Hatred is a powerful affective experience that can be disruptive to the work of a therapy group, yet it may also enhance a member's capacity to deal with strong affects. This paper explores a particular aspect of hatred, the hate directed at one member of a cotherapy team. An effort is made to explore the experience from an intersubjective and motivational systems perspective, focusing primarily on the therapist and one patient. The impact of the cotherapy relationship is also considered, as well as the whole group's capacity to contain and work with this powerful affective response. The way that the group managed this explosive situation speaks to the power of group therapy in healing and transforming its members. 相似文献
Daniel Levinson's claim for the universality of age-linked periods is considered highly controversial considering that his theory evolved from a study consisting of males only. Theories relating to women's development, particularly at midlife, are somewhat scarce and restricted. Using Levinson's theory of adult development as a framework, the present study retrospectively examined the Dream and its impact on women's psychological health and adjustment to the Midlife Transition. Three hundred midlife women completed a questionnaire examining Dream Status, Dream Content, Dream Success, and the psychological health variables, depression, anxiety, self-esteem, and life satisfaction. Dream Success was significantly related to psychological health on dimensions of well-being and composure, and interesting changes were observed in Dream Content across the early and current Dream. Our findings revealed that, despite the overall greater complexity of women's Dreams, Levinson's theory is largely applicable to women's development. 相似文献
We present and discuss various formalizations of Modal Logics in Logical Frameworks based on Type Theories. We consider both Hilbert- and Natural Deduction-style proof systems for representing both truth (local) and validity (global) consequence relations for various Modal Logics. We introduce several techniques for encoding the structural peculiarities of necessitation rules, in the typed -calculus metalanguage of the Logical Frameworks. These formalizations yield readily proof-editors for Modal Logics when implemented in Proof Development Environments, such as Coq or LEGO. 相似文献
This essay argues that Aristotle's categories of oratory are not as useful in judging the methods of Sophistical rhetoric as his presentation of time. The Sophistical argumentative method of making the weaker the stronger case is re-evaluated as a political practice. After showing this argument's relation to power and ideology, Aristotle's philosophy, which privileges a procedure of argument consistent with the politics of a polis-ideal rhetoric, is offered as reason for objecting to Sophistical rhetoric. The essay concludes that Sophistical rhetoric prefers the concept of possibility over Aristotelian actuality, and offers a need for an ideological space of radical, generative possibility in rhetorical theory. 相似文献
This paper examines some of the mechanisms through which interpretation aimed primarily at increasing conscious awareness can nonetheless produce unconscious changes, the latter being deemed the basic aim of psychoanalysis. The concept of valency or motivational weight of the interpretation is proposed to assess which forces of the various motivational systems the interpretation mobilizes (hetero/self‐preservation, sensual/sexual, attachment, narcissistic, psychobiological regulation etc.), on which of the above‐mentioned systems interpretation relies, and which would oppose therapeutic intervention and why. Certain conditions are also analyzed that could explain the so‐called ‘change through the analytic relationship’, pointing out that, despite the major differences between this form of change and change through interpretation, both of them would share certain mechanisms. This conclusion leads to the need to qualify the idea that interpretation would be exclusively aimed at declarative memory, with no effects upon procedural memory. The paper examines the potential consequences for therapeutic techniques derived from recent fi ndings in neuroscience on so‐called labile state memory, and proposes the coupling of experiences as one of the analytical instruments used for therapeutic change. A clinical vignette is included to illustrate some of the theoretical and technical aspects considered. 相似文献
Objective: Nonadherence reduces glaucoma treatment efficacy. Motivational interviewing (MI) is a well-studied adherence intervention, but has not been tested in glaucoma. Reminder interventions also may improve adherence.
Design: 201 patients with glaucoma or ocular hypertension were urn-randomised to receive MI delivered by an ophthalmic technician (OT), usual care or a minimal behavioural intervention (reminder calls).
Main Outcome Measures: Outcomes included electronic monitoring with Medication Event Monitoring System (MEMS) bottles, two self-report adherence measures, patient satisfaction and clinical outcomes. Multilevel modelling was used to test differences in MEMS results by group over time; ANCOVA was used to compare groups on other measures.
Results: Reminder calls increased adherence compared to usual care based on MEMS, p = .005, and self-report, p = .04. MI had a nonsignificant effect but produced higher satisfaction than reminder calls, p = .007. Treatment fidelity was high on most measures, with observable differences in behaviour between groups. All groups had high baseline adherence that limited opportunities for change.
Conclusion: Reminder calls, but not MI, led to better adherence than usual care. Although a large literature supports MI, reminder calls might be a cost-effective intervention for patients with high baseline adherence. Replication is needed with less adherent participants. 相似文献