Cognitive Behaviour Therapy: How is it Different with Older People?

This paper discusses the treatment of depression in older adults (over age 65) using cognitive therapy techniques first developed by Beck and colleagues. The focus of this paper concerns whether modifications of CBT are required in order to ensure maximal efficacy and discusses what modifications may be suitable by advocating conceptual and theoretical reasons for their adoption. Some important contextual factors may need to be taken account of when working with older people such as dealing with expectancies about lifespan, the likelihood of chronic physical illness and longevity and chronicity of the personal history of problems. It is our contention that much more has been written about outcome in CBT with older people than has been written about psychotherapy process issues. This paper aims to address this perceived gap in the literature.     

西方元伦理学的三个基本问题

元伦理学是 2 0世纪西方伦理学的主脉之一 ,它在现代西方伦理学历史上具有广泛而深刻的影响。在本文中 ,我们试图通过探讨西方元伦理学审视伦理学基本问题、事实与价值的关系问题以及道德实践问题的基本立场来展现现代西方元伦理学的基本理论框架     

Evolution, Behavior Principles, And Developmental Systems: A Review Of Gottlieb’s Synthesizing Nature-nurture: Prenatal Roots Of Instinctive Behavior.

Gottlieb's developmental psychobiology book provides a base for reexamining the place of the experimental analysis of behavior in the life sciences. His experimental program demonstrating the critical function of the environment in the development of a species‐typical behavior helped force an acceptance of probabilistic epigenesis, the acknowledgment that the developmental genome‐environment system is fully interactional. (Indeed, nature vs. nurture is deader than a doornail.) The repercussions for evolutionary biology and the roles and categorizations of genes, behavior, and environment in behavior‐environment relations are explored in light of current knowledge, including specific implications for the experimental analysis of behavior.     

A Decade of Clinical Psychology in Medical Settings: The Short Longer View

The progress and accomplishments of psychology in medical settings over the past decade since the publication of the Handbook of Clinical Psychology in Medical Settings (J. J. Sweet, R. H. Rozensky, & S. M. Tovian, 1991) and the subsequent founding of the Journal of Clinical Psychology in Medical Settings (JCPMS) in 1994 are highlighted. Areas of progress and accomplishments reviewed include professional developments with our field, roles and services provided by psychologists, education, training and research issues, and program administration in medical settings. The current status of, and possible changes in, medical settings is identified. Future challenges and opportunities for the profession are discussed.     

Linking social history and the therapeutic process in research and practice on black issues

This paper shares a first time experience of presenting a workshop at the 2002 BACP Research Conference. It highlights issues arising from the beginnings of research into the process of therapy in relation to black issues. The findings of two studies are reported in brief. Questions raised by workshop participants, and the low participation in the workshop session, are used as a means of illustrating the ambivalence that exists in the counselling and psychotherapy world in respect of this topic. It is argued that a historical perspective may assist the development of clinical responses to black issues, and that the effective exploration of black issues can be used as a vehicle to explore issues pertaining to all minority groups and their experiences.     

Implications of MDMA use for prospective memory function and substance use patterns in an Australian sample: A web‐based pilot study

The use of amphetamine type stimulants, particularly MDMA, is a global concern. Little research has been conducted on the association between MDMA use and everyday memory function—prospective memory. Twenty‐five MDMA users, 37 cannabis users, and 43 illicit substance‐naïve controls were assessed on their substance use history and reported prospective memory performance as measured by the Prospective Memory Questionnaire (PMQ) using a web‐based survey. There were significant differences between MDMA users and controls and cannabis users and controls on long‐term episodic subscale of the PMQ. However, given the high prevalence of cannabis co‐use by MDMA users, it was not possible to determine if MDMA use alone is associated with prospective memory performance. The substance use patterns of the sample were evaluated. Alcohol was the most used substance followed by tobacco, cannabis, and MDMA. The incidence of polydrug use was high, with all illicit substance use reporting having used at least two substances in their lifetime. The present study supports previous research into prospective memory deficits associated with substance use, and provides a basis for future research, particularly for elucidation of prospective memory deficits specific to MDMA use and further evaluation of substance use patterns.     

The Psychology of Respite Care for People with Dementia in Australia

Australian health professional bodies promote the use of respite to ease carer burden, following well‐established findings that carers often face physical, mental, social, and financial strain while providing informal care. This narrative review examined the use and impacts of respite for older clients, with a particular focus on Australian research and on dementia respite. It was found that despite reports of high satisfaction from caregivers with respite use, barriers, such as caregiver concerns for the well‐being and safety of the care recipient during respite, limited flexibility for short‐notice respite booking, and low provision of support and education post respite, impacted on the accessibility and efficacy of respite care. It was concluded that respite care needs to move away from a custodial model to a more psychological model of care, and that more natural and flexible models (e.g., host family respite), integrated with increased post‐respite support and psychosocial education, are likely to be beneficial and need further evaluation.     

RECOVERING THE FATHER IN MIND AND FLESH: HISTORY,TRIADIC FUNCTIONING,AND DEVELOPMENTAL IMPLICATIONS

This paper aims to restore the father and paternal function to their rightful place alongside the mother and maternity in order to counter the prevailing matricentric, dyadic bias in psychoanalytic theory and technique. The author contends that both the symbolic and the actual, flesh‐and‐blood father are necessary to optimize his child's development. The paternal function inevitably operates in a triadic matrix; thirdness is always psychically in existence—with the father ever present in the mother's unconscious mind—and the paternal third is necessary to open up symbolic space. As an embodied other, the actual father, both as a separating agent and an attracting object, is called upon to recognize his child's otherness throughout the inescapable father–child rivalries, neglect, and desire.