Treating family relational trauma: a recursive process using a decision dialogue

This article describes a therapeutic process that combines individual and family sessions to maximize therapeutic opportunities to bring forward, understand, validate, and empower children's experience as equal participants in family therapy. The aim is to strengthen relational bonds within the family. Drawing from earlier work with families where incest had occurred, the authors present a recursive process that utilizes a "decision dialogue" to link individual and family sessions. Clinical examples are provided.     

“纸老虎”·“中间地带”·“两个阵营”——毛泽东“转折年代”的美国观

从1946年6月全面内战爆发,到1947年7月至9月人民解放军由战略防御转入战略进攻,仅仅过去一年的时间,中国历史的发展就来了个大转折.在这个"转折年代"里,由于此前的"调处"失败,美国人在中国的历史舞台上开始由台前走向幕后,只能通过援助国民党的方式来继续干涉中国内政,与中国共产党人展开间接的较量.在指挥战略防御和部署战略反攻的繁忙日子里,毛泽东不得不花费大量的心血来反复分析和考量站在战场远端的美国.考量的结果是,他不仅提出了"一切反动派都是纸老虎"的著名论断,而且提出了"中间地带的革命"理论,接受了"两个阵营"划分的新理念,极大地丰富和发展了他在"转折年代"的美国观.     

医学模式的转变与胃食管反流病的思考

胃食管反流病（GERD）是消化科门诊最常见的疾病之一,具有慢性复发性倾向,严重影响人们的生活质量。目前认为本病是一种多因素的心身疾病,随着传统生物医学模式向生物-心理-社会医学模式的转变,要求我们要自觉地运用辩证唯物主义观点,从系统论出发,应用发展的观点,注重医学模式的转变,审慎制定治疗方案。     

Psychosocial Issues in Families Affected by Maple Syrup Urine Disease

The primary aim of this study was to ascertain the psychosocial issues faced by families affected by maple syrup urine disease (MSUD). The psychosocial adjustment and quality of life of children with MSUD were also described. Participants included 55 families and their children (ages 5 to 18 years) and teachers. Measures included a MSUD Family Survey, the Behavior Assessment System for Children (BASC) and the Pediatric Quality of Life Inventory (PedsQL). Parents reported via the MSUD Family Survey that the greatest sources of stress were financial and emotional. Many parents reported difficulty interacting with the medical staff and with schools. On the BASC, half of the children fell within the average range in psychosocial adjustment, although there were elevations in scales measuring attention, hyperactivity, and learning problems. On the PedsQL, the mean quality of life scores were closer to children with cancer than to a healthy sample. Despite the emotional and financial burden, parents reported that MSUD has also had a positive influence on their lives, leading to a world-view that is more compassionate and caring.     

青少年心理韧性量表（HKRA）的修订

心理韧性研究起源于20世纪70年代,而国内的相关研究还刚刚处于起步阶段,为有利于国内心理韧性研究的开展,选定青少年心理韧性量表(HKRA)进行中文版修订。以初中二年级学生884人(男生468人,女生416人)为被试,采用探索性因子分析法,共提取11个因子,其中外部保护因子7个,心理韧性特质因子4个,各个题目在相应因子上的载荷在0.34-0.88之间,各个因子的同质性信度在0.62-0.84之间,累积方差解释率为55.77%。结果表明,量表符合测量学的信度和效度要求,可以作为测量心理韧性的工具在国内使用。     

Acculturation Conflict,Cultural Parenting Self‐Efficacy,and Perceived Parenting Competence in Asian American and Latino/a Families

Parents from immigrant backgrounds must deal with normative parenting demands as well as unique challenges associated with acculturation processes. The current study examines the independent and interactive influences of acculturation conflict and cultural parenting self‐efficacy (PSE; e.g., parents’ confidence in instilling heritage, American, and bicultural values in their children) on perceptions of general parenting competence. Using data from 58 Asian American and 153 Latin American parents of children in grades 6–12, ethnic differences were also explored. Results suggest that lower acculturation conflict is associated with higher perceptions of general parenting competence for both Asian and Latin American parents. Higher cultural PSE is associated with higher perceived general parenting competence for Latino/a parents only. One significant interaction was found, and only for Asian Americans, whereby the negative association between acculturation conflict and perceptions of parenting competence was weaker for those who felt efficacious in transmitting heritage messages. Results are discussed in light of clinical implications and the need for further recognition and study of culturally relevant factors and frameworks among families from immigrant backgrounds.     

BIOLOGY TEACHERS’ CONCEPTIONS ABOUT THE ORIGIN OF LIFE IN BRAZIL,ARGENTINA, AND URUGUAY: A COMPARATIVE STUDY

Teachers’ conceptions about the origin of life in three Latin American countries with contrasting levels of secularism were analyzed: Argentina (Catholic constitution), Brazil (formally secular but not in practice), and Uruguay (consolidated secularism). A European survey questionnaire was used and the interpretation of the results drew on Barbour's four categories concerning the relationships of science and religion. A large majority of Argentinian and Uruguayan teachers were clearly evolutionist, even when believing in God (Independence or Dialogue category), with no difference between Argentina and Uruguay. The majority of Brazilian teachers assumed a religious position about the origin of life, being creationist (Conflict or Independence categories) or evolutionary creationist (Dialogue or Integration categories). Differences of Brazilian teachers’ conceptions may result from the higher percentage of evangelicals and lower proportion of agnostics/atheists. Brazilian Catholic teachers were more creationist than their Catholic colleagues in Argentina and Uruguay. Distinct patterns were found, but further research is needed to understand possible classroom impacts.     

More learned irrelevance than perseveration errors in rule shifting in healthy subjects

The present experiments examined the extent to which two possible sources of error affect healthy subjects' performance in a rule-shift task. All 115 participants first received a discrimination learning task, in which a pair of different visual stimuli was presented on each trial, one of which had to be identified as 'correct.' Each stimulus varied in two dimensions: a task-relevant and a task-irrelevant dimension. Feedback on correctness was given after each choice. After eight successive correct choices, the nature of the task-relevant dimension changed: the post-shift learning phase. Two types of error can occur in this phase: continued responding to the former relevant, but now irrelevant, dimension, a perseverative error, and non-responding to the former irrelevant, but now relevant, dimension, an error due to learned irrelevance. Different groups received a post-shift task in which none, one, or both of these two types of error could affect performance. The number of incorrect choices in the post-shift phase was significantly affected by learned-irrelevance errors but not by perseverative errors. An associative-learning model incorporating feedback-induced changes in both associative strength and saliency of the elements comprising the stimuli can explain these results.     

Processes linked to contact changes in adoptive kinship networks

The purpose of this study was to reveal underlying processes in adoptive kinship networks that experienced increases or decreases in levels of openness during the child's adolescent years. Intensive case study analyses were conducted for 8 adoptive kinship networks (each including an adoptive mother, adoptive father, adopted adolescent, and birth mother), half of whom had experienced an increase in openness from indirect (mediated) to direct (fully disclosed) contact and half of whom had ceased indirect contact between Waves 1 and 2 of a longitudinal study. Adoptive mothers tended to be more involved in contact with the birth mother than were adoptive fathers or adopted adolescents. Members of adoptive kinship networks in which a decrease in level of contact took place had incongruent perspectives about who initiated the stop in contact and why the stop took place. Birth mothers were less satisfied with their degree of contact than were adoptive parents. Adults' satisfaction with contact was related to feelings of control over type and amount of interactions and permeability of family boundaries. In all adoptive kinship networks, responsibility for contact had shifted toward the adopted adolescent regardless of whether the adolescent was aware of this change in responsibility.     

I AM FAMILY: Understanding the adapted sport experiences of family members of military personnel with physical and psychological illnesses and injuries through the lens of the Invictus Games

Family are influential actors in adapted sport participation. However, little is known about their experiences with adapted sport. The current study sought to explore the experiences of families in adapted sport through the context of the Invictus Games, an international adapted sport competition for military personnel with physical and psychological illnesses and injuries that is unique in its inclusion of family programming. Family members (n = 21; partners, parents, siblings, and children) of Invictus Games Toronto 2017 competitors participated in semi-structured interviews. Data were analyzed using reflexive thematic analysis. Three themes were identified: recognition of family experiences during service and after onset of disability; creating a sense of belonging; and improving family knowledge and perceptions. This study provides insight regarding how adapted sport events can support the well-being of both individuals with illnesses and injuries and their families.