Counseling applications of RET in a Chinese cultural context

To explore the potential of Rational Emotive Therapy (RET) with clients of Chinese background, a brief review is conducted with respect to parallels between RET philosophy and some key components of Chinese culture and ways in which Chinese think. Arguments are advanced as to why RET is particularly suitable for use within a Chinese cultural context. Issues involved in using RET with Chinese clients are addressed including the appreciation many Chinese have for the logical and rational aspects of RET, the most appropriate type of client-counselor relationship to facilitate RET therapeutic progress, appropriate ways to dispute, and some cautionary words on the use of “emotive methods”. Areas where the RET counselor needs to be particularly sensitive to the cultural background of the client are highlighted. Charles P. Chen holds a master's degree in educational counseling and is currently a Ph.D. student and instructor in the Department of Counselling Psychology at the University of British Columbia in Vancouver, Canada. His interests include cross-cultural and multi-cultural counseling, career counseling, and group counseling.     

MOTHERS' ALCOHOL CONSUMPTION DURING PREGNANCY:

Abstract— Fourteen-year-old adolescents' behavior on a spatial-visual reasoning task was associated with self-report of their mothers' alcohol consumption during pregnancy, IS years earlier The task was arranged so that it was possible to evaluate the examinees' tendency to respond rapidly and less accurately, or slowly and more accurately The greater the mother's reported drinking, the faster and less accurately the adolescent responded The decrement in visual-spatial reasoning related to alcohol appears to be linked to a tendency toward impulsive responding     

PREVENTION OF DEPRESSIVE SYMPTOMS IN SCHOOLCHILDREN:

Abstract— After teaching cognitive and social-problem-solving techniques designed to prevent depressive symptoms, we followed 69 fifth- and sixth-grade children at risk for depression for 2 years. We compared these children with 49 children in a matched no-treatment control group The prevention group re- ported fewer depressive symptoms through the 2-year follow-up, and moderate to severe symptoms were reduced by half. Surprisingly, the effects of the prevention program grew larger after the program was over. We suggest that psychological immunization against depression can occur by leaching cognitive and social skills to children as they enter puberty     

Auditory temporal perception deficits in the reading-impaired: A critical review of the evidence

We assess evidence and arguments brought forward by Tallal (e.g., 1980) and by the target paper (Farmer & Klein, 1995) for a general deficit in auditory temporal perception as the source of phonological deficits in impaired readers. We argue that (1) errors in temporal order judgment of both syllables and tones reflect difficulty in identifying similar (and so readily confusable) stimuli rapidly, not in judging their temporal order; (2) difficulty in identifying similar syllables or tones rapidly stem from independent deficits in speech and nonspeech discriminative capacity, not from a general deficit in rate of auditory perception; and (3) the results of dichotic experiments and studies of aphasics purporting to demonstrate left-hemisphere specialization for nonspeech auditory temporal perception are inconclusive. The paper supports its arguments with data from a recent control study. We conclude that, on the available evidence, the phonological deficit of impaired readers cannot be traced to any co-occurring nonspeech deficits so far observed and is phonetic in origin, but that its full nature, origin, and extent remain to be determined.     

The modification of auditory hallucinations

The ABAB withdrawal design was used to document the effectiveness of a behavioral treatment package in reducing the duration of auditory hallucinations of a chronically mentally ill inpatient. Results revealed clear functional control of the treatment package over the occurrence of the subject's auditory hallucinations during a 2-hr time period.     

Brief report: Effects of informational feedback on aluminum can recycling

The impact of informational feedback on the depositing of aluminum cans in recycling receptacles at a medium-sized university was investigated. Informational signs were placed over 20-recycling receptacles in three academic buildings. Each informational sign was placed at eye level, with the number of aluminum cans deposited for recycling during the previous week displayed in red digits. A 65% increase in the number of aluminum cans deposited in recycling receptacles with the informational signs was observed. Furthermore, removal of the informational signs was observed to reliably decrease the number of aluminum cans deposited. These results are discussed in the context of employing feedback to increase environmental protection behaviors.     

Mental health service utilization among Puerto Rican children ages 4 through 16

This paper examines those children receiving mental health services in Puerto Rico, their demographic and psychosocial characteristics, and describes service providers and nature of facilities. The survey was done on a probability sample of children ages 4 through 16 across the island of Puerto Rico (N=777). Need for services was clinically defined as presence of a DSM-III diagnosis and functional impairment. The overall rate of service utilization for Puerto Rican children was 6% (26.2% of definite cases and 5.1% of probable cases). In most cases services were provided by psychologists and/or social workers, and they were mainly provided in schools and general medical facilities. In over 60% of the children assessed as cases, who did not receive services, the reason, given by the parent was that they considered the problem not serious. Factors associated with service utilization were measures of psychopathology, teacher's perceived need, and parental rates of criticism and hostility. These findings suggest that there is a need for more research on the motivating factors for service use (impairment and parental criticism). Teachers could benefit from receiving special training to help them readily recognize behavioral problems in children, communicate them to parents and set up services alternatives.     

New directions for the education of clinical psychologists: The primary care setting,the VA's PRIME program,and the in-depth generalist model

As part of this special issue on psychology in primary care settings, we describe the Department of Veterans Affairs' (VA's) new approach to education for practice in the primary care setting and we concurrently address some general issues related to the education of clinical psychologists for practice in this setting. In this article we argue that the primary care psychologist, in parallel with the generalist in medicine, must have a strong generic background in clinical psychology in order to gain the broad range of clinical skills necessary to function effectively as an in-depth generalist (IDG) who is capable of addressing the variety of psychological issues that emerge in the primary care setting. The IDG model of professional practice, which we believe is best suited for primary care/managed care settings, requires extensive training in generic clinical skills and increased time devoted to its implementation at both the predoctoral and the postdoctoral levels.     

Non-heart-beating organ donation: a reply to Campbell and Weber.

In the preceding commentary, Campbell and Weber raise two valid and important issues concerning non-heart-beating organ donation (NHBOD). First, because the procedure links withdrawal of life support and the potential for subsequent organ donation, the desire for organs may create a situation in which care of the dying individual has relatively less importance and the dying may receive suboptimal care. Second, even if concerns about care of the dying were dealt with adequately, there will not be enough non-heart-beating donors to significantly decrease the organ shortage that exists, making the procedure not worth the risk. We agree that attention to the important details of caring for the dying are, and must be, the primary concern of all health care workers caring for those individuals. Ensuring the patients' comfort, dignity, and autonomy, and providing for family and social support are the mainstays of this care. All policies for NHBOD should clearly support and mandate these concepts. Regarding the second concern, we agree that NHBOD is currently rare; however, evidence is increasing that this type of donation has great potential. Continued growth of the practice in this country will depend largely on public acceptance, which we believe will be directly influenced by whether the public perceives that care of the dying is not compromised by this procedure.