Category Archives: Psychology

Integrative Psychotherapy: A Review 1


Consider this your forwarning that I am about to start weekly chapter reviews of Mark McMinn and Clark Campbell’s book Integrative Psychotherapy: Toward a Comprehensive Approach(IVP, 2007). I believe this book is important because it marks an important step forward in developing a substantial theoretical model for integrationist psychotherapy. Most of what has gone on in the last several decades has been primarily theoretical and not practice oriented. Both men are professors at George Fox University in Oregon. I know Mark personally as he taught several of my classes at Wheaton and helped me publish my first book chapters in a book he edited. Mark is a gentleman, prolific writer, and pretty good basketball player (he has/had one of the quickest releases around, making it hard to block his shot).

I’m not likely to fully agree with this book, but I expect that it will provoke some thoughts among my student readers.

Introduction: What is a Christian psychotherapy? Good question. the authors say that Christian psychotherapy must be based on “a model of psychotherapy that is faithful to both Christianity and psychology.” (p. 15).

They acknowledge some problems with prior attempts. They define integration in 2 dimensions: (a) integrating a Christian view of persons with psychological literature, and (b) integrating various approaches to therapy (they do not believe in any one pure approach to therapy).

They are not trying to propose the ONE christian model for psychotherapy.

What is to come? the first 4 chapters establish their theoretical framework. For example, they use the concept of the imago dei and its functional, structural, and relational aspects to build their model of persons and therapy). The next 7 chapters consider the practice of their model referred to as IP.

Well, strap on your seatbelts and come along for the ride each Wednesday. 

3 Comments

Filed under book reviews, christian counseling, christian psychology, Psychology

Psychopathology and diagnosing After Bath Mania?


Today marks the beginning of my winter term with the start of Psychopathology class. After exploring the concept of suffering, we’ll look at 11 key classes of pathology (from depression and anxiety to psychoses and personality disorders). Each Monday I will return to a habit I had last year and post a “Science Monday” where I look at some interesting science related to psychopathology.

On a lighter note, my wife and I may have discovered a new disorder. I put its name and diagnostic symptoms out there to see if any of you may have witnessed this malady.

After-Bath Mania (ABM)

ABM is a condition usually found only in elementary age children. After soaking in a warm bath, they become loud, silly, tempted to engage in many kinds of foolish behavior including, but not limited to: (3 of 6 criteria needed)

  1. Nude gyrating or running about the house
  2. Singing nonsense syllables, inventing raps, or repeating High-school Musical lines
  3. Tackling brother and tickling without mercy
  4. Standing on head or climbing door casing
  5. Answering questions in loud singsong voice
  6. Making sounds from parts of body besides the voice-box

These symptoms do not appear prior to bath (whether at 7 am or 7 pm) but do appear post bath more times than not, cause distress in others (e.g., brother angry, parent’s yelling to stop making that racket and to get ready for school), and subside only after parent loses control or the school bell rings. Symptoms may abate once child becomes self-conscious pre-teen. If these symptoms are found in an adult, they may not be considered a pathology unless individuals other than spouse are in the room.  

What is it about baths that makes my son crazy? Anybody have boys that do this? I thought warm baths would calm someone down and get them ready for bed.

3 Comments

Filed under Psychology

How long should you keep clinical records?


The APA has updated and republished their “Record Keeping Guidelines” (2007 American Psychologist, 62:9, 993-1004). In this they discuss 13 separate guides (e.g., content of records, responsibility for records, confidentiality of records, retention of records, disposition of records, etc.).

How long should psychologists keep their records? This guideline suggests the full record is kept for a minimum of 7 years after the last service contact (for adult clients). Why should a psychologist destroy records? Some records might contain out-of-date assessment data that is either no longer valid or superseded by better tools. Some records might include information that was based on a very limited context and could be used against the client (e.g., 15 year old is seen for criminal activity but this information comes out at the age of 50…).

But consider the other side of destroying records. I once saw a client at a counseling center who was returning after 12 years for more counseling. This person had been in counseling for 3 years with a previous counselor who was no longer with the agency. Rules had allowed the disposal of his record. When I told him I could not review his prior record (he had asked that I do so) he was surprised and hurt that we did not keep his record. He felt that we had violated his trust in some way and that the good work that he had done was minimized. He felt the agency didn’t care about him and should have handled his history with more kindness.

So, how would you feel to go to your old therapist and find that your records no longer exist? 

5 Comments

Filed under counseling and the law, Psychology

Copycat killings, why do they happen?


Notice that certain suicides and homicides lead to copycat suicides and homicides? Sadly, we seem to be witnessing this with the new shootings in Colorado right after the Omaha mall shooting. Locally, in the past year officials stopped two different individuals seeking to replicate the Columbine massacres. Why does this happen? Is it a desire to be famous (as the Omaha young man said in his note written before he went on a rampage)? Is is a fad done by those who want to fit in or connect to a certain identity (a certain APA published article sees it this way since their is an upturn in similar events and then a gradual fade)?

Obviously, this is hard to decipher well since the population of copycatters in question is actually rare, often dies in the process, and is quite twisted altogether. But, there is some research. There is a popular book, entitled: The Copycat Effect, by  Loren Coleman. Haven’t read this book but I suspect he provides lots of interesting anecdotes and lurid details, but may be thin on the actual research. I perused the APA literature this am and found most dealing with copycat suicides and guidelines for media coverage. One article spoke of the “Werther Effect”:

Debate about whether the media can influence suicidal behavior began in the late 18th century with an example from the fictional media. In Goethe’s novel The Sorrows of Young Werther, the protagonist falls in love with a woman who is beyond his reach, and consequently decides to end his own life. He dresses in boots, a blue coat, and a yellow vest, sits at his desk with an open book and shoots himself. The launch of the novel was followed by a spate of suicides across Europe, with strong evidence that at least some of those who died by suicide were influenced by the book – they were dressed in a similar fashion to Werther, adopted his method, and/or the book was found at the scene of death. For example, one young man killed himself with a pistol and was found with a copy of the book lying by his side, another young man threw himself out of a window with a copy of the book in his vest, a young woman drowned herself with a copy of the book in her pocket, and another young woman took her own life in bed with a copy of the book under her pillow. The book was banned in various European countries, despite a disclaimer included in later editions in which concluded, “Be a man, he said; do not follow my example” (Minois, 1999).

Phillips (1974)coined the term “Werther effect” to describe the situation where an observer copies behavior he or she has seen modelled in the media, in a paper describing a landmark study of the relationship between news media reports of suicide and subsequent suicidal behavior. Using a quasi-experimental design, Phillips examined the frequency of suicide in months in which a front-page suicide article appeared in the U.S. press between 1947 and 1968, and compared this with the frequency in corresponding months in which no such article appeared. Adjusting for seasonal effects and changing trends in this way, he found a significant increase in the number after 26 front-page articles, and a decrease after seven of them.

This article spoke of the existence of media guidelines for coverage of suicides (and I would add homicides). Sadly, they mention that most American journalists seemed unaware of these guidelines (avoiding rich detail, sensationalism, addressing the hurt to families more than the shooter’s background, etc.)

In 2002 Julie Peterson-Manz wrote a dissertation on the link between increases in homicides after the media sensationalized celebrity involved homicides with rich descriptive, words, multiple stories, identification with the killer. When two or more of the priming effects were found, homicides increased in LA over the subsequent 2 weeks. BUT, when the media spent more time on the consequences to the perpetrator, same weapon homicides decreased over the next 2 weeks.

So, why do copycat murders and suicides take place? Media. And who drives media? We do. Are we to blame? Partly. We do lust to know the details. I admit to getting on-line to learn what I could about the Colorado shootings. I wanted to know who, when, where, why? The same desire to know, leads some to use this information to repeat what they see. Are we responsible for that? No. But, do we need to know as much as we desire? That is the question of the day.

I suspect this problem is much more common than we think. Who’s to say that copycat murders aren’t happening every day in Philadelphia?

3 Comments

Filed under Cultural Anthropology, Psychology

The science of happiness and why we are not


My latest Monitor on Psychologyfrom the APA (December, 07) has a couple of short articles on happiness. One mentions that 1998 study that found Midwesterners predicting Californians would be happier because of their climate. Apparently not true. The author suggests that we’re not that good at predicting what makes us happy and are likely to focus on one positive or negative and neglect other factors that might be important. This sound quite true to me. We tend to point to particular anecdotes from our day/life and use those to confirm our set opinion about whether we are happy or not.

One other little tidbit on p. 38. “White Americans expect to be happy, so day-t0-day positive events have less effect on their overall mood than such events have on Asians and Asian Americans… Negative events, however, are a different story.”

It appears that it takes two positive events to offset a negative experience for White Americans. For Asian Americans, it takes only one.

Interesting. The researching author is quoted as saying, “the happier you get, the more powerful negative events become.” I suspect the truth is more like this. The happier you think you should and can be, the more powerful negative events become. I’m not sure we are more happy. But, I am sure we think we should be.   

Leave a comment

Filed under counseling science, Cultural Anthropology, Psychology

How people of faith messed up psychology: A cautionary tale for those who want to save Christianity from destruction


I’ve been reviewing the history of psychology and Christians in psychology because I’m going to be presenting with a colleague on the topic next week at the National conference of the Christian Association of Psychological Studies (CAPS). Psychology is as broadly defined as the planet and what normally gets told is the celebration of theories and advances of “great men” from Rene Descartes to Darwin to Freud to Skinner to modern professional, clinical psychology. Modernist philosophies of science abound in the “story” of psychology and empiricism reigns as King. Faith and belief have little mention in the story other than science’s emancipation from theology that came during the enlightenment.

We people of faith have a tendency to look at the evils of secularization and the refusal to admit belief biases in the sciences. It would be easy to blame those bad unbelievers. Yet, as I look at the history of psychology, it seems to me that faithful people made most of the significant decisions to advance the field while protecting their private faith. That the effort to maintain faith in light of empiricism as the primary way of knowing, these individuals made significant decisions that still impact how we treat the mentally ill today. Continue reading

4 Comments

Filed under Christian Apologetics, christian psychology, History of Psychology, philosophy of science, Psychology

Do you suffer from DST caused desynchronosis?


Over the weekend, I heard a medical reporter on a local news show talking about the effects of changing to Daylight Savings Time on the body. He suggested that one not drink alcohol or make significant decisions this week as one’s mind and body were in a state of desynchronosis. Huh, what’s that you ask? Continue reading

Leave a comment

Filed under Psychology, Uncategorized

Therapist in a box


For Christmas, I received a joke gift labeled, “Therapist in a Box”, sold by Barnes & Noble. In the little box there is a rubber chair for the therapist and a little timer that sits in the chair, a humorous factbook about psychotherapy and 10 cards with interesting quotes on them. I’m going to share a few of better quotes:

If you talk to God, you are praying. If God talks to you, you have schizophrenia. Thomas Szasz, MD
A psychiatrist asks a lot of expensive questions that your wife will ask for free. Joey Adams, comedian
The aim of psychoanalysis is to relieve people of their neurotic unhappiness so that they can be normally unhappy. Sigmund Freud
Men will always be mad, and those that think they can cure them are the maddest of them all. Voltaire
And here’s my favorite:
The statistics on sanity are that one out of every four Americans is suffering from some form of mental illness. Think of your three best friends. If they are okay, then its you.”  Rita Mae Brown.

1 Comment

Filed under Psychology

Should we embed psychologists in the military?


A few days ago NPR ran a story on a California national guard unit embedding psychologists into their unit. (Listen to the story here). The program is an experiment to see if they can break the stigma of getting help from mental health professionals when they experience PTSD and other traumas. I would assume they are trying to do more than just break the stigma. They’d like to prevent problems or treat before things get too bad.

Near the end of the story, they talk to 2 soldiers about the program. Both are highly negative and list two problems: (a) they feel that the psychologists are unable to really understand their experiences since they weren’t there in the battle, and (b) they feel the counselors are intrusive–“always trying to get in our heads…” They don’t want to keep thinking about events or to talk about their feelings.

Seems like a good idea on paper. Give soldiers a place to address the traumas of war before becoming full-blown. And contrary to one of the soldiers, good therapists can understand soldier experiences without having faced the exact same situation. But there may be better ways to spend the money and get the same results. Training chaplains to address these issues may provide a less stigmatizing and more accepted form of uncovering fears, struggles, etc. Training actual soldiers to provide various forms of debriefing or assessments may also be useful. One other problem is that psychology often finds a good thing (debriefing) and then tries to foist it on everyone–something that we now know is not helpful and can be harmful. Until we have a better sense of helping a variety of at-risk folk deal with the traumas of war, these kinds of programs aren’t going to be that helpful.  I’m all for helping our soldiers and I do think we psychologists have something to offer. However, we have to avoid thinking we already know everything and spend a fair amount of time listening and learning first.

Leave a comment

Filed under counseling science, News and politics, Post-Traumatic Stress Disorder, Psychology

Committing professional suicide? A call to reform the APA


Just came upon a copy of an address given last month at the APA annual convention by Nicholas Cummings, past President of APA. He offers a scathing review of the disconnect between APA and the rest of the sane world. His beef is that APA loses credibility when it tries to speak with authority from opinions rather than evidence. He gives several examples where there has been both a lack of study in areas deemed now politically incorrect and pronouncements of political correct stances without actual evidence (e.g., impact of single parenting on children, why girls who are sexually active are more likely to be depressed and suicidal than those who do not, the efficacy of reparative therapy—helping those who want to change their sexual orientation from gay to straight).

What makes this interesting is that Cummings is not a right wing whacko but an insider and long-time support of APA. He is coauthor of the book, Destructive Trends in Mental Health: The well-Intentioned Path to Harm. I suspect that readers will fall into two camps about the address: those that appreciate his willingness to say what they have wanted to for some time due to marginalization and power of those who run APA; and those who recognize that while he is correct on some accounts, he only wants to blast gay marriage and single mothers.

I can relate to his points. You can find a similar comment I made to a recent president to APA published in the Monitor on Psychology if you go to this link: www.apa.org/monitor/may03/letters.html

Leave a comment

Filed under philosophy of science, Psychology