The flexible boundaried group: format, techniques, and patients' perceptions

The model of a flexible boundaried group was developed to manage the problem of irregular group attendance of chronic mentally ill patients. The central element in the model enables patients to determine, within limits, the frequency with which they will attend sessions. Review of attendance records and patient interviews from one flexible group suggest that members adhere to their contractual agreement and are accepting of irregular attenders. This finding has been supported by experiences in three additional groups composed of chronically ill individuals. These groups, comprised of regular, core attenders and peripheral members, become cohesive and form a viable therapeutic treatment structure.     

What's in a name: what analyst and patient call each other

Awkward moments often arise between patient and analyst involving the question, "What do we call each other?" The manner in which the dyad address each other contains material central to the patient's inner life. Names, like dreams, deserve a privileged status as providing a royal road into the paradoxical analytic relationship and the unconscious conflicts that feed it. Whether an analyst addresses the patient formally, informally, or not at all, awareness of the issues surrounding names is important.     

Up front and personal: confronting dynamics in the Family Group Conference

The Family Group Conference is a participatory model of decision making with families in child protection. It is a legal process that brings together the family, including the extended family, and the professionals in a family-led decision-making forum. Bringing together extended family and professionals to discuss child protection concerns can create a highly charged dynamic. Workers are challenged by family, family are challenged by workers, and family members challenge each other. Practice is also exposed to wider scrutiny as professionals also challenge the work. This article briefly describes the development and practice of family group conferencing as a family-centred legal process in Aotearoa, New Zealand. It then examines the findings of a study exploring the dynamics emerging from family group conference practice from the perspective of the coordinators who convene them. Family group conferencing as a family strengthening practice is discussed.     

Not well known, used little and needed: Canadian chaplains' experiences of published spiritual assessment tools

What are Canadian chaplains' experiences of published assessment tools? Utilizing a quantitative and qualitative methodology with multiple investigators and theoretical triangulation, this article reports the results of a survey of chaplains in the Canadian Association for Pastoral Practice and Education (CAPPE) and interview results of 15 chaplains in three focus groups. Findings indicated that published spiritual assessment tools are not well know, used little, criticized for being reductionistic and not fitting the clinical situation. Participants noted, however, that spiritual assessment is needed for spiritual care. Thirty percent reported the development of their own tools (not published) and three published tools were mentioned by 50% and more. Discussion, limitations of the research, and suggestions for education, practice, and future research are offered.     

Does eye gaze indicate implicit knowledge of false belief? Charting transitions in knowledge

Three-year-olds sometimes look to the correct location but give an incorrect verbal answer in a false belief task. We examined whether correct eye gaze among 3- to 5-year-old children indexed unconscious knowledge or low confidence conscious knowledge. Children "bet" counters on where they thought a story character would go. If children were conscious of the knowledge conveyed by their eye gaze then they should have bet modestly on their explicit answer (i.e., been unsure whether this answer or the answer conveyed through eye direction was correct). We found that children bet very highly on the location consistent with their explicit answer, suggesting that they were not aware of the knowledge conveyed through their eye gaze. This result was supported by a number of conditions that showed that betting was a sensitive measure of even small degrees of uncertainty. The results shed light on false-belief understanding, the implicit-explicit distinction, and transitional knowledge. We argue that the transition to a full understanding of false belief is marked by periods of implicit knowledge and explicit understanding with low confidence.     

Rapid acquisition of choice and timing in pigeons

Pigeons were trained on a concurrent-chains procedure in which the initial link associated with the shorter terminal-link delay to food changed unpredictably across sessions. In the minimal-variation condition, delays were always 10 s and 20 s, whereas in the maximal-variation condition delays were generated pseudorandomly for each session. On some terminal links, food was withheld to obtain measures of temporal control. Measures of choice (log initial-link response ratios) and timing (start and stop times on no-food trials) showed temporal control and stabilized within the 1st half of each session. In the maximal-variation condition, choice was a nonlinear function of the log delay ratio, consistent with a categorical discrimination but contrary to models based on the matching law. Residuals from separate regressions of log response and log start and stop time ratios on log delay ratios were positively correlated. Overall, results support cognitive models that assume that initial-link choice is based on an all-or-none decision process, and that choice and timing are mediated by a common representation of delay.     

Matching theory and induction explain operant performance

Matching theory is a general framework for understanding allocation of behavior among activities. It applies to choice in concurrent schedules and was extended to single schedules by assuming that other unrecorded behavior competes with operant behavior. Baum and Davison (2014) found that the competing activities apparently are induced by the “reinforcers” (phylogenetically important events, e.g., food) according to power functions. Combined with power-function induction, matching theory provides new equations with greater explanatory power. Four pigeons were exposed to conditions in which 7 different schedules of food delivery were presented within each experimental session. We replicated earlier results with variable-interval schedules: (a) a negatively accelerated increase of peck rate as food rate increased in the low range of food rates; (b) an upturn in pecking at higher rates; and (c) a downturn in pecking at extremely high food rates. When the contingency between pecking and food was removed, the food continued to induce pecking, even after 20 sessions with no contingency. A ratio schedule inserted in place of 1 variable-interval schedule maintained peck rates comparable to peck rates maintained by short interval schedules. We explained the results by fitting equations that combined matching theory, competition, and induction.     

We can work it out: Group decision‐making builds social identity and enhances the cognitive performance of care residents

Group‐based interventions have been argued to slow the cognitive decline of older people residing in care by building social identification and thereby increasing motivation and engagement. The present study explored the identity–cognition association further by investigating the impact of a group decision‐making intervention on cognition. Thirty‐six care home residents were assigned to one of three conditions: an Intervention in which they made decisions about lounge refurbishment as a group, a Comparison condition in which staff made these decisions, or a no‐treatment Control. Cognitive function, social identification, home satisfaction, and lounge use were measured before and after the intervention. Participants in the Intervention condition showed significant increases on all measures, and greater improvement than participants in both Comparison and Control conditions. Consistent with social identity theorizing, these findings point to the role of group activity and social identification in promoting cognitive integrity and well‐being among care residents.