An Integrative Approach to Conceptualizing and Treating Complex Trauma

Complex trauma (CT) often presents with polymorphous symptoms (i.e., emotional dysregulation, dissociation, somatic distress) resulting from repeated and chronic exposure to traumatic stressors. While the public is increasingly aware of posttraumatic stress disorder (PTSD) and its accompanying symptoms, the phenomena of complex trauma is less recognized and understood. Since the trauma reactions with CT typically occur during childhood, and the symptoms go well beyond PTSD, the authors of this article assert that an integrative approach is needed that synthesizes the most effective elements of cognitive-behavioral therapy (CBT) while blending a self-psychological approach. A review of the literature addresses the definition of complex trauma, cognitive-behavioral conceptualizations and treatment approaches, self-psychological models, current theories of attachment, and advances in neuropsychoanalysis. An integrative model is then proposed, supported by clinicians in the trauma field, identifying three intertwined phases of treatment.     

Gender and Infertility: A Relational Approach to Counseling Women

Much of the research on infertility reinforces differing effects for women and men, with women reporting more serious repercussions medically, psychologically, and socially. However, the unique counseling needs of infertile women have not been addressed through traditional counseling theory. The Relational Model (J. V. Jordan, 1995) of women's development is a theory that explains women's development in a context of relationships, specifically relationships that promote growth for self and others. This model is applied to counseling women who are experiencing infertility, and a case presentation is provided to illustrate the approach.     

Interviewing a Therapist in the Presence of a Couple: A Description of the Therapeutic Process

A therapy research team interviewed a therapist in the presence of a couple. Following each of six consecutive sessions with a couple, an interviewer posed questions to the therapist and couple. While one question was standard to each interview, other questions were generated by team members who tracked the entire process via live observation. These questions were directed first at the therapist, then at the couple, and then focused on therapeutic process and outcome. Findings of this process for the therapy system included decreasing the hierarchy within the client/therapist relationship; increasing the client ownership and energy in the therapy process; discovering the presence of parallel processes between the systems; and informing the direction of future therapy sessions. Practical, clinical implications are discussed for a variety of therapy settings.     

The Close Relationship Context and HIV/AIDS Risk Reduction Among Mexican Americans

The purpose of this study was to determine, within a community sample of 115 Mexican Americans, the association of relationship variables to participants' HIV risk perception, use of condoms, and HIV-related communication with a relationship partner. Hierarchical multiple regression analyses with the total sample and within each gender separately revealed that intimacy and commitment were related to HIV risk perception, condom use, and HIV-related communication even after effects of age, gender, acculturation, marital status, and length of relationship were controlled. The pattern of significant correlates differs, however, in the total, women-only, and men-only samples. Results suggest that intimacy and commitment are important elements of the close relationship context that should be considered in HIV risk reduction efforts among Mexican Americans.     

Sex roles and the link between fertility and employment

Using a sample of Toronto women, we reexamine the relationship between employment and fertility with the aim of clarifying whether employment status is negatively related to the birth rate only among certain categories of women as defined by sex roles. Especially noteworthy is the finding that employed wives who rate their performance as a spouse and mother as better than most have a birth rate which is as high as that for women who are not in the labor force.The authors are indebted to David Johnson, Susan Welch, and Lynn White of the University of Nebraska, and Gordon Irving of Carleton University for their comments on an earlier version of this article. The views expressed here are the authors' and not those of the Ministry of State for Urban Affairs, Government of Canada, which provided funds to conduct the study of urban crowding from which the data reported here were drawn.     

Correlations Between Handshape and Movement in Sign Languages

Sign language phonological parameters are somewhat analogous to phonemes in spoken language. Unlike phonemes, however, there is little linguistic literature arguing that these parameters interact at the sublexical level. This situation raises the question of whether such interaction in spoken language phonology is an artifact of the modality or whether sign language phonology has not been approached in a way that allows one to recognize sublexical parameter interaction. We present three studies in favor of the latter alternative: a shape-drawing study with deaf signers from six countries, an online dictionary study of American Sign Language, and a study of selected lexical items across 34 sign languages. These studies show that, once iconicity is considered, handshape and movement parameters interact at the sublexical level. Thus, consideration of iconicity makes transparent similarities in grammar across both modalities, allowing us to maintain certain key findings of phonological theory as evidence of cognitive architecture.     

Marketing of Professional Counselors: A Q‐Sort Study of Best Practices

This quantitative Q‐sort research was designed to evaluate representations of counselor qualifications and to determine which configurations account for the variance in consumer preference and selection. The sample consisted of 161 graduate and undergraduate students in a regional university in Texas. An iterative inverse factor analysis produced 3 distinct factors that accounted for 65.85% of the variance in the data, explaining a majority of the differences in how consumers perceive counselor credentials.     

Virtual voices: social support and stigma in postnatal mental illness Internet forums

Many women with postnatal mental illness do not get the treatment they need and this is often because stigma prevents disclosure. The purpose of this study was to explore online social support for postnatal mental illness, how women experience stigma and potential disadvantages of using Internet forums. Interviews were conducted with fifteen participants who had suffered postnatal mental illness and had used forums. Systematic thematic analysis identified common themes in relation to social support, stigma and disadvantages of using forums. Most women felt they benefited from visiting forums by developing a shared understanding and discourse about their illness. Findings suggest future research should investigate if women benefit from using online social support provided by forums, if use challenges stigma and further explore potential concerns about using forums.     

Dynamics of Word Comprehension in Infancy: Developments in Timing, Accuracy, and Resistance to Acoustic Degradation

Online comprehension of naturally spoken and perceptually degraded words was assessed in 95 children ages 12 to 31 months. The time course of word recognition was measured by monitoring eye movements as children looked at pictures while listening to familiar target words presented in unaltered, time-compressed, and low-pass-filtered forms. Success in word recognition varied with age and level of vocabulary development, and with the perceptual integrity of the word. Recognition was best overall for unaltered words, lower for time-compressed words, and significantly lower in low-pass-filtered words. Reaction times were fastest in compressed, followed by unaltered and filtered words. Results showed that children were able to recognize familiar words in challenging conditions and that productive vocabulary size was more sensitive than chronological age as a predictor of children's accuracy and speed in word recognition.