Self-disclosure in treatment: What therapists do and don't talk about

In contrast to the traditional view that sees therapist self-disclosure as a form of countertransference acting-out that either makes the therapeutic process more difficult or subverts it completely, this paper will present a self psychological rationale for the selected use of therapist self-disclosure in treatment. It will discuss the nature of therapist self-disclosure, issues in its use, countertransference issues, and its evaluation.     

Midlife Changes

Abstract

The life stage that ranges from approximately age forty to sixty-five in human development is a time of major changes for both men and women, yet this time frame is often neglected or de-emphasized in the intervention context. This article reviews the philosophical, biological, cultural, psychological, and social areas of human development in mid-life. These factors are identified and practice suggestions are made as we enter the new millennium.     

Self-hatred,the right to a life,and the tasks of mid-life

In this article the developmental tasks of mid-life are explored. The difficulty that self-hatred brings to the mid-life passage and the contribution of both separation guilt and survivor guilt to self-hatred are discussed. Clinical work with a mid-life woman struggling to believe that she has a right to a life is presented.     

Male Infertility: Integrating an Old Psychoanalytic Story with the Research Literature

Male infertility, different from female infertility, is characterized by anxiety about sexual adequacy, potency, and manliness. This assault on a man's sense of self revives feelings of competition, castration, and experiences of developmental trauma. In this article we review the literature on male factor infertility and its relationship to psychogenic impotence and to psychological fertility in the larger sense. We also discuss spermatogenesis, sperm donation, and the emotional implications for men of the new reproductive technologies. Finally, we consider the effect on the couple relationship and the value of psychological treatment.     

The role of attachments in female adolescent development

Traditional theories of normal adolescent development have incorrectly underscored the importance of the individuation as the psychological goal. This paper will discuss how adolescent girls use their relationships to clarify their identity and differentiate themselves from their families of origin. Girls use friends, as journals, to achieve self differentiation in the context of their relationships. The clinical implications of this newer model, with its emphasis on attachments rather than on separation, will be considered, and group therapy recommended as the treatment of choice for adolescent girls.She is also in private practice in individual and group therapy.     

Attachment Styles and Self‐Image in Turkish Adolescents

The purpose of this article is to examine the attachment styles and the relation of these styles to the self‐image in Turkish adolescents. The study included 378 adolescents (196 females and 182 males) from high schools with different socioeconomic status (SES) who were administered Relationship Scale Questionnaires and Offer Self‐Image Questionnaires. The findings indicate that adolescents from a low SES had significantly low scores on self‐image scales compared with those from high and middle SES. It was found that secure attachment patterns affect social relationships and superior adjustment aspects of self‐image positively. The results of this study show that attachment patterns play an important role in the development of the self‐image, which is a crucial psychological structure gained in adolescence.     

Silence, Its Use and Abuse: A View from Self Psychology

This article seeks to explore the use and abuse of silence in the therapeutic process. A review of its many meanings will be illustrated by brief excerpts from case material, demonstrating that silence is a fertile mode in which the self may be enriched and strengthened. Silence can be understood as the source of quiet growth in which distortions of the self can be reflected upon and then transformed through greater recognition of opportunity and choice. It is the intention of this note to stimulate discussion of silence from the view point of other theories, as well.     

The Money Taboo: Its Effects in Everyday Life and in the Practice of Psychotherapy

A cultural taboo regarding discussion of money affects psychotherapists as well as the lay public. As a result, the psychological literature regarding money is sparse while issues relating to money are seldom addressed in our training, our self analyses, or the treatment of our patients. This article cites some of the literature that does exist, discusses the reasons for and effects of the money taboo, provides a psychological definition of money, and offers some case material that should help to focus thinking about money through the lens of psychodynamic, object relations, and self psychological theories.     

Uncomfortably Numb: Countercultural Impulses in the Postmodern Era

Informed by 1960s research suggesting that early signs of emerging social psychological trends are visible in countercultural groups, the article uses in-depth interviews and participant observation to explore the attitudes of the “Freaks”—a group of countercultural students. Finding that they express pessimism and cynicism, rejection of metanarratives and fragmented identities, the article suggests some comparisons between the Freaks' attitudes and those held by their 1960s predecessors and elaborates on the meaning of these attitudes in light of contemporary theoretical debates about a postmodern self.     

Why Do Black Men Suffer from Low Self‐Rated Job Productivity? A Multi‐Theory Approach*

This article uses data from a national representative employer–employee matched dataset to assess the race/sex disparity in workers’ self‐rated productivity levels. Findings show that a significant proportion of black men report that they cannot achieve high job productivity. We conduct regression analyses based on human capital, social closure, and social psychological models to identify the specific mechanisms that account for black men’s low self‐rated job productivity. We find that social psychological work relational issues such as closeness of supervision and job evaluation explain the race/sex disparity in self‐rated productivity. Findings are considered in the context of emergent intersections of race and gender in accounting for disparities in workplace outcomes.     

The Political Economy of Special Educational Needs in Britain

This article raises questions as to how far young people regarded as having special educational needs or disabilities are prepared for participation in the economy. It focuses on those aspects of the further education curriculum that emphasises skills, and the development of National Vocational Qualifications which emphasise competences. Those with special educational needs or disabilities are part of a larger group of young people to be 'managed' as a workforce if there is work, and all are urged that the way to find employment is by constant investment in the self by the acquisition of skills and competences. The article contends that those labelled as special will find more difficulty in collecting meaningful skills and competences, and those in charge of new accreditation systems have made it clear that few concessions will be offered to this group.     

Dance therapy and self psychology

In this paper I will introduce the basic concepts of dance therapy and show how dance therapy could be viewed self psychologically. A clinical example will be presented, discussed and critiqued utilizing self psychological concepts. A brief discussion will follow that appraises the potential of blending self psychology and dance therapy together. This is a speculative paper but it may provide a basis to further develop self psychology within dance therapy.     

Adjustment to disability

This article will focus on the biopsychosocial challenges encountered when an individual is disabled at an early age as well as when an individual acquires a disability later in life. Two case examples will focus on the adaptations/life choices that are necessary to adequately meet psycho/social/developmental needs and enhance individual self esteem. The case of Rita, a woman who lost her hearing at age two, highlights the importance of integrating a biopsychosocial approach to understand the multiple challenges and adaptations of individuals who are disabled at an early age. Laureen, a woman who acquired a spinal cord injury during her late teen years, described her struggles as a young adult adapting to a physical disability. Both cases highlight the importance of integrating an ecological/systems framework focusing on a biopsychosocial perspective, emphasizing the interrelationship between biological, psychological, social, technological, cultural and political factors.     

Differentiation of Self and the Process of Forgiveness: A Clinical Perspective for Couple and Family Therapy

In this article we explore the role of differentiation of self in facilitating forgiveness in the context of couple and family relationships. Differentiation is defined from the Bowen perspective as the ability to connect with others without being excessively emotionally reactive to the ebb and flow inherent in all significant relationships (being able to connect to others yet also being able to self‐regulate). Forgiveness is described as the releasing of an emotional injury via a complex psychological and relational process that is less an act of will than a discovery or possibility through understanding and empathy. Differentiation of self is related to emotional intelligence and empathy. The developmental and relational benefits of such are illustrated and discussed. A rationale for viewing differentiation and forgiveness in a contextual, historical, and relational attachment paradigm is suggested. Relevant clinical cases illustrate the dynamics of differentiation and forgiveness as discovery in the context of an understanding and empathic relational environment.     

Understanding the placebo effect. Part 1: placebo use in clinical trials

The concept of a placebo-what it is, what it does, and how it works-is very complex. In this article, I discuss some important aspects of the placebo effect on the basis of clinical research studies in pharmacology. The prevalence and magnitude of a placebo effect depend on how the clinical-placebo effect is measured, the characteristics of the condition being studied, and the experimental or clinical context in which the placebo is administered. Although the placebo effect is real, placebos are unlikely to work as effectively in real-world settings. Next month's article will describe important findings about the psychological and neurobiological processes that underlie the placebo effect.     

Choosing Family: Meaning and Membership in the Lesbian Family of Choice

SUMMARY

This conceptual/theoretical article uses the psychodynamic Self Psychology model for the development of a vital, harmonious, and cohesive self to describe and understand the psychological importance of family for lesbian women. How can a healthy lesbian self be developed, nurtured, and maintained in an oppressive sexist and homophobic world? Family relationships are shown to fulfill the three fundamental psychological functions that sustain the lesbian self. In the absence of genetic and/or legal criteria, the basis on which someone is considered “family” is explored.     

The development and disturbance of emotions: An application of self psychology to clinical work with children

This article applies self psychology, as developed by Heinz Kohut, to clinical work with children. It begins with a brief summary of self psychology as a theoretical framework, focusing on the role of selfobjects in the development of the self. Then, the role of selfobjects in the development and disturbance of emotions is discussed. The paper concludes by describing the treatment implications of the self psychological perspective for clinical work with children, illustrating them through three case vignettes, and identifying certain questions for further inquiry.     

The Importance of Authenticity for Self and Society

The transition from industrial to postindustrial society and from modern to postmodern culture has led to increased interest in authenticity. Such interest is widespread not only among those studying changes in social structure and culture but also among those who adhere to the social psychological tenet that self reflects society, and society, the self. In this article, I specify how issues of authenticity have become a pervasive part of our culture, our institutions, and our individual selves. Building on both Rosenberg and Turner, I conceptualize authenticity in terms of a commitment to self-values. The relevance of this conceptualization is illustrated, first by demonstrating its implications for identity theory and second through its implicit use by others writing about the contemporary experience of being oneself. I conclude with a discussion of how this approach to authenticity may be used by social scientists to better conceptualize self in a way that explicitly incorporates the cultural implications of today's postindustrial society.     

What Do We Do When We Discuss? A Micro‐genetic Analysis of Couples’ Conflict

This article focuses on dialogic discursive dynamics present in couples’ conversations about unresolved conflicts. The phenomenon of conflict is addressed as a semiotically mediated process of co‐construction of the self and the relationship. The purpose of this article is to report on patterns of meaning construction in couples’ conflict, with the identification of strategies that promote or hinder resolution. A qualitative exploratory approach was used to focus on the interactional process at the micro‐processing level. Eight married couples participated in the study. The procedure considered asking the couple to discuss unresolved conflict. Recorded data of couples’ dialogues were transcribed to text and assessed through semiotic analysis using a microgenetic protocol (Molina, Del Río, & Tapia, 2015). The results document the use of strategies for conflict regulation such as psychological distancing, opposition, and generalisation on the border between protecting the bond and regulating tension. The dynamics of non‐resolution manifested in polarisation and rigid patterns with increased tension. The ‘in‐motion’ nature of dialogue about conflict is pushed by the semiotic tension that induces variations in subjective positions manifested in speech and actions.     

Prevention, health and safety program in companies provide a more successful and healthier workplace

This article describes the importance of injury prevention in the workplace and the status of this issue in Iceland. Using a theoretical approach, this article examines workers' psychological and physical health, as it is affect by work. The article seeks to answer the question, "What methods are appropriate when health and safety management is of primary importance in the workplace?" Finally, the article will explain the condition of these matters in Iceland, and will also discuss how one measurement strategy, called "Workplace Analysis", uses performance indicators to demonstrate the effectiveness of health and safety consultations. This tool has been developed by Solarpexus. It is important to analyze the work environment, set goals, and measure results.