Behavioural Treatment of Post-Traumatic Stress Disorder Associated with Recovered Memories

Post-traumatic stress disorder (PTSD) is sometimes associated with recovered memories (RMs) of traumatic events. That is, the sufferer reports having forgotten traumatic events for a period of time, only to recall them later on. As the memories of traumatic events are recalled, post-traumatic stress disorder may emerge. The cause of recovered memories is uncertain and is the subject of debate. Some recovered memories may be reasonably accurate, while others may be ''recollections'' of imagined rather than actual events. It is unclear whether conventional PTSD therapies, such as behaviour therapy, are appropriate and effective in treating PTSD-RM. The present article considers these issues in the context of a case study, in which a patient with PTSD-RM was treated with behaviour therapy ( in vivo and imaginal exposure). The patient sought treatment because he wanted relief from his PTSD symptoms, regardless of whether his recovered memories were accurate (he was completely convinced in the accuracy of the memories). Treatment outcome was compared with the outcome of 13 PTSD patients who did not have recovered memories, who were also treated with behaviour therapy. Results suggest that PTSD-RM can be effectively treated with behaviour therapy. However, such treatment is unlikely to be appropriate for all cases of PTSD- RM. Selection criteria are discussed.     

Cognitive Coping vs Emotional Disclosure in the Treatment of Anxious Children: A Pilot-Study

The present pilot-study was a first attempt to examine the effectiveness of the cognitive component of cognitive behaviour therapy for children with anxiety problems. A total of 24 highly anxious children were assigned to 1 of 2 intervention conditions: a Cognitive Coping intervention, which focussed primarily on the cognitive component of cognitive behaviour therapy, or an Emotional Disclosure intervention in which children were invited to write about their fears and anxious experiences. Children completed self-report questionnaires of anxiety disorders symptoms and worry at 3 points in time: (i) 6 weeks before treatment (i.e. baseline), (ii) at pre-treatment, and (iii) at post-treatment. The results showed, firstly, that levels of anxiety disorder symptoms and worry remained relatively stable over a 6-week waiting period and then decreased substantially after the interventions. This suggests that the children did not suffer from momentary anxiety and worry complaints and that treatments generally were effective in reducing these symptoms. Secondly, although within-group comparisons suggested that treatment effects were somewhat larger in the Cognitive Coping condition than in the Emotional Disclosure condition (effects sizes for anxiety disorders symptoms and worry were, respectively, 1.03 and 0.87 for Cognitive Coping vs 0.54 and 0.39 for Emotional Disclosure), statistical tests could not substantiate this impression, probably due to a lack of power as a result of the small numbers of children in both intervention conditions.     

Consulting with gargoyles: applying narrative ideas and practices in counselling supervision

This article explores waysin which narrative ideas and practices might influence supervisory relationships in counselling and psychotherapy,and questions some of the taken-for-granted assumptions implicit within counselling supervision. This paper, which represents ‘work in progress’ towards further conversations, rather than an exhaustive study,is illustrated with stories from the author'sown practice as a supervisor and trainer and educator of supervisors.     

Judgments of Aggressive, Withdrawn and Prosocial Behavior: Perceived Control, Anger, Pity and Sympathy in Young Dutch Children

In two studies, we examined first- and second-grade children's judgments of aggressive, withdrawn, and prosocial behavior by means of fictional scenarios. In study I, we compared judgments of fictional aggressive children with those of fictional withdrawn children. Aggressive children were perceived as more responsible for their behavior and elicited more feelings of anger, while withdrawn children were more likely to be chosen as a friend and elicited more feelings of pity. In study II, we compared judgments of fictional aggressive, withdrawn, and prosocial children with each other. Again aggressive children elicited the strongest feelings of anger, while withdrawn children elicited the strongest feelings of pity. These withdrawn children were perceived as more similar to the prosocial children. In an attempt to test the ecological validity of our sympathy measure, we asked children to rate their peers on a three-point liking scale and checked the scores of those judged to be aggressive by their teachers. These aggressive children were found to receive the lowest liking scores. The results are discussed.     

The theory of learning styles applied to distance learning

Distance Education (DE) associated with the use of Virtual Learning Environments (VLE) as interaction tools between the student and the educator has become a large research niche spread around the world. Techniques to improve learning effectiveness in VLEs seek to find relation-ships connections between pedagogical advances and educational technological resources available in VLEs. In this context, this work sought to associate the theory of Learning Styles with the behavior of the student of Distance Education, observing their interaction with the Virtual Learning Environment and trying to associate them with their learning style identified by the CHAEA questionnaire. For this purpose, the CHAEA questionnaire was applied to a group of distance learning students and the correlation between their interactions with VLE and their learning styles was verified. The results show that there is no correlation between these elements, which may show, in fact, the lack of coherence between these theories. Seeking a model for data, a linear regression was applied and the results were, then, confirmed.     

Social learning under the labeling effect: Exploring travellers’ behavior in social dilemmas

This paper presents results of a laboratory experiment, in which subjects made choices between public and private transportation when managing Personal Carbon Allowances (PCAs). The objectives of this study were twofold. Firstly, it was aimed at investigating the labeling effect under the social dilemma context. Secondly, it showed insights into the decision-making process when feedback about others’ choices was provided. A combination of the labeling effect and feedback helped individuals change their commuting pattern and increase the number of trips by public transportation under the PCAs regime. Feedback on others’ choices resulted in social learning and incentivized choice of public transportation more frequently in social dilemma situations.     

Design as a Tool for Family Evolutionary Guidance

This article begins by describing the impact of systems science on the field of marriage and family therapy, discussing that systems concepts are broadly disseminated but have become diluted. The author describes the educational program at a marriage and family therapy graduate institute where students utilize social systems design in their research projects as well as their work with clients. The article outlines the specifications of the Idealized Systems Design (ISD) teaching system, its relationship with the larger institution, as well as its purposes and systemic functions. Application of ISD to the field of marriage and family therapy is emphasized, demonstrating its use in helping facilitate individual, family, and community health as a research tool as well as a set of intervention tools for the practicing therapist.     

The role of therapy productiveness on MFT clients’ intentions to persist in therapy

Many clients drop out of therapy before reaching their goals (Bohart &; Wade, 2013 Bohart, A. C., &; Wade, A. M. (2013). The client variables in psychotherapy. In M. Lambert (Ed.) Bergin &; Garfield’s Handbook of psychotherapy and behavior change. (p. 219–257). New York: Wiley. [Google Scholar]), though being in therapy produces more change than not being in therapy (Lambert, 1992 Lambert, M. J. (1992). Implications of outcome research for psychotherapy integration. In J. C. Norcross &; M. R. Goldfried (Eds.), Handbook of psychotherapy integration (pp. 94–129). New York: Basic Books. [Google Scholar]). To investigate the factors that affect clients’ decisions to persist in therapy, we surveyed a convenience sample of 72 clients of MFTs in individual, couple or family therapy currently in treatment in a community-based therapy center. We tested moderation using regression analysis to determine the extent to which productiveness moderates the relationship between therapeutic alliance and intended persistence. Results showed that productiveness moderated the relationship between therapeutic alliance and intended persistence. Specifically, higher levels of therapy productiveness strengthened the relationship between therapeutic alliance and therapy persistence. Implications for future research and practice are presented and discussed.     

生殖系基因治疗的技术和伦理问题

生殖系基因治疗是通过对生殖系细胞的基因修饰,给该细胞发育而来的整个有机体及其后代带来永久性的遗传纠正。本文着重对生殖系治疗的现有技术条件,存在技术问题及各种观点作一归纳,主要试图反映生殖系基因治疗的科学背景及当代人的思考,希望有助于人们的思考。