Community psychology and politics

If community psychology is to profit from its experience to develop an accurate and consistent theory of the effect on individuals of societal pressures, it will need to review reflexively its own position in relation to politics and empowerment. Despite an inspirational and at times positively grandiose rhetoric, psychologists are in fact in no particularly powerful position to influence the factors which cause personal distress, and should not, through a pretence of therapeutic potency, ‘psychologize’ the notion of ‘empowerment’ and reinforce therapeutic ideals which are in fact destructively normative. Without attempting to appropriate politics, community psychology can, however, offer an essentially scientific analysis of power and distress, which may have therapeutically ‘demystifying’ qualities as well as important political implications for the wider society.     

Combined Group and Individual Psychoanalysis: An Antidote to Ferenczi's Identification with the Aggressor

Ferenczi's recommendations that analysts not only listen to their patient's criticisms but encourage them to be so bold as to speak up when they disagree is facilitated in a combined group and individual psychoanalysis. Because group analysis occurs in the presence of others and with the participation of others, it acts as a protection against an identification with the aggressor that can occur when the therapeutic dyad is isolated from outside influence. Case examples from a combined psychoanalysis as well as a combined supervision are given to demonstrate these points.     

An Outsider's Perspective on Psychotherapy Integration

This article offers those who are identified with progress in psychotherapy integration an outsider's perspective on progress in the field. The author argues for a contextual study of psychotherapy and psychotherapy integration, noting that the social psychology of psychotherapy may be an overlooked dimension in the study of psychotherapy integration. He suggests that perceptions of progress in psychotherapy integration may be exaggerated due to the lack of such a perspective.     

Some Practical Implications of Integrating Narrative and Humanistic/Existential Approaches to Psychotherapy

Although the humanistic/existential and the narrative approaches to psychotherapy are clearly distinct perspectives with some marked differences at the level of metatheory, they also show very important similarities in their conceptualization of the human condition and the processes involved in living adaptively (Richert, 1999). These similarities make these two approaches reasonable candidates for integration. The present paper examines five specific points of integration at the level of strategy and techniques (Neimeyer, 1993b): Interplay of experiential meanings and narrative structure in developing client meaning, use of existential themes in client narratives, deconstruction as a means of dealing with existential guilt, contextualization of wishes as a means of mobilizing will, and reflexivity as a way of developing the I–Thou relationship. A brief theoretical rationale is offered for each of these points of integration, and each is illustrated with clinical examples.     

If It's Offered,Will They Come? Influences on Parents' Participation in a Community-Based Conduct Problems Prevention Program

This study examined influences on the rate and quality of parent participation in the Fast Track Program, a multi-system, longitudinal preventive intervention for children who are at risk for conduct problems. A theoretical model of the relations among family coordinator characteristics, parent characteristics, the therapeutic engagement between family coordinator and parent, and rate and quality of parent participation was the basis for this study. Family coordinators are the Fast Track program personnel who conduct group-based parent-training sessions and home visits. Participants in this study included 12 family coordinators (42% were African American, 58% European American) and 87parents (55% were African American, 45% European American). The level of therapeutic engagement between the parent and the family coordinator was positively associated with the rate of parent attendance at group training sessions. The extent of family coordinator-parent racial and socioeconomic similarity and the extent of the family coordinator's relevant life experiences were highly associated with the level of therapeutic engagement. The quality, but not the rate, of participation was lower for African American parents. Implications of these findings for preventive intervention with this population are discussed.     

A Systematic Framework for Integrating Psychological Evaluations and Interventions

A systematic framework for an integrative approach to psychological evaluations and interventions is proposed based on the executive system model of intelligence, the transactional processes of stress and coping, and the field properties of the personal domain. The executive system of intelligence is a comprehensive model that helps to explain the active components of various types of psychotherapies. We are proposing that psychotherapies facilitate clients' uses of their executive functions to develop coping strategies in their transactions with the environment and the events in their life space. A clinical case is presented to illustrate our systematic approach to psychological evaluation and intervention.     

Empowering Parents: The Use of the Parent as Researcher Paradigm in Early Intervention

Whilst family-focussed models of service delivery are proving more effective in early intervention, it is the parents who ultimately carry the burden of responsibility. They often evolve their own strategies for coping with difficulties and solving problems within a family context. Through case study analysis, I report on some of the key outcomes of early intervention for families of very young children with disabilities. The analysis challenges traditional definitions of the family and suggests a recontextualisation of this concept. Similarly parental perceptions of the style of early intervention services are contrasted with those models reported to be effective by professionals. In striving for optimal effectiveness in early intervention, the unique knowledge and understanding of parents is pivotal, and ways are suggested of objectively collecting and collating that knowledge to inform practice and identify important research questions. This case study analysis has led to the evolution of the parent as researcher paradigm, and the implications for the practical implementation of this model will be considered.     

A developmental perspective on psychotherapy process, psychotherapists' expertise, and “Meaning-Making Conflict” within therapeutic relationships: Part II

Part I—A Dialectical-Constructivist View of Human Development, Psychotherapy, and the Dynamics of Meaning-Making Conflict Within Therapeutic Relationships-reviewed a dialectical-constructivist model of human development and articulated, in the language of that model, how psychotherapy, in general, works. It described and illustrated three generic processes which contribute to the frequent successes of an extremely diverse range of psychotherapy theories and practices. This view of psychotherapy focused on both the client's meaning-making processes and the therapist's meaning-making processes, and how they contribute together to effective psychotherapy. Part I also offered a way of understanding what is going on when therapeutic progress is blocked by conflict between the client's and the therapist's meaning-making processes. Part II—Dialectical, Thinking and Psychotherapeutic Expertise: Implications for Training Psychotherapists and Protecting Clients from ‘Theoretical Abuse’—explores those experiences in which the therapist's exercise of this or her own meaning-making structures, and maintenance of the integrity of his or her theories, has a limiting or destructive impact on the value of therapy to the client. It considers the concept of “theoretical abuse” by psychotherapists as a way of characterizing the most destructive of these experiences. This serves as a rhetorical device for introducing comparisons between these phenomena and the phenomena of sexual abuse by psychotherapists, in terms of dynamics, prevalence, and appropriate strategies for prevention. Part II uses work on the development of dialectical thinking in adulthood to conceptualize how different understandings of the nature of psychotherapists' theories and expertise increase or decrease the likelihood and severity of ‘theoretical abuse’. Finally, it derives implications for training psychologists and other psychotherapy professionals.     

Building Bridges: Teresa of Avila and self psychology

Utilizing concepts from self psychology, the author demonstrates the ways in which God functioned as a selfobject for Teresa of Avila. In addition, parallels are drawn between the spiritual journey as described by Teresa of Avila and the psychotherapeutic journey. Building bridges between the psychological and spiritual realms of experience can greatly increase our understanding of each, and enable us to help our clients become more integrated, whole persons.     

PROGRAMMING PARTICIPATION IN FAMILY ACTIVITIES FOR CHILDREN WITH AUTISM: PARENTS' USE OF PHOTOGRAPHIC ACTIVITY SCHEDULES

The parents of 3 boys with autism were taught to help their children follow photographic activity schedules depicting a variety of home-living tasks. A multiple baseline across participants showed that the home-based intervention produced increases in children's engagement and social initiations and decreases in disruptive behavior, which were maintained for as long as 10 months.