Using a Creative Intervention to Increase Self-Disclosure Among Mandated Juveniles with Co-Occurring Disorders

Abstract

Counselors providing treatment within the juvenile justice system encounter numerous challenges that are inherent in working with this population. One of the challenges includes providing treatment to adolescents who are entering the juvenile justice system with co-occurring mental health and substance use disorders. Given the challenges, creative interventions that enhance client motivation and the therapeutic relationship are especially needed. The purpose of this article is to propose a creative intervention that may enhance the therapeutic relationship, increase client investment in treatment, and facilitate client self-disclosure. A case illustration will be used to illustrate the intervention.     

The Wisdom Jar

Abstract

Supervisors can use a wide range of skills and exercises when terminating counseling supervision with supervisees at the end of a practicum class. This article presents an experiential creative activity, the Wisdom Jar, as a metaphor for discussing specific lessons with supervisees. The use of creativity and the integration of symbols and metaphors provided supervisees with images to reflect upon after completing a counseling practicum clinical experience.     

Making Meaning Using Creativity and Spirituality

Abstract

This article describes two creative techniques utilized when working with clients. With the increased attention on issues of spirituality, multiculturalism, and creativity, the “Give Away Ceremony” and “Spiritual Symbolism” is demonstrated via a case study approach. Additionally, a brief history of the immersion of spirituality in the counseling profession is addressed.     

Promoting Relational Competencies in Counselor Education Through Creativity and Relational-Cultural Theory

Abstract

This article addresses the need to identify requisite relational competencies that professionals providing creative and innovative counseling services must hold when facilitating responsible, growth-fostering connections between service providers and others. This article also includes a discussion on how the relationally responsible use of power must be included in any forum that examines relational dynamics and competencies. Although subsequent writings will discuss creativity-related competencies in greater depth, the focus of this paper rests on some relational challenges that students and professionals in the counseling and related fields face and on the need to identify relational competencies that can facilitate successful resolution of these challenges.     

Cycles of Understanding and Hope: Toward an Integrative Model of Therapeutic Change in Child Psychotherapy*

ABSTRACT

This article presents an integrative theory of pathological development in childhood and an inclusive model of therapeutic change, based on a contemporary understanding of children's emotions. In this model, effective therapies for children and adolescents, whether through empathy and understanding or through active efforts to change patterns of thought and behavior, arrest malignant emotional processes, especially vicious cycles of painful emotions and pathogenic family interactions. Our most successful interventions then set in motion positive cycles of healthy emotional and interpersonal experiences - increased confidence and engagement in life and more affirming interactions between parents and children. Over time, successful therapy strengthens in children and adolescents a more encouraging, less critical inner voice and, perhaps most profoundly, more positive expectations for their future - a new sense of what is possible in their lives.     

Physical activity participation and physical aggression in children and adolescents: A systematic review and meta-analysis

BackgroundAggressive behaviour is a substantial behavioural problem in children and adolescents. This review systematically summarises the current evidence on the relationship between physical activity participation and aggressive behaviour and quantifies the effects of physical activity interventions on aggression in children and adolescents.MethodsStudies were identified through a search of five electronic databases (PsycINFO, SPORTDiscus, MEDLINE, CINAHL and Web of Science) with combinations of three groups of keywords. Two independent reviewers screened and extracted data from the individual studies. The reporting quality and publication bias were assessed. The relationship between physical activity participation and aggressive behaviour was systematically summarized. Data (effect sizes) were pooled to investigate the effects of physical activity interventions on aggressive behaviour. A moderator meta-analysis was performed to identify potential moderators of the effects of physical activity interventions on aggressive behaviour.ResultsNineteen studies met the inclusion criteria. The relationship between physical activity participation and aggressive behaviour was mixed. A significant reduction in aggressive behaviour was observed after physical activity interventions (k = 8, SMD = −0.53, 95% CI [−0.27, −0.79], p < 0.001). The moderator meta-analysis showed that physical activity interventions involving team-based physical activity had greater effects than those involving individual-based physical activity (β = 0.42, SE = 0.18, p = 0.02). In addition, interventions involving physical activity alone were more effective in reducing aggressive behaviour than those that combined physical activity with other activities such as a philosophy course (β = −0.63, SE = 0.11, p < 0.001).ConclusionThe current meta-analysis presents evidence for the effect of physical activity interventions on aggressive behaviour in children and adolescents. Physical activity–only interventions involving team-based physical activity might be used for preventing or reducing aggressive behaviour in children and adolescents. Possible mechanisms, methodological strengths and weaknesses, implications, and suggestions for future studies were discussed.     

Competitive Employment and Service Management for Adolescents and Young Adults with Emotional and Behavioral Disorders

Summary

Adolescents with emotional and behavioral disorders (EBD) pose difficult service delivery problems as they display the types of behaviors that are least tolerated inschool, work, and community settings. This population has (a) the highest drop-out rate (over 50%) and (b) the highest unemployment rate (52%) four years after leaving high school of all disability groups served by special education. Further, there are few transition programs and interventions with documented long-term benefit for this population and age group. Given the variety and severity of the complex problems associated with EBD (e.g., poverty, substance abuse, family planning, counseling, criminal activities, etc.), and the poor transition experiences of this population, it is imperative that a coordinated systern of vocational training and social support be afforded adolescents and young adults with EBD to have maximum effect. This article describes such a service model and summarizes preliminary data on the effect of the program.     

The Application of Self Psychology to Therapeutic Camps

Abstract

Camp programs provide children and adolescents with vital opportunities to grow and are recognized as effective social work interventions. Children and adolescents with learning disabilities (LD) are at risk to experience psychosocial difficulties, which may result in difficulty attending regular camps. Self psychology can increase our understanding of these children's camp experiences, because of its focus on the individual's subjectivity and interactions throughout the lifespan and in therapeutic relationships. This paper extends the application of self psychology to therapeutic summer camps with children who have learning disabilities, illustrated through examples. The paper concludes with practice principles.     

Psychology of Dreams

Abstract

This article describes the essential aspects of a creative, experiential course in dream interpretation for psychology and counseling students. Such a course offers counselor educators an opportunity to develop basic interviewing and advanced processing techniques in their students while facilitating greater self-exploration and improved relational functioning. The authors measured students' self-reported change in their overall functioning and satisfaction with self, others, and their future. Finally, practicing counselors may find the techniques outlined in this article useful in their own work with clients.     

Integrated Behavioral Health in Rural Settings: A Course Design

ABSTRACT

Rurality is a vital component of cultural diversity, making it essential to train future counselors on comprehensive mental health counseling practice with rural populations. In this article, we describe the development of a master’s level course that reflects an integrated approach to providing mental health counseling services in rural communities. First, the pedagogical foundation for the course design and positionality are discussed. Second, the course objectives are outlined, and corresponding teaching methods and creative learning assignments are provided. Last, we discuss the strengths and challenges of the course design and implementation.     

Mistakes as Pathways Towards Creativity in Counseling: A Case Example

ABSTRACT

The relationship between mistakes, improvisation, and counseling process is explored through the use of a case example involving a failed clinical intervention. Exploration of mistakes offers an opportunity to examine multiple elements of counseling while highlighting the creative nature of the counseling process. Counselor educators are encouraged to incorporate discussions of mistakes and creative development into training.     

A festschrift for Carolyn Ingrid Saarni

ABSTRACT

To introduce this special issue honoring Carolyn Saarni, this article provides a brief biography of her career. It highlights Carolyn’s foresight in integrating developmental science and counseling psychology to enlighten our understanding of the development of children’s emotional lives. It also describes some of her most creative research, studies that inspired many scholars to this day. It casts Carolyn’s contributions in the historical changes that have taken place in developmental psychology. Lastly, this article also previews the articles presented by contributing authors who count themselves among Carolyn’s colleagues. Those articles focus on research directions in the study of emotional competence, emotion regulation, emotion knowledge, and emotion socialization that have evolved from and been inspired by Carolyn’s rich contributions to developmental psychology.     

Interventions for children and adolescents who stutter: A systematic review,meta-analysis,and evidence map

PurposeThis systematic review critically appraises and maps the evidence for stuttering interventions in childhood and adolescence. We examine the effectiveness of speech-focused treatments, the efficacy of alternative treatment delivery methods and identify gaps in the research evidence.MethodsNine electronic databases and three clinical trial registries were searched for systematic reviews, randomised controlled trials (RCTs) and studies that applied an intervention with children (2–18 years) who stutter. Pharmacological interventions were excluded. Primary outcomes were a measure of stuttering severity and quality assessments were conducted on all included studies.ResultsEight RCTs met inclusion criteria and were analysed. Intervention approaches included direct (i.e. Lidcombe Program; LP) and indirect treatments (e.g. Demands and Capacities Model; DCM). All studies had moderate risk of bias. Treatment delivery methods included individual face-to-face, telehealth and group-based therapy. Both LP and DCM approaches were effective in reducing stuttering in preschool aged children. LP had the highest level of evidence (pooled effect size=-3.8, CI -7.3 to -0.3 for LP). There was no high-level evidence for interventions with school-aged children or adolescents. Alternative methods of delivery were as effective as individual face-to-face intervention.ConclusionThe findings of this systematic review and evidence mapping are useful for clinicians, researchers and service providers seeking to understand the existing research to support the advancement of interventions for children and adolescence who stutter. Findings could be used to inform further research and support clinical decision-making.     

Parataxic Distortions in the Initial Stages of Group Relationships

Abstract

This article highlights the significance food may have in group therapy with children and adolescents and its meanings for particular group members. It focuses on the interactions between the group members and leaders in response to food. Along with providing actual nutrition, food represents emotional and symbolic nurturing, and may trigger salient conflicts and issues with which group members are struggling. An essential role of the group leader is to manage conflicts that may be evoked by the provision of food. Examples are provided to illustrate themes and meanings related to food in group therapy with children and adolescents.     

Strengthening Couples from a Single-Parent Household Using Relational Cultural Therapy

ABSTRACT

Individuals initially learn about intimate relationships from observing others, such as their parents or caregivers’ relationship, which may positively or negatively affect their own romantic relationship. This article focuses on the application of Relational-Cultural Therapy (RCT) concepts to establish resilience among couples with at least one partner from a single-parent household. Some individuals from single-parent households may not have witnessed romantic relationships to confidently engage in adult romantic relationships. Additionally, clinicians may not consider family background as a source of contention for a couple’s presenting concerns. Thus, this article provides creative interventions and implications to assist counselors in working with couples.     

Psychosocial Development and Black Male Masculinity: Implications for Counseling Economically Disadvantaged African American Male Adolescents

Few articles exist on issues related to counseling African American male adolescents. This article examines developmental and sex role factors and their importance for counseling interventions and the counselor-client relationship. Implications are drawn for counselors desiring to improve their abilities to assist this population.     

L’enfant visiteur en réanimation adulte : vécu psychologique de la visite et dispositifs d’accompagnement

IntroductionWhile ICUs encourage visits from patients’ loved ones, visits from children and adolescents have remained a rather sensitive issue. In an attempt to protect children from a potentially traumatic environment, certain services refuse or restrict their visits.ObjectiveIn this context, the question arises as to whether the visit in intensive care constitutes a psychological risk for the child and adolescents. Based on the literature, this article discusses the experience of the visit on the child, the research methodology implemented with child visitors, and finally the existing support systems.ResultsThe analyzed studies do not consider the psychological disorders associated with ICU visits. Moreover, there are many studies on this field and the methodologies have yet to be developed. Support measures exist but are at the initiative of the intensive care teams.ConclusionThere is now an urgent need to build on the studies focused on this field in order to propose a genuine policy with regard to the reception and support of children visiting ICU patients.     

Taming the Brain Weasels: Reducing Self-Criticism Through Externalization and Compassion

ABSTRACT

Self-criticism is a natural process occurring across mental health disorders. When self-criticism is excessive, vulnerability to mental health disorders such as depression and anxiety increases. Compassion-focused approaches can effectively address a variety of concerns; however, highly self-critical individuals might balk at the idea of self-directed compassion due to shame, self-blame, or discomfort with positive emotions, resulting in treatment resistance. The brain weasel is an intervention strategy that uses the Narrative Therapy technique of externalization as an intermediate step toward compassion-oriented work. Through creative externalization and therapeutic humor, self-critical individuals can decenter and explore their self-critical dialogue. This article contains several ways to introduce and use the brain weasel personification in counseling.