The diverging force of imitation: Integrating cognitive science and hermeneutics.

Recent research on infant and animal imitation and on mirror neuron systems has brought imitation back in focus in psychology and cognitive science. This topic has always been important for philosophical hermeneutics as well, focusing on theory and method of understanding. Unfortunately, relations between the scientific and the hermeneutic approaches to imitation and understanding have scarcely been investigated, to the loss of both disciplines. In contrast to the cognitive scientific emphasis on sharing and convergence of representations, the hermeneutic analysis emphasizes the indeterminacy and openness of action understanding due to preunderstanding, action configuration, and the processual nature of understanding. This article discusses empirical evidence in support of these aspects and concludes that hermeneutics can contribute to the scientific investigation of imitation and understanding. Since, conversely, some grounding--and constraining--aspects of hermeneutics may be derived from cognitive science, both should be integrated in a multilevel explanation of imitation and understanding. This holds also for explanations that are largely based on mirror neuron systems, since these appear to be sensitive to developmental and experiential factors, too. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Psychopathology and psychotherapy: From diagnosis to treatment.

Reviews the book, Psychopathology and psychotherapy: From diagnosis to treatment, edited by Len Sperry and Jon Carlson (see record 1993-97172-000). Alfred Adler is perhaps the most unjustly overlooked theorist in our field, and deserves wider recognition and greater integration into the clinical mainstream. Such is the admirable goal of Sperry and Carlson's effort. Unfortunately, it is unlikely to achieve that goal. This is an edited text in which a variety of distinguished Adlerians have been asked to address specific DSM categories. In each case the chapters begin with a review of the category in question, typically including a summary of diagnostic criteria, epidemiology, course, associated problems, various etiological positions, and so forth. This non-Adlerian material consumes an enormous proportion of the book. The intent was to produce not only an Adlerian reference source, but also a text for undergraduate and graduate psychopathology courses in all mental health disciplines, as well as interns and residents. It attempts to do too much, and fails to do enough. It attempts to appeal too widely, and fails to appeal at all. In nearly all of the chapters the coverage is insufficiently comprehensive to actually serve as part of an abnormal psychology textbook; this is particularly true in the areas of etiological theory and research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The search for a unified metatheory of personality, psychopathology, and psychotherapy: Grand or grand illusion? A book review essay.

Three recent books (Magnavita, 2005; Scaturo, 2005; Mahoney, 2003) directly or indirectly suggest ideas for what form a unified metatheory of personality, psychopathology, and psychotherapy might take. Useful and compatible with one another, all of these models contain three elements common to such metatheories: the concepts of a complex system of interacting levels, active agency, and dynamic tension between stability versus change and individuation versus attachment. I discuss the question of whether the search for unifying metatheories will interfere with the consideration of diverse ideas within the Society for the Exploration of Psychotherapy Integration (SEPI). (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Review of Re-envisioning psychology: Moral dimensions of theory and practice.

Reviews the book, Re-envisioning psychology: Moral dimensions of theory and practice by Frank C. Richardson, Blaine J. Fowers, and Charles B. Guignon (see record 1999-02563-000). Not often in the discipline of psychology does a work of genuinely praiseworthy philosophical sophistication come along that also manages to avoid not only being overly narrow in its relevance but also avoids being filled with unintelligible and pseudo-intellectual jargon. This excellent text is an example of one such work. The authors divided their text into three major sections beginning with a careful and ranging analysis of the ethical underpinnings of contemporary psychotherapy, followed by a timely and provocative discussion of individualism, social constructionism, and hermeneutics, and complete the volume with a preliminary exploration of the principle features of an interpretive psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The death of desire. A study in psychopathology.

Reviews the book, The death of desire. A study in psychopathology by M. Guy Thompson (1985). Thompson has written an amiable book, filled with the spirit of ecumenism. A practising clinical psychologist, his thesis is that desire is the "foundation of the human subject," that it is "located in the heart of the unconscious," that, if once "situated in phenomenology," this unconscious can reveal "the nature of intersubjective relations." Accordingly, pathological phenomena would be attributable to the deadening of this desire—hence, the book's title. Thompson clearly intends a dialogue between phenomenology and psychoanalysis. The result is an attempt at synthesis that takes R. D. Laing on the one hand and Jacques Lacan on the other—two rather strange bedfellows—as his chief sources of inspiration. Taken as a whole, this book's reach outstretches its grasp. It really does not offer a cogent, coherent synthesis of phenomenology and psychoanalysis but seems rather to offer a congenial amalgam of the many insights experienced by a highly intelligent, versatile and sensitive man during the long, fecund years of his training. As such it is endlessly stimulating, if never quite convincing, and offers singular promise for the future work of its author. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

It's time to Rework the Blueprints: Building a Science for Clinical Psychology.

The aims in this article are to connect the conceptual structure of clinical psychological science to what the author believes to be the omnipresent principles of evolution, use the evolutionary model to create a deductively derived clinical theory and taxonomy, link the theory and taxonomy to comprehensive and integrated approaches to assessment, and outline a framework for an integrative synergistic model of psychotherapy. These foundations also provide a framework for a systematic approach to the subject realms of personology and psychopathology. Exploring nature's deep principles, the model revives the personologic concept christened by Henry Murray some 65 years ago; it also parallels the interface between human social functioning and evolutionary biology proposed by Edward Wilson in his concept of sociobiology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mind, body, and psychoanalysis: The science of psychotherapy.

Along with the contributions of the psychoanalytic century to the science of the mind, there appears to be a diminished interest in and training for psychotherapy in favor of genetic, organic, and psychopharmacologic approaches. New advances should not be accompanied by the elimination of achieved ones. R. Waelder (1967) stated that progress has victims as well as beneficiaries. Psychopathology consists of complex psychological mechanisms and developmental factors, which, although they can now be demonstrated by cerebral radiography, must still be recognized as the center of therapeutic efforts. The opportunity is greater than ever to achieve an integration of our combined knowledge of brain and mind. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Last Philosophical Behaviorist: Content and Consciousness Explained Away.

Rejoinders to Robert Bishop, John Smythies, and Edmond Wright concerning my paper Phenomenology in Absentia: Dennett's Philosophy of Mind. The untoward social and moral consequences of Daniel Dennett's heterophenomenology (programmatic phenomenology denial) are documented. Rhetorical methodology, fallacious reasoning, and lack of empirical support for a philosophical abolition of consciousness and phenomenology are exposed. Consciousness denial by Dennett is shown to proceed by the same fallacious method involved in his phenomenological nihilism. Additional arguments are adduced against the presumed nonexistence of veridical and non-veridical percepts, as interpreted by elementary science of perception, and as this implicates a more general critique of naive realism and its applications to such hypothetical scenarios as our actual existence within cranial vats and the so-called inverted spectrum argument devolved from Locke. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attachment disorganization and the controlling strategies: An illustration of the contributions of attachment theory to developmental psychopathology and to psychotherapy integration.

Attachment theory may be instrumental in providing a framework for psychotherapy integration, but to cope with the complexities of clinical realities it should be considered within an overall evolutionary approach to the basis of human interpersonal behavior and also in the perspective of developmental psychopathology. To illustrate these premises with materials that can be of immediate interest to practicing psychotherapists, this article focuses on the example of the clinical applications of research findings on attachment disorganization and its developmental sequels. The controlling strategies that usually follow in the preschool years infant disorganized attachment illustrate the relevance of considering the dialectics and the dynamic tensions between attachment motives and other evolved motives such as caregiving and dominance–submission. The role played by the disorganized-controlling strategies in psychopathological developments and in the relational dilemmas that often characterize the psychotherapy of difficult patients is discussed and exemplified through two clinical vignettes. It is argued that the model based on attachment disorganization and controlling strategies relies on concepts that are understandable and potentially acceptable to psychotherapists of different orientations. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Clinical work with limited English proficiency clients: A phenomenological exploration.

Because of an increasing number of immigrants to the United States, many clinicians are faced with challenges and opportunities presented in working with clients through language interpreters. This article describes a phenomenological investigation focused on the processes related to therapy with limited English proficiency (LEP) clients through interpreters. The focus of the study was on clinicians' perceptions regarding professional and personal factors influencing services with LEP individuals, as well as contextual aspects of this work. In addition to highlighting specific characteristics and training needed for clinicians and interpreters who work with LEP clients, the readers will also learn about systemic changes that could improve the provision of mental health care to these clients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Introduction to the special section on attachment and psychopathology: Part 1.

Research derived from attachment theory has generated a rich and rapidly growing body of findings on the importance of early caregiving experience in the development of psychopathology and in the promotion of adaptation. This special section presents research and scholarship on the relation of attachment status to psychiatric classifications and diagnosis in child, adolescent, and adult populations. Included as well are articles that explore the cross-generational transmission of attachment patterns and investigate the relation of attachment status to response to psychotherapy. These articles are representative of the notable impact that attachment theory and research are making in the field of developmental psychopathology. The special section is intended to help bridge the gap between thinking about attachment and clinical research and intervention. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The future of psychotherapy integration: A roundtable.

This article provides a compilation of forecasts on the future of psychotherapy integration from 22 prominent figures in the integration movement. Contributors succinctly addressed questions on desirable practice, research, theoretical, and training directions for the movement. Contributors also responded to the question, What would you like the field of psychotherapy integration to look like in 25 years? (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Schizophrenia and the collapse of the dialogical self: Recovery, narrative and psychotherapy.

Asks the questions: How do personal narratives disintegrate in schizophrenia, and how should narrative issues in schizophrenia be addressed in individual psychotherapy? To examine these issues, this article presents a case analysis of 19 Ss suggesting that narratives in schizophrenia are compromised when internal dialogue either dissolves into cacophonous disarray or becomes too singularly and rigidly organized. It is suggested, therefore, that one way psychotherapy may be useful to persons with schizophrenia is to facilitate the reemergence of internal dialogue through external dialogue. In particular, psychotherapy can assist persons with schizophrenia to develop a narrative that allows for recovery by creating a context for increasing self-awareness and agency. The authors propose that, in the midst of the ongoing development of numerous psychosocial treatments for schizophrenia, the ability to facilitate narrative coherence may represent a unique psychotherapeutic contribution to recovery for persons with this condition. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The self in context: Implications for psychopathology and psychotherapy.

Views of the self differ in individualist and collectivist cultures. Independence and uniqueness are valued in the former, whereas interdependence and social context are valued in the latter. When there is more than 1 culture in the same context, the competent individual learns to become bicultural. Intrapersonal influences are more prominent in determining psychopathology in individualist contexts, whereas interpersonal influences are more prominent in collectivist contexts. Psychopathology among persons who are bicultural may be determined by both intrapersonal and interpersonal influences. Western psychotherapy has emphasized intrapersonal bases of psychopathology. However, the intrapersonal and bicultural context of psychopathology must be considered for psychotherapy to be appropriate with persons who have been socialized to be interdependent, including ethnic minority persons. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The secure-base hypothesis: Global attachment, attachment to counselor, and session exploration in psychotherapy.

This study explored J. Bowlby's (1988) secure-base hypothesis, which predicts that a client's secure attachment to the therapist, as well as the client's and the therapist's global attachment security, will facilitate in-session exploration. Volunteer clients (N = 59) and trainee counselors (N = 59) in short-term therapy completed the Experiences in Close Relationship Scale (K. A. Brennan, C. L. Clark, & P. R. Shaver, 1998) as a measure of adult global romantic and peer attachment orientations; the Client Attachment to Therapist Scale (B. Mallinckrodt, D. L. Gantt, & H. M. Coble, 1995) as a measure of attachment to counselor; the Working Alliance Inventory (A. O. Horvath & L. Greenberg, 1989) as a measure of working alliance; and the Session Evaluation Questionnaire-Depth Subscale (W. B. Stiles & J. S. Snow, 1984) as a measure of session depth. In line with Bowlby's hypothesis, the findings suggest that session depth is related to the client's experience of attachment security with the counselor and that counselor global attachment moderates the relationship between client global attachment and session exploration. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Ego disjunction: A failure to replicate Trehub's results.

Previous research had demonstrated a linear relationship between ego disjunction (the result of incompatible, conflicting needs, as measured by the EPPS) and severity of psychopathology. These results were not cross-validated. The MMPI turned out to be more effective than the EPPS in discriminating psychotics from nonpsychotics. Explorations for these findings are offered. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Between conviction and uncertainty: Philosophical guidelines for practicing psychotherapists.

Reviews the book, Between conviction and uncertainty: Philosophical guidelines for practicing psychotherapists by Jerry N. Downing (see record 2000-08722-000). In this book, the author aims to provide a meta-analysis of the array of theories available to the practicing psychotherapist: that is, to provide a "theory about theories" in the hope of giving the psychotherapist a guide for better understanding what it is that goes on in therapy. Downing begins by working through several basic questions. First, he considers what therapists actually know about therapy. Downing concludes that theories of psychotherapy are likely to continue to evade scientific proof, mainly because they do not easily lend themselves to disproof. This bleak view of what we actually know about what we do in psychotherapy leads Downing to reflect on what it is that we could possibly discover or know about therapy, and here his inquiry turns epistemological. Downing suggests that therapists are guided by a kind of epistemology in action. That is, therapists may best be described as loosely following an organizing scheme throughout a therapy. Downing refers to these six schemes as lived modes of knowing. Downing then discusses each of the six, providing illustrations of what they might mean in practice. Downing presents a plausible account of what may occur in therapy and of how many therapists may work. However, his argument seems to be unnecessarily drawn out. Unfortunately, rather than lend support and inform, the breadth of topics and issues obscures his project. And, beneath it all, we are left wondering what we actually know about psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A transvaluation of psychotherapy: a reply to Hans Eysenck.

In an attempt to answer Eysenck's contention that "the figures fail to support the hypothesis that psychotherapy facilitates recovery from neurotic disorder," the author re-examines three vital questions: What is psychoneurosis? What is psychotherapy? and What is improvement or recovery? (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The differential effectiveness of group psychotherapy: A meta-analytic perspective.

The differential effectiveness of group psychotherapy was estimated in a meta-analysis of 111 experimental and quasi-experimental studies published over the past 20 years. A number of client, therapist, group, and methodological variables were examined in an attempt to determine specific as well as generic effectiveness. Three different effect sizes were computed: active versus wait list, active versus alternative treatment, and pre- to posttreatment improvement rates. The active versus wait list overall effect size (0.58) indicated that the average recipient of group treatment is better off than 72% of untreated controls. Improvement was related to group composition, setting, and diagnosis. Findings are discussed within the context of what the authors have learned about group treatment, meta-analytic studies of the extant group literature, and what remains for future research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)