The River Model: A Metaphor and Tool for Training New Psychotherapists

A conceptual frame of reference called The River is presented for training of beginning psychotherapists. Using metaphors, trainees are taught specific tools (Equipment) and to identify salient features of the therapy process (Topography) by means of a series of metaphors for the process elements of timing and of level of intervention. Student therapist feedback indicated that this model facilitated learning of how much or little to do at given points in the therapeutic process, and that these metaphors appeared to transcend specific theoretical orientations.     

The conceptual distinction between projective identification (Klein) and container-contained (Bion)

This paper describes the use of play in the psychotherapy of a latency child from a severely traumatised background. It considers the meaning of play in relation to the role of the psychotherapist and to psychotherapeutic technique and explores its functions in terms of the child's development. The paper documents the psychotherapist's learning experience about the difficulty of trying to make the ‘right’ interpretations and her consequent realisation of the intrinsic value of play in psychotherapy. In considering these themes, the author explores how, by placing interpretation secondary to play, the therapy enabled the development of the child's creativity and self-agency, facilitating a movement from primarily paranoid–schizoid defences towards the beginnings of a depressive position.     

Relationship of cognitive strategy use to prospective memory performance in a diverse sample of nondemented older adults with varying degrees of cognitive complaints and impairment

Although older adults typically have better performance on prospective memory (PM) tasks carried out in naturalistic settings, a paucity of research directly assesses older adults’ use of compensatory strategies on such tasks. The current study investigates external memory strategy use during performance of a clinical PM test that features both short-term (in laboratory) and long-term (out of laboratory) subtasks (i.e., the Royal Prince Alfred Prospective Memory Test – RPA-ProMem. Nondemented, community-dwelling older adults (n = 214; mean age = 80.5; 68.2% female; 39.7% non-white) with mild cognitive impairment, subjective cognitive decline, and healthy controls completed the RPA-ProMem while external strategy use was permitted and recorded. Overall, participants utilized external strategies 41% of the time on the RPA-ProMem. Increased utilization of external memory strategies was significantly associated with better PM performance. Additionally, better performance on executive functioning tasks was associated with increased use of external memory strategies. Results are discussed in relation to how memory strategy use can be enhanced to improve everyday memory ability in older adults at risk for dementia.     

Effect of depression level and length of acquaintance on reactions of others to a request for help

This experiment examined an interpersonal-process view of depression by assessing subjects' reactions to a request for help from a hypothetical depressed or nondepressed person with whom they had been acquainted for a relatively short (2 weeks) or long (1 year) period of time. Subjects responded to each of the four hypothetical persons by indicating their probable affective reactions to the request, the number of minutes they would be willing to help, their desire for future social contact with the hypothetical person, and their expectations of future requests for help. Requests from depressed persons elicited significantly more anger and social rejection but equal amounts of concern and willingness to help. This mixed response pattern was interpreted as providing partial support for an interpersonal-process view of depression. In addition a path analysis provided limited support for Coyne's (1976b) hypothesis that rejection of depressed persons results from the negative mood they induce in others.     

Effects of measurement aggregation on predicting externalizing problems from preschool behaviour

In long‐term studies of psychological development, the initial assessment of etiologically significant child behaviours is often carried out at a single point in time only. However, one‐time assessments of behaviour are likely to possess limited reliability, leading to attenuated longitudinal correlation coefficient magnitudes. How much this bias might have affected behavioural continuity estimates in longitudinal research is presently unknown. Using a data set from the Mauritius Child Health Project, we particularize the attenuating effects of single‐occasion behavioural assessments on consistency estimates of impulsive–aggressive behaviour over time. Specifically, two nursery teachers provided 15 consecutive weekly ratings of the aggressive behaviour of 99 four‐year‐old children. The same children were reassessed for the presence of externalizing behaviour problems at the ages of 8 and 10. There were substantial increases in both reliability and predictive correlation coefficient magnitudes when the preschool scores were aggregated across several weekly ratings. A further increase resulted after the two outcome assessments were combined into a composite score of school‐age externalizing symptoms. A generalized procedure, developed from the correction for attenuation formula, is introduced to describe the relation of aggregation to predictive validity in longitudinal research.