Confronting Confrontation in Clinical Supervision: An Analytical Autoethnography

Through an analytic autoethnography, the authors detail an experience of confrontation within the context of supervision of supervision. In the coconstructed narrative, the authors describe the events taking place before, during, and after the confrontation experience from the perspective of both the faculty supervisor and beginning doctoral‐level supervisor. Finally, the authors provide an analysis of the narrative based in supervisory models and theories of change.     

Determinants of cognitive outcomes of perinatal and childhood stroke: A review

Our understanding of cognitive and behavioral outcomes of perinatal and childhood stroke is rapidly evolving. A current understanding of cognitive outcomes following pediatric stroke can inform prognosis and direct interventions and our understanding of plasticity in the developing brain. However, our understanding of these outcomes has been hampered by the notable heterogeneity that exists amongst the pediatric stroke population, as the influences of various demographic, cognitive, neurological, etiological, and psychosocial variables preclude broad generalizations about outcomes in any one cognitive domain. We therefore aimed to conduct a detailed overview of the published literature regarding the effects of age at stroke, time since stroke, sex, etiology, lesion characteristics (i.e., location, laterality, volume), neurologic impairment, and seizures on cognitive outcomes following pediatric stroke. A key theme arising from this review is the importance of interactive effects among variables on cognitive outcomes following pediatric stroke. Interactions particularly of note include the following: (a) age at Stroke x Lesion Location; (b) Lesion Characteristics (i.e., volume, location) x Neurologic Impairment; (c) Lesion Volume x Time Since Stroke; (d) Sex x Lesion Laterality; and (e) Seizures x Time Since Stroke. Further, it appears that these relationships do not always apply uniformly across cognitive domains but, rather, are contingent upon the cognitive ability in question. Implications for future research directions are discussed.     

Multimodal reflection for creative facilitators: an approach to improving self-care

Creative and arts-based facilitators who work in the area of supporting others, such as youth workers, educators, counsellors and therapists, often do not prioritise their own well-being and self-care. This paper explores a study that focused on the utility of multimodal reflection for sustainable as well as satisfying practice for creative facilitators. Participants in the study were involved in a trial 10-week reflective programme called Stepping Outside the Circle. This programme was part of a larger research project that sought to understand the professional and reflective practices of creative facilitators, a term used within the study to encompass practitioners who use arts (both performative and visual) interventions to work within a variety of therapeutic and educational settings. During the programme, participants drew on their own personal knowledge of the disciplines in which they worked and reflected in and on this practice both professionally and personally. They also collaboratively supported each other through the process. We argue that engagement in multimodal reflection shared with others, particularly for creative facilitators, is integral for purposeful and effective self-care practice.     

Sexual abuse: Helping the church recognize and respond to victims

Sexual abuse victims can be members of churches which serve people in many ways, yet some of these victims are unable to report the abuse to a church leader or other members. In the church's efforts to understand and meet needs in the world today, helping victims of sexual trauma is part of God's work to touch lives through ministry in His church. Whether these victims are children or adults, the church can play an active role in recognizing and meeting needs of sexually abused persons.completing a Master of Arts in Marriage and Family Counseling and a Master of Arts in Religious Education.     

The coding of constrained and preselected movement distance: Same-limb versus switched-limb reproduction

Three experiments were conducted to investigate the codes subserving the retention of movement extent information. Each experiment compared preselected and constrained movements in two independent movement tasks: same-limb reproduction and switched-limb reproduction. When movement direction was the same for both criterion and reproduction movements (experiment 1), same-limb reproduction was more accurate than switched-limb performance. With movement direction altered, however, switched-limb reproduction was equal to same-limb reproduction (experiment 2). These results were confirmed in experiment 3 which manipulated both movement direction and reproduction limb in a within-subject design. Furthermore, while preselected reproduction was superior to constrained reproduction in all three experiments, the two groups were not differentially affected by either the movement task or direction variables. The overall findings were interpreted as providing support for a multiple-cue memorial representation of movement extent and the notion of coding flexibility.     

Evidence for phonetic processing of cues to place of articulation: Perceived manner affects perceived place

Using stimuli that could be labeled either as stops [b,d] or as fricatives [f,v,θ,ð], we found that, for a given acoustic stimulus, perceived place of articulation was dependent on perceived manner. This effect appeared for modified natural syllables with a free-identification task and for a synthetic transition continuum with a forced-choice identification task. Since perceived place could be changed by changing manner labels with no change in the acoustic stimulus, it follows that the processing of the place feature depends on the value the listener assigns to the manner feature rather than directly on any of the acoustic cues to manner. We interpret these results as evidence that the identification of place of articulation involves phonetic processing and could not be purely auditor     

Case study: Effects of naltrexone and sibis on self-injury

The present case study was an effort to determine the relative effectiveness of two variant treatment modalities, and to provide an exploratory study of the hypothesis that therapy with naltrexone might increase the effectiveness of an aversive stimulus in controlling self-injury. Data are presented for a man who was treated for severe self-injury with the Self-Injurious Behavior Inhibiting System (SIBIS) and naltrexone, conducted under open-trial conditions utilizing fixed doses of 50 mg, 75 mg, and 100 mg per day. The effects of naltrexone on SIB were evaluated alone and paired with SIBIS. When used alone, lower dosages of naltrexone produced moderate decrements in self-injury. However, the rate of SIB increased in a dose-dependent manner when naltrexone was paired with SIBIS. The data also suggested that naltrexone may have caused a generalized blunting of both positive and negative affect.     

Efficacy of Treating Sexual Trauma in a Substance Abuse Residential Program for Women

This is a program evaluation of treating sexual trauma in a residential substance abuse treatment program for women. Residents who were seeking treatment for their substance abuse disorder (SUD), also had a history of both childhood and adult sexual trauma. Given the literature supporting concurrent trauma-SUD treatment, the Warrior Renew (WR) protocol (Katz, Warrior Renew: Healing from military sexual trauma, Springer, New York, 2014) was added to the curriculum of Alcoholics Anonymous 12-step groups, relapse prevention, and substance abuse education classes. The WR manual consists of coping skills to address sleep and anxiety, and cognitive/experiential restructuring to address anger/resentments due to injustice, betrayal, and self-blame. It also addresses interpersonal factors such as relationship patterns and healthy interpersonal skills. This evaluation was conducted as part of routine clinical care in a naturalistic setting. Nineteen residents graduated the program and opted to complete pre-and post-treatment assessments. Findings revealed significant decreases in symptoms of anxiety, depression, posttraumatic negative thinking, and PTSD, and significant increases in positive factors of optimism and self-esteem-- all with large effect sizes. In addition, 95% of the sample had a reliable change at the 95% confidence interval. Resident’s feedback to staff reflected strong positive endorsement of the WR program. Results suggest WR is a promising effective treatment for women who have had sexual trauma in a substance abuse residential treatment program.