The Profession of Family Therapy in South Korea: Current Status and Future Directions

The authors present a brief overview of the family therapy field in South Korea. Since its introduction in the late 1970s, family therapy has been developing into a professional field with education and training institutions, practice settings, credentials, and practitioners holding memberships in various professional organizations. While such issues as family values and types, filial piety, violence, interethnic marriage, and social polarization have resulted in an increased demand for family therapy, such services are not readily accessible to Korean families in need. Efforts should be made in increasing number of competent family therapists by strengthening both academic and clinical requirements for credentialing. Efforts are also needed in increasing accessibility of family therapy services by making them more available within a variety of human service contexts.     

The Australian Psychology Workforce 4: An analysis of psychologists in private practice providing Medicare‐funded services

There have always been independent private psychology practitioners in Australia, yet in the past payment of their services was largely by a user‐pays model. The introduction of Medicare Benefits for patients, under the Enhanced Primary Care program in 1999, and Better Access in Mental Health Care in 2006, along with Government‐funded mental health initiatives such as Better Outcomes in Mental Health Care introduced in 2001, has provided an alternative funding model for independent private psychological services. Introduction of these and other Government‐funded programs has raised questions about the responsiveness of the psychology workforce to meet the changing demands for psychological services created by these reforms. This study aimed to profile the characteristics of 3,587 independent private psychologists who provide services to clients under these schemes by analysing their responses to the Australian Psychology Workforce Survey. Of the 44% of psychologists completing the survey who indicated that they had a Medicare Provider Number, only 61% were in private practice as their main job. The remainder conducted services for Medicare‐funded clients as part of a private practice in a second job. The demographic characteristics, work roles, client groups and income of psychologists with Medicare provider numbers are reported.     

Concept of the therapeutic community

The historic development of therapeutic communities is discussed, and it is shown that the term has been neither conceptualized not operationalized. Their unclear aims are considered to be utopian, and the author stresses that previous studies on such communities have been too superficial. The following problems have not hitherto received attention: 1. micro- and macrosocial relationships, 2. the role of the supervisor (authority problems), 3. norms and valuation systems, 4. discipline and sanctions, 5. the problem of roles, 6. questions of indicants and efficacy. The introduction of therapeutic communities is superfluous as a means of improving the socialist health services: it is sufficient to implement the principles of socialist democracy by means of appropriate training programmes.     

Single-point entry: an organizational form in the delivery of services to the aged.

Demographic shifts, the further commercialization of the health and human services industry, and various economic trends point to a restructuring of the systems delivering services to the aged. Emerging are approaches that offer a broad range of services under the auspices of separate organizational entities. Called continuums of care, such organizational forms use single points of entry as mechanisms to control access to the array of available services. Using the life care community as the prime example, this article examines the operations of single-point entry organizations. The authors also explore the implications of such structures for the health and human services industry, noting their potential for stratifying the aged along the dimensions of health and income.     

Single session and walk‐in psychotherapy: A descriptive account of the literature

Over the last several decades single session psychotherapy has become a mainstream psychotherapeutic approach. A steadily increasing demand for psychotherapeutic services and a continuous reduction in mental health care resources worldwide are both largely responsible for this development. This paper describes single session psychotherapy and provides a brief review of the relevant literature. Single session psychotherapy delivered in walk‐in settings is also discussed. Therapists who are unfamiliar with single session psychotherapy will find that this paper provides a concise introduction to the essential processes and outcomes of this psychotherapeutic approach.     

Models of Disability: Implications for the Counseling Profession

Because of the increasing number of people with disabilities, counselors of all specialties and theoretical orientations will be called on to provide services to clients with disabilities. The authors present a brief overview of 4 major models of disability to provide an introduction to the varying definitions and causal and responsibility attributions of disability. Viewing the client with a disability as an individual with multiple identities, roles, functions, and environments facilitates the counseling process.     

成人学习不良社会适应研究

近几年,学术界对成人学习不良社会适应性的研究不断增多。在总结了该领域研究的总体思路后,文章从受教育程度与社会适应、社会交往与人际关系、情绪状态与压力以及环境因素四个方面对该领域主要研究成果进行了分析和概括。最后,针对提高成人学习不良社会适应能力的干预和心理咨询进行了介绍。     

Consumer Motivations for Pursuing Genetic Testing and their Preferences for the Provision of Genetic Services for Hearing Loss

Genetic services for deafness are being increasingly sought due to the introduction of early hearing detection and intervention programs, as well as the rapid progress in the identification of deafness genes. This study aimed to assess the motivations of consumers for pursuing genetic testing as well as their preferences for provision of these services. We conducted 5 focus groups consisting of hearing parents of deaf children, deaf parents, and unmarried deaf adults. Motivations for pursuing genetic testing included determining the etiology, helping to alleviate the guilt associated with the diagnosis of hearing loss in a child, and acquiring information to help them and other family members prepare for the future. Most participants thought that a genetic counselor/geneticist would be the most appropriate professional to provide genetics services. For culturally Deaf individuals, the communication method was seen as more important than the type of professional. Parents preferred that genetic evaluation, including testing, occur either immediately at or a few months after the audiologic diagnosis of hearing loss.     

Terrorism-related risk management for health care facilities

Clinicians should have a basic understanding of the physical and financial risk to mental health facilities related to external threat, such as (but not necessarily limited to) terrorism. Patient care and accessibility to mental health services rest not only on clinical skills, but on a place to practice them and an organized system supported by staff, physical facilities and funding. Clinicians who have some familiarity with the non-clinical requirements for care are in a position to support non-clinical staff in preventing care from being interrupted by external threats or events such as terrorist activity, and/or serving at the interface of facility operations and direct clinical care. Readers should note that this article is an introduction to the topic and cannot address all local, state, and national standards for hospital safety, or insurance providers' individual facility requirements.     

Evolving standards and regulation: Exploring the development and provision of closed circuit television in the United Kingdom

This article explores the emergence of standards and regulation associated with the provision of Closed Circuit Television (CCTV) surveillance systems in the United Kingdom. It argues that despite the intrusive and controlling nature of CCTV technology there is limited formal intervention in the form of legislation, governing its introduction and use. Instead government has sought to influence the regulation of the technology indirectly through its ability to shape and govern policy networks in the policy arena. In doing so, it is argued here, that government remains the dominant actor in the policy process. He is director of the Public Management and Administration degree program. His research interests focus on the emerging governance structures associated with the development of electronic public services, citizenship, and democracy in the information age.     

Development of Genetic Counseling Services in Taiwan

Taiwan is an emerging industrial country in subtropical Asia with a population of 23 million. There were around 200,000 newborns in 2011. Delayed first marriage, low birth rate, and rapid aging are major demographic issues. Genetic counseling services were established following the rapid introduction of genetic technology and enactment of relevant laws and regulations. Ultrasound was first used in 1968 to examine pregnant women. The first amniotic fluid laboratory was founded in 1981 to identify chromosomal abnormalities. In 1984, the Genetic Health Act was legislated for prevention and control of genetic disorders, and the metabolic disorder screen project was launched. National Health Insurance with overall coverage of prenatal examinations was established in 1995. A master-level genetic counseling program was launched in 2003 and by 2011 has graduated eighty students. Two professional societies have been formed to certify genetic counselors, and 66 professionals have been certified. In summary, genetic counseling services in Taiwan are continuously improving.     

Advancements in Procedural Fidelity Assessment and Intervention: Introduction to the Special Issue

Interest in procedural fidelity has grown rapidly since 1981 as evidenced by the growing numbers of research publications across disciplines on this topic. As a result, the past 30 years of research has yielded a variety of procedures to guide research and practice, which we hope translates into better educational practices and services. Despite our progress, much remains unknown. As an introduction to the special issue on advancements in procedural fidelity, this article will briefly describe the conceptual and definitional issues surrounding this topic, summarize the relevance of procedural fidelity to education and research, and highlight the articles in this issue that address proposed research priorities.     

Dynamic interpersonal therapy in an NHS tertiary level specialist psychotherapy service

We describe the introduction of dynamic interpersonal psychotherapy (DIT) into an National Health Service (NHS) tertiary psychoanalytic specialist psychotherapy service. Training in DIT began as our contribution to Improving Access to Psychological Therapies and primary care services, supporting the training and supervision of their DIT practitioners. We then discovered DIT could be a valuable treatment within our own tertiary NHS service for patients with complex presentations. Currently fighting for survival, like many NHS psychoanalytic psychotherapy services nationally, we have adopted a manual-guided, psychoanalytically based therapy to broaden our tertiary clinical psychoanalytic service and accommodate trends in mental health service provision, whilst protecting the quality and integrity of our psychotherapy. DIT helped us continue providing relevant and beneficial psychoanalytic and psychodynamic services to individual patients despite limitations of the financially challenged NHS, NICE guidelines and Payment by Results. We outline the progress and outcomes for patients with complex mental health presentations, include individual case discussion and our experience of using the DIT approach within a traditionally longer term psychoanalytic psychotherapy service.     

Élargissement et renouvellement des questions traitées par l’ergonomie dans le domaine du développement durable : retour sur 12 ans de travaux sur les activités domestiques et la maîtrise des consommations énergétiques

This paper aims to trace how the integration of a societal issue such as “sustainable development” influenced our work in ergonomics in terms of activity analysis and contributions to the design during the last 12 years. We redefined the issue of energy consumption management and of behavioral modification. If we first developed household activities analyses for the design of smart home services, the introduction of sustainable issues leaded us to build the concept of “sustainable situation”: a new form of interaction between the actors and their environment. Sustainable situations allow energy consumption reduction as well as human well-being and development. We thus added sustainability as a new design criteria to preexisting ones such as utility, usability and appropriability. This new design perspective leaded us to enlarge our analysis of the lived experience at home to the longitudinal analysis of processes (appropriation, reflexivity, development and commitment) for the design of resources for the human development and activities.     

German matchmaking web sites: Online trafficking in women?

This article reports on a study of Germany-based matchmaking agencies operating on the Internet, investigating how they are organized and how they advertise their commodities. Matchmaking has rapidly grown into a big digital business. This has engendered debate regarding the sexual behavior of its users, consequences of the resulting intermarriages, and on successful international policy for regulating the related migration. Being a new phenomenon, matchmaking on the Internet has largely remained unresearched until very recently. This analysis is a preliminary attempt to address online introduction services in one industrialized western country, Germany. It examines the size and extent of this kind of German business. One goal is to explore regional manifestations of the trade such as which countries are the counterparts in the other end of the trade? The article also highlights features typical for the advertising on this kind of web site, keeping in mind gender, ethnic, and race aspects. Finally, the issues are raised of whether matchmaking agencies are providing equal possibilities to different kinds of people in this kind of transaction, and whether these kinds of services have an impact on gender and ethnic equality.     

Mind the gap: the lack of common language in healthcare ethics

Ethics consultation services provide support to staff, patients, and family members who find themselves in morally difficult situations in healthcare settings. Not unlike other clinical consultation services, ethics consultation activities should be well documented. Good documentation allows for evaluation of the consultation process and the ability to refer back to consults when needed, and provides data for future research in healthcare ethics (HCE). In our exploration of existing HCE documentation systems, we identified two main points of interest. First, HCE information documentation systems are powerful tools for providing information on ethics consultation services.These documentation systems can be used to produce detailed reports on various HCE activities both institutionally and cross-institutionally. Second, our findings indicate greater agreement in the language and terminology of HCE needs to be established. Cultivation of such common language is needed in order to develop a standard healthcare ethicists can use to document and categorize consults. Standardization of language would allow data to be readily comparable and lead to more consistency in documentation of ethics consultations. Ultimately, standardization of documentation can also constitute a standard of practice for HCE in general.The development of such standards is essential for any developing profession, and will be required for HCE as it moves in towards professionalization in Canada.     

卵巢肿瘤蒂扭转急腹症诊治进展

卵巢肿瘤可因肿物扭转、破裂、出血等而导致剧烈腹痛、恶心呕吐、甚至出现失血性休克等急腹症的表现,是妇科临床常见的急腹症之一,有时容易误诊而导致严重后果。随着医疗水平的提高及微创观念的引入,目前对一些妇科急腹症如卵巢囊肿蒂扭转的处理等在诊断与治疗方面发生了很大的变化,现综述如下。     

精神分析在日本的传播与发展

综述了精神分析在日本的传入与发展。包括:(1)精神传入日本的历史轨迹,如心理学、精神医学、文化学视角的传播;(2)精神分析在日本的发展,如精神分析疗法的推广,精神分析理论的运用;(3)日本对精神分析的评价。     

Adolescent males' view on the use of mental health counseling services

This study investigated adolescent males' view on mental health counseling. Additionally, participants were asked if they had ever used mental health counseling services, if they expected to use such services in the future, and what types of services/activities would constitute a successful counseling experience. The participants' responses indicated that they associated mental health counseling with mental illness and pathology. Eighty-eight percent of the participants reported having never used mental health counseling services. Surprisingly, 69% reported a willingness to use mental health counseling services for life's concerns. Finally, the participants identified a preference for action-oriented counseling strategies. Implications for mental health counseling practice are discussed.     

At the crossroads: managed mental health care,the ethics code,and ethnic minorities

Mental health clinicians are facing an increasing number of ethical problems related to the delivery of managed mental health care services to ethnic minorities. The authors argue that (a) economic pressures have led to the development of the managed health care movement; (b) the combination of such economic pressures and the development of that managed care movement have influenced the promulgated ethical standards of the American Psychological Association; and (c) those influences may have a negative impact on the mental health services available to ethnic minority individuals and communities. The authors review some of the specific potential threats to mental health services for minorities in the face of such health management policy and psychologists' professional standards.