Investigating the effectiveness of two therapeutic modalities in enhancing self-esteem among female adolescents

This study aimed to investigate the effectiveness of Adlerian therapy (AT) and solution-focused brief therapy (SFBT) in enhancing self-esteem among a sample of female adolescents. The researchers used the Arabic version of Rosenberg's Self-Esteem Scale and semi-structured interviews as data collection tools to evaluate the effectiveness of both therapies. The study sample consisted of 60 female students in the 10th and 11th grades selected from a Jordanian government school based on their low self-esteem scale scores. The participants were randomly divided into three equal groups: two experimental groups and one control group. One of the experimental groups received AT, while the other groups received training on SFBT, while the control group did not receive any treatment. Each experimental group met for one 50-minute session per week for 8 weeks. The data were analysed using one-way analysis of variance and one-way analysis of covariance . The results showed that SFBT was significantly more effective in increasing self-esteem than AT and no treatment. In addition, AT was found to be substantially more effective in enhancing self-esteem than no treatment. The researchers supported these results using data collected from the experimental groups' participants through a semi-structured interview.     

Systems and Solutions: The Discourses of Brief Therapy

The author describes how brief therapy has evolved in the past 10 to 15 years from ecosystemic to solution-focused brief therapy. SFBT is characterized as a radically constructivist approach to personal problems which emphasizes how troubles and solutions are socially constructed realities.     

The Contributing Factors of Change in a Therapeutic Process

The clients’ and therapists’ perceptions about the degree to which each of four common factors in therapy—extra-therapeutic factors; model/techniques; therapeutic alliance; and hope/expectancy—contribute to change in the therapeutic process were investigated in this study. In addition, the perceptions about the percentage of change attributed to clients and therapists were also explored. Results revealed that the therapists and clients have different perceptions on what factors contribute the most to change and that clients and therapists believe that the client contributes the most to change in a therapeutic process.M. L. Thomas, MSW, is a doctoral student in Marriage and Family Therapy at Florida State University.     

Applying the Visions of Reality to a Case of Brief Therapy

The visions of reality refer to assumptions about the nature and content of human reality and have been used to describe different genres of literature as well as psychoanalytic, behavioral, and humanistic modes of therapy. In this paper, four visions—the tragic, romantic, comic, and ironic—are applied to a single case, spelling out the way in which each can direct the focus of a therapist's attention to different aspects of a client's problems. Each vision can also influence the process of therapy and its goals. Keeping the several visions in mind can broaden both the therapist's and the client's view of the client's life situation and problems, thereby opening up possibilities for integrative work. The paper also spells out the shift in visions of reality that is necessary when conducting brief versus long-term therapy.     

Brief therapy in the Israeli kibbutz

Analysis of results of therapy in an unselected sample of 211 kibbutz patients seen over a three year period by the author in his capacity as kibbutz member and psychiatrist indicated that over 70% of the identified patients responded very satisfactorily to brief therapy. About one-third of the clients did not need more than a single comprehensive therapy session to achieve continuous improvement. In a minority of the cases more than 10 sessions were required. The results were significantly better in cases treated by brief therapy than in the sample treated by long-term therapy, where the pre-treatment severity was determined to be greater. The paper describes the unique aspects of brief therapy in the kibbutz setting, giving an outline of the author's model of intervention, using all components of the individual, family, and community ecosystem.     

The Process of Systemic Change in Filial Therapy: A Phenomenological Study of Parent Experience

This phenomenological study represents the first qualitative exploration of parents’ experiences of the process of filial therapy from a systemic lens. Filial therapy is a treatment approach that teaches parents how to conduct weekly thirty minute play times with their target child at home in an effort to improve the parent–child relationship. Previous research has focused almost exclusively on the impact of this model on this relationship; however, the results from this focus group study (n = 8) indicate several relational shifts that occur within the greater family and societal contexts and suggest potential reasons for treatment gain maintenance over time.     

Crisis for community mental health: The use of groups in the struggle for survival

The task of community mental health is to provide quality services to clients despite funding cutbacks. This paper describes the recent evolution in conceptualization and service delivery in one center. The outcomes are a philosophy that is customer oriented, and treatment that draws upon brief techniques, in group and long term contexts.     

Solution-Focused Brief Therapy and the Kingdom of God: A Cosmological Integration

The core cosmological dimension of Solution-Focused Brief Therapy (SFBT) and Christianity emphasizes a similar truth—the future is now. As humans live in their preferred realities, they experience the future, problem free solution for their lives from a SFBT perspective. The Christian tradition emphasizes the in-breaking Kingdom of God beginning with the Christ event. The end has entered the now. However, the final consummation of the end-times is still as yet in the future which means that sin and death are part of the world. This Christian understanding of sin and fallenness provides humility to SFBT’s inherently positive view of the world (Bidwell, D. R. Am J of Pastor Couns, 3:3–21, 1999), while SFBT encourages Christians to see the kingdom of God in the now instead of the future.     

Appreciative Inquiry: A Case Study of a Woman's Experience of Poverty

This study utilised an instrumental case study to investigate the experience of a woman living in poverty in a South African community. The participant was a widowed African female with two children. Data were collected during an interview process that took place over a period of ten weeks. Each interview was in-depth and lasted between forty minutes and an hour long. Appreciative Inquiry (AI) was used to facilitate the construction of the interview questions. Data were thematically analyzed. Findings suggest that AI leads to a positive view of self and others even in the context of significant poverty.     

Development and validation of the solution-focused inventory

Solution-focused coaching and solution-focused therapy are strengths-based approaches which emphasize people's resources and resilience and how these can be used in the pursuit of purposeful, positive change. The Solution-focused Inventory (SFI) is a 12-item scale with three subscales: Problem Disengagement, Goal Orientation and Resource Activation. Three studies in this article provide support for the validity of the SFI as a measure of solution-focused thinking. The SFI negatively correlated with psychopathology and positively correlated with measures of well-being, resilience and perspective taking. Test–retest reliability over 16 weeks was 0.84. Cronbach's α for the 12-item scale was 0.84. It also demonstrates sensitivity to purposeful change in that participation in a leadership development coaching intervention was associated with significantly increased scores on the SFI, whilst scores for the control group did not change.     

Similarities and differences in dream content at the cross-cultural, gender, and individual levels

The similarities and differences in dream content at the cross-cultural, gender, and individual levels provide one starting point for carrying out studies that attempt to discover correspondences between dream content and various types of waking cognition. Hobson and Kahn’s (Hobson, J. A., & Kahn, D. (2007). Dream content: Individual and generic aspects. Consciousness and Cognition, 16, 850–858.) conclusion that dream content may be more generic than most researchers realize, and that individual differences are less salient than usually thought, provides the occasion for a review of findings based on the Hall and Van de Castle (Hall, C., & Van de Castle, R. (1966). The content analysis of dreams. New York: Appleton-Century-Crofts.) coding system for the study of dream content. Then new findings based on a computationally intensive randomization strategy are presented to show the minimum sample sizes needed to detect gender and individual differences in dream content. Generally speaking, sample sizes of 100–125 dream reports are needed because most dream elements appear in less than 50% of dream reports and the magnitude of the differences usually is not large.     

The impact of parental divorce on the attainment of the developmental tasks of young adulthood

The purpose of this study was to assess the impact of parental divorce on young adult development. One hundred twenty-five participants provided demographic information and completed the PAFS-Q (college version) and the conflict subscale of the Family Environment Scale. Results indicate that parental divorce and family conflict significantly affect developmental task attainment. The interactions between sex and age and family structure (i.e., single-parent or stepfamily) were also significant predictors of post-divorce task attainment. Implications of these results for therapists as well as recommendations for future research are provided.This is a revised version of a paper presented at the annual conference of the American Psychological Association, Los Angles, California, August 1994.     

Writing therapy in brief workplace counselling: Collaborative writing as inquiry

The purpose of this collaborative research was to reflect on one client's experience of using writing therapy during brief workplace counselling. The client/co‐researcher used expressive and creative writing between counselling sessions, the benefits of which are reported. A brief review of the literature on writing therapy is provided. The focus of the study is on investigating the process of writing therapy from the client's point of view. The epistemological assumptions and research methods are influenced by narrative inquiry. Feminist values inform both the therapeutic practice and research.     

期望与绩效的关系:调节定向的调节作用

经典动机理论认为高期望能提高绩效水平,本研究结合调节定向理论进一步回答这种效应"何时"存在或"如何"产生的问题。研究1通过测量期望水平、并用任务框架操作调节定向,检验了情景启动的调节定向对期望与行为间关系的影响;研究2采取更严格的被试内设计通过任务难度操作期望,考察了作为个体长期差异的调节定向的作用。结果表明:①调节定向调节成功期望与绩效之间的关系:对于促进定向,成功期望与绩效正相关;对于预防定向,期望与绩效相关不显著。②动机可以部分解释调节定向与期望的交互作用机制:高水平的成功期望会提高促进定向个体的动机强度,进而产生高的绩效结果;其对预防定向个体的动机强度的影响不显著。     

日本的学校心理咨询模式

伴随着日本学校临床心理士派遣制度的实施,探索有效的学校心理咨询模式被提到了议事日程上。在日本的学校中,学校心理学模式、社区心理学模式、短期治疗模式和叙事治疗等四种模式比较多的为学校临床心理士们所关注。     

The advantages and disadvantages of a brief intervention strategy in a community counseling service

Abstract

The Isis Centre, a long-established NHS open-access counselling facility in Oxford, experienced excessive demand for service. This placed strain on the capacity to deliver, and an unacceptably long waiting list resulted. A brief intervention strategy limited to four counselling sessions was shown to reduce the waiting time. This outcome study tests the hypothesis that the strategy was sufficiently clinically effective to warrant its continuing availability to those who wished to be seen more quickly, rather than waiting for an open-ended contract. Counsellors assessed outcome on clinical parameters and clients were retrospectively asked their views on the acceptability of the method and its usefulness.

There was a high level of correlation between clients' and counsellors' assessment. One-quarter of the study group had an experience classified as ‘useful and sufficient’. However, half felt the experience ‘useful but insufficient’, although this group also thought the intervention provided more than temporary relief. For one quarter, the experience was not helpful, but for some of these it prevented a long, unnecessary time on the waiting list.

While a brief intervention appears to be an effective strategy in delivering a counselling service, further work is necessary to target those most likely to benefit and those for whom a longer-term option should be sought from the start.     

Continued Evolution of Family Therapy: The Last Twenty Years

There have been numerous accounts of the history and major trends and issues in family therapy during the field's first three decades in the literature (see for example: Broderick & Shrader, 1981; Framo, 1972; Guerin, 1976; Kaslow, 1973, 1977, 1980; Nichols, 1986, 1999 for some varied depictions, written from each respective author's unique lens). Viewed as a set, packaged with different, yet interrelated contents, they offer a multihued portrait of the emerging field during its infancy, childhood, and adolescence. Now it is time to move on and look at the adulthood era as it has unfolded.     

Brief Imaginal Exposure for PTSD: Trajectories of Change in Distress

Preliminary evidence shows that brief, condensed imaginal exposure only interventions can be effective in the treatment of PTSD, but we need to understand its mechanisms of action. Consistent with extinction learning and retrieval processes, the present study examined whether a pattern of between-session distress reduction observed during standard prolonged exposure (PE) therapy would be observed and predict outcome. Sixty-three patients with PTSD were enrolled in two clinical trials using our treatment protocol consisting of six daily 50-min sessions focusing on imaginal exposure and processing only. Individual patient trajectories of distress reduction were examined over the course of the five imaginal exposure sessions (Sessions 2-6). Overall, significant linear distress reduction was observed for anticipatory (d = 1.18), peak (d = 1.83), and ending imaginal exposure distress (d = 1.21). Consistent with extinction learning, the steeper slope of peak distress (d = 1.03) and end distress (d = 0.68) across imaginal exposure sessions strongly predicted decreases in PTSD symptoms. Distress reduction across sessions was predicted by higher baseline avoidance and hyperarousal but not reexperiencing symptoms. This condensed format of daily 50-min sessions without in vivo exposure may be operating via similar extinction learning processes as longer protocols. Our clinical observations suggest that the brief daily format may offer the advantage of allowing each session to build on the previous one to promote meaningful shifts in the retrieval of the trauma memory. Brief imaginal exposure and processing may be a viable option for PTSD patients in settings where brief interventions are needed. Understanding potential change processes and baseline predictors of change brings us closer toward precision medicine in treating PTSD.