Constructing bridges and systemic connections: In brief dynamic therapy

The author outlines how the conceptual framework which underpins cyclical psychodynamics, a branch of relational psychoanalysis, provides an opportunity for a coherent integration of constructivist CBT principles and techniques and family systems theory within a model of brief dynamic therapy. Drawing upon Wachtel’s articulation of a more flexible notion of the internal world and one in which current interpersonal patterns are seen to shape the psyche and internal conflicts, the author goes on to identify ways in which attending to a client’s behaviour and the ways in which affective experience is expressed interpersonally can open the way to an integration of therapeutic features from constructivist CBT and family systems theory. The contribution that coaching a client in the ways in which they behave interpersonally in the context of both family and workplace relationships can make to therapeutic effectiveness is explored. These themes are illustrated with a case study.     

Is systemic thinking really extraneous to common sense?

Systemic therapists assume, but have not yet proved that ordinary people: (i) normally do not use triadic thinking and (ii) are able, thanks to therapists' interviewing techniques, to construct triadic explanations. To test these assumptions this study analyses the explanations provided by 400 undergraduates of an unexpected piece of behaviour framed in four stimulus situations where the breadth of the observation field was manipulated. The results show that triadic explanations are unusual and increase with the widening of the field of observation from the monad to the triad. It is the ‘enigmatic’ triadic situation – adding a puzzling discrepancy between the actors' forms of behaviour – that elicits more triadic explanations. This suggests that therapists should explore with clients the contradictions disclosed by the widening of the field of observation and support reframings actively co‐constructed with them instead of ‘pre‐packaged’ ones.     

Hypercitizenship and the Management of Genetic Diversity: Sociology of Law and the Key Systemic Bifurcation Between the Ring Singularity and the Neofeudal Age

This article is essentially theoretical and is focused on the allocative function of the legal systems to attract/reject different capitals according to their procedures to shape norms and laws. This function of the legal systems is pivotal in our times as humankind is facing a systemic and evolutionary bifurcation between the heideggerian Gegnet of a strategic, high speed convergence (i.e., Singularity) among robotics, informatics, nanotechnologies, and genetics (RINGs)—which will reshape human life in terms of its life quality styles and standards especially regarding health and environment matters, and the so called Neofeudal Scenario (NS) supported by those for whom the Industrial Model failed and the only way to save humankind and its environment would be a kind return to a Medieval life style based on a slow pace of life and austerity. This article provides an overview of the most important and recent international references regarding the two alternatives of bifurcation and describes a potential paradigm shift inside the systemic approach to reframe the conceptual map of global change through a systemic epistemology of the sociology of law.     

'Hearts on their sleeves': the use of systemic biofeedback in school settings

This article describes how a biofeedback device is used to 'externalize' internal physiological states. Heart rate monitors, emitting audible signals when a specific threshold is reached, are fitted to children and members of the family. This can help all those present to make connections between problematic behaviours and internal states of emotional/physical arousal. Devices may be worn for up to twenty-four hours and computer graph printouts of fluctuating heart rates can assist in contextualizing problematic interactions, particularly if other family members are also fitted with heart rate monitors. In this way biofeedback becomes 'systemic' as people are alerted to the interconnectedness of each others' states. Participants are not only helped to identify stressors leading to heightened states of emotional arousal and resulting 'out-of-control' behaviours, but also to find ways of employing (self-)calming strategies. This article outlines the application of systemic biofeedback in school settings with children at risk of exclusion. With the help of these biofeedback devices pupils begin to manage themselves in situations which would previously have resulted in stressed, angry or violent behaviours.     

心肾贫血综合征的系统思维

心肾贫血综合征在慢性肾脏疾病患者和慢性心衰患者中大有人在,并日益受到医生重视,对其的正确认识及治疗直接影响患者的疾病预后.因此我们深入认识心肾贫血综合征及研究新的临床防治策略时,有必要着眼于心肾贫血综合征的内在特征并运用系统学方法原理分析其特点,为临床防治提供科学指导。     

高密度脂蛋白结构功能关系的基本规律及认识

量变质变规律是唯物辩证法的基本规律之一,它表明任何事物都是一定的质和一定的量的统一体。对高密度脂蛋白(HDL)研究角度的变化(从关注其血清水平到关注其结构功能关系),反映出量变质变规律对医学研究的重要指导作用。以系统论的方法来认识HDL,并在实际工作中抓住主要矛盾,就能更有成效地开展对HDL生理病理功能的研究。