Revolutionary Claims and Visions in Psychotherapy: An Anthropathological Perspective

Consideration of the semantic problem of revolution in psychotherapy is followed by some justifications for a critical and subjective approach to this discussion. Alleged revolutions in the field are critically examined, followed by an envisaged revolution and its possible ingredients. Attention is paid to the concept of a revolutionary new human, with affective-somatic and embodied-mystical examples given. Obstacles to such revolution are briefly examined and the concept of universal human sickness or anthropathology is discussed, along with the notion of an anti-anthropathological revolution.     

Psychotherapy as a rite of passage

Some psychotherapies may work because they resemble rites of passage. To explore this idea, this article describes an "individual" case of depression in which drug, cognitive, and narrative approaches fell short of effectiveness, and change occurred in a series of experiences that resemble a rite of passage. This resemblance is illuminated by examining two apparently quite different healing processes--Alcoholics Anonymous and multifamily group therapy in schizophrenia--to explore the elements they have in common with the case described: the acceptance of what Victor Turner called a liminal experience, and the importance of witnesses to the ritual support for that acceptance. The discussion contributes to a loosening of the distinctions between the processes of individual, family, group, and other social therapies and leads to questions about the expert knowledge the therapist provides.     

Ethics,Alterity, and Psychotherapy: A Levinasian Perspective

Current psychologies of religion reflect the modernist context in which they are situated. Religion is reduced to what is researchable, generalizable, individual and “thin.” This essay suggests that a psychology of religion which takes seriously the implications of Emmanuel Levinas’s emphasis on ethics and the alterity of the Other would result in a different model of psychotherapy. Levinas’s view of the Other as the trace of the transcendent radically changes our understanding of the client within the therapeutic relationship. Levinas begins with ethics and so healing would be, by implication, an ethical enterprise. In a highly secularized, individualized, objectivized culture, a therapy which recognizes the sacred, which models how to view the Other as transcendent, and which does not presume to know, is a gift to the client.     

A pilot study of two-day cognitive-behavioral therapy for panic disorder

The present study investigated the short-term efficacy of brief, intensive cognitive-behavioral therapy (CBT) for panic disorder (PD). The treatment involved 9h of therapist contact over two consecutive days and was developed for the purpose of delivering CBT for PD to a largely rural patient population that must travel long distances to find a treatment provider. Ten patients who elected to participate in brief, intensive CBT instead of weekly CBT were recruited from routine clinical practice in a hospital-based anxiety disorders clinic. Patients were not excluded based on the presence of agoraphobia, diagnostic comorbidity, concurrent use of PRN benzodiazepine medications, or previous nonresponse to psychotherapy for PD. Assessments conducted at pre-treatment and 1-month follow-up revealed large, clinically significant reductions in PD symptoms, anxiety sensitivity, body vigilance, and anxiety and depressive symptoms. Most patients (60%) were panic-free after treatment and evidenced normative levels of symptomatology at follow-up. The present study suggests that brief, intensive treatment may be an effective means of delivering CBT for PD.     

Principle‐Based Integrative Therapy with Couples: Theory and a Case Example

The Principle‐Based Integrative Therapy (PBIT) framework harnesses the principles of change underlying each theoretical model within integrative couple therapy treatments. PBIT has commonalities with other integrative approaches, and additional advantages stemming from its four tenets that guide therapists in combining strengths across models and overcoming each of their deficiencies. Tenet 1 advises that each model adds a core principle or mechanism of action that other models do not automatically address. Tenet 2 focuses on how techniques of one model may actualize the principles of other models. Tenet 3 ensures complementarity and a lack of conflict across principles. A case study and common case considerations are presented to illustrate how Tenets 1–3 can work in integrating Cognitive‐Behavioral, Multicultural, and Emotionally Focused Therapy models in working with a couple. Finally, Tenet 4 advocates for the use of models and empirically supported principles that also have received empirical support with diverse populations. Prerequisites and training implications for PBIT, and future clinical and research directions to further the utility of PBIT are discussed.     

Période périnatale et Rorschach : normes,indicateurs, mentalisation et perspectives théorico-cliniques

ObjectiveThe perinatal period is a maturation phase characterised by the appearance of a radical psychological and identity crisis, little studied by projective methods, in particular the Rorschach inkblot test. The objective of this article is to offer a list of Rorschach norms and indicators adapted to the perinatal population. This is to comprehend the psychological modifications occurring during pregnancy.Materials and methodThe projective Rorschach inkblot test was presented to a representative sample of 54 pregnant primiparous French women. Based on the scoring and analysis methods of the Parisian School, the quantitative norms from the analysis of the psychogram, the chosen cards, and the mentalization indicators were compared to those of the general population.ResultsWith the exception of F +% and H%, all the normative data for the perinatal population are significantly different from those related to the general population (p .005). On a qualitative level, the interpretation of the data highlights the presence of major inhibition mechanisms, associated with a preconscious functioning stasis.ConclusionThe normative data in Rorschach of the perinatal population should be specifically used for the study and psychological support devoted to this population. It also allows a better understanding of the feminine psychologic modifications during pregnancy.     

Perinatal depression influences on infant negative affectivity: Timing,severity, and co-morbid anxiety

Accumulating evidence suggests that antenatal depression predicts infants’ negative affectivity, albeit with variable effect sizes. With a prospective longitudinal design, we sought to explain that variability by addressing questions about timing of the depression across pregnancy and the early postpartum, the role of high symptom levels relative to diagnosed depression, comorbidity with anxiety, and the potential mediating role of neuroendocrine functioning. Primiparous women (n = 77) with histories of depression prior to pregnancy were assessed for cortisol levels monthly beginning by mid-pregnancy. Depression symptom levels and diagnostic status were similarly assessed monthly in pregnancy and also until infants reached three months of age, when mothers completed the Infant Behavior Questionnaire-Revised to measure infant negative affectivity. Antenatal depression symptoms and infant negative affectivity were positively associated (r = .39). Controlling for depression symptom levels in other trimesters, only second trimester depression symptoms predicted higher infant negative affectivity (β = .44). With postpartum depression symptom levels in the model, only antenatal depression symptoms predicted infant negative affectivity (β = .45). In the context of depression, neither antenatal anxiety symptoms nor anxiety disorder diagnosis were associated with infant NA scores. The hypothesized role of elevated maternal cortisol as a mechanism for the association between antenatal depression and infant NA was not supported. Our findings contribute to efforts to more precisely identify infants of perinatally depressed mothers who are at greater risk for elevated negative affectivity, suggesting a window of vulnerability in mid pregnancy and the need for further study of potential mechanisms.     

Comparing competencies of a psychotherapist with those of a psychologist specialising in psychotherapy

This paper contributes to a recent call for dialogue between the different professional groups representing psychotherapy in Europe. At present, two core psychotherapy groups exist in Europe, namely the EAP, representing psychotherapy, and EFPA, representing psychologists specialising in psychotherapy. This article compares and contrasts two competency frameworks representative of these bodies, which capture the skills, knowledge, reasoning and values of the respective professions. The shared and divergent competencies are identified and discussed, followed by suggestions for potential changes in future European competency frameworks. By doing this, we not only respond to the recent call for dialogue but also promote collaboration and discussion between the professional groups representing psychotherapeutic practice both in Europe and beyond.     

Towards trans-cultural histories of psychotherapies

Abstract

Psychotherapy is a regulated form of verbal interaction, which necessarily incorporates broader shared cultural assumptions and narrative templates. Like any form of verbal interaction, it is fluid, adaptable and malleable, particularly when it enters new cultural domains. The increasing global penetration of psychotherapeutic techniques calls for an analysis of the changes, modifications, and innovations of its techniques and accompanying theories. This will eventually allow scholars to view European and North American forms of psychotherapy as variations tied to specific locations and cultures. Tracing the trans-national and trans-cultural dissemination of psychotherapeutic theories and techniques allows historians to chart their inherent variability, test limits, and analyse the broader social and political uses of psychotherapy within different national and cultural contexts. In addition to investigating psychotherapy in its various manifestations, historians should continue to inquire about its personal, social and political uses.     

In The Theater of Confusion: Mourning and Its Consequences for a Four-Year-Old Child

Abstract

Hyrck M. Inner Objects and the Christian Images of God. Int Forum Psychoanal 1997;6:41-43. Stockholm, ISSN 0803-706X.

Religion can be viewed very differently by different individuals. For some people it forms the basis of emotional safety while others regard it as the main obstacle to true humanity. One reason for this wide variance of opinion lies in the different ways that God can be perceived even within the same religious tradition. He can, for example, appear as a cosmic sadist torturing men eternally or as the vicariously suffering Christ sharing and containing the evils of mankins.

These and other images of God are analyzed by a systematic psychoanalytic instrument constructed upon the object relations theory. It describes five inner objects created by different partial drives or aspects of these drives. The inner objects are regarded as unconscious phantasies in the Kleinian sense. Five corresponding analoguous emotional images of God are abstracted from the Christian tradition.