What is a difficult mental health case? An empirical study of relationships among domain variables

A difficult case in psychotherapy can be defined in many ways. This study proposes a model for that definition, in which three domains (patient characteristics, case characteristics, and therapist characteristics) are considered to impact on that definition. A total of 264 professionals received a questionnaire to assess the relative importance of a series of variables within and across these domains. Wilcoxon Matched-Pairs Signed-Ranks tests indicated that patient characteristics were considered more important than therapist or case characteristics in defining a difficult case. Case characteristics were considered more important than therapist characteristics. Pearson correlations, however, suggested that the three domains in the model are related. Correlations (for years of experience) and Kruskal-Wallis one-way ANOVA for ranks (for professions) also indicated that participants were able to identify variables within domains as important in that definition regardless of years of experience or professions. Across domains, the most important variables included the motivation of the client (a patient characteristic), dropout/attrition and multiple diagnoses (case characteristics), and the degree of therapist-client racial similarity (a therapist characteristic).     

Child protection dilemmas in a 'not-existing' pattern of abuse

Three cases from a larger review of child abuse inquiry reports are discussed. The abuse the children suffered is termed 'not-existing' because they had been shut away until they perished. Interaction between the children's caretakers and the child protection professionals is examined within a revised framework of the double-bind.     

Feigned insanity in nineteenth-century America: Tactics,trials, and truth

Feigned insanity in nineteenth-century America is appraised through a review of the medical and legal literature. The authors focus on the explanations for feigning, procedures used in uncovering feigning, and the role of feigning in the courtroom. This discussion of feigned insanity demonstrates the remarkable consistency of approach to this form of malingering over the past 200 years.     

Self-image formation in adopted children: The environment within

Adoption of a child is an event in which a number of crises have converged. Both the biologic and adoptive families have contributed their failures and crises, and the subsequent interpretations of these by the adopted child can lead to polarized themes of goodness and badness. The absence of the biologic parents and of a coherent history reinforces the tendency to splitting. This paper explores these operations and raises questions about prevailing adoption practices.Paper presented at Spence-Chapin Symposium on Identity Problems of Children in Non-Nuclear Families, April 11, 1981.     

“长白云国度”海外传教运动视野下的对华传教——新西兰赴华传教士(1877-1952)

新西兰对华传教史至今尚被忽略,本文尝试在国际差传体系的大视野下检视新西兰赴华传教的个案,先就人数、差会、性别比例、阶段性发展等因素作通史性勾勒,再以英属殖民地差传国、小型次传教国和对华传教对新西兰本土的反向影响为理论进路挖掘一些易为外史型学者所忽略的问题。在海内外中国教会史研究日臻细化的趋势下,新西兰兼具中心与边缘、接收与差派的双重属性,加上国土之小、人口之少、教会史之短、宗派之简等特点,皆增添了这一课题所潜藏的学术价值。     

A confirmatory factor analytic approach on perceptions of knowledge and skills in teaching (PKST)

This paper reports the cross-validation of the factor pattern of the Perceptions of Knowledge and Skills in Teaching (PKST) survey, which was used to assess the self-perceived pedagogical knowledge and skills of pre-service and beginning teachers. The sample comprised 323 pre-service teachers enrolled in a 1-yr. post-graduate teacher education program in Singapore. The survey had 37 items distributed across six scales: student learning, lesson planning, instructional support, accommodating diversity, classroom management, and care and concern. A confirmatory factor analysis (CFA) was used to cross-validate the survey's factor pattern. The results showed that the model was an acceptable fit to the data. The PKST survey can thus be adapted by different teacher education programs to assess pre-service and beginning teachers' progress in developing their pedagogical knowledge and skills.     

Correction to: Towards a Better Understanding of Cognitive Deficits in Absence Epilepsy: a Systematic Review and Meta-Analysis

Neuropsychology Review - Due to an error during the editorial phase, a correction regarding Fig. 2 is added to the original article: “Towards a Better Understanding of Cognitive...     

INCREASING CALORIE CONSUMPTION IN CHILDREN WITH CYSTIC FIBROSIS: REPLICATION WITH 2-YEAR FOLLOW-UP

Three mildly malnourished children with cystic fibrosis and their parents participated in a behavioral group-treatment program that focused on promoting and maintaining increased calorie consumption. Treatment included nutritional education, gradually increasing calorie goals, contingency management, and relaxation training, and was evaluated in a multiple baseline design across four meals. Children's calorie intake increased across meals, and total calorie intake was 32% to 60% above baseline at posttreatment. Increased calorie consumption was maintained at the 96-week follow-up (2 years posttreatment). The children's growth rates in weight and height were greater during the 2 years following treatment than the year prior to treatment. Increases in pace of eating and calories consumed per minute were also observed 1 year posttreatment. These findings replicated and extended earlier research supporting the efficacy of behavioral intervention in the treatment of malnutrition in children with cystic fibrosis.