The Grouping Process Across Cultural Change

Based on their extensive experience working with individuals, families, groups and organizations in Greece, the authors describe therapeutic techniques for helping individuals understand and work through the acculturation process. Tasks and procedures employed at various social levels--dyads, triads, small groups of four to six members, and large groups of 18-25--are catalysts for the exploration and clarification of the ways in which old norms and roles are being modified, weakened, or distorted by cultural change, and for the redefinition of values and expectations.     

Psychology of Religion: What One Needs to Know

This essay is an introduction to systematic nonsectarian psychology of religion—its nature and scope, and its history. Among major issues, the study of motivation for being religious and stages of religious development are discussed, as well as counseling and psychotherapy. I summarize current trends.     

Outsight: Radical Behaviorism and Psychotherapy

Clinical experience suggests that a variety of neurotic and personality disorders are effectively treated by an approach to therapy that is relatively passive in appearance and is directed towards the development of self-knowledge. Behavior theory provides an economical, naturalistic analysis of the therapeutic effects of this approach. Punishment, a common method of controlling forbidden behavior, can result in pathologic avoidance and deficient awareness of one's own behavior and its relation to the environment. Traditional methods of psychoanalysis and behavior therapy provide circumstances that help the patient to observe acts and feelings and their relation to elements of the environment that are otherwise avoided. These procedures may work best when self-observation is (1) not selectively reinforced by the therapist, and (2) supplemented by explicit training in behavior analysis. These elements are combined in a treatment approach for generating observations of one's own behavior and its functional significance in the natural environment.     

Family-Focused Relational Psychotherapy: An Integrative Approach and Its Application to Adult Children of Divorce

This paper presents an integrative model of treatment—family focused relational psychotherapy—and applies it to work with adult children of divorce (ACDs). Three areas of assessment are identified—(a) assessment of individual ego development, (b) assessment of family of origin functioning, and (c) assessment of the nature of the parents' divorce (e.g., level of conflict). Based on this assessment, the treatment model is presented, which integrates strategies from relational/psychodynamic therapy, family of origin work, and experiential techniques. Case examples are presented to demonstrate the appropriate integration of these techniques with clients at different levels in the assessment schema. In addition, a review of the literature on the long-term effects of divorce on children suggests several specific issues that may arise in treatment. These include low self-esteem, emotional distress, externalizing problems, and interpersonal problems such as fear of commitment, difficulty trusting, a high rate of divorce, and strained relationships with parents.     

Psychotherapy: Definitions, Mechanisms of Action, and Relationship to Etiological Models

In this paper, we define psychotherapy as a modality of treatment in which the therapist and patient(s) work together to ameliorate psychopathologic conditions and functional impairment through focus on the therapeutic relationship; the patient's attitudes, thoughts, affect, and behavior; and social context and development. The possible mechanisms of action and active ingredients of psychotherapy in children and adolescents are discussed, with an emphasis on the above-noted domains. The adult psychotherapy literature strongly supports the central roles of the therapeutic relationship and therapeutic empathy; this has been much less intensively explored in the child and adolescent psychotherapy literature. Similarly, there have been few studies examining the mediation of treatment effects by impact on specific domains. Ideally, treatment studies should gather data that can be informative about the impact of putative mediating and moderating psychosocial and biological variables on outcome and course. The results of such studies can aid further refinements in both theories of etiology and improvement in treatments for children and adolescents.     

Informed by the ancients: Norse mythology and psychotherapy

The myth of Kvasir is presented, in part. Through hermeneutic discourse, a case is made that the ancient Norseman had an understanding of the psychotherapeutic arts which finds parallel in contemporary thought. The myth evidences the distinction between: (1) the offering of needed information; and (2) the facilitation of personal, growth-oriented exploration. In contemporary terms, this is the distinction sometimes drawn beween "counseling" and "psychotherapy", respectively. More thorough and careful exegesis of the myth reveals the ubiquitous importance of the personhood of the therapist. It is through the "person of the therapist" that the therapeutic techniques are given life. The ancient wisdom contained in the myth of Kvasir may server as inspiration and guidance for the contemporary psychotherapist.     

Comment on “The Angry Patient”

This article formulates the main problem of the angry patient treated by Dr. Curtis as one of poor ego functioning. This is possibly of neuropsychological origin. Treatment would be training to strengthen ego functions and the patient–therapist relationship would be task oriented. The anger is not dealt with directly except as it interferes with the training. It is predicted that as the ego becomes stronger, the anger will become more controllable. There is some question of whether this patient would be able to cooperate with such a program.     

The Freudian Antecedents of Cognitive–Behavioral Therapy

The writings of Sigmund Freud are reviewed, showing the similarities of many of his concepts with those of cognitive–behavioral therapy (CBT). Automatic thoughts, core beliefs, and the desire to please the therapist are shown to have parallels in Freud's ideas about involuntary thoughts, the preconsdous, the unconscious, and transference. Similarities in technique are noted, especially in light of Freud's original ideas about suggestion and influence as well as latter-day discoveries regarding Freud's actual practices. In certain ways, CBT is closer to Freud than is classical psychoanalysis. A brief history of the attempts to integrate behaviorism with Freud is given, showing how Freud's objectifying of dream reports presaged the viewing of verbal reports as behavior. Other developments in cognitive psychology are also discussed with regards to Freud's ideas about information processing and the production of memories.     

A Participant-Observer's Perspective on Psychotherapy Integration

Jacobson has raised a number of issues about the usefulness of psychotherapy integration. Some of his concerns stem from his doubt that people are capable of change, and some that appear to be the result of a misinterpretation of what constitutes psychotherapy integration. This article attempts to clarify some of these misunderstandings, which seem to be the result of equating psychotherapy integration with the integration of theories. Comments are also made about the research underpinings related to work in this area.     

Experiential Group Psychotherapy Supervision

Following a review of various traditional models of supervising group therapy, an experiential model of supervising group in a group setting is presented. The model stresses the group aspect of the supervisory process, encourages group interaction, here-and-now responses and associations, and employs concepts from both object relations and group-as-a-whole theory to understand what is taking place. The model's premise is that case material presented in a supervision group stimulates parallel material in supervisees, which is then used to elucidate what has taken place in the therapy group being presented. Excerpts from one supervisory group are used to illustrate major features of the model.