“It's wrong to relax,you have to be on the go,go, go,all the time”: Emotional transformation in a case of emotion-focused therapy for generalised anxiety disorder

Generalised anxiety disorder (GAD) is a highly prevalent, chronic and impairing disorder. The aim of this study was to qualitatively describe the transformation in emotional processing across 16 sessions of a successful emotion-focused therapy (EFT) treatment for GAD. A theoretical framework derived from the EFT model of in-session emotional transformation proposed by Pascual-Leone and Greenberg was used as the basis for qualitative analysis. Additionally, the Classification of Affective Meaning States, the Client-Expressed Arousal Scale-III and the Client Emotional Productivity Scale-Revised were utilised by observer–raters to classify moment-by-moment shifts in client affective-meaning states, emotional arousal and emotional productivity. Results supported the emotion transformation model. The client presented in a state of poorly differentiated but highly aroused distress provoked by identifiable interpersonal and intrapersonal triggers. Emotional and behavioural avoidance provoked by fear of pain was evident. Accessing core pain and responding to attendant needs with compassion and protective anger was shown to facilitate the higher order emotional processing states of grief, relief and agency. Implications are proposed, including that addressing core emotional vulnerability may be a critical intervention in the successful treatment of GAD.     

The Role of Emotion in the Construction of Career in Parent—Adolescent Conversations

The role of emotion in the construction of career has not always been clear despite its importance in people's lives and in counseling. Recent conceptualizations suggest that emotion is a complex relational process that is socially constructed. This study illustrates the role of emotion in the construction of career from an action theory perspective. Two parent—adolescent conversations about career from a group of 14 conversations are analysed in detail to demonstrate the ways in which emotions serve to energise action and career and lend context and meaning to the process of constructing career in the family setting.     

A comparison of two online cognitive‐behavioural interventions for symptoms of depression in a student population: The role of therapist responsiveness

Objectives: The study aimed to compare the efficacy of eight weekly sessions of a self‐administered online CBT treatment (cCBT; n=51) to a therapist‐assisted email CBT treatment (eCBT; n=50) in University students. Design: The design was a randomised parallel group trial. The study randomised participants with symptoms of depression to one of two available treatments. Method: Participants were offered eight weekly sessions of either cCBT or eCBT. Participants completed the Beck Depression Inventory‐II (BDI‐II) and the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE‐OM) at pre‐and post‐treatment, at weeks 16 and 32 follow‐up. The Working Alliance Inventory‐Short Form (WAI‐SR) was completed at weeks 2, 4, and 6. Results: For both groups, pre‐post within group effect sizes reported were large for the BDI‐II and the CORE‐OM and these were maintained at follow‐up. Perceptions of working alliance were similar in each group, but Bond was significantly stronger for the eCBT condition. WAI scores correlated more positively with the outcome on BDI‐II for those in the eCBT condition than the cCBT condition, but not significantly. Conclusion: There were no significant differences between the two online treatments, both reduced depressive symptoms and improved general functioning. Similarly, at post‐treatment and follow‐up, clinical improvement and recovery was demonstrated for both groups equally. The study demonstrates the possibility for cCBT in a university setting that may contribute to addressing the shortcomings in meeting increasing demands that mental health services presently face.     

History of Geometry and the Development of the Form of its Language

The aim of this paper is to introduce Wittgenstein’s concept of the form of a language into geometry and to show how it can be used to achieve a better understanding of the development of geometry, from Desargues, Lobachevsky and Beltrami to Cayley, Klein and Poincaré. Thus this essay can be seen as an attempt to rehabilitate the Picture Theory of Meaning, from the Tractatus. Its basic idea is to use Picture Theory to understand the pictures of geometry. I will try to show, that the historical evolution of geometry can be interpreted as the development of the form of its language. This confrontation of the Picture Theory with history of geometry sheds new light also on the ideas of Wittgenstein. This revised version was published online in June 2006 with corrections to the Cover Date.     

Action: a bridge between vocational and mental health counselling*

A theory of goal-directed action is proposed as a conceptual link between vocational and mental health counselling. Originally emerging from the vocational counselling field, contextual action theory is presented as a critical conceptual link not only between mental health and occupational life but also between counselling practices in these domains. This specific application of goal-directed action to vocational and mental health counselling is addressed by describing counselling as goal-directed action, the five tasks of counselling it invites, and tools for supporting client goals, such as the self-confrontation interview.     

Rational Actions and the Integration of Knowledge

Summary  The paper emphasizes the role of knowledge dimensions of an action which could be regarded as rational. Rational action usually results of specific decision – making process including selection, evaluation and acceptance of a preferred alternative. This process should integrate not only various types of knowledge but also the interdisciplinary or interdepartmental knowledge integration. The integration of knowledge may cover various forms, especially integration of knowledge relating to different domains, of different quality, of knowledge connected with different goal-orientations. The paper stresses the role of the hitherto known and recognized alternatives. The integration procedures should also include the integration of various spheres and types of knowledge with accepted and justified systems of values.     

Science, Values and the Human Dimensions

The presented paper substantiates the principle that values are an immanent component of science and any rational cognitive activity. This principle belongs to the European cultural tradition starting from the book of Genesis of the Old Testament, the values of certainty in the antique Greek philosophy and Francis Bacon's coincidence of knowledge and power. Values in science form complicated structures inconnection with different types of knowledge including “the knowledge that”, empirical evidence, various types of generalizations or rules, methods, directions, algorithms, “the knowledge how”, “the knowledge why” or other types of knowledge. Since the assignments of different types of values are the products of a decision-making, it is useful to distinguish many types of decision-making, especially semantic decision-making, information decision-making and decision-making with distinctly pragmatic dimensions. The values assignable to scientific activities and their results also include their social recognition, respect and prestige granted to knowledge and bearers of knowledge by society and social groups or communities. Knowledge generation and the rational and justified application of the achieved and acceptable impacts are also connected with decision-making procedures, values and criteria of social acceptance. This revised version was published online in August 2006 with corrections to the Cover Date.     

What is the Thematic Structure of Science?

The paper justifies the concept of “thematic structure” or “order of knowledge” over the traditional “classification of sciences” due to the uncertainty of many classification criteria. The thematic structure of science has, of course, various levels and various dimensions. Arguments against any forms of separating the humanities from sciences in the traditional sense of the term are presented and discussed. Equally unacceptable are attempts at sharp separation of technical disciplines and humanities. The thematic structure of humanities is not created by some material aspects but rather through the interest — or problem-oriented aspects. In addition to the natural sciences and the humanities there exists an important sphere of sciences on artefacts or, using the term by H. Simon, the sciences of the artificial. For the contemporary research activities is typical what could be denoted as “interdisciplinary or multidisciplinary complex.” The paper traces a set of epistemological criteria for the justification of the relative independence of a scientific discipline. This revised version was published online in August 2006 with corrections to the Cover Date.