Some psychoanalytic considerations of non-psychoanalytic therapies: On the possibility of integration treatment approaches and related issues.

Silverman, Lloyd H.

doi:10.1037/h0086368

Cited by 20 publications

(15 citation statements)

References 6 publications

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“…This is crucial, given that most therapies are relatively short-term, and so are more likely to be effective if they can help build a 'virtuous circle' whereby the client can continue to learn from trusted figures in their life beyond therapy. This finding also supports the view that early significant experiences with help-givers can influence expectancies of people in authority, which may then be projected onto therapists/systems (Silverman, 1974). Bevington, Fuggle, and Fonagy (2015) write that one system/worker's non-mentalizing may be transmitted to other systems and ultimately to clients.…”

Section: Discussionsupporting

confidence: 70%

The Building of Epistemic Trust: An Adoptive Family’s Experience of Mentalization-Based Therapy

Jaffrani¹,

MSc²,

Midgley³

2020

Journal of Infant, Child, and Adolescent Psychotherapy

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Recently, theorists have posited the development of epistemic trust -the trust in others as reliable sources of information -as an essential aspect of the therapeutic relationship and a mechanism of therapeutic change. Epistemic trust is likely to be disrupted in adoptive children and families and Mentalization Based Treatment (MBT) aims to explicitly promote its development. Therefore, this study aims to investigate how epistemic mistrust is addressed and how epistemic trust is established within the MBT framework. This single-case, exploratory study reports data from in-depth interviews with one adoptive family, which were analyzed qualitatively using Interpretative Phenomenological Analysis. Two superordinate themes are reported: pre-therapy factors contributing to epistemic mistrust and factors contributing to the development of epistemic trust. The findings highlight two critical elements in establishing epistemic trust: the use of certain clinical skills that help build a secure base within therapy and the possibility of trust being transferred from and to other professionals/systems beyond therapy. Hence, this study informs a deeper understanding of how epistemic trust may be built in therapeutic work with adopted children and identifies possible clinical approaches that may be used by clinicians working with this client group.

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Section: Discussionsupporting

confidence: 70%

The Building of Epistemic Trust: An Adoptive Family’s Experience of Mentalization-Based Therapy

Jaffrani¹,

MSc²,

Midgley³

2020

Journal of Infant, Child, and Adolescent Psychotherapy

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“…In Study 2, the fact that there was no difference in symptom reduction between the experimental and control groups and that, in fact, both groups reported significantly fewer symptoms at 16 weeks than they did initially strongly argues against the operation of symptom substitution. However, as one of us has argued elsewhere (Silverman, 1974) in evaluating whether symptom reduction is "gained at a price" as a result of any kind of intervention, more than symptom substitution must be evaluated. From what can be observed clinically, the disappearance of symptoms is sometimes accompanied by the emergence of maladaptive behavior that is not experienced as a "symptom."…”

Section: Discussionmentioning

confidence: 99%

“…The rationale for presenting the subliminal stimulus in this manner was that it served to arouse the subject's tension concerning eating behavior, which then could be reduced by the symbiotic fantasies that were being tachistoscopically activated. Thus, it was analogous to the procedure used in the desensitization study earlier described (Silverman et al, 1974).…”

Section: Methodsmentioning

confidence: 99%

Effect of subliminal stimulation of symbiotic fantasies on behavior modification treatment of obesity.

Silverman¹,

Martin²,

Ungaro³

et al. 1978

Journal of Consulting and Clinical Psychology

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In two studies, obese women were treated in a behavior modification program for overeating, in Study 1 for 8 weeks and in Study 2 for 12 weeks. In both studies, the behavior programs were accompanied by subliminal stimulation, with half of the subjects receiving the verbal message MOMMY AND i ARE ONE, intended to stimulate symbiotic gratification fantasies, and the other half, a control message. Weight loss was measured at the end of the program and at follow-up times; in Study 1, 4 weeks after termination and in Study 2, at 4 and 12 weeks posttermination. In both studies the symbiotic condition gave evidence of enhancing weight loss, though it was only at follow-up that the difference between the groups attained statistical significance. This finding, when viewed in conjunction with results from earlier studies of schizophrenics and insect phobics, supports the proposition that the subliminal stimulation of symbiotic fantasies can enhance the effectiveness of therapeutic interventions of various kinds.

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“…The concept of transference is clearly embedded in the psychoanalytic tradition. Psychodynamically oriented clinicians have expended a great deal of energy elaborating on Freud's understanding of transference and its implications for treatment (e.g., Brenner, 1982; Fenichel, 1945; Fromm‐Reichman, 1950; Langs, 1982; Silverman, 1974; Singer, 1970; Sullivan, 1953). All have agreed that the patient is unaware of his or her transference distortions and that it is central to treatment (Gelso & Carter, 1985), however there is a great deal of debate on how to best deal with it (see Strupp & Binder, 1984).…”

Section: The Relationshipmentioning

confidence: 99%

Common factors aren't so common: The common factors dilemma.

Weinberger¹

1995

Clinical Psychology: Science and Practice

176

175

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There is apparently little difference in the effectiveness of different kinds of psychotherapy. One explanation is that common factors cut across them. The major schools do not much attend to common factors, however, and it may be that outcome equivalence is due as much t o common neglect of common factors as t o their use. Five common factors are discussed: the therapeutic relationship, expectations, confronting problems, mastery, and attribution of outcome. Linear conceptions of causality seem to contribute t o the problem of selective neglect of common factors, and it is suggested that reciprocal interaction may constitute a more viable way of understanding therapeutic processes. Although technical eclecticism and therapy integration have been proposed as potentially integrating the common factors, eclecticism lacks theoretical coherence, and viable integrations have yet t o be offered, although statistical methods for testing them (causal modeling) may exist. To suggest what a productive integration could look like, a clinical example is connected metaphorically t o a developmental model of attachment.Strategies for further research are also suggested.

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Some psychoanalytic considerations of non-psychoanalytic therapies: On the possibility of integration treatment approaches and related issues.

Cited by 20 publications

References 6 publications

The Building of Epistemic Trust: An Adoptive Family’s Experience of Mentalization-Based Therapy

The Building of Epistemic Trust: An Adoptive Family’s Experience of Mentalization-Based Therapy

Effect of subliminal stimulation of symbiotic fantasies on behavior modification treatment of obesity.

Common factors aren't so common: The common factors dilemma.

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