Emerging Trauma Therapies: Critical Analysis and Discussion of Three Novel Approaches

Trauma-related disorders and treatment have gained increasing attention in the last 3 decades, spurring the development of novel treatment approaches. Many of these are incorporated into clinical practice despite lacking a solid evidence base or unbiased analyses to facilitate interpretation of existing information. Although treatments might draw on elements from validated therapies, questions regarding the incremental efficacy of new approaches persist. Three novel therapies that might warrant further examination include energy psychology, yoga, and brainspotting. The emergence of novel, trauma-related therapies is examined, and the history, theory, practice, and evidence base of these 3 specific therapies are outlined. Directions for future work are discussed. Expositions such as this might serve as a helpful resource for clinicians seeking discernment regarding treatment for posttraumatic stress disorder.     

Conditional reasoning in context: A developmental dual processes account

The way individuals interpret “if p then q” conditionals varies with content and context, often resulting in a biconditional reading. Surprisingly, truth table tasks reveal the existence of two different types of biconditional interpretations: equivalence, as for promises and threats, and defective biconditional, as for causal conditionals or indicative conditionals involving binary terms. The aim of this study was to determine how the interpretation of indicative conditionals is affected in children, adolescents, and adults, by restricting their context of enunciation to only one possible alternative for both the antecedent and the consequent. Moreover, we wanted to determine what is the exact nature of the biconditional interpretation induced by these restricted contexts. For this purpose, third, sixth, and ninth graders and adults performed a truth-value task on indicative conditionals presented either in restricted on non-restricted contexts. Restricted contexts had no effect on children who have a conjunctive interpretation of the conditional, but elicited a predominant defective biconditional reading in adolescents and adults. These results corroborate the developmental dual process account of conditional reasoning proposed by Gauffroy and Barrouillet (2009).     

Trends and Progress in Philosophy

This article is in three parts. The first discusses trends in philosophy. The second defends reliance on intuitions in philosophy from some doubts that have recently been raised. The third discusses Philip Kitcher's contention that contemporary analytic philosophy does not have its priorities straight. While the three parts are independent, there is a common theme. Each part defends what is regarded as orthodoxy from attacks. Of course there are other reasonable challenges to philosophical methodology. The article's aim is just to respond to some charges that have been made.     

BION'S “EVIDENCE” AND HIS THEORETICAL STYLE

The author discusses “Evidence” (1976), a brief but very intense and fascinating paper in which Bion provides a unique opportunity to see him at work in his clinical practice. In the story of a patient, Bion reconstructs two sessions that are all the more true for being imaginary—i.e., narrated (“dreamed”). The matter of language and style in psychoanalysis is of the utmost importance, according to Bion—one could say, literally, a matter of life or death. In Bion's discourse, writing, reading, and analysis converge in the same place, the author notes; all are significant if they involve an experience of truth and the ability to learn from experience.     

ON THE THERAPIST'S YEARNING FOR INTIMACY

From the beginning of clinical psychoanalysis, analysts have been at risk of succumbing to yearnings for intimacy and contact that are stirred up by the heat of the analytic encounter. Recently, as theoretical developments have encouraged us to create moments of meeting (Stern et al. 1998) and have urged us to tolerate the feelings stimulated by enactments, these risks have increased. The author points out that foregoing the realization of this yearning within the analytic relationship and the resultant mourning for the loss of a fantasy or illusion carries a heavy personal price tag for the therapist.     

ROY SCHAFER'S CONTRIBUTIONS TO PSYCHOLOGICAL TESTING: FROM CLINICAL SENSIBILITY TO THE ANALYTIC ATTITUDE

The author reviews Schafer's contributions to psychological testing, emphasizing his development of the test battery, his significant contributions to psychoanalytically oriented Rorschach interpretation, and his understanding of the complex interpersonal dynamics involved in psychological test interpretation. The author also discusses his use of Schafer's writing in his own teaching and academic work, noting that Schafer's contributions have not only provided innovative methods for examining test data, but have also promoted a respectful, humanistic, and individualized approach to the patient in testing and treatment. The author asserts that Schafer's later seminal contributions to psychoanalysis had their origins in his early career as a psychologist applying psychoanalytic ideas to testing.     

THE VALUE OF UNCERTAINTY

The author discusses some of the characteristics of Roy Schafer's contributions to psychoanalysis that he finds most valuable, such as his openness to uncertainty, his anti‐reductive view of analytic constructions, his unique formulation of the analyst's role, and his close attention to how the patient engenders particular emotional reactions in the analyst. The author also presents a clinical vignette illustrating the value of the analyst's tolerance of uncertainty in the face of the patient's push for interpretations, explanations, and reassurance.     

ROY SCHAFER: A NARRATIVE

The author provides a brief overview of the papers given at the Schafer Symposium in October 2012 by the following six presenters: Henry Schwartz, Richard Fritsch, Rosemary Balsam, Lucy LaFarge, Michael Feldman, and Jay Greenberg. He also highlights some important ongoing themes in Schafer's writing, including theory—about which Schafer takes a unique position—history, and ideas from other disciplines. Schafer prefers continuing explorations over arriving at conclusions, the author notes, and believes that students should remain faithful to their mentors' thinking—until it is time for them to move beyond it.