Tele‐analysis: the use of media technology in psychotherapy and its impact on the therapeutic relationship

A growing number of approaches in psychotherapy make use of internet‐ and other media‐based interactions. This paper discusses the impact on the therapist‐client relationship of using media technology and gives an overview of the current state of the debate. It is suggested that the technical conditions of internet‐based interactions produce new forms of social relationships that differ significantly from face‐to‐face‐interactions and that unconscious, nonverbal cues get lost. Research on the therapeutic interaction making use of ‘discourse linguistic’ methods is presented. The loss of nonverbal cues has implications for psychotherapy in general and especially for the treatment of patients who have difficulties relying on a secure therapeutic relationship. Emotional security in interactional relationships is transmitted to a much greater extent by nonverbal cues than by verbal content; psychoanalytic methods are specialized to refer to this level of interaction. Two alternative scenarios are discussed based on the psychoanalytic theories of Winnicott and Lacan: the risk of an illusionary, idealized image of the other and the possibility that cyberspace can be used for psychological development as a transitional space.     

A French validation of the Child and Adolescent Mindfulness Measure (CAMM)

IntroductionA large number of studies have been devoted to the development of mindfulness questionnaires, a potential central mechanism in therapy. Although these questionnaires are well validated for adults, their accessibility to young populations are still in its infancy.ObjectiveThis study aims to validate a French version of the Child and Adolescent Mindfulness Measure (CAMM) to foster the use of mindfulness questionnaires in clinical studies on children and adolescents, and to fix limitations of a previous French-Canadian version.MethodA total of 545 youth aged from 10 to 17 were recruited in a Belgian and a French school in order to test the validity and reliability of the CAMM.ResultsThe results indicate a one-factor structure and suggest a good internal consistency. As expected, the CAMM was positively correlated to another mindfulness questionnaire and negatively correlated to depressive symptomatology and psychological inflexibility.ConclusionOverall, the French version of the CAMM presents good psychometric qualities and seems to remain faithful to its original scale. This measure could help to assess mindfulness in young French speakers.     

The Garden of the Heart and Soul: the image,the way,and the meaning

This paper begins with an explanation of the four Chinese characters that represent the project of the Garden of the Heart and Soul. This project was founded to help the psychological development of orphans, as well as to provide psychological relief for the victims of ecological disasters such as earthquakes through the use of Jungian psychology, sandplay therapy, and the psychology of the Heart. Eleven years after its founding, there are 83 work‐stations on mainland China. The authors discuss how the Chinese characters influenced the way they set up their project and the values that guide them. In addition to helping the individuation of the people they work with, their work provides a container for the collective psyche and a connection with the cultural archetypal roots.     

Psychotherapy research: an interplay between inner and outer and a succession of meanings

Psychotherapy research is a rapidly developing area of study that aims to explore the integration of inner and outer conditions of an individual’s experience, the interplay between subjective and objective, as well as between individual and collective. Questions regarding a more integrative view and qualitative research in psychotherapy are discussed in the paper. The author introduces some ideas from the studies on psychotherapy effectiveness that were done at Vilnius University by a group of researchers who work in the ‘Centre for research on the psychodynamics of personality’. Clinical psychologists who hold a doctorate degree or who are in doctoral studies in the Department of Psychology at Vilnius University are members of this research group. The subjective understanding about healing episodes and the development of depth premises were the main tasks of these studies. Among other methods, the researchers used the drawing a picture of a healing moment and telling a psychotherapy story recalled by the client to collect data. Two examples of drawing a picture of a healing moment and one example of telling a therapy story are analyzed in the paper. The themes of subjective experience of renewal in psychotherapy as well as the multiplicity of experience and results in psychotherapy are discussed in the paper with case illustrations. This study showed that drawing a picture opens one more dimension of reflection and that it can be an appropriate tool for developing individual narratives as well. Authoring and re‐authoring one’s life narrative is accepted as part of a productive therapy as well as discovering one’s inner authorship. The ability to follow a succession of meanings, as well as a connection to nature and culture could be one of the ways of actualizing an integrative view in psychotherapy research.     

Psychodynamic Psychotherapy Process Research: A quick ride through what you should know about process (research)

This paper gives an overview of psychoanalytic process research, which brings to light the complexity of psychotherapy sessions. This complexity is so rich that many instruments intended to make the process measurable failed in the past because they initially used a strategy of complexity reduction. This method however did not help to further our understanding of the complexity involved. Three former presidents of the Society for Psychotherapy Research (Stiles, Hill, Elliot 2015) decided to solve the following equivalence paradox: many therapies work successfully though they all follow different theories, produce a heterogeneity of processes and often enough a misfit between what theories maintain to be a good process and their realization in the treatment room. As theories are often compared to maps, a driver would wonder which route to take. But therapists‐as‐drivers go undaunted ‐ and nevertheless achieve their goals together with their patients. Norcross and Wampold (2018) found that good therapists invent new therapies with every new patient. They hypothesize that it is because of conversation. This is in accord with the 3 former presidents’ proposal to return to detailed single case analyses including the micro‐analytic power of conversation analysis of which a few insights are outlined in this article.     

Reconceiving the field: Infant mental health,intersectionality, and reproductive justice

The field of infant mental health is conventionally comprised of professional discourses including developmental science, psychology, and psychiatry, among others, and involves spheres of practice as wide-ranging as pediatrics, maternal/child health, early intervention, early care and education, and child welfare. The World Association of Infant Mental Health [WAIMH] put out its position paper on the rights of infants in 2014 (amended in March 2016) in recognition of the human rights implications of professional understanding of infants’ unique, yet universal, developmental capacities and needs. This article links the policy issues outlined in the WAIMH position paper with critical issues in the field of reproductive justice, extending the reach of WAIMH's call to action on behalf of infants’ rights, and pointing the way toward potent alliances among interconnected movements. Connecting the dots among economic injustice, race-based health disparities, and gender inequities, the article demonstrates that it is not possible to safeguard infant mental health unless we make reproductive justice a reality.     

Social interactional processes within the family: The study of the moment-by-moment family transactions in which human social development is imbedded

A strategy for the study of social interaction in the family is reviewed that places particular emphasis on those variables that have proven useful or hold promise for the identification and understanding of factors that affect human social development. First, the heavy reliance on observational data and other main features of the approach are described. Second, an attempt is made to summarize some of the more significant findings from this type of research that have added significantly to our understanding of social development within the family. Third, the major research methods used in this approach are described, as well as the research that needs to be done in order to improve the methodology. Finally, a number of major gaps in our substantive knowledge about social interaction within the family are indicated.     

Existential measurement: A factor analytic study of some current psychometric instruments

The foray of quantification research into the arena of existentialism and ontology has given rise to several psychometric instruments pertinent to the area. Both exploratory and Confirmatory principal-factor analyses were used to study the relationships among 16 existential scales currently in use in the research literature. Participants were 133 individuals comprised of 74 females and 59 males with a median age of approximately 30.5 years. Approximately one half of the sample was in attendance at the University of Regina and Saskatchewan during the 1976–1977 fall term, while the remainder was drawn from the respective communities. Confirmatory factor analysis supported both the prediction of substantial condensation of existential scales and the presence of an avoidance of ontological confrontation factor. Exploratory factor analysis provided some support of the theory that the avoidance of existential confrontation is a central function of neurosis. Extracted factors were interpreted and examined with respect to implications for existential-ontological theory and research.