儿童心理咨询与治疗的生态模型

儿童心理咨询与治疗的生态模型强调将个体置身于家庭、学校和社会等环境中,这种治疗方法改变了传统的以个体为主的治疗模式。该模型围绕心理咨询与治疗中各阶段的评估、干预和激励三个方面来具体实施,本文总结了它的实施过程和特点,以及其典型应用家庭调查模型,最后,本文阐述了该模型的发展方向及启示。     

A Better Look at Intelligence

The Planning, Attention, Simultaneous, and Successive (PASS) model is offered as an alternative to the unidimensional conceptualization of intelligence as a general ability. The unidimensional conceptualization has not helped researchers and clinicians understand variations of cognitive functions within special populations such as individuals with learning disabilities, disorders of attention, or mental retardation. Neither has this conceptualization aided in program planning for these individuals. PASS is a model of cognitive function based on contemporary research in both cognition and neuropsychology and provides a theory for both assessment and intervention. This article reviews concepts and examples of PASS theory and its application to reading disabilities and mental retardation. For example, the article links dyslexia with a deficit in successive processing. It also identifies the major difficulties of individuals with Down syndrome in phonological memory and articulation. Further research on successive processing, and planning as it relates to language, is suggested.     

An ecological approach to learning

This paper introduces a special journal issue devoted to the study of learning in ecological and developmental contexts. In the past, the dominant approach to the study of learning has depended upon the choice of arbitrary problems, stimuli, and responses to guarantee the generality of principles discovered in the laboratory. Recently, though, there has been considerable interest in integrating an ecological (functional) account of learning with the strengths of the classic laboratory approach. One form of integration is to use the technology of the laboratory to look for the operation of general learning laws in ecological problems. The approach favored here is to treat learning as a biological phenomenon by first placing it within a functional system of behavior, and then by analyzing where and how learning modifies the operation of that system. Because the results of such analyses are defined with respect to functioning systems rather than procedural paradigms, the ecological approach readily makes contact with issues in evolution, development, and physiology, an ability not completely shared by the classic general-process approach. Concerns about laboratory versus field, function versus mechanism, generality of results, and adaptive “storytelling” can be resolved or further clarified by the present approach. The papers in this issue represent a cross-section of research stemming from an ecological approach to learning, and provide specific analyses of how learning modifies and is expressed in functional systems of behavior.     

Achieving Population-Level Change Through a System-Contextual Approach to Supporting Competent Parenting

The quality of parenting children receive affects a diverse range of child and youth outcomes. Addressing the quality of parenting on a broad scale is a critical part of producing a more nurturing society. To achieve a meaningful population-level reduction in the prevalence rates of child maltreatment and social and emotional problems that are directly or indirectly influenced by parenting practices requires the adoption of a broad ecological perspective in supporting families to raise children. We make the case for adopting a multilevel, whole of population approach to enhance competent parenting and describe the essential tasks that must be accomplished for the approach to be successful and its effects measurable. We describe how a theoretically integrated system of parenting support based on social learning and cognitive behavioral principles can be further strengthened when the broader community supports parental participation. Implications for policy and practice are discussed.     

Systems analysis and school psychology

Traditionally the activities of professionals supplying mental health services to schools have been guided by a medical model which stressed intrapsychic dysfunction. This model is contrasted with an ecological orientation utilizing a systems approach for preventing or alleviating problems. The case history method is used to demonstrate how school psychologists actually perform within this model and to illustrate some of the general characteristics of the ecological approach; it also demonstrates how teacher consultation, family therapy, and student role-playing are organized into a meaningful and unified strategy directed at helping a child in trouble.     

The overstimulated state of dyslexia: perception, knowledge, and learning

Dyslexia is far more than a learning disorder; it has significant impact on personality organization. While dyslexia usually begins to manifest most clearly in early latency when the challenge of learning to read is at its height, often the dyslexic child's ego development and functioning has already been adversely affected. The literature from neuropsychology suggests that dyslexia is a subtle language-processing disorder that affects emotional, cognitive, and social development. The neuroanatomical literature also suggests a significant correlation between the neurodevelopmental basis for dyslexia, the caregiving environment, and psychological development.These two bodies of literature and analytic observations of a dyslexic patient suggest that the dyslexic individual may have a neurological deficit that increases vulnerability to overstimulation. The author hypothesizes that emotional and cognitive states result and reappear within the analytic encounter. This complicates clinical assessment and technical decisions. The author presents an analytic case and examines (1) the impact of deficit on the development of conflict; (2) the impact of the overwhelmed ego on the mastery of developmental tasks; and (3) the impact of dyslexia on dysgnosia, transference, and analytic process and technique.     

The Neuropsychology of Parkinsons-Disease

This article discusses the neuropsychological profile of Parkinsons disease from the perspective of cognitive theory, anatomical organization, and unit recording data. Despite the point of origin, methodologically controlled studies are converging to support the position that patients with this disorder suffer selective impairment in the acquisition of novel tasks which rely on internal (subjective) processing for the efficient establishment of new cognitive ′habits." The roles of attention and learning as well as of unit activity within the relevant networks are considered. Also included are recent but important concepts from personality theory which potentially enhance understanding of the neuropsychology of Parkinsons disease.     

An ecological approach to child and family clinical and counseling psychology

The ecological model of child and family clinical and counseling psychology considers mental health service delivery within a health maintenance framework, approaching the complexity of children's behavior in a systematic and organized fashion using science-based intervention practices. The service delivery framework integrates assessment, intervention, and motivation at all phases of an intervention. Assessments enhance the participants' and professionals' appraisal, which in turn impact motivation to change. Interventions are sensitive to assessment-based targets and participant motivation. A menu of interventions range from assessment, feedback, and brief interventions to more extensive mental health services, potentially integrated with other community agencies and school settings. The ecological model suggests revisions in the conceptualization of child and adolescent psychopathology, training for mental health professionals, and strategies for the design and testing of interventions. In general, a reformulation of mental heath services for children and families within an ecological framework enhances the potential for integrating science and practice.     

Early childhood intervention. A promising preventative for juvenile delinquency.

Programs to reduce or prevent juvenile delinquency have been generally unsuccessful. Apparently the risk factors that make a child prone to delinquency are based in too many systems--including the individual, the family, and community networks--to make isolated treatment methods effective. Surprisingly, longitudinal studies of some early childhood intervention programs suggest they may help to reduce future delinquency. These programs take an ecological approach to enhancing child development by attempting to promote overall social competence in the many systems impacting on children. Not engaging in criminal acts is one indicator of competence that is related to others, such as being successful in school and in personal relationships. Evaluators must gather more data to confirm this unanticipated benefit of comprehensive interventions.     

Homelessness in the United States. An ecological perspective.

This article presents an ecological perspective on homelessness that emphasizes the context in which homeless people live and the complex interactions between personal, social, economic, and service system resources that affect their well-being. The ecological perspective encourages researchers and program developers to assess the problems of homelessness at multiple levels of analysis, to view homelessness as a result of contextual factors that interact with individual and family vulnerabilities, and to assess carefully the social contexts in which researchers and program developers operate. Four ecological principles are described as a heuristic for research, intervention, and policy development. The implications of an ecological perspective for psychologists who wish to get involved in dealing with homelessness are discussed.     

Cognitive psychology in Scandinavia: Attention, memory, learning and memory dysfunctions

The last 15 years of research on attention, memory, learning and memory dysfunction is reviewed in detail, while areas such as reading, problem-solving and decision making are viewed from the perspective of memory and learning. Parts of the reference material are drawn from other areas than cognitive psychology: For example, educational psychology and the neurosciences. A total of 513 papers are reviewed of which 360 papers are of Scandinavian origin. On the basis of the reviewed material, three trends are projected: Cognitive task analysis, cognitive neuropsychology and, finally, an increase of qualitative data analyses.     

Training assessors in Therapeutic Assessment

This article focuses on the use of the comprehensive Therapeutic Assessment training model (Finn, 2007) with a child and his mother. The mother observed the child's testing sessions and was actively involved in a family intervention session as a way of translating assessment results into practice. One psychologist administered the psychological tests with the child, and 2 other clinicians worked with the mother throughout the process. We offer ideas about learning and training in the context of our case in Therapeutic Assessment. We investigate the parallel process between the way in which parents learn about their child's perspective and the way in which clinicians learn about the family's perspective. We discuss our discoveries in the context of planning case interventions. We explore the impact of trauma and ways of holding and containing this difficult work within our community and with each other.     

“Making things better”: Personal construct counselling for young children

A personal construct counselling approach that we are using with young children is presented here, an approach based on the construct of “wellness”, a medium to promote the well-being of troubled children and their families. The case study we share with you shows a counselling intervention based on play, with experiments drawn from self-related construct systems of “making things better” rather than construct systems of “fixing things up”. We present a case study of a young girl grieving over the death of her father. Emphasis is placed on the relationship of trust between the child and the counsellor, to encourage experimentation with relationship experiences to help the child to reconstrue events outside the counselling context. Working hypotheses drawn from cognitive and emotional developmental research into young children are provided, and the subsequent investigations which guide our intervention. Suggestions for process and outcome research in this area are finally made.     

非言语学习不良的研究现状和展望

非言语学习不良日益成为学习不良研究的新热点,非言语学习不良的概念界定、筛查和诊断标准以及非言语学习不良的神经心理、认知、社会性和教育干预等领域取得了大量的研究成果。但是,非言语学习不良研究中还存在许多需要解决的问题,如：界定标准不统一;对非言语学习不良的系统研究有待完善;缺乏有效的干预模式及实证研究等。这些问题都需要进一步的研究、探讨     

Enhancement of social learning family interventions for childhood conduct disorder

Social learning family intervention (SLFI) is the treatment of choice for young children exhibiting severe conduct disorder and antisocial behavior. Despite the reported success of this intervention, high levels of resistance, poor engagement, and inadequate maintenance of improvements are observed for a substantial proportion of distressed families. These obstacles have inspired enhancement efforts to improve basic social learning family-intervention models. The present review identifies promising approaches for maximizing treatment gains for the conduct-disordered child. Relevant studies were organized into 3 approaches: enhancements and expansions (a) within a dyadic (parent-child) interaction model, (b) within a broad-based model that acknowledges a wider range of family influences, and (c) through a multisystems model. SLFI enhancements within the dyadic model have centered on either the strengthening of parental skills already included in the SLFI regimen or the adding of new interactional strategies. Some gains, but only partial success, have been achieved with the dyadic model supplements. SLFI expansions from a broad-based model have focused on parental adjustment, parental expectations during treatment, and social-environmental stressors. The multisystems adjuncts to SLFI include cognitive-behavioral interventions to affect peer relations and ecological approaches to sweep across domains. The broad-based and multisystems expansions have produced promising but undertested treatment regimens. Related areas of investigation included therapy process research, medication combined with SLFI, and the involvement of fathers in treatment. Recommendations are offered for improvement of SLFI research. The apparent theoretical crossroads for SLFI treatment of childhood conduct disorder are discussed.     

Supporting communication in young children with developmental disabilities

The behavior of parents, adult caregivers, and peers comprises the critical features of community support for the development of communication in young children with developmental disabilities. In a bio-ecological model of development, communication development is the result of the interactions of individuals with specific characteristics, in particular contexts over time. From the perspective of this model, foundational findings of intervention research to current views of communication development in children with developmental disabilities are summarized. The contributions of individual child characteristics to child-caregiver interactions that support language development are illustrated based on research with children who have autism, Williams syndrome, Down syndrome, and children who use augmentative communication systems. Parent-child interaction and the quality and quantity of parent talk are discussed as factors in children's language development. The effects of young children's delayed language on their interactions with peers, the contributions of peers to children's language learning and use, and the critical features of classroom settings that support child language development are reviewed. MRDD Research Reviews 7:143-150, 2001.     

Introducing systems change in the schools: the case of school luncheons and vending machines

A major public health crisis facing America’s society is the increase in child and youth obesity, which has seen a fourfold increase in the last four decades. Major concerns include what children eat for school lunch and what other foods are available in schools. This paper illustrates efforts towards systems change in the luncheon program and food vending machines in the Chicago Public Schools. We discuss the different factors that lead to such changes using the framework of the social ecological model and the soft systems methodology, and we analyze how the resulting innovation was implemented and evaluated. First, we present a theoretical perspective to explain factors that influence children’s eating patterns from a systems approach. Second, we discuss the antecedent factors that lead to systems change. Finally, we examine challenges to systems change, such as resistance to change, different stakeholder priorities, lack of resources, institutional bureaucracy, and unrealistic funder expectations.     

An Ecological Approach to Reducing the Social Isolation of People With an Intellectual Disability

An ecological approach to understanding insecure attachments and social isolation among people with an intellectual disability is constructed using Gibson's (1979/1986) affordance-based theory. Although environmental affordances and individual limitations interact to limit the development of social competence, we believe that by focusing on the immediate environment, community-based approaches to helping people with an intellectual disability are often ignored, which increases the burden on individual caregivers. A more comprehensive strategy, which extends Gibson's theory of affordances, allows us to consider how higher level social systems influence the immediate environment and provides the context for understanding why successful change occurs when a multifaceted, holistic approach that works on several levels is adopted. Examining these systems within an ecological framework fundamentally redefines our thinking by shifting the focus from a person's disability to a more nuanced understanding of a person's abilities within the context of appropriate environmental supports in which the person's disability becomes less salient.