Family therapy training on a clinical psychology programme

The report describes the intake interviewing exercise in a family therapy training unit developed for postgraduates in clinical psychology. The teaching method includes pre‐class reading, video modelling, and simulated practice with live feedback. The academic material and other similar practice exercises are contained in the core textbook for this unit.     

Using a Constant Family in Role-Plays for Training MFTs

Marriage and Family Therapy training programs use role-plays and simulations to train their students in interviewing skills and in various therapeutic models. A review of literature shows that these training tools do not allow student-therapists to experience therapy beyond the first session. This article presents a modified version of the role-play, in which a constant family is used in preparing student-therapists for clinical work. This article describes a training scenario using the constant family role play and includes feedback from student-therapists. The authors present the benefits, limitations, and potential training considerations that can enhance use of the constant family role play.     

Teaching psychological knowledge and skills to family physicians

Psychological problems (e.g., anxiety, depression, substance abuse) are prevalent in primary care medical settings. Family physicians (FPs) treat more patients than any other primary care medical specialists. Thus, FPs can play an extremely important role in providing psychological services to their patients. In contrast to other specialists (e.g., internists, obstetricians), FPs are required to complete behavioral science training in their residencies. In this paper, we describe standard undergraduate, graduate, and postgraduate training of FPs. We present our unique program for teaching psychological principles and skills to family practice residents at the University of Kansas Medical Center. And finally, we introduce an instrument, the Interview Rating Scale (IRS), for evaluating the interviewing skills of physicians and residents.     

Qualitative Research in Marriage and Family Therapy: Who is in the Interview?

Qualitative interviews are a rich means of gathering information from families. The qualitative interviewer has a choice of interviewing individual family members, multiple family members at the same time, or a combination. The configuration of interviewees is a choice guided by the epistemology of the researcher, research aims, and questions. This article reviews the literature on interviewing different configurations of family members. A content analysis was conducted on articles in the marriage and family therapy literature from 1990 to 2005. Over half of the articles were conducted with individual family members separate from their families. This finding is discussed in the context of the decision regarding whom to interview.     

The stresses of learning counselling: Six recent graduates comment on their personal experience of learning counselling and what can be done to reduce associated harm

This paper presents research that examines the negative and stressful aspects of learning counselling and methods for harm reduction. Using an in-depth semi-structured interviewing approach, six people who recently graduated from a UK university counselling programme have commented on their negative experiences of learning counselling and what helped or would have helped to reduce the harmful effects. This research has produced information which indicates that counselling trainees experience significant disruptions in their relationships with their family and friends; that a sizeable number of trainees report feelings of depression and or stress; and that counselling trainers have not addressed these issues effectively. The study concludes with a suggestion that an extra training component could be built into existing training frameworks that focus on the process of 'becoming a counsellor'.     

Thinking and Working Relationally: Interviewing and Constructing Hypotheses to Create Compassionate Understanding

In the initial interviews of family therapy sessions, the therapist faces the challenge of obtaining and organizing the information that is most relevant toward understanding the essential concerns that families and couples bring to therapy. This article describes the process of clinical interviewing and case conceptualization used in training family therapists at the Ackerman Institute for the Family. This approach helps the therapist bring forward, and organize, specific information into relational hypotheses, or systemic‐relational conceptualizations, that allow both family members and the therapist to understand presenting problems within their relational contexts. While always provisional, relational hypotheses help anchor the therapist in a systemic‐relational frame and provide a conceptual through‐line to guide the ongoing work of the therapy. The process of interviewing and the construction of clear and complex conceptualizations of presenting problems are illustrated through case examples.     

Child-oriented family therapy in China: A cross-cultural application of integrative family therapy targeting children aged 4–10

This article describes child-oriented family therapy (COF), a family therapy approach to early psychological and behavioral problems that is widely applied in northern Europe and has been adopted by countries with different cultures, such as Germany and China. This article explains the theoretical background, setting, characteristics, development and effective factors of this method and explores relevant research. In addition, the application of this method in China and reflections on its applicability to families in different cultures are presented. A clinical case is provided to illustrate the core therapeutic principles of COF. Since the application of COF interventions to families with children in Asian cultures remains understudied, the widespread availability of COF and adaptation to local conditions could facilitate training and research achievements in this field.     

TRAINING PROGRAMS FOR OBSERVERS OF BEHAVIOR: A REVIEW1

This review covers the past 25 years of research literature on training observers of behavior, specifically in the areas of interviewing, reducing rater bias, interpersonal perception and observation as a research tool. The focus is on training procedure (i.e., the various training designs and their components). An attempt is made to organize and systematize the research and to answer two important questions. Which approach(es) used to train observers of behavior has (have) been most successful? What are the theoretical or empirical bases for the development of those training programs?     

Consultant skill and efficiency and the implementation and outcomes of consultation

This article describes an investigation of consultant services rendered by school psychologists to teachers. Success in achieving stated problem-solving goals was analyzed using predictor variables measuring consultant efficiency, interviewing skills, and flexibility in applying psychological principles. Results indicated that the predictor variables exerted maximum impact on the initial problem-identification phase of the problem-solving process. Consultants lacking in skills failed to identify consultee problems and, as a results never reached the stage of plan development and implementation. Consultants successful in identifying problems were almost invariably able to solve those problems. Implications for training school psychologists were drawn and suggestions made for research in an area improverished by lack of empirical data.     

FAMILY AFFAIRS

This department solicits reports of work-in-progress; applications of family therapy techniques and principles to new areas; reports of innovative programs of research, training, and therapy in the family field; accounts of relevant, personal experience. Material for consideration should be sent to The Editor.     

Developing a cognitive behavioral therapy manual for delayed sleep–wake phase disorder

This article reports the development of a treatment protocol, based on cognitive behavioral therapy (CBT) principles, for delayed sleep–wake phase disorder (DSWPD). The protocol consists of psycho-education, presenting a CBT model for DSWPD, case formulation, motivational interviewing, registering sleep in a diary, strategies to improve the rhythm of sleep and wakefulness, relaxation training, cognitive restructuring, strategies to cope with daytime symptoms, constructing an individualized CBT program, and learning how to deal with relapses. Qualitative data, focusing on how the patients perceived the protocol, were collected within the realm of a trial exploring the efficacy of the protocol. These findings highlighted several advantages but also disadvantages of the therapy. It is our hope that this paper might act as a platform for further clinical work and future research efforts in patients with DSWPD.     

研究性访谈及其应用现状和展望

在科学研究中,研究性访谈作为一种定性研究方法得到了广泛的应用,然而这种定性方法在当前的研究领域中并没有受到足够的重视。本文立足于研究性访谈这种重要的研究方法,着重讨论三个问题：一是研究性访谈的概念、分类和程序;二是目前关于研究性访谈的方法论研究;最后对研究性访谈的应用和发展进行了评价和展望。作者认为结构因素可能是影响访谈效度的主要因素;而信度与结构化、标准化、主试培训等因素有关;社会背景和访谈情境的交互作用将成为未来访谈研究的新趋势;研究性访谈在我国的应用存在一定的文化适应问题,并有待加强和科学化。     

Towards understanding the effects of interviewer training in evaluating the cognitive interview

The effectiveness of the cognitive interview (CI) technique has been demonstrated in experimental studies of eyewitness memory conducted in the USA, Germany, and the UK. Much of the research, however, has used college students as interviewers rather than professionals who regularly interview witnesses (e.g. police officers). The aim of this research was to examine the effects of such CI training using experienced police officers with established interviewing styles. An armed robbery was staged and information was elicited in witness interviews. The CI did not significantly increase correct recall but tended to produce more suppositions and errors. A qualitative analysis of interviewer behaviour showed that many officers had difficulty in applying the new cognitive techniques and in avoiding the use of closed and leading questions. The paper addresses two issues: first, that of training experienced police officers who have received relatively little prior training in investigative interviewing, and second, the extent to which we can generalize from the laboratory data elicited in previous studies of CI.     

The Art of Recruitment: The Foundation of Family and Linkage Studies of Psychiatric Illness

Family and linkage studies of psychiatric illness involve special benefits and challenges in the field of scientific investigation. The success of a family or linkage study is dependent on the recruitment process. The most informative and reliable method of data collection in this field of investigation is through direct interviews with as many family members as possible. Although there are circumstances when direct interviewing is not possible, there are other circumstances, such as refusal of relatives to participate, that deserve closer scrutiny. The complexities involved in the recruitment process while conducting medical investigations have been explored in the literature. However, special issues relevant to the recruitment process merit further exploration for working with families in the context of family and linkage studies of psychiatric illness. Careful understanding of this critical topic may minimize the incidence of family nonparticipation in such research endeavors. This article addresses these issues as they relate to recruiting individuals and their families in this field of investigation. These issues include the role of attitudes, values and beliefs, family interaction and the identification of influential members, informal communication networking, informed consent while promoting the research, and ethical concerns.     

Mobile technologies in use by those participating in Lutheran confirmation training in Finland

Abstract

This article focuses on the study of where mobile devices and social media tools are taken into consideration in the Finnish confirmation training entity as a new opportunity to work together. The research is based on the ethnographical method. The data was collected by observation in two confirmation training camp periods and interviewing confirmation training participants. The aim was to find out ways mobile devices were exploited in confirmation training pedagogy, how adolescents reacted to such mobile device use and how adolescents described their personal mobile device use. The research material is analysed by inductive content analysis. The findings are discussed in the theoretical context of the communities of practice (CoPs), originally formed by Lave and Wenger . According to the results, mobile device use, in the confirmation training programme did not seem to be that special for adolescents. At the same time, the youth considered it important to have the possibility to use mobile devices according to their own preferences. Using mobile devices in confirmation training challenged the traditional CoP setting, as adolescents used mobile technology more in their own way, being familiar with it in their earlier virtual communities of practice (VCoPs), instead of the plans of the workers of confirmation training.     

The Role of Rapport in Investigative Interviewing: A Review

Rapport often appears in training and discussions regarding investigative interviewing, yet very little empirical research has examined rapport systematically in law enforcement or intelligence settings. Using a model of rapport developed from therapeutic settings, we address in this paper the components of rapport and their relevance to investigative interviewing. Rapport can play a facilitating role in supporting the goals of an investigative interview, to include developing a working alliance between interviewer and source, exercising social influence, and educing information from a source. A better understanding of how rapport develops in these contexts and its impact on interview outcomes would enhance the effectiveness of investigative interviewing. Research on rapport in the investigative interview would enhance our understanding of the interpersonal dynamics in these situations. We identify several gaps that such research should address, including the relationship between rapport and social influence and the development of rapport in multiparty interactions. Copyright © 2012 John Wiley & Sons, Ltd.     

Is guidance an applied science?: The role of theory in the careers guidance interview

Some of the findings of a study investigating careers officers' use of theoretical models in the careers guidance interview are discussed. Data were collected through visits to institutions offering Diploma in Careers Guidance courses, a large-scale questionnaire survey of careers officers, and semi-structured interviews and group discussions. There was evidence that in initial training, theory is used to support, rather than determine, the development of skills. Results also suggested that practising careers officers are familiar with a fairly wide range of theories, although in their interviewing they tend to apply broad principles of theory, rather than specific elements. Careers officers who trained some time ago were less familiar with theories than were those who trained more recently, and there was no support for the hypothesis that long service leads to a greater recognition of the relevance of theories generally. Familiarity with guidance and counselling theories appears to be more influential than knowledge of career theories on the way careers officers think about interviewing. Overall, the findings cast doubt on the view that careers guidance is an applied science.     

EVALUATION OF A TRAINING MANUAL FOR THE ACQUISITION OF BEHAVIORAL ASSESSMENT INTERVIEWING SKILLS

Two procedures were used to teach behavioral assessment interviewing skills: a training manual and one-to-one instruction that included modeling, rehearsal, and feedback. Two graduate students and two advanced undergraduates were trained with each procedure. Interviewing skills were recorded in simulated assessment interviews conducted by each student across baseline and treatment conditions. Each training procedure was evaluated in a multiple baseline across students design. The results showed that both procedures were effective for training behavioral interviewing skills, with all students reaching a level of 90%-100% correct responding. Finally, a group of experts in behavior analysis rated each interviewing skill as relevant to the conduct of an assessment interview and a group of behavioral clinicians socially validated the outcomes of the two procedures.     

Systemic training for healthcare professionals: the Chicago Center For Family Health approach

There has been increasing interest in family-centered, collaborative, biopsychosocial models of care by health and mental health professionals and consumers. This trend has led to growing demand and development of specialized training in family systems approaches to health care. This article describes the Families, Illness, and Collaborative Healthcare programs developed at the University of Chicago affiliate, the Chicago Center for Family Health. The program philosophy is guided by the following principles: a systems orientation focused on the family, a Family Systems Illness Model, a family resilience framework, a family-centered collaborative model of health care, and a social justice and advocacy orientation. Specific training components that implement these principles are described, including intensive certificate and fellowships; workshops, conferences, and institutes; and consultation and training services for community-based organizations. Discussion includes professional networking opportunities, funding challenges, and policy recommendations.