The Development of an Analytic Perspective in the Group Leader: Some Basic Thoughts

Previous experience working with individuals on a one-to-one basis along with previous analytic therapy are important prerequisites for analytic group training. Training must emphasize understanding of group-as-a-whole processes, such as basic assumption life, complex transference manifestations, as well as awareness of one's countertransference toward individuals, subgroups and the group-as-a-whole. Specific concepts derived from object-relations theory such as projective identification are crucial to master. Personal analytic group therapy is recommended.     

A Qualitative Investigation of Student and Supervisor Perceptions of Live Supervision in Genetic Counseling

Live supervision of genetic counseling students is critical for ensuring quality client care and student clinical skill development. However, no research has investigated students' and supervisors' experience of this primary supervision method. In this study, separate focus groups of students and supervisors discussed their perceptions of the nature and impact of live supervision. A modified Consensual Qualitative Research method (Hill et al. (1997) Couns Psychol 25:517–572) was used to analyze the data. Results suggest that live supervision is an essential and effective method that promotes student skill development and professional development for both students and supervisors. There is a lack of formal training regarding supervision; most learning is trial and error. Students worry about being evaluated, and supervisors wonder if they are providing supervision effectively. Both samples emphasized that client care should not be compromised. Participant recommendations for improving live supervision are described, and suggestions are made for future research.     

Contributions of qualitative research to the validity of intervention research

The Interdisciplinary Qualitative Research Subcommittee (IQRS) of the Task for on Evidence-based Interventions in School Psychology assumed the responsibility of developing criteria for reviewing qualitative methods used in intervention research. The IQRS, composed primarily of psychologists and anthropologists, was confronted with the long-standing debate between qualitative and quantitative researchers and with the task of explicating the potential contributions of qualitative research to establishing an evidence base for interventions in school psychology. Consequently, the outcomes of the subcommittee's work included not only a set of criteria for evaluating qualitative research but also a clearer understanding of the added value of mixed qualitative-quantitative approaches to intervention research. The purposes of this article are to provide an overview of qualitative research, present the criteria set forth by the IQRS, discuss the role of qualitative research in establishing the foundation for evidence-based practice, and introduce the illustrative research articles of the special issue. The four studies highlighted in this issue represent applications of qualitative research that meet the IQRS criteria and demonstrate the potential of qualitative research, conducted within a mixed-method framework, for enhancing our understanding of school-based interventions.     

Socialization of Discrete Negative Emotions: Gender Differences and Links with Psychological Distress

On the basis of Malatesta-Magai's model (Magai, 1996) of emotion socialization, parental contingent responses to expressed emotion in children were expected to facilitate (e.g., Reward, Magnify) or inhibit (e.g., Override, Neglect, Punish) the expression of various discrete emotions. In this study, retrospective reports of parental emotion socialization in childhood were reported by 322 young adult participants. Perceptions of 3 negative emotions—sadness, anger, and fear—were assessed. Using a retrospective, self-report measure, gender-based emotion socialization patterns were found across all 3 emotions, which suggests that the gender of both the parent and child influences the way in which different emotions are socialized. Young adults reported, in recalling their childhood, that mothers were more typically involved in socializing negative emotions than were fathers. For anger, mothers reportedly were the more active emotion socializing agents; they used Reward, Magnify, and Override more than did fathers. For sadness and fear, parents reportedly modified the way in which they socialized these emotions based on the gender of their child. For example, fathers reportedly rewarded girls and punished boys for expressing sadness and fear. A second aim of this study was to examine links between emotion socialization strategies and psychological distress. Perceptions of the parental emotion socializing responses of Punish and Neglect were positively correlated with psychological distress in young adults. Although certain aspects of the methodology limit conclusions, the findings of this study suggest that emotion socialization differs in girls and boys, and these differences are consistent with models that link specific parental emotion socialization approaches (e.g., punishment of negative emotions) to psychopathology—a question that deserves further exploration.     

Neurodevelopmental impairment: Predictors of its impact on the families of extremely low birth weight infants at 18 months

Effects on a family of a child with chronic illness have been described. The Impact on Family Scale (IOF) was developed to measure these effects. The impact of extremely low birth weight (ELBW) infants with neurodevelopmental impairment on families is unknown. This study determined IOF scores for families of ELBW infants with increasing degree of impairment at 18 months and identified factors that increase vulnerability to impact. A total of 3,849 ELBW infant survivors born at the 16 centers of the National Institute of Child Health and Human Development Neonatal Research Network between January 1993 and February 2001 were assessed at 18 to 22 months. Infants were divided into four groups by degree of impairment. IOF scores were analyzed by impairment group. Multivariate analyses assessed effects of impairment, social/demographic factors, unmet service needs, and resource utilization on the IOF. A total of 1,624 (42.2%) infants had moderate/severe impairment. Increasing severity of impairment was associated with higher IOF scores. Severity of impairment contributed 6% of variance to the IOF scores. Twenty‐one percent of variance was contributed by additional medical needs, low socioeconomic status (SES), and lack of social support. Although increasing severity of impairment impacts families of ELBW infants, significantly more impact is contributed by additional medical needs, low SES, and lack of social support.     

Embodied narratives in becoming a counselling trainer: an autoethnographic study

This autoethnographic study addresses the newly appointed counselling trainer's question ‘How did I get here?’ The procedure is described, and findings are presented as partial narratives of the Wounded Dancer, poems and prose written from different voices. Themes are revealed of love, healing, risk taking, unconventionality, physicality and overcoming physical limitations. ‘Wounded healer’ stories are inscribed alongside ‘powerful body’/‘subversive body’ stories. The role of the father is considered in facilitating these stories, including the tomboy throwing off ‘definitions of what it means to be a girl’. The study is evaluated in terms of Richardson's (2000) criteria. One contribution to knowledge lies in the methodology's potential application to research-led learning and teaching with counsellor education.     

Implicit learning for probable changes in a visual change detection task

Previous research demonstrates that implicitly learned probability information can guide visual attention. We examined whether the probability of an object changing can be implicitly learned and then used to improve change detection performance. In a series of six experiments, participants completed 120–130 training change detection trials. In four of the experiments the object that changed color was the same shape (trained shape) on every trial. Participants were not explicitly aware of this change probability manipulation and change detection performance was not improved for the trained shape versus untrained shapes. In two of the experiments, the object that changed color was always in the same general location (trained location). Although participants were not explicitly aware of the change probability, implicit knowledge of it did improve change detection performance in the trained location. These results indicate that improved change detection performance through implicitly learned change probability occurs for location but not shape.     

The Psychic Costs of Empathic Engagement: Personal and Demographic Predictors of Genetic Counselor Compassion Fatigue

Empathic connection with one’s patients is essential to genetic counselor clinical practice. However, repeatedly engaging with distressed patients may cause compassion fatigue, a phenomenon characterized as feeling overwhelmed by experiencing patients’ suffering. In order to extend findings of an initial qualitative study, we surveyed 222 genetic counselors about their compassion fatigue and factors that predict its occurrence. Multiple regression analysis identified seven significant predictors accounting for 53.7% of the variance in compassion fatigue. Respondents at higher risk of compassion fatigue were more likely to report being burned out, using self-criticism and giving up to manage stress, experiencing a greater variety of distressing clinical events, having larger patient caseloads, relying on religion as a coping strategy, having no children, and seeking support to manage stress. Respondents also provided critical incidents regarding their compassion fatigue and themes in these incidents are described. Practice and research recommendations are provided.     

Challenges of Evaluating Multilevel Interventions

This article uses the Comprehensive Mixed-Methods Participatory Evaluation (CMMPE; Nastasi and Hitchcock Transforming school mental health services: Population-based approaches to promoting the competency and wellness of children, Thousand Oaks, CA: Corwin Press with National Association of School Psychologists 2008; Nastasi et al. School-based mental health services: creating comprehensive and culturally specific programs. Washington, DC: American Psychological Association 2004) model as a framework for addressing the multiplicity of evaluation decisions and complex nature of questions related to program success in multilevel interventions. CMMPE defines program success in terms of acceptability, integrity, social or cultural validity, outcomes (impact), sustainability and institutionalization, thus broadening the traditional notions of program outcomes. The authors use CMMPE and an example of a community-based multilevel sexual risk prevention program with multiple outcomes to discuss challenges of evaluating multilevel interventions. The sexual risk program exemplifies what Schensul and Tricket (this issue) characterize as multilevel intervention–multilevel evaluation (M–M), with both intervention and evaluation at community, health practitioner, and patient levels. The illustration provides the context for considering several challenges related to M–M designs: feasibility of randomized controlled trials within community-based multilevel intervention; acceptability and social or cultural validity of evaluation procedures; implementer, recipient, and contextual variations in program success; interactions among levels of the intervention; unanticipated changes or conditions; multiple indicators of program success; engaging multiple stakeholders in a participatory process; and evaluating sustainability and institutionalization. The complexity of multilevel intervention and evaluation designs challenges traditional notions of evaluation research and experimental designs. Overcoming these challenges is critical to effective translation of research to practice in psychology and related disciplines.     

The Royal Road: Children, Play, and the Religious Life

This article explores the role of play in human development and religious faith. It begins with problems in children’s play in contemporary society, as seen through history and sociology, and then analyzes the contributions of two psychologists, Erik H. Erikson and D. W. Winnicott, and recent thought on play in theology, childhood studies, and the scholarship of Donald Capps in particular. It argues that play has a potentially fruitful role in development and the life of faith for children and adults but modern constructions of play have obscured its place in adulthood and overlooked its uneven distribution among children in different classes and races.