Reflective Practice Column Introduction September 2020

Relay Journal ◽  
2020 ◽  
pp. 229-230
Keyword(s):  
Reflective Practice ◽  
Current Issue ◽  
Administrative Staff ◽  
Previous Issue ◽  
Local Contexts ◽  
Advisor Roles

Welcome to Relay’s sixth Reflective Practice column, where teachers and researchers share deep insights from their practice and explore how autonomy is and can be developed in their local contexts. In the previous issue, papers by Hatice Karaaslan and Mizuki Shibata, Chihiro Hayashi and Yuri Imamura presented reflections from a variety of view points: learners, administrative staff and advisors. In addition, Albert Wong reflected on his use of strategies in an advising session. In the current issue, we continue these themes with three papers which reflect on the use of strategies in advising sessions. The papers demonstrate variety within the advisor perspective, showing advisor roles colliding and combining with other identities, such as researcher, teacher or learner.

scholarly journals In the Light: On Meta-Experience and Spiraling Effects in Psychotherapy—Commentary on Louis Sass’s Commentary on Diana Fosha’s Commentary on Nicole Vigoda Gonzalez’s Case of "Rosa"

2019 ◽  
Vol 15 (1) ◽  
pp. 105
Author(s):  
Diana Fosha
Keyword(s):  
Current Issue ◽  
Previous Issue ◽  
Dynamic Psychotherapy ◽  
Relational Trauma ◽  
Clinical Action ◽  
Core Concepts ◽  
Phenomenological Perspective ◽  
Affective Experiences ◽  
The Moment

In the previous issue of this journal, I commented (Fosha, 2018) on the psychotherapy case study of "Rosa," written by Nicole Vigoda Gonzalez (2018). To address Rosa’s relational trauma and major depression, Vigoda Gonzalez effectively put into clinical action the psychotherapy model I developed, called Accelerated Experiential Dynamic Psychotherapy (AEDP). In my commentary, I discussed how AEDP’s four-state transformational phenomenology can be used to guide the therapist’s choice of interventions. I also showed how the moment-to-moment tracking of the vitality affects accompanying affective experiences is crucial to (a) the processing of core emotions to a healing conclusion, and (b) the metatherapeutic processing (or metaprocessing for short) of this healing—two core concepts in AEDP. In the current issue of the journal, Louis Sass (2019), an internationally recognized expert on phenomenology and psychopathology, has commented on my commentary, endorsing the importance of a phenomenological perspective in psychotherapy. He also raised some concerns about the use and usefulness of metaprocessing for some types of clients, especially those with the distancing defenses of derealization and depersonalization. In this article I respond to Sass’s important and very thoughtful points.

Challenges in the Diagnostic Conceptualization of CRPS-1 (Formerly Conceptualized as RSD)

2006 ◽  
Vol 11 (2) ◽  
pp. 1-3, 9-12
Author(s):  
Robert J. Barth ◽  
Tom W. Bohr
Keyword(s):  
Clinical Practice ◽  
Complex Regional Pain Syndrome ◽  
Somatoform Disorders ◽  
International Association ◽  
Pain Syndrome ◽  
Somatoform Disorder ◽  
Syndrome Type ◽  
Previous Issue

Abstract From the previous issue, this article continues a discussion of the potentially confusing aspects of the diagnostic formulation for complex regional pain syndrome type 1 (CRPS-1) proposed by the International Association for the Study of Pain (IASP), the relevance of these issues for a proposed future protocol, and recommendations for clinical practice. IASP is working to resolve the contradictions in its approach to CRPS-1 diagnosis, but it continues to include the following criterion: “[c]ontinuing pain, which is disproportionate to any inciting event.” This language only perpetuates existing issues with current definitions, specifically the overlap between the IASP criteria for CRPS-1 and somatoform disorders, overlap with the guidelines for malingering, and self-contradiction with respect to the suggestion of injury-relatedness. The authors propose to overcome the last of these by revising the criterion: “[c]omplaints of pain in the absence of any identifiable injury that could credibly account for the complaints.” Similarly, the overlap with somatoform disorders could be reworded: “The possibility of a somatoform disorder has been thoroughly assessed, with the results of that assessment failing to produce any consistencies with a somatoform scenario.” The overlap with malingering could be addressed in this manner: “The possibility of malingering has been thoroughly assessed, with the results of that assessment failing to produce any consistencies with a malingering scenario.” The article concludes with six recommendations, and a sidebar discusses rating impairment for CRPS-1 (with explicit instructions not to use the pain chapter for this purpose).

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