The Client's Theory of Change: Consulting the Client in the Integrative Process

This article casts a critical eye upon the integration literature and asserts that, as in psychotherapy in general, the client has been woefully left out of the therapeutic process. An alternative that privileges the client's voice as the source of wisdom and solution is presented. It is proposed that conducting therapy within the context of the client's own theory of change offers ways of integrating multiple therapy perspectives. An argument is made for not only recasting the client as the star of the drama of therapy, but also giving the heroic client directorial control of the action as it unfolds.     

Language as power in the therapy room: A study of bilingual (Arabic–English) therapists' experiences

The topic of language as power (LaP) in individual therapeutic encounters has thus far been overlooked, and as bilingual therapists have the ability to use more than one language in the therapy room, their experience of LaP is a compelling research area that this paper attempts to explore. This qualitative, inductive, phenomenological study used interviews and interpretative phenomenological analysis to explore five bilingual Arabic–English-speaking therapists' experiences of LaP in the therapeutic encounter. The study identifies two overarching themes: (a) the emergence of identity and power from language and (b) comparisons of power in the English and Arabic languages. Within these themes, the study finds that therapists experience LaP through multiple avenues: self-disclosure, intersectionality, being transported to different identities and expressions of power and power of expression in Arabic–English. These multiple avenues illustrate the complexity of LaP in the therapeutic encounter. The study sheds light on an underexplored area in psychotherapy, illuminating an important area for psychotherapists and training institutions to consider when working with clients.     

"It's led me astray": How Cognitive Behavioural Therapists experience personal therapy in clinical practice

Personal therapy is considered to be an essential component of most psychotherapeutic training programmes. However, it remains peripheral to cognitive behavioural therapy (CBT) training courses. We present a subsection of results from a qualitative study that examines how CBT therapists use personal therapy in their clinical practice. Seven CBT therapists who have undergone personal therapy were interviewed. Participants were asked about how they used personal therapy in their clinical practice and their accounts were analysed using interpretative phenomenological analysis (IPA) to identify common themes. This article presents the results of the first master theme, “Personal therapy creates conflict”, which explores a paradox that arises between personal therapy and CBT clinical practice; participants suggest that personal therapy equips them with therapeutic tools that paradoxically hinder their capacity to practice a standardised protocol‐led CBT. Results show that participants found personal therapy created considerable internal conflict, where their use of technical evidence‐based treatment protocols as practitioners was experienced in tension with the relationally oriented therapy they had received as clients. We discuss results in the context of Gabriel Marcel's philosophical insights on the dehumanising effects of technology on human relationships. We conclude with a brief consideration of the current political climate that increasingly privileges short‐term technical solutions to psychological distress.     

儿童类比推理的影响因素及干预促进

类比推理这一重要认知能力能够帮助儿童在未经历过的复杂情况下进行推断和学习。近年来研究者主要从行为研究、计算机模型和眼动技术的角度探究了儿童抑制控制和工作记忆在类比推理中的交互作用模式及类比推理策略对类比推理的影响。在此基础上,研究者围绕语言标签和物理表征两方面对儿童类比推理进行了干预研究。儿童类比推理的未来研究应着眼于改进研究方法、关注类比推理各加工阶段影响因素及加强儿童类比推理策略的干预应用研究。     

Driver speeding typologies by roadway behaviours and beliefs: A latent class analysis with a multistate sample of U.S. adults

Speeding has consistently contributed to a high number of motor vehicle crashes and subsequent injuries and deaths in the U.S. Identifying types of drivers related to speeding behaviour may help target interventions to reduce speeding. Typology of U.S. driver speeders have examined very specifically speeding behaviours and speeding-related attitudes. This exploratory work used latent class analysis (LCA) to examine how other driving behaviours and attitudes cluster around speeding behaviours to determine speeder typologies, which may lend a more holistic perspective to speeder types. Predicted class assignments were evaluated for associations with demographic and personality factors. The LCA resulted in four driver typologies, which we labelled: Externally Motivated (40.7%), Non-Reactors (26.2%), Perceived Invulnerable (24.3%), and Perceived Vulnerable (8.9%). The Externally Motivated and Non-Reactors typologies had the highest probability of reporting extreme speeding. The Externally Motivated may be intervened upon with messaging about reducing risks crashes and injuring passengers, while the Perceived Vulnerable class already exhibit several risk-averse behaviours that self-limits their speeding behaviour. Class placement was associated with age, self-reported speeding frequency, receipt of speeding violations. The resulting U.S. driver typologies advances the literature by demonstrating that non-speeding driver behaviours and attitudes cluster with speeding behaviours, which altogether can inform more nuanced and effective anti-speeding campaigns.     

APPRECIATING DIFFERENCE: ROY SCHAFER ON PSYCHOANALYSIS AND WOMEN

The author describes and appreciates Roy Schafer's critique of Freud's view of female psychology and his other contributions to the psychoanalytic literature on women, noting his then‐novel emphasis that took into account social and cultural factors in analytic treatment. She relates the influence on Schafer's work of his ambiance in that era: the Yale University Student Health Services during the social turmoil of the 1970s (where she was his supervisee), with the university becoming coed, as well as the theoretical plurality even in the early days of the Western New England Psychoanalytic Institute.