Therapeutic Considerations of Wilderness Experiences for Incest and Rape Survivors

The purpose of this article is to examine the relevancy of traditional wilderness programs, such as Outward Bound, to women who have been violated by experiences of childhood incest and/or adult sexual assault. Applications to African-American women, women with physical challenges, and women who are economically disenfranchised will be emphasized. The overview is from a feminist perspective, one that advocates empowerment over struggle and resisting revictimization on any level. The Rape Assistance and Awareness Program (RAAP) is a non-profit agency in Denver, Colorado dedicated to providing low-cost group psychotherapy for women who have been recently sexually assaulted as well as for women with histories of incest. About five years ago, a three-day Colorado Outward Bound School (COBS) experience was incorporated into RAAP's treatment program. While the COBS weekend generally has been viewed positively by most of the clients and group facilitators, aspects of this element of the program have become increasingly problematic. Its applicability to women with physical disabilities and women with conflicting social and economic priorities is questioned. When RAAP received a special grant to provide sexual assault services specifically targeting women of color, groups for Latinas and African-American women were established and facilitated by therapists of color. These women of color, both clients and therapists, consistently challenge the relevance and practicality for them of the COBS experience. In this article, we contend that wilderness experiences, in their traditional application, do not support the feminist, woman-centered approach to life which is advocated and nurtured at RAAP, nor does it specifically honor cultural diversity or ethnic multiplicity. Recommendations for wilderness experiences attracting a broader range of the feminine experience are made.     

Reclaiming Bowlby's contribution to psychoanalysis

The paper reviews central concepts and research findings of attachment theory emphasizing its clinical relevance to psychoanalytically informed clinicians. We then turn to a historical analysis in order to understand why Bowlby's work was dismissed within psychoanalytic circles and the reasons why Bowlby's contributions and attachment theory have begun to have a significant impact among clinicians within the last ten years.     

Relational Job Characteristics and Work Engagement: Mediation by Prosocial Motivation

This study tested the relation between perceived social impact, social worth, and work engagement in the military, and mediating effects of prosocial motivation. We tested hypotheses using structural equation modeling analysis in a field study with 322 officers and sergeants and 1,045 soldiers of the Portuguese Army. Results confirmed that perceived social impact and social worth were associated with work engagement. Furthermore, regardless of the rank category, perceived social impact was associated with higher prosocial motivation, which in turn was associated with higher work engagement. In the soldiers subsample, results further indicated that soldiers’ perceived social worth was associated with higher prosocial motivation, which in turn was related to higher work engagement. The direct effects of perceived social impact and social worth on work engagement, and the mediating role of prosocial motivation supported the hypothesis that perceptions of social impact and social worth may strengthen the motives to “do good” (prosocial motivation), leading to an upward spiral that cultivates work engagement among members of the military.     

Fragmented Images: How Can the Eye See Itself? A Relational and Intersubjective Reformulation of Cross-Cultural Therapy with Cecilia

This article discusses why it is crucial in the cross-cultural clinical encounter to practice from both Jessica Benjamin's intersubjective frame as well as relational theory when the therapist is from the dominant White culture and the client is African American. Intersubjective and relational theories are utilized to illustrate how it is in this clinical situation, however, that some therapists may find themselves avoiding the use of a more relational practice. A case illustration is presented from the lens of Winnicott's theory of object relations to convey the dynamic complexities that may impede a therapist from practicing out of these (more relational) frames and then the case is reconceptualized from both a relational and intersubjective perspective.     

Face It Head On

SUMMARY

This article focuses on key clinical ideas to help couples face directly the painful issues brought about by infidelity. The author discusses key relational processes related to infidelity along with desired outcomes. The emphasis is on helping couples change key relational dynamics that facilitate the healing process. Couples are encouraged to engage in the healing process head on, and not avoid or skirt around the issues. The article illustrates these desired changes by means of a case Study.     

Drinking Motives as Mediators of Social Anxiety and Hazardous Drinking Among College Students

Although social anxiety (SA) and alcohol use disorders commonly co-occur, the relationship between these variables in college populations has been inconsistent. The present study tested the hypothesized model that negatively reinforcing, but not positively reinforcing, drinking motives (or reasons for drinking) would mediate the association between SA and three aspects of hazardous drinking (quantity/frequency, consequences, and dependence symptoms) in an ethnically diverse sample of college drinkers (N = 817; mean age = 19.9 years, range = 18–29). Structural equation modeling (SEM) results using the asymmetrical distribution of products test indicated that coping motives partially mediated the relationship between SA and negative consequences and dependence symptoms but not the quantity/frequency outcome. Contrary to the hypothesized model, conformity motives did not mediate the association between SA and hazardous drinking. As expected, positive reinforcement motives did not mediate the SA–hazardous drinking association. Multigroup SEM analyses revealed that the mediation models did not differ for men (n = 215) and women (n = 602). Overall, the present findings support extant research and theoretical models regarding the mediating role of coping motives in the relationship between SA and problem drinking, suggesting a potential pathway for the development and maintenance of SA and alcohol use disorder comorbidity. Such findings could contribute to improved intervention programs by targeting coping drinking motives and building coping skills.     

Alcohol‐Related Consequences Among Intercollegiate Student Athletes: The Role of Drinking Motives

This study examined drinking motives as predictors of alcohol‐related consequences among student athletes and nonathletes. Results indicated that the highest level of alcohol‐related consequences was reported by student athletes with high levels of both coping and conformity motives.