Revolutions in psychoanalytic theory of lesbian development: Dora to dykes and back again.

Nowhere is the therapeutic action in psychoanalytic theory, away from Freud and back again, more striking than in the realm of homosexuality. Theories of lesbian development have evolved to appreciate the complexity of sexuality and gender as expressed in sexual object choice, foregrounded within psychoanalysis by proponents of relational and intersubjectivity theories. In this article, I argue that it was not until psychoanalysis came to embrace this complex and contextualized understanding of homosexuality that therapists could become curious with patients about conflict-based aspects of their homosexual selves without risk of pathologizing. I elaborate the ways in which contemporary psychoanalytic theories of lesbian development have provided a theoretical context from which therapists may allow ideas of drive, conflict, and object relations to inform and to advance work with their lesbian patients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The management of sexualized transference and countertransference with older adult patients: Implications for practice.

For a variety of reasons, psychologists are beginning to see an increasing number of older adults in their practice. However, the sexualized transference and countertransference sometimes encountered with older adult patients can foster therapeutic impasse and resistance in treatment among both novice and experienced therapists. Societal taboos and therapy within the context of institutional settings (e.g., nursing homes) can make the management of these dynamics particularly challenging. Although difficult to broach, an analysis of sexualized dynamics can provide valuable information regarding an elderly patient's sense of intrinsic value, beliefs about power and agency, and difficulties with or desires for emotional intimacy. Case examples and implications for practice are presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Client diversity.

This article reviewed the empirical support for customizing the therapeutic relationship for women, ethnic minorities, gay, lesbian, and bisexual persons, and individuals from lower social classes. Specifically, we examined whether evidence existed that these populations fared less well in treatment than mainstream populations, whether matching of therapists with client demographics (i.e., gender, ethnicity, sexual orientation, and socio class) improved outcomes, and whether population-specific strategies improved treatment outcomes with members of these groups. We found that, in general, there was a paucity of research on treatment outcomes with these populations. Moreover, the available research had methodological limitations. Most studies were effectiveness rather than efficacy studies. Finally, most suggestions for improving treatment outcomes with these groups were not based on empirical research. Based on our review, we offer suggestions for therapeutic practices. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The effects of full-day and half-day workshops for health care providers in techniques for increasing resistant clients' motivation.

Are psychotherapy training workshops worth the time and money? The current study examined the effectiveness of 3-hr and 6-hr versions of a workshop for health care providers in techniques for increasing motivation in resistant clients. Role plays were used to examine pretraining and posttraining behavior of graduate student and clinician participants from various health care fields. Both workshops were associated with higher levels of workshop-consistent behavior and lower levels of workshop-inconsistent behavior. Degree status (student or clinician) and openness to the material were not related to these changes. Results suggest potential guidelines for clinicians to determine whether a training opportunity would be useful. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Look, look again!

Building a practice involves the development of ongoing relationships and mutual understanding of roles and responsibilities. Knowledge gathered through organizational assessment provides a way of checking out assumptions and is value added for both client and consultant. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

强化高危及重要客户供用电安全管理

结合实际工作,阐述重要用户安全用电管理的原则和要求,并提出加强前期管理和日常管理的具体措施。     

The expression of parental identifications in lesbian mothers' work and family arrangements.

This paper employs a multiple case study approach to explore the complex influences of parental identification on lesbian mothers' decisions about paid work and family life, and on their comfort with those decisions. Through four clinical research vignettes, we describe the breadth of experience observed in a sample of 13 lesbian women assembled as part of a larger study (Stuart, 2007) exploring the psychology of conflict between paid work and motherhood. A psychoanalytic theoretical perspective and research approach allow us to argue against some oversimple conceptions of lesbian motherhood advanced by other theorists and researchers. Variations in lesbian mothers' work-family arrangements cannot be explained in terms of either egalitarian relations between two maternally identified partners, or more traditional relations between one maternally identified and one paternally identified partner. Like heterosexual women, lesbians express a mixture of maternal and paternal, female and male identifications through varied arrangements of paid work and family life. However, lesbian mothers may be somewhat more reluctant than heterosexual mothers to acknowledge either current conflict around work and motherhood or its roots in personal history. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

When the shoe is on the other foot: A qualitative study of intern-level trainees’ perceived learning from clients.

Twelve trainees (3 men and 9 women) who had recently completed predoctoral internships at a university counseling center were interviewed about what they had learned from clients. Data were analyzed using a consensual qualitative research method. Participants reported learning things about doing therapy, themselves, client dynamics, human nature, the therapy relationship, and the usefulness of supervision. In addition, participants highlighted the importance of consultation and self-reflection to help them recognize what they learned. Implications for practice and research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Balancing dangers: GLBT experience in a time of anti-GLBT legislation.

In the past few years, 26 states have changed their constitutions to restrict marriage to one man and one woman. There has been little research on the psychological effects of this political process on gay, lesbian, bisexual, and transgender (GLBT) people. In this qualitative project, 13 GLBT people were interviewed about their experience during the process of a constitutional amendment. A grounded theory analysis of these semistructured interviews was conducted. The core category, or central finding, was GLBT people need to balance the dual dangers of engagement with GLBT advocacy and self-protection through withdrawal. Other findings focused on the experience of living in a context of painful reminders that one is seen as less than human by the government and public, and in which one's life is frequently and publicly misrepresented to advance hostile political campaigns. Social support and a process of self-acceptance helped participants to face their fears of isolation, discrimination, and aggression and to fight for social justice. (PsycINFO Database Record (c) 2010 APA, all rights reserved)