2

This study focused on “here-and-now” narrative and examined the process of group psychotherapy for cancer survivors using systems-centered therapy (SCT). In contemporary society, cancer survivors have a vital need for psychological support, and group psychotherapy and peer support are used as part of this need. In most of these interventions, participants are encouraged to speak freely and share their experience of cancer. This generally means speaking about “there-and-then” experience. It has been argued that one reason that narrative therapy produces a psychological effect is that the meaning of an experience changes when the experience is spoken about. SCT differs significantly from other group interventions in that it requires participants to talk about their here-and-now experience through the format of SCT's “functional subgrouping.” Functional subgrouping requires participants to listen, reflect, and build on similarities in their experience. In this study, we qualitatively examined how participants' experiences unfolded in the SCT group by directly addressing the group process. The study findings revealed that even though the participants did not directly share their cancer experiences in the group, they experienced an inexplicable sense of connectedness that had a positive psychological effect on them. They also experienced deep emotions through talking while using the SCT narrative style. In the process, the effects of the SCT narrative were discussed.     

Re-Storying the Trauma Narrative: Fostering Posttraumatic Growth in Cambodian Refugee Women

ABSTRACT

The purpose of this article is to provide clinical recommendations in fostering positive well-being among Cambodian refugee women living in the United States. We first present a brief overview of Cambodian refugee women’s history and cultural background to highlight their experiences of shared and gender-based trauma, as well as their process of recovery. Next, as informed by the posttraumatic growth model and evidence-based practices, we provide clinical recommendations with an emphasis on trauma-informed components and interventions influenced by feminist and narrative perspectives in facilitating the process of surviving trauma and thriving post-migration. Finally, we present a composite case illustration, highlighting cultural considerations to aid mental health providers in fostering posttraumatic growth in Cambodian refugee women.     

The inner witness

The inner witness is a mechanism that develops in response to a reasonable experience of infantile helplessness, the resulting maternal impingement and the presence of a sufficient experience of a third. Being crucial to the subject's capacity to shift between the first person and the third person of experience, it also has an essential role in coping with trauma. Three types of testimonial narrative are differentiated in terms of the presence of the inner witness in their syntax. The first mode is one in which the inner witness is accessible, enabling the imaginary shift between the voice of the victim and the voice of the witness. The second mode, which remains a 'first-person' mode of report, preserves and enacts the traumatic memories and the traumatic features. The third, psychotic mode attacks both the first and the third person, separating the subject from both his memories and his sense of selfhood. This mode can evolve as a reaction to an adult massive trauma, but is more likely to emerge as a result of early traumatization. The above ideas and their implications for recovery are illustrated by a case study and through a reading of Samuel Beckett's Waiting for Godot.     

Narrative as a Root Metaphor for Political Psychology

The idea of narrative has become increasingly appropriated in empirical research in both psychology and politics, yet there is a notable absence of integrative frameworks that specify a conceptual and methodological approach to narrative research in political psychology. An integrative conceptual framework is proposed and anchored in four principles of a narrative approach: (1) the mutual constitution of language and thought, (2) the need for personal coherence through narrative identity development, (3) the need for collective solidarity through shared meaning, and (4) the mediational property of narrative in social activity and practice. Theory and empirical research related to these principles are reviewed. We argue that a narrative framework has the potential to enhance the relevance and amplify the voice of political psychology within and beyond the academy and to offer new knowledge on the complex and dynamic relationship between context and mind.     

Is systemic thinking really extraneous to common sense?

Systemic therapists assume, but have not yet proved that ordinary people: (i) normally do not use triadic thinking and (ii) are able, thanks to therapists' interviewing techniques, to construct triadic explanations. To test these assumptions this study analyses the explanations provided by 400 undergraduates of an unexpected piece of behaviour framed in four stimulus situations where the breadth of the observation field was manipulated. The results show that triadic explanations are unusual and increase with the widening of the field of observation from the monad to the triad. It is the ‘enigmatic’ triadic situation – adding a puzzling discrepancy between the actors' forms of behaviour – that elicits more triadic explanations. This suggests that therapists should explore with clients the contradictions disclosed by the widening of the field of observation and support reframings actively co‐constructed with them instead of ‘pre‐packaged’ ones.     

Chaotic careers: a narrative analysis of career transition themes and outcomes using chaos theory as a guiding metaphor

ABSTRACT

In a rapidly changing world of work, little research exists on mid-career transitions. We investigated these using the open-systems approach of chaos theory as a guiding metaphor and conducted interviews with seven mid-career individuals chosen for their experience of a significant mid-career transition. Four common themes were identified through narrative analysis, where ‘false starts’ to a career were a common experience prior to finding a career ‘fit’. Career transitions, precipitated by a trigger state and/or event such as a period of disillusionment, were an important part of this ‘finding a fit’ process. Overall, career success outcomes were shaped by a combination of chaos elements: chance, unplanned events, and non-linearity of resultant outcomes. We discuss implications for future research and practice.     

Using Narrative Therapy in the Treatment of Adult Survivors of Childhood Sexual Abuse in the Context of Couple Therapy

Abstract

Childhood Sexual Abuse (CSA) is a prevalent social issue. Many theoretical approaches have been applied to the treatment of CSA, these approaches predominately focus on the treatment of children and adolescents, failing to address adulthood and couples’ relations. This limited focus fails to address long-lasting relational implications CSA survivors face. This paper proposes the application of a systemic therapeutic modality, Narrative therapy when treating adult survivors of CSA in couple therapy. The treatment of CSA in the context of couple therapy will be discussed. Clinical vignettes will be used. Implications for clinical practice and future research will be discussed.     

Treating Symptoms of Borderline Personality Disorder Through Narrative Therapy and Naltrexone

Abstract

Borderline Personality Disorder (BPD) is characterized by instability in interpersonal relationships, volatile perceptions of self-image and affects, and marked impulsivity, presenting in various contexts. Current BPD treatments are individual-centered, coping skills based, with a reduced emphasis on identifying etiology and systemic components. Narrative therapy focuses on deconstructing and reauthoring personal stories. A clinical case study shows narrative therapy to be efficacious, however, sometimes psychotherapeutic interventions alone are inadequate in managing these symptoms. Medication can serve as a useful adjunct in addressing self-injurious behaviors, suicidal ideation, and dissociation. Researchers further discuss the integration of naltrexone into treatment of BPD symptoms.