Psychotherapy

Brief description of Freud's life and work, emphasising the role of fictive belief and experience (phantasy) in his account of mental disorder.

Homosexual aversion therapy enjoyed two brief but intense periods of clinical experimentation: between 1950 and 1962 in Czechoslovakia, and between 1962 and 1975 in the British Commonwealth. The specific context of its emergence was the geopolitical polarization of the Cold War and a parallel polarization within psychological medicine between Pavlovian and Freudian paradigms. In 1949, the Pavlovian paradigm became the guiding doctrine in the Communist bloc, characterized by a psychophysiological or materialist understanding of mental illness. It was taken up by (...) therapists in Western countries who were critical of psychoanalysis and sought more ‘scientific’ diagnostic and therapeutic methods that focused on empirical evidence and treating actual symptoms. However, their attitude towards homosexuality often played a decisive role in how they used aversion therapy. Whereas Czechoslovakian researchers cautioned readers about low success rates and agitated for homosexual law reform in 1961, most of their anglophone counterparts selectively ignored or misrepresented the results of ‘the Prague experiment’, instead celebrating single-case ‘success’ stories in their effort to correct ‘abnormal’ sexual orientation. In histories of queer sexuality and its pathologization, the behaviourist paradigm remains almost entirely unmapped. This article provides the most detailed study to date of aversion therapy literature from both sides of the East/West border. In doing so, it contributes to the project not only of ‘decentring Western sexualities’, but of decentring Western sexological knowledge. Given its Pavlovian origins, the history of homosexual aversion therapy can be fully understood only in the context of Cold War transnational sexological knowledge exchange. (shrink)

In ‘Psychotherapy, Placebos and Informed Consent’, I argued that the minimal standard for informed consent in psychotherapy requires that ‘patients understand that there is currently no consensus about the mechanisms of change in psychotherapy, and that the therapy on offer…is based on disputed theoretical foundations’, and that the dissemination of this information is compatible with the delivery of many theory-specific forms of psychotherapy (including cognitive behavioural therapy [CBT]). I also argued that the minimal requirements for informed consent do not include (...) information about the role of therapeutic common factors in healing (e.g., expectancy effects and therapist effects); practitioners may discuss the common factors with patients, but they are not part of the ‘core set’ of information necessary to obtain informed consent. In a recent reply, Charlotte Blease criticises these two arguments by claiming they are not supported by empirical findings about the therapeutic common factors. Blease’s response is based on serious misunderstandings of both CBT and what the common factor findings actually find. Nevertheless, addressing the reasons for these misunderstandings is instructive and gives us an opportunity to clarify what, exactly, needs to be explained to patients in order to obtain informed consent for psychotherapy. (shrink)

Recent clinical trials show that psychedelics such as LSD and psilocybin can be given safely in controlled conditions, and can cause lasting psychological benefits with one or two administrations. Supervised psychedelic sessions can reduce symptoms of anxiety, depression, and addiction, and improve well-being in healthy volunteers, for months or even years. But these benefits seem to be mediated by "mystical" experiences of cosmic consciousness, which prompts a philosophical concern: do psychedelics cause psychological benefits by inducing false or implausible beliefs about (...) the metaphysical nature of reality? This book is the first scholarly monograph in English devoted to the philosophical analysis of psychedelic drugs. Its central focus is the apparent conflict between the growing use of psychedelics in psychiatry and the philosophical worldview of naturalism. Within the book, Letheby integrates empirical evidence and philosophical considerations in the service of a simple conclusion: this "Comforting Delusion Objection" to psychedelic therapy fails. While exotic metaphysical ideas do sometimes come up, they are not, on closer inspection, the central driver of change in psychedelic therapy. Psychedelics lead to lasting benefits by altering the sense of self, and changing how people relate to their own minds and lives-not by changing their beliefs about the ultimate nature of reality. The upshot is that a traditional conception of psychedelics as agents of insight and spirituality can be reconciled with naturalism (the philosophical position that the natural world is all there is). Controlled psychedelic use can lead to genuine forms of knowledge gain and spiritual growth-even if no Cosmic Consciousness or transcendent divine Reality exists. Philosophy of Psychedelics is an indispensable guide to the literature for researchers already engaged in the field of psychedelic psychiatry, and for researchers-especially philosophers-who want to become acquainted with this increasingly topical field. (shrink)

In this article I aim to make progress towards the philosophical goal of ascertaining what, if anything, all mental illnesses have in common, attempting to unify a large sub-set of them that have a relational or interpersonal dimension. One major claim is that, if we want a promising theory of mental illness, we must go beyond the dominant western accounts of mental illness/health, which focus on traits intrinsic to a person such as pain/pleasure, lethargy/liveliness, fragmentation/integration, and falsehood/authenticity. A second major (...) claim is that the relational facets of mental illness are plausibly understood theoretically in terms of a person’s inability to identify with others or to exhibit solidarity with them, relational values that are salient in the African philosophical tradition. I show that these two extrinsic properties well explain several intuitive instances of mental illness, including, amongst several others, being abusive, psychopathic, narcissistic, histrionic, paranoid, and phobic. (shrink)

Long-standing psychiatric practice confirms the pervasive use of pharmacological therapies for treating severe mental disorders. In many circumstances, drugs constitute the best allies of psychotherapeutic interventions. A robust scientific literature is oriented on finding the best strategies to improve therapeutic efficacy through different modes and timing of combined interventions. Nevertheless, we are far from triumphal therapeutic success. Despite the advances made by neuropsychiatry, this medical discipline remains lacking in terms of diagnostic and prognostic capabilities when compared to other branches of (...) medicine. An ethical principle remains as the guidance of therapeutic interventions: improving the quality of life for patients. Unfortunately, psychotropic drugs and psychotherapies do not always result in an efficient remission of symptoms. In this paper I corroborate the idea that therapists should provide drug-resistant patients with every effective and available treatment, even if some of such interventions could be invasive, like Electroconvulsive Therapy (ECT). ECT carries upon its shoulders a long and dramatic history that should be better investigated to provide new insights. In fact, ECT has attracted renewed interest in recent years. This is due to the fact that antidepressant drugs in younger patients show often scarce effectiveness and unpleasant side-effects. Moreover, I show that, thanks to modern advances, ECT may work as a successful form of treatment for specific and rare cases, such as severe depression (with suicide attempts) and catatonia. (shrink)

In "Delusion, Reality, and Intersubjectivity," Thomas Fuchs offers a superb presentation of an enactive/phenomenological approach to schizophrenic delusions—an approach that is clearly superior to the poor-reality-testing formula that has dominated thinking about delusion in psychiatry, psychoanalysis, and cognitive-behavioral theory. As he convincingly argues, two key tendencies go a long way toward accounting for the distinctive features of delusion in schizophrenia: 1) withdrawal from practical, sensori-motoric interaction with the physical environment; and 2) failure to experience reality in intersubjective terms—as a realm (...) of "participatory... (shrink)

En este artículo abordamos los conceptos de «salud» y «enfermedad» tal y como han sido entendidos en el seno de la Logoterapia del psiquiatravienés Viktor Frankl, uno de los métodos psicoterapéuticos más importantes del siglo XX. Esta psicoterapia existencial otorga preeminencia a la dimensión noética o espiritual de la salud, que ha sido, sin embargo, totalmente obviada en el debate naturalismo/normativismo propio de la filosofía de la medicina. Por ello, en este escrito tratamos de mostrar de qué modo las aportaciones (...) teóricas de Viktor Frankl pueden contribuir a la discusión filosófica acerca del estatuto ontológico de la enfermedad, especialmente en el ámbito polémico dela psiquiatría. (shrink)

Anne was sexually and physically abused as a child and adolescent. Since an adolescent, she has had episodes of engaging in self-injurious behavior, where she repetitively cuts her arms with a knife or scissors, sometimes so seriously that she has had to go to the emergency room. She is relatively high functioning as an individual, where her academic cleverness has enabled her to study for a philosophy degree at a top university. Owing to her history of deliberate self-injury, psychiatrists have (...) diagnosed her with borderline personality disorder. In moments of anger and emotional upset, like when her psychiatrist has seemed cold toward her or her session has stopped early, she reverts to cutting her arms.Borderline... (shrink)

Psychotherapy is effective. Since the 1970’s, meta-analyses, and meta-analyses of meta-analyses, have consistently shown a significant effect size for psychotherapeutic interventions when compared to no treatment or placebo treatments. This effectiveness is normally taken as a sign of the scientific legitimization of clinical psychotherapy. A significant problem, however, is that most psychotherapies appear to be equally effective. This poses a problem for specific psychotherapies: they may work, but likely not for the reasons that ground their theoretical explanations for their effectiveness. (...) A prominent explanation for the findings of common efficacy in psychotherapy is to postulate that all successful therapies work by altering maladaptive meanings and providing patients with new, more adaptive meanings. This paper argues that the ‘meaning view’ of psychological change is likely mistaken; psychological problems are not normally problems of meaning nor are they directly ameliorated by changes in meaning. This paper then outlines a skill-based explanation for the findings of the common efficacy of psychotherapy. (shrink)

Psychiatry uncomfortably spans biological, psychological, and social perspectives on mental illness. As a branch of medicine, psychiatry is under pressure to conform to a biomedical model, according to which diseases are characterized primarily in biological terms. But psychiatry also draws on the psychotherapeutic tradition, which explains mental distress in terms of life experience and social influences.These approaches ought to complement each other, but historically this has not happened. With no theory creating global, systematic links between the two approaches, psychiatry is (...) divided... (shrink)

The dominant approach to the subjectivity of the clinician in psychiatry is a negative one. Based on the idea of objectivity as "a view from nowhere", contemporary psychiatry stipulates that the psychiatrist's impressions and emotions may only interfere with the results of the psychiatric examination. Even the person-centered approach in psychiatry fails to address this issue directly because it focuses almost exclusively on the person of the patient. A positive approach to the psychiatrist's subjective experience has not achieved wide recognition (...) and has only been adopted in psychotherapy and in particular in psychoanalysis and psychodynamic psychotherapy. Psychoanalysts were, indeed, the first to... (shrink)

People with Scrupulosity have rigorous, obsessive moral beliefs that lead to extreme and compulsive moral acts. These fascinating outliers raise profound questions about human nature, mental illness, moral belief, responsibility, and psychiatric treatment. Clean Hands? Uses a range of case studies to examine this condition and its philosophical implications.

This article explores the concept of minor or general psychotherapy championed by physicians seeking to popularise psychotherapy in the post-Stalin Soviet Union. Understood as a set of skills and principles meant to guide behaviour towards and around patients, this form of psychotherapy was portrayed as indispensable for physicians of all specialities as well as for all personnel of medical institutions. This article shows how, as a result of Soviet teaching on the power of suggestion to influence human organisms, every interaction (...) with patients was conceptualised as a form of psychotherapy, leading to the embrace of placebo as a legitimate form of therapy, and to the blurring of the boundary between therapy and other activities in the clinic. The principles of minor psychotherapy reveal a concept of psychotherapy that is much wider, and rooted in different priorities, than the dominant understanding of this type of treatment found in Western Europe and North America. This article addresses the ethical principles implicit in the Soviet perspective, demonstrating that despite fighting against the uncaring and dismissive attitude of other physicians, Soviet psychotherapists remained rooted in the paternalistic tradition. Finally, it traces the efforts to establish minor psychotherapy as standard practice in medical institutions, which, like many other plans and ambitions of Soviet psychotherapists, were constrained by a lack of resources in the healthcare system. (shrink)

This is an account of the psychotherapeutic treatment of a sign-maker. The treatment posed a special challenge owing to the patient's idiosyncratic blend of sexual, artistic, and spiritual interests, all of which informed his own notion of the sign/way-finding relationship. Way-finding came to connote more than its usual pedestrian meaning; it came to represent a spiritual quest and a personal exploration of the sacred. Conceptualizing this treatment, first for myself, then the patient, and now for you the reader, led me (...) through a way-finding process of my own. This entailed a reconsideration of the function and meaning of signs before finally locating the pertinent theoretical context for my... (shrink)

This commentary serves as a reply to Hoffart and Johnson’s article contending that psychodynamic psychotherapy (PDT) models cannot be examined with regard to mechanism of change or represent within-person causal relationships. Hoffart and Johnson cite purportedly paradigmatic examples of PDT and cognitive therapy and examine them with respect to Kazdin’s requirements for investigation of mechanisms of change. We highlight inaccuracies in Hoffart and Johnson’s representation of PDT and, in doing so, provide reasoning in support of the empirical examinability of PDT. (...) We conclude by recommending a metatheoretical system (i.e., functionalism) and empirical methodologies that clinical scientists may consider when investigating mechanisms of PDT in the future. (shrink)

In this article I examine an important episode in the growth of ‘mindfulness’ as a biomedical modality in Britain: the formation and establishment of Mindfulness-Based Cognitive Therapy by John Teasdale and his colleagues Mark Williams and Zindel Segal. My study, focusing on Teasdale’s contribution, combines ethnographic, oral historical and archival research to understand how mindfulness was disseminated or, to use a term sometimes used by mindfulness practitioners themselves, ‘transmitted’. Drawing on theoretical support from Max Weber, Michel Foucault and Gilles Deleuze, (...) I argue that transmission had a very specific form within the Buddhistic milieu that Teasdale occupied and within which he developed MBCT. To ‘transmit’ mindfulness was to transmit an experiential essence; a type of subjectivity that was seen as perennial, universal and radically distinct from its historical context. In tracing the recurring metaphysical, metaphorical and visual tropes of mindfulness and its transmission, I attempt to understand how Teasdale was embedded in both local and global networks of discourse and practice, and how his life and work contributed and depended upon an assemblage whose elements straddled empiricist psychology and religious mysticism. I also examine how authority, experience and knowledge were closely interwoven in the birth of British mindfulness, coming together to form an affectively compelling ‘diagram’ that shaped the way mindfulness was practiced and disseminated. In doing so, I aim to open up the possibility of studying the history of the human sciences from a new perspective: one which places an emphasis on the emotional impetus generated by metaphysical assumptions. (shrink)

This article traces the history of hypnotherapies in Hungary by exploring and interpreting the work of Ferenc Völgyesi, a controversial physician, psychiatrist and forensic expert who gained remarkable fame in and beyond Hungary. It explores his work and its reception in the context of the complex, changing trends in European psychology between the 1920s and 1950s, drawing on published sources in a range of languages, and the archives of the Hungarian State Security. It uncovers experiments in human and animal hypnosis; (...) Völgyesi’s engagement with the Hungarian psychoanalytic community; and the cultural, scientific, and esoteric, networks from which theories and practices of hypnosis emerged. This reminds us also that the development of psychotherapy in Europe cannot be disentangled from the history of parapsychology and western esotericism. The article also examines allegations of ethical abuses of hypnosis, and the shortcomings of Völgyesi’s theoretical and practical claims. It argues that this case illustrates how the history of European psychotherapy in the 20th century cannot be fully understood without taking into account the enduring fascination with hypnotherapies into the postwar period – re-inscribed, in this case, through Pavlovian theories. (shrink)

In the background of this paper lies the idea that the developmental thinking characteristic of psychoanalysis and, more broadly, psychodynamic psychotherapy is all of a piece with a philosophical tradition going back to Plato and Aristotle, which focuses on the connections between human nature, human excellence and the good life for human beings. That is, psychoanalysis is to be understood in part as belonging to a Platonic-Aristotelian tradition in moral philosophy, or to what has become known—unfortunately - as 'virtue ethics'.The (...) aim of the paper is to explore one way in which this idea might be spelled out in detail. First, I... (shrink)

I am grateful to Steven Groarke for his thoughtful and thought-provoking comments. I think there are some real disagreements between us, but also some misunderstandings, so if I can clear up even the latter, that will be something.In my paper, I focused on the 'dual roles claim,' the claim that some concepts central to at least certain versions of psychoanalysis classify people in respect both of their degree of mental health and of their degree of psychological maturity. I argued that (...) no concept can be expected to play both roles, and that the real point of these particular psychoanalytic concepts is first and foremost to do neither, but rather to draw ethical distinctions. Groarke in his reply is concerned with... (shrink)

The article describes a comparative analysis of research on the approaches and peculiarities of the implementation of supervision and intervision in the professional activity of teachers abroad and in Ukraine. The concept of supervision and intervision in the work of teachers in the secondary school is revealed. The use of supervision and interference in the professional activity of teachers makes it possible to effectively prevent their emotional and professional burnout. It is noted that in Ukraine, for the first time, a (...) program of psychosocial support, which includes regular supervision for teachers and school psychologists, was developed and implemented by specialists of the National University of Kyiv-Mohyla Academy with the support of UNICEF in the eastern regions of the country where the military conflict has been taking place. However, among the teachers around the country, this practice is not used because there is no system for the preparation of supervisors; most teachers are not familiar with this concept at all. Intervision in schools abroad is quite developed, it is carried out systematically, it is aimed at creating a special and safe space for professional support, exchange of experience, and information, and it prevents emotional and professional degradation. In Ukrainian schools, the intervision between colleagues is partial. Therefore, this form of work needs support and development from the school administration. Examples of the plan of work during intervision among the teachers on the basis of foreign experience are given and recommendations on conducting intervision in pedagogical collectives are offered. (shrink)

Psychotherapy was an invention of European modernity, but as the 20th century unfolded, and we trace how it crossed national and continental borders, its goals and the particular techniques by which it operated become harder to pin down. This introduction briefly draws together the historical literature on psychotherapy in Europe, asking comparative questions about the role of location and culture, and networks of transmission and transformation. It introduces the six articles in this special issue on Greece, Hungary, Yugoslavia, Russia, Britain (...) and Sweden as well as its parallel special issue of History of Psychology on ‘Psychotherapy in the Americas’. It traces what these articles tell us about how therapeutic developments were entangled with the dramatic, and often traumatic, political events across the continent: in the wake of the Second World War, the emergence of Communist and authoritarian regimes, the establishment of welfare states and the advance of neoliberalism. (shrink)

Previous accounts of psychiatry within Communist Europe have emphasized the dominance of biological approaches to mental health treatment. Psychotherapy was thus framed as a taboo or marginal component of East European psychiatric care. In more recent years, this interpretation has been re-examined as historians are beginning to delve deeper into the diversity of mental healthcare within the Communist world, noting many instances in which psychotherapeutic techniques and theory entered into clinical practice. Despite their excellent work uncovering these hitherto neglected histories, (...) however, historians of the psy-disciplines in Eastern Europe have neglected to fully consider the ways that post-World War II psychotherapeutic developments were not simply continuations of pre-war psychoanalytic traditions, but rather products of emerging transnational networks and knowledge exchanges in the post-war period. This article highlights how psychotherapy became a leading form of treatment within Communist Yugoslavia. Inspired by theorists in France and the United Kingdom, among other places, Yugoslav practitioners became well versed in a number of psychotherapeutic techniques, especially ‘brief psychotherapy’ and group-based treatment. These developments were not accidents of ideology, whereby group psychotherapy might be accepted by authorities as a nod to some idea of ‘the collective’, but were rather products of economic limitations and strong links with international networks of practitioners, especially in the domains of social psychiatry and group analysis. The Yugoslav example underscores the need for more historical attention to transnational connections among psychotherapists and within the psy-disciplines more broadly. (shrink)

The development of self-knowledge or self-insight is a well-recognized therapeutic factor in psychotherapy. In some way or other, all evidence-based therapies seek to reframe and enrich patients’ own understanding of themselves. In this article, we focus on self-knowledge with respect to mental states, in particular those states that cause patients to seek treatment.As an example, imagine a person who enrolls in psychotherapy because he finds himself unable to commit himself to intimate relationships. During the first session, he tells his therapist (...) about his youth, about how his father abandoned him and his mother when he was 8 years old. At one point he says, “I guess I’m... (shrink)

This paper aims to discuss selected issues related to the effect exerted by the financial aspects of psychotherapy on a psychotherapeutic relationship. At the beginning, I consider the effect that remuneration received by the therapist directly from the customer can have on their therapeutic relationship. Then I discuss the issues related to the compensation for psychotherapy services and show the consequences which the criteria of compensating for specific therapeutic methods have for the quality of psychotherapeutic relationships, as well as the (...) influence which the requirement to study the effectiveness of psychotherapy in the natural science paradigm has on psychotherapeutic services. The arguments I put forward lead to the conclusion that the criteria of the compensation for psychotherapeutic services can change the psychotherapeutic relationship into a business relationship and, as a result, the therapist can start to treat the customer instrumentally. (shrink)

Suggesting that underlying some violent behavior is an unhealthy identification of one's self with one's behavior, such that there is no reflective space between the acting self and unwanted or violent action, Alexandra Pârvan echoes many contemporary psychotherapeutic models in suggesting that a central goal of psychotherapy for perpetrators and recipients of violence should be to encourage clients to distance the acting self from the self's experience and behavior. Pârvan observes that this is already a feature of "attachment-informed psychotherapy," but (...) she argues that "the distinction between self and action can only be effectively established from outside strictly psychological perspectives" (p.... (shrink)

Cognitive Behavioral Therapy has become the dominant form of psychotherapy in North America. The CBT model is theoretically based on the idea that all external and internal stimuli are filtered through meaning-making, consciously accessible cognitive schemas. The goal of CBT is to identify dysfunctional or maladaptive thoughts and beliefs, and replace them with more adaptive cognitive interpretations. While CBT is clearly effective as a treatment, there is good reason to be skeptical that its efficacy is due to the causal mechanisms (...) posited by the CBT model. This paper will argue that the specific cognitive schemas posited by the CBT model likely do not play a direct role in the development or treatment of psychological illness. Cognitive schemas, as identified in CBT interventions, are likely to be the result of patient confabulation and epistemically under-supported practitioner-based identification. CBT interventions appear to impose coherence on patients’ psychological states, rather than identifying and modifying preexistent causally efficacious core beliefs. (shrink)

According to attachment theory and research, when individuals' inborn need to create an affectional bond with their caregivers is frustrated through the latter's negligence, absence, rejection, or abuse, they form insecure attachment styles or patterns of relational behavior, which put them at increased risk for both perpetration and receipt of violence, in childhood, youth, and adulthood.Underlying insecure and secure attachment styles are the history, nature, and quality of individuals' interactions with their...

The commentaries by Warren Kinghorn and Giuseppe Butera provide me with the welcome opportunity to reaffirm and briefly address a concern that lies at the core of my work in recent years. It regards the lack of a metaphysical perspective and consequently metaphysically informed interventions, or what I recently came to term 'metaphysical care', in psychological and medical treatments when there are identifiable metaphysical assumptions at work both in clinicians and treated persons that affect the treatment and the well-being of (...) both. In the original article, this is exemplified in the failure of both psychotherapists and people affected by violence to operate with a metaphysically grounded... (shrink)

Philosophy and psychoanalysis should address the problem of sorrow qua melancholia and even, in a popular manner, Major Depressive Disorder. I have tried to take both philosophy as a therapeutic tool, as well as use DSM criteria to help the lonely.

_Therapy & the Counter-tradition: The Edge of Philosophy_ brings together leading exponents of contemporary psychotherapy, philosophers and writers, to explore how philosophical ideas may inform therapy work. Each author discusses a particular philosopher who has influenced their life and therapeutic practice, while questioning how counselling and psychotherapy can address human ‘wholeness’, despite the ascendancy of rationality, regulation and diagnosis. It also seeks to acknowledge the distinct lack of philosophical input and education in counselling and psychotherapy training. The chapters are rooted (...) in the Counter-Tradition, whose diverse manifestations include humanism, skepticism, fideism, as well as the opening of philosophy and psychology to poetry and the arts. This collection of thought-provoking essays will help open the discussion within the psychological therapies, by providing therapists with critical philosophical references, which will help broaden their knowledge and the scope of their practice. Therapy & the Counter-tradition: The Edge of Philosophy will be of interest to mental health professionals, practitioners, counselling and psychotherapy trainees and trainers, and academics tutoring or studying psychology. It will also appeal to those interested in psychology, meditation, personal development and philosophy. (shrink)

This volume explores how conceptions of pragmatism set forth in American philosophy serve as orienting perspectives in psychotherapy. Drawing on the influential contributions of William James and John Dewey, the author demonstrates how realistic, comparative approaches to understanding strengthen everyday therapeutic practice. He also examines recent developments in neuroscience that shape training and practice in the broader field of psychotherapy, encompassing psychodynamic, behavioral, cognitive and humanistic traditions. By following a clinical pragmatism, psychotherapy can be viewed as an instrumental project that (...) is governed by _results_ rather than a commitment to particular theoretical perspectives, empirical findings, or technical strategies. Through a variety of case studies, this volume emphasizes the crucial role of experiential learning in change and growth, and the recognition of the person as an individual. (shrink)

This is a study in Buddhist psychoanalysis, especially the care of the care-giver.

Preceded by Comprehensive textbook of psychotherapy: theory, and practice / edited by Bruce Bongar, Larry E. Beutler. 1995.

_Using Art Media in Psychotherapy_ makes a thoughtful and contextual argument for using graphic art materials in psychotherapy, providing historical context for art materials and their uses and incorporating them with contemporary practices and theories. Written with an analytic focus, many of the psychological references nod to Jung and post-Jungian thought with keen attention to image and to symbolic function. This book jettisons the idea of reductionist, cookbook approaches and instead provides an integrated and contextual understanding of the origins of (...) each art form as well as an insightful use for each in its application in mental health healing practices. _Using Art Media in Psychotherapy _gives clinicians and students alike the tools they need to offer psychologically minded and clinically astute choices that honor their clients. (shrink)

Therapists and related theorists and practitioners of mental health tend to hold one of two broad views about how to help patients. On the one hand, some maintain that, or at least act as though, the basic point of therapy is to help patients become clear about what they want deep down and to enable them to achieve it by overcoming mental blockages. On the other hand, there are those who contend that the aim of therapy should instead be to (...) psychologically enable patients to live objectively desirable lives, say, ones that involve developing their inherent talents or exhibiting an authentic/strong/integrated self. In this chapter, I argue that neither of these prominent approaches is complete. Contra the former, sometimes what patients want deep down is not something to promote, and, against the latter, it can sometimes be reasonable for patients to want to sacrifice their own objective interests and for therapists to assist them in this regard. I argue that the category of meaningfulness does well at accounting for these counterexamples to the two dominant approaches, while capturing the kernels of truth in them. The proper aim of therapy, I suggest, is to enable patients to live meaningfully. (shrink)

Lilly was one of the greatest scientists and pioneers on the limits of human possibility but after his death a collective amnesia has descended and he is now almost forgotten. His Wiki is good but inevitably incomplete so here are a few missing details and viewpoints. Lilly was a generation (or more) ahead of his time. He is almost single-handedly responsible for the great interest in dolphins (which led to the Marine Mammal Protection Act in the USA and helped to (...) found the animal rights movement). In 1958 he noted that the brains of elephants and cetaceans were larger than ours, that we should not abuse them and that it was one our most important projects to communicate with them. He invented sensory isolation tanks (at NIMH in 1954) and used them extensively with and without powerful psychoactive drugs at a time when it was thought that either the brain would shut down or one would go insane if external stimuli were eliminated. He created methods for implanting electrodes in mammal brains and was planning to do it to himself. He was one of the first to make serious use of computers in bioscience research and created the hardware and software to make the first attempts to communicate with dolphins. He self experimented with dangerous physiological investigations in high altitude medicine for the military during WW2, took LSD with dolphins and movie stars, submitted himself to the rigors of various forms of yoga and of Arica training, and taught classes at Esalen. He was a computer pioneer who forsaw the rapid advances in A.I. and it's inevitable clash with humans. He was the first one to investigate the bizarre psychedelic ketamine (" vitamin K "), and his results (published in the two last chapters of his book `The Scientist`) are still the best data on the dose/effect relation of any psychedelic on one person. It cured his lifelong daily migraine headaches (see http://www.conspiracyarchive.com/UFOs/Gorightly.htm). And all this happened before most of us were born! He had courage, honesty and integrity that is rare anywhere and almost nonexistent in science. His goal was to find the ultimate truth about everything and he went about as far as anyone ever has. He had little patience with the stupid and hypocritical games one has to play to fit into monkey society. Of course the reaction of the establishment was predictable. He left the NIMH and was never given any government or academic support for the last 35 years of his life. His paper and comments at a conference on sensory deprivation were removed from the published version. He was not invited to government sponsored symposia on dolphins (he had refused to help develop them as weapons), though he clearly knew more about them than anyone in the world. He liked to live and work on the edge and few could keep up with him, as his books make clear. If you have read some of his other books it will be much easier going. He was a pioneer in consciousness research and pushed the boundaries of our understanding of who we are and what we might become. Among other things he catalogs the various states reached by drugs, meditation, and isolation, tries to determine their significance, and suggests how to use them. I very briefly review and comment on his life and work. -/- Those interested in all my writings in their most recent versions may download from this site my e-book ‘Philosophy, Human Nature and the Collapse of Civilization Michael Starks (2016)- Articles and Reviews 2006-2016’ by Michael Starks First Ed. 662p (2016). -/- All of my papers and books have now been published in revised versions both in ebooks and in printed books. -/- Talking Monkeys: Philosophy, Psychology, Science, Religion and Politics on a Doomed Planet - Articles and Reviews 2006-2017 (2017) https://www.amazon.com/dp/B071HVC7YP. -/- The Logical Structure of Philosophy, Psychology, Mind and Language in Ludwig Wittgenstein and John Searle--Articles and Reviews 2006-2016 (2017) https://www.amazon.com/dp/B071P1RP1B. -/- Suicidal Utopian Delusions in the 21st century: Philosophy, Human Nature and the Collapse of Civilization - Articles and Reviews 2006-2017 (2017) https://www.amazon.com/dp/B0711R5LGX -/- . (shrink)

In this article I want to tell about the concept of multidimensional communication pioneered in Holoscendence, an integral meta-method of human development, first introduced and developed by Sergey Kupriyanov, PhD in Medicine, a Russian-born Integral therapist from Helsinki, Finland (Kupriyanov 2013).

From the Couch to the Circle: Group-Analytic Psychotherapy in Practice is a handbook of group therapy and a guide to the group-analytic model - the prevailing form of group therapy in Europe. The book draws on both John Schlapobersky’s engagement as a practitioner and the words and experience of people in groups as they face psychotherapy’s key challenges - understanding and change. This book provides a manual of practice for therapists’ use that includes detailed descriptions of groups at work; accounts (...) of therapists’ own experience and the issues they face in themselves and in their groups. The book is devoted to the Group-Analytic model but the other principally psychodynamic models of group therapy - the Tavistock, Interpersonal, Psychodynamic, Modern Analytic and Structural/Systemic models - are brought into a comparative discussion and drawn upon to create an integrated and coherent approach. The book is divided into three sections: Foundations – aimed at practitioners using groups of any kind and working at every level, including those providing supportive psychotherapy and providing groups for psychosis, trauma, the elderly, people at risk, the elderly and children; The Group-Analytic Model – defines the group-analytic model at a basic and advanced level; The Dynamics of Change – aimed at group analysts, psychotherapists and psychologists providing short-term psychotherapy and long-term group analysis The book is illustrated with clinical vignettes including incisive, instructive commentaries to explain the concepts in use. It is intended for those seeking psychotherapy, whether to resolve personal problems or to find new sources of meaning in their lives. It is also intended for policy-makers in mental health, students of different models of psychotherapy and the psychosocial field. The comparative discussion running through the text about methods and models of practice will likely be of interest to the wider mental health and psychotherapy fields. The author draws together the inherited wisdom of group analysis since Foulkes’ time and makes his own lasting contribution. From the Couch to the Circle will be an invaluable, accessible resource for psychotherapists, psychoanalysts, psychologists, family therapists, academics, psychologists, mental health practitioners, academics and teachers in psychotherapy. (shrink)

The Healing Virtues explores the intersection of psychotherapy and virtue ethics - with an emphasis on the patient's role within a healing process. It considers how the common ground between the therapeutic process and the cultivation of virtues can inform the efforts of both therapist and patient. Within this book, the Duff R. Waring argues that there is a case for patient virtues that are crucially relevant to working through the problems in living that arise in psychotherapy, e.g., honesty, courage, (...) humility, perseverance. The central idea is that treatment may need to build virtues while it ameliorates problems. Hence, the patient's work in psychotherapy can both challenge character strengths and result in their further development. (shrink)

Nietzschean Psychology and Psychotherapy describes Nietzsche as an unacknowledged critic of psychology and mental health, bringing out and integrating his teachings about wise living, coping with pain and suffering, and effecting self-change and self-cultivation.

Biosynthesis means "integration of life". It is a holistic form of body psychotherapy, which was founded over forty-five years ago. The concept of life-streams is one of its major foundations, which has since been supported by research in neurobiology. How can we integrate the three most important domains of being human: our bodily existence, our psychological experience and our spiritual essence? Biosynthesis Therapy has developed a broad spectrum of reliable methods to make this possible and to free our life energy. (...) It is resource-oriented and is practised worldwide. David Boadella brings his many years of experience to provide in this book a trend-setting model for the understanding both of the origin of illness and of therapy. First published in 1987, this book has appeared in ten languages. It provides numerous case examples and is fascinating and enriching for the normal reader as well as for therapists from many different schools. In this book, the word "bioenergetic" is used to refer to the study of life energy, which is a major foundation of the therapy method "Biosynthesis". This is not to be confused with the term "Bioenergetic Analysis", an other and different form of body psychotherapy. Since 1985, together with David Boadella, Biosynthesis has been developed further by Dr. Silvia Specht Boadella, particularly in its philosophical and transpersonal aspects. In 1990, Biosynthesis was the first form of body psychotherapy to be scientifically accredited by the European Association of Psychotherapy. Biosynthesis therapists can therefore receive the European Certificate of Psychotherapy ECP. In 2001, the International Foundation of Biosynthesis IFB was formed, to coordinate trainings and research in twenty countries in Europe, Asia, North and South America. The newest information about Biosynthesis, including our actual course programme, you will find on our website. David Boadella International Institute for Biosynthesis IIBS, Benzenrüti 6, CH-9410 Heiden, Switzerland E-mail: [email protected]_ _www.biosynthesis.org_ _The Author_ David Boadella, born 1931 in London, pioneer of body psychotherapy and founder of Biosynthesis. He studied education, psychology and literature and wrote numerous articles and several books. Since 1985, he is the Director of the International Institute for Biosynthesis in Switzerland. In 1989, he was elected as the first President of the European Association for Body Psychotherapy EABP. In 1995, he was awarded an honorary doctorate from the "Open International University of Complementary Medicine". Author of "Wilhelm Reich: The evolution of his work". _Disclaimer_ Basically this book contains neither exercises or advices. Nevertheless, if statements from the book should be used for self-treatment or for treatment of others, every form of liability of the author or the publisher for personal, material, or financial damage is excluded. (shrink)

The commentaries of professors René Muller and James Phillips exemplify the two most prevalent, contrasting attitudes regarding the role and relevance of ontology for existential psychotherapy. Whereas Muller embraces the need for foundational ontology, Phillips, following the psychiatrist turned philosopher Karl Jaspers, is steadfastly suspicious of it and committed to an ontical approach based on descriptions of the experience of particular individuals. There is much in Muller’s commentary with which I find myself in substantial agreement, including his rejection of Cartesian (...) dualism and commitment to an ontologically unitive understanding of ‘the structure of being human.’ Although Muller recognizes.. (shrink)

Only in the light of an ontological understanding of human nature can the body of material provided by psychology…be organized into a consistent and comprehensive theory. The analysis of characteristics of the existing being… these ontological characteristics…can give us a structural base for our psychotherapy. This relationship between Being and Da-sein not only makes psychotherapy possible in the first place, but also gives psychotherapy its most fundamental purpose. That is, for the therapist to respond to the appeal of the patient (...) to be. Each psychology merely dreams about man and human existence, because it must necessarily make presumptions about the constitution of the being of the.. (shrink)

Let me begin by summarizing my understanding of some of Hersch’s main points. He proposes 1) that “the use of existential themes and concepts” and “an existential ontology provides a more suitable philosophical grounding for psychotherapeutic theories and practices”; and 2) that “an existential version of the mental status examination… can provide us with a more in-depth understanding of…an individual’s experiential world”. According to Hersch, an existential perspective directs our attention to the existential guilt and anxiety “present inherently in the (...) human situation”. The former, “existential guilt,” “is a kind of.. (shrink)