Common principles of psychotherapeutic change: patterns of use

ABSTRACT

Many authors have proposed the existence of common principles of counselling and psychotherapeutic change. However, little is known about how practitioners use these change principles. A sample of 373 Czech psychotherapists and counsellors participated in an online survey and rated their use of 10 psychotherapy change principles in their practice over the previous year. The frequency of the use of the 10 change principles is reported. Furthermore, three principal components of the change principles were identified: exploration, acceptance, and understanding of clients’ experience; attending to clients’ own resources; and furnishing clients with new skills and advice. The use of these components was mainly associated with the practitioner's theoretical orientation. The implications of the component structure for psychotherapist and counsellor training and practice are discussed.     

Being there when it happens: A novel approach to sampling reflectively observed experience

Examining a number of recently developed methods for acquiring first-person data on consciousness, we detect a lack of sensitivity for distinguishing the experiential moments in which the experiencing person was reflectively attending to her ongoing experience. In order to address this gap, we introduce a novel research format for obtaining data on lived experience, combining random sampling of experience with a subsequent retrospective examination of acquired samples in the form of dialogical phenomenological inquiry. The proposed approach aims at the examination of reflectively observed experiential moments and is based on researchers’ iterative cultivation of the phenomenological attitude. Drawing upon results from a longitudinal study of the potential of meditation as a tool for examining consciousness, we address the epistemological and methodological challenges of the proposed approach, discuss its applicability and research potential, as well as examine the characteristics and validity of phenomenal data thus acquired.     

Infant mental health home visiting therapists’ reflective supervision self-efficacy in community practice settings

In recent years, there has been an increase in the research on reflective supervision, including the development of tools designed to measure reflective practice in the context of reflective supervision. The Reflective Supervision Self-Efficacy Scale for Supervisees (RSSESS) is a self-report measure that has been used in previous evaluations and is designed to assess perceived reflective practice self-efficacy for Infant Mental Health-Home Visiting (IMH-HV) therapists. Properties of the RSSESS including factor structure and reliability are explored in a first study that lays the foundation for the use of the RSSESS in an IMH-HV evaluation in the State of Michigan. IMH-HV therapists completed the RSSESS at 4 time points over a 12-month period and also completed a Clinician Profile Form that included questions about their IMH background and their work experience, including job satisfaction and burnout. Results indicated that the RSSESS is a reliable tool to measure change in reflective practice skills. IMH-HV therapists demonstrated growth in their use of reflective practice skills with families and their observational skills over the 12-month period. In addition, results indicated correlations between reflective supervision self-efficacy and job satisfaction as well as burnout.     

When clients want to pay more for psychotherapy: ethical issues and implications

One ethical issue that commonly comes up in clinical practice is the negotiation of fees with clients. Although the APA Ethics Code provides standards regarding clients who are unable to or do not pay (Standard 6.04), little guidance is given pertaining to fee limits for clients who want to pay more. This issue is explored using a real case example, including the relevant ethical codes to be considered. The necessary “gray” areas of ethical decision-making are demonstrated through my own decision process. Implications for future scenarios are discussed.     

TIME FOR LOVE: The Place of Marriage and Children in the Thought of Stanley Hauerwas

In essays written throughout his career, Stanley Hauerwas has unfolded a Christian vision of the marriage bond and the presence of children that seeks insistently to place these seemingly natural bonds within the new family of God that is the church. I examine his understanding, aiming to appreciate the Christian vision displayed while also suggesting that his emphasis on the new thing God does in the church is sometimes allowed to absorb and thereby lose the distinctive significance of the created bonds of marriage and family.     

Theorizing lived religion: introduction

ABSTRACT

The introduction to this special issue describes the emergence of the lived religion approach in relation to other approaches within the study of religion and sociology of religion as a way of going beyond the emphasis on texts and institutions, on the one hand, and the focus on the fate of religion in modern times, on the other hand. It also introduces the aim of this special issue, namely ‘theorizing’ lived religion. To do this, the authors summarize how the founders of this approach have conceptualized the topic of ‘lived religion’, adjacent approaches, and the theoretical underpinnings of their work. The authors propose three directions to develop the contribution a lived religion approach might make to theorizing: 1) explicating what is meant by ‘religion’ by drawing on work that studies religion as a category; 2) explicating how concepts and theories are developed based on lived religion research, with particular emphasis on the way tensions between modernist, disenchanting epistemologies and the enchanted, supernatural worlds of practitioners may inform theory and methodological reflection; 3) anchoring the doing of research, emphasizing the full research cycle in religious studies programs so that students have a solid basis for learning how to move back and forth between carrying out original research and conceptual/theoretical work.