The Therapeutic Process with Children with Learning Disorders

Abstract

Clinicians who work with children and adolescents with learning disorders must be aware of the relationship between the learning disorder and the psychopathology the children present. This article offers a conceptual framework, based on psychoanalytic self psychology, to understand the modifications that are necessary in the treatment of this population. The author suggests that, in contrast to other approaches, it is not possible to conceptualize the treatment of these children as having a beginning, a middle, and an end. Rather, the therapeutic process is open-ended and conceived as occurring during a series of moments. The moments may be categorized as concordant, complementary, or disjunctive. During concordant moments a holding environment is created; during complementary moments the transference and countertransference is addressed; and during disjunctive moments the ruptures that inevitably occur during treatment are dealt with.     

学习不良青少年与一般青少年学业情绪特点的比较研究

本研究采用问卷法调查了1034名青少年(学习不良青少年506名),比较了学习不良青少年与一般青少年的学业情绪的特点。结果表明:(1)学习不良青少年的积极学业情绪显著低于一般青少年;学习不良青少年的消极学业情绪显著高于一般青少年。(2)学习不良青少年与一般青少年在学业情绪上的差异主要表现在初一、初二和高二、高三年级。(3)总体来说,男生的积极学业情绪多于女生,女生的消极学业情绪多于男生。     

学习不良儿童的策略研究

策略作为目标指向的旨在解决问题的心理操作,负责对基本信息加工的执行和控制,影响着个体的学习效果,因而被引入到学习不良领域。对学习不良儿童的策略研究具有重要价值。文章分析和综合了已有研究,阐述了学习不良与策略的关系、学习不良儿童的策略表现以及学习不良儿童策略低下的原因,提出了当前研究中存在的问题以及今后的发展趋势。     

Self‐determination among adolescents with physical disabilities in Zimbabwean inclusive‐community setting: an exploratory study

The purpose of this study was to explore self‐determination among adolescents with physical disabilities living in inclusive‐community settings of Makonde Urban, Zimbabwe. An inclusive community is one that aims to remove exclusionary practices within the community and promote community systems that accept all people irrespective of their difference. Inclusive communities on their own are not uniquely designed for people with disabilities, but they have been adopted by most developing countries as a basic strategy to influence and enhance self‐determination among people with disabilities. A constructivist‐lived experience perspective underpinned this research, in which multiple case studies were used to interact with the participants on inclusion and self‐determination in adolescents with physical disabilities. Fourteen participants, 9 males and 5 females, were purposively sampled. Data were collected through face‐to‐face interviews and transcribed verbatim. Three themes emerged from the inductive thematic analysis of data sources. It was found that participants were having low levels of self‐determination in choosing inclusive‐community activities to participate at home, at school, and in their communities. The findings of this study have the potential for the inclusive communities' policy makers and researchers to better understand the level of self‐determination in choosing inclusive‐community activities to participate among adolescents with physical disabilities in inclusive‐community settings.     

学习不良儿童的心理行为问题

学习不良儿童的心理行为问题已成为人们关注的一个焦点。从心理健康的角度考察,学习不良儿童心理行为问题主要表现在生活和社会适应、学习和违纪,以及焦虑、抑郁和自杀等方面;造成上述现象的主要原因要有自我概念较低、家庭因素的不良影响,以及社会认知方面存在的缺陷。可以通过干预和矫正学习不良儿童的心理行为问题,从而提高他们的心理健康水平。     

Differences in attitudes towards inclusion between parents of children with and without disabilities

IntroductionInclusion is among the greatest challenges facing educational systems throughout the world today. Parents’ attitudes play a key role in the successful implementation of inclusion. Therefore, there is a growing interest in comparing the attitudes towards inclusion among parents of children with and without disabilities.ObjectiveThe current study was set out to assess if there are differences in attitudes towards inclusion between parents of children with and without disabilities.MethodThe sample consisted of 332 parents (127 parents of children with disabilities and 205 parents of children without disabilities). All children attended general education primary schools. Participants completed anonymously the Greek version of Attitude Survey Towards Inclusive Education – Parents (de Boer et al., 2012a, b).ResultsThe findings showed no significant differences in attitudes towards inclusion between parents of children with and without disabilities. However, significant differences were found in parents’ attitudes towards inclusion based on their familiarity with a disabled person and the type of disabilities (congenital or acquired).ConclusionThese findings highlight the need to take into consideration parents’ and children's factors during the development of interventions to change attitudes towards inclusion.     

学习不良儿童研究的社会认知取向

用认知范式研究学习不良,可以从基本心理过程障碍和社会信息加工过程障碍这“两种认知过程障碍”来理解其学业和社会性困难的深层心理机制。根据该观点以及对学习不良的理解,提出用社会认知的范式推进学习不良儿童社会性研究的思路,以超越当前研究面临的困境。具体是从比较研究的视角探讨学习不良儿童与一般儿童在社会认知过程上的差异以及社会认知中主客体各因素之间的相互作用。     

Dual realities – The search for meaning: Psychodynamic therapy with physically ill people

Abstract

We summarize Kohut's (1971) bi-polar self which enables counsellors to understand and treat narcissistic behaviours and narcissistic personality disorders in a psychoanalytic framework. After Patton and Meara (1992), we describe Kohut's formulations regarding self-development and disorders of self and how such formulations inform critical components of psychoanalytic counselling with particular emphasis on the explicit and implicit strategies and characteristics the counsellor brings to the process. Finally, we suggest that a promising arena for future theorizing and applications of Kohut's ideas is consultation with parents, teachers and other community leaders to help prevent or remedy psychological self-injuries with systemic interventions outside short-term counselling or long-term therapy.

We have suggested that Kohut's self psychology is a good vehicle for understanding what brings a client to counselling: namely, disorders of the self or self-injury. We review strategies and ‘ways of being’ a counsellor must bring to and offer in the counselling encounter if the work is to succeed. We also examine implicit qualities (beyond the achievement of a mature bipolar self) we believe a counsellor or any facilitator must have if counselling or other helping relationships are to be effective. We purpose further conversations and empirical analyses which specifically and conceptually link critical components of psychoanalytic counselling to self psychology and to essential counsellor traits or virtues that seem intrinsic to good counselling practice.     

Transformation of Narcissism and the Intersubjective Therapeutic Exchange

Abstract

Clinicians and researchers have redefined adolescence and depression in adolescence and no longer consider depression as typical of “normal” adolescence. Depression during the teenage period is differentiated from a depressed mood, replete with misery and anguish, and depression proper, i.e., a real illness with specific symptoms which are depressive equivalents. These symptoms often include aggressivity, substance abuse, school refusal, and delinquency. A detailed case presentation is offered of a 17-year-old depressed, substance abusing adolescent who shares his lyrics and heavy metal rock music in sessions, thereby transforming his aggression and narcissism. Use of self psychology and intersubjectivity theory stimulated the formation of a therapeutic alliance and a corrective selfobject relationship, with this young patient's subsequent gains in self-regulation, decreased temper eruptions, and school involvement.     

Anger - the hidden destroyer A psychodynamic approach with the physically disabled

Abstract

A basic challenge in the psychodynamic counselling of the physically disabled is the engagement of anger in relation to the patient's disability. Regardless of a patient's age at the onset of disability, they will exhibit anger, resentment and frustration for losses they may have, or perceive themselves to have, endured. Healthy physical and psychological adaptation requires the disabled patient to ‘cope’ with their anger. Feelings of anger may impede, obstruct or even derail the impetus towards healthy psychological and behavioural functioning. The manner in which we learn to negotiate the vicissitudes of daily life is linked to our selfobject development. This development does not end when we become adolescents or young adults, but continues throughout our life span. The normative, healthy psychological maturation required for adaptive behaviour is vulnerable to a wide range of impediments acquired at any point along the individual's developmental continuum. As clinicians we need to keep in mind that the self-regulation of internalized emotional states is transacted through a complex set of characterological and personality traits that may be impaired, or wanting, eventually leading to maladjusted psychopathological states. The therapeutic function of the clinician is to redress those ego deficits that stand in the way of a fully creative and productive life. The intended aim of this paper is to illustrate the manner in which I engage with those physically disabled persons presenting anger. I shall consider the use of counter-transference responses as behavioural in modifying various forms of anger formation manifested by disabled clients. It is my position that a positive shift in a disabled person's ego ideal through empathic transference will help to alleviate their underlying hostility and other forms of anger. The paper commences with a brief review of the experience of the disabled in Western society. I shall then turn to an examination of the psychotherapeutic approach underpinning my work with disabled clients. The third section will describe and illustrate, through case material, the clinician's use of self in the dyadic transaction with disabled clients.

The power of a positive therapeutic outcome lies in the clinician's ability to engage with the client despite emotional content, clinical aptitude or specific approach. Empathic attunement brings into operation those mechanisms underpinning the dynamic process integral to the approach used in the above cases. Countertransference issues sometimes intervene in the unconstrained flow of therapy. Regardless, those issues that are salient to the client and are incorrectly handled by the clinician will appear recurrently until satisfactorily addressed. Further, even when errors are made in sessions, outcomes may be positive.

Whatever the initial purpose that brings a physically disabled person to therapy there will eventually be a need to address issues around their condition. It is not enough to ignore or accept a client's earliest statement that their disability Ms not a problem'. They may initially not have come into therapy for problems concerning their disability; however, the particular disability will ultimately play an important role as to how and what the person feels, thinks and believes about him or herself. In general, psychodynamic counselling with the physically disabled requires knowledge of disability issues as well as of counselling procedures. Those working with the disabled need to understand their own personal issues through analytic work and continued supervision. Working with the physically disabled can be overwhelming, frustrating and exhausting, but in the end is most rewarding.     

学习不良儿童的家庭资源对其认知发展、学习动机的影响

运用认知测验法和问卷法,综合考察了１６７中学习不良儿童和１６１名一般儿童的家庭 资料对认知发展、学习以机的影响。表明：学习不良儿童的家庭资源、学习动机和认知发展之间存在着因果关系,家族资源通过两种途径对认知发展发生作用,一是通过影响学习动机促进信知发展二是直接对认知发展发生作用。     

Changing the Past,Present, and Future

Abstract

There has recently been a growing movement within psychology toward placing a greater emphasis on the positive aspects of human nature. This movement, known as positive psychology, focuses on the scientific study of human strengths and virtues as well as the variables that promote positive traits, emotions, and institutions. The purpose of this article is to discuss selected topics of research in positive psychology and the potential psychotherapeutic application of this research for children and youth, particularly in school settings. Interventions are presented for altering and enhancing children's and adolescents' perspectives regarding their past, their experience of the present, and their hopes for the future.     

Development of an Abuse Screening Tool for Women with Disabilities

Abstract

Women with disabilities are at increased risk for violence, including forms of abuse that can be experienced by all women as well as forms unique to women with disabilities, such as abuse by personal assistants. The purpose of this study was to develop an abuse-screening tool unique to women with disabilities. The tool, which was based on previous research, was field-tested with 47 women who experienced physical and/or cognitive disabilities. Final refinement of the tool's wording and formatting was accomplished through focus groups and individual interviews. Women with disabilities were receptive to participating in screening, which facilitated the identification of abuse and risk factors. Recommendations for abuse screening and risk assessment with women who have disabilities are presented.     

Uncovering and managing unconscious ways of ‘looking’: A case study of researching educational care

Abstract

In this paper the author argues for the importance of those working as counsellors with children and adolescents to have specialist training. She outlines the need for many more properly trained counsellors to be available to children, and emphasizes the need for them to have detailed knowledge of children's emotional development. The argument is throughout illustrated with clinical examples. She draws attention to the differences between working with children and adolescents as opposed to adults, with an exploration of the special skills that need to be developed if working with younger clients. Reference is made to the differences in the contract and the thinking about the family. She explores the importance of including in a specialist training infant observation and the consideration of group and institutional dynamics.     

A multisource exploration of the friendship patterns of children with and without learning disabilities

Friendship patterns of 117 children with learning disabilities (LD) and 115 children without LD in Grades 4–8 were examined. In comparison with children without LD, boys with LD had fewer mutual friends, children with LD had more friends with learning problems and more younger friends, and children with LD in Grades 4–6 had less stable relationships. With regard to friendship quality, children with LD reported higher levels of conflict, lower levels of validation, and more problems with relationship repair than did children without LD. The findings were discussed in terms of factors that have been found to enhance friendship such as proximity and similarity, and the social skills difficulties that have been associated with learning disabilities.     

学习不良儿童对情绪表达规则的认知特点

采用儿童对情绪表达规则的认知访谈故事,比较了学习不良儿童和一般儿童对情绪表达规则认知的发展特点。结果发现,学习不良儿童表情调节知识水平显著低于一般儿童,性别差异不显著,组别与年级交互作用不显著,表明两组儿童发展趋势类似,发展水平不同;学习不良儿童报告出较少的社会定向目标,自我保护目标得分与一般儿童差异不显著;学习不良儿童缺少根据不同人际关系类型灵活运用情绪表达规则的知识,而且较少把情绪表达规则的使用和目标联系起来     

Adaptation of the Children's Friendship Training Program for Children with Fetal Alcohol Spectrum Disorders

ABSTRACT

Previous research attests to the marked impairments in social functioning exhibited by children with Fetal Alcohol Spectrum Disorders (FASD), suggesting that such children are in need of social skills intervention. Recently, an existing evidence-based manualized behavioral treatment for improving children's friendships was implemented and demonstrated to be effective with children aged 6–12, diagnosed with FASD. In the present report, we describe methods for adapting this behavioral intervention in line with the specific cognitive and behavioral deficits seen in children with FASD and other developmental disabilities to enhance treatment efficacy.     

Time Limited Treatment and C. G. Jung's Analytical Psychology

Abstract

The work of C. G. Jung has been largely neglected in recent discussions of time-limited psychotherapy. Notwithstanding this state of affairs, this paper argues that much is to be gained from familiarity with Jung's view on treatment. A brief overview of Jung's general system of psychology is presented, and contrasts are drawn to the work of Freud. Several distinctive characteristics of Jung's view of the clinical process are then identified, and a discussion of the course of treatment is provided with a brief reference to a case of Jung's and to the author's experience working with gay men.     

美国成人学习不良研究及其启示

随着儿童、青少年学习不良研究的逐步深入,近年来,成人学习不良成为美国等西方国家教育心理学研究新的热点。在回顾了成人学习不良概念的提出与确立后,介绍了美国学术界对成人学习不良的筛查和界定标准,并对该领域主要成果从学业发展、阅读困难、元认知和干预研究四个方面进行了概括和分析,指出成人学习不良界定标准的不统一、长期追踪研究的缺乏以及针对成人学习不良心理咨询体系的滞后等已成为当前该领域急待解决的问题。我国应在吸取国外研究成果和经验的基础上,尽快制定出符合自身国情的筛查和诊断标准,掌握学习不良在我国成人群体当中的发生率和分布状况,同时加强相关基础研究和追踪研究,争取在较短时间内建立起我国成人学习不良研究的体系。