Assimilative and Accommodative Integration: The Basic Dialectics

Two basic styles in psychotherapy integration can be described, in which respectively the assimilative or the accommodative mode of proceeding preponderate. The first is chosen by those who wish to keep a firm grounding in any one theoretical system, into which they incorporate perspectives or practices from other schools, reinterpreted and reformulated in their own terms. The second is favored by those who prefer to practice eclectically, without worrying too much about the contradictions and incompatibilities among the different approaches. The latter therapists can remain at this purely eclectic level, or move on towards a proper integration. In this case the integration does not usually happen on the base of a preferred system, as in theoretical integration, but rather follows the line of the common factors approach. This integration mode has a prevalent accommodative character. It points to a basic structure that is common to the different methods, and becomes clearer the more the relation is freed of the constriction of theoretical models. An attempt is made to show the substantial complementarity and the dialectical relation that links the two fundamental modes of psychotherapy integration.     

Kids observing other kids' hands: visuomotor priming in children

We investigated motor resonance in children using a priming paradigm. Participants were asked to judge the weight of an object shortly primed by a hand in an action-related posture (grasp) or a non action-related one (fist). The hand prime could belong to a child or to an adult. We found faster response times when the object was preceded by a grasp hand posture (motor resonance effect). More crucially, participants were faster when the prime was a child's hand, suggesting that it could belong to their body schema, particularly when the child's hand was followed by a light object (motor simulation effect). A control experiment helped us to clarify the role of the hand prime. To our knowledge this is the first behavioral evidence of motor simulation and motor resonance in children. Implications of the results for the development of the sense of body ownership and for conceptual development are discussed.     

Commentary on Boharts “The Client is the Most Important Common Factor”

The cliché Treatment operates on patient to produce effects is reversed by Bohart into Client operates on treatments and procedures to produce effects. Although this formula has the advantage of underscoring the patient's responsibility and competence, it may also overemphasize his or her role. A more balanced formula could be Process operates on both patient and client to produce effects, as it means that neither the therapist nor the client, but the process is the operator. There seems to be not much to earn, if the old hero (the therapist) is replaced by the new one (the client). A more promising perspective opens if both give up their pretence to be the operator, or the one who knows what is to be done, and listen and submit to the logic of the process that goes beyond both.     

Editor's Note

Editorial Commentary

Editor's Note     

Beyond Psychotherapy: Dialectical Therapy

Dialectical therapy is a common factors approach to psychotherapy integration, in which four general therapeutic strategies are taken as the cardinal points of a map of the field. It is said to be beyond psychotherapy because what is commonly referred to as psychotherapy is more than psychological treatment. It is a dialectic between two basic levels or axes: the psychological remaking, which deals with defect-driven disorders, and the philosophical uncovering, which deals with conflict-driven problems. The first level can be graphically represented as the horizontal axis of the field, connecting a maternal and a paternal pole, in which the therapist responds to the basic psychological needs of secure attachment and responsible cooperation. The second level can be represented as the vertical axis of the field, connecting a K (knowledge) vertex and an O (unknown) vertex, in which the therapist responds to the basic philosophical needs of knowledge (know thyself) and of unknown as unknowable (the noumenon of all phaenomena, the source of generative and healing powers). A map is necessary to organize the basic therapeutic needs and the range of responses to them in a coherent pattern. As a good map can help in orienting empirical research, this in turn can help in constructing better maps.