Explanation and Causality in Counselling: Consequences and Alternatives

Despite calls for counselling to take greater cognizance of the social context in which we live, it remains primarily monadic in its approach, focusing on individual pathology rather than on contextual links. This is explored in a discussion of behavioural, cognitive, and humanistic approaches to counselling which — despite their differences — exhibit remarkably similar features when viewed from a perspective outlining patterns of causality. A systemic approach is presented which attempts to provide a framework for describing human behaviour that acknowledges the interaction between intrapsychic dynamics and patterns of communication. The likely consequences of the traditional and systemic approaches are then discussed within a framework of 'self-fulfilling prophecies' .     

Behavioral Activation Treatment for Depression in Older Adults Delivered via Videoconferencing: A Pilot Study

Depression affects up to 25% of older adults. Underdetection and subsequent undertreatment of depression in older adults has been attributed in part to difficulties in older adults being able to access treatment. This uncontrolled pilot study, N = 3, explored the acceptability and efficacy of a brief behavioral activation treatment delivered via videoconferencing to 3 participants, aged 64 to 73 years, diagnosed with major depressive disorder. The results indicate that a 5-session behavioral activation treatment delivered via videoconferencing produced clinically significant and reliable decreases in depression. The results also showed clinically significant and reliable decreases in negative affect and clinically significant and reliable increases in positive affect. Treatment gains were maintained at 1-month follow-up. Videoconferencing can be a valuable and effective tool in increasing accessibility to psychological treatment for older adults.     

Using microcomputer-based eeg to enable and encourage student-designed projects

Microcomputer-based electrophysiological recording systems enhance undergraduates’ understanding of neural activity and enable them to design independent research projects. The physiological psychology class at Alma College has employed BIOPAC Systems MP100 hardware with Acq-Knowledge software and Macintosh computers to record and analyze electroencephalograms (EEG). After examining progressive changes in brain waves during sleep, student researchers have proceeded to study the effects of a variety of factors such as caffeine, cognitive tasks, and prior experiences. The simplicity of the system allows undergraduates to concentrate on experimental design and data analysis rather than instrumentation.     

Parent–child talk and children's memory for stressful events

The relationship between parents' styles of talking about past events with their children and children's recall of stressful events was explored. In this investigation, 2‐ to 5‐year‐old children's recall of injuries requiring hospital emergency room treatment was assessed within a few days of the injury and again 2 years later, along with the way their parents reminisced with them about the event. Correlational analyses showed that age and parental reminiscing style were consistently related to child memory; regression analyses showed that although age was most important, parents who were more elaborative had children who recalled more during their initial interview about the harder‐to‐remember hospital event. Thus, an elaborative parental style may help children's recall of even highly salient and stressful events. Copyright © 2006 John Wiley & Sons, Ltd.     

Parents’ Experiences of Receiving the Initial Positive Newborn Screening (NBS) Result for Cystic Fibrosis and Sickle Cell Disease

The clinical advantages of the newborn screening programme (NBS) in the UK are well described in the literature. However, there has been little exploration of the psychosocial impact on the family. This study followed the principles of grounded theory to explore parents’ experiences of receiving the initial positive NBS result for their child with cystic fibrosis (CF) or sickle cell disease (SCD). Semi-structured, qualitative interviews were conducted with 22 parents (12 mothers and 10 fathers) whose children had been diagnosed with CF or SCD via NBS and were under the age of 1 year at the time of interview. The main themes that arose from the data were; parents previous knowledge of the condition and the NBS programme, the method of delivery and parental reactions to the result, sharing the results with others, the impact on parental relationships and support strategies. Study conclusions indicate that most parents thought initial positive NBS results should be delivered by a health professional with condition specific knowledge, preferably with both parents present. Genetic counselling needs to include a focus on the impact of NBS results on parental relationships. Careful consideration needs to be given to strategies to support parents of babies who have positive NBS results both in terms of the psychological health and to assist them in sharing the diagnosis.