The phases of renewal: Steps to integration of the self in psychotherapy

This is a study of the psychology of self-renewal. The myth of Psyche is examined since it is among the finest rebirth stories antiquity has left us and can be read as representative of the renewal process in general. The story as such, points to a number of psychological states of being necessary for the self to pass through if change is to occur. Renewal can be understood as a series of ontological situations, and these can be structurally considered in terms of phases. This in turn, provides a general theoretical framework for a psychological analysis of self-renewal. The phases of renewal, derived from the Latin, are:immanence, obstruence, descendence, experience, ascendence, emergence andtranscendence. The case of Lee is used to illustrate the process of integration of self in psychotherapy.     

The detection of malingering in neuropsychological assessment

Although malingering, or the manipulation of data by the patient, is a problem commonly faced by neuropsychologists, there has been little systematic investigation of this problem. This paper reviews the literature on the detection of malingering in assessment instruments commonly used by clinical neuropsychologists. Criticism of previous research is discussed, and suggestions are made both for future research and for clinical practice.     

Social desirability,perceived stress,and PACT ratings in lung transplant candidates: A preliminary investigation

Some aspect of psychosocial criteria is commonly utilized by most transplant programs in assessing candidates' acceptability for transplantation. However, regardless of the assessment methodology, information obtained in pretransplant assessments may be limited given the evaluative nature of the assessment as well as the sensitive nature of the contents. Indeed, transplant candidates may present themselves in a favorable fashion, minimizing any negative traits or psychological dysfunction which they perceive might prevent transplantation. Unfortunately, there are limited data addressing the extent to which transplant candidates may present themselves in an overly positive light. This investigation surveys the prevalence of social desirability in lung transplant candidates as well as its association with self-reports of perceived stress. Further, the relationship between social desirability and interviewer ratings of transplant candidacy is examined. Subjects included 24 patients in end-stage organ failure being evaluated for lung transplant candidacy. Subjects completed the Perceived Stress Scale and a brief version of the Marlowe-Crowne Social Desirability Scale. Additionally, subjects were interviewer-rated on the Psychosocial Assessment of Candidates for Transplantation. Results indicate social desirability is a prevalent phenomenon in lung transplant candidates, with more than half of the sample scoring at or above the 84th percentile on the social desirability measure. Further, self-reports of perceived stress are moderately and inversely associated with social desirability (r=–.55,p .01). Social desirability was unrelated to interviewer-ratings of transplant candidates acceptability (r=.13,p .56). Future research might include larger samples of subjects, other organ transplant candidates, and more detailed assessments of symptom distress.     

The self in transformation: Dialectical processes in long-term psychotherapy

A number of phases are notable during the process of integration of the self through psychotherapy. Each of these phases encompasses a particular ontology in relation to the dynamic self. The underlying process of change, moreover, may be conceived of as dialectical in nature with each phase having a unique thesis and antithesis. A clinical case is presented to illustrate these ideas for the therapist.     

Punishment vs negative reinforcement in the aversive conditioning of auditory hallucinations1

The behavioural treatment of auditory hallucinations in three chronic schizophrenic patients is reported. Two treatment conditions, one in which white noise followed hallucinations and a second in which white noise was presented during reported hallucinations, were contrasted in a crossover design with a control condition where white noise was presented randomly. All three patients improved, although reported reductions in hallucinations were more marked in two cases than in the third. Some generalization of treatment effects was observed in all three patients. White noise presented concurrently with hallucinatory reports appeared to be the most effective. The implication of these findings for a theory of auditory hallucinations is discussed.     

Why and for whom does the pressure to help hurt others? Affective and cognitive mechanisms linking helping pressure to workplace deviance

Scholars are paying increasing attention to the “dark side” of citizenship behavior. One aspect of this dark side that has received relatively scant attention is “helping pressure”—an employee's perception that s/he is being encouraged to, or otherwise feels that s/he should, enact helping behavior at work. Drawing from theory associated with work stress, we examine affective and cognitive mechanisms that potentially explain why helping pressure, counterintuitively, may lead employees to engage in deviant behavior instead. Beyond examining these possible mechanisms, we also answer calls to identify a potential buffer to these effects. Drawing from self-determination theory, we examine how an employee's intrinsic motivation for citizenship may lessen the deleterious consequences of helping pressure at work. In two studies (a within-individual experience-sampling study and a two-wave between-individual study), we find consistent evidence that helping pressure has a positive indirect relationship with deviant behavior through increased negative affect. Further, we find evidence that intrinsic motivation for citizenship weakens the positive relationship of helping pressure with negative affect, buffering the indirect effect on subsequent deviant behavior. Theoretical and practical implications of these findings for the study of helping pressure at work are discussed.