SPONTANEOUS REMISSIONS: NORMAN REIDER'S FORGOTTEN PAPER,PART I

Almost sixty years ago, Norman Reider published a paper about spontaneous “remissions” he had observed. He discussed the manner in which psychoanalytic theory provided a way to partially explain these otherwise mysterious remissions or improvements in symptoms, some without benefit of either psychoanalysis or psychotherapy. Especially important were his comments about the negligible role of interpretation or insight in these examples. His conjectures reflected controversies that were current at the time and that remain unsettled. Of special interest is his introduction of some highly original ways to think of applying psychoanalytic ideas to supportive psychotherapy. But few analysts today have heard of this paper. A reconsideration of his paper allows us to be vividly reminded about our enduring and profound confusion about exactly what constitutes a “cure” at all. Spontaneous shifts in the severity of symptoms may be viewed as experiments of nature that we have neglected to investigate as valuable restraints on our immodest therapeutic claims.     

心理疗法在针灸治疗中的应用

随着疾病谱和死亡谱的改变,生物医学模式逐渐地不能满足医学发展的需要,取而代之的是生物心理社会医学模式。现代医学模式全方位探求影响人类健康与疾病的因果关系,认为生物学、心理学及社会学因素是人类致病共同的重要因素。针灸是中国传统医学同时也是西方辅助与替代医学的重要内容。针灸医护人员应大力宣传针灸知识,应用生物心理社会医学模式去对待每一位患者。本文试述心理疗法如支持性心理治疗、认知行为疗法、放松疗法在针灸临床的应用,展现针灸心身同治的诊疗特点。     

Self-controlled practice: Autonomy protects perceptions of competence and enhances motor learning

ObjectiveIn previous self-controlled feedback studies, it was observed that participants who could control their own feedback schedules usually use a strategy of choosing feedback after successful trials, and present superior motor learning when compared with participants who were not allowed to choose. Yoked participants of these studies, however, were thwarted not only regarding autonomy but also, presumably, regarding perceived competence, as their feedback schedules were provided randomly, regarding good or bad trials. The purpose of the present study was to examine whether self-controlled feedback schedules would have differential effects on learning if yoked participants are provided with feedback after good trials at the same rate as their self-controlled counterparts.DesignExperimental study with two groups. Timing accuracy was assessed in two different experimental phases, supplemented by questionnaire data.MethodParticipants practiced a coincident-anticipation timing task with a self-controlled or yoked feedback schedule during practice. Participants of the self-controlled group were able to ask for feedback for two trials, after each of five 6-trial practice blocks. Yoked participants received a feedback schedule matching the self-control group schedule, according to accuracy.ResultsParticipants asked for (self-controlled group) and received (yoked group) feedback, mainly after relatively good trials. However, participants of the self-controlled group reported greater self-efficacy at the end of practice, and performed with greater accuracy one day later, on the retention test, than the yoked group.ConclusionsThe findings indicate that the autonomy provided by self-controlled feedback protocols can raise learners' perceptions of competence, with positive consequences on motor learning.     

Self-control over combined video feedback and modeling facilitates motor learning

Allowing learners to control the video presentation of knowledge of performance (KP) or an expert model during practice has been shown to facilitate motor learning (Aiken, Fairbrother, & Post, 2012; Wulf, Raupach, & Pfeiffer, 2005). Split-screen replay features now allow for the simultaneous presentation of these modes of instructional support. It is uncertain, however, if such a combination incorporated into a self-control protocol would yield similar benefits seen in earlier self-control studies. Therefore, the purpose of the present study was to examine the effects of self-controlled split-screen replay on the learning of a golf chip shot. Participants completed 60 practice trials, three administrations of the Intrinsic Motivation Inventory, and a questionnaire on day one. Retention and transfer tests and a final motivation inventory were completed on day two. Results revealed significantly higher form and accuracy scores for the self-control group during transfer. The self-control group also had significantly higher scores on the perceived competence subscale, reported requesting feedback mostly after perceived poor trials, and recalled a greater number of critical task features compared to the yoked group. The findings for the performance measures were consistent with previous self-control research.     

A virtue ethical approach to decisional capacity and mental health

It is a common assumption that lack of autonomy is incompatible with decisional capacity and mental health. However, there are two general conceptions of autonomy, one value-neutral and the other value-laden, which imply different notions of mental health. I argue that the value-neutral notion of autonomy is independently inadequate and that it also provides an inadequate foundation for judging whether someone is decisionally incapable or mentally disordered. I propose an alternative, value-laden account which posits ten capabilities required for basic human functioning. I then defend this account against objections and highlight its practical utility in designing optimal treatment.     

An Exploration of Young Clients' Experiences in Counseling With Post‐Master's Counselors

This phenomenological study adds to current literature about clients' meaningful experiences in counseling by exploring the experiences of eight young clients (ages 8–18) in individual counseling with post‐master's counselors in an outpatient setting. Interviews with these clients revealed the following six themes: (a) the process of growth, (b) having a safe place to talk, (c) counselor accepts and meets the client where they are, (d) counseling is a team effort, (e) supportive accountability from the counselor, and (f) understanding self and others. The final theme includes two subthemes: learning coping and emotion management skills, and learning better ways to communicate and behave. Findings and implications for counselors are discussed.     

Empirically distinguishing interpersonal styles within romantic relationships: What is helpful or harmful when having a goal for your romantic partner?

IntroductionRelationship research rooted in self-determination theory often focuses on autonomy support. However, rarely is this interpersonal style considered alongside other facets of relational behaviours such as directive support and control.ObjectiveThe present study aimed to distinguish the three styles by providing a tool that can simultaneously assess them.MethodA total sample of 710 French Canadians involved in a romantic relationship was used for factor extraction and test of dimensionality as well as reliability. Predictive validity was tested using multiple linear regressions with six outcomes: well-being, relationship quality, closeness, goal progress, cooperation and conflicts.ResultsResults suggested three distinct interpersonal styles, each of which showing a different pattern of prediction with the outcomes. Overall, autonomy support was associated with positive outcomes, whereas control was associated with negative outcomes. As for directive support, the global pattern was between the two others.ConclusionThe present research offers a scale which simultaneously assesses and distinguishes the autonomy-supportive, directive-supportive and controlling styles in a romantic relationship context using three items each. By examining the associations between these three interpersonal styles and various outcomes four months later, this study sheds light on helpful and harmful behaviours in relation to the goals people have for their romantic partner.     

Basic psychological need frustration scale: Adaptation and validation to active commuting to school in Spanish children and adolescents

Based on self-determination theory (SDT), the aims of this study were to adapt the Psychological Need Thwarting Scale to active commuting to and from school, as well as to gather information about validity and reliability of the Basic Psychological Need Frustration Scale in Active Commuting to and from School (BPNFS-ACS). A total of 285 children and adolescents, aged 10–17 years, participated (49.47 % girls; M_age = 12.88, SD_age = 2.16). Need satisfaction and frustration, as well as motivation for ACS were measured. The results of the confirmatory factor analysis supported the 12-item three-factor correlated model, which was invariant across gender and age. Convergent validity was met with suitable values for average variance extracted. Discriminant validity was obtained by acceptable values for the heterotrait–monotrait ratio of correlations and the correlations among the three latent factors. Reliability was also supported by adequate scores on Cronbach’s alpha, Raykov’s coefficient, and intra-class correlation coefficient. Criterion validity was evidenced by a negative prediction from need frustration to active commuting to school, and a positive association of need satisfaction with active commuting to school. Results support the use of the BPNFS-ACS for the purpose of gaining deeper insight into the “dark side” of motivation for active school transport among Spanish children and adolescents.     

Examining links between coaching behaviors and collegiate athletes’ burnout levels using a longitudinal approach

Research on burnout in athletes reveals a range of potential negative effects including decreased performance, compromised physical and psychological well-being, and possible sport withdrawal. The current study was designed to: (a) examine if and how collegiate athletes’ levels of burnout change from the beginning to the end of a competitive season; and (b) determine if there is a predictive link between athletes’ perceptions of their coaches’ interpersonal styles and feedback behavior and changes in athletes’ level of burnout. Self-report measures were completed by 126 collegiate female athletes at two time-points. A repeated measures MANOVA revealed a significant time main effect showing increases over the season in two of the three burnout dimensions (reduced accomplishment and sport devaluation). Hierarchical regression analyses indicated that perceived coaching behaviors did explain a significant amount of the variability between athletes in their end of season burnout scores above and beyond that explained by their early season levels and their perceptions of their performance success. These results add to the growing body of literature on the utility of self-determination theory as a framework for examining psychosocial health and well-being in collegiate athletes. In addition, the longitudinal nature of this study provides information regarding potential changes in the dimensions of burnout as a function of time in the season and in response to perceptions of coaches’ behaviors.