Couples, Existential Psychotherapy, and Myocardial Infarction: A Ten Year Evaluation Study

Existential psychotherapy with couples after the occurrence of a myocardial infarction can be a useful, effective, and productive service approach in combination with medical services and cardiac rehabilitation services. In this article the existential treatment dynamics of holding, telling, mastering, and honoring with couples after a heart attack are described and illustrated. In addition, data from a 10-year before-after field evaluation study is reported, which supports the usefulness of the treatment approach.     

Cognitive therapy and social power

This paper addresses the capacity of cognitive therapy to engage with issues of social power. Some indicators of ‘power‐sensitised counselling’ are proposed and these are discussed with reference to cognitive therapy. ‘Power‐sensitised counselling’ for the purposes of this paper is described as counselling that takes account of power differentials, both across society and within the counselling room. The paper opens a discussion about the potential developments of cognitive therapy that could facilitate an engagement with issues of social power. The significance of these issues for research into cognitive therapy is discussed.     

Psychoanalytic Models of the Mind for Couple and Family Therapy

This paper describes an object relations theory of mind that highlights the interactive origin of psychic function and the beginnings of mental structure in the infant's relationships within the family group. Based on this model, psychoanalytic family and couple therapy employs the interactions between family and therapist to detect and work with developmental failures in holding and containment, skewed family projective identification, and attacks on linking, which characterize pathological and traumatized families. The coming together of transference generated by the family as a group and the therapist's countertransference are the fulcrum on which such therapy turns. An extended vignette of a session is used to illustrate the application of object relations theory to the therapeutic process of family therapy.     

大学生孤独人群箱庭作品特征研究

对通过UCLA孤独量表选出的具有孤独症候群倾向的14名大学生28个箱庭作品的分析,发现其箱庭作品表现出以下特征：①缺乏生机活力;②对良好人际关系的渴望和对交流对象的挑剔之间的矛盾;③对自我认识的迷茫;④对曾有过的精神家园的留恋和对营造现阶段精神世界的追求。研究还发现,箱庭作品不仅反映人的心理状态,而且还在一定程度上反映人的心理特质。     

That Way Madness Lies: At the Intersection of Philosophy and Clinical Psychology

Abstract: I argue that philosophical practice is a clinically active and influential endeavor, with both positive (therapeutic) and negative (detrimental) psychological possibilities. Though some have explicitly taken the clinical aspects of philosophy into the therapeutic realm via the new field of philosophical counseling, I am interested in the clinical context of philosophers as philosophers, engaged in standard, philosophical pursuits. In arguing for the clinical implications of philosophical practice I consider the relation between philosophical despair and depression, the cognitive etiology of depression and other clinical disorders, selected DSM‐IV entries, attribution theory, and cognitive therapy.     

World View Concepts in Existential Family Therapy

Essence oriented and existence oriented approaches to family psychotherapy are very different treatment forms. This article compares and contrasts these two orientations in an effort to clarify the basic world view beliefs in existential psychotherapy with couples and families.     

Issues of Language and Culture in Family Therapy Training

Recent census data indicate continued growth in immigration trends as American society becomes increasingly diversified. Marriage and family therapy (MFT) training programs are also experiencing a growth in the number of immigrant students. As such, issues of language and culture play a progressively significant role in the MFT training process. The purpose of this study was to examine client, trainee, and supervisor feedback concerning the experience of therapy with non-native English-speaking trainees. Several themes emerged from the written and oral responses of participants. Implications for training and future directions for research are discussed.     

The Effect of Therapist–Client Racial Similarity on Client Satisfaction and Therapist Evaluation of Treatment

Client satisfaction with therapy services and therapists' perspectives of treatment evaluation were examined in relation to therapist and client racial similarity. Secondary data from a university marriage and family therapy clinic located in the southeast was used to pair therapists and clients on racial similarity or difference. Statistical analyses revealed no major differences in clients' perceptions of satisfaction based on similarity to therapists' race. Therapists indicated some differences in their perceptions of the success of services provided to clients based on similarity to client's race. Implications for researchers, clinicians, and educators are included.     

The Relationship Between Therapist Characteristics and Decreased Medical Utilization: An Exploratory Study

This was an exploratory study examining the relationship between the therapist characteristics of age, experience, gender, and profession and the medical utilization of clients. Marriage and family therapists, clinical social workers, and psychologists participated in the study along with 197 clients as identified by archival research methods. The results of logistic regression analysis suggested that psychotherapy in general, rather than professional training or therapist characteristics is responsible for reductions in healthcare utilization.     

The STEPPS Group Treatment Program for Outpatients with Borderline Personality Disorder

The authors describe a new cognitive-behavioral systems-based group treatment for outpatients diagnosed with borderline personality disorder (BPD). The program is identified by the acronym STEPPS, which stands for Systems Training for Emotional Predictability and Problem Solving. The STEPPS program was developed to address the cognitive distortions and behavioral dyscontrol typical of clients with BPD, and combines this with skills training and a systems component. The latter involves clients with BPD and those in their system including family members, significant others, and health care professionals. The program is fully manualized, and involves 20 two-hour weekly group meetings; specific goals (or lessons) are identified for each session. Preliminary data from the US and the Netherlands have shown that the group achieves high levels of acceptance from clients and therapists and that the model may be effective in helping to relieve the symptoms associated with BPD. Work is now underway to confirm the effectiveness of the model through a randomized controlled trial.