{"title":"Introducing Confusion to Create Change","authors":"Derek W. Paar","doi":"10.1300/J358V08N01_09","DOIUrl":"https://doi.org/10.1300/J358V08N01_09","url":null,"abstract":"The importance of confusion to the therapeutic process is examined. A 31-year-old female law student who has regularly had sex with strangers and no sex with her husband responds in a confused manner to a story which attempted to capture her life's dilemma. The change of behavior resulting from that confusion is explored with reference to two ideas: Knowing is no-ing, and confusion precedes creation.","PeriodicalId":118583,"journal":{"name":"The Psychotherapy Patient","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1992-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116739299","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}
{"title":"The Concept of Promiscuity","authors":"J. Trop, R. Alexander","doi":"10.1300/J358V08N01_05","DOIUrl":"https://doi.org/10.1300/J358V08N01_05","url":null,"abstract":"The purpose of this paper is to demonstrate a self-psychological approach to the understanding of promiscuity. A patient is described who utilized sexual activities as an attempt to acquire affirming and mirroring responses to stabilize her fragile sense of self. A mirroring transference spontaneously unfolded in the treatment which subsequently became eroticized. The selfobject mirroring tie to the therapist gradually became internalized wilhin the patient as she was able to calm and soothe herself. A definition of promiscuity from within a self-psychological framework emerged from this treatment. Promiscuity is the subjective experience of the patient that sexual activities are being utilized primarily to restore and maintain self-cohesion.","PeriodicalId":118583,"journal":{"name":"The Psychotherapy Patient","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1992-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134269738","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}
{"title":"Addiction or Promiscuity","authors":"D. Litwin","doi":"10.1300/J358V08N01_04","DOIUrl":"https://doi.org/10.1300/J358V08N01_04","url":null,"abstract":"At one time the terms addiction and promiscuity were clearly defined. Position is put forward that at this time there is a greater degree of understanding of the dynamics of promiscuity whereas the usage of addiction has become far looser and the notion of addiction has burgeoned.","PeriodicalId":118583,"journal":{"name":"The Psychotherapy Patient","volume":"361 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1992-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133304690","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}
{"title":"The Personal Valuation of Promiscuity: A Method of Investigation","authors":"H. Hermans, Els Hermans-Jansen","doi":"10.1300/J358V08N01_11","DOIUrl":"https://doi.org/10.1300/J358V08N01_11","url":null,"abstract":"In this article a method of self-investigation, devised for the study of personal meaning in the context of one's own history, is applied to promiscuous behavior. The method invites clients to invesitgate their own life in terms of valuations, a valuation being any unit of meaning that has a positive, negative, or ambivalent meaning in the eyes of the client. The valuation may, concern any events occurring in his or her past, present, and future (e.g., a dear memory, an insoluble problem, an attractive person, an unreachable goal). The personal meaning of promiscuous behavior can be understood as part of the client's organized valuation system. In the case studied here, promiscuity was found to be an effort to fill the void created by the early loss of a father.","PeriodicalId":118583,"journal":{"name":"The Psychotherapy Patient","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1992-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130152943","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}
{"title":"AIDS and the Client \"In the Fast Lane\"","authors":"L. Viney, Lynne Bousfield Ba","doi":"10.1300/J358V08N01_12","DOIUrl":"https://doi.org/10.1300/J358V08N01_12","url":null,"abstract":"This constructivist account of psychotherapy with a sexually promiscuous client comes from a program funded to develop and evaluate psychotherapeutic interventions for people who are HIV-infected or have developed AIDS. Its focus is on narrative construction and reconstruction. The client is shown to tell himself a number of stories which enable him to maintain his often selfdefeating behavior which is also potentially dangerous to others. These stories provide him with the guidelines for living his life, and serve many other functions as well. In therapy they are shared with the therapist; and therapist and client together work toward a retelling of these stories, or narrative reconstruction. The account concludes with a comparison of this approach with other apparently similar therapies.","PeriodicalId":118583,"journal":{"name":"The Psychotherapy Patient","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1992-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128478943","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}
{"title":"\"Psychopathological Promiscuity\" and \"Refinding\" in the Quest for Sexual Love","authors":"R. Mednick","doi":"10.1300/J358V08N01_07","DOIUrl":"https://doi.org/10.1300/J358V08N01_07","url":null,"abstract":"It is proposed that contrary to conventional definitions of \"promiscuity\" which include the criteria of frequent nonselective sexual intercourse having no plan or purpose, psychoanalytic treatment of \"pathological promiscuity\" revealed both selectivity and purpose to this behavior. Aspects of the life and treatment of a woman who presented promiscuity and suicidal impulses as her initial problems are presented. Understanding the unconscious determinants of the patient's \"refinding\" process along with the intrapsychic narcissistic functions which her promiscuity sought to serve underscored the paradox of the definition, and were considered necessary to advance the therapeutic process. An alternate definition of pathological promiscuity is used which recognizes the need for the addition of considerations of infrapsychic conflict, and the psychic functions of narcissistic enactments.","PeriodicalId":118583,"journal":{"name":"The Psychotherapy Patient","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1992-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128898363","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}
{"title":"Assessment of Promiscuous Behavior","authors":"G. Baumbacher","doi":"10.1300/J358V08N01_02","DOIUrl":"https://doi.org/10.1300/J358V08N01_02","url":null,"abstract":"Promiscuous behavior has become increasingly risky. Some patients engage in damaging and dangerous behavior against their best interests and at times against their better judgment. Education alone often fails to curb such behavior when it serves an important role in the individual's psychological organization. This paper will address the various emotional needs that promiscuity may meet, and will briefly address strategies for therapeutic intervention.","PeriodicalId":118583,"journal":{"name":"The Psychotherapy Patient","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1992-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122396981","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}
{"title":"Adult Promiscuity Following Childhood Sexual Abuse","authors":"R. Timms, Patrick Connors Bs","doi":"10.1300/J358V08N01_03","DOIUrl":"https://doi.org/10.1300/J358V08N01_03","url":null,"abstract":"Sexual abuse happens to approximately one in three females and one in five males before age eighteen. This abuse produces many behavioral, emotional, and physical problems in adult life. One such consequence is adult sexual promiscuity. Anxiety which arises over childhood abuse may be dealt with by compulsive or addictive behaviors. Repressed or forgotten abuse may manifest itself in adult life symptomatically by out-of-control behaviors which are abusive of self and/or others. Such compulsive behaviors reflect an attempt to gain mastery over the original abuse and the abuser. Keeping promiscuous behavior secret reinforces lhe original abuse pattern and leads to guilt, shame, and isolation. Countertransference issues facing the therapist are discussed. Four case histories show examples of male and female promiscuity following childhood abuse.","PeriodicalId":118583,"journal":{"name":"The Psychotherapy Patient","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1992-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128882025","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}
{"title":"Career Promiscuity: Patients Who Cannot Commit to a Career","authors":"L. Hopkins","doi":"10.1300/J358V08N01_10","DOIUrl":"https://doi.org/10.1300/J358V08N01_10","url":null,"abstract":"","PeriodicalId":118583,"journal":{"name":"The Psychotherapy Patient","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1992-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123879476","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}
{"title":"Promiscuity, Psychotherapy, and Strong Laughter","authors":"A. Mahrer, Richard Markow, P. Gervaize","doi":"10.1300/J358V08N01_13","DOIUrl":"https://doi.org/10.1300/J358V08N01_13","url":null,"abstract":"From a large data pool of 280 audiotaped psychotherapy sessions, six sessions were identified as containing a series of discrete strong-laughter outbursts. By examining the content of verbal statements in each strong-laughter outburst, and by comparisons with the verbal content of consequent client statements, the balance of client statements in the sessions, and changes that occur sequentially across sessions, the findings indicate that strong-laughter outbursts were uniquely characterized by distinctively high loadings of risky verbal behavior. Implications were drawn regarding the clinical meaning and therapeutic use of strong-laughter outbursts in psychotherapy.","PeriodicalId":118583,"journal":{"name":"The Psychotherapy Patient","volume":"55 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1992-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125925849","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}