How Does the Relationship Facilitate Productive Client Thinking?

My thesis is: a) that the primary client activity that facilitates change is their productive thinking, b) that one key way the therapeutic relationship is helpful is that it facilitates this kind of activity, and c) that if we look at the therapist–client dyad as a group, then we can further understand how the therapy dialogue facilitates productive client thinking through recent ideas about socially shared cognition.     

以心理学共情理论应对困境中的医患关系

和谐的医患关系是构建人性化医疗的基础,面对当今医患关系紧张的困境,探索如何应对困境中的医患关系迫在眉睫.共情是心理学的一个概念,阐述了人际互动过程中的一种心理现象,是一种站在对方立场上的思考方式.临床实践中医务人员存在共情缺陷,如易产生共情疲劳、缺乏倾听、缺少尊重等,通过心理学干预技术提高其临床共情能力有利于减少共情缺陷、避免医疗纠纷、协调医患关系.良好的共情能力有助于推进新的合作型医患关系的建设,尤其适合于临床一线的医务工作者.     

Stress in Mothers with Intellectual Disabilities

Both low parental IQ and stress have been shown to be associated with parenting difficulties and adverse child outcomes. We examined stress in parents with low IQ as a potential contributor to their documented parenting problems. Eighty-two mothers with intellectual disabilities (IQ < 80; labelled as having mental retardation) were given the Parenting Stress Index and they were found to be enduring very high levels of overall stress (95th percentile), stress related to child characteristics (95th percentile), and stress related to other life experiences (90th percentile) as compared to the normative test group. We divided the 82 mothers with intellectual disabilities into three groups depending on the age of their children. The mothers with school-age children reported significantly higher stress than parents of infant/toddler and preschool children. A hierarchical regression analysis revealed that child age and living in a crowded environment were significant predictors of parenting stress. The results confirm that mothers with intellectual disabilities experience extreme stress that, together with other factors, may hinder adequate parenting.     

The Effectiveness of Audiovisual Self-Instructional Materials in Teaching Child-Care Skills to Parents with Intellectual Disabilities

Children of parents with intellectual disabilities are at risk for neglectful care due to parenting skill deficiencies. Previous studies have shown that parents with intellectual disabilities can improve child-care skills with intensive behavioral training, but self-instruction has not been explored. We evaluated the efficacy of self-instructional pictorial child-care manuals with and without accompanying audiotaped instruction using a multielement design with 13 parents with intellectual disabilities. The self-instructional materials were effective in teaching 22 of 26 skills to levels seen in parents without intellectual disabilities. Eighty-one percent of the skills maintained over a 1-15 month follow-up period and self-learning effects were replicated when the parents received self-instructional materials for the original no-training control skill. Despite the low literacy skills of the parents, for most of them no advantage was found in adding the audiotape to the illustrations. Three parents only reached criterion after an audiotape was added to the manual alone skill. Consumer satisfaction ratings were uniformly high and those parents who stated a preference, preferred the pictorial manuals without, as opposed to with, the audiotape. These findings suggest that a majority of parents with intellectual disabilities may improve their parenting skills with low cost, low tech, self-instructional materials.     

The Application of Self Psychology to Therapeutic Camps

Abstract

Camp programs provide children and adolescents with vital opportunities to grow and are recognized as effective social work interventions. Children and adolescents with learning disabilities (LD) are at risk to experience psychosocial difficulties, which may result in difficulty attending regular camps. Self psychology can increase our understanding of these children's camp experiences, because of its focus on the individual's subjectivity and interactions throughout the lifespan and in therapeutic relationships. This paper extends the application of self psychology to therapeutic summer camps with children who have learning disabilities, illustrated through examples. The paper concludes with practice principles.     

人际关系对社会责任感的影响

为揭示人际关系对社会责任感的影响及其机制, 该研究采用问卷调查和实验相结合的方法, 探讨了二者之间的相关与因果关系, 以及共情的中介效应。研究1采用问卷调查法探讨这三者的关系, 结果发现, 人际关系对社会责任感具有显著的正向预测作用, 并且共情在二者之间发挥着部分中介效应。研究2采用实验法操纵了人际关系效用, 结果显示, 高效用组的社会责任感显著高于低效用组和控制组, 并且低效用组显著低于控制组。这表明人际关系效用对社会责任感具有明显的影响。研究3进一步操纵了人际关系的亲密度, 结果发现, 亲密度对效用与社会责任感的关系具有调节作用, 在低亲密度条件下, 高效用组的社会责任感明显高于低效用组, 但是在高亲密度条件下, 社会责任感均维持较高水平。因此, 人际关系对社会责任感具有明显正向影响。