Collaborative relationships and dialogic conversations: ideas for a relationally responsive practice

The author presents a set of philosophical assumptions that provide a different language for thinking about and responding to the persistent questions: “How can our therapy practices have relevance for people's everyday lives in our fast changing world, what is this relevance, and who determines it?” “Why do some shapes of relationships and forms of talk engage while others alienate? Why do some invite possibilities and ways forward not imagined before and others imprison us?” The author then translates the assumptions to inform a therapist's philosophical stance: a way of being. Next, she discusses the distinguishing features of the stance and how it facilitates collaborative relationships and dialogic conversations that offer fertile means to creative ends for therapists and their clients.     

The Brief Accessibility,Responsiveness, and Engagement (BARE) Scale: A Tool for Measuring Attachment Behavior in Couple Relationships

This article describes the purpose, reliability, validity, and potential clinical applications of the Brief Accessibility, Responsiveness, and Engagement (BARE) scale. In addition to focusing on the central attachment behaviors of accessibility and responsiveness, this instrument highlights the key role of engagement in couple bonding. The BARE is a short, systemic, self‐report measure of attachment behaviors in couple relationships. Both classical testing theory and Item Response Theory were used to test the psychometric properties of the instrument. The BARE demonstrated appropriate reliability and validity while maintaining its brevity and potential usefulness for clinicians and researchers. The BARE also accurately predicted the key relationship outcomes of stability and satisfaction. The data for this study were collected from the RELATE assessment (see www.relate-institute.org ).     

Evidence for perceptual learning with repeated stimulation after partial and total cortical blindness

Lesions of occipital cortex result in loss of sight in the corresponding regions of visual fields. The traditional view that, apart from some spontaneous recovery in the acute phase, field defects remain permanently and irreversibly blind, has been challenged. In patients with partial field loss, a range of residual visual abilities in the absence of conscious perception (blindsight) has been demonstrated (Weiskrantz, 1986). Recent findings (Sahraie et al., 2006, 2010) have also demonstrated increased visual sensitivity in the field defect following repeated stimulation. We aimed to extend these findings by systematically exploring whether repeated stimulation can also lead to increased visual sensitivity in two cases with total (bilateral) cortical blindness. In addition, for a case of partial blindness, we examined the extent of the recovery as a function of stimulated region of the visual field, over extended periods of visual training. Positive auditory feedback was provided during the training task for correct detection of a spatial grating pattern presented at specific retinotopic locations using a temporal two alternative forced-choice paradigm (Neuro-Eye Therapy). All three cases showed improved visual sensitivity with repeated stimulation. The findings indicate that perceptual learning can occur through systematic visual field stimulation even in cases of bilateral cortical blindness.     

Transcranial Direct Current Stimulation improves word production in Conduction Aphasia: Electroencephalographic and behavioral evidences

A Conduction Aphasic patient, RH, with many difficulties at the level of phonological output, was subjected to Transcranial Direct Current Stimulation (tDCS) therapy six months after suffering a stroke. Fifteen daily sessions were administered (five days per week). The treatment led to a better intra-hemispheric electrical coherence and inter-hemispheric balance, as shown by the quantitative EEG analysis. Transcranial Direct Current Stimulation therapy was shown to be effective in inhibiting irregular activation of the right hemisphere, offering the healthy areas of the left hemisphere the possibility of reassuming their linguistic processing abilities. Also, the number of errors in picture naming and repetition of words and pseudowords dropped considerably following treatment. The recovery was greater for long stimuli and was not affected by semantic or lexical variables such as familiarity. These results suggest that the Phonological Output Buffer, a mechanism dedicated to the maintenance, ordering and production of phoneme strings, was the processing stage modified by the treatment.     

CBT for Children and Adolescents With High-Functioning Autism Spectrum Disorders,edited by A. Scarpa,S. Williams White, & T. Attwood

ABSTRACT

Parent-Child Interaction Therapy (PCIT) is a manualized behavioral intervention originally developed by Eyberg (1988 Eyberg, S. (1988). Parent-child interaction therapy: Integration of traditional and behavioral concerns. Child &; Family Behavior Therapy, 10(1), 33–46. doi:10.1300/j019v10n01_04[Taylor &; Francis Online] , [Google Scholar]) to address disruptive behaviors in young children. Although previous research findings support the contention that components of PCIT would positively impact communication, behavior, and adaptive skills (Howard, Sparkman, Cohen, Green, &; Stanislaw, 2005; Lovaas, 1987 Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55(1), 3–9. doi:10.1037/0022-006x.55.1.3[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Remington et al., 2007 Remington, B., Hastings, R. P., Kovshoff, H., Degli Espinosa, F., Jahr, E., Brown, T., &; Ward, N. (2007). Early intensive behavioral intervention: Outcomes for children with autism and their parents after two years. American Journal on Mental Retardation, 112(6), 418–438. doi:10.1352/0895-8017(2007)112[418:eibiof]2.0.co;2[Crossref], [PubMed] , [Google Scholar]) in children with developmental disabilities, few studies are shown in the literature. In a modified version of PCIT, caregivers completed two phases of intervention with their child diagnosed with Autism Spectrum Disorder (ASD). During the Child-Directed Interaction (CDI) phase, caregivers were taught to conduct mand training, follow-their child’s lead, provide attention for their child’s positive behaviors, and ignore their child’s negative behaviors. During the Parent-Directed Interaction (PDI) phase, caregivers were taught to give effective commands and follow through with demands. The goal of the current study was to determine whether children’s production of vocalizations increased after participation in a modified PCIT program. Data from two participants diagnosed with autism were included in the study. Outcomes of these two case studies show that both children displayed an increase in the total number of vocalizations emitted in the posttreatment observation relative to baseline. Additionally, caregivers of both participants displayed an increased number of positive behaviors in the posttreatment observation relative to baseline.     

Importance of Therapist Use of Social Reinforcement with Parents as a Model for Parent-Child Relationships: An Example with Parent-Child Interaction Therapy

ABSTRACT

This paper focuses attention on the therapeutic relationship in parent-child therapy by using social reinforcement with parents and children as it relates to Parent-Child Interaction Therapy (PCIT). As in other therapy contexts, it is argued that having the therapist serve as a mediator of social reinforcement facilitates client change, After discussing different aspects of PCIT, we discuss the therapeutic relationship as viewed through other theoretical frameworks. This is followed by a discussion of the role of social reinforcement in the parent-child relationship. We then discuss at methodological and applied levels, the importance of therapist accuracy and consistency in the delivery of reinforcement as a means of changing the parent-child relationship. Next, this is followed by a discussion of the therapist-to-parent-to-child sequential chain of behaviors involved in PCIT. Finally, suggestions for future empirical studies are considered.     

Does scientific thinking lead to success and sanity? An integration of attribution and attributional models

A motivational model is introduced that integrates conceptions of attributional antecedents with those of attributional consequences, and suggests that it is functional to make realistic attributions. This model is applied to the analysis of achievement behaviour and depression. The use of a new experimental paradigm designed to test the model's assumptions demonstrates that realistic attributions maximise performance. The model was also used to investigate whether depressives are more realistic than non-depressives. This research revealed that depressives draw more "pessimistic" conclusions from covariation information than non-depressives. In addition, depressives expect their partners to make more negative attributions about the depressives' outcomes than their partners in fact do. However, these negative views could not be traced back to faulty inferences from covariation information. Finally, research is described showing that, in addition to depressogenic attributions, certain evaluative cognitions need to be present in order to trigger depressive mood reactions.     

Dialectical Behavior Therapy in the Treatment of Abusive Behavior

Summary

Research suggests that a subset of men who abuse their partners have characteristics associated with borderline personality disorder (BPD). Dialectical Behavior Therapy (DBT) has shown promise as a treatment for BPD, and thus may be useful for these men. This paper describes how DBT principles might be applied to address the problem of partner abuse, including discussion of why one might expect DBT to be a helpful treatment model for this population, and how implementation of the model might be designed.     

Building Blocks for Older Adult Ministry

SUMMARY

The final building block is deciding what program fits ministry goals, congregational resources and skills, and the needs of the older adults who will benefit from this ministry. A final form is used to choose, from the many options gathered in the previous steps, which ministries to begin, at this time, for this group of people, with these specific resources, be they congregational resources or those from community collaboration. Choosing target dates for specific tasks and assigning those tasks to specific committee member is crucial for success. The place of attendance in declaring success or failure is discussed. Using the OAM mission statement as a basis for continuing evaluation is suggested.