Avoiding Colonizer Positions in the Therapy Room: Some Ideas About the Challenges of Dealing with the Dialectic of Misery and Resources in Families

Some authors have argued that certain acts of family therapists—despite their best intentions—may represent a form of colonizing the family. When acting as a colonizer, a therapist is understood as becoming overly responsible for the family and focusing too strongly on change. In so doing, the therapist disrespects the family's pace, and neglects their own resources for change. This paper aims to highlight the need for therapists to be hypersensitive both to the resources of families entering therapy as well as to the impact of prevailing ideologies on their own positioning in the session. The kind of sensitivity advocated here is dialectical in the sense that every family is understood as having potentials promoting dynamism, happiness, and well-being as well as potentials contributing to stagnation, unhappiness, and misery. In this article, using illustrations from clinical practice, we present some ideas for resisting the tendency by the therapist to assume a colonizing position as a professional solver of problems for families. Our main aim here is to redirect the therapist toward connecting with the family's suffering, as well as with the resource repertoire it has developed for navigating and negotiating its way through life.     

LEISURE-DANCE INSTRUCTION FOR SEVERELY AND PROFOUNDLY RETARDED PERSONS: TEACHING AN INTERMEDIATE COMMUNITY-LIVING SKILL

We evaluated an approach for teaching an intermediate community living skill via a leisure-dance activity to institutionalized severely and profoundly retarded persons. The targeted skill was considered as intermediate in contrast to a community living skill per se because it was based on successful performances of higher functioning, noninstitutionalized retarded persons as opposed to nonhandicapped individuals. Definitions for appropriate dancing were established and then validated through observations of the performance of retarded persons living in the local community. The dance skills were then taught to four participants through serial training in leg movements, arm movements, and coordinated leg and arm movements, plus follow-up trainer supervision. Generalization was also programmed by way of multiple trainers and training settings. Results during structured assessments showed that all four residents acquired the dance skills and that both serial training and follow-up supervision were necessary for skill acquisition. Generalized increases in appropriate dancing at dances attended by the participants and retarded persons from the community were also demonstrated. However, in most cases some active supervision by caregivers was needed to enhance the generalized improvements. Results are discussed in terms of the applicability of this approach for validating goals when training other community-related skills to low-functioning populations.     

休闲活动对我国老年人认知功能的影响

本文通过分析中国老年健康影响因素跟踪调查(CLHLS)2011年的数据,研究了参与休闲活动对老年人认知功能的影响。研究发现,参与各项休闲活动比例较高的老年人,其认知功能缺损的比例相对较低。回归分析结果表明,当控制了样本的人口特征(包括年龄、受教育程度、性别、居住地)、社会经济地位、健康状况、以及生活习惯等变量以后,参与社交类、益智类、以及轻度户外活动的程度越高,我国老年人认知功能缺损的可能性就越低。这些发现鼓励我国老年人在晚年积极参与上述几类休闲活动从而降低其认知功能衰退的风险。     

Therapeutic Assessment with couples

Therapeutic Assessment can be helpful to many types of couples, including (1) those who are considering marriage and wish to know each other more deeply, (2) long-term couples who are in distress and considering separating, and (3) couples who have decided to separate but wish to better understand why they were unable to stay together. This article comprises the first complete case study of Therapeutic Assessment (TA) with couples. I describe how those steps common to all forms of TA (initial sessions, extended inquiries, assessment intervention sessions, and summary/discussion sessions) differ when applied to couples. I also discuss the use of the Consensus Rorschach as an assessment intervention with long-term distressed couples engaged in problematic projective identification. The case example involves a young heterosexual couple married for 12 years who were at an impasse in couples therapy. The assessment helped the partners explore mutual conflicts around the expression of anger and dependency needs, and to resolve a power imbalance within the couple. Long-term follow-up showed that the Therapeutic Assessment helped the couple have more compassion for each other and move beyond the destructive role-lock they had fallen into. Also, the referring therapist reported that the TA helped resolve the impasse in the couples’ therapy.     

Évaluation thérapeutique et obligation de soins

This article presents an application of therapeutic assessment in a mandatory treatment setting. Assessment has been traditionally considered as specially important in this setting. Following previous works (Chudzik & Aschieri, 2013) about the therapeutic relationship in this setting, we show that TA is useful to avoid some common pitfalls and make a real psychotherapeutic process possible. We consider the specificity of each step of TA in this setting and we illustrate it by a clinical case.     

How generative drawing affects the learning process: An eye‐tracking analysis

Generative drawing is a learning strategy in which students draw illustrations while reading a text to depict the content of the lesson. In two experiments, students were asked to generate drawings as they read a scientific text or read the same text on influenza with author‐provided illustrations (Experiment 1) or to generate drawings or write verbal summaries as they read (Experiment 2). An examination of students' eye movements during learning showed that students who engaged in generative drawing displayed more rereadings of words, higher proportion of fixations on the important words, higher rate of transitions between words and workspace, and higher proportion of transitions between important words and workspace than students given a text lesson with author‐generated illustrations (Experiment 1) or students who were asked to write a summary (Experiment 2). These findings contribute new evidence to guide theories for explaining how generative drawing affects learning processes.     

L’alliance thérapeutique triadique dans une psychothérapie avec un interprète : un concept en quête de validation

The relevance of the use of an interpreter when receiving an allophone patient seems to be more and more accepted among clinicians. However, the influence of this third person on the therapeutic process, and particularly on the establishment of the therapeutic alliance, has received scarce attention so far. The presence of an interpreter inevitably modifies the therapeutic process and makes it more complex. It requires some adjustments of the physical and material setting. It also influences practical arrangements and the very nature of interactions, as well as their content. General concepts about the intercultural approach will first be presented. Subsequently, the issue of the establishment of a triadic therapeutic alliance during a couple and family therapy or mother infant consultations will be discussed from an interactionnist and systemic perspective. The application of these models to a better understanding of patient-therapist-interpreter alliance and its specific components and dimensions will be discussed. Finally, research directions and some clinical considerations to optimize the conduct of a consultation or a psychotherapy with an interpreter will be stressed.     

INDIRECT FACILITATION OF ON-TASK BEHAVIOR PRODUCED BY CONTINGENT FREE-TIME FOR ACADEMIC PRODUCTIVITY1

This study investigated the relationship between on-task behavior and the academic performance of three low achieving and disruptive children in an elementary school special-education class. A number of researchers have postulated that the direct elimination of off-task or disruptive behavior is a necessary prior requirement when increases in academic performance are sought in special-education classrooms composed of low achievers with below-average socioeconomic environments. The present research program investigated this issue and measured the incidence of on-task behavior and its relationship to changes in the performance of a variety of academic tasks brought about by the opportunity to engage in daily free-time activities. Three children from a class of eight “educably mentally handicapped” students were chosen as target subjects, as their repertoires seemed to be especially defective. These children were observed by the first author for 90-minute sessions three days a week, and data regarding on-task behavior were obtained by the use of an interval recording technique. In conjunction with the teacher, the first author also monitored the academic performance of the children in six structured activities—answer completion from boardwork instructions, task completion from handout assignments, comprehension of reading assignments and vocabulary recognition, accuracy of direction-following to audiotaped instructions, quality of copied handwriting, and the matching of appropriate phonetic sounds to pictured objects and situations. Following baseline sessions during which both on-task and academic performance was measured, several experimental sessions were conducted during which free-time was given noncontingently. During these sessions, no reliable changes in student performance were observed. Subsequently, the teacher and experimenters defined a specified percentage of correct completion of each of the six categories of skill performance as necessary for the achievement of the free-time reinforcer, during each experimental session. As a result, both the academic productivity and the on-task measures of behavior were observed to increase, even though reinforcement was not directly contingent upon on-task behavior. The subsequent reinstitution of noncontingent free-time was followed by lower rates of both output and on-task behavior. The final reintroduction of contingent free-time for academic productivity again produced substantial increases in both work accomplished correctly and on-task behavior. Corresponding increases in productivity were noted for most nontarget children as well. While the present investigation has shown a high correspondence between productivity and on-task behavior, we must keep in mind that on-task behavior can be defined in many different ways. It remains possible that differences in the degree of correlation between outcome measures and the topography of “work” activity may relate to the degree to which the specific on-task behaviors measured are actually required for the outcome behavior. The failure of many researchers to identify a direct relationship between “appearances” and output may be inherently a measurement problem.     

Use of Photovoice in Processing Race-Based Topics in a Multicultural Counseling Course

This phenomenological study assessed master-level students’ experiences of using photovoice, a creative learning activity, in a race-based multicultural counseling course. Students were asked to engage in weekly written reflections regarding a course-related photographic image, with the goal of more deeply processing cognitive and affective reactions to the course. Data analyzed included focus groups, student written responses, and photos. Findings indicated use of photovoice as a means for processing cognitions, which allowed students to deepen learning by extending a racialized lens outside of the classroom. Students also indicated use of the tool to process emotional reactions at various stages of the course, allowing learners to creatively and visually express feelings as they surfaced.