Use of Quality Management Methods in the Transition from Efficacious Prevention Programs to Effective Prevention Services

This paper applies concepts and methods developed in management to translate efficacious prevention programs into effective prevention services. The paper describes Quality Function Deployment (QFD) as a method for structured planning and development that connects the needs and wants of the consumer with the design of the product or service. The paper describes basic tools used in quality management, and discusses how they might be applied to prepare a prevention program for implementation by community agencies. Prevention programs are conceptualized as having multiple consumers (i.e., stakeholders), including the participants who receive the service, the service providers, the organizations that deliver the program, and the researchers who evaluate the programs. As an illustration of one step in the application of QFD to translate efficacious prevention programs into effective prevention services, analysis of the needs and preferences of Family Courts for the implementation of an the New Beginnings Program is presented.     

Sekundäre Traumatisierung

During the past several years there has been a growing interest in the negative effects that therapy may have on therapists. Of special interest is a phenomenon called secondary traumatization, which can arise while working with traumatized clients. As yet it has not been verified that secondary traumatization consists of posttraumatic symptoms and leads to clinically significant distress. In an exploratory study 21 therapists were interviewed who declared that they had experienced an incident of this form of work-related stress. The presented study reveals that in fact such a ?vicarious“ traumatization can arise, even without direct contact to the original trauma. It consists of post-traumatic stress disorder (PTSD)-like symptoms, but in severe cases it can also manifest itself in symptoms which are far beyond the typical PTSD spectrum. Conditions for the development of secondary traumatization are high empathic ability and dissociative processing of the trauma material by the therapist.     

Looking at scenes while searching for numbers: dividing attention multiplies space

Observers tend to remember seeing a greater expanse of a scene than was shown (boundary extension [BE]). Is undivided visual attention necessary for BE? In Experiment 1, 108 observers viewed photographs with superimposed numerals (2s and 5s). Each appeared for 750 msec, followed by a masked interval and a test picture (same, closer up, or wider angled). Test pictures were rated as the same, closer, or wider angled on a 5-point scale. Visual attention was manipulated with a search task: The observers reported the number of 5s (zero, one, or two). The observers performed search only, picture rating only, or both (giving search priority). Search accuracy was unaffected by condition. BE occurred in both conditions but was greater with divided attention. The results were replicated using incidental BE tests (Experiments 2 and 3). We propose that anticipatory representation of layout occurs automatically during scene perception, with focal attention serving to constrain the boundary error.     

Managed Care,Ethics, and Counseling

In this article, the author addresses issues of managed care and ethics and how they relate to counseling. Specifically, a recent article published in The Counseling Psychologist (C. C. Cooper & M. C. Gottlieb, 2000) is reviewed. Implications for counselors and counselor educators are then explored.     

Configurational approach to manifest dream analysis: Possible acceleration of the patient's communication in psychoanalytic psychotherapy

This paper presents an approach to dream analysis utilizing the manifest content of a number of consecutive dreams from the same patient. Following a review of the literature, it is noted that in once-a-week psychotherapy there is often very little time for exhaustive dream analysis to unravel the buried meanings within the latent dream content. Twenty categories have been established for the configurational analysis, which is applied to the analysis of the first eleven dreams of a patient in psychoanalytic psychotherapy. The authors independently analyzed the patient's dreams using each of the 20 categories with high reliability, then combined their contributions. This data was then compared with the treating analyst's independent clinical observations about the twenty categories.     

A Comparative Effectiveness Study of Two High-Frequency Word Interventions: Traditional Drill and WordSheets

Traditional drill and practice (TDP) has been shown to be both effective and efficient for increasing word recognition. WordSheets (WS) is a novel drill procedure similar to TDP with two key differences: (a) WS increases opportunities to respond, which may increase efficiency and (b) WS present instructional stimuli in a context that more closely resembles actual reading passages, which may enhance generalization to connected text. The study sought to compare the effectiveness and efficiency of TDP and WS in a sample of first-grade students (n = 27) identified by their teachers as struggling readers. Results indicated that, although WS led to significantly more opportunities to respond, it was both less effective and efficient than TDP with regard to cumulative retention. However, there were no significant differences across interventions in regard to the maintenance or generalization of treatment gains. Limitations and implications of the current study for school-based professionals are discussed.