The counsellor and the GP: The gulf and the isthmus - or the dilemmas of difference

Research supervision in the field of counselling and psychotherapy is a fruitful area for investigation in view of the fact that the research supervisory relationship is powerful and highly charged, whether consciously acknowledged or not. Researchers trained as counsellors and psychotherapists possess the skills to facilitate the emergence of, and work creatively with, impasses and crises, both in the research itself and the supervisory relationship, as a result of their training and experience in dealing with crisis and catharsis in clinical work. This paper will demonstrate these points using a case vignette from my work as a supervisor of research dissertations undertaken by students on a Masters in Therapeutic Counselling course. Drawing on narrative analysis, clinical supervision theory and discursive analysis it will look at the strengths and weaknesses of a ‘psychotherapeutic’ approach to research supervision.     

Water Mist Punishment for Two Classes of Problem Behaviour

A study with multiple baseline design across situations and response-classes was used to evaluate the effects of a water mist procedure used for punishment of two classes of problem behaviour in a 50-year-old woman with severe mental retardation. Problem behaviour was reduced to less than 5% of baseline. After 19 months the problem behaviour was still reduced, and had stabilized at a level below 10% of baseline. Due to financial economies the local community authorities terminated the treatment, which resulted in a marked increase in the rate of problem behaviour.     

Cross-Sectional versus Longitudinal Age Gradients of Tower of Hanoi Performance: The Role of Practice Effects and Cohort Differences in Education

ABSTRACT

We examined 5-year longitudinal changes in Tower of Hanoi (TOH) performance in a population-based sample of adults (35–85 years initially; n?=?1480). An age-matched sample (n?=?433) was included to estimate practice effects. The longitudinal age gradients differed substantially from the cross-sectional age gradients. This was the case even when practice effects, that were substantial in magnitude across the young/middle-aged groups, were controlled for. Instead of a continuous age-related deficit in performance from 35 and onwards, longitudinal data showed slowing of performance and increases of illegal moves past age 65. Cohort-related differences in educational attainment did not account for this discrepancy. Further analyses revealed a positive relation between practice-related gains and explicit memory of having performed the task at the first test occasion and a positive association between latent changes in TOH and Block Design, in line with cross-sectional findings. In conclusion, the results demonstrate a pattern of age-related changes indicating a late-onset decline of TOH performance and underscore the need to control for retest effects in longitudinal aging research.     

The Effects of Practice and External Support on Older Adults' Control of Reflexive Eye Movements

ABSTRACT

The present study examined whether external support and practice could reduce age differences in oculomotor control. Participants were to avoid fixating an abrupt onset and on some trials, were provided with a predictive cue regarding the onset location or identity. Older adults demonstrated more capture than younger adults, but both groups improved with practice. Whereas the older group benefited from a location preview (Experiment 1), neither group showed less capture when given a preview of the onset object itself (Experiment 2), suggesting that location-based inhibition, but not object-based inhibition, was sufficient to support oculomotor control within this paradigm. To test the generalizability of these skills, displays in a final block were manipulated such that the onset could appear in a different location or be a different object altogether. Viewing patterns were similar for changed vs. unchanged displays, suggesting that participants' practice-related gains could withstand a change in the task materials.     

Principles of good clinical practice (GCP) in clinical research

Good Clinical Practice is an international quality standard for conducting trials that involve participation of human subjects. Currently, the most widely accepted international document forming the base for GCP is the ICH Harmonised Tripartite Guideline for GCP, which defines in detail the responsibilities and obligations of parties engaged in clinical research. The purpose of this paper is to analyse how compliance with GCP provides protection of the trial subjects and assures quality and credibility of the data obtained. An earlier version of this paper was presented at a symposium, Scientific Misconduct: An International Perspective, organised by The Medical University of Warsaw, 16 November, 1998.     

Practice Guidelines in school psychology: Issues and directions for evidence-based interventions in practice and training

Practice Guidelines have become increasingly popular at the national and international level. Practice Guidelines are a natural extension of the “evidence-based intervention” movement, and could be a mechanism to promote the use of evidence-based interventions within the field of school psychology practice and training. In this paper we review the use of Practice Guidelines in other fields and the promise and potential pitfalls associated with the development and application of Practice Guidelines within the field of school psychology. Recommendations for how to avert some of the difficulties faced by other disciplines in the development and application of Practice Guidelines are discussed. Suggestions for next steps in the profession and future research are noted.     

怀疑论,常识与实践

文章依次分析比较了摩尔、马尔科姆和维特根斯坦应对怀疑论的方式及各自的论证技巧,展示了常识在何种程度上能够给出一种避免怀疑论的基础。文章认为摩尔和马尔科姆的论证都是不充分的,维特根斯坦关于语法命题与经验命题的区分补充了其中缺失的部分,其中起作用的是一种游戏误置论证。这意味着,能够避免怀疑论的是一种实践态度。     

Implementing the Scientist–Practitioner Model in the Hospital Setting

Psychologists who work in hospital settings confront assorted challenges in implementing the scientist–practitioner model. Clinical psychologists must deal with the tension between an evidence-based model and the realities of clinical practice. Psychologists can gain a better understanding of what it means to function as a scientist–practitioner by understanding current debates in both psychology and medicine on the relationship between research and practice. Psychologists are not unique in the slow pace of implementing research into practice. Psychologists in hospitals can make a contribution to the treatment of medical patients by emphasizing the role of the treatment relationship in health-care outcomes. Medicine’s use of practice-based research networks provides a valuable structure for psychologists to emulate in order to function as active participants in the collection of practice-based evidence rather than passively accommodating to the evidence-based clinical practice guidelines.     

Psychometric costs of retaking driving-related cognitive ability tests

The present study tested predictions deduced from competing models advanced in the literature to explain practice effects in driving-related cognitive ability tests due to retesting. The models differ in terms of the processes assumed to be responsible for practice effects and make competing predictions with regard to the level measurement invariance across test administration sessions. A total of N = 239 test-takers solved four driving-related cognitive ability tests at three time-points of measurement. Item response theory analyses indicated that practice effects can be explained in terms of an increase in test-specific abilities. The size of the practice effect varied across driving-related cognitive ability tests and across test-takers’ level of general mental ability. Latent mean and covariance structure analyses indicated that the observed improvements in test performance are purely test-specific and do not generalize to broad cognitive speededness.