From Demonization to Identification: How Parents Who Lost Children in Terrorist Attacks Perceive the Attacker

The aim of this article is to examine how bereaved parents who lost children in terrorist attacks in Israel perceive the terrorist attack perpetrators. Forty bereaved parents were interviewed using a semistructured in-depth interview. The content analysis revealed a typology of reactions to the Arab attackers that included perceiving them as objects of anger, hate, and revenge; as demons; as negligible; and as people with whom they could identify. The way bereaved parents perceive the Arab attackers serves as a coping resource. Follow-up research to examine the efficacy of the different types of reactions towards attackers would contribute to gaining a deeper understanding of the coping process that bereaved parents experience.     

Bereaved Parents' Perspectives on Informal Social Support: “What Worked for You?”

This study identified and explored the informal social supports that bereaved parents found helpful following the death of their primary school-aged child. Ten participants were interviewed using a semistructured interview schedule. Data were transcribed and analyzed using content and thematic analysis. Results indicate the existence of novel informal supports that enrich contemporary literature. Nine common characteristics of helpful support emerged from the analysis; the specifics of each depended on congruence with parents' unique framework of meaning. Parents also identified five ways to strengthen informal social support. Implications for health promotion research and practice in parental bereavement are discussed.     

The pregnant therapist and the psychotic client: A phenomenological understanding of the impact of the therapist’s pregnancy on the therapeutic process

This original paper examines the underresearched area of therapist pregnancy. It explores the impact of psychosis as an additional complicating factor to the therapeutic process and the experience of one British counselling psychologist working in the National Health Service whilst pregnant. Five brief client summaries/clinical examples are presented to explore the common themes of anger, rejection, abandonment and envy that often emerge following the disclosure of a therapist’s pregnancy or the opposite reactions of over-protectiveness and an unwillingness to engage in therapy for fear of harming the therapist. Recommendations are made for further research within this neglected area and the need to incorporate the themes within training for therapists and training for supervisors.     

Client self-image,therapist acting,and the establishment of the therapeutic alliance in a training context

This study examined how clients’ self-image and perception of therapist’s behavior are related to the therapeutic alliance, as well as how these variables change in the psychotherapy process in trainee-led psychotherapy. A total of 164 participants (M = 28.9 years) who attended two semesters of treatment at the Psychology Clinic of Umeå University completed the Working Alliance Inventory (WAI) to evaluate their perception of their alliance with the therapist. They also completed two questionnaires based on the Structural Analysis of Social Behavior (SASB) model to give insight into their self-image patterns and to analyze their perceptions of the therapist’s behavior. The results show that a positive self-image and positive perceptions of the therapist’s actions increased significantly over the course of the therapy, with a corresponding decrease in negative patterns. The alliance scores show that the therapeutic alliance gains significance over time and that it is influenced more by the perception of the therapist’s behavior than by the self-image. The self-image becomes relevant after the mid part of therapy, underlining the role of the therapist in co-creating the treatment relationship. The implications of these results are discussed, and so are directions for future research in other trainee-led settings and samples.     

Attachment to God,depression and loss in late life: a longitudinal study

ABSTRACT

Prior research shows that being anxiously and avoidantly attached to God is associated with psychologically problematic outcomes including depressive feelings. However, a clear understanding of how these insecure attachments to God are associated with depressive feelings is still missing. Therefore, a longitudinal study among 329 nursing home residents aged 65–99 was set up to investigate the prospective relation between anxious and avoidant attachment to God and the experience of depressive feelings, as well as whether this relation is moderated by a loss experience. That is, the loss of close relatives can be particularly stressful in late life, challenging existing attachment relationships and placing older adults at risk for depression. Results confirm that insecure attachments to God are distinctly related to depressive feelings, but that this relation is not moderated by a loss experience. Our results also show that depressive feelings predicts attachment to God, instead of the other way around.     

Response to “Turning Words and Twisting Truths”

SUMMARY

Too often, in discussions of psychotherapy, the techniques are given undue emphasis. Research suggests that the same techniques are differentially effective when used by equally trained and supervised therapists. Not only are some therapists more effective, irrespective of the type of therapy they practice, but some, because of their personal qualities, may actually harm those with whom they work. This research reflects the vast importance of the ubiquitous element in therapy, that of the “person” of the therapist. The question, then, follows, how may personhood be developed? This question is explored as it relates to both breadth and depth of life experience.     

How self-enhancers adapt well to loss: the mediational role of loneliness and social functioning

Objective: The tendency toward unrealistically optimistic self-serving biases, known as trait self-enhancement, has been associated with both adaptive benefits and negative social consequences. This study explored these potential benefits and costs in the context of conjugal bereavement. Method: The study included 94 individuals who had experienced the death of a spouse 1.5–3.0 years prior. The sample (62 female, 32 male) ranged in age from 37 to 60 (M = 51.45, SD = 6.08). To examine benefits, we used relatively objective measures of overall adjustment: structured clinical interviews and ratings from participants’ close friends and relatives. To examine social adjustment, we examined friends’/relatives’ ratings of the quality of social interactions and the possible mediating roles of perceived loneliness and friend/relative ratings. Results: Trait self-enhancement was uniformly associated with positive adjustment: relatively lower symptom totals, and friend/relative ratings of both overall better adjustment and better social adjustment. Self-enhancers’ low loneliness was found to mediate reduced symptoms. Also, friends’/relatives’ ratings of social functioning appeared to mediate self-enhancers’ reduced loneliness. Conclusions: These findings provide further empirical data to challenge the longstanding assumption that inaccurate self-perception is inherently maladaptive. Authentic benefits may result from mistaken perceptions of oneself by influencing the experience of loneliness and how one is seen by close friends/relatives. Self-enhancement may be an adaptation that provides clinically relevant advantages.     

DSM‐5 and Bereavement: The Loss of Normal Grief?

The mood disorder work group has proposed to eliminate the bereavement exclusion criterion from the diagnosis of major depression in the 5th edition of the American Psychiatric Association's (2012) Diagnostic and Statistical Manual of Mental Disorders. The proposal would break tradition with the long‐held distinction between depression and normal bereavement. This article reviews the development of the bereavement exclusion, discusses evidence for and against the proposal, and offers some relevant implications for counselors in light of the research on depression and bereavement.     

A Randomized Open Trial Assessing the Feasibility of Behavioral Activation for Pathological Grief Responding

This study investigated the feasibility of using behavioral activation to treat enduring postbereavement mental health difficulties using a two-arm, multiple baseline design comparing an immediate start group to a delayed start group at baseline, 12-, 24-, and 36-weeks postrandomization. Participants received 12–14 sessions of behavioral activation within a 12-week intervention period starting immediately after the first assessment or after 12 weeks for the delayed start group. Prolonged grief, posttraumatic stress, and depression symptoms were assessed as outcomes. Compared with no treatment, behavioral activation was associated with large reductions in prolonged, complicated, or traumatic grief; posttraumatic stress disorder; and depression symptoms in the intent-to-treat analyses. Seventy percent of the completer sample at posttreatment and 75 percent at follow-up responded to treatment with 45 percent at posttreatment and 40 percent at follow-up being classified as evidencing high-end state functioning at 12-week follow-up.