Effectiveness of a Multiple Family Group Intervention for Juvenile First Offenders in Reducing Parent Stress

Parenting practices are major influences on incidents of juvenile delinquency. Stress experienced by parents of children with behavioral problems is a leading contributor to parenting practices. We investigated the extent to which parental stress was reduced by participation in an established multiple group family intervention, the Family Solutions Program, developed to reduce recidivism among juvenile offenders. We also examined parent stress by gender, ethnicity, dropout rates, intervention benefits at 3-month follow-up, single- versus two-parent households, and across dimensions of family functioning and parent-adolescent communication. Parents reported greater levels of parent stress than non-clinical parents prior to intervention. Parental stress did diminish in response to intervention, but not until follow-up to intervention completion. No differences were found on initial parent stress level between completers and non-completers of the intervention or between parent stress and gender or ethnicity of the parent; however, single-parent household was associated with significantly higher levels of parent stress. Family functioning was significantly negatively correlated with parental stress. Finally, open communication between juvenile first offenders and their parents improved significantly in response to the intervention both at post-intervention and at follow-up.     

An Overview of Primary Care Family Psychology

This paper describes the application of family psychology to the primary care setting—in service, education and training, and scholarship. Primary care family psychology integrates family systems with biopsychosocial theory, yielding an approach that is uniquely suited to the generalist demands of primary care. This approach attends especially to the effects of relationships on health and healthcare, using the family as a potential resource to the patient just as the healthcare team is a resource to the clinician. Training opportunities in primary care family psychology are growing. The University of Rochester School of Medicine and Dentistry fellowship is described as an example, with core primary care family psychology training in four different clinical sites: Family Medicine, Internal Medicine, Pediatrics, and Obstetrics/Gynecology. Susan H. McDaniel is Professor of Psychiatry & Family Medicine, Director of Family Programs & the Wynne Center for Family Research in Psychiatry, and Associate Chair of Family Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York. Dr McDaniel also directs the Primary Care Family Psychology Fellowship. Picter LeRoux is Associate Professor of Psychiatry & Pediatrics, and Director of the Family Therapy Training Program in Psychiatry, University of Rochester School Medicine and Dentistry, Rochester, New York. Dr. LeRoux also heads the Pediatric Track of the Primary Care Family Psychology Fellowship.     

教师教学效能感和工作倦怠的关系

为探讨教师效能感与其工作倦怠之间的关系,利用教师教学效能感问卷和工作倦怠问卷对247名中学教师进行施测。结果表明（1）教龄长短和婚姻状况对教师的个人教学效能感（p〈O．01）、人格解体（p〈0．01）和成就感降低（p〈o-01）具有显著的影响;（2）教师的一般教育效能感对其工作倦怠的耗竭因素具有显著的预测作用（p〈0．01）;（3）教师的个人教学效能感对其工作倦怠的人格解体（p〈0．01）和成就感降低因素（p〈O．01）具有显著的预测作用。     

应对效能、工作压力与教师职业枯竭的关系

通过对29所高中阶段学校763名教师的问卷调查,主要研究了教师应对效能和工作压力对教师职业枯竭的预测作用。分析结果表明：（1）应对效能对教师的职业枯竭具有显著的预测作用,自信程度、胜任力对情绪衰竭、非人性化和认知枯竭的预测作用显著,胜任力和认知水平对个人成就感有显著的预测作用;（2）工作压力对教师的职业枯竭具有显著的预测作用,导致教师职业枯竭的工作压力因素有：领导与管理、工作负荷、考试升学因素、人际关系;（3）通过对工作压力和应对效能的联合考察能够更好地预测教师的职业枯竭。     

小学生团队合作学习成绩之群体影响因素研究

将小学四年级实验班42名小学生组建成七个异质团队,进行为期三个月的团队合作学习训练,以探讨群体变量对团队合作学习成绩的影响,并比较实验班和对照班之间语文成绩之间的差异。研究结果表明:团队组长管理风格、团队承诺、团队集体效能感、团队凝聚力四个群体变量对合作学习型团队的学习成绩有显著的影响。团队满意感虽然与团队学习成绩显著相关,但对团队学习成绩的影响不显著。     

Treatment Engagement: Building Therapeutic Alliance in Home-Based Treatment with Adolescents and their Families

Client engagement is an essential yet challenging ingredient in effective therapy. Engaged clients are more likely to bond with therapists and counselors, endorse treatment goals, participate to a greater degree, remain in treatment longer, and report higher levels of satisfaction. This study explored the process of engaging high-risk youth and their parents in a unique home-based family therapy intervention. Qualitative interviews were conducted with 19 families who completed family therapy sessions that included a core component aimed at increasing treatment engagement. Parents’ and youths’ perceptions of engagement suggest the importance of developing therapeutic alliance with therapists, who facilitated building a shared alliance among family members. Implications for improving client engagement are discussed within the context of alliance building with the therapist and among family members.     

运用比较治疗学的方法促进SSNHL治疗决策的最优化

突发性感音神经性聋（SSNHL,突聋）为耳鼻咽喉科常见疾病,治疗方法诸多,各种治疗方案的疗效也众说纷纭。本文通过利用检索国内报道的相关文献,对文献突聋中突聋的治疗方法进行归纳总结,并运用比较治疗学的研究方法进行分析比较,旨在寻求最有效的治疗方案突聋,促进突聋治疗决策的最优化。     

ALI/ARDS患者糖皮质激素的治疗效果和时机

急性肺损伤/急性呼吸窘迫综合征(ALI/ARDS)是临床各科经常遇到的急症,其发病机制主要是中性粒细胞向炎症部位的移动,释放出大量的炎性介质和细胞因子,引起肺泡毛细血管膜通透性增高,弥漫性肺损伤和蛋白性肺泡水肿液聚集等病理生理改变。临床表现为呼吸困难、呼吸窘迫、顽固的低氧血症,虽然使用机械通气和呼气末正压通气(PEEP)后,其病死率有所下降,但仍然维持在50%左右。就糖皮质激素的作用机制,对不同原因引起的ALI/ARDS治疗效果,使用时机作一综述,期望对ALI/ARDS治疗过程中糖皮质激素的使用予以规范。     

影响职业决策自我效能的因素及干预研究述评

职业决策自我效能指个体对自己完成择业相关任务所需能力的信心程度。自从Betz和Taylor提出职业决策自我效能,该概念已引发了职业心理学中众多的理论和实证研究。文章总结了影响职业决策自我效能的因素及其干预措施。影响职业决策自我效能因素可概括为个体因素、家庭因素、学校因素三方面,干预措施依据不同的理论,主要有归因训练、团体干预、职业决策训练、认知重构、计算机职业指导系统等     

自尊结构研究的发展趋势

近年来,自尊结构的研究领域内出现了一些新进展,主要表现在：（1）内隐自尊研究的逐步兴起;（2）由注重总体自尊的研究到注重研究自尊的结构和具体自尊;（3）注重对自尊稳定性维度的分析研究;（4）注重对自尊结构的跨文化研究。这些都为我们理解和探讨自尊结构提供了新的观点和视角。文章综述了该研究领域的进展,并对今后的自尊结构研究作了展望。