Resistance and the Wounded Self: Self-Protection in Service of the Ego.

This article describes the phenomenon of therapeutic resistance and reactance from the perspective of the wounded self. The concept of the wounded self is first presented as it is applied to anxiety and depression and then extended to anger applications. The wounded self can be seen as deeply embedded in human cognitive structures (or core beliefs) of tacit knowledge. The operation of tacit knowledge is then described in everyday life as well as in the therapeutic process. Then there is a discussion of the role of resistance and psychological reactance in psychotherapy with implications for the therapeutic alliance. Finally, a case of a resistant client with anger issues using the cognitive hypnotherapy model is presented.

Donald Hugh Blocher (1928-2013).

This article memorializes Donald Hugh Blocher (1928-2013). Blocher, a giant in counseling psychology, was elected a fellow of the American Psychological Association (APA) in 1973, received a Distinguished Achievement Award from Harvard University in 1968, and served as president of APA Division 17 (Society of Counseling Psychology) in 1980. He obtained a Fulbright Lectureship at the University of Keele (United Kingdom) for 1968-1969, where he helped develop a counseling psychology program according to American standards. He also published many books, book chapters, and articles over the course of his professional career.

Nocturnal bruxism and hypnotherapy: a case study.

This article describes a case study of a hypnotherapeutic treatment of nocturnal bruxism. The author saw the client for a total of 7 sessions. Hypnotherapy was interspersed with an exploration of tacit and initially denied hostility in the client's life as well as aspects of a somewhat difficult childhood. At the end, the bruxism had disappeared. Follow-up 1 year later indicated that the bruxism had not returned, and the client had become more assertive in her relations with others and had more exploratory activities in her life directions. The latter had not been dealt with in therapy. Thus, there appeared to be a "ripple effect" of successful therapy from one part of her life into its other aspects.

Guidelines for cognitive behavioral training within doctoral psychology programs in the United States: report of the Inter-organizational Task Force on Cognitive and Behavioral Psychology Doctoral Education.

The Association for Behavioral and Cognitive Therapies initiated an interorganizational task force to develop guidelines for integrated education and training in cognitive and behavioral psychology at the doctoral level in the United States. Fifteen task force members representing 16 professional associations participated in a year-long series of conferences, and developed a consensus on optimal doctoral education and training in cognitive and behavioral psychology. The recommendations assume solid foundational training that is typical within applied psychology areas such as clinical and counseling psychology programs located in the United States. This article details the background, assumptions, and resulting recommendations specific to doctoral education and training in cognitive and behavioral psychology, including competencies expected in the areas of ethics, research, and practice.

Autopoiesis and nonlinear modeling methods: an empirical approach to psychotherapy process research.

Psychotherapy process research needs a paradigm capable of integrating activity across biological, affective, linguistic and social domains into one causal model. It also needs a methodology capable of measuring complex deterministic activity spontaneously generated by the therapy participants. Here we articulate a model based on Autopoietic theory and nonlinear quantitative analysis that stands to provide a method and a metric to explore how psychotherapy processes lead to a measurable outcome. Perturbations are the unit of study within the autopoietic framework. Lyapunov exponents are the quantitative tools for the analysis of phase portraits generated by cardiac activity. We propose that these phase portraits can be used to measure the perturbational activity of psychotherapy participants. We buttress this argument with results from a preliminary application of this method in a psychotherapy analogue situation.

A cognitive therapy approach to promote continence.

Both urinary and fecal incontinence are frequently occurring problems with costly consequences - physically, emotionally, and economically. General self-management strategies to promote continence, as well as behavioral and medical interventions, are often advocated. In this article, strategies based on a cognitive model are directed toward 2 overall goals: managing cognitions that are largely outside the individual's control while altering those within the individual's control, and improving management of continence with cognitive techniques. This approach expands and supports the behavioral and medical approaches to continence care. Nurses can use this comprehensive approach to increase the likelihood of positive continence outcomes.

Cognition and the cognitive revolution in psychotherapy: promises and advances.

This article describes the history and conceptual changes wrought by the gradual development from psychodynamic therapy to behavioral therapy to cognitive-behavioral therapy. The practical impact of the cognitive revolution on psychotherapy theory and practice is discussed. The empirical status of behavioral therapy and cognitive-behavioral therapy is summarized, and suggestions for future changes are made.

Temas y consideraciones éticas al trabajar con pacientes gay y lesbianas / Issues and ethical considerations in working with gay and lesbian clients

Este artículo rastrea el desarrollo de la desviación homosexual en la sociedad judeo-cristiana. La homosexualidad fue considerada, en un principio, como algo inmoral y más tarde como una enfermedad. En 1987, sin embargo, fue removida del Diagnostic and Statistical Manual (DSM). A pesar de ello, las actitudes negativas de la sociedad continúan causando un malestar significativo en lesbianas y gays. Se presentan astadios de formación de la identidad gay y lesbiana. El artículo finaliza con recomendaciones para una asistencia psicológica ética y culturalmente apropiada para este tipo de pacientes.

Temas y consideraciones éticas al trabajar con pacientes gay y lesbianas / Issues and ethical considerations in working with gay and lesbian clients

Este artículo rastrea el desarrollo de la desviación homosexual en la sociedad judeo-cristiana. La homosexualidad fue considerada, en un principio, como algo inmoral y más tarde como una enfermedad. En 1987, sin embargo, fue removida del Diagnostic and Statistical Manual (DSM). A pesar de ello, las actitudes negativas de la sociedad continúan causando un malestar significativo en lesbianas y gays. Se presentan astadios de formación de la identidad gay y lesbiana. El artículo finaliza con recomendaciones para una asistencia psicológica ética y culturalmente apropiada para este tipo de pacientes.(AU)