Topic-focused analysis in a case of integrative psychotherapy with a father fearing his own anger

Even though evidence-based knowledge is considered the foundation of clinical practice, many clinicians question the clinical relevance of published research. Clinicians increasingly define themselves as having an integrative stance, in contrast to the tendency for most research to be based on clearly defined psychotherapies. Qualitative single case studies make it possible to generate knowledge about what actually occurs in integrative therapy. Topic change process analysis (TCPA) is used in the analysis of brief integrative therapy conducted by a very experienced psychotherapist drawing on a complex variety of therapeutic approaches. The client was a man in his late thirties, worrying about his strong anger, particularly related to one of his children. Analysis of topic areas, topic shifts, response patterns within topics and changes in perspective made it possible to identify key processes and key patterns of the therapy which resulted in a very positive outcome for the client. Implications of these findings for practice, and future research, are discussed.     

Refugee families in therapy: from referrals to therapeutic conversations

Refugee families referred for therapy present a wide array of problems and expectations, not always in accordance with what therapy may offer. Major differences between referring professionals, families and therapists regarding problem definitions and solutions may complicate collaboration. Interventions that may overcome these barriers and move initial interviews into a therapeutic context are described. Three patterns regarding referral process, problem presentation and expectations (here called referral contexts) are outlined: 'the relational', where families ask for psychological and interpersonal assistance, 'the unfocused', where families are referred to therapy without expressing any wish for it, and 'the fixed solution', where families seek support for solutions that are not of a therapeutic nature. The interventions described form part of a negotiation where motives and interest for therapy are explored and agreements regarding further therapy are outlined.     

Thinking “difference” differently: Cassirer versus Derrida on symbolic mediation

Cassirer’s approach to symbolic mediation differs in some important ways from currently prevailing approaches to meaning and signification such as semiology and its more recent poststructuralist varieties. Cassirer’s philosophy of symbolic forms offers a theory of symbols that does not amount to a sign theory or semiology. It sketches out, rather, a dynamic and nonrepresentational framework in which an alternative notion of difference takes centre stage. In order to make the original features of Cassirer’s approach stand out, I will compare it with the approach of the perhaps most influential differential thinker of our day, Jacques Derrida. The philosophy of symbolic forms explicitly prefigures a great many of the insights and concerns of poststructuralism. Yet, there are some critical differences. Rather than rejecting the concepts of objectivity, identity, and truth on the premises established by traditional metaphysics, Cassirer chooses to redefine these concepts through a radical conceptual reframing. The result is a doctrine that—in Derridean parlance—neither jumps beyond the oppositions of metaphysics, nor tries to resolve them in a Hegelian synthesis—a doctrine, that is, that even though it appeals to origins, cannot so easily be dismissed as yet another instantiation of the metaphysics of presence.     

Cognitive,emotional and social development in adolescents born to substance using women

The aim of this article is to investigate the long‐term developmental consequences of being born to a substance‐using mother, focusing on cognitive functions, attention, emotional and social development. The longitudinal sample comprised 48 adolescents aged 12–16 at the time of follow‐up assessments, which included the Wechsler Intelligence Scale for Children‐III, the Test of Everyday Attention for Children, The Tower of London test and the Strengths and Difficulties Questionnaire. The adolescents scored significantly lower than the norms on Wechsler's subtests and Full‐Scale IQ, and on The Everyday Attention test. There were few differences on the Strengths and Difficulties Questionnaire. The girls reported significantly more hyperactivity than the British norms, and the teachers reported higher impact scores in boys, compared to the British norms. Thus, the results on cognitive consequences of maternal substance use appear to be very substantial while the emotional and social consequences do not. The results suggest serious negative effects of substance exposure in utero on attention and cognitive functioning in general.     

Preventing extremism through education: exploring impacts and implications of counter-radicalisation efforts

ABSTRACT

The counter-radicalisation efforts that have swept through much of the world seem to have placed schools and universities at the forefront of global counterterrorism. In this article, we review research to explore the impacts and implications of preventing radicalisation and violent extremism through education. We synthesised themes from the literature in relation to intervention models that differentiate between primary, secondary and tertiary prevention levels, in order to embrace the heterogeneity and complexity of radicalisation issues. Research is at an early stage in trying to make sense of the ‘causes and cures’ of radicalisation in the context of young people and education; yet our review suggests that educators should approach prevention through humanistic, relational and inclusive pedagogics. However, counter-radicalisation efforts tend to result in the use of ‘harder’ prevention strategies, which can have quite negative impacts on education. Although scholarly output is growing, effectiveness evidence on these issues remains weak. More consideration should be given to study how the counter-radicalisation discourse is merged with education, and with what consequences.