This article describes an initiative to train public sector clinicians in competency-based clinical supervision. It was delivered as an 18-session course taught online to clinicians employed in departments of behavioral health in nine Southern California counties. The curriculum was co-constructed by a team of clinical supervision scholars and leaders who then served as instructors. Each two-hour meeting addressed a specific topic for which a training video had been prepared, usually featuring a member of the training team who had expertise in that topic. The second part of each meeting focused on a class member’s supervision case presentation. Those presentations revealed 35 themes; the four most frequently occurring were: developing supervisees’ clinical competencies, addressing countertransference and parallel process, balancing clinical and administrative supervisory roles, and addressing record keeping/paperwork. Participants’ pre-to-post supervisory self-efficacy changes demonstrated a moderate effect size (Cohen’s d?=?.46) for the training, with the greatest pre- to post-training changes being in the use of technology, multicultural competencies (awareness of oppression, bias, and stereotyping in clinical work and in clinical supervision), and contracting. They reported that the strengths of the course included an inclusive learning environment and opportunities to reflect on and apply new knowledge and skills, though they also reported struggling with the assignments and the course platform software. Lessons learned reflected the use of technology in this online program, the importance of obtaining buy-in from agency decision makers and being prepared to address challenges related to the use of direct observation in supervision, gatekeeping, and enacting the simultaneous roles of administrative and clinical supervisor.
The aim of the present study is to investigate whether early childhood adversities determine the longitudinal course of psychiatric
problems from childhood to adulthood; in particular if the impact of early maltreatment on psychopathology decreases as time
passes. A sample of 1,984 international adoptees was followed (955 males and 1029 females; adopted at the mean age of 29 months).
Parents provided information about abuse, neglect and number of placements prior to adoption at baseline and completed the
Child Behavior Checklist or the Young Adult Behavior Checklist three times when their children were between 10 and 30 years
of age. Multilevel analyses were performed to determine trajectories of psychiatric problems. Experience of early childhood
adversity prior to adoption substantially increased the level of psychiatric problems, especially when maltreatment was severe.
Moreover, the impact of early adversities on psychiatric problems remained markedly stable. This suggests that vulnerability
of early-maltreated children persists even if they are taken out of their problematic environments and are raised in enriched
circumstances. 相似文献
It has been hypothesized that anxiety in children is associated with attentional bias in the early stages of information processing. Bias towards threat indicates the tendency of an individual to direct attention towards threatening information. The aim of the present study was to investigate whether high test-anxiety in a sample of nonreferred children is associated with attentional bias towards threat pictures, and if low test-anxiety is associated with attentional bias away from threat pictures. A probe-detection task was used with 44 10- to 13-yr.-old children. The overall analyses indicated the presence of an attentional bias away from threatening pictures in these nonreferred children. However, in relation to anxiety, the study did not confirm that high anxious children show an attentional bias towards threatening pictures or that low anxious children show an attentional bias away from threatening pictures. Yet, higher anxiety did seem to be associated with longer mean response times. These longer response times might originate from the interpretation of the nature of a stimulus as too threatening, compared to the actual threatening content, in the first stage of information processing. This finding could be useful to improve treatment methods aimed at anxiety symptoms during childhood. 相似文献
6 pianists (age 22 to 43 years) performed a simple finger exercise at a spontaneously chosen most comfortable tempo on a Yamaha-Disklavier piano. Five versions of the exercise, notated in quarter notes, were presented with different types of meters: (1) 3/4, (2) 4/4, (3) 5/4, (4) 6/4, and (5) 7/4. The onsets of finger strokes were measured while respiration was recorded in parallel by means of a thermistor placed at the front of the dominant nostril. The chosen tempo (finger-beat-rate) was about 3 Hz on all trials but not exactly constant. Correspondingly, the meter-rate chosen was faster for 3/4 and 4/4 meter (around 1 Hz), slower for 5/4, 6/4, and 7/4 meter (around 0.5 Hz). Mean breathing rate while playing the piano (0.38 Hz) was significantly higher than while resting (0.22 Hz, p<.05). Pooling the data of all subjects, the ratios of instantaneous meter and breathing rates clustered around different integer values, depending on the type of meter. Also the individual data indicated integer ratios between instantaneous meter and breathing rates. Even periods of constant phase relations between onsets of the meter and of inspiration could be observed. Thus, the mental process of grouping the same piece of music by various musical meters interacts with unconscious breathing rhythm. 相似文献