Helping families improve: an evaluation of two primary care approaches to parenting support in the Netherlands

The present study evaluated two primary care parenting interventions. First, we evaluated the most widely used Dutch practices for primary care parenting support. Second, we assessed the applicability of the Primary Care Triple P approach, which is now being utilized in a wide variety of primary care settings. Both interventions target parents of children with mild to moderate behavioural and/or emotional problems, with the aim of improving parenting skills and thereby decreasing child problems. We examined the interventions in pre‐, post‐ and follow‐up assessment, and compared the results. Both interventions produced significant reductions in reported child emotional and behaviour problems, that also remained after 3 months. For both groups, parenting styles were also found to have improved at both post‐test and follow‐up measurement. When compared with the regular Dutch parenting consultation practices, however, the Primary Care Triple P approach produced greater reductions in parental laxness and total parenting dysfunction, and greater improvement in total parenting competence at both post‐test and follow‐up. Primary Care Triple P may even—in light of the greater improvements in parenting skills and total parental competences in the Triple P group than in the regular Dutch parenting consultation group—produce better results in the long run concerning child behaviour and emotional problems. Copyright © 2009 John Wiley & Sons, Ltd.     

L’information et la gestion des risques dans le suivi de la grossesse lors du 1 trimestre : quelques réflexions sur le défi éthique et le cadre légal en Suisse

The progress in prenatal medicine raises complex questions with respect to the physician–patient relationship. The physician needs to reconcile medical aspects, ethical principles as well as judicial norms. Already, during the first trimester, the physician has to put into practice the schedule combining for each individual pregnancy physical, laboratory and other appropriate exams. Physicians are under the obligation to inform in a clear and comprehensive way without creating unnecessary anxiety for their patients. Legal requirements include informed consent, the respect for the patient's right to self-determination, and compliance with the Swiss federal law on genetic testing, especially with its articles on prenatal screening and diagnosis. This article discusses the complexity of obstetrical practice when it comes to delivering adequate information within the scope of ethical and legal requirements in Switzerland.     

The Ethics of Smart Stadia: A Stakeholder Analysis of the Croke Park Project

Science and Engineering Ethics - The development of “smart stadia”, i.e. the use of “smart technologies” in the way sports stadia are designed and managed, promises to...     

Lutheran perspectives on interfaith relations: Theological trajectories of study processes in the Lutheran communion

The global Lutheran communion has been engaged in theological reflection on interreligious relations for several decades. In the 1960s, the Lutheran World Federation embarked on theologically reflecting on its relations to the Jewish people. This led to a critical assessment of Luther's writings on Jews. 1984, the LWF established a desk to engage theologically with religious pluralism. Starting off from a theology of religions' approach the engagement of the global communion has become more contextual, dialogical, and collaborative over the years. This has led to a dialogical public theology which affirms dialogue and theology as sisters in a critical‐constructive engagement with one's own and other communities. Raising epistemological and theological questions in dialogue in view of religious actors' public accountability can help to prevent faith from mutating into ideology or manifesting itself as idolatry.     

Principle‐Based Integrative Therapy with Couples: Theory and a Case Example

The Principle‐Based Integrative Therapy (PBIT) framework harnesses the principles of change underlying each theoretical model within integrative couple therapy treatments. PBIT has commonalities with other integrative approaches, and additional advantages stemming from its four tenets that guide therapists in combining strengths across models and overcoming each of their deficiencies. Tenet 1 advises that each model adds a core principle or mechanism of action that other models do not automatically address. Tenet 2 focuses on how techniques of one model may actualize the principles of other models. Tenet 3 ensures complementarity and a lack of conflict across principles. A case study and common case considerations are presented to illustrate how Tenets 1–3 can work in integrating Cognitive‐Behavioral, Multicultural, and Emotionally Focused Therapy models in working with a couple. Finally, Tenet 4 advocates for the use of models and empirically supported principles that also have received empirical support with diverse populations. Prerequisites and training implications for PBIT, and future clinical and research directions to further the utility of PBIT are discussed.     

Not all positive categories are alike: Exploring the superiority of the self as a positive source for associative attitude change via intersecting regularities

In associative evaluative learning, attitudes can originate from intersecting regularities between a target and both positive- and self-related stimuli. Liking for a focal target is primarily driven by its reference to one source, but it might be qualified by the reference to a contrast target. This contribution focuses on how the nature of positive and contrast sources affects learning via intersecting regularities. In two studies (N = 199 and N = 185), the self and another positive category lead to increased implicit and explicit liking, regardless of the contrast source's valence. In Study 3 (N = 128), confronting the self and the positive category in the same paradigm yields only implicit preferences for self-related targets. Both implicitly and explicitly, this preference for self- over positive-related target was moderated by self-positivity. Our findings confirm the robustness of learning via intersecting regularities and suggest that the self is a special evaluative source.     

Learning More About Those Who Play in Session: The National Play Therapy in Counseling Practices Project (Phase I)

Through a joint research committee sponsored by the Association for Play Therapy (APT) and the American Counseling Association (ACA), The National Play Therapy in Counseling Practices Project conducted the first phase of investigation. Findings offered a snapshot of mental health providers of play therapy, regarding the nature of who they are and what they do. In terms of training, play modalities, theoretical orientation, and employment setting, comparisons were made based on membership of participants in ACA or APT. Further research was suggested to examine the effectiveness of play therapy with specific therapeutic issues.     

Dimensions of DSM-IV personality disorders and life-success

This study examined associations between dimensional representations of DSM-IV personality disorders and life-success in a community sample of 304 men at age 48. Measures included a standardized social interview and the SCID-II for assessment of personality disorders. The identified indicators of life-success were factor-analyzed resulting in two moderately correlated components representing "status and wealth" and "successful intimate relationships." Avoidant, obsessivecompulsive, and narcissistic dimensional scores were positively associated with "status and wealth." Inverse relationships were found between dependent, schizotypal, schizoid, and adult antisocial personality disorder dimensions and this domain of life-success. Avoidant, schizoid, and borderline personality disorder dimensions were negatively associated with "successful intimate relationships." The findings suggest that although most personality disorders are associated with impaired psychosocial functioning and life-failure, some personality disorder traits (even if considered as pathological) can contribute positively to one important aspect of life-success: status and wealth.