The Association Between Therapeutic Alliance and Treatment Outcomes in a Group Triple P Intervention

A growing literature has examined the association between therapeutic alliance and treatment outcomes in child therapy. Few studies, however, have specifically investigated the role of therapeutic alliance within evidence-based parenting programs for children with externalizing behavioural difficulties. The current study prospectively collected measures of therapeutic alliance for 117 families completing a Triple P parenting program in a community children’s mental health center. Higher levels of mother and father rated therapeutic alliance were associated with greater gains in parenting skills and parental sense of competence. Parental rated therapeutic alliance was also associated with greater improvements in child conduct problems for mothers, but not fathers. However, therapist ratings of therapeutic alliance had limited associations with treatment improvement. The implications of the findings for clinical practice are discussed.     

Establishing Therapeutic Dialogue with Refugee Families

The article describes an investigation into dialogues between native Swedish psychotherapists and refugee families. Dialogue is needed to establish the therapeutic alliance, which is ultimately important for healing, whether of individual sickness or family crisis. However the development of dialogue is hindered by cross-cultural and language barriers. We concentrate on one aspect of research originally presented in a Doctoral Thesis by the first author, asking how culture and power differences, together with their resettlement in a strange country, affected meetings with refugee families, and how these problems were overcome; language and the presence of an interpreter are not discussed. A multi-perspective methodology was used in the original research, combining text analysis, review of video-recordings by the participating therapists, and interviews with the families. All these forms of investigation are drawn on here, but particularly text analysis. Significant hindrances to dialogue turn out to be differences in cultural values between refugee and therapist, their different power positions, and the refugee’s weariness and distrust of meetings. Strategies to minimise power differences are an essential aspect of the Finnish open dialogue approach, which turns out to be particularly relevant to such refugee meetings.     

Unheard Voices: The Experiences of Supervisors in Training

This paper seeks to expand on the supervision literature by exploring the experiences of five supervisors in training (SIT) as they navigate the transition from therapist to supervisor. Five key elements of the process of becoming a supervisor are highlighted; contracting, ethics, diversity, modalities, and troubleshooting. Each element is described in two parts: (1) information provided by current supervision literature and (2) by personal journal entries of SITs in an approved supervision course during their doctoral studies. The journal entries of the SITs describe the journey in forming their own supervision identity which included understanding how to include the five key elements in their own supervision with their supervisees. A postmodern approach was utilized to understand this process as well as shape the paper. The goal of this paper is to understand the experiences of supervisors who will shape the development of future therapists.     

Object Concepts in the Chemical Senses

This paper examines the applicability of the object concept to the chemical senses, by evaluating them against a set of criteria for object‐hood. Taste and chemesthesis do not generate objects. Their parts, perceptible from birth, never combine. Orthonasal olfaction (sniffing) presents a strong case for generating objects. Odorants have many parts yet they are perceived as wholes, this process is based on learning, and there is figure‐ground segregation. While flavors are multimodal representations bound together by learning, there is no functional need for flavor objects in the mouth. Rather, food identification occurs prior to ingestion using the eye and nose, with the latter retrieving multimodal flavor objects via sniffing (e.g., sweet smelling caramel). While there are differences in object perception between vision, audition, and orthonasal olfaction, the commonalities suggest that the brain has adopted the same basic solution when faced with extracting meaning from complex stimulus arrays.     

Much More Than PTSD: Mothers’ Narratives of the Impact of Trauma on Child Survivors and Their Families

This study examined the narratives of ten Caucasian mothers whose children had been impacted by ‘traumatic’ events and referred to a specialist trauma service in N. Ireland. The research question was whether the PTSD construct adequately represented the broad ‘lived’ experience of the impact of trauma on survivors’ wellbeing and their family relationships as articulated by mothers post trauma. Narrative Interviewing methodology was employed and the resulting data inductively organised into an evolving thematic framework. A quantitative analysis of the prevalence of particular themes is presented supplemented by qualitative quotations to illustrate the complexity of reported impact. The major components of the mothers’ narratives included family and relational distress (35.7%), non-pathological individual distress (24.4%), resilience (16.7%) and a prior history of adversity (16.6%). Prior history of adversity was resent in 8 out the 10 cases including a high level of suicide. PTSD symptomatology constituted a small proportion of the narratives (6.6%) and this suggests that the PTSD construct does not adequately represent the broad ‘lived’ experience of the impact of trauma. Although a small and heterogeneous study sample, the findings are sufficiently robust to suggest further investigation is required to understand the phenomenological experience of trauma of child victims/survivors and their families.     

How Status Conflict Undermines Athletes' Willingness to Help New Teammates

Drawing from theory on social hierarchy and intragroup behaviors, the current study examined whether status conflicts attenuate willingness to help newcomers. Using experimental vignettes with high-level team sport athletes (N = 112), the results demonstrated that athletes were less willing to help high-status newcomers who played the same position than newcomers who played (a) a different position and (b) the same position but were described to be lower status. Our findings show that when positional competition creates a salient status threat, this can curtail an athlete's willingness to help in the socialization processes of a teammate.     

Treating liquid expulsion in children with feeding disorders

In the current investigation, we compared and evaluated the effects of two intervention procedures, a modified chin prompt and reclined seating, on the liquid expulsion of 2 children with feeding disorders. For both participants, expulsion decreased to clinically meaningful levels when we added the modified chin prompt or reclined seating to a treatment package consisting of differential reinforcement of acceptance, nonremoval of the cup, and re‐presentation. We discuss possible mechanisms underlying the effects of the 2 interventions and areas for future research.     

How can ‘we’ help? Exploring the role of shared social identity in the experiences and benefits of volunteering

Previous research on volunteering has largely focused on the individual characteristics and experiences of volunteers, or on their relationship with a volunteering organisation, neglecting the group dynamics of volunteering. To address this gap, we apply a social identity and “Social Cure” perspective in a thematic analysis of interviews with 40 volunteers from across the South of England. This analysis highlights that group identities are fundamental to volunteers' motivations and experiences of volunteering. Sharing an identity with other volunteers promoted feelings of belonging, which in turn impacted upon the participants' wellbeing. Identity processes also underpinned interactions with the beneficiaries of help and how volunteers managed the challenges of helping. Finally, shared identity facilitated collective support between volunteers, which was necessary to deal with the challenges of the volunteering role, and this could be facilitated or hindered by the volunteering organisation. We discuss the implications for how volunteering organisations can enhance identity‐mediated helping, as well as for understanding the impact of volunteering on health and wellbeing.     

Enhancing attributional style and positive life events predict increased hopefulness among depressed psychiatric inpatients

A prospective study was conducted to investigate whether enhancing attributional style and positive life events are associated with recovery from depression through the mediation of increased hopefulness, as predicted by the Needles and Abramson (1990) model of recovery from depression. The Attributional Style Questionnaire, Beck Depression Inventory, Beck Hopelessness Scale, Dysfunctional Attitudes Scale, Uplifts Scale, and Revised Hassles Scale were administered to 32 depressed psychiatric inpatients shortly after admission and readministered a mean of 10 days later. The results indicated that the combined effects of enhancing attributional style and positive life events predicted decreases in hopelessness, which were in turn associated with decreases in depression symptom levels. By contrast, neither the combined effects of depressotypic attributional style and life events nor the combined effects of dysfunctional attitudes and life events was associated with decreases in hopelessness or depression symptom levels.