{"title":"The meanings of culture","authors":"P. Ravalico","doi":"10.4324/9780203459348-7","DOIUrl":"https://doi.org/10.4324/9780203459348-7","url":null,"abstract":"","PeriodicalId":206249,"journal":{"name":"Psychotherapy in Australia","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126582031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clients of the best therapists improve at a rate at least 50 per cent higher and drop out at a rate at least 50 per cent lower than those of average clinicians. What is the key to superior performance? Are 'supershrinks' made or born? Is it a matter of temperament or training? Have they discovered a secret unknown to other clinicians or are their superior results simply a fluke, more measurement error than reality? We know that who provides the therapy is a much more important determinant of success than what treatment approach is provided. The age, gender and diagnosis of the client has no impact on the treatment success rate, nor does the experience, training, and theoretical orientation of the therapist. In attempting to answer these questions, Miller, Hubble and Duncan have found that the best of the best simply work harder at improving their performance than others and attentiveness to feedback is crucial. When a measure of the alliance is used with a standardised outcome scale, available evidence shows clients are less likely to deteriorate, more likely to stay longer and twice as likely to achieve a change of clinical significance. (editor abstract)
{"title":"Supershrinks: What is the secret of their success?","authors":"Scott D. Miller, B. Duncan, Mark A. Hubble","doi":"10.1037/e526322010-003","DOIUrl":"https://doi.org/10.1037/e526322010-003","url":null,"abstract":"Clients of the best therapists improve at a rate at least 50 per cent higher and drop out at a rate at least 50 per cent lower than those of average clinicians. What is the key to superior performance? Are 'supershrinks' made or born? Is it a matter of temperament or training? Have they discovered a secret unknown to other clinicians or are their superior results simply a fluke, more measurement error than reality? We know that who provides the therapy is a much more important determinant of success than what treatment approach is provided. The age, gender and diagnosis of the client has no impact on the treatment success rate, nor does the experience, training, and theoretical orientation of the therapist. In attempting to answer these questions, Miller, Hubble and Duncan have found that the best of the best simply work harder at improving their performance than others and attentiveness to feedback is crucial. When a measure of the alliance is used with a standardised outcome scale, available evidence shows clients are less likely to deteriorate, more likely to stay longer and twice as likely to achieve a change of clinical significance. (editor abstract)","PeriodicalId":206249,"journal":{"name":"Psychotherapy in Australia","volume":"505 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130166537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Death reconstructs our experience of personal and household objects in particular ways; there is the strangeness of realising that things have outlived persons, and, in this regard, the materiality of things is shown to be more permanent than the materiality of the body. In this edited extract from her book, 'Objects of the Dead', Margaret Gibson examines a poignant, universal and often complex experience - the death of a loved one and the often uneasy process of living with, and discarding, the objects that are left behind. For those who outlive a loved one, the objects that remain are significant memory traces and offer a point of connection with the absent body of the deceased. How and when family property is sorted through after a death is often fraught with difficulties, regrets and disagreements. Objects matter, however, because they are part of us - we imprint objects and they imprint us materially, emotionally and memorially. For the bereaved, objects can transpose into quasi-subjects, moving into that now vacated, bereft place. (editor abstract)
死亡以特殊的方式重建我们对个人和家庭物品的体验;意识到事物比人更长寿是一件奇怪的事情，在这方面，事物的物质性比身体的物质性更持久。玛格丽特·吉布森(Margaret Gibson)在她的书《死者的物品》(Objects of the Dead)中编辑了这段节选。在这段节选中，她审视了一个凄美、普遍而又复杂的经历——亲人的死亡，以及与逝者一起生活和丢弃逝者物品的不安过程。对于那些比亲人活得久的人来说，留下的物品是重要的记忆痕迹，并提供了一个与死者不在的身体联系的点。在死者去世后，如何以及何时处理家庭财产往往充满了困难、遗憾和分歧。然而，物体很重要，因为它们是我们的一部分——我们给物体留下印记，它们也在物质上、情感上和记忆上给我们留下印记。对于失去亲人的人来说，客体可以转换成准主体，进入那个现在空出来的、失去亲人的地方。(编辑文摘)
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