The Effectiveness of Collaborative/Therapeutic Assessment for Psychotherapy Consultation: A Pragmatic Replicated Single-Case Study

This pragmatic study evaluated the effectiveness of a collaborative assessment intervention as an approach to midtherapy consultation, which has yet to be empirically tested. Ten adult participants in ongoing psychotherapy with a variety of presenting concerns, primarily consisting of general mood and adjustment issues, received a brief assessment-based intervention based on Finn's (2007) Therapeutic Assessment model. Following the collection of assessment questions and the administration of a multimethod assessment battery, clients and therapists participated in a joint feedback session with the assessor. Clients were then followed as their psychotherapy continued. The results of idiographic and aggregate analytic approaches revealed significant reductions in client-reported symptomatic distress, as evidenced by a medium effect size (d = –.50) and a significant change in the trajectory of distress. Client reports of the process of psychotherapy revealed a significant increase in the clients’ ratings of the working alliance. The findings suggest that a midtherapy consultation using collaborative/therapeutic assessment methods is beneficial but that further rigorous investigation is needed.     

When the Going Gets Tough,the Differentiated Keep Going: Cybernetic Self-Determination,Daily Obstacles,and Persistent Goal Pursuit

ABSTRACT. Cybernetic theories of self-regulation contend that an individual's goal system may work best to the extent it is differentiated. The present investigation pioneered an assessment of goal differentiation in relation to an important feature of goals—intrinsic motivation—and quantified the extent to which intrinsic motivation systematically increased from low- to mid- to high-level goals, the resulting individual difference termed cybernetic self-determination. In Study 1 (n = 106), it was found that frustrating daily events precipitated motivations to quit at low, but not high, levels of cybernetic self-determination. In Study 2 (n = 111), it was found that negative feedback was associated with reduced goal persistence at low, but not high, levels of cybernetic self-determination. The findings therefore converge on the idea that individual differences in cybernetic self-determination are consequential in buffering reactions to obstacles in daily life. Implications for personality, motivation, and self-regulation literatures are discussed.     

关注人文素质教育语境下的中医医史文献

随着社会的发展及医学模式的转换,人们呼唤重新审视医学的目的和价值,期待着医学人文关怀传统的复兴。于是,加强医学院校大学生人文素质教育,倡导人格教育理念,成为医学院校加强素质教育的重要内容。中医医史文献教育教学的视角,分析素质教育语境下的专业教育问题。