A Case Study of a Consultation Using the Two-Circles Method With a Junior High School Teacher1

To resolve various problems in schools, a “school as a team” approach for teachers to cooperate with other professionals as well as other teachers has been introduced in Japan. Consultations are one method school counselors use to support teachers as a team. This study examines a consultation case using the two-circles method based on narrative therapy and discusses the possibilities and challenges when using this method in Japan. Using a case study analysis, the author found that the two-circles method contributed positively to the consultation by externalizing the problem, gathering local knowledge, visualizing the participants' narratives, and applying scaffolding to develop the consultee's story. The results suggest that this method could be useful for achieving the “school as a team” approach because it combines teachers' narratives to resolve problems in schools.     

A Taoist Paradigm of EAP Consultation

Recently, professionals of Employee Assistance Programs (EAPs) have offered consultation services to a diverse clientele, thus necessitating an understanding of the complexity of problems and structures of various organizational systems and subsystems. In this article the authors describe a new Taoist paradigm as an alternative approach to conceptualizing the consultation process and to formulating successful, isomorphic interventions constructed to facilitate four change processes. The paradigm presented stresses the following: the importance of interrelationships between individuals and groups; integrating repulsion and assimilation forces; balancing human and economic factors: cooperation; reinforcing strengths rather than weaknesses; encouraging solutions instead of problems; and respecting the consultee's structure and behavior.     

Treatment Acceptability

The present study assessed mothers' and fathers' acceptance of six interventions frequently used to alter children's problem behavior. This is the first study to assess fathers' perceptions of behavioral interventions for children. Positive reinforcement, response cost, medication, room timeout, chair timeout and spanking were rated by parents using the Treatment Evaluation Inventory (TEI). In addition, parents' perceptions of their children's behavior and own marital adjustment were measured using standardized checklists. Parents' acceptability ratings differed significantly across treatment conditions depending on parent gender, child behavior problems, and marital adjustment. Treatment preference order was equivalent for all groups.     

Perceptions of Cognitive-Behavioral Therapy and Antidepressant Medication for Depression After Brief Psychoeducation: Examining Shifts in Attitudes

The majority of people with depression in the United States either never seek treatment or gravitate exclusively to antidepressant medication (ADM), despite the existence of other effective treatments, such as cognitive-behavioral therapy (CBT). Reluctance to use psychotherapy is partly due to lack of appropriate mental health literacy and perceptions of low treatment acceptability (appropriateness for a given problem) and credibility (treatment logicalness, and whether the patient expects improvement). In the current investigation, we examined whether providing psychoeducation about CBT for depression would change participant perceptions of the treatment’s acceptability and credibility. We recruited 554 (female n = 314; 57%) participants across two online studies, and assessed their baseline perceptions of CBT and ADM using modified Treatment Acceptability (TAAS) and Treatment Credibility and Expectancy (CEQ) scales. Participants were subsequently presented with evidence-based, expert-vetted psychoeducational materials describing CBT and ADM, and were asked to recomplete the TAAS and CEQ. In Study 1, participants endorsed significantly higher CBT-CEQ (credibility/expectancy) scores postpsychoeducation. In Study 2, participants endorsed significantly lower CBT-TAAS (acceptability), and among those with no exposure to depression treatments, endorsed significantly higher CBT-CEQ scores postpsychoeducation. In both studies, there were no perceptual changes of ADM after the psychoeducation. Finally, in Study 2, endorsement of a biological model of depression and depressive symptoms were negatively predictive of CBT’s acceptability and credibility and expectancy postpsychoeducation. Perceptions of credibility and expectancy of CBT for depression appear malleable even after exposure to brief psychoeducation, whereas shifting perceptions of CBT’s acceptability may require more extensive intervention.     

Encouraging patient participation in general practice consultations: Effect on consultation length and content,patient satisfaction and health

Abstract

Following the evidence from earlier research that one-to-one interventions can increase the patient's contribution to the consultation, this paper reports the results from a randomised control trial which assessed the effects of a leaflet designed to enhance patient participation in consultations. A random sample of patients (aged 16 to 74) waiting to see a general practitioner were given either an intervention leaflet, which encouraged the patient to take an active role in the consultation, or a control leaflet which gave dietary advice. The effects of the intervention were assessed by measuring length of consultation, number of questions asked by the patient, patient satisfaction score, doctor's feelings about the consultation, the change in patients' health in the 4 weeks following the consultation (measured by the SF-36 Health Survey) and the number of patient visits to a GP in the following year. The results showed that patients in the intervention group had significantly longer consultations than those in the control group and tended to ask more questions but there was no significant effect on patient satisfaction. The doctor tended to feel that he had a better understanding of patients in the intervention group. Overall there was no significant effect on SF-36 scores but, for patients under the age of 40, and for those in higher social classes the scores of patients in the intervention group improved to a significantly greater degree than did those for the control group. The intervention did not have any effect on the number of GP visits made by patients in the subsequent year. The study results show that a relatively simple leaflet can have an impact on patients' behaviour during the consultation, even though there were no effects on patient satisfaction with the consultation or in the number of GP visits in the following year.     

Exposure to Unethical Career Events: Effects on Decision Making,Climate, and Socialization

An implicit goal of many interventions intended to enhance integrity is to minimize peoples' exposure to unethical events. The intent of the present effort was to examine if exposure to unethical practices in the course of one's work is related to ethical decision making. Accordingly, 248 doctoral students in the biological, health, and social sciences were asked to complete a field appropriate measure of ethical decision making. In addition, they were asked to complete measures examining the perceived acceptability of unethical events and a measure examining perceptions of ethical climate. When these criterion measures were correlated with a measure examining the frequency with which they had been exposed to unethical events in their day-to-day work, it was found that event exposure was strongly related to ethical decision making but less strongly related to climate perceptions and perceptions of event acceptability. However, these relationships were moderated by level of experience. The implications of these findings for practices intended to improve ethics are discussed.     

Intensity and orientation of reasoning: Motivational determinants of children's compliance to verbal rationales

The effects of varying the motivational content of verbal rationales on children's compliance to a prohibition were investigated. Sixty-four 7- to 10-year-old children received an explanation that focused either on the consequences of their behavior for themselves or on the consequences of their behavior for the experimenter. The intensity of these explanations was manipulated verbally by varying the severity of the self- or other-oriented consequences. Preratings of the rationales by an independent sample of 42 children indicated that children's perceptions of the aversiveness of the rationales increased as a function of intensity. Intensity was a determinant of children's compliance but females were more likely to increase in resistance to deviation as a function of intensity than males. Children who received other-oriented rationales performed a greater amount of work and were less likely to show decrements in working over time than subjects who received self-oriented rationales. The results were explained in terms of a model of reasoning effects in which the kind and amount of motivation aroused are two separable determinants of children's compliance.     

Further evaluation of antecedent interventions on compliance: the effects of rationales to increase compliance among preschoolers

Functional analyses were conducted to identify reinforcers for noncompliance exhibited by 6 young children. Next, the effects of rationales (statements that describe why a child should comply with a caregiver-delivered instruction) were evaluated. In Experiment 1, 3 participants received the rationales immediately after the therapist's instruction. In Experiment 2, 3 additional participants received more practical rationales immediately before the therapist's instruction. The results indicate that rationales were ineffective for all 6 children. A guided compliance procedure increased compliance for 1 child; contingent access to preferred items with or without response cost increased compliance for the other participants. Although levels of problem behavior varied within and across participants, they were often higher in the rationale and guided compliance conditions.     

Consumers' and clients' pretreatment acceptability ratings of classroom group contingencies

Group contingencies are popular with teachers and have been demonstrated to be effective for managing children's classroom behavior. Children's views of the acceptability of such techniques, however, have not been assessed systematically and may have important consequences for long-term treatment effectiveness. In addition, little is known about psychologists' sense of the acceptability of such techniques. The present analog study investigated fifth graders', teachers', and school psychologists' assessment of the acceptability of three types of group contingencies (dependent, independent, and interdependent) that entail a consequence of positive reinforcement for appropriate behavior. Variables of treatment type, sex of rater, and the severity of a hypothetical classroom problem were examined to determine their influence on intervention acceptability scores on a child's and an adult's version of the Intervention Rating Profile. Fifth graders rated all three types of group contingencies mildly acceptable. Teachers and school psychologists rated the dependent form of the group contingency unacceptable, and the independent and interdependent forms acceptable.     

First and Fourth Grade Boys' and Girls' Preferences For and Perceptions About Narrative and Expository Text

This investigation focused on elementary-aged (first and fourth grade) children's individual preferences for narrative and expository text and perceptions of what their same-aged peers would like to read. Preferences and perceptions of text were examined through the lenses of social constructivist and engaged reading theories. The overall purpose of this study was to examine elementary students' preferences for and perceptions about narrative and expository text. This study was a systematic replication and extension of Chapman, Filipenko, McTavish, and Shapiro's (2007) research in British Columbia with first graders. Two individually administered book preference (Open and Closed) tasks and interviews were administered to 84 students. Findings revealed gender and grade level profiles in terms of preferences, perceptions, and rationales for their book choices. As expected, both first and fourth grade boys demonstrated a strong preference for expository text, however, the fourth grade boys also showed a growing preference for narrative text as well. In contrast, both first and fourth grade girls demonstrated a strong preference for both narrative and expository text. For both boys and girls, book topic and pictures/illustrations were the two top categories that drew the children's interest and resulted in the most conversations. Results are discussed in light of implications for instruction, assessment, and future research.     

Successful intervention with multi-problem mothers: Effects on the mother-infant relationship

A two-step model of intervention for multi-problem mothers was proposed. In order to improve mother-child interaction and later developmental outcomes, the first step is for the practitioner to help the mother change her external competencies (adult social skills) and internal perceptions (support, depression). These changes make the second step possible—the mother then can learn to foster her own child's development. The model was tested in a study of 95 multi-problem women who participated in a nursing intervention program from mid-pregnancy through the child's first birthday. The results supported the two-step model. Improvements in the mothers' external competencies were related to completion of intervention goals. These external improvements also were related to more optimal patterns of mother-child interaction during teaching and feeding episodes at 1 year. Furthermore, an especially insecure type of attachment relationship was found more frequently among the infants of mothers in the group that did not improve. Changes in internal perceptions were unrelated to intervention or interaction measures. These unexpected results suggest that the mother's internal improvements may have a more delayed or a less direct effect upon the child.     

Evaluating the impact of human rights education on the adjustment of Greek primary school students

Human rights education has an encouraging effect on children's school routine. The aim of the present study was to investigate the effectiveness of a 12-session transformative human rights education intervention in improving children's school adjustment. Participants were 340 Greek primary school students assigned to intervention group (n = 187) and control group (n = 153). All members completed a written questionnaire 1 week before the implementation of the intervention, measuring their knowledge of human rights, school engagement, perceptions of the school environment, interpersonal relationships, empathy and perceptions, attitudes and feelings towards school. The completion process of the same questionnaire was repeated 1 week after the termination of the intervention and 4 months later. The results showed that the intervention was particularly beneficial as the intervention group members demonstrated a significant increase in their knowledge of human rights, school engagement, perceptions of the school environment, empathy and school liking, while experiencing a significant decrease in school avoidance and loneliness. Members of the control group did not report any significant improvement over time. The study's implications for future research on school-based human rights interventions are discussed.     

The Dimensions Underlying Loneliness Counseling Interventions: A Multidimensional Scaling Solution

The purpose of this study was to investigate major dimensions affecting the acceptability of loneliness counseling interventions from the potential client's perspective and to compare the results with dimensions posited by theoretical models of treatment acceptability. Data were collected from 241 university students who were asked to sort loneliness counseling interventions on the basis of their similarities. Multidimensional scaling analyses revealed 4 dimensions underlying the acceptability of loneliness counseling interventions: the type of activity required by the intervention, the counselor-client relationship, the difficulty of the intervention, and the fit of the intervention to the problem.     

Children’s Perspectives of an Enhanced Cognitive-Behavioral Treatment for Child–Parent Dyads With Anxiety Disorders

Prior research has extensively evaluated the efficacy of cognitive-behavioral therapy (CBT) for child anxiety disorders—however, few studies have investigated anxious children’s perspectives and experiences of participating in CBT. This qualitative study explored children’s acceptability of a newly developed enhanced CBT intervention, designed specifically for the treatment of anxiety disorders in children with a clinically anxious parent. The study also explored children’s perceptions and experiences of individual (child only) and joint observational (child–parent) exposure activities that were key to the intervention. Ten children (age range 6–11, M = 8.5 years) and their mothers (age range 34–45, M = 39.5 years) completed in-depth semistructured interviews to investigate child participants’ anticipated and experiential acceptability of the enhanced CBT intervention. Thematic analysis revealed seven major themes broadly reflecting the acceptability, appropriateness, and perceived benefit of the intervention elements, with particular value credited to exposure tasks and the dyadic nature of the intervention. Findings suggest that future experimental evaluation of the enhanced intervention is warranted. Further, the study highlights that CBT for child anxiety disorders, where exposure work is a feature, is acceptable and perceived to be effective by its intended treatment recipients. Trial prospectively registered, preresults, ANZCTR1261900033410.     

mMotiv8: A smartphone‐based contingency management intervention to promote smoking cessation

Cigarette smoking is the leading preventable cause of death and illness in the United States. We tested the usability, acceptability, and efficacy of a smartphone‐based contingency management treatment to promote cessation. We used a nonconcurrent multiple‐baseline design. Participants (N = 14) provided breath carbon monoxide (CO) samples by using a CO meter that was connected to the user's smartphone. An app (mMotiv8) housed on participants' smartphones automatically captured pictures of the CO sampling procedure to validate the end user's identity, and it prompted submissions via a push message delivered to participants' smartphones. Participants earned a $10 incentive for daily abstinence, which was added to a reloadable debit card. Overall, 4% of the CO samples were negative during baseline, and 89% were negative during treatment. Self‐reported usability and acceptability were high, and 85% of the prompted samples were submitted. A smartphone intervention could be scalable and reduce the health consequences and costs associated with cigarette smoking, particularly in rural and low‐income populations.     

Acceptability of behavioral staff management techniques

This study describes an extension of Kazdin's work on acceptability of behavior therapy methods to the assessment of acceptability in the developing field of behavioral staff management. An instrument for assessing acceptability of behavioral staff management techniques was developed and then used to assess staff evaluations of four techniques that have been researched in the staff management literature (instruction, reinforcement, punishment, self-management). The effects on acceptability of problem difficulty and duration of supervisor-staff interaction were also investigated. Staff identified the techniques as having differing degrees of acceptability, with instruction rated most acceptable, followed in order by self-management, reinforcement, and punishment. Ancillary studies supported the reliability and validity of the scale. Results are placed within the context of a recent behavioral supervision model, and discussed in terms of social validity and consumer satisfaction issues. Implications for delivering behavioral staff management interventions are presented.     

How a Group Goal May Reduce Social Matching in Group Performance: Shifts in Standards for Determining a Fair Contribution of Effort

Abstract

The authors investigated whether the presence of a specific group goal would reduce social matching (i.e., matching one's own performance to the performance expected from others) by serving as an alternative standard. As predicted, when there was no specific goal, the participants matched their own performance to the performance expected from other group members. When there was a specific group goal, the women no longer engaged in social matching, although that effect did not emerge among the men. Instead, the women's mean personal performance was close to the performance level representing an equal share of the group goal. Moreover, the participants' perceptions of a fair contribution mediated the performance of the men and the women, both in the presence and in the absence of a goal.