The European Clinical Specialization on Fluency Disorders (ECSF)

The European Clinical Specialization on Fluency Disorders (ECSF) project consists of one-year post-qualification fluency specialization training and a harmonized graduate fluency program. It was developed by eight European universities/colleges to provide the means whereby graduates would meet comparable standards of competence to practice in the field of fluency disorders. In this paper we describe criteria that guided the consortium in their decision making process to create an optimal learning environment for participants. A review of the first completed course cycle, with 23 international participants, is discussed.Educational objectives: After reading this article, the reader will be able to: (1) articulate the rationale for development of the ECSF-course; (2) summarize the content of both the harmonized undergraduate fluency course and the postgraduate fluency specialization course; (3) summarize the benefits of the suggested model for fluency specialization.     

Effects of a Workplace Intervention on Parent–Child Relationships

This study tested whether effects of a workplace intervention, aimed at promoting employees’ schedule control and supervisor support for personal and family life, had implications for parent–adolescent relationships; we also tested whether parent–child relationships differed as a function of how many intervention program sessions participants attended. Data came from a group randomized trial of a workplace intervention, delivered in the information technology division of a Fortune 500 company. Analyses focused on 125 parent–adolescent dyads that completed baseline and 12-month follow-up home interviews. Results revealed no main effects of the intervention, but children of employees who attended 75 % or more program sessions reported more time with their parent and more parent education involvement compared to adolescents whose parents attended <75 % of sessions, and they tended to report more time with parent and more parental solicitation of information about their experiences compared to adolescents whose parents were randomly assigned to the usual practice condition.     

Evaluation of a Combined Cognitive Behavioural Therapy and Interpersonal Process Group in the Psychotherapy Training of Clinical Psychologists

It is now widely acknowledged that both content and process elements of psychotherapy play a part in client treatment outcomes. Despite this, there are pressures on Australian clinical psychology training programs to teach evidence‐based approaches in a relatively short time frame. Producing clinical psychology graduates who have an adequate level of competence in evidence‐based practice and meeting the demands of professional accreditation requirements can mean that less time is available to teach the process elements of psychotherapy. The aim of this study was to conduct a preliminary evaluation of a clinical psychology psychotherapy training program that combines an interpersonal process group with a cognitive behavioural therapy training model that incorporates self‐reflection and self‐practice. Eleven participants who participated in the training in 2008 completed the Counseling Self‐Estimate Inventory at pre‐ and post‐training. Significant improvements on the majority of the subscales of this inventory were found. A separate sample of nine trainees and clinical psychology registrars who also previously completed the program attended individual interviews in 2010 aimed at gaining their perspective regarding various aspects of the program. Self‐practice of cognitive behavioural therapy techniques was found to be important in the identification and management of trainees’ own core beliefs, and to their appreciation of how challenging this process may be for clients. The interpersonal process group was described by participants as enhancing their competency as psychotherapists. Common themes included the experience of anxiety and a high level of emotion, and understanding how this experience might be similar for clients; increased self‐awareness; and increased competence in process issues. Many participants believed the process and content components of training were equally important to their development as psychotherapists.     

Making the Most of Mindfulness-Based Stress Reduction: Participant Feedback Reveals Strengths and Challenges

Mindfulness-Based Stress Reduction (MBSR) offers comprehensive instruction to clients in three forms of meditation: the body scan, sitting meditation, and gentle hatha yoga. Clinical experience suggests that participants may express a preference for one mode of practice over others. However, little research has addressed this question or explored participants’ experience of nonspecific factors such as group discussion and teacher personality. In this paper, we aimed to shed light on these open questions in two ways. First, we present quantitative and qualitative post-test data from a nonclinical sample of 181 participants who completed course evaluation forms at the end of an 8-week MBSR program. Second, we share clinical insights and lessons learned over several years teaching MBSR in a community-based program. On evaluation forms, participants reported meaningful improvements in well-being following MBSR and evaluated the nonspecific elements of the course as highly useful. Although they rated all three forms of meditation as beneficial, there was a preference for the body scan and sitting meditation over yoga, and for audio-guided over self-guided practice. Qualitative feedback reflected themes related to learning different forms of meditation, developing an independent practice, meditating with a group, adding additional sessions, and appreciation for the course. Survey findings, taken together with existing research and clinical impressions, support recommendations to address participant preconceptions about the different forms of meditation, encourage meditation practice without audio guides, pay attention to the level of individual participation, discuss how to carve out time to meditate, and promote participants’ development of an ongoing meditation practice. We illustrate these points with case examples and clinical vignettes.     

Individual Quality of Life Among at Risk Indigenous Youth in Australia

This paper reports the findings from a pilot study in which the Schedule for Individual Quality of Life (SEIQoL-DW) was used to determine how 15 at-risk Indigenous Australian male youths aged between 14 and 19 conceptualised their quality of life. The youths, who were referred with problems associated with drug and alcohol misuse and criminal activity, were attending a diversionary program run by an Indigenous organisation in the Northern Territory, Australia. Quality of life was measured before and at the end of the nine-day programme in order to evaluate outcomes. Program staff found the SEIQoL-DW to be particularly useful in identifying culturally specific quality of life domains, allowing interventions to focus on improving the life areas that were of particular value to individuals as well as recognizing any deficits in their understanding the options available to them. While a control group was not used, mean SEIQoL-DW scores increased significantly over the course of the program.     

Advertisement–programme congruence in memory of sexual fragrance advertisements

The current study explored the effect of sexual content in advertisements and the programme–advertisement congruence on the memory of sexual and nonsexual advertisements. Seventy participants (41 females and 29 males) were randomly allocated to one of four conditions. They viewed either The Bachelorette (sexual programme) or I'm a Celebrity… Get Me Out of Here! (nonsexual programme) with sexual or nonsexual fragrance advertisements placed within the programme. The order of the advertisements was counterbalanced across participants to control for order effects. Free and cued recall of the advertisements were assessed. As predicted, there was a main effect of advertisement type, with the sexual advertisements better recalled than the nonsexual advertisements. Contrary to our prediction, the sexual content of the programme did not have an effect on advertisement recall. There was an interaction between the advertisement type and programme type; sexual advertisements were remembered better when embedded within a sexual programme. Limitations of this study are considered.     

Teaching mindfulness to psychotherapists in clinical practice: The Mindful Therapy Programme

Introduction: Initially proposed as a treatment modality for psychological disorders, mindfulness is now being promoted as a means of enhancing both therapist self care and therapeutic efficacy. The degree to which mindfulness can be learned by therapists to manage their own and clients' processes in therapy is as yet unknown. This study examines training outcomes of a standardised introductory mindfulness programme for mental health professionals. Methods: Forty-seven mental health professionals completed an eight-week mindful therapy (MT) training programme and associated measures. Results: Compared with baseline scores, participants demonstrated knowledge acquisition on all measures, including increased mindfulness in clinical work, increased capacity to intentionally invoke mindful states of consciousness, and higher participant ratings of well-being over the course of training sessions. Discussion: This research provides preliminary evidence that a brief, standardised mindfulness training programme can achieve acceptable knowledge and skills outcomes for therapists that can aid their therapeutic practice. Of note, increased ‘therapeutic mindfulness’ in this study resulted from changed mindfulness ‘attitudes’ (i.e. a more accepting and equanimous orientation within therapeutic work) as opposed to a clear demonstration of increased attention-regulation skills. The implications of these and other results for programme development and wider research are discussed.     

The Effect of Practice Schedule on Context-Dependent Learning

It is well established that random practice compared to blocked practice enhances motor learning. Additionally, while information in the environment may be incidental, learning is also enhanced when an individual performs a task within the same environmental context in which the task was originally practiced. This study aimed to disentangle the effects of practice schedule and incidental/environmental context on motor learning. Participants practiced three finger sequences under either a random or blocked practice schedule. Each sequence was associated with specific incidental context (i.e., color and location on the computer screen) during practice. The participants were tested under the conditions when the sequence-context associations remained the same or were changed from that of practice. When the sequence-context association was changed, the participants who practiced under blocked schedule demonstrated greater performance decrement than those who practiced under random schedule. The findings suggested that those participants who practiced under random schedule were more resistant to the change of environmental context.     

“I feel I can live every minute if I choose to”: participants’ experience of a positive mindfulness programme

Both separately and together, mindfulness and positive psychological interventions have been found to increase wellbeing against a number of measures. Research has been primarily based on the application of self-report scales, and little has been done to examine the lived experience of participants. The aim of this study was to apply an interpretative phenomenological approach to the experience of participants in a Mindfulness Based Flourishing (MBF) programme, which combines positive psychological interventions with mindfulness in order to more fully understand the impact of their experience on them. Three participants from a completed MBF programme each had a one-off semi-structured interview, the results of which were transcribed verbatim. The resulting texts were analysed, with five themes emerging, which demonstrated the impact of the programme on participants’ sense of self and on the nature of their connections with others. While all participants identified benefits accruing from the course, it also presented challenges emotionally as well as in terms of the embedding of knowledge and skills. Future research should look to examine the impact of such programmes in wider cultural and temporal frameworks and should explore the application of grounded theory to identify more theoretical level explanations of the phenomenon.     

Preventing violent extremism in youth through sports: An intervention from the 3N model

Preventive approaches have gained weight with regard to violent extremism. However, although the number of interventions aimed at prevention has increased, many of them do not have a solid theoretical basis and very few have been evaluated, so we do not know the real impact of these interventions. Based on these limitations, a sport-based intervention program was designed to prevent violent extremism. Using the 3N model of radicalization as a theoretical reference, the program was designed and implemented trying to influence the needs, narratives, and social networks of the participants. Thus, the objective of the present research was to evaluate the impact of the program, for which two studies were designed. The first study used a quantitative approach using questionnaires that were answered by the participants and by a control group. The second study used a qualitative approach that included open-ended questionnaires that were completed by the participants’ referents. Both studies assessed the needs, narratives, and social networks of the participants. Overall, the results showed an improvement in social networks and differences in the effects on needs and narratives depending on the study. We conclude by highlighting the role of sports-based interventions in generating a sense of belonging and improving social support as preventive factors.     

Identifying support systems: a mapping exercise

Within systemic training there is an increasing focus on integrating trainees' personal life experiences and beliefs with their practice. In this paper we present a mapping exercise that is used to help trainees explore their own support needs and the resources they draw upon in order to carry out their work. Although this exercise was developed from training carried out with professionals working with refugees it is our belief that it can be used by any professional groups who wish to explore their own support needs within a learning environment.     

Information Related to Prenatal Genetic Counseling: Interpretation by Adolescents, Effects on Risk Perception and Ethical Implications

Being raised in the genomic era may not only increase knowledge of available genetic testing but may also have an impact on how genetic information is perceived. However, little is known about how current adolescents react to the language commonly used by health care professionals providing prenatal counseling. In addition, as risk communication is related to numbers and figures, having different educational backgrounds may be associated with variability in risk perceptions. In order to investigate these issues, a previously developed questionnaire studying different ways of being told about hypothetical anomalies in a baby and corresponding risks (Abramsky and Fletcher Prenatal Diagnosis 22(13):1188-1194, 2002) was administered to high-school students in Sweden. A total of 344 questionnaires were completed by students belonging to a natural science or a social science program. The data show that teenage participants found technical jargon and words such as rare and abnormal more worrying than the presented comparison terms. Negative framing effects and perception differences related to numeric risk formats were also present. Additionally, participants' gender and educational program did not seem to have an effect on risk assessment. In addition to reporting the questionnaire results, we discuss the ethical implications of the data based on the norm of non-directiveness and make some recommendations for practice. In general, genetic counselors should be aware that the language used within clinical services can be influential on this group of upcoming counselees.     

Adults returning to school: the impact on family and work

The authors examined the impact of attending a Weekend College (WEC) program on adult students' family, work, and social life. Student participants responded to a 26-item questionnaire and three open-ended questions. Regression analyses of the 566 completed surveys revealed that satisfaction with school and support from family and the work place were predictive of lower levels of stress. Content analyses of responses to open-ended questions showed that expected stress was the result of time constraints but also highlighted the positive aspects of continuing one's education. The study includes suggestions for designing programs to meet the needs of adult students.     

A summer day camp approach to adolescent weight loss

Twenty-five overweight adolescents completed a summer weight loss day camp program on the Stanford University campus. All participants attended camp four days per week for four hours to learn and practice eating and exercise skills conducive to weight loss. Parents met weekly to discuss the program content and to explore their role in their adolescent's weight management. At posttreatment, reductions were achieved in weight, percent overweight, and skinfold, with greater changes observed for the eight-week group than for the four-week group. Improvements were also evident in participants' self-reported habits and knowledge of weight management concepts. Parent and participant assessment of the camp experience was very positive. The results of the summer weight loss day camp suggest that an intensive program of eating and exercise habit instruction, practice, and monitoring, which allows the participants to remain in the home setting, may provide benefits not found in other more traditional approaches to adolescent weight loss.     

An Evaluation of a Helping Skills Training Program for Intern Psychometrists

This study reports on the effectiveness of a helping skills training program for intern psychometrists. A randomized pretest–posttest comparison group design was used to evaluate the training program. Participants (N = 22; 82% = female, and Afrikaans-speaking = 95%) were selected from the psychometrist-in-training program from a tertiary institution. Three helping skills development measuring instruments were administered before and after the training program. Data were quantitatively analysed to examine training effects on empathy, respect and genuineness, as well as the participants’ ability to respond to content and personalise meaning. At the conclusion of the training, participants appeared to have evidently developed a heightened sense of purpose in life.     

Computerised CBT self‐help for depression in Higher Education: Reflections on a pilot

Aims: This study comprised the second phase of a small‐scale exploration of the viability of a computerised CBT intervention for depression within the context of a Higher Education counselling service. Method: The program ‘Beating the Blues’? (BtB) was offered to students experiencing depression, with measurement of uptake, attrition, satisfaction and effectiveness of the program. Results: Outcomes were calculated alone and in combination with those found in Phase One (previously presented in this journal), to enable a whole study report. In Phase Two, 15 students commenced BtB. The low completion rate in the intended academic year of the study led to extension over a further term. Seven participants completed the programme in Phase Two, a rate of 46.7%; 27 students used the programme over the entire study, with 63% completion. In both phases depression scores fell significantly following completion of the programme; anxiety scores fell significantly for Phase Two completers. User feedback was mixed. Clinical implications and conclusions: Many students have a comparatively short wait for a psychological service which may reduce interest in a computerised self‐help intervention and may help explain the low uptake. It is suggested that whilst CCBT is acceptable and effective for some depressed students, the number of sufficiently interested students, together with reported satisfaction from the intervention, was too small to warrant current inclusion of BtB within our service, particularly given its cost implications. Suggestions for further CCBT‐related investigations within this setting are made.