New Jersey History (NJH - E-Journal)
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    Introduction [to Special Issue on Rutgers' Special Collections Related to Women part 2]

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    When Perth Amboy was a Seaport Town

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    This article is based on a collection of six hundred letters in the Library composed between 1823 and 1839 in a remarkably legible hand by Rev. James Chapman, a clergyman of St. Peter's Episcopal Church in Perth Amboy

    Recent Acquisitions of the William Cobbett Collection in the Rutgers University Library

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    Osborne describes the growing William Cobbett Collection at Rutgers, both original works of Cobbett (176?-1835) and outstanding examples of the literature known as "anti-Cobbett," attacks on Cobbett by his journalistic enemies

    The Institute for Jazz Studies: A Unique Resource

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    Exposure and Response Prevention in the Treatment of Body Dysmorphic Disorder: A Case Series

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    This case study series investigates the effect of Exposure and Response Prevention in relation to other components present in behavioral therapy for Body Dysmorphic Disorder (BDD). Treatment components were added one at a time in four consecutive phases: (A1) Self-Monitoring; (B) Therapist Contact; (C) Exposure and Response Prevention (ERP); and, (A2) Renewed Self-Monitoring. Client assessment involved (a) a daily self-report diary of BDD symptoms throughout treatment, and (b) periodic completion of standardized self-report measures tapping BDD symptoms and related symptoms of depression and global functioning.  In all, six clients participated in the study. Three clients (Ms. A, Ms. B, and Ms. C) made large or relatively large improvements in their daily self-reported BDD symptoms during the ERP phase. A fourth client (Mr. D) did not make such an improvement during this phase, but made overall progress over the course of treatment. All four of these clients achieved statistically significant improvement over baseline on the standardized BDD measure. One client (Ms. E) dropped out of treatment during the ERP phase, and one (Ms. F) chose not to proceed to the ERP phase after receiving education about it. The results indicate that beneficial effects of treatment occurred during the ERP phase for three of the clients, and thus suggest that this component should, in spite of clients’ almost reflexive, initial skepticism, be considered essential in the behavioral treatment of Body Dysmorphic Disorder. The variety of reactions of the different clients to the treatments is documented and discussed, along with an analysis of the factors that differentiated those clients who found the ERP phase helpful and those who did not

    Assimilative and Theoretical Integration in the Treatment of a Trauma Survivor

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    This commentary discusses the therapy of a trauma survivor from the perspective of psychotherapy integration. The case of Grace (Pass, 2012) illustrates the concept of assimilative integration in so far as it incorporates an expressive writing technique into Accelerated Experiential Dynamic Psychotherapy, which is itself a theoretical integration of psychodynamic and experiential approaches

    The Management of Narcissistic Vulnerability: Three Case Studies Guided by Stephen Mitchell's Integrated Treatment Model

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    The psychological literature pertaining to the treatment of the patient with a narcissistic personality disturbance is dominated by the divergent theories of Otto Kernberg and Heinz Kohut.  In this context, Stephen Mitchell’s theory of narcissistic illusion, which integrates Kernberg’s view of narcissism as a defensive phenomenon and Kohut’s view of narcissism as a growth-enhancing opportunity, is first reviewed. The current study then seeks to assess, through the application of Mitchell’s integrated treatment model to three long-term psychotherapy cases, the efficacy of Mitchell’s model. Efficacy is assessed through (a) a comparison of pre-treatment and post-treatment scores on two standardized, self-report measures, Raskin and Terry's Narcissistic Personality Inventory and the Millon Clinical Multiaxial Inventory-III; (b) DSM diagnostic appraisals before and after therapy; and (c) behavioral comparisons indicating initial psychopathology versus improvement over the course of therapy. In interpreting the findings of the case studies, I argue that the goal of treatment of patients with a narcissistic personality disturbance is to help them (a) acknowledge their narcissistic orientation, and (b) ultimately understand the function of their narcissistic illusion. I conclude that Mitchell’s theory successfully guides the clinician to such an outcome. The strengths and limitations of Mitchell’s model are critically reviewed.  Finally, adjunctive interventions to aid the clinician in the management of the patient’s ongoing narcissistic vulnerability are proposed

    The Abyss of Madness and Human Understanding

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    Two pairs of authors—Pienkos and Sass (2012) and Josselson and Mattila (2012)—have commented upon my article, "Psychotherapy as a Human Science: Clinical Case Studies Exploring the Abyss of Madness." In the article I present a number of case studies that illustrate a phenomenologically, humanistically, and existentially and psychodynamically informed approach to severe psychological disturbances, including both so-called schizophrenia and so-called bipolar disorder. I appreciate the common sympathy that both sets of commentators have with the concept of psychotherapy as a human science. The commentaries also help to raise a number of issues around the concepts of "phenomenological contextualism," "radical otherness" in so-called schizophrenia, the conflict between phenomenological and medical disorder language in describing severe disturbance, and challenges to a psychotherapist working with severely disturbed individuals.

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