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141.
Although much has been written about therapeutic interventions with caregivers, little is known about the counseling services that are available for victims of dementia. The present study was designed to explore community mental health center (CMHC) services and therapists' experiences in providing psychotherapy to this population in Massachusetts. Only 27 of the 36 CMHCs in the state reported providing mental health services to older adults with a dementing illness. A survey of therapists who specialized in working with older adults found that the percentage of older adult clients estimated to have dementia averaged about half of their caseload. Older persons in the early phase of a dementing illness were most frequently referred for depression and anxiety, whereas those with moderate decline were most frequently referred for management of disruptive behavior. The most common services provided to clients with dementia consisted of assessment and individual counseling. The latter finding indicates a discrepancy between what is practiced and the professional literature. Most of the psychotherapy described in the literature concerns group interventions, which were rarely provided by the mental health centers in Massachusetts. The centers tended to offer individual counseling; however, little information on how to provide this form of treatment can be found. 相似文献
142.
High flanker recall in the correlated flanker task suggests a failure of selective attention. We used a dissociation approach to examine the role of attentional processing of the flankers’ identities in the flanker validity effect (FVE). In three experiments, flanker recall decreased as flanker duration decreased, but the FVE was not affected by flanker duration. Masking also produced a dissociation, in that masking decreased flanker recall but the FVE was not affected. Examination of on-line flanker identification suggested that flanker recall was an adequate measure of attentional processing of the flankers’ identities on most trials. The results suggest that attentional processing of the flankers’ identities is not related to the magnitude of the FVE and is not necessary for it to obtain. Because there is a failure of selective attention, the dissociations suggest that flanker recall and the FVE may reflect different attentional processes. 相似文献
143.
Patricia R. Delucia 《Attention, perception & psychophysics》1999,61(6):1168-1177
With computer simulations of self-motion, participants approached a floating object and tried to “jump” over it without collision. Participants “jumped” significantly later over small objects than they did over larger objects. This occurred when the displays were viewed monocularly or binocularly, a finding that suggests that such size-arrival effects (DeLucia & Warren, 1994) were not due to a conflict between monocular and binocular cues to time-to-contact (TTC) information (Tresilian, 1994,1995). Moreover, the results further suggest that size-arrival effects are not due to irregularities in TTC information that can occur from computer abasing and that the latter does not always affect TTC estimation; visual information used in such judgments does not seem to be extracted on a frame-by-frame basis. 相似文献
144.
Shannon Dorsey Rex Forehand Lisa P. Armistead Edward Morse Patricia Morse Mary Stock 《Journal of psychopathology and behavioral assessment》1999,21(3):191-206
Children of HIV-infected mothers have more psychosocial adjustment difficulties than do those of noninfected mothers. In this study, child psychosocial adjustment in children of HIV-infected women is examined across the three stages of HIV-infected: asymptomatic, symptomatic and AIDS. Participants were 99 HIV-infected women and 148 noninfected women. Children were not identified as being HIV infected. Mother and child reports of behavioral difficulties are compared, and competing hypotheses about mother report of child behavior difficulties are tested. Results indicate an ascending linear trend for child report of internalizing and externalizing difficulties from the noninfected stage through increasingly severe stages of HIV-infection. According to mother report, child externalizing and internalizing difficulties are nonlinear, as mothers report an increase through the infected symptomatic stage, then a decrease in the AIDS stage. Implications for assessment, prevention and intervention in families with maternal HIV infection are discussed. 相似文献
145.
Patricia Arredondo 《Journal of counseling and development : JCD》1999,77(1):102-108
The Multicultural Counseling Competencies (Arredondo et al., 1996; Sue, Arredondo, & McDavis, 1992) provide developmental and evaluative guidelines for enhancing counselor education and practice. A reason for the articulation of the competencies was the need to address racism and other forms of interpersonal and institutional oppression in the profession. The Dimensions of Personal Identity Model is discussed as a reference point to recognize various personal criteria that are often the focal point of discriminatory behavior. Specific competencies and explanatory statements provide checkpoints that address racism and other forms of oppression that are part of the human experience, but more particularly so for people of color in the United States. 相似文献
146.
International Journal for Philosophy of Religion - 相似文献
147.
Clinical Guidelines for Working With Stepfamilies: What Family,Couple, Individual,and Child Therapists Need to Know 下载免费PDF全文
Patricia L. Papernow 《Family process》2018,57(1):25-51
This article draws on four decades of research and clinical practice to delineate guidelines for evidence‐informed, clinically sound work with stepfamilies for couple, family, individual adult, and child therapists. Few clinicians receive adequate training in working with the intense and often complex dynamics created by stepfamily structure and history. This is despite the fact that stepfamilies are a fundamentally different family form that occurs world‐wide. As a result many clinicians rely on their training in first‐time family models. This is not only often unhelpful, but all too often inadvertently destructive. The article integrates a large body of increasingly sophisticated research about stepfamilies with the author's four decades of clinical practice with stepfamily relationships. It describes the ways in which stepfamilies are different from first‐time families. It delineates the dynamics of five major challenges stepfamily structure creates: (1) Insider/outsider positions are intense and they are fixed. (2) Children struggle with losses, loyalty binds, and change. (3) Issues of parenting, stepparenting, and discipline often divide the couple. (4) Stepcouples must build a new family culture while navigating previously established family cultures. (5) Ex‐spouses (other parents outside the household) are part of the family. Some available data are shared on the impact of cultural and legal differences on these challenges. A three‐level model of clinical intervention is presented: Psychoeducational, Interpersonal, and Intrapsychic/Intergenerational Family‐of‐Origin. The article describes some “easy wrong turns” for well‐meaning therapists and lists some general clinical guidelines for working with stepfamily relationships. 相似文献
148.
Patricia J. Place Shichun Ling Lawrence Patihis 《International journal of psychology》2018,53(2):142-149
Owing to the potentially devastating effects of trauma‐induced depression, explaining the relationship between trauma and depressive symptoms is important. In this study, we measured lifelong exposure to potentially traumatic events and depressive symptoms in 370‐female undergraduates. We also measured anxiety, past negative time perspective and dissociation as potential mediators. Trauma exposure and depressive symptoms were related with a small but significant effect size (r = .16). Trauma was not associated with dissociation. We found that past negative time perspective and anxiety were full statistical mediators of this trauma‐depressive symptoms relationship. These two mediators combined accounted for all of the variance in that association. Anxiety accounted for more of the variance than past negative time perspective. A proposed explanation is that trauma both affectively elevates anxiety and cognitively creates an enduring focus on the events. Chronic anxiety and a past negative time perspective may lead to depression over time. The clinical implications are possible explanations as to why some treatments work. 相似文献
149.
150.
Patricia Bijttebier Margot Bastin Sabine Nelis Sofie Weyn Koen Luyckx Michael W. Vasey Filip Raes 《Journal of psychopathology and behavioral assessment》2018,40(2):305-317
Repetitive negative thinking (RNT) is a transdiagnostic vulnerability factor, involved in the maintenance of a variety of emotional problems. Recently, the Perseverative Thinking Questionnaire – Child version (PTQ-C) was developed as a content-independent measure of RNT in children and adolescents. The current study investigated the reliability and predictive validity of the PTQ-C and examined temperament as a developmental predictor of RNT. For this end, 701 early adolescents completed measures of RNT, depressive symptoms, stressors, and temperament, both at baseline and after three months. First, the factor structure of the PTQ-C was investigated by comparing a one-factor model and a three-factor higher-order model using confirmatory factor analyses. Both models showed good fit to the data, but the more parsimonious one-factor model was retained. Internal consistency, as measured by cronbach’s alpha and (hierarchical) omega, was found to be excellent for the total scale. Second, associations with depressive symptom levels were examined. RNT predicted both concurrent and prospective symptom levels, even when taking into account baseline depressive symptoms. RNT was further shown to act as a moderator strengthening the link between stress and levels of depressive symptoms, both concurrently and prospectively. Finally, associations with temperament were explored by investigating the mediating role of RNT in the association between temperament dimensions and depressive symptoms. One indirect effect was found, with low effortful control predicting increases in depressive symptoms through heightened levels of RNT. The current study supports the PTQ-C as a useful and psychometrically sound measure of dysfunctional RNT that may facilitate research on emotional problems in child and adolescent samples. 相似文献