In our search for guiding principles out of which to conduct therapy, we encounter two temptations: temptations of power and certainty. When therapists do not adequately account for the position of our clients, we fall prey to the temptation of certainty. When we attempt to impose corrections from such certainty, we fall victim to the temptation of power. Colonization occurs in therapy when our commitment to “expert knowledge” blinds us to the experience in the room. This paper offers suggestions for sidestepping power/certainty by constrating therapies of power and certainty with therapies of curiosity and empowernment.
Grief is a complex, compelling, and profound life experience that is a normal and healthy response to the death of a significant other. Personal experiences of grief, when juxtaposed against the cultural and health care discourses that see grief as a process that eventually results in a resolution characterized by the absence of grieffeelings, can sponsor constraining and limiting experiences of life after loss. A narrative approach offers one wayfor nurses and other health care professionals to view grief and grief's possible "problem" states. Narrative invites the bereaved into seeing and storying their experiences in a more accepting and facilitative fashion. This article outlines a narrative approach to a particular problem state found in grief: a problem state of inertia. Implicationsforfamily nursing are discussed.
This article describes cognitive hypnotherapy (CH), an integrative treatment that provides an evidence-based framework for synthesizing clinical practice and research. CH combines hypnotherapy with cognitive-behavior therapy in the management of emotional disorders. This blended version of clinical practice meets criteria for an assimilative model of integrative psychotherapy, which incorporates both theory and empirical findings. Issues related to (a) additive effect of hypnosis in treatment, (b) transdiagnostic consideration, and
Narrative psychotherapy was developed to question traditional, essentialist, foundational epistemologies of clinical practice. However, the very practices it sought to take on may be sneaking in through the back door. Narrative however might escape historical tendencies of reification and dominance. In fact these tendencies are only a slight miscue in its development. Instead of succumbing to old habits of perfectability, or certainty, narrative can relax, and just learn to relate. This article presents three key points in this regard: concentrate on what is useful, work backwards from what people want to achieve and 'widen the circle'.
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