How Change Happens: Controlling Images,Mutuality, and Power

SUMMARY

Change is inevitable but it can go in a positive direction toward growth or in a negative direction. Extending Patricia Hill Collins' concept of controlling images (2000), we can see how these images interact with relational images and strategies of disconnection to obstruct growth on both the societal and the personal level. In therapy, change is defined as movement-in-relationship toward better connection; and increased connection leads to growth. Several aspects of therapy that lead to deeper and wider connection are explored, especially increasing the patient's power. Prior versions of parts of this article were presented at the Jean Baker Miller Summer Training Institutes in 2001 and 2002 and at the 2002 Learning from Women Conference sponsored by the Jean Baker Miller Training Institute and the Harvard Medical School/Cambridge Hospital in Boston, Massachusetts.

As therapists, we're “in the business” of change–change for the better. That's our goal. Another word for change for the better is growth. Change is the essence of life. It is most obvious in children but it is a necessity through all of life. Change will occur inevitably but it can go in a positive or a negative direction. Further, I believe change toward growth creates pleasure. We feel most alive and zestful when we are engaged in this expanding activity.     

Interpersonal effects of parents and adolescents on each other’s health behaviours: a dyadic extension of the theory of planned behaviour

Objective: Interpersonal relationships are important predictors of health outcomes and interpersonal influences on behaviours may be key mechanisms underlying such effects. Most health behaviour theories focus on intrapersonal factors and may not adequately account for interpersonal influences. We evaluate a dyadic extension of the Theory of Planned Behaviour by examining whether parent and adolescent characteristics (attitudes, subjective norms, perceived behavioural control and intentions) are associated with not only their own but also each other’s intentions/behaviours.

Design: Using the Actor-Partner Interdependence Model, we analyse responses from 1717 parent-adolescent dyads from the Family Life, Activity, Sun, Health, and Eating study.

Main Outcome Measures: Adolescents/parents completed self-reports of their fruit and vegetable consumption, junk food and sugary drinks consumption, engagement in physical activity, and engagement in screen time sedentary behaviours.

Results: Parent/adolescent characteristics are associated with each other’s health-relevant intentions/behaviours above the effects of individuals’ own characteristics on their own behaviours. Parent/adolescent characteristics covary with each other’s outcomes with similar strength, but parent characteristics more strongly relate to adolescent intentions, whereas adolescent characteristics more strongly relate to parent behaviours.

Conclusions: Parents and adolescents may bidirectionally influence each other’s health intentions/behaviours. This highlights the importance of dyadic models of health behaviour and suggests intervention targets.     

What Changes in Therapy? Who Changes?

SUMMARY

A central component of therapeutic change involves facilitating the capacity to move and be moved by the other. Another way of saying this might be that change entails experiencing a greater freedom of relational movement. The question of who and what actually changes in the process of therapy is the focus of the three vignettes that follow. They highlight, among other things, the recognition and acknowledgment of mutuality as an essential force within the relational matrix and the ever-changing landscape that this creates. Each of these examples of a change process bears, as well, a particular stamp of its own, and thus speaks to the unique personality of every therapeutic dyad.     

Metacognition of agency and theory of mind in adults with high functioning autism

We investigated metacognition of agency in adults with high functioning autism or Asperger Syndrome (HFA/AS) using a computer task in which participants moved the mouse to get the cursor to touch the downward moving X’s and avoid the O’s. They were then asked to make judgments of performance and judgments of agency. Objective control was either undistorted, or distorted by adding turbulence (i.e., random noise) or a time Lag between the mouse and cursor movements. Participants with HFA/AS used sensorimotor cues available in the turbulence and lag conditions to a lesser extent than control participants in making their judgments of agency. Furthermore, the failure to use these internal diagnostic cues to their own agency was correlated with decrements in a theory of mind task. These findings suggest that a reduced sensitivity to veridical internal cues about the sense of agency is related to mentalizing impairments in autism.     

Parent-report measure of Theory of Mind: Adaptation to Polish of the Children’s Social Understanding Scale

The main aim of the study was to investigate whether the Children’s Social Understanding Scale (CSUS), a parent report technique, is a valid and reliable measure of Theory of Mind (ToM) abilities in Polish-speaking children. Additionally, the role of language abilities in ToM development was explored. A group of 225 parents of approximately 3.5-year-old Polish children was tested using the Polish version of the CSUS. Their children were tested with a word comprehension test and five behavioural ToM tasks. Satisfactory psychometric properties of the Polish CSUS were observed and positive correlations between the CSUS and behavioural ToM tasks were found. A two-factor structure was found in the CSUS: Mental State Talk (MST) and Mental State Comprehension. The MST factor was significantly related to word comprehension. The utility of the Polish version of the CSUS for future cross-cultural research with this population is discussed.     

A developmental shift in processes underlying successful belief-desire reasoning

Young children's failures in reasoning about beliefs and desires, and especially about false beliefs, have been much studied. However, there are few accounts of successful belief-desire reasoning in older children or adults. An exception to this is a model in which belief attribution is treated as a process wherein an inhibitory system selects the most likely content for the belief to be attributed from amongst several competing contents [Leslie, A. M., & Polizzi, P. (1998). Developmental Science, 1, 247-254]. We tested this model with an ‘avoidance false belief task’ in which subjects predict the behavior of a character, who wants to avoid an object but who is mistaken about which of three locations it is in. The task has two equally correct answers—in seeking to avoid the location where she mistakenly believes the object to be, the character might equally go to the location where the object actually is, or to the remaining empty location. However, the model predicts that subjects will prefer one of these answers, selecting the object's actual location over the empty location. This bias was confirmed in a series of five experiments with children aged between 4 and 8 years of age. A sixth experiment ruled out two rival explanations for children's biased responding. Two further experiments found the opposite bias in adults. These findings support one selection model as an account of belief-desire reasoning in children, and suggest that a different model is needed for adults. The process of selecting contents for mental state attributions shows a developmental shift between 8 years of age and adulthood.     

Children’s attributions of beliefs to humans and God: cross-cultural evidence

The capacity to attribute beliefs to others in order to understand action is one of the mainstays of human cognition. Yet it is debatable whether children attribute beliefs in the same way to all agents. In this paper, we present the results of a false-belief task concerning humans and God run with a sample of Maya children aged 4-7, and place them in the context of several psychological theories of cognitive development. Children were found to attribute beliefs in different ways to humans and God. The evidence also speaks to the debate concerning the universality and uniformity of the development of folk-psychological reasoning.     

Creative Moments in Relational-Cultural Therapy

SUMMARY

Creative moments in therapy are those occasions when something new and growth-fostering occurs. This article offers three illustrations and a discussion of these characteristics. It is based on a panel discussion held at the Stone Center-Harvard Medical School/Cambridge Hospital “Learning from Women Conference” in April, 2000.     

From false belief to friendship: Commentary on Fink,Begeer, Peterson,Slaughter, and de Rosnay

Fink, Begeer, Peterson, Slaughter, and de Rosnay (Brit. J. Dev. Psychol, 2015; 33, 1–17) represent a welcome contribution in providing empirical evidence of the link from false belief understanding at Time 1 to mutual friendship 2 years later, controlling for several other possible contributors. This opens a new and important line of inquiry into the practical significance of a Theory of Mind. As is typical of pioneering research, further study is needed to address some issues; here, we point out some of these issues and then briefly discuss the broader implications of Fink et al.'s findings.     

Learning at the Margin: New Models of Strength

SUMMARY

This article was originally presented at the April, 2000 Learning from Women Conference sponsored by the Harvard Medical School and the Jean Baker Miller Training Institute. It explores the ways in which marginalization and the use of power-over maneuvers and privilege contribute to disconnection at a personal and societal level. Strength in vulnerability is proposed as an alternative to strength in isolation. The author suggests that courage is created in connection and the distorting effects of the myth of the separate-self must be challenged in order to appreciate the power of connection. This article examines specific ways to resist the disconnecting and disempowering effects of hyper-individualistic values both in and out of therapy.