The Cultural Context and the Psychotherapeutic Process: Toward a Culturally Sensitive Psychotherapy.

Cross-cultural psychotherapy has striven to refine its intervention strategies during the last 2 decades. However, many authors have noted that these advances seem disconnected from each other and from traditional psychotherapeutic approaches. This article offers a conceptual framework that groups very diverse psychotherapeutic approaches into 3 broad categories according to some of their basic assumptions. Some cross-cultural psychotherapeutic models are also located within these 3 categories as a means to link different and apparently fragmented cross-cultural models to traditional psychotherapeutic models. It is argued that the proposed conceptual framework allows clinicians to intervene in a more effective manner than if these different psychotherapeutic models remained fragmented and disconnected. The proposed conceptual framework allows clinicians to benefit in a coherent manner from the advantages of different psychotherapeutic recommendations. Finally, the psychotherapeutic usefulness of this model is illustrated through a case presentation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Narratology, Cultural Psychology, and Counseling Research.

Narratological research is defined in relation to narrative theory and a cultural psychology perspective. Narrative concepts and methodology are explained, including the configural mode of understanding and principles of narrative analysis. Examples of application in psychological and counseling research are presented, with a discussion of issues of validity and voice. Suggestions are made on how narrative studies are to be evaluated. It is concluded that narratological research, with its focus on meanings and the storied nature of human life, can be especially useful in discovery research on identity development and the experience of counseling and life transitions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Self-Relations in the Psychotherapy Process.

Reviews the book, Self-Relations in the Psychotherapy Process by J. Christopher Muran (see record 2000-16556-000). The self is alive and well and living in psychology, at least if the contributors to J. Christopher Muran's stimulating volume, Self-Relations in the Psychotherapy Process, are to be taken seriously. The self is a central construct in psychoanalytic, humanistic, and cognitive-behavioral theories, but nowadays even some radical behaviorists find the self to be an important concept. Thus, the present is a propitious time for a book that presents the major theoretical approaches to the self in psychotherapy and, fortunately for us, Muran, by gathering the views of leading psychodynamic, humanistic, cognitive-behavioral, and radical behavioral thinkers, has assembled a volume of almost uniformly high quality. Inspired by postmodernism, especially by the growing popularity of dialogic and perspectival epistemologies, Muran has a constructed this book as a set of six dialogues among contributors of varying theoretical persuasions, and although I doubt that dialogic and perspectival epistemologies are necessarily postmodern, I nevertheless find that this volume's dialogic structure makes for interesting reading and adds to its intellectual contributions. Because Muran's contention, with which I agree, is that the self is not an isolated entity but rather part of a relational matrix, it is perhaps necessary for this book to be structured dialogically. Whether postmodern or not, this book is an important one, one that conveys a great deal about what it means to be human as we enter the 21st century. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cultural competence and psychotherapy: Applying anthropologically informed conceptions of culture.

The authors apply two contemporary notions of culture to advance the conceptual basis of cultural competence in psychotherapy: Kleinman's (1995) definition of culture as what is at stake in local, social worlds, and Mattingly and Lawlor's (2001) concept of shared narratives between practitioners and patients. The authors examine these cultural constructs within a clinical case of an immigrant family caring for a young boy with an autism-spectrum disorder. Their analysis suggests that the socially based model of culture and the concept of shared narratives have the potential to broaden and enrich the definition of cultural competence beyond its current emphasis on the presumed cultural differences of specific racial and ethnic minority groups. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Self psychology and the analysis of the superego.

The thesis of this article is that self psychology can be construed as a superego psychology in that both involve an intensive study of the self-regulatory and self-evaluative functions of the mind and their precursors in early object relations. Kohut's clinical contribution can be redefined in terms of the structural model as the delineation of the regressive, pathological, and healthy methods through which the ego attempts to restore the approval of the superego. Kohut's grandiose self can be seen as a precursor of the ego ideal and his idealized parent imago as a precursor of conscience. Conflict between the ego ideal and the conscience constitutes a vital aspect of intrapsychic functioning which self psychology has neglected in its focus upon developmental arrest. Sexual and aggressive aims play an important role in regaining the approval of the superego through their unique capacity to evoke a sense of the omnipotence of the corporeal self. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

In Defense of Cultural Competency in Psychotherapy and Treatment.

Cultural competency guidelines and policies are being widely established. Yet some critics have challenged the evidence for cultural competency and the lack of efficacy studies that demonstrate its outcomes. Various positions are examined that discuss cultural competency research. They include the need for more resources for research, scientific practices that overlook ethnic research findings, fruitfulness of theory-driven rather than population-based research, problems in defining cultural competency as a technique, and development of policies in the absence of research. Implications of these positions are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychotherapy integration in internships and counseling psychology doctoral programs.

Training directors from APA-accredited internships and counseling psychology doctoral programs reported on the status of doctoral training in psychotherapy integration. A mail survey was used to assess several areas related to psychotherapy integration, such as didactic and clinical training, faculty/staff theoretical orientation and hiring practices, student competency and evaluation, directors' beliefs about integrative/eclectic training, and internship admissions. Overall results show a positive attitude toward psychotherapy integration in predoctoral training and suggest that the foundations for further student development in psychotherapy integration exist. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Learning from the basics: Clinical implications of social, developmental, and cross-cultural study of the self.

This article serves as an introduction to a series aimed at informing psychotherapists about the current state of theory and research on the self across different domains of basic psychological science (i.e., social, developmental, and cross-cultural). The authors highlight several gaps in integration that continue to exist both within the field of psychotherapy, and across psychology as a whole and argue that such chasms serve to limit the applied utility of an abundance of scholarly work. The self is then presented as a potentially unifying construct that may begin to address such chasms. The overarching goal of this special series is to attempt a direct stimulation of science and practice, as well as cross-discipline integration, by presenting the clinical implications of the highly diverse study of the self. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Psychotherapy" Versus "Treatment".

Presents a comment on "Psychological treatments" (see record 2004-21168-001) by D. H. Barlow. Barlow proposed that we distinguish between the terms "treatment" and "psychotherapy." The author believes that not only is the distinction unnecessary, but that its implications could have negative consequences for the field of clinical psychology. It is the proposed distinguishing feature that treatments are "specifically tailored to the pathological process that is causing the impairment and distress" that is most problematic. Clinical psychology does not need a distinction that further exacerbates the split between researchers and practitioners. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical and counseling psychology: Some perspectives.

Both fields have similar historical roots and sources of impetus, both apply clinical methods, and both exhibit "a trend toward the relative devaluation of diagnosis." Each is "plagued by the proliferation of subspecialities"; both have been criticized recently for utilizing psychological testing; both suffer from a somewhat anemic and provincial technology. An investigation is described involving 12 major content categories in the attempt "to provide coverage for the total domain of the surface personality… ." Builders of personality tests have shown a common aversion for certain aspects of personality. "The optimal training of the counseling psychologist and of the clinical psychologist… is neither efficient nor optimal training for psychotherapy… ." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Knowing the self: Building a bridge from basic research to clinical practice.

The articles under discussion give promise that basic research information about the self can be translated into useful information for the clinical practitioner. Several issues were delineated that require more careful attention and research: (a) The self needs to be more clearly defined in both basic and clinical literatures; (b) the process of self-experiencing must be studied in conjunction with the study of the acquisition, functions, and developmental trajectories of self-concepts; and (c) the complexities of identity formation in multicultural societies must be factored into future research designs. Psychotherapists need to be aware that many patients have internalized self-related ideas from several different cultures and subcultures, and puzzling out these culture-based conflicts may become a significant focus of psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A cultural accommodation model for cross-cultural psychotherapy: Illustrated with the case of Asian Americans.

As an extension of F. T. L. Leong's (1996) integrative model, this article presents the cultural accommodation model (CAM), an enhanced theoretical guide to effective cross-cultural clinical practice and research. Whereas F. T. L. Leong's model identifies the importance of integrating the universal, group, and individual dimensions, the CAM takes the next step by providing a theoretical guide to effective psychotherapy with culturally different clients by means of a cultural accommodation process. This model argues for the importance of selecting and applying culture-specific constructs when working with culturally diverse groups. The first step of the CAM is to identify cultural disparities that are often ignored and then accommodate them by using current culturally specific concepts. In this article, several different cultural "gaps" or culture-specific constructs of relevance to Asian Americans with strong scientific foundations are selected and discussed as they pertain to providing effective psychotherapy to this ethnic minority group. Finally, a case study is incorporated to illustrate application of the CAM. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Self and object in the postmodern world": Response to Gene Bocknek’s letter.

Responds to Gene Bocknek's comments (see record 2009-17405-001) on the author's original article "Self and object in the postmodern world" (see record 1997-04589-001). While acknowledging Bocknek's comments in regard to his original article, the author maintains the position that he cannot find any disagreement between their viewpoints on the features of ego and the self. However, he does acknowledge that there is real disagreement between them on the subject of the intrapsychic versus interpersonal school or the ongoing discussion as to whether psychotherapy concerns a one-person or a two-person psychology. After restating his position on this matter, the author concludes by extending his appreciation to Bocknek for his comments. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cecil H. "Pat" Patterson (1912-2006).

Cecil Holden "Pat" Patterson, 93, passed away on May 26, 2006, at his home in Asheville, North Carolina. A fellow of APA's Divisions of Counseling Psychology (17), Rehabilitation Psychology (22), and Psychotherapy (29), Pat was elected president of APA Division 17 in 1972. In recognition of his lifelong commitment to the field, he received the Division 17 Leona Tyler Award in 1994. Cecil H. "Pat" Patterson will be remembered as much for his love of family and the genuine personal interest he took in everyone he met as he will for his outstanding professional achievements. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Inclusive cultural empathy for successful global leadership.

Empathy is reported in the research literature as a necessary factor in counseling and psychotherapy, but psychologists have historically interpreted empathy through an exclusively individual focus. Most of the research on empathy has been predicated on a definition of empathy as occurring when one person vicariously experiences the feelings, perceptions, and thoughts of another. In Western cultures, the study of empathy focuses exclusively on the individual, whereas in traditional non-Western cultures, empathy more typically involves an inclusive perspective focusing on the individual and significant others in the societal context. This article explores the reframing of “empathy,” based on an individualistic perspective, into “inclusive cultural empathy,” based on a more relationship-centered perspective, as an alternative interpretation of the empathic process. Psychologists are both the problem and the solution to this dilemma, and the authors call upon the field to take leadership in applying this “inclusive cultural empathy” model. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Making the case for a "practical psychoanalysis."

Reviews the book, Practical psychoanalysis for therapists and patients by Owen Renik (see record 2006-11156-000). This review of Owen Renik's Practical psychoanalysis for therapists and patients focuses on the author's invitation for contemporary clinicians to consider the role of therapeutic ambition, accountability and effective practice. The paper also explores the importance of learning through cases as foundational to the development of expertise and the capacity for innovation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cultural Sensitivity in Conventional Psychotherapy: A Comment On Martínez-Taboas (2005).

A. Martínez-Taboas (2005) presents a compelling case of a woman with psychogenic seizures treated with a combination of cognitive therapy and an affirmation of espiritismo, the belief among some Latino individuals in spiritual possession and intercession (see record 2005-03040-003). Martínez-Taboas's sensitivity to the cultural beliefs of the patient is commendable; however, integrating cultural sensitivity with more conventional treatment approaches offers the potential for an effective, more generalizable model of intervention. In this article, the author argues for a greater appreciation of culture-bound syndromes in clinical presentation. In addition, the utility of more culturally sensitive adaptations of existing treatment models is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social Workers and Psychotherapy.

The three papers, by Ausubel, Brody, and Kelly (February, 1956, American Psychologist) were both refreshing and illuminating. They brought to mind an incident of a number of years ago while I was taking graduate work in psychology. I was talking to one of my professors (a well-known and distinguished psychologist) about the American Orthopsychiatric Association. Toward the end of our discussion he commented more philosophically than bitterly, "Ortho is like a car with the psychiatrist in the driver's seat, the social worker next to him, and the poor psychologist in the back seat." Perhaps this may not have been a fair appraisal at that time (and I certainly do not believe that it applies today). However, I am inclined to think that outside of ortho, even among some of the more "mature" members of these disciplines, there may be considerable jockeying for position in the game known as, "Who Should Do Psychotherapy?" Although, as indicated by the authors, there are many indications of competitiveness between psychologists and psychiatrists, this phenomenon is further complicated by the feelings and attitudes of social workers, particularly those on clinic and hospital "teams" employing all three disciplines. It should be pointed out that in the usual mental hygiene clinic the bulk of the "treatment" is carried out by the social workers, probably for no more sinister reason than that there are more social workers than the total of both other disciplines in such clinics. One cannot help but wonder if in the next decade or two a plodding and less articulate dark horse called social work may not emerge as the leading contender in the scramble to corner the "psychotherapy market" while the more spirited fillies--psychology and psychiatry--knock themselves out in the race. (PsycINFO Database Record (c) 2010 APA, all rights reserved)