Constructing and deconstructing psychotherapeutic discourse

This paper reviews recent work on the social construction of the self in counselling and psychotherapy, and argues that we need to attend to the ways in which the therapeutic self is fashioned (a) in relation to the ‘psy-complex' as the network of theories and practices concerned with psychological governance and self-reflection in modern Western culture and (b) in the context of ‘therapeutic domains' outside the clinic and academe, domains of discursive regulation and self-expression which then bear upon the activities of professional and lay counsellors. Therapeutic domains contain repertoires, templates and complexes within which counsellors and clients fabricate varieties of truth and story a core of experience into being. I then turn to describe and assess some of the various ways in which this kind of critical reflection on therapeutic discourse and counselling practice now already underpins the work of social constructionist ‘narrative' therapists. Some attention is given to the different pragmatic and deconstructionist approaches which make the discursive constitution of the problem into the problem, either by dissolving or by externalizing the account the client presents. Here I argue that the activities of social constructionist counsellors can be viewed as forms of deconstruction-in-process (a deconstruction of the discursive frames which have been constructed by the client), but that they should not be viewed as stepping outside the discursive conditions of possibility which ground their work. the psy-complex and therapeutic domains still function as relatively enduring structures which limit the degree to which we may construct and deconstruct psychotherapeutic discourse.     

Positive and negative affect,depression, and cognitive processes in the Cognition in the Study of Tamoxifen and Raloxifene (Co-STAR) Trial

ABSTRACT

Objectives: This study examined the relationship between positive and negative affect, depressive symptoms, and cognitive performance. Methods: The sample consisted of 1479 non-demented, postmenopausal women (mean age = 67 years) at increased risk of breast cancer enrolled in the National Surgical Adjuvant Breast and Bowel Project’s Study of Tamoxifen and Raloxifene. At each annual visit, women completed a standardized neuropsychological battery and self-report measures of affect and depression. Data from three visits were used in linear mixed models for repeated measures using likelihood ratio tests. Separate analyses were performed to relate positive/negative affect and depression to each cognitive measure. Results: Higher positive affect was associated with better letter fluency (p = .006) and category fluency (p < .0001). Higher negative affect was associated with worse global cognitive function (p < .0001), verbal memory (CVLT List B; p = .002), and spatial ability (p < .0001). Depressive symptoms were negatively associated with verbal knowledge (p = .004), figural memory (p < .0001), and verbal memory (p’s ≤ .0001). Discussion: Findings are consistent with some prior research demonstrating a link between positive affect and increased verbal fluency and between depressive symptoms and decreased memory. The most novel finding shows that negative affect is related to decreased global cognition and visuospatial ability. Overall, this research in a large, longitudinal sample supports the notion that positive affect is related to increases and negative affect to decreases in performance on distinct cognitive measures.     

Domestic Workers' Experiences of Power and Oppression in South Africa

This study examines the work experiences of domestic workers in the context of socio-economic-political legislation promulgated to protect their social rights in the new South Africa. It gains insight into the power relations and embedded tensions between employers and domestic workers with the aim of identifying forms of oppression affecting domestic workers. In-depth interviews were conducted with nine female domestic workers employed in African households and analyzed using thematic content analysis. Results indicate that despite inclusion in labour legislation, domestic workers remain a vulnerable group. They experience oppression in the form of exploitation, marginalization, powerlessness, violence and some class-based cultural imperialism. Despite this, agency and resistance in the face of oppression was a key finding. Although some gains may have been obtained through inclusion in legislation, the asymmetrical power relationship with employers remains problematic.     

Notes on contributors

Worldwide we see the rise of new non-state, ‘multi-stakeholder’ organizations setting standards for socially and environmentally responsible practices. A multi-stakeholder organization builds on the idea of assembling actors from diverse societal spheres into one rule-setting process, thereby combining their resources, competences, and experiences. These processes also allow competing interests to negotiate and deliberate about their different concerns in global political and ethical matters. This paper analyzes multi-stakeholder dynamics within three global standard setters: the Forest Stewardship Council, the Marine Stewardship Council, and the work of the International Organization for Standardization on social responsibility (ISO 26000). Although the multi-stakeholder organizational form facilitates the establishment of transnational non-state authority, this very structure could also result in fragility. The key aim of this paper is to elaborate on this fragility with specific focus on how participatory aspects within a multi-stakeholder context both contribute to and destabilize the authority of the multi-stakeholder organization. The paper contributes theoretically to current discussions about transnational governance in the making, and more specifically it adds nuance to the discussion about the fragility of non-state authority as well as a critical perspective to the literature on multi-stakeholder arrangements.     

The relative contributions of subjective and objective measures of body shape and size to body image and disordered eating in women

This research explored the relative contributions of subjective perceptions of body weight and body shape/proportion, as well as objective measures of body mass index (BMI) and waist-to-hip ratio (WHR) to disordered eating, exercise involvement, and body image. One hundred and fifty-eight female university students completed questionnaires and provided body measurements for this study. Although an interaction between BMI and WHR was found for some measures (i.e., Eating Disorder Examination Questionnaire total and subscale scores), results indicated that BMI was consistently the better objective predictor of disordered eating and body image. Subjective perceptions of body weight and, to a lesser extent, body shape, were found to account for the greatest proportion of variance in the dependent measures (disordered eating, body esteem, and body dissatisfaction). Overall, these results offer more support for sociocultural theories emphasizing the importance of thinness for women, than evolutionary theories emphasizing the role of WHR.     

Governors in the Legislative Arena: The Importance of Personality in Shaping Success

Research on the leadership of executives in the United States typically follows one of two traditions, emphasizing either characteristics of the incumbent or features of the office. This article brings together these traditions. It draws upon the work of Winter to develop measures of three aspects of personality—the power, achievement, and affiliation drives—and hypothesizes that the power and achievement motives are exhibited in conjunction by successful chief executives. It then tests this hypothesis within the contexts of the American states, thus accounting for both the leaders as individuals and the features of the political and economic environments in which they lead. The primary hypothesis is affirmed. Governors who exhibit high levels of the power and achievement motives in tandem are substantially more likely to achieve their policy goals. In addition, governors who emphasize affiliation are less successful.     

Why Tyrants Go Too Far: Malignant Narcissism and Absolute Power

This article explores the puzzling behavior of tyrants who undermine themselves once in power. The realpolitik perspective and a variety of psychological frameworks are used to try to resolve this puzzle in the cases of several ancient and three contemporary tyrants. Although all the frameworks used have explanatory power, the one that most closely fits the tyrants studied here is that of the narcissist with severe superego deficiencies. An individual with such psychological characteristics may have some advantages in rising to power, and his behavior may be an effective response to some real-life factors, but once he has consolidated his position his reality-testing capacities diminish. Fantasies held in check when his power is limited are apt to become his guides to action. As a consequence, his behavior becomes more erratic, he runs into difficulties in meeting his goals, and his paranoid defenses become more exaggerated. The finale of a tyrant's career depends on the particulars of his political and social situation.     

A Latent Variable Framework for Power Estimation Within Intervention Contexts

This paper presents a latent growth SEM approach for the estimation of treatment effects, and power to detect such effects, within a true experimental design setting in which subjects are randomly assigned to treatment and control conditions. Power estimation is a critical component of intervention experiment design and the testing of their results. Although researchers have become increasingly sophisticated in applying tests for statistical significance in intervention contexts, few are aware of the power of these tests. The issues raised in this paper are not new; however, reminding researchers to consider these points is important. Exactly how the researcher handles these issues will depend on the questions asked and the resources available, as well as other considerations. Discussion underscores the relationship between the reliability of a study's measures and concomitant increases in power obtained within the SEM framework.     

Tomorrow's consumer — the shifting balance of power

What are the prospects for consumerism? Often despised as self‐indulgent, consumers are frequently motivated by altruism and their needs to express their identity, to build relationships, to obtain fulfilment and even to find a substitute for religion. Mass‐customisation is producing fundamental change, revolutionising attitudes to choice, with a key role for agents (human and online) in helping people choose. Consumer power will grow and brands will be under pressure from rising consumer expectations. While retailers fight back with targeted marketing and special offers, brands will need to serve consumer needs as much as suppliers. Online shopping could transform consumer behaviour, driven by cost saving and convenience and spurred on by competition. Will retailers protect their traditional channels or go online because they are afraid not to? ‘Etailing’ will need to create consumer trust, so regulation will be critical, possibly leading to legal responsibilities for quality on Internet service providers (ISPs) and portals and with systems to help new entrants build a track record of reliability, thereby increasing competition, choice and consumer power. Copyright © 2002 Henry Stewart Publications.     

Double bind: An essay on counselling training

Gerard Egan's problem management and opportunity development model is currently in use training prospective counsellors, social workers, nurses, managers, etc. the skills of helping. This essay attempts, experimentally, to depict in three different ways Egan's work and its relationship to operations of power: (1) from a relatively uncritical stance, (2) from a personal experience stance, and (3) from a social constructionist perspective. The whole piece, taken together, attempts to tackle the issue of theory as practice — to ground/unmask/make present the ways in which we are socialised into a profession and the problems inherent in that process. Two themes run through the work: the double bind created for a student on a counselling course which makes some claim to train around Rogers' core conditions, and which is also assessed/accredited; the connections between theory, training and practices.