Practicing Rational Emotive Behavior Therapy and Religious Clients

REBT is a process of: (1) identifying dysfunctional emotions and behaviors which inhibit more effective pursuit of what clients experience as their deepest and most abiding desires; (2) relating these dysfunctions to irrational beliefs; (3) inducing clients to reduce the controlling role played by these beliefs in their lives and (4) adopting more self-helping beliefs and practices related to their goals thus reducing their dysfunctional emotions and behaviors and increasing their joyful living. This article discusses how this can be done from within an individual's supernatural belief system, whether that system is theistic or nontheistic.     

焦虑障碍的虚拟现实暴露疗法研究述评

虚拟现实暴露疗法(VRET)是传统的行为疗法的一种转换形式, 也是经典的现实情境暴露疗法的替代性治疗形式。虚拟现实整合了即时计算机图形学、身体感觉传感、视觉成像技术, 给来访者提供近似真实的、可以沉浸(immersion)和交互作用的虚拟环境。研究者采用虚拟现实暴露疗法治疗幽闭恐怖症、恐高症、飞行恐怖症、创伤后应激障碍、惊恐障碍等焦虑障碍, 并且关注虚拟现实暴露疗法的认知机制以及心理生理机制。实验研究表明, 虚拟现实暴露疗法在治疗焦虑障碍时是有效的。被试经过治疗之后, 对情境的控制感和自我效能感提升, 消极自我评价降低, 对创伤事件的容忍力提高, 重新获得对情境的控制感。与心率指标相比, 皮肤电是预测虚拟现实暴露疗法治疗效果更好的指标。虚拟现实暴露疗法还处于实验验证阶段, 并没有应用到实际临床中, 需要更加规范的实验设计验证该疗法的认知机制以及心理生理机制。虚拟现实暴露疗法结合功能磁共振成像(FMRI)用于心理治疗, 会是未来发展的新方向。     

Career Counseling and Reality Therapy: A Conceptual Flowchart

Reality therapy is a cognitive behavioral approach but has not been developed for, nor associated with, career counseling. This article discusses the role of reality therapy in career counseling, with the aid of a flowchart model to present the particulars of the system.     

Virtual Reality Exposure Therapy in the Treatment of Fear of Flying

A new and innovative approach to treating fear of flying has been developed using Virtual Reality Exposure Therapy. This article discusses the development of Virtual Reality Exposure Therapy and reviews a case study of a fear of flying patient seen in our practice. Early results are very promising and may indicate that Virtual Reality Exposure Therapy may also lead to creative interventions with other anxiety disorders.     

1型糖尿病免疫调节治疗:愿望与现实

1型糖尿病动物模型干预研究显示有效阻断β细胞自身免疫性损伤可阻止或逆转新发生的糖尿病.已完成的临床免疫调节干预研究的结果并不令人满意,目前有数百项I、II期临床阶段的干预试验研究在招募或进行中.早期临床试验发现长期服用T细胞抑制剂环孢素A可提高新诊断1型糖尿病的缓解率,但是由于担心其长期服用所致的肾毒性等不良反应,终止了其在1型糖尿病治疗中的进一步应用.目前针对1型糖尿病免疫调节治疗主要集中在抗原特异性(胰岛素、谷氨酸脱羧酶65)、抗原非特异性(抗淋巴细胞单克隆抗体)免疫调节治疗和促进β细胞新生等措施方面,这三大类措施的联合应用有可能实现更有效的干预效果和较低的毒副作用.目前针对1型糖尿病的三级预防临床研究的现实意义较一、二级预防研究更大,可在较短时间内、花费更少的资金和精力获得更有效的干预措施,而这些试验的成功更加有利于一、二级1型糖尿病的预防.寻找更准确的1型糖尿病发病预测和评价干预效果的方法是成功探索1型糖尿病干预手段的关键之处.     

Applying the Visions of Reality to a Case of Brief Therapy

The visions of reality refer to assumptions about the nature and content of human reality and have been used to describe different genres of literature as well as psychoanalytic, behavioral, and humanistic modes of therapy. In this paper, four visions—the tragic, romantic, comic, and ironic—are applied to a single case, spelling out the way in which each can direct the focus of a therapist's attention to different aspects of a client's problems. Each vision can also influence the process of therapy and its goals. Keeping the several visions in mind can broaden both the therapist's and the client's view of the client's life situation and problems, thereby opening up possibilities for integrative work. The paper also spells out the shift in visions of reality that is necessary when conducting brief versus long-term therapy.     

Introducing Reality Play Therapy: Reactions and Perceptions From Elementary School Counselors

Many elementary school students lack school relationships required for positive personal, social, and academic interactions. Reality therapy and play therapy both seek to address these relationships through developmentally appropriate and effective interventions. Integrating these 2 approaches has the potential for elementary school counselors to provide students with opportunities to create positive relationships and develop problem-solving skills. In this study, 8 school counselors participated in a series of trainings introducing reality play-therapy techniques to assess this potential. A thematic analysis conducted on feedback sessions following the trainings yielded themes related to the participants’ positive perceptions to the training and possible application.     

Group Cognitive Behavioral Therapy for Delusions: Helping Patients Improve Reality Testing

Group Cognitive Behavior Therapy (CBT) was used to treat residual delusions in patients with schizophrenia. Initially all patients (N = 6) reported delusions of various types, such as persecution, body/mind control, grandiosity, and religious themes. The group format allowed patients to share their experiences and beliefs, thereby eliminating shame and providing support and coping strategies; as well as allowing for peer–peer discussion of irrationalities and inconsistencies in each other's beliefs. After 13 sessions there was a statistically significant reduction in delusional conviction, unhappiness associated with thinking about a delusion, intensity of distress associated with delusion, and an increased ability to dismiss a delusional thought.     

Psycho-Educational Group Intervention Based on Reality Therapy to Cope with Academic Procrastination

This study explored the efficacy of a psycho-educational group intervention based on reality therapy for treating youth with academic procrastination. The participants consisted of undergraduates from a state university located in the Eastern Black Sea Region in Turkey. A 10-session training program based on reality therapy was implemented with the experimental group, and a no treatment control group served as the comparison. Pre-test, post-test, and follow-up measure for the experimental and control groups were analyzed used in the research. Two-way analysis of variance split plot design. The findings showed that the training program had an effect on decreasing undergraduates’ academic procrastination behavior.     

现实治疗法的新进展——选择理论述评

选择理论是威廉·格拉瑟（William Glasser）应用现实治疗法的过程中发展的新理论,取代“控制理论”成为现实治疗法所有工作的基础和核心理论。其主要观点是：人一生所做的都是综合行为,人唯一能够选择的是自己的行为。选择理论修正了基本需要、优质世界、综合行为等概念和内涵,强调内部控制,强调人的选择,否认心理疾病,重视关系的作用。文章介绍了选择理论产生的历程,阐述了它的主要内容以及在咨询中的应用,最后结合中国文化及咨询经验对其进行评价     

Practicing Safe Epistemology

Though most of analytic philosophy is basedupon intuitions, some philosophers arebeginning to question whether intuitions are anappropriate basis for philosophical theory. This paper responds to the arguments of somecontemporary philosophers who hold thatintuitions should not be treated as evidencefor anything other than our contingentpsychological constitution. It begins with ademonstration that skeptical arguments byGilbert Harman and Alvin Goldman are variationson an argument with the potential to underminethe use of intuitions in much philosophicalinquiry. After a demonstration that NicholasSturgeon's response to Harman's argument isinadequate, it argues that all of the instancesof the skeptical argument are unsuccessfulbecause they are epistemically self-defeating.     

Relational‐Cultural Theory and Reality Therapy: A Culturally Responsive Integrative Framework

The authors propose an integration of relational‐cultural theory and reality therapy. The authors contend that the traditional assumptions of reality therapy are consistent with the relational aspects of relational‐cultural theory and together provide a culturally responsive approach for diverse clients. The authors also include an overview of the 2 theories as well as highlight the convergences and divergences. In addition, the authors present a case illustration depicting the integration method in practice.     

The King Is Dead; Long Live the King: Narrative Therapy and Practicing What We Preach

Narrative therapy has been associated with the assumptions of postmodernism and social constructionism; both of which support the notion that there are no truths, just points of view. Thus, narrative therapists have sought to privilege the voices of their clients in the process of delivering them from the oppressive weight of dominant, cultural grand narratives. Have they been as willing and adept at respecting the voices of other professionals, and their colleagues within the narrative camp? This question is discussed in relation to the underlying assumptions that inform narrative practice. It is concluded that narrative has perhaps unwittingly fallen prey to the human tendency to reify metaphors and make gurus of leaders.     

How the Marvel Cinematic Universe Represents Our Quality World: An Integration of Reality Therapy/Choice Theory and Cinema Therapy

This article presents the integration of cinematherapy with William Glasser’s reality therapy/choice theory. This article also addresses the need to integrate reality therapy/choice theory and the therapeutic intervention known as “cinematherapy” to help students conceptualize the constructs of Glasser’s choice theory and to help novice cinema therapists address Glasser’s themes in their clients’ lives (i.e., fun, survival, power, freedom, love, and belonging). This integration will be helpful to not only students and clients, but also to the community of therapists who will intend to use cinematherapy as a therapeutic and creative intervention.     

Reality Testing and Testing Reality in Group TreatmentPart I: Reality and Reality Testing

This two-part contribution addresses reality, reality testing, and testing reality—how we think about and may technically approach these concepts. Part I provides a topic overview and focuses on reality testing. Part II (in an upcoming issue) focuses on testing reality and how it promotes emergence of new or previously inhibited forms of engagement.

Reality testing and testing reality represent two fundamental, reciprocal manifestations of the drive to know and of tasks of learning: approaching problems and solving them. While testing reality involves approaching reality without necessarily looking for or coming to definition or clarity, reality testing centers on a particular theme or object. It evolves towards organization and rationality, with a goal to define and solve problems—or to avoid them.

Engaging the group and supporting individuals in these two types of approaches to learning requires a well-defined therapeutic focus on process and purpose; at times, different tactics and techniques are appropriate.     

虚拟与虚拟实在

虚拟是这个时代的热门词,也是当下文化的关键词.在三亿多的网民中,很多人见面时的问候语从吃过没有变为魔兽了吗抑或摘菜了没有,网络虚拟生活已经成为国人乃至世人一种必不可少的生活方式.二十年前美国学者迈克海姆写过一本关于虚拟实在的书,大约十年前引入国内,引发了国内学者关于虚拟实在的研究和讨论.但由于当时国内的信息技术尚未普及,网民数量稀少,所以他的书和这场讨论未能引起社会轰动并深入持久下去.如今恰逢读网时代,我们重拾虚拟实在,重新探讨它的形而上以及与虚拟的区别与联系,因为它是我们在谈及当下文化时绝不能回避和忽略的问题.