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.     

Mapping relational structure in spatial reasoning

Three experiments investigated whether the similarity of relational structures influences the interpretation of spatial representations. Adults were shown diagrams of hand gestures paired with simple statements and asked to judge the meaning of new gestures. In Experiment 1 the gestures were paired with active declarative statements. In Experiment 2, the gestures were paired with conjunctive and disjunctive relations. Experiment 3 used statements similar to those used in Experiment 1, but eliminated the initial object-to-object mapping provided in Experiments 1 and 2. In all three experiments, most participants chose an interpretation that set up a parallel relational structure between the gesture and its meaning: spatial elements were paired with conceptual elements and spatial relations were paired with conceptual relations. These results are consistent with the hypothesis that similarity of relational structures influences spatial reasoning, and have implications for analogical reasoning, diagrammatic reasoning, and language processing.     

Analogical Comparison Promotes Theory-of-Mind Development

Theory-of-mind (ToM) is an integral part of social cognition, but how it develops remains a critical question. There is evidence that children can gain insight into ToM through experience, including language training and explanatory interactions. But this still leaves open the question of how children gain these insights—what processes drive this learning? We propose that analogical comparison is a key mechanism in the development of ToM. In Experiment 1, children were shown true- and false-belief scenarios and prompted to engage in multiple comparisons (e.g., belief vs. world). In Experiments 2a, 2b, and 3, children saw a series of true- and false-belief events, varying in order and in their alignability. Across these experiments, we found that providing support for comparing true- and false-belief scenarios led to increased performance on false-belief tests. These findings show that analogical comparison can support ToM learning.     

How Therapy Helps When the Culture Hurts

SUMMARY

The purpose of psychotherapy is movement toward relational healing. However, the practice itself is embedded in a culture where relational disconnection and power-over arrangements are normative. The purpose of this article is to examine the impact of cultural disconnections on the therapy relationship. Because they embody multiple social identities within a power-over paradigm, both client and therapist are “carriers” of cultural disconnections. The article examines the shifting vulnerabilities associated with those identities that may lead to impasse and violation or contribute to possibilities for growth. Scenarios from clinical practice illustrate how conflict becomes a pathway to deeper connection when embraced with such processes as empathic attunement, authentic responsiveness, and mutuality.