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Publication: Trusting in Psychotherapy

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Page numbers printed in boldface type refer to tables or figures
Absolute trust,
115, 183
Abuse, and distrust of self,
131–132. See also Maltreatment
Acceptance, and critical judgment of psychotherapist,
161
Adult Attachment Interview,
76, 82
Agency, and interpersonal hope,
143–144
Ainsworth, Mary,
71, 72, 73, 82, 91
Alice in Wonderland (Carroll 1865),
8
Alloparenting,
92–93, 98. See also Intensive mothering
American Psychological Association,
6–7
Anna Freud Centre,
80, 81
Anthropology, and cross-cultural critiques of attachment theory,
90, 94, 107
Anxious attachment,
72, 73
Appiah, Kwame Anthony,
31–32, 158
Aptitude assumption, and concept of good life,
35
Aquinas, Saint Thomas,
139
Aristotle,
30, 31, 36
Art, and psychotherapy as craft,
38–39
As if mode, and intentional stance,
53
Assimilative integration,
21, 23
Attachment, and attachment theory
. See also Anxious attachment; Avoidant attachment; Disorganized attachment; Insecure attachment; Secure attachment
couples therapy and injuries of,
126
cross-cultural critiques of,
xxvii–xxviii, 89–96, 97–98, 107, 176
relationship with self and,
130
secure or insecure forms of,
69–79
Attention,
68, 71, 117
attachment patterns and,
71, 73
coercion of reliance and undermining of trust,
114
dyadic,
91
joint attention and intentionality,
xiii, 60–61, 67, 86, 172
patterns of,
27–28
selective,
124
vigilance and,
123
Attunement, and concept of good life,
34, 149
Autonomy
balance of love and respect,
158–159, 159
balance of self-trust and self-distrust,
136
cultural variation in,
93–94, 95, 97, 106
psychological versus action,
93–94
reactance and fear of losing,
17
secure attachment and,
73, 78, 130
therapeutic neutrality and,
163, 165
Avoidant attachment,
72, 73, 78
Baier, Annette,
xv, 107–108, 111, 118–119, 120, 122
Barkham, Michael,
18–19, 20
Basic trust
attachment relationships and,
77–79
epistemic trust and,
96–98
instrumental trust and,
119–120
self-trust and,
133–134
Bateman, Anthony,
79, 81–82, 134, 168
Beebe, Beatrice,
76, 83
Benjamin, Jessica,
xxviii, 157, 169–173, 174–176, 177–180
Betrayal, and couples therapy,
126–127
Beyond Doer and Done To (Benjamin 2018),
171
Bishop, Michael,
37
Borrowed hope, and depression,
143
Boundaries
prevention of distrust and,
125
therapeutic neutrality and,
163
Bowlby, John,
xxv, 69–70, 70–71, 72, 73, 89, 90, 91
Burden, hope and concept of,
144–145
Capacity
development of trust and,
69, 73–74
shared intentionality and,
171
Care
act of trusting in,
118–120
competence in attachment theory and,
77
Case examples, and trustworthiness of psychotherapists,
176–182, 187–192
Categorical imperative, as ethical principle,
157
Change, treatment preferences and readiness for,
15–16
Charity, communication and attitude of,
110
Children
. See Attachment; Development; Intensive mothering
Coercion, and reliance,
113–114
Collaboration, and second-personal relationships,
63
Collective intentionality
epistemic trust and,
85
social trust and,
98–100
transition from joint intentionality to,
57, 63–67, 69
Common factors in psychotherapy mentalizing as,
82
therapeutic relationship and,
7–13, 22
Communication
. See alsoLanguage
accuracy, and trustworthiness of,
108–109
sincerity, and trustworthiness of,
108–109
social fabric and trust in,
108–110
treatment of autism spectrum disorders and,
5
Community, and social trust,
107–110
Competence, and trusting,
67–69, 77, 120–122
Confidence, and faith,
146–147
Conflict
in couples therapy,
128
therapeutic relationships and,
10
Conscientiousness, and self-trust,
133–134
Consultation, and professional
development of psychotherapists,
41–44
Contempt, and couples therapy,
126–127
Contextual model of psychotherapy,
xxv, 21–22
Continuing education and professional development of psychotherapists,
41–44
Conversation, and concept of the Third,
170, 171
Cooperation and intentionality,
56–57, 63, 69
Coronavirus pandemic, and impact of social isolation on mental health,
55
Countertransference, and moral reactive attitudes,
159–160. See also Therapeutic relationships
Counting on, and trustworthiness,
111, 111–112, 114, 131
Couples therapy
defensiveness and,
126
issues of trust and distrust in,
125–129
Criticism, and couples therapy,
126
Culture
. See alsoWEIRD
critiques of attachment theory and,
xxvii–xxviii, 89–96, 97–98, 107, 176
cultural competence of psychotherapists,
13–14
development of cooperation and evolution of,
57, 68
individualizing of psychotherapy and,
13–15
mentalizing and,
97
social trust and,
98–100
Deliberate practice, and professional development of psychotherapists,
44–45
Demoralization, and common factors in psychotherapy,
9
Dennett, Daniel,
25, 52–53, 54, 59, 85
Dependency, and ethical basis of trust,
106
Dependent Rational Animals (MacIntyre 1999),
106
Depression
borrowed hope and,
143
distrust of self and,
131
positive psychology and,
37
Development
attachment patterns of infant and,
72–74, 73
epistemic trust and,
85–87
intentional stance and,
52–55
of mind,
54–55
transition from “you and I” to “we” in,
55–69
Diagnosis, adaptions of psychotherapy beyond,
6–7, 8
Disorganized attachment
attachment trauma and,
74–77
description of,
73
disabled caregiving system and,
77
Dissociation
in clinical example,
177–180
distrust of self and,
131
Distrust,
11, 69, 70, 83, 108, 119, 122–125, 139, 165
attachment trauma and,
74, 78, 169
in couples therapy,
125–129
in development of alliance,
10
in infants,
73–74
of self,
129–136
spiritual trauma and,
14
Dodo bird verdict, and validity of specific treatments,
8, 19, 20, 45
Doubt
as intrinsic to faith,
147–148
model of hope and,
140
Dynamics of Faith, The (Tillich 1957),
146
Efficacy, and effectiveness
evidence-based practice and,
6, 7
research on psychotherapists and,
19
Elasticity, in intentional stance,
53–54
Ellis, Tom,
3–5, 12
Emotion(s)
attachment theory and emotional well-being,
70–71
characterization of attachment as emotional bond,
78
development of infants and sharing of,
57, 58–59
happiness and emotional condition,
34
pedagogy and,
86–87
Empathy
as common factor in psychotherapy,
9–10
second-personal relationships and,
62
Empirically supported treatments, and evidence-based practice,
6
Epistemic trust
basic trust and,
96–98
mentalizing and,
79–88
self-trust and,
133–134
Erikson, Erik,
xxv, 77, 118
Ethics
basic and epistemic trust and,
96
concept of good life and,
29, 32–36, 70, 149
intentionality and,
68
moral basis of trusting and,
105–107
moral basis of trustworthiness and,
157–162
psychotherapists and knowledge of,
28–37
relational trustworthiness and,
169–170
Evidence-based practice of psychotherapy,
3–7
Evolution, and development of trust,
56– 57, 68, 92
Expectations, and role of hope in psychotherapy,
145
Exposure therapy, for posttraumatic stress disorder,
121–122. See also Systematic desensitization
Externalizing,
8, 17
Facial expressions, and tacit knowledge,
25
Faith, and concept of hope in psychotherapy,
145–151
Faulkner, Paul,
xv, 107, 108, 109, 110, 116, 117, 120
Fear, and model of hope,
140
Feedback, and professional development as psychotherapist,
39
Flow, as optimal balance of skill and challenge,
34
Foa, Edna,
121–122
Fonagy, Peter,
xxv, xxvii, 5, 51, 79–88, 93, 96, 100, 109, 124, 125, 134, 155, 156, 171, 183
Forgotten Truths (Smith 1992),
3
Freud, Sigmund,
xx, 8, 162
Gaslighting, and distrust of self,
132
Gender
. See Sexual orientation and gender identity
Gergely, George,
85–87
Good life, and ethics,
29, 32–36, 149
Good Society, concept of,
100–101
Gottman, John,
xv, xxv, xxviii, 105, 125–129, 158
Gut feelings,
25, 59, 124, 133
Handbook of Attachment (Cassidy and Shaver 2016),
xxv
Happiness, and concept of good life,
34–36
Happiness: A Short Introduction (Haybron 2013),
32
Hawley, Katherine,
106, 115, 116, 124–125, 132, 135, 183
Haybron, Daniel,
32–36, 149
Hays, Sharon,
90–91, 94, 95, 97, 100–101
Hierarchical relatedness, in traditional societies,
93
Holmes, Jeremy,
xxviii, 38, 53, 79, 130
Hope, and trust in psychotherapy,
136–151
How Can I Be Trusted? (Potter 2002),
156
How and Why Are Some Therapists Better than Others? (Castonguay and Hill 2017),
38
Hrdy, Sarah,
92, 97, 98
Humanism, science-informed,
3, 29
Hypervigilance, and suspicion,
123
Individualizing, of psychotherapy,
13–17
Influence, and therapeutic neutrality,
164
Initial bond, and contextual model,
21
Insecure attachment,
70–79, 73, 83, 91
Instrumental trust, and basic trust,
119–120
Intensive mothering, attachment theory and model of,
90–91, 94–95, 176
Intentionality, and intentional stance
. See also Collective intentionality; Joint intentionality; Shared intentionality
anthropomorphizing of plants and,
54
development of trust and,
52–55, 57–64
epistemic trust and,
85
evolution and,
56–57
Internalizing, and personality traits,
17
Interpersonal hope, and socially extended agency,
143–144
Interpersonal skill, and professional development of psychotherapists,
45–47
James, William,
23
Jaspers, Karl,
148
Jobes, David,
12
Joint intentionality
development of trust and,
57, 59–64, 65, 68
mentalizing and epistemic trust in,
84
Jones, Karen,
xv, 111–112, 113, 114, 117, 120, 122–123, 124, 130
Kant, Immanuel,
156, 157–158, 161, 162, 183
Keller, Heidi,
91–92, 99
Keyes, Corey,
29–30, 36
Korsgaard, Christine,
32, 56
Lagerspetz, Olli,
xv, 106–107, 108, 112, 116, 117, 118, 119
Lancy, David,
97–98
Language
. See also Communication collective intentionality and,64
joint intentionality and,
61
Left hemisphere, reconciliation of with right hemisphere,
26–28
Levine, Robert,
91
Licensing hope, as metaphor,
141, 142
Life Scientific (BBC radio podcast),
80
Linehan, Marsha,
134–135
Living, personal knowledge and problems in,
28. See also Good life
Loewald, Hans,
162, 169
Love, and balance with respect,
157–158, 159
Main, Mary,
72, 74–75, 76, 82
Maltreatment, and attachment trauma,
75. See also Abuse
Managed care, and evidence-based practice,
6
Martin, Adrienne,
xv, 137–138, 139, 140, 141, 142–144, 146–147, 148
Master and the Emissary, The (McGilchrist 2019),
27
McLeod, Carolyn,
xv, 84, 111, 112–113, 114, 130, 134, 136
Menninger, Karl,
32, 137, 138–139, 145, 186
Menninger Clinic,
xx, xxi
Mental health
. See also Psychiatric disorders;Suicide
coronavirus pandemic and impact of social isolation on,
55
shift in focus from mental illness to,
29–31
Mentalizing
couples therapy and,
126, 129
curiosity and,
161
epistemic trust and,
79–88, 96–98
failures of,
126–127, 136
individual psychotherapy and,
100
reliance on others and,
111–112
secure attachment and,
xxvii
sensitivity in parent-child interaction and,
91
Mental space, as metaphor,
170
Meta-analyses, and research on psychotherapy,
xi, 9
Metaphors, and unconscious processes,
26
Mind
developmental psychology and,
54–55
intentionality and,
52
Minimal decency, and technical competence,
120
Misattunement, and attachment trauma,
75
Moral Third,
70–171, 173–176
acknowledgment and
174, 180
lawfulness and,
174, 180
music and,
170–171
Morality, and morals
. See also Moral Third collective intentionality and,65, 66–67
ethical basis of trusting and,
105–107
ethical basis of trustworthiness and,
157–162
ethics as distinct from,
31–32
good life and,
33
reliance and,
112–114
second-personal relationships and,
62
Murdoch, Iris,
68, 78
Natural pedagogy, and epistemic trust,
86
Neglect, and distrust of self,
131, 132. See also Maltreatment
Nine-month revolution, and joint intentionality,
59–61
Nonjudgmental attitude, of psychotherapist,
160–162
Normative trust
communication and,
110
second-personal relationships and,
63
Objectivity, and collective intentionality,
65
Open vigilance, and distrust,
123–124
Oral history, and couples therapy,
126, 127
Osler, Sir William,
13
Outcomes
assessment of, and professional development of psychotherapist,
39
factors beyond psychotherapy,
17
Panic attacks, and distrust of self,
131
Paranoia, and distrust,
124
Parenting
. See Alloparenting; Intensive mothering
Patients
. See also Psychotherapists; Psychotherapy; Therapeutic relationships
transdiagnostic characteristics of and individualizing of psychotherapy,
13
treatment preferences and readiness of for change,
15–16
trust as reciprocal,
xxv
trustworthiness in writing of personal formulations and,
183–192
Pedagogy, and epistemic trust,
86–87
Performance, and unconscious knowledge,
25
Personal formulations
detailed formulations of sessions,
184
case example,
187–192
key features of,
185
praise and,
184
trustworthiness in writing of,
183–192
Personal influence, and therapeutic neutrality,
164
Personality traits, and reactance,
16–17
Personal knowledge
role of in psychotherapy,
23–28
use of term,
3
Persuasion and Healing (Frank 1961),
8–9
Peterson, Christopher,
36–37
Philosophy
author’s approach to psychotherapy and trust,
xv–xvi
epistemology and,
83
ethics and,
29
Phobias,
2, 121
Play, and nonpedagogical cultural learning,
98
Plight, and movement from hopelessness to hope,
140, 141
Polanyi, Michael,
23, 24, 25
Positive psychology,
36–37
Posttraumatic stress disorder,
121–122
Professional development of psychotherapist
mastering craft of psychotherapy and,
37–47
psychotherapy integration and,
21
Professional practice, and role of trust in psychotherapy,
xxvi
Pruyser, Paul,
137, 138, 139, 140, 141–142, 143, 144, 146, 148
Psychiatric disorders, adaptations of psychotherapy beyond diagnosis of,
6–7, 8. See also Autism spectrum disorders; Depression; Dissociation; Mental health; Panic attacks; Phobias; Posttraumatic stress disorder; Trauma
Psychoanalysis
concept of neutrality and,
162, 163
concept of resistance and,
16
mentalizing and,
81
therapeutic neutrality and,
162
use of term the Third and,
169–172
Psychotherapists
. See alsoBoundaries; Psychotherapy; Research; Therapeutic relationships cultural competence of, 13–14
evidence-based practice and,
3–7
knowledge of ethics in,
28–37
nonjudgmental attitude of,
160–167
no-suicide contracts and,
135–136
personal development of author as,
xix–xxi, 83
professional development and mastering of craft by,
37–47
shift in focus from therapy to therapist,
2–3, 4, 18–20, 155
skill in being human and competence of,
46–47
writing of personal formulations by,
183–192
Psychotherapy
. See alsoCountertransference; Couples therapy; Exposure therapy; Patients; Psychotherapists; Research; Trust; Trustworthiness
adaptations of beyond diagnosis of psychiatric disorders,
6–7, 8
attachment theory and,
69–70, 73, 78, 88–89, 98
case examples of trustworthiness in context of,
176–182, 187–192
commentary on author’s approach to role of trust in,
xiii–xvii
as craft,
xxviii, 38–39
deciding to trust and,
117–118
degrees of trust and,
116
distrust and,
122–125
emotions and interpretation of mental states,
59
epistemic trust and,
87–88, 96–98
hoping in trust and,
136–151
individualizing of,
13–17
integration approach to,
21–23
intentional stance and development of mind,
54–55
joint intentionality and,
68
learning of distrust and,
119
mentalizing and,
80–81, 82, 83, 100
personal knowledge and,
23–28
reflections on issues of trust and trustworthiness in,
182–183
relevance of trust to practice of,
xxv–xxviii
self-trust and,
131, 134–135, 136
shift in focus from therapy to therapist,
2–3, 4, 18–20, 155
social communication and,
109
social trust and,
99–101, 107
therapeutic relationships and trustworthiness in,
169–176
trust and outcome of,
156
use of term,
2
Pursuit of Unhappiness, The (Haybron 2008),
32
Questionnaire, on treatment preferences of patient,
15
Randomized controlled trials, and evidence-based practice,
6
Reactance, and personality traits,
16–17
Reality, and hoping in trust,
138
Recognition, and therapeutic relationship,
169–170, 172–173
Relatedness, cultural variation in,
93–94
Relationships
. See Couples therapy; Role-reversals; Second-personal relationships; Social networks; Therapeutic relationships
Reliance, as condition for trust,
110–114
Religion
as aspect of culture,
14–15
concept of faith and,
145–146, 147, 148
intentional stance and,
54
Renik, Owen,
162, 164–166, 167–169, 175
Research
on attachment theory,
70
on cultural adaptations of psychotherapy,
13–15
on effectiveness of types of psychotherapy,
7–13
outcome assessment and,
39
therapist effects and,
18–20
Resistance, psychoanalysis and concept of,
16
Respect
balance between love and,
157–158, 159
second-personal relationships and,
62
Restoration of trust in couples therapy,
127–129
Right hemisphere, reconciliation of with left hemisphere,
26–28
Rogers, Carl,
10, 12
Role-reversals
attachment trauma and,
75
joint intentionality and,
61–62
Rotter, Julian,
166
Scientism, and conduct of psychotherapy,
3, 23
Second-personal relationships
development of trust and trustworthiness,
61–64
epistemic trust and,
84
Secure attachment,
70–79, 73, 82, 83, 91, 97, 110, 130, 159
Secure Base, A (Bowlby 1988),
69–70
Selectivity, in trust and distrust,
123
Self
balance of with interests of others,
93
concept of good life and fulfillment of,
33
secure attachment and dependence on,
71
trust and distrust of,
129–136
Self-care, role of in competence and trustworthiness of therapists,
46
Self-disclosure, and therapeutic relationship,
166–167, 182
Self-doubt, and professional development of psychotherapist,
46
Seligman, Martin,
36–37
Sensitive responsiveness, and attachment,
72
Sexual orientation and gender identity,
8, 15, 65, 90–91
Shared intentionality, and development of trust,
56, 57–58, 64, 86, 171
Social creation, human mind as,
55
Socially extended agency, and interpersonal hope,
143–144
Social networks, and childcare,
92
Social referencing, and joint intentionality,
60, 61
Social trust
collective intentionality and,
98
community and,
107–108
culture and,
98–100
definition of,
97
Society for the Exploration of Psychotherapy Integration,
21
Socrates,
30
Spirituality, as aspect of culture,
14–15
Stages-of-change model, and concept of resistance,
16
Stonewalling, and couples therapy,
126
Storytelling, and intentional stance,
53
Strange Situation, and study of attachment,
72, 74–75, 76
Strategic trust, and intentional stance,
56
Strawson, Peter,
156, 159–160
Subjectivity, and intentional stance,
55
Suicide, and suicidality
in case example,
187, 188, 189, 191
cultivation of hope,
140–141
distrust of self and,
132
no-suicide contracts,
135–136
reliance as necessary condition for trust and,
110
specialized treatment for,
12
Supervision, and professional development of psychotherapists,
41–44
Suspicion, and distrust,
123, 124
Swanton, Christine,
156, 157, 158, 160–161
Symbols, and concept of faith,
148
Systematic desensitization, and psychotherapy for phobia,
2, 121
Tacit knowledge, as type of personal knowledge,
24–26
Therapeutic alliance,
10–16, 22, 39. See also Countertransference; Therapeutic relationships
as factor in adaptations of psychotherapy,
8
interpersonal skill and development of,
46
supervision and,
42–43
Therapeutic neutrality, and trustworthiness,
159, 162–169
Therapeutic relationships
concept of the Third and issue of trustworthiness in,
169–176, 178–179, 180, 181, 182
common factors in psychotherapy and,
7–13
Therapists
. SeePsychotherapists
Third, the
. See Therapeutic relationships
Three-place trust, and degrees of trust,
115, 116, 133
Tillich, Paul,
146, 147–148
Tomasello, Michael,
xiii, xxvii, xxviii, 55– 69, 70, 73, 79, 82, 90, 93, 98, 100, 169, 171, 183
Transdiagnostic characteristics of patients,
13
Transgender individuals,
15
Transparency
concept of good life and,
35
trustworthiness in psychotherapy and,
183
Trauma
attachment theory and,
74–77, 99
social trust and,
99
spiritual forms of,
14
Trust, and trusting
. See also Basic trust; Development; Distrust; Epistemic trust; Normative trust; Psychotherapists; Psychotherapy; Strategic trust; Trustworthiness
author’s approach to psychotherapy and,
xiii–xvii
in care,
118–120
as common factor,
11
community and,
107–110
competence and,
120–122
cross-cultural critiques of attachment theory and,
xxvii–xxviii, 89–96, 97–98, 107
decisions on,
116–118
degrees of,
114–116
ethical-moral basis of,
105–107
major facets of in social context,
96–101
mentalizing and,
79–88
noncoercive quality of,
113
overview of relevance to psychotherapy,
xxv–xxviii
placing of,
114–116
reflections on issue of in psychotherapy,
182–183
reliance and,
110–114
of self,
129–136
Trustworthiness
. See alsoPsychotherapists; Psychotherapy; Trust
case examples of,
176–182, 187–192
of communication,
108–109
contributors to,
111
distrust and,
122–125
ethical-moral basis of,
157–162
personal formulations and,
183–192
reflections on issue of in psychotherapy,
182–183
as relationship-specific,
xxviii, 156, 169–176
self-care of therapist and,
46
Two-place trust, and degrees of trust,
115–116
Uncertainty
concept of hoping in trust and,
139
as intrinsic to faith,
147–148
Unconscious processes, and personal knowledge,
24–26
Validation and self-trust,
134–135
Vigilance and distrust,
123–124
Virtue, and concept of good life,
33
Vital Balance, The (Menninger 1963),
32
Vulnerability, and ethical basis of trust,
106–107
Wachtel, Paul,
18
Wampold, Bruce,
xxv, 12, 18, 21–22, 41, 46
Weisner, Thomas,
99
Well-being, and good life,
33–34
“We” mode,
61, 62, 70, 170
collective intentionality and,
63, 64, 65,
commentary on author’s study of trust and,
xiii–xiv
couples therapy and,
127
cultural “we,”
66,
joint commitment and,
63
joint goal and,
78
the Third and,
170, 172,
WEIRD (Western, Educated, Industrialized, Rich, and Democratic world), and cultural assumptions,
xiv, xxviii, 90, 92, 94, 95, 99, 100, 107. See also Culture
Williams, Bernard,
xxvi, 30, 108–109, 110
Witnessing, and therapeutic relationship,
174–175, 180
Wittgenstein, Ludwig,
118
World Health Organization,
29–30

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Trusting in Psychotherapy
Pages: 213 - 222

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Published in print: 22 June 2021
Published online: 5 December 2024
© American Psychiatric Association Publishing

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