Exploratory Theory Development of the Moment-to-Moment Therapeutic Relationship: Can Infant–Mother Research Help?

PsycCRITIQUES ◽  
2011 ◽  
Vol 56 (16) ◽  
Author(s):  
Timothy Anderson ◽  
Peter MacFarlane
2021 ◽  
Author(s):  
Michael May ◽  
Arne Schäfer

he now second, updated and expanded edition of the textbook first establishes the importance of theory for social work research and practice After offering an outline of the historical development of theory in this field, it presents the most important theories used in social work at the moment. The book presents approaches related to systems theory, power and discourse analysis, and psychoanalysis, plus lifeworld-oriented and feminist approaches as well as those related to coping strategies and to a materialistic–dialectical theory of critical social work, including elements provided by the capability approach. It is rounded off by a systematic comparison of the theoretical approaches and an outlook on theory development in social work. With contributions by Maria Bitzan, Margret Dörr, Cornelia Füssenhäuser, Fabian Kessl, Michael Klassen, Michael May, Arne Schäfer, Silvia Staub-Bernasconi, Michael Winkler and Holger Ziegler.


Author(s):  
Kay Redfield Jamison ◽  
Adam Ian Kaplin

In addition to knowledge, a physician’s ability to engage and persuade through compassionate understanding and therapeutic optimism is an indispensable skill that may determine the ultimate outcome of their patient’s illness and health. From the moment a patient is first given a psychiatric diagnosis, they embark on a path to combat personal anguish, social isolation, and stigma in an effort to regain mastery of their life. The interaction between doctor and patient and the mutual communication and trust that underlie their therapeutic relationship are at least equal in importance to the efficacy of any medication that can be prescribed. As mental health information technology evolves and becomes ever more present during clinical encounters, the importance of understanding the patient’s perspective will be critical to physicians who want to preserve what is irreplaceable and therapeutically critical to the doctor–patient relationship.


Author(s):  
Harry Joseph Aponte

AbstractThis paper is based on the premises that the conscious, active and purposeful use of self by the therapist in the therapeutic process is an essential aptitude in establishing an effective therapeutic relationship, and that this therapeutically purposeful use of self can and should be incorporated in the training of all therapists in a explicitly systematic manner. The paper will attempt to identify the contributions of the “what and how” the use of self by therapists contributes to the therapeutic process. First of all, therapists’ use of self is meant to be viewed as a Common Factor as defined by Sprenkle, Davis & Lebow (2009), which is a perspective about the effectiveness of therapy that “asserts that the qualities and capabilities of the person offering the treatment are more important than the treatment itself” (p. 4). Secondly, the use of self by therapists emphasizes developing the skill set of the therapist in the conscious, active and purposeful use of self as is in the moment of the therapeutic engagement with clients, and does so without denying the importance of therapists working to resolve personal issues of theirs that may interfere with the therapist's professional effectiveness. Therapists’ use of self gives particular emphasis to the purposeful use of self as is in therapy’s relationship, assessment and interventions whatever the therapy model (Aponte & Kissil, 2016). Thirdly, the use of self represents an aptitude that can be developed and refined through well elaborated structures for schooling therapists in the therapeutic use of all they bring of their personal selves to the therapy relationship including through the use of their human vulnerabilities as they exist at the moment of empathic engagement with clients.


2011 ◽  
Vol 17 (1) ◽  
pp. 16-21 ◽  
Author(s):  
Michael Trout

In the nuanced exchange between mother and baby—with its exquisite attunement, which we now know creates neurobiological changes in both parties—we see a metaphor for the therapeutic relationship in health care. To the extent that the mother is fully present, the infant is not only regulated in the moment, but also learns to self-regulate. What is the power of the nurse’s presence to heal and to increase the patient’s participation in healing? And where does a nurse reach for this critical health care tool?


2021 ◽  
Author(s):  
Julia Moeller ◽  
Jaana Viljaranta ◽  
Asko Tolvanen ◽  
Bärbel Kracke ◽  
Julia Dietrich

This study introduces a new theoretical model describing the moment-to-moment development of expectancy-value experiences, based on dynamic systems concepts. As a first step to testing this model, we examined whether task values and success expectancies measured in a learning situation (time point t) predicted themselves and each other at the next situation (t + 1).Situational task values and expectancies were assessed using the experience sampling method in 155 University teacher training students during weekly lectures for one semester, with three surveys during each weekly lesson. Data were analyzed with a multilevel cross-lagged structural equation model.Expectancies and task values were concurrently correlated within situations. Expectancies showed rank-order stability for from one learning situation to the next, whereas task values did not. No cross-lagged effects between expectancies and most task values were found.We expect the proposed dynamic situated expectancy-value model to have a substantial impact on further theory development.


2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Patricia Preston-Roberts

For many years Dr Diane Austin has been developing a very special use of the voice in her practice as a music psychotherapist. The transformational aspects of this approach have been witnessed by colleagues who have heard Diane present at conferences or have read of her work in various publications. There are now further opportunities for colleagues to find out more about her work by reading her recent book or participating in her trainings. On behalf of the editors of the series of interviews for Voices I am delighted to be able to introduce this interview with Diane by one of her colleagues Patricia Preston-Roberts. There is also a linked audio example. In the interview Diane explains how her approach evolved and she identifies some of the key features of the work. She provides some links to the theories underpinning her practice and talks very openly about some issues of countertransference that arise as part of this very powerful and profound way of working. Throughout the interview we are aware how all aspects of the voice have an enormous influence on the development of a warm and trusting therapeutic relationship. From the moment a client enters Diane's consulting room it is clear that her deep and empathic listening ability enables her to make connections to every vocal nuance, whether spoken or sung. As she points out "the whole session" can be viewed "as an improvisation."


Author(s):  
Robert D. Friedberg ◽  
Sarah Tabbarah ◽  
Rosa M. Poggesi

AbstractCognitive behavioural therapy (CBT) with youth owns a solid and growing empirical literature base. CBT also recognizes the contribution a good therapeutic relationship makes to favourable treatment outcome. However, it is argued that the therapeutic relationship is insufficiently operationalized and the extant definitions neglect the role of therapeutic presence, immediacy, and transparency. Indeed, presence, immediacy, and transparency represent critical elements in creating the necessary therapeutic alchemy leading to propitious symptom change. Accordingly, therapeutic presence, immediacy, and transparency are defined and explained. Additionally, clinical parameters for using presence, immediacy, and transparency in clinical encounters with young patients are articulated. Finally, these crucial processes pervade cognitive behavioral modules such as self-monitoring, cognitive restructuring and behavioural experiments/exposures are explicated through specific examples and therapeutic dialogues.


Author(s):  
A. V. Crewe

The high resolution STEM is now a fact of life. I think that we have, in the last few years, demonstrated that this instrument is capable of the same resolving power as a CEM but is sufficiently different in its imaging characteristics to offer some real advantages.It seems possible to prove in a quite general way that only a field emission source can give adequate intensity for the highest resolution^ and at the moment this means operating at ultra high vacuum levels. Our experience, however, is that neither the source nor the vacuum are difficult to manage and indeed are simpler than many other systems and substantially trouble-free.


Author(s):  
Burton B. Silver

Sectioned tissue rarely indicates evidence of what is probably a highly dynamic state of activity in mitochondria which have been reported to undergo a variety of movements such as streaming, divisions and coalescence. Recently, mitochondria from the rat anterior pituitary have been fixed in a variety of configurations which suggest that conformational changes were occurring at the moment of fixation. Pinocytotic-like vacuoles which may be taking in or expelling materials from the surrounding cell medium, appear to be forming in some of the mitochondria. In some cases, pores extend into the matrix of the mitochondria. In other forms, the remains of what seems to be pinched off vacuoles are evident in the mitochondrial interior. Dense materials, resembling secretory droplets, appear at the junction of the pores and the cytoplasm. The droplets are similar to the secretory materials commonly identified in electron micrographs of the anterior pituitary.


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