A Meta-Model for Evaluating Counseling Programs

One of the problems associated with program evaluation is the selection of appropriate evaluation procedures. Given the existence of multiple evaluation models, counselors would benefit by having a systematic means for identifying the evaluation model best suited for the task at hand. This article responds to that need by presenting a conceptual framework or meta-model for appraising the utility of existing evaluation models and for identifying the evaluation procedure best suited to any particular situation.     

Conducting Cognitive Developmental Research in Museums: Theoretical Issues and Practical Considerations

Pragmatic differentiation in bilinguals is the ability to use two languages appropriately with different speakers. Although some sensitivity emerges by 2 years, the effects of context on these skills and their relation to other developing metacognitive capacities have not been examined. The current study compared the language use of 28 bilingual children (aged 2;7 to 3;10 and 4;1 to 4;11) across two tasks. All children were bilingual in English and Marathi, an Indian language. Theory of mind measures were included to assess whether developing cognitive capacities relate to pragmatic language ability. Results indicated that pragmatic differentiation is not an all-or-none ability but one which develops during the preschool years and varies based on the conversational context. This development is also related to metacognitive abilities which emerge during this time.     

Considerations Regarding Online Methods for Suicide‐Related Research and Suicide Risk Assessment

Frequent advances in technology provide new and exciting opportunities for conducting suicide research and suicide risk assessments. However, to the authors' knowledge, best practices for using technology, specifically the Internet, to conduct research protocols involving suicide risk assessments have not been examined. In research contexts, the use of technology for research on suicidal behavior and suicide risk assessment can offer benefits relative to other forms of data collection. These advantages, which include increased validity, feasibility, and efficiency, as well as improvements in data collection and management, are presented. Considerations regarding the implementation of an online system for suicide risk assessment as well as limitations and future directions are discussed.     

Inclusion of Alternative and Complementary Therapies in CACREP Training Programs

Abstract

Given a heightened focus within the mental health profession on creative, complementary, and alternative practices, the authors surveyed CACREP programs with respect to their inclusion of such approaches in counselor training. For the purpose of this study, these approaches were designated as complementary and alternative methods (CAM) and defined as those therapeutic practices that fall outside of the established traditional realm of medical, psychiatric, and psychological practice (hypnotherapy, breath work, meditation, Qigong, Reiki, Thought Field Therapy, etc.). Sixty-two programs responded. Over half (54%) stated that they currently include these approaches in course offerings. This article includes a discussion of creativity, expressive arts, and energy psychology as they relate to complementary and alternative therapies in mental health and medicine.     

Design and Sociocultural Evolution: Theoretical and Practical Considerations

The two approaches described here may clarify the role of design in sociocultural evolution by making best use of information already available. The first, holistic in nature, explores possible advantages of a convergence between the design, systems, and social evolution communities which, to date, have worked largely in isolation of one another. The benefits of juxtaposing the three disciplines are examined by reviewing three works on social evolution for their insights into design practice. The second approach is reductionist in nature, and proposes working across the evolutionary literatures of disciplines contiguous with design, again in order to quickly inform design practice. The two approaches are considered complementary rather than exclusionary.     

The Motivations to Volunteer: Theoretical and Practical Considerations

Why do significant numbers of people engage in the unpaid helping activities known as volunteerism? Drawing on functional theorizing about the reasons, purposes, and motivations underlying human behavior, we have identified six personal and social functions potentially served by volunteering. In addition to developing an inventory to assess these motivational functions, our program of research has explored the role of motivation in the processes of volunteerism, especially decisions about becoming a volunteer in the first place and decisions about continuing to volunteer.     

Inpatient Group Psychotherapy: Practical Considerations and Special Problems

A comparison is made between group-analytic and group focal conflict theory in terms of the conceptualization of the group as a whole; the emergence of group-level phenomena from the interaction of individuals; the associative flow as the material for therapy; facilitative and nonfacilitative group conditions; the therapist's aims on behalf of the persons in the group and perceived routes toward therapeutic gain; general factors contributing to therapeutic gain; specific factors contributing to therapeutic gain; and the therapist's role. Differences in terminology are examined to determine whether and how they reflect differences in substance. Many similarities and some differences in emphasis can be shown to exist. Both approaches generate respect for the power and potential of the group to support significant reexperiencing, with attendant opportunities for personal benefit and change.     

Practical Considerations for Counselors Working With Hearing Children of Deaf Parents

Counseling literature has not adequately addressed various experiences encountered by hearing children of deaf adults. Awareness and understanding of these unique experiences would better prepare counselors to work with such clients. The authors review such experiences in the context of Deaf culture and believe such a review will enable the counselor to establish more effective counseling relationships with these children and their deaf parents.     

中国健康城市建设的进展及理论思考

中国健康城市的建设走过了探索和实质性发展两个阶段.它以健康促进的理念为指导,以"健康社会、健康环境、健康人群"为主线,成为了当前开展健康促进的典范.健康城市能呈现实质且快速发展的势头,政府主导是其重要的特点.它既符合中国社会文化背景和现状,也是以"上游策略"来解决全人群健康问题创新性举措.中国健康城市推行的深远意义在于,它为当前公共卫生体系建设赋予了先进的内涵,与世界卫生组织倡导的"健康促进曼谷宪章"的核心精神是完全相符的,成为了引领中国公共卫生汇入国际现代公共卫生运动的领头兵.但是,它的茁壮成长仍需要有远见的政治家的呵护和支持.     

Dream Interpretation: Practical Methods for Pastoral Care and Counseling

This article outlines a simple, straightforward set of practical dream interpretation methods which pastoral caregivers can use any time a client's dream becomes relevant to the counseling situation. The article describes seven elements to the successful interpretation of a dream, offers a brief illustration of how dream interpretation works in practice, and explains how to test the validity of an interpretation.     

Photo-Elicitation Interviews with Vulnerable Populations: Practical and Ethical Considerations

Photo-elicitation is a qualitative interview technique where researchers solicit responses, reactions, and insights from participants by using photographs or other images as stimuli. Images can be researcher-generated or participant-generated and each has particular benefits and challenges. Though not new, the use of images within criminology is an underused technique. In this paper we advocate the use of photo-elicitation techniques suggesting that they offer a powerful addition to standard data collection and presentation techniques. In making our case, we draw on our experiences from an 18-month long photo-ethnography of people living in rural Alabama who use methamphetamine. The ethnography consisted of formal interviews and informal observations with 52 participants and photography of 29 of them. While we draw on our overall experiences from the project we focus specifically on the photographs generated by, and taken of, one key participant—Alice. We demonstrate the benefits and challenges of using photo elicitation interviews with vulnerable individuals such as Alice, by considering themes such as representation, empowerment and emotionality. Additionally, we highlight the practical and ethical issues that confront researchers who incorporate the visual into their research.     

An Utility Based Framework for Evaluating the Financial Impact of Sales Force Training Programs

Limited attention has been devoted to the financial evaluation of sales training programs. In response to this shortcoming, this research proposes a sales training evaluation framework that integrates economic utility theory with Kirkpatrick's (1959a, 1959b, 1960a, 1960b) four-level training evaluation model. The proposed utility theory framework is tested using data derived from a sales training program conducted in Egypt. After performing the economic evaluation, sensitivity analysis is employed to demonstrate the financial trends of varying key training program variables. The paper concludes with discussions of theoretical and managerial implications, research limitations, and recommendations for future research.     

Screening for Physical Violence in Couple Therapy: Methodological,Practical, and Ethical Considerations

Over two-thirds of clients in family therapy clinics engage in some form of physical violence against their partners within the year prior to the initiation of therapy. However, family therapists are aware of only a small proportion of these cases. The purpose of this article is to enhance the ability of family therapists to detect marital violence. We examine client and therapist reasons for why physical violence is not detected. We then review various methods to screen for the presence of physical violence, especially the Conflict Tactics Scales. Finally, indicators of life-threatening violence are presented to help family therapists detect cases that require immediate intervention to protect the partner whose life may be in danger.     

Increasing Efficiency in Military Learning: Theoretical Considerations and Practical Applications

Given the fundamental importance of higher-order cognitive skills for military personnel, increasing learning efficiency during training is paramount. The current article expands upon the state-based information-loss processing model, a comprehensive framework elucidating the processes involved in acquiring higher-order cognitive skills, to enumerate best practices for military training. Emphasis is placed on identifying empirically supported, state-of-the-art learning efficiency strategies and methodologies to address points of information loss throughout the learning process. Implications and pragmatic recommendations for simulation-based military training are discussed.     

Tools of Engagement: Practical Considerations for Utilizing Technology-Based Tools in CBT Practice

Treatment engagement in cognitive behavioral therapy (CBT) is associated with positive outcomes. Technology-based tools present an opportunity to facilitate engagement in CBT. This paper will first review specific CBT engagement-related constructs, modalities/formats for applying technology in treatment delivery, specific engagement features available in CBT-based apps, and the relationship between CBT engagement and outcome. The Fogg Behavior Model may inform a process for enhancing CBT engagement, specifically utilizing technology towards achieving perceived simplicity and activating behaviors. Two vignettes are presented that apply the Fogg Behavior Model (FBM) and Persuasive Design framework to illustrate CBT engagement related constructs and practical considerations in applying technology-based tools to support CBT engagement. The vignettes focus on homework adherence with a thought record as well as activity scheduling. This paper concludes with a brief discussion of clinician engagement with technology applying the FBM, considerations of cultural responsiveness and inclusiveness, and additional implications for future research.     

Practical Applications of Generalizability Theory for Designing,Evaluating, and Improving Psychological Assessments

In this article, we illustrate how generalizability theory (G-theory) can extend traditional assessment methods for designing, improving, and evaluating results from both objectively and subjectively scored measures of individual differences. Our illustrations include quantification of multiple sources of measurement error, derivation of unique indexes of consistency for norm- and criterion-referenced interpretations of scores, estimation of score consistency when changing a measurement procedure, and disattenuation of correlation coefficients for measurement error. We also expand G-theory analyses beyond the item level to include parcels and split measures and highlight linkages among G-theory, classical test theory, and structural equation modeling. Computer code and sample data are provided in online supplements to help readers apply the demonstrated techniques to their own assessments.     

Self-Psychology,Shame, and Adolescent Suicide: Theoretical and Practical Considerations

Using the psychoanalytic self-psychology of Heinz Kohut as the theoretical foundation of this article, the authors discuss the role of shame in adolescent suicidal behaviors. Shame is described as a central component of suicidal behavior within the context of adolescence, a fundamental stage in the development of the healthy self. Normal and pathological self-development are described and important issues pertaining to the development of the self during adolescence are explored. A theoretical explanation of adolescent suicidal behavior from a self-psychology perspective is offered. Finally, suggestions for treatment of the suicidal adolescent and an illustrative clinical vignette are presented.     

CBT and Behavioural Medicine: On Definitions,Applications and Practical Considerations

Abstract

In the late seventies, behavioural medicine was conceptualized as a promising area for the application of cognitive-behaviour therapy (CBT) to medical problems. Although many studies have been published in which CBT has been applied to somatic conditions, they do not always call it behavioural medicine. It is uncertain if the term “behavioural medicine” is the most appropriate to use in the future; its impact on medicine and psychology can be questioned. However, in this paper it is concluded that CBT has great potential in the treatment of somatic conditions. In addition, practical considerations when applying CBT in multidisciplinary somatic team situations are discussed. A combined “scientist-practitioner” role is seen as especially promising for the introduction of CBT in a context wider than isolated research studies.