Early interventions following psychological trauma

What is the best way to provide early interventions for psychiatric disorders after trauma? The terrorist attacks of September 11, 2001, have raised urgent concerns about the evidence for early treatments after trauma that can prevent psychiatric disorders. This review outlines the expected course of posttraumatic stress reactions and discusses the current means of identifying people who are at risk of developing disorders. A critique of psychological debriefing and an analysis of evidence for cognitive-behavioral therapy as an early intervention is provided. The major challenges for early intervention are discussed, including increasing treatment effectiveness, delivering therapy when it is required by thousands of people, and developing early interventions for a wide array of psychiatric disorders in addition to posttraumatic stress disorder that can develop following trauma.     

Reflexivity in life design interventions: Comments on life and career design dialogues

Papers published in the Symposium on Reflexivity in Life Design Interventions show that narrative innovation develops from a focus on structuring the past to increased engagement in projecting some future prospects. Counselees are energized by the interventions: They become more self-determining. All operations involved in the interventions (basically: telling someone about different life elements identified by the person as important because they are emotionally invested) allows a passage from emotion to cognition (or more precisely: a passage from a felt - emotional - temporal continuity to an expressed temporal continuity), which determines a meaning of life for the concerned person (or a meaning of a fraction of his/her life). The dialogic interactions at work in counseling interventions appear to be the fundamental factor that fostered reflexivity and led to these changes: the situation of dialogical counseling - because of its specific characteristics - stimulates the use of cognitive processes of interpretation, which appear to be the key factor determining the changes.     

The family of later life: Strategies and interventions

The concerns of the family of later life have only recently become evident. Unlike other age groups, when problems of an elder surface, they almost always involve other family members. Family members tend to become highly involved, alter their lives, and offer support. All this provides a ready condition for family pathology to assert itself. Accordingly, three common strategies used by families of later life are presented and discussed. The effect on the whole family system is stressed. Also, two therapeutic interventions are presented. Since problems related to elders are particularly resistant to therapy, these two interventions are designed for well family members. Case material is presented.     

Early interventions with disturbed mother-infant relationships

The aim of this paper is to validate the hypothesis that successful psychodynamic intervention in the case of disturbed mother-infant relationships may be possible. Based on 120 referred cases, three types of intervention emerged: Intervention Group A: These mothers feel numbed when their babies are in an acute state of distress and show active signs of refusing to live. Intervention Group B: These mothers feel concern about an on-going difficulty with their baby and are prepared to explore the problem with the therapist. Intervention Group C: These mothers feel angry when their children show signs of distress and react in a persecuted way toward the baby. Due to the difficulty in helping mothers in this situation, a different approach was explored. Clinical case studies are presented to illustrate each of these types of intervention.     

Psychological interventions for infertile patients: a review of existing research and A new comprehensive approach

The usefulness of psychological support for infertile patients has been highlighted in the literature over the past number of years. This article provides a review of existing research on psychological interventions for infertile patients, and presents the Fertility Group Intervention as an example of the application of existing research. There is clear empirical evidence of high levels of depressive symptoms, anxiety, and distress among infertile patients undergoing assisted reproductive treatment (ART). Infertile patients need and require increased psychological support. Various studies indicate the efficacy of psychological interventions for infertile patients with respect to their mental health and, in part, pregnancy rates. However, many such studies exhibit methodological problems. Therefore, in future research, additional studies of high‐quality design are needed to achieve more definitive answers on the efficacy and indication of psychological interventions for infertile patients. Currently, the Fertility Group Intervention represents a comprehensive therapeutic approach integrating established empirical and theoretical approaches with the aim of helping infertile patients – particularly those undergoing ART – cope with distress related to their infertility and medical treatment. This article further outlines the therapeutic background and structures, treatment goals, practical implications, and feasibility of the Fertility Group Intervention.     

生命早期环境不可预测性对过度进食的影响:基于生命史理论

在生命史理论的视角下,本研究通过两个研究揭示了生命早期环境不可预测性对过度进食的影响及其作用机制。研究1招募处于生命早期阶段的91名初中生(年龄12～14岁),采用饱食进食(Eating in the absence of hunger,EAH)范式,结果发现生命早期环境不可预测性能够显著正向预测个体饱食状态下的高热量食物选择(即过度进食);研究2招募新冠病毒疾病(COVID-19)爆发背景下301名武汉市居民(高死亡威胁组)和179名其他省市居民(控制组)(年龄18～60岁)为被试,通过问卷法回溯性地测量生命早期环境不可预测性并探究其影响当前过度进食的机制,结果发现生命早期环境不可预测性通过生命史策略的中介作用间接影响过度进食。同时,死亡威胁(新冠病毒疫情)扩大了环境不可预测性通过生命史策略间接影响过度进食的效应,而社会支持则能缓冲这一效应。研究结果为COVID-19背景下和灾后居民的健康进食干预提供了依据。     

Reconstructing the Brothers Grimm: new tales for step-family life

Step-families are situated within the sociopolitical context of family change and are examined as a prototype of the "post-modern" family. This essay looks at the cultural construction of step-family life and proposes a model for collaboratively reconstructing stories that liberate step-relationships from the legacy of the Brothers Grimm, deconstructing the stories of failure, insufficiency, and neglect. Building on narrative and social constructionist ways of thinking about families, the concept of side-shadowing (a hermeneutic approach from literary/historical criticism) is introduced to elucidate how therapists can help family members discover ways of thinking, feeling, and behaving that are both more personally satisfying and more congruent with the changed context of family life. Two therapeutic challenges are high-lighted: reconceptualizing what it means to be a step-family and coming to terms with differential attachment in relationships while working with step-families. The essay ends with a fairy tale for the 21st century.     

Combating prejudice and racism: new interventions from a functional analysis of racist language

Based on a conversational model of language‐use‐in‐social‐context, this article focuses on one particular form of racist and prejudiced talking that has not received enough attention—conversations in which racist statements function to maintain groups and relationships rather than seriously promote racism. Despite their casualness, such statements are still pernicious, and a range of potential interventions are proposed for this language function. These involve actively altering a community's discursive resources to include more rejoinders to racist comments. Such rejoinders must be utilized in the most appropriate way for any relationship, and this might mean polite corrections, witty repartee, strong put‐downs to silence someone making racist comments, or as counter‐jokes to racist jokes, depending upon the social context and power relations involved. Copyright © 2003 John Wiley & Sons, Ltd.     

Using a new taxonomy to combine the uncombinable: integrating results across diverse interventions

Researchers have examined numerous psychosocial and behavioral interventions intended to alleviate distress among family caregivers of persons with dementia. Many of these interventions are complex, combining numerous treatment components. Although some multicomponent interventions have been successful in reducing caregiver distress, the impact of specific elements of these interventions on outcomes is not known. The article presents results of an analytic approach that allows researchers to describe the individual elements of multicomponent interventions and to examine the relationships between those components and outcomes. This approach is successfully applied to interventions being evaluated in the Resources for Enhancing Alzheimer's Caregiver Health (REACH) program. The results indicate that actively targeting caregiver behavior is effective in achieving positive outcomes with respect to caregiver depression.     

急腹症疼痛管理新观念——早期止痛

从早期止痛的意义,早期止痛的依据以及传统止痛现念的成因等三个方面论述急腹症早期止痛的必要性和合理性,并探讨早期止痛的策略.提醒医务人员要更新观念,对急腹症忘者应尽早实施止痛干预.     

Direct democracy and life satisfaction revisited: new evidence for Switzerland

We re-evaluate the relation between cantonal direct democracy and perceived subjective well-being in Switzerland using new data from the Swiss Household Panel. In addition, this study goes beyond previous work by carefully controlling for cultural determinants of happiness such as languages and religion. We find that once language is controlled for, no robust significant relationship between the extent of direct democracy and life satisfaction can be observed. The results also show that direct democracy does not affect well-being within language groups in Switzerland.

A new framework for the design of career interventions in organisations

There has often been an assumption that the school-to-work transition is fundamental for careers guidance and that mid-career interventions are supplementary. This approach can no longer be maintained. Frequent changes of job are now common. The relationships we have with employing organisations have become important and must become prominent in careers interventions. A model is presented to clarify what is needed. Two problems arise: the need to reconcile individual and organisational perspectives; and the need to look at careers in terms of life-career purpose as well as in terms of goals. It is recommended that individuals' plans mirror strategic management in the organisation. A number of ways are identified which extend the scope of career interventions.     

Improving quality of life in men with prostate cancer: a randomized controlled trial of group education interventions.

Men who were recently treated for prostate cancer (N=250) were randomly assigned to a control group, a group education intervention (GE), or a group education-plus-discussion intervention (GED). Both GE and GED increased prostate cancer knowledge. In the year postintervention, men in the GED condition were less bothered by sexual problems than men in the control condition, and they were more likely to remain steadily employed (93.0%) than men in the GE (75.6%) or control (72.5%) conditions. Among noncollege graduates, GED and GE resulted in better physical functioning than the control condition, and GED resulted in more positive health behaviors than the control or GE condition. Among college graduates, controls were comparable with the GE and GED groups in physical functioning and positive health behaviors.     

Evaluating complex interventions: Perspectives and issues for health behaviour change interventions

Objective: Health behaviour change interventions (HBCIs), used in health education, health promotion, patient education and psychotherapy areas, are considered complex interventions. The objective of this article is to discuss the value and limitations of using randomised clinical trials (RCTs) to asses HBCIs.

Methods: A scoping review of the literature was conducted to identify the main challenges of using RCTs for evaluating HBCIs. The issues were illustrated by case studies selected from research conducted by our multidisciplinary team.

Results: In complex interventions, effects are produced not only by the intervention, but are strongly linked to context. Issues relating to transferability of results are therefore critical, and require adjustments to the RCT model. Sampling bias, biases related to the experimental conditions and biases due to the absence of double-blindness were examined and illustrated by case studies.

Conclusion: The results underline the importance of a multidisciplinary approach. They call for adapted or alternative evaluation models that overcome the limitations of RCTs.     

Interfaces: toward a new generation of systemic models in family research and practice

After reviewing Engel's bio-psycho-social proposal and Kandel's "principles for an integration between mind and brain," the author introduces a set of akin propositions that aim at integrating neurosciences, genetics, the mind, and the social world into a succinct set of systemic formulations focusing on interlevel interfaces, with profound implications for the training, practice, and research in the field of family processes and therapy.     

Critical ingredients of career choice interventions: More analyses and new hypotheses

Recent meta-analyses of the career choice intervention literature (Brown & Ryan Krane, 2000; Ryan, 1999) identified five intervention ingredients that were individually associated with career choice outcome, and collectively were linearly related to increases in career choice effect sizes. In this article, we summarize these meta-analytic findings, present analyses that further confirm these ingredients’ importance, and present some hypotheses to define each of the critical ingredients and suggest how they might be implemented to maximize their effectiveness.     

Psychological interventions for arthritis pain management in adults: a meta-analysis.

CONTEXT: The psychosocial impact of arthritis can be profound. There is growing interest in psychosocial interventions for managing pain and disability in arthritis patients. OBJECTIVE: This meta-analysis reports on the efficacy of psychosocial interventions for arthritis pain and disability. DATA SOURCES: Articles evaluating psychosocial interventions for arthritis were identified through Cochrane Controlled Trials, EMBASE, Ovid MEDLINE, and Ovid PsycINFO data sources. STUDY SELECTION: Randomized controlled trials testing the efficacy of psychosocial interventions in arthritis pain management were reviewed. DATA EXTRACTION: Twenty-seven randomized controlled trials were analyzed. Pain intensity was the primary outcome. Secondary outcomes included psychological, physical, and biological functioning. DATA SYNTHESIS: An overall effect size of 0.177 (95% CI=0.256-0.094) indicated that patients receiving psychosocial interventions reported significantly lower pain than patients in control conditions (combined p=.01). Meta-analyses also supported the efficacy of psychosocial interventions for the secondary outcomes. CONCLUSIONS: These findings indicate that psychosocial interventions may have significant effects on pain and other outcomes in arthritis patients. Ample evidence for the additional benefit of such interventions over and above that of standard medical care was found.