For some time therapeutic letter writing has been used to promote change within the client and family system. The use of specific letter writing assignments with an adolescent in residential care allows the therapist to work systemically on specific patterns of interaction within the family. This article describes letters writing techniques that provide opportunities for adolescents to be confronted with their behaviors, while also giving them space to accept responsibility and embrace the need to change. Methods are also outlined for holding parents accountable for their behaviors and helping them to change their approach to working with their child. Some possible outcomes from using such assignments include moving individuals and families through the stages of change, promoting a systemic view, slowing down the conversation, teaching communication skills, increasing nurturance, and repairing attachment injuries. 相似文献
Evidence from the study of attention among persons with autism spectrum disorder (ASD) and typically developing (TD) children suggests a rethinking of the notion that performance inherently reflects disability, ability, or capacity in favor of a more nuanced story that involves an emphasis on styles and biases that reflect real-world attending. We provide examples from behavioral and physiological research in which performance on attention tasks is not solely a function of abilities, or disabilities, per se but rather is also a function of the ways in which they are implemented. Thus, the study of attention both among persons with ASD and in typical development might best be recast in terms of the question of “how” rather than “how well.” 相似文献
Journal of Psychopathology and Behavioral Assessment - Cognitive models of social anxiety and depression posit that hostile interpretation bias may be a symptom of, and act as a maintenance factor... 相似文献
Responses to the Kessler Psychological Distress Scale (K10) and the Mental Health Index-5 (MHI-5) mental health subscale of the Medical Outcomes Study Short Form (SF-36) survey cover broadly similar constructs. The aim of this paper is to use the equipercentile method to produce a concordance between K10 and MHI-5 across the whole score distribution. Comparisons were made using survey data from the Australian Longitudinal Study on Women’s Health (ALSWH) and the Household, Income and Labour Dynamics in Australia (HILDA) survey, which used both the K10 and the MHI-5 measures at the same time for the same participants. Agreement was assessed with Bland-Altman plots. The differences between MHI-5 scores and transformed K10 scores were assessed with paired t-tests. For the ALSWH data there is good agreement between MHI-5 scores and scores equated from the K10. The mean of the differences is −0.15 with standard deviation 10.8. Using the ALSWH transformation on the HILDA data for different age groups and genders, the mean differences ranged from 0.43 to 3.38 with corresponding standard deviations of 11.1 to 9.9. The concordance table was very similar to one obtained by the more complicated item response theory method. The results suggest that longitudinal surveys of the same respondents that previously used MHI-5 could adopt the K10 (or vice versa) without loss of comparability.
This study explores online spaces of zoophiles. Relevant discussion forums, specializing in mental health, were identified through having threads on “sexuality,” “paraphilias,” and “zoophilia.” Thematic analysis includes responses of 138 participants (135 exclusive zoophiles, and three zoophiles with pedophilic tendencies). Trend analysis identified most frequently discussed topics: animals as an object of love; emotional closeness with animals; what are paraphilias; can animals consent to sex with humans; misunderstanding terminology of zoophilia/bestiality. First, zoophiles frequently ask why zoophilia is considered an act of bestiality if the term to them means “to murder.” Second, zoophiles believe that animals have an intrinsic ability to consent to sexual behaviors involving people. Third, most messages pointed to the lack of emotional support from the family and widespread public contempt. 相似文献
This study aims to evaluate the efficacy of a brief cognitive behavioral intervention program for children and adolescents experiencing persistent post-concussion symptoms. A total of 31 patients aged 10 to 18 years participated in the intervention. The median time since injury at treatment onset was 95 days though the range was large (23–720 days). Treatment was on average four sessions in duration. Sessions included concussion education, activity scheduling, sleep hygiene relaxation training, and cognitive restructuring. Outcomes were measured using symptom reports on the Sports Concussion Assessment Tool – Third Edition (SCAT-3) and parent-reported quality of life on the Pediatric Quality of Life Inventory (PedsQL). Mixed-effects models revealed that symptom reports did not decrease prior to the initiation of this treatment, though significant symptom improvement occurred following treatment. Quality of life scores significantly improved across domains, with the largest gains made in the emotional and school domains. Participant characteristics including age, sex, maternal education, and previous mental health problems were not found to be significantly related to treatment outcomes. Contrary to predictions, length of time since injury was not related to symptom changes. The primary limitation of this study is that it lacks randomization and an experimental control group. The results suggest that brief cognitive behavioral intervention may be a promising treatment for children and adolescents experiencing persistent post-concussive symptoms and warrants further investigation. 相似文献
The traditional formulation of the indispensability argument for the existence of mathematical entities (IA) has been criticised due to its reliance on confirmational holism. Recently a formulation of IA that works without appeal to confirmational holism has been defended. This recent formulation is meant to be superior to the traditional formulation in virtue of it not being subject to the kind of criticism that pertains to confirmational holism. I shall argue that a proponent of the version of IA that works without appeal to confirmational holism will struggle to answer a challenge readily answered by proponents of a version of IA that does appeal to confirmational holism. This challenge is to explain why mathematics applied in falsified scientific theories is not considered to be falsified along with the rest of the theory. In cases where mathematics seemingly ought to be falsified it is saved from falsification, by a so called ??Euclidean rescue??. I consider a range of possible answers to this challenge and conclude that each answer fails. 相似文献