From Despair to Integrity: Using Narrative Therapy for Older Individuals in Erikson’s Last Stage of Identity Development

Adults aged 65 and over are a growing population in the United States today. This population is underrepresented in the mental health literature despite the high rates of depression and suicide. Additionally, the newest generation of older individuals is more likely to seek therapy than past generations, furthering the need for mental health professionals to be prepared for treating older individuals. Erikson in Childhood and society, Norton, New York, (1950) describes this time period as being critical in terms of the final identity crisis, integrity versus despair. Integrity is marked by a positive evaluation of the individual’s entire life, less anxiety about death, and a feeling of gaining wisdom. Individuals who do not resolve this crisis can manifest despair in a number of ways, including depression, anger, and regret. This model proposes utilizing Narrative therapy (White in Maps of narrative practice, Norton, New York, 2007) to understand how elderly individuals evaluate their lives in reference to their environment. The model utilizes externalization, unique outcomes, and re-membering conversations to unlock subjugated stories and promote integrity.     

Dyadic Traumatic Reenactment: An Integration of Psychoanalytic Approaches to Working with Negative Interaction Cycles in Couple Therapy with Childhood Sexual Abuse Survivors

Childhood sexual abuse (CSA) survivors often face difficulties in their intimate relationships and struggle to engage in the process of couple therapy. Recent research has demonstrated that the negative interaction cycles of CSA survivors are more complex and entrenched than those of couples who do not present with a history of trauma (MacIntosh in J Couple Fam Psychoanal 3(2):188–207, 2013). This paper integrates the psychoanalytic concepts of repetition and enactment into the concept of the negative interaction cycle as articulated by Emotionally Focused Therapy (EFT), to provide an expanded understanding of these deeply entrenched dynamics in which the traumas of the past are embedded. The complex repetitions of early traumas in the negative interaction cycle of the couple are referred to as Dyadic Traumatic Reenactments (DTR). Two contrasting case studies are used to illustrate these concepts.     

The Queer Utility of Narrative Case Studies for Clinical Social Work Research and Practice

The author uses a queer critical lens to analyze the marginalization of case study research in the evidence-based practice model of clinical social work. He argues that narrative case studies are necessary for the production of context-dependent knowledge about social work practice and asserts that the method offers particular utility in conducting queer inquiry. The method is explored in relation to its capacity to describe non-normative phenomena and the impact of normative cultural pressures on queer subjects. An abbreviated case study by the author is included to demonstrate these capacities.     

A Case for the Case Study: How and Why They Matter

In this special issue we have asked the contributors to make a case for the case study. The guest editors, Jeffrey Longhofer, Jerry Floersch and Eric Hartmann, intergrate ideas from across the disciplines to explore the complexties of case study methods and theory. In education, Gary Thomas explores the importance of ethnographic case studies in understanding the relationships among schools, teachers, and students. Lance Dodes and Josh Dodes use the case study to articulate a psychoanalytic approach to addiction. In policy and generalist practice, Nancy Cartwright and Jeremy Hardie elaborate a model for a case-by-case approach to prediction and the swampy ground prediction serves up to practitioners. Christian Salas and Oliver Turnbull persuasively write about the role of the case study in neuro-psychoanalysis and illustrate it with a case vignette. In political science, Sanford Schram argues for a bottom up and ethnographic approach to studying policy implementation by describing a case of a home ownership program in Philadelphia. Eric Hartman queers the case study by articulating its role in deconstructing normative explanations of sexuality. In applied psychology, Daniel Fishman describes a comprehensive applied psychology perspective on the paradigmatic case study. Richard Miller and Miriam Jaffe offer us important ways of thinking about writing the case study and the use of multi-media. Each contributor brings a unique perspective to the use of the case study in their field, yet they share practical and philosophical assumptions.     

A Proposal for Public Sociology as Localized Intervention and Collective Enterprise: The Makings and Impact of <Emphasis Type="Italic">Invisible in Austin</Emphasis>

What can local public sociology look like, and what does it accomplish? This essay tracks the origins, makings and impacts of the book Invisible in Austin to evaluate its model of public sociology: as a collective enterprise with a local aim. Invisible in Austin: Life and Labor in an American City, the culmination of a three-year collaborative qualitative research project between a professor and twelve graduate students, depicts social suffering as lived for 11 individuals in Austin, Texas—a booming, highly segregated city with one of the country’s highest levels of income inequality. In its design, production, and effects, it envisions public sociology in a two-fold sense—in its joint, horizontal making, and in its intent to intervene in the local public sphere to make visible the daily lived experience of social marginality for those whose labor allows Austin to survive and thrive as a hip, creative technopolis—house cleaners, office machine repairers, cab drivers, restaurant cooks and dish washers, exotic dancers, musicians, and roofers, among them. Reflecting on the origins of the book, its joint assembling, and its outcomes thus far, we take stock of the lessons learned. In so doing, we provide a rubric for evaluating the wide spectrum of possible impacts of a public sociological intervention: through direct and indirect audience engagements, on the project’s subjects, and on local public policy. This reflection concludes with three suggestions: to approach public sociology as collective enterprise, to take narrative seriously, and to seek wide exposure.     

Individualism and Marriage: Ideal Types for Making Sense of the Relationship between Self and Sacrifice

The question of how the individual and group relate is one that has long interested social theorists. Changes in family form and structure in the contemporary West resituate this question in a contentious public debate regarding how the prevalence of new family forms may contribute or be deleterious to the well-being of individuals and families. Sociological discourse on marriage and the family generally tends to mirror this debate by dichotomizing individualism and commitment and self and marriage, resulting in an obfuscation of our understanding of the forms and styles in marriage. In order to clarify and advance this discussion, we show how individualism and commitment are mutually required in a modern world. We follow this by outlining a logically-derived typology that, along with a committed individualist and a group conformer, includes two intermediate types: a self-regulator and a relationship negotiator. We empirically demonstrate the utility of these types by showing how they correspond with the ways that interviewees talk about marriage in six local congregations, and we suggest various social factors that may particularly impact the development of local marriage cultures. These types provide a theoretical frame for understanding how individualism and commitment are intertwined and require each other.     

Gender and Performance Capital among Local Musicians

This article extends Bourdieu’s field theory to explain how learning spaces in the Toronto folk and metal scenes create gendered access to a field-specific form of cultural capital: performance capital, or the instrumental and interpersonal skills required to perform music. Folk musicians develop performance capital in open-access spaces, such as workshops and open stages at local folk clubs, while metal musicians learn in private spaces such as garages, basements, and rented rehearsal rooms. Folk’s learning spaces are open to all aspiring musicians, while access to heavy metal’s learning spaces relies on social networks from which women are often excluded. These different processes of capital development can lead to greater or lesser opportunities for women to become cultural producers: In Toronto, women make up approximately five percent of heavy metal musicians, but almost half of practicing folk musicians.     

Psychodynamic Couple Therapy: A Practical Synthesis

This essay reviews the most significant contributions of psychodynamic thought to the field of couple therapy. It distills the work of numerous clinicians and researchers who, though writing from diverse perspectives, share fundamental assumptions and concerns. Rather than emphasizing differences between schools of thought, this paper mines their best contributions in a discussion of five central therapeutic targets: underlying issues, divergent subjective experiences, transferences, projective identification, and acceptance. Two detailed cases illustrate the benefits and techniques for targeting these five therapeutic domains. Video Abstract is found in the online version of the article .