The Cocreation of Crazy Patchworks: Becoming Rhizomatic in Systemic Therapy

In the field of systemic therapy, there has been much discussion recently about the narrative self. This concept refers to the idea that the self is narratively constructed in and through the stories which someone tells about him/herself. The story is thereby not only viewed as a metaphor for selfhood: Selfhood is not compared to a story, it is a story. But what kind of story are we talking about here? If the self is a story, what does that story look like? These questions are explored in this article. Starting from the possibilities and limitations of traditional and postmodern visions on the self as a story, an alternative vision is illustrated. By considering the self as a rhizomatic story, we not only create a useful view of the way narrative selfhood is constructed within a therapy context, but we also stimulate therapists to coconstruct—together with their clients—patchworks of self‐stories. By using story fragments of our own practice, we illustrate the rhizomatic thinking and its possibilities in therapy.     

Expanding the Therapy Paradigm with Queer Couples: A Relational Intersectional Lens

North American and global cultures in general—and the field of Couple and Family Therapy in particular—have made significant strides toward recognizing and validating LGBTQ identities and relationships. However, clinical assessment and conceptualization of queer couples still lack the complexity needed to encompass the issues involved in treatment. Existing literature provides clinicians a basic understanding of queer couples and the dynamics that make them unique from nonqueer couples. However, much of this knowledge has been normed on White middle‐class couples and has rarely included couples with transgender or bisexual members. This article invites clinicians and researchers to apply a feminist model of intersectionality to understand queer couples. Our proposed intersectional lens considers multiple axes of identity and power and their interrelationships (Crenshaw, 1989, 1991). We argue that intersectionality is important for understanding all identities, whether privileged or marginalized (Falicov, 2003). This application of the concept of intersectionality is unique in its relational focus, emphasizing how partners’ complex individual identities overlap with and intersect with one another. Additionally, this lens considers how the therapists’ and clients’ multidimensional identities intersect. Three case studies are presented to illustrate application of the intersectional lens. In each case, exploring the partners’ multiple social locations, their influences on one another, and the therapist's intersections of identity all proved critical to the direction of therapy.     

Queer Youth in Family Therapy

Trends in popular belief about same‐sex relationships have undergone noteworthy change in the United States over the last decade. Yet this change has been marked by stark polarizations and has occurred at varying rates depending upon regional, community, racial, religious, and individual family context. For queer youth and their families, this cultural transformation has broadened opportunities and created a new set of risks and vulnerabilities. At the same time, youth's increasingly open and playful gender fluidity and sexual identity is complicated by unique intersections of class, race, religion, and immigration. Effective family therapy with queer youth requires practitioner's and treatment models that are sensitive to those who bear the burden of multiple oppressions and the hidden resilience embedded in their layered identities. We present case examples of our model of family therapy which addresses refuge, supports difficult dialogs, and nurtures queerness by looking for hidden resilience in the unique intersections of queer youths' lives. These intersections provide transformational potential for youth, their families and even for family therapists as we are all nurtured and challenged to think more complexly about intersectionality, sexuality, and gender.     

Fundamentos filosóficos de las terapias de la atribución

RESUMEN

La teoría de la atribución trata de las reflexiones conscientes de las personas sobre sus propias acciones y las de los demás, y las explicaciones que se inventan para justificar estas acciones. Este trabajo está escrito con el convencimiento de que la teoría tiene un papel práctico que jugar en estos y otros campos de la problemática social, pero que para comprender, desarrollar y consolidar este papel es esencial apreciar qué tipo de innovaciones hay esta teoría y cuáles son sus límites. La teoría se basa en dos presupuestos básicos, 1) que las personas hacen atribuciones, 2) que es posible hacer distinciones y generalizaciones en los tipos de explicaciones que, por lo general, se inventan, esto es, podemos clasificar de forma exhaustiva los tipos de ideas concebidas por la gente para explicar acciones.     

Terapia de conducta en anorexia nerviosa

RESUMEN

El presente artículo, es la contestación a uno anterior (en este mismo volumen) de la Dra. Bruch. Se contesta a las críticas realizadas contra la Terapia de conducta como procedimiento de tratamiento contra la anorexia nerviosa. Para el autor de este artículo, es cierto que los procedimientos de terapia de conducta en los casos presentados, en el anterior artículo, produjeron resultados negativos porque eran inadecuados para los problemas de cada paciente. Pero no se debería condenar este sistema cuando falla por haber sido mal utilizado, como fue en los casos relatados por la Dra. Bruch. En este artículo se analizarán estos posibles fallos.     

The demotion of alpha‐homo sapiens: Consciousness,punctuated equilibrium,and the laws of the game

The result of using Eigen and Winkler's LIFE/DEATH GAME to integrate Rashevksy's social physics and Rapoport's mathematical game theory, synchrony removes the arbitrariness from problems of ethics. It focuses on the primary conflicts between strategies that optimize individual survival and those that optimize survival of groups. According to synchrony, cooperation is an optimal strategy, not because cooperation conforms to some ethical pattern, but because the evolution of our technical societies has made the alternatives to cooperation potentially lethal at all levels of human interaction. Eigen and Winkler offer hypercycles as a possible method of resolving problems that conventional wisdom has labeled “irreconcilable differences.”

Combined with the findings of clinical psychologist Paul Meehl and cultural anthropologist Magoroh Maruyama, Eigen and Winkler's LIFE/ DEATH GAME indicates that a pattern of reasoning, called Alpha‐H, is not only a formidable obstacle to cooperation, it threatens contemporary societies with extinction through violent conflicts, social upheavals economic collapse or all three together.

The Demotion of Alpha‐H argues that an inability to deal constructively with change and/or diversity is Alpha‐H's fatal flaw. And the removal of gender bias toward opponent processes reasoning is a crucial step toward correcting it. The key concept is the LIFE/DEATH GAME.     

Buddhist prajÑĀ and Greek sophia

The present review examines five books, one by a non-Baha'i, three by a Baha'i academic, and one by a Baha'i non-academic. The non-Baha'i volume, which is very short, is by a Danish sociologist of religion, Margit Warburg. It forms a solid explanatory text informed by a lengthy experience of the Baha'is both in Denmark and abroad. This review discusses, inter alia, three volumes by a Baha'i sociologist, Peter Smith. While the three titles are very different books, taken together they form an intelligent presentation of the religion from the perspective of a thoughtful insider. Finally, the article looks at a completely different sort of book, an intelligent portrayal of Baha'ism from its spiritual and moral perspectives by Moojan Momen. This last brings readers closest to typical fare for believers and new converts.     

Regional brain activity change predicts responsiveness to treatment for stuttering in adults

Developmental stuttering is known to be associated with aberrant brain activity, but there is no evidence that this knowledge has benefited stuttering treatment. This study investigated whether brain activity could predict progress during stuttering treatment for 21 dextral adults who stutter (AWS). They received one of two treatment programs that included periodic H₂¹⁵O PET scanning (during oral reading, monologue, and eyes-closed rest conditions). All participants successfully completed an initial treatment phase and then entered a phase designed to transfer treatment gains; 9/21 failed to complete this latter phase. The 12 pass and 9 fail participants were similar on speech and neural system variables before treatment, and similar in speech performance after the initial phase of their treatment. At the end of the initial treatment phase, however, decreased activation within a single region, L. putamen, in all 3 scanning conditions was highly predictive of successful treatment progress.     

Children of Color and Parental Incarceration: Implications for Research,Theory, and Practice

Practical information about culturally appropriate interventions with children of incarcerated parents (CIPs) of color and their families is notably sparse. This study uses a cultural–ecological perspective to contextualize individual, family, and legal issues inherent in many intervention programs for CIPs of color. The authors highlight demographic trends, review research limitations, and discuss ways that therapeutic models can help counselors address their clients' needs. Recommendations are provided for future interventions with this underserved population. La información práctica sobre intervenciones culturalmente apropiadas con hijos de personas de color encarceladas (CIPs) por sus siglas en inglés y sus familias es notablemente escasa. Este estudio usa una perspectiva cultural‐ecológica para contextualizar los asuntos individuales, familiares y legales inherentes a muchos programas de intervención para CIPs. Los autores destacan las tendencias demográficas, las limitaciones en la investigación de reseñas, y discuten formas en las que los modelos terapéuticos pueden ayudar a los consejeros a abordar las necesidades de sus clientes. Se proporcionan recomendaciones para intervenciones futuras con esta población desatendida.     

Therapy for the Dead: Working Clinically with Jung's Black Books and The Red Book

With the 2020 publication of the facsimile edition of The Black Books, we have an opportunity to study the layers of C. G. Jung's creative writing process for the first time. In this paper, I explore Jung's practice of active imagination in relation to his fantasy dialogues with the dead during two specific episodes in 1914 and 1916. I discuss Jung's concept of the collective unconscious corresponding to the “mythic land of the dead” and I show how this idea develops in The Black Books and The Red Book, or Liber Novus, culminating in Septem Sermones ad Mortuos. I describe my work with a patient, who, in an early session, said she felt like the "living dead". I recount how the patient's experience of her own internal world began to change as we were able to wonder about the inner world of the patient's late mother and, together, to imagine her mother's lament. I consider the use of imagination when working with the concept of "therapy for the dead" (Hillman & Shamdasani, 2013, p. 164) in the context of intergenerational trauma.