Psychodynamic therapists' dilemmas in providing personal therapy to therapists in training: An exploratory study

Aim: This study explores dilemmas facing psychodynamic therapists who provide personal therapy to therapists in training. Method: Eight experienced psychodynamic psychotherapists were interviewed using a semi‐structured interview format during which they were asked about the importance of personal therapy, if they encountered any dilemmas and, if so, how they resolved those dilemmas. Their responses were analysed using a qualitative form of content analysis. Findings: Two categories of dilemma emerged: clinical and personal. Clinical dilemmas arose out of the mandatory requirement for therapy, boundaries, fitness to practice and the suitability of trainees. Personal dilemmas included pressure to model, sense of responsibility, therapeutic narcissism, countertransference reactions, over‐use of self and stressful involvement. The therapists' strategies for resolving the dilemmas are described. Conclusion: The results show participants considered personal therapy to be essential for trainees and thought it should be mandatory even though it led to difficulties in the therapy. Questions arose about the suitability of some trainees, the person of the therapist and stressful involvement. Further research into these important areas is recommended.     

Temperament and sleep–wake behaviour from infancy to toddlerhood

Sleep–wake behaviours and temperament were examined longitudinally for trait stability and relationship to behavioural state regulation from infancy to early childhood. Subjects were 120 low‐risk, full‐term infants from a middle class sample. At 6 weeks, parents completed three consecutive days of the Baby's Day Diary which measures sleep, wake, fuss, feed and cry states and the Infant Characteristics Questionnaire. At 16 months, parents assessed sleep behaviours with the Sleep Habits Inventory and temperament with the Toddler Symptom Checklist. At 24 months, parents repeated 3 days of the Baby's Day Diary. Structural Equation Modelling was used to examine the cross‐age hypotheses for sleep–wake and temperament associations. From early infancy to toddlerhood, sleep–wake behaviours and irritable temperament were notably stable but independent in this cohort. Copyright © 2011 John Wiley & Sons, Ltd.     

情感创伤青年的箱庭疗法个案研究

结合荣格分析心理学相关理论概念,使用箱庭疗法对一名遭受情感创伤的青年进行心理治疗,并对其箱庭作品中呈现的象征和原型心象进行分析。结果发现:箱庭作品展现了该青年的情感创伤和心理问题,反映了心理的成长历程。箱庭疗法在治愈情感创伤方面取得了较好的效果。     

重症医学科临床思维几点探讨

重症医学科危重病患者病情变化的错综复杂和诊治方法的特殊性对重症医学科医生的临床思维提出了新的要求,哲学的思维方法显得非常重要;本文对重症医学科医生临床思维中需经常面临的系统与局部、循证与经验、多学科协作、临床与人文之间的关系等重要问题进行初步的哲学思考。     

从比较治疗学角度看老年性黄斑变性的治疗决策

老年性黄斑变性(AMD)是发达国家中老年人群主要致盲眼病,患病率逐年上升。近年来其治疗方面取得很大进展,但治疗方法诸多,各种方案的疗效参差不齐。为了促进老年性黄斑变性治疗选择的最佳途径,本文通过利用检索国内外报道的文献,对其中老年性黄斑变性的治疗方法归纳总结,并运用比较治疗学的研究方法进行比较分析,旨在寻求最有效的治疗方案。     

叙事研究的方法论意义

叙事研究有着从客观主义到构成主义(constructivism)的认识论背景,叙事研究的方法分为编码主题分析和意义诠释两大类,最后重点总结了叙事研究的方法论意义。叙事研究是研究人类思想的一条可供选择的道路,而纯粹的客观的量化的研究方法去研究人类思想的某些方面并非是最好的选择。叙事研究中研究者和被试互相影响,叙事研究的平民性,叙事研究打开了研究者的思路,丰富了研究者对问题的理解。     

An 8-year follow-up of treated obese children: Children’s, process and parental predictors of successful outcome

Objective

This study presents an 8-year outcome of overweight children who were treated in an outpatient program and aims to identify child and familial variables associated with long-term weight regulation.

Methods

A total of 90 children participated with a mean age of 10.1 years ± 2.6 at baseline and a mean adjusted BMI (actual BMI/50th percentile of BMI for age and gender × 100) of 153.1 ± 20.7% at baseline participated in the 8-year follow-up (retrieval rate 71%; response rate 89%). Children’s and parental factors, administered at baseline and at follow-up were related to the success of the treatment.

Results

The children obtained a mean reduction of 8% in adjusted BMI at the 8-year follow-up. A total of 59 children (66%) were successful in obtaining weight control (i.e. maintaining their original % adjusted BMI); 40% even decreased their adjusted BMI by 10% or more. Analyses revealed that the child’s age, the degree of overweight at baseline and the child’s global self-worth were positive predictors of long-term weight loss 8 years after treatment, whereas psychopathology in the mother was a negative predictor. The total explained variance was R² = 35%.

Discussion

Treatment of childhood obesity by means of a multidisciplinary cognitive-behavioural program enables the majority of children to control their weight in the long term. In order to predict the success of the treatment, it is recommended to take into account the child’s age, its degree of overweight, its global self-worth and the occurrence of maternal psychopathology.     

Predictors of reading development in deaf children: A 3-year longitudinal study

The development of reading ability in a group of deaf children was followed over a 3-year period. A total of 29 deaf children (7-8 years of age at the first assessment) participated in the study, and every 12 months they were given a battery of literacy, cognitive, and language tasks. Earlier vocabulary and speechreading skills predicted longitudinal growth in reading achievement. The relations between reading and the predictor variables showed developmental change. Earlier reading ability was related to later phonological awareness skills, suggesting that deaf children might develop their phonological awareness through reading. Deaf children who had the most age-appropriate reading skills tended to have less severe hearing losses and earlier diagnoses and also preferred to communicate through speech. The theoretical implications of the role for speechreading, vocabulary and phonological awareness in deaf children’s literacy are discussed.     

Concurrent and prospective associations between facial affect recognition accuracy and childhood antisocial behavior

This study examined the concurrent and prospective associations between children's ability to accurately recognize facial affect at age 8.5 and antisocial behavior at age 8.5 and 10.5 years in a sub sample of the Avon Longitudinal Study of Parents and Children cohort (5,396 children; 2,644, 49% males). All observed effects were small. It was found that at age 8.5 years, in contrast to nonantisocial children; antisocial children were less accurate at decoding happy and sad expressions when presented at low intensity. In addition, concurrent antisocial behavior was associated with misidentifying expressions of fear as expressions of sadness. In longitudinal analyses, children who misidentified fear as anger exhibited a decreased risk of antisocial behavior 2 years later. The study suggests that concurrent rather than future antisocial behavior is associated with facial affect recognition accuracy. Aggr. Behav. 36:305–314, 2010. © 2010 Wiley‐Liss, Inc.     

The Duke Religion Index: A Psychometric Investigation

This study evaluated the psychometric properties of the Duke Religion Index (DRI) in two separate samples (n ₁=628, n ₂=243) of college students enrolled in randomly selected courses. An exploratory factor analysis of the DRI in the first sample supported a one-factor structure. A subsequent confirmatory factor analysis in the second sample confirmed this model. The internal consistency was excellent in both samples. A significant, positive correlation was found between the DRI and a measure of religious beliefs, supporting the convergent validity of the DRI. These findings provide further support for the reliability and construct validity of the DRI.