The uses of humor in life,neurosis and in psychotherapy: Part 2

Abstract

The first part of the paper focused on the dynamics of wit in life, literature, and psychoanalysis; the second part of this paper is devoted to the use of humor in therapy. The central concept is Freud's psychoanalytic method, as distinguished from Freud's various theories of disorder, or neurosis, with a further elaboration of Freud's inherently interpersonal conception of the analytic process, already present in the cathartic phase of the therapeutic technique. The cathartic, or discharge, function of humor is connected to reciprocal free association (a term coined by the author) to define the mutual and reciprocal free association in analysand and analyst, playing an essential role in the genesis of insight and interpretation. Humor has its role in loosening repression, facilitating the emergence of unconscious emotions and ideas, bringing to light character defenses, and thus driving the process of analysis.     

Dramatology in life,disorder, and psychoanalytic therapy: A further contribution to interpersonal psychoanalysis

Abstract

Action and interaction, and emotion and thought as the inner wellsprings of action, play a central role in the lives of individuals, families, and society, spanning the continuum between everyday life and disorder. Until now, the narrative tradition has been the main methodology for portraying and formulating human action and interaction, and little has been written about the dramatic approach to life, disorder, and therapy. Since the essence of drama is action, dialogue, character, and emotion, it is time to give drama its due. The author proposes a methodological concept – dramatology – analogous to narratology, to highlight the dramatic method of investigating action and interaction in life, disorder, and therapy. Breuer and Freud presented both aspects of dramatology: dramatization in dream and fantasy, and dramatization in act, focusing on the person. This approach was elaborated by psychoanalysts with an interpersonal orientation, focusing on the person and speech as action. Dramatology is applied to exploring ongoing patient–therapist interactions as reality and as transference. Analyzing unconscious and latent dramatization in dream, fantasy, and enactment with free association is enhanced by utilizing clarification and confrontation, focusing on the manifest and mutually observable expressive form and style of actions and enactments, defenses and resistances, and the discharge and meaning of emotions. Dramatology puts forward a new paradigm for psychiatry, psychotherapy, and psychoanalysis.     

The analysand and analyst team practicing reciprocal free association: Defenders and deniers

Abstract

By 1900, Freud had formulated an original and operational method of psychoanalytic treatment and research: the technique of free association. In 1912–1915 and later writings, he recommended it as a fundamental procedure and process, called the fundamental rule, in psychoanalytic therapy. In recent years, free association as a method has been variously misrepresented, misunderstood, and denied by some schools of psychoanalysis. This paper reviews the history of free associations and argues for upholding the continuity and relevance of Freud's fundamental methodology and for a renewal of interest in reciprocal, i.e., interactive and interpersonal, free association.     

Importancia de la variable «Investigador» en los resultados de las técnicas de autocontrol

RESUMEN

El presente trabajo desea contribuir en alguna medida a un mejor conocimiento de los factores o mecanismos a los que verdaderamente debe su éxito la técnica «paquete» de Azrin y Nunn denominada «inversión del hábito», diseñada para modificar la conducta de onicofagia. Trata de dar una respuesta empírica a la pregunta de hasta qué punto la relación interpersonal que se establece entre el terapeuta y el cliente—elemento accidental en esta técnica—influye en los resultados. Han participado en la experiencia como sujetos 36 mujeres con un arraigo del hábito superior a un año, divididas en tres grupos: a) Grupo 1, al que se ha administrado la técnica de inversión del hábito; b) Grupo 2, al que se ha aplicado la misma técnica pero con interacciones terapeuta-cliente complementarias; y c) Grupo 2, de control. Los resultados corroboran la elevada eficacia de la técnica encontrada por otros autores pero sugieren, además, que aunque un mayor número de interacciones entre el terapeuta y el cliente parece tener escasa influencia a corto plazo, puede ser un factor decisivo en la consolidación de los resultados obtenidos y para evitar recaídas en el futuro.     

Social Cognition and Interpersonal Impairments in Trauma Survivors with PTSD

Trauma survivors with posttraumatic stress disorder (PTSD) often experience psychosocial problems. This article reviews interpersonal factors such as social support, social acknowledgment, and interpersonal impairment that are relevant to the development and maintenance of PTSD. Furthermore, it considers the possible impact of social cognition on PTSD. The capacity to empathize (empathy) and the existence of an individual “theory of mind” are fundamental to human social interaction. We raise the question of whether traumatic experiences may lead to changes in the social cognition of traumatized individuals. The possible effects of perceived social exclusion as a maintenance factor for PTSD are also discussed.     

Attributions for Different Types of Traumatic Events and Post-Traumatic Stress Among Women

This study investigated the relationship of attributions to post-traumatic stress symptoms among women exposed to different types of traumatic events. Participants were 424 female undergraduates who previously experienced a serious accident, natural disaster, child abuse, or adult interpersonal violence. Path analysis indicated a significant indirect pathway from event type to post-traumatic stress through global attributions. Interpersonal-violence survivors exhibited the highest levels of global attributions and post-traumatic stress symptoms. Regression analyses revealed significant interactions between event type and attributions in predicting post-traumatic stress. Stable attributions were associated with increased symptoms in sexual-assault survivors and decreased symptoms in natural-disaster survivors. These findings have implications for improving cognitive interventions for survivors of different types of traumatic events.     

Group Therapy as an Ecological Bridge to New Community for Trauma Survivors

Abstract

Group therapy counteracts the isolating effects of interpersonal trauma and enables survivors to connect with sources of resilience within themselves and others. By providing an alternative relational experience in which the survivor and her safety are valued, groups empower members to establish self-affirming and supportive relationships in their outside lives. The current paper reviews the psychological impact of chronic interpersonal violence and the relevant literature regarding group therapy for trauma survivors. We describe an approach to group treatment for complexly traumatized patients developed at the Victims of Violence Program, and through a clinical vignette, illustrate some of the ways in which group therapy can expand the relational world of survivors.     

The Need for Power and Fear of Assertiveness in English-Speaking South African Female Graduates

The present study demonstrated that Winter's (1973) power arousal procedure and scoring system for the need for power, which were developed in the United States, are valid for English-speaking South African female graduates. Subjects in whom the need for power had been aroused by a prerecorded inspirational speech (n = 20) had significantly higher n Power scores than matched nonaroused subjects (n = 20), T ²(8, 31) = 56.17, p ≤ .01. Further, it was argued that the fear of assertiveness is a component of the need for power, and a scoring system for measuring this motive was suggested. Fear of assertiveness was shown to correlate significantly with various behavioral and dispositional measures of assertiveness, relating especially to a dependency pattern of behavior.     

The Fears of Youth in the 1990s: Contemporary Normative Data

This article reports the findings of a normative fear investigation involving a sample of 918 Australian children and adolescents, ranging in age from 718 years. The Fear Survey Schedule for Children and Adolescents-II (FSSC-II) was administered to determine self-reported prevalence, intensity, and content of fear. Consistent with past research, girls generally reported significantly higher levels of fearfulness than boys. Age differences also were found; younger children reported a higher intensity and a greater number of fears than older children and adolescents. Qualitative differences in normative fear were found, with younger children reporting more animal fears and older children reporting more fears relating to social evaluation or psychic stress. Significantly, although the specific content of children's and adolescents' normative fears in the 1990s (as compared with the 1960s) has changed (now including fear of AIDS and of nuclear war), the fears found to be most prevalent continue to relate to death and danger. These findings are discussed within the context of the prepotency and preparedness concepts of fear.