Moments of empowerment: A qualitative analysis of positively experienced episodes in brief person‐centred counselling

38 positively experienced episodes in brief person‐centred counselling with six clients were analysed. The Interpersonal Process Recall (IPR) method was used as the prime research tool. Clients were asked to identify positively experienced moments in the counselling session during a post‐session review interview. Clients and counsellors were invited to report on the feelings, perceptions and intentions they recalled experiencing during these moments. Three analyses were used to categorise the meaning and feeling quality of these moments, and a taxonomy of types of positively experienced episodes was also created. The most frequently reported positive client experiences were associated with empowerment, safety and insight. Other significant themes emerging from the analysis included: freedom in the relationship, shortcomings of the relationship, assurance of the relationship, unfolding of the client's personal meaning, and the importance of the counsellor's presence. Taxonomy of episodes revealed nine categories: four of them focused on the strengthening of the therapeutic relationship, and five focused on the empowerment of the client's self. These findings are discussed, and implications for theory and practice explored.     

Quality of Life,Personality and Use of Pain Medication in Patients with Chronic Back Pain

The aim of the study was to assess whether the functional disability and the quality of life in patients with chronic back pain was associated with some personality traits and whether the use of pain medication in patients with chronic back pain can be predisposed with some personality traits. The study sample comprised 262 older patients with chronic back pain of non-inflammatory origin. The level of disability related to chronic back pain was assessed by Roland-Morris Questionnaire, health-related quality of life was assessed by Short Form 36 and personality traits by Eysenck Personality Questionnaire. Among analyzed personality traits (psychoticism, extraversion, neuroticism, lie tendencies), only neuroticism significantly predicted self-reported disability caused by back pain. Patients on pain medication had significantly worse quality of life and disability caused by back pain, but they did not differ significantly in personality traits compared to patients without pain medication. There were no differences in disability due to back pain and in level of neuroticism between patients who had jobs with higher or lower physical demand. People with higher scores on neuroticism inclined more to report a lower functional disability and the quality of life caused by chronic back pain. Patients on pain medication reported more inferior physical than psychological concept of quality of life. Use of pain medication was not associated with personality traits assessed by Eysenck Personality Questionnaire. In our elderly patients with chronic back pain, lower quality of life was associated with elevated neuroticism score and more frequent use of pain medication.     

Measuring psychotherapy outcomes in routine practice: Examining Slovak versions of three commonly used outcome instruments

This study examined the Slovak mutations of three outcome measures for routine practice i.e. the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE-OM), the Outcome Questionnaire – 45 (OQ-45), the Outcome Rating Scale (ORS), and one control measure the Symptom Checklist 10 Revised (SCL-10R), with regard to their concordance or differences in outcome classification of pre-post change, when used by the same patients and when the criteria used for establishing recovery and improvement status are based on the same sample. Method: Non-clinical (252) and clinical (202) samples were used for the standardisation of all instruments. A portion of the clinical participants (N?=?140) completed all measures at the end of their treatment. Results: The CORE-OM, and the SCL-10R indicated a higher number of recovered and improved clients. With regard to the pre-post differences as expressed in the effect size, the CORE-OM showed the highest pre-post difference (pre-post effect size .98), followed by the ORS (.87), the SCL-10R (.83) and finally with the OQ-45 (.69). Conclusion: Even very similar instruments developed on the basis of similar theoretical conceptualisations and empirical findings may report different pre-post outcomes.     

Relationships, communication, and career in the parent-adolescent projects of families with and without challenges

Parent-adolescent joint actions that address the adolescent’s future were examined for their connection to the parent-adolescent relationship and communication goals and the steps taken to reach those goals. Nineteen parent-adolescent dyads, from families with and without family challenges such as chronic illness, unemployment, or divorce, identified a joint project that represented of goal-directed actions undertaken by the parents and adolescent together. Each dyad’s project was followed for a six-month period and data analyzed using the action-project method. Three groups of projects pertinent to career, the parent-adolescent relationship and communication emerged from the data: projects that were wholly concerned with the parent-adolescent relationship, projects that shifted from career development goals and actions to explicit relationship goals and actions, and projects in which parent-adolescent communication was used as a means to facilitate career and other developmental goals. The family challenges were evident in the construction of these projects as goals, ways to steer the projects, or reflected in the meaning attached to them.     

On Classification of Scientific Revolutions

The question whether Kuhn's theory of scientific revolutions could be applied to mathematics caused many interesting problems to arise. The aim of this paper is to discuss whether there are different kinds of scientific revolution, and if so, how many. The basic idea of the paper is to discriminate between the formal and the social aspects of the development of science and to compare them. The paper has four parts. In the first introductory part we discuss some of the questions which arose during the debate of the historians of mathematics. In the second part, we introduce the concept of the epistemic framework of a theory. We propose to discriminate three parts of this framework, from which the one called formal frame will be of considerable importance for our approach, as its development is conservative and gradual. In the third part of the paper we define the concept of epistemic rupture as a discontinuity in the formal frame. The conservative and gradual nature of the changes of the formal frame open the possibility to compare different epistemic ruptures. We try to show that there are four different kinds of epistemic rupture, which we call idealisation, re-presentation, objectivisation and re-formulation. In the last part of the paper we derive from the classification of the epistemic ruptures a classification of scientific revolutions. As only the first three kinds of rupture are revolutionary (the re-formulations are rather cumulative), we obtain three kinds of scientific revolution: idealisation, re-presentation, and objectivisation. We discuss the relation of our classification of scientific revolutions to the views of Kuhn, Lakatos, Crowe, and Dauben. This revised version was published online in August 2006 with corrections to the Cover Date.     

Czech version of Rey Auditory Verbal Learning test: Normative data

The present study provides normative data stratified by age for the Rey Auditory Verbal Learning test Czech version (RAVLT) derived from a sample of 306 cognitively normal subjects (20–85 years). Participants met strict inclusion criteria (absence of any active or past neurological or psychiatric disorder) and performed within normal limits on other neuropsychological measures. Our analyses revealed significant relationships between most RAVLT indices and age and education. Normative data are provided not only for basic RAVLT scores, but for the first time also for a variety of derived (gained/lost access, primacy/recency effect) and error scores. The study confirmed a logarithmic character of the learning slope and is consistent with other studies. It enables the clinician to evaluate more precisely subject’s RAVLT memory performance on a vast number of indices and can be viewed as a concrete example of Quantified Process Approach to neuropsychological assessment.     

Parent-adolescent health conversations as action: Theoretical and methodological issues

Abstract

A qualitative research method based on action theory is proposed and illustrated for use in health psychology and health promotion research. Action refers to the goal-directed and intentional behaviors of individual and groups. Action theory has the advantage of using the perspectives provided by manifest behavior, internal processes, and social meaning in the analysis of action. In this article, the actions under consideration are the health-related conversations of parents and their adolescent children. The approach is premised on an understanding of health promotion as a family task constructed through actions such as conversations between family members. Health conversations in two parent-adolescent dyads are used to illustrate the method. The analysis includes the identification of goals, functional steps, and elements and their relation to the family health promotion project. Specific attention is paid to data gathering and analysis issues and their implications for health promotion research.     

Stepnicka's modification of the brace test: an investigation of dimensionality

Stepnicka's modification of the Brace Test is used to assess body coordination of athletes in the Czech Republic. This test has 10 tasks and indicates physical proficiencies, i.e., flexibility, balance, and kinesthetic perception. The purpose of this study was to examine the structure of Stepnicka's modifications of the Brace Test through Rasch analysis. The structure of physical proficiency was investigated as well. Volunteers included 62 men and 42 women (19 to 24 years old) who were undergraduate students in physical education and sport science. For Rasch analysis, the dichotomous model was employed. Analysis confirmed unidimensionality of the test, and this dimension was named Neuromuscular Ability. On the basis of this Rasch analysis, changes to Stepnicka's modification of the Brace Test were suggested.