意义治疗的团体辅导对于戒毒者复吸倾向的影响

摘 要: 考察意义治疗的团体辅导对于戒毒者复吸倾向的干预效果。选择生命意义感较低的被试18名进入实验组,并选择与其分数匹配的18名被试组成对照组。后测结果表明,与控制组相比,实验组被试的价值感、效能感、成就感和生命意义感均有显著提升,复吸倾向显著降低。结论: 意义治疗的团体辅导能够显著提高戒毒人员的创造性价值类生命意义源和生命意义感,显著降低其复吸倾向。提升创造价值与对苦难的理解是提高生命意义感的有效途径。     

Issues and Insights: Working With God: Managing Conservative Christian Beliefs That May Interfere With Counseling

Counselors who work with conservative Christians may ask how to respect a client's values when “God” seems to be saying something contrary to what the counselor believes is in the client's best interests. In a managed care era of decreasing choice about one's counselor, referral of such clients to a conservative Christian counselor is not always an option. “Working with God” when counseling conservative Christian clients requires counselors to understand conservative Christian beliefs. This article portrays conservative Christianity as a culture and articulates conservative Christian beliefs that may challenge the counseling process, suggesting options within the framework of these beliefs.     

Out-thinking about Not-words

Our key counseling words are ambiguous and misleading. There are a number of possible meanings that could be supplied for each. The words do not have identifiable agreed-upon relationships to significant events in real life. The result is miscommunication and misunderstanding. The negative effects on counseling research and training are discussed. The points are illustrated by reference to “counseling.” Words should clearly symbolize or describe identifiable events in real life. Writers should try to use words the reality of which can be verified. Readers need to stay reality-oriented instead of word-oriented, especially when the relationship between words and reality is unclear.     

Predictability in Testing and Counseling

The concept of predictability is examined and its relevance for testing and counseling is assessed. Two types of studies, those designed to evaluate the concept, and research on deviant achievement suggest its potential value for test research and practice. Predictability, as such, has not been investigated in counseling, although many counselors realize that while some counselees move in expected directions (not necessarily “good”), others do not. To better understand the factors involved, counselors could make predictions and later compare them with actual results. Ethical problems arise, however, when “no help” or “harm” is predicted. Several types of research having implications for prediction of predictability are reviewed.     

Person-Centered Assessment

The use of tests and assessment in person-centered counseling is discussed. In person-centered counseling, the most fundamental value is honoring the client as the authority on his or her own life. The extreme focus of person-centered theory on the “self-authority” tends to militate against the use of tests and assessment. Person-centered counseling includes unsystematic counselor responses, such as reactions, questions, and suggestions. This increasing involvement of the counselor as a person has implications for the use of tests in person-centered counseling.     

情感强度不同负性生活事件对个体情感反应和行为选择的影响

采用系列实验方法探讨不同情感强度负性生活事件对个体情感反应和行为选择的影响。结果发现：（1）复合生活事件（1高负性+1低负性）为异类时,个体对复合事件的负性感受比单独1高负性事件更低,选择经历前者,出现平均效应;（2）复合生活事件为同类时,其负性感受比单独1高负性事件更高,选择经历后者,出现累加效应;（3）复合事件有明显的时间特点时,其情感和行为选择受事件发生时间影响,符合峰-终定律。结论：人们对负性生活事件的加工受其特点的影响,加工方式不同。     

A Test of Group Counseling

High school students were counseled in groups designed around either a “traditional” or an “accelerated interaction” format The efficiency of each approach in achieving the goals of guidance in education was studied. Group counseling appeared to be a useful counseling tool if organized on a weekly basis.     

Three Futures: Nightmare,Diversion, Vision

Possible futures can, for simplicity, be reduced to three broad options: “Business-as-usual economic growth” (“Nightmare”), “Green economic growth” (“Diversion”), and “Ecological sustainability” (“Vision”). We critically discuss the feasibility and sustainability of each. We find that the Nightmare option will eventually be undermined by ecological deterioration and rising resource scarcity, while the Diversion option, we argue, is doomed to failure. The Vision option is for us the only viable future, but requires unprecedented socioeconomic changes. Regardless of path, either Earth biophysical changes, or socioeconomic changes—or possibly both—will be unprecedented. Hence, predicting the future, never easy, will become much harder.     

高校心理咨询师多重关系情境与决策类型的研究

为探索高校咨询师面临的多重关系伦理情境、决策过程,对访谈17名高校心理咨询师的资料进行分析。结果：常见情境主要包括接送礼物承载的新关系、来访者和咨询师除咨询关系外的师生关系、咨询师与和来访者有关的第三人有关系、咨询师在咨询室之外的场所偶遇来访者、来访者有咨询师的联系方式、来访者和咨询师有身体接触等。决策表现为两种：经验主导型,决策时未意识到处于伦理情境只凭经验决策;伦理主导型,决策时意识到处在伦理情境。结论：高校心理咨询存在一些特殊多重关系,心理咨询师需增加具有伦理意识的决策。     

Chuck Warnath: Visionary Gadfly of Professional Counseling

Charles F. “Chuck” Warnath, professor emeritus and former university counseling center director, was interviewed about his personal life, early training with Donald Super, counseling center experiences, convictions about professional counseling, dedication to issues of equality, and current struggles with the progressive effects of retinitis pigmentosa.     

The Effects of Features of Survey Measurement on Self-Rated Health: Response Option Order and Scale Orientation

Self-rated health (SRH) is widely used to study health across a range of disciplines. However, relatively little research examines how features of its measurement in surveys influence respondents’ answers and the overall quality of the resulting measurement. Manipulations of response option order and scale orientation are particularly relevant to assess for SRH given the increasing prominence of web-based survey data collection and since these factors are often outside of the control of the researcher who is analyzing data collected by other investigators. We examine how the interplay of two features of SRH influence respondents’ answers in a 2-by-3 factorial experiment that varies (1) the order in which the response options are presented (“excellent” to “poor” or “poor” to “excellent”) and (2) the orientation of the response option scale (vertical, horizontal, or banked). The experiment was conducted online using workers from Amazon Mechanical Turk (N = 2945). We find no main effects of response scale orientation and no interaction between response option order and scale orientation. However, we find main effects of response option order: mean SRH and the proportion in “excellent” or “very good” health are higher (better) and the proportion in “fair” or “poor” health lower when the response options are ordered from “excellent” to “poor” compared to “poor” to “excellent.” We also see heterogeneous treatment effects of response option ordering across respondents’ characteristics associated with ability. Overall, the implications for the validity and cross-survey comparability of SRH are likely considerable for response option ordering and minimal for scale orientation.

     

Cross-cultural pastoral counseling: Method or hermeneutic?

This article explores some of the meta-questions that emerge when talking about “cross-cultural pastoral counseling.” Is it a distinct counseling method or a practical hermeneutic that prompts the counselor to examine his or her therapeutic approach? The author argues that “cross-cultural pastoral counseling” is really a hermeneutic that challenges the pastoral counselor to an ongoing evaluation of how and to what extent his or her approach to pastoral counseling may be guided by dominant social convention versus the gospel mandate of Matthew 25: 31–46 [RSV]. The article reviews relevant literature, discusses three fundamental changes (“conversions”) that are necessary for the pastoral counselor in order to do cross-cultural pastoral counseling, and presents a case illustration involving a multi-cultural pastoral counseling intervention.     

Spa in Counseling

A place may be made in nearly every counseling session for spa: uplifting, positive experiences in which the focus is placed directly on helping clients feel good about themselves. With many clients, a few minutes at the end of each interview may be saved for these positive experiences; with some clients the entire effort of an individual session may be that of spa. The simplest of the several examples of spa in counseling offered in this article is the activity “Things I Can Do,” in which the counselor helps the client focus on and savor some of the most often-repeated actions of which he or she is capable: breathe, walk, talk, eat, sleep, think, and so on. All counseling clients can benefit from the emerging sense of wellness that can come from spa in counseling.     

TREATMENT ACCEPTABILITY AND “FAKING GOOD”: ARE STAFF TELLING US WHAT THEY THINK WE WANT TO HEAR?

Treatment acceptability refers to how acceptable various treatment alternatives are to individuals who are subjected to and who implement those treatments. While treatment-acceptability research increases in popularity, some have questioned its usefulness. In particular, Schwartz and Baer (1991) question whether staff might be telling us what we want to hear, analogous to the phenomenon of test-takers “faking good” while taking personality tests. In this study, we sought to investigate the possibility of such bias in treatment-acceptability ratings. Direct-care staff at a large residential facility were presented with a clinical vignette and five treatment options to rate. They also received three different types of instructions (standard, “fake good,” and “prompted honesty”) designed to determine whether biases in ratings would appear. Results indicate that, under these conditions, staff do not fake good, i.e., there were no differences across instructional conditions. Collapsing across conditions, staff did differ in their ratings on the five treatment alternatives. Reasons for current results and suggestions for further research are discussed.     

“Hey,let me hold your guns for a while”: A qualitative study of messaging for firearm suicide prevention

A recommended component of suicide prevention is encouraging at‐risk individuals to voluntarily and temporarily reduce access to firearms and other lethal methods. Yet delivering counseling on the topic can be difficult, given the political sensitivity of firearm discussions. To support such counseling, we sought to identify recommended framing and content of messages about reducing firearm access for suicide prevention. Through qualitative interviews with firearm owners and enthusiasts, we identified key points for use in framing (identity as a gun owner, trust, voluntary and temporary storage, and context and motivation) and specific content (preference for “firearm” over “gun,” and legal issues such as background checks for transfers). These findings build on prior work and should enhance efforts to develop and deliver effective, acceptable counseling and—ultimately—prevent firearm suicide.     

Nudges and signposts: The effect of smart defaults and pictographic risk information on retirement saving investment choices

The authors tested two interventions to improve retirement savings investment decisions. In an incentive‐compatible experiment, 459 participants engaged in a task simulating their working life. Periodically during the simulation, participants chose between different investment options. The authors examined the effectiveness of a “nudge” by manipulating the default option and the effectiveness of a “signpost” by manipulating the display of a pictograph summarizing the expected return of each option. Participants often followed the default option, particularly when it was “smart” (i.e., became more conservative as retirement approached) and when presented together with dynamic pictographs (i.e., updated each year assuming the investment was held until retirement). Those most likely to make optimal choices (i.e., consistent with the life cycle model) were presented with a smart default or dynamic pictographs. These findings reveal how different choice architecture interventions can be used to positively influence behavior. Retirement funds and regulators can support retirement savings decisions by the provision of smart defaults and better risk information in the form of pictographs.     

Person‐Centered Counseling: The Culture Within

The variables most related to success in counseling outcome research are the client‐counselor relationship and the personal and situational resources of the client (extratherapeutic variables). When these variables are compromised, a “specificity myth” is endorsed purporting that there are specific treatments for particular groups of people. This myth is a direct result of a shift in focus from the client to the counselor as the expert who focuses on “doing” counseling rather than “being” a counselor. Person‐centered counseling cuts to the core of therapeutic success: the relationship of the counselor‐client and the utilization of the client's resources.     

Conceptualizing Genetic Counseling as Psychotherapy in the Era of Genomic Medicine

Discussions about genetic contributions to medical illness have become increasingly commonplace. Physicians and other health-care providers in all quarters of medicine, from oncology to psychiatry, routinely field questions about the genetic basis of the medical conditions they treat. Communication about genetic testing and risk also enter into these conversations, as knowledge about genetics is increasingly expected of all medical specialists. Attendant to this evolving medical landscape is some uncertainty regarding the future of the genetic counseling profession, with the potential for both increases and decreases in demand for genetic counselors being possible outcomes. This emerging uncertainty provides the opportunity to explicitly conceptualize the potentially distinct value and contributions of the genetic counselor over and above education about genetics and risk that may be provided by other health professionals. In this paper we suggest conceptualizing genetic counseling as a highly circumscribed form of psychotherapy in which effective communication of genetic information is a central therapeutic goal. While such an approach is by no means new—in 1979 Seymour Kessler explicitly described genetic counseling as a “kind of psychotherapeutic encounter,” an “interaction with a psychotherapeutic potential”—we expand on his view, and provide research evidence in support of our position. We review available evidence from process and outcome studies showing that genetic counseling is a therapeutic encounter that cannot be reduced to one where the counselor performs a simple “conduit for information” function, without losing effectiveness. We then discuss potential barriers that may have impeded greater uptake of a psychotherapeutic model of practice, and close by discussing implications for practice.     

The Psychic Life of Fragments: Splitting from Ferenczi to Klein*

The present paper starts from the reflection that there is a curious “phenomenological gap” in psychoanalysis when it comes to processes of splitting and to describing the “life” of psychic fragments resulting from processes of splitting. In simpler terms, we are often in a position to lack a precise understanding of what is being split and how the splitting occurs. I argue that although Melanie Klein’s work is often engaged when talking of splitting (particularly through discussions on identification, projection and projective identification), there are some important phenomenological opacities in her construction. I show that by orchestrating a dialogue between Melanie Klein and Sándor Ferenczi, we arrive at a fuller and more substantive conception of psychic splitting and of the psychic life of fragments which are the result of splitting. This is even more meaningful because there are some unacknowledged genealogical connections between Ferenczian concepts and Kleinian concepts, which I here explore. While with Klein we remain in the domain of “good” and “bad” objects—polarised objects which are constantly split and projected—with Ferenczi we are able to also give an account of complicated forms of imitation producing psychic fragments and with a “dark” side of identification, which he calls “identification with the aggressor”. While attempting to take steps toward imagining a dialogue between Klein and Ferenczi, I note a certain silent “Ferenczian turn” in a late text by Melanie Klein, “On the Development of Mental Functioning”, written in 1958. In particular, I reflect on her reference to some “terrifying figures” of the psyche, which cannot be accounted for simply as the persecutory parts of the super-ego but are instead more adequately read as more enigmatic and more primitive psychic fragments, resulting from processes of splitting.     

What We Deserve, and how We Reciprocate

Samuel Scheffler says, “none of the most prominent contemporary versions of philosophical liberalism assigns a significant role to desert at the level of fundamental principle.” To the extent that this is true, the most prominent contemporary versions of philosophical liberalism are mistaken. In particular, there is an aspect of what we do to make ourselves deserving that, although it has not been discussed in the literature, plays a central role in everyday moral life, and for good reason. As with desert, reciprocity inspires skepticism. What Allen Buchanan calls justice as reciprocity implies that duties of justice obtain only among those who can do each other favors. So characterized, justice as reciprocity is at best only a part of justice – a part that is silent on duties between people who have no favors to offer each other. Still, the more modest root idea of reciprocity – the idea that returning favors is at very least a good thing – remains compelling. What can we say on behalf of this root idea? This article is part of a larger work on the elements of justice. Both parts of it begin with and build on James Rachels’ seminal paper “What People Deserve.”