The ‘frame’ as a container for the erotic transference – A case study

Abstract

This paper discusses various aspects of the psychotherapeutic frame, and explores the importance of maintaining the boundaries of the frame especially when an erotic transferential relationship is present. Many now agree that erotic transference and counter-transference occur in most therapeutic relationships, and yet it is something that therapists often struggle to work with effectively. The author acknowledges her own difficulties in working with erotic transferences and demonstrates why the adherence to the frame is especially significant in these circumstances. A case study is used to illustrate the difficulties of working with the erotic transference within the constructs of a frame and short-term therapy, and how the author's own counter-transference affected the therapy as well as how this was dealt with in supervision.     

Personhood of the Therapist in Couples Therapy

SUMMARY

Integrity Therapy (Lander, 1986; Lander & Nahon, 1992a, 1995a; Mowrer, 1961b, 1964a) views the personhood of the therapist as the very essence of therapy. By meeting the deepest part of the therapist with the deepest self of individuals in therapy, a healing process unfolds which opens up the healing potential of both the individuals and the couple. This article offers couple therapists and other mental health professionals an Integrity Therapy perspective of the personhood of the therapist and its therapeutic potential for helping couples in distress to reclaim their personhood. Two aspects of the Integrity Therapy approach which play a critical role in enhancing therapists' use of their personhood in the therapeutic process are explored: (a) the use of therapist self-disclosure, and (b) therapists' awareness and therapeutic use of counter-transference issues.     

Disentangling the Impact of Resistance and Ambivalence on Therapy Outcomes in Cognitive Behavioural Therapy for Generalized Anxiety Disorder

Resistance and ambivalence about change are increasingly recognized as important determinants of treatment outcomes. Moreover, resistance and ambivalence are thought to be theoretically related in that clients who are more ambivalent about change are more likely to demonstrate resistance to the process and tasks of treatment. In the context of cognitive behavioural therapy (CBT) for generalized anxiety disorder, the present study simultaneously examined early resistance and ambivalence using two observer-based coding systems in order to determine their inter-relationship and, importantly, to investigate their relative contributions to outcome. Resistance was also coded during mid-treatment in order to investigate possible mediation pathways. Early ambivalence (clients’ arguments against change or counter-change talk) was found to be no longer related to outcomes when early resistance was taken into account, suggesting that disharmony in the therapeutic relationship is more important to outcomes than ambivalence per se. Moreover, mid-treatment resistance partially mediated the relationship between early resistance and post-treatment worry severity. That is, higher early opposition to therapist direction is related to poorer outcomes, in part because it is associated with greater resistance during the working phase of CBT. The findings underscore the critical need for therapists to be sensitive to identifying resistance early and throughout treatment.     

Beyond ‘nothing to hide’: When identity is key to privacy threat under surveillance

Privacy is psychologically important, vital for democracy, and in the era of ubiquitous and mobile surveillance technology, facing increasingly complex threats and challenges. Yet surveillance is often justified under a trope that one has ‘nothing to hide’. We conducted focus groups (N = 42) on topics of surveillance and privacy and using discursive analysis, identify the ideological assumptions and the positions that people adopt to make sense of their participation in a surveillance society. We find a premise that surveillance is increasingly inescapable, but this was only objected to when people reported feeling misrepresented, or where they had an inability to withhold aspects of their identities. The (in)visibility of the surveillance technology also complicated how surveillance is constructed. Those interested in engaging the public in debates about surveillance may be better served by highlighting the identity consequences of surveillance, rather than constructing surveillance as a generalised privacy threat.     

Anxiety,Sophistication, and Resistance to Persuasion: Evidence from a Quasi‐Experimental Survey on Global Climate Change

Our contribution deals with the emotional and cognitive foundations of resistance to persuasive information. We rely on an original quasi‐experimental protocol that simulates the flow of information and the respondents' reactions to persuasive arguments on global climate change. Respondents in a representative sample (N = 604) were asked if they supported reduction of economic activity to reduce climate warming and were then provided, based on their support or disapproval for this first argument, with counterattitudinal arguments to test their resistance to persuasion. This article highlights that sophistication strengthens resistance to persuasion, whereas anxiety has a double effect: directly, it decreases resistance; indirectly, it interacts with political sophistication and makes sophisticates less likely to resist persuasion when facing arguments inconsistent with their previous beliefs. Nonanxious citizens, in turn, are more likely to resist persuasion when their political sophistication increases. We also provide evidence that the joint effect of anxiety and sophistication is moderated by the ideological identification of respondents.     

致病性微生物耐药性严重化问题的思辨

致病性微生物耐药性严重化是一道世界性医学难题。微生物使出种种耐药的"招术",不只是其对药物作用的反应,更应看到是耐药内外因相互作用的结果,是其生物本性之使然。微生物的基本特性使其具备这种"能耐"。这些耐药性应存在一定的"原动机制",可以认定微生物的耐药性必然永远存在。人类社会必须构建长效的、与时俱进的防、抗致病微生物耐药性的卫生工作机制。     

False Memories,Negative Affects,and Psychic Reality: The Role of Extra‐Clinical Data in Psychoanalysis1

Psychoanalysis as a treatment originated in the idea that neurosis is related to the ways in which individual psychic reality departs from actuality. Psychic reality includes memories, beliefs and their associated affects and fantasies connected with an individual's experience of the inner and outer world. The psychoanalytic determination of what meaningful memories or beliefs are inaccurate, distorted or false ordinarily relies upon principles of intra‐clinical validation. By itself, however, intra‐clinical validation is subject to limitations and pitfalls that conviction alone about what is actual cannot circumvent. Despite this fact, there are remarkably few analytic case reports demonstrating false or signifi cantly distorted memories through the use of data obtained from outside the consulting room. This paucity of reports may be related, at least in part, to the belief that the use of extra‐clinical data is essentially unanalytic or supports resistance. Based on the views that (a) psychic reality cannot be regarded as exclusively subjective or objective but is inherently both; and that (b) a goal of analysis is to achieve a different, acceptable and more accurate view of reality, the authors report a clinical case involving a confi rmably false pivotal memory and its associated negative affects. They discuss theoretical and technical considerations in utilizing extra‐clinical data during the treatment process.     

从生态自然观的角度探讨抗生素的应用与细菌耐药性的产生

抗生素的不合理使用和细菌耐药性是当今医学界所面临的严重问题,危害着人类的健康和生存.从生态自然观的角度,剖析了抗生素的应用与细菌耐药性产生的辩证关系,目的是使人们突破传统的思维局限,认清细菌耐药性问题的实质,为制定出合理使用抗生素的原则和预防细菌耐药性的措施提供一些理论依据.     

Treatment of resistance to change in children with autism

“Resistance to change” represents a core symptom of autism that we conceptualized and assessed as resulting in part due to factors known to govern free‐operant choice. During a free‐choice baseline, participants chose between problematic, resistive responses and an appropriate alternative response. During the asymmetrical‐choice condition, we delivered their most highly preferred item if the participant chose the alternative response (i.e., differential reinforcement of alternative behavior [DRA]). During the guided‐ (Experiment 1) and singular‐ (Experiment 2) choice conditions, we prompted participants to choose the alternative response and then delivered their most highly preferred item (i.e., DRA with escape extinction). All participants learned to tolerate (Experiment 1) or choose (Experiment 2) the alternative response when we combined DRA with escape extinction. After exposure to escape extinction, two participants showed strong maintenance effects with DRA alone. We discuss these finding relative to the effects of DRA and escape extinction on resistance to change.