Patients' responses to their own case reports

We would do better ethically and scientifically if throughout the process of writing and publication, we let our patients review our reports of them.     

Parents' disclosure of their own concerns to their adolescent children

This study examines middle-aged parents' disclosure about their own lives and current concerns, with their late-adolescent children. Three hundred seventy-two parents of college freshmen, averaging 47 years of age, participated by filling out an anonymous questionnaire that asked about 28 topics, varying in intimacy, of concern to adults. The subjects indicated whether they had discussed each topic with their child, and, if they had, the motivations that prompted them to do so. The data revealed that mothers disclosed more than did fathers, and they were more likely to cite “venting,”“asking advice,” and “seeking emotional support” as reasons for disclosure; fathers were more likely to cite “trying to change his/her behavior” as a rationale for disclosure. Child's gender did not affect disclosure rates, but sons and daughters were disclosed to for different reasons. Divorced parents disclosed more than did parents from continuously intact families, and they cited somewhat different reasons for disclosure.     

Clients Helping Therapists Find Solutions to their Therapy

This paper is offered as a beginning toward including client perspectives on treatment and client participation in supervision. Rather than see therapists as technical experts who do things to people, many of us now see therapists as nonexperts who create conversations with people (Goolishian & Anderson, 1992). This new shift challenges the traditional training positions of supervisor and supervisee, respectively. Including clients' voices the supervisor participate from a nonexpert position.     

Minds of their own

by Lesley J. Rogers, Allen & Unwin, 1997. $16.95 (x+212 pages) ISBN 1 86448 504 3.     

Why people fail to recognize their own incompetence

Successful negotiation of everyday life would seem to require people to possess insight about deficiencies in their intellectual and social skills. However, people tend to be blissfully unaware of their incompetence. This lack of awareness arises because poor performers are doubly cursed: Their lack of skill deprives them not only of the ability to produce correct responses, but also of the expertise necessary to surmise that they are not producing them. People base their perceptions of performance, in part, on their preconceived notions about their skills. Because these notions often do not correlate with objective performance, they can lead people to make judgments about their performance that have little to do with actual accomplishment.     

Helping patients by involving their families

Patients and their family members may become highly interdependent as patients near the end of life. To best help these patients, healthcare providers can try to become a member of the patient/family team. By becoming a member, careproviders can improve patients' and family members' access to medical information, more effectively offer advice, and assure patients and family members that they can still choose to do what they think is best.     

“各说各话”的语言经验对景颇族大学生执行功能的影响

在中国云南的景颇族中,相当多的家庭是由不同支系的人组成的,家庭成员交际时存在着"各说各话"的现象。"各说各话"对讲话者的执行功能有无影响?采用抑制控制、注意转换和记忆刷新任务测量各说各话和非各说各话的景颇族大学生的抑制能力、转换能力和刷新能力。结果表明,各说各话与非各说各话的景颇族大学生在色词干扰和数字转换中差异显著,各说各话者的Stroop效应量小,停止信号的反应时短。各说各话与非各说各话的景颇族大学生在数字转换和图形转换中差异显著,各说各话者反应快,转换代价小。各说各话与非各说各话的景颇族大学生在活动记忆刷新与色点位置刷新任务中差异不显著。这表明,各说各话者比非各说各话者在抑制能力与转换能力上具有优势。语言经验对执行功能的影响具有功能特异性。     

Zulu mothers' beliefs about their own and their children's intelligence

Zulu women (N = 133) were given a structural interview concerning their own and their children's multiple intelligences. The best predictor of their own self-estimated overall intelligence rating was mathematical and spatial intelligence. Mothers showed few significant differences in their estimates of their sons and daughters' overall or multiple intelligences. However, they rated their daughters' interpersonal intelligence higher than those of their sons, and their sons' bodily-kinesthetic intelligence higher than those of their daughters. The mothers believed that overall their children were about 6 IQ points more intelligent than themselves. Although mothers estimated their own spatial, inter-, and intrapersonal intelligence to be higher than those of their children, they also believed that their children had higher mathematical intelligence.     

Children's understanding of their own phonological forms

The ability of young children to understand their own and other children's deviant phonological forms was tested. Children were better at understanding an unfamiliar adult's speech than they were at understanding their own or other childrens' speech. Their understanding was found to be related to the degree to which the deviant speech resembled the adult phonological form. It was concluded that children do not store their own deviant phonological forms for recognition in the same way that they store adult forms.     

Electrophysiological responses in mothers to their own and unfamiliar child's gaze information

An attachment bond between a mother and her child is one of the most intimate human relationships. It is important for a mother to be sensitive to her child's gaze direction because exchanging gaze information plays a vital role in their relationship. Furthermore, recent studies have revealed differential neural activation patterns in mothers when presented the faces of their own children or the unfamiliar child of other people. Based on these findings, in the present study, we investigated whether mothers show differential neural responses to gaze information of their own child compared to that of an unfamiliar child. To this end, event-related-potentials elicited by the faces of one's own or an unfamiliar child with straight or averted gaze directions were measured using an oddball-paradigm. The results showed that peak amplitudes of the N170 component were enlarged by viewing the straight gazes compared to the averted gazes of one's own child, but not of an unfamiliar child. When the gaze was directed straight, the P3 amplitude elicited by one's own child's face is smaller than that elicited by an unfamiliar child's face. P3s elicited in viewing one's own child's face with averted gaze and in viewing an unfamiliar child's face with straight gaze were positively correlated with state-anxiety. These results bolster the hypothesis that processing the gaze information of one's own child elicits differential neural activation compared to the gaze information of an other person's unfamiliar child at both perceptual and evaluative stages of face processing.     

Through their own eyes: a media-based group approach to adolescent trauma

This paper describes the process of two groups of students from high schools located in the immediate vicinity of the World Trade Center grappling to make sense of the events of September 11 through the creation of a documentary chronicling their experiences. The process of creating these videos mirrored the process and curative factors of a psychotherapy group in a non-stigmatizing, innovative, and accessible format, one generated by the students themselves with the assistance of professionals in the visual and performing arts. After reviewing the literature on the potential impact of violence on adolescents and the use of group treatment, especially in school settings, as an optimal choice for this population, we describe the distinctive process of the two separate groups of students, each culminating in different expressions of their very personal experience of September 11. We understand and contextualize their process through the lens of the therapeutic dynamics and elements of group work.     

Seek first to understand

A recent study suggests that doctors often diminish effective time with patients by talking about themselves in a manner that does not improve the patient visit and is sometimes disruptive to it. Good care requires hearing what the patient has to say, as the doctor cannot set proper goals for a visit without knowing the patient's agenda. Listening to the patient is the key both to good patient care and to caring for the patient.     

Fired managers: Experiences from their own unemployment

This paper purports to enhance the understanding of stress and its effects on unemployed executives. The idea that unemployed managers perceive and confront stress differently from their employed colleagues is addressed. A sampling of 32 unemployed executives and managers was taken using The Stress Profile, to survey reasons for stress, coping ability, and response to stress. The profiled samples were then compared to a comparison group of 367 employed managers. The results showed that unemployed managers, when compared to their employed associates, tended to have less desireable family situations, more worries about finances, decreased perception of self and self-coherence, decreased coping ability, and heightened emotional and behavioral reaction to stress. The conclusion was that when dealing with stressors, unemployed managers experienced a decreased sense of psychological well-being and coping abilities as compared to employed managers.