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251.
252.
Development through interruptions and reparations – A case study of a dual challenging psychotherapy
The aim of this study was to understand how relational difficulties in psychotherapy may be handled to represent possibilities for change. Temporary interruptions and subsequent reestablishment of contact were chosen as the strategic focus in one severely challenging case of long term psychodynamic psychotherapy where outcome was known to be good. Interruptions and reestablishments were conceptualised by how the informants gave meaning to them. The choice of focus represented a strategic selection of events in the course of therapy where the regulation of the alliance by the therapist as well as by the patient was at stake. A detailed case record was studied and interviews with patient and therapist were conducted. A hermeneutical-phenomenological approach was used to analyse the material. The narrative dimension was important in structuring and interpreting the data. It was shown how important relational difficulties, such as mutual incompatible expectations and demands was handled both on a structural and interpersonal level, and some important steps and hallmarks of the healing process was identified. Close inspection of the course of events in psychotherapies is seen as a promising method for bringing a better understanding of how change processes unfold. 相似文献
253.
Steve Nolan 《欧洲心理治疗、咨询与健康杂志》2013,15(4):323-339
This paper draws on a study that asked twenty family users about their first session of family therapy. Analyses of the interviews indicated that families entered therapy with a pre-existent knowledge about therapy, which did not always chime with those of professionals and which positioned speakers in ways which governed their expectations and perceptions of therapy. This paper, therefore, is concerned with the acquisition and deployment of knowledge: specifically, the knowledge involved in being a user of family therapy. Three key discourses were identified through this analysis: medical, counselling and consumerist. We aim to illustrate how these discourses served as a resource for members of the family in constructing therapists, therapy and themselves in relation to their experience. The examination of the rhetorical, ideological and practical effects of the positions chosen and the objects constructed, in terms of how speakers wanted to present themselves, with what enhanced or diminished status as patients, shows users actively engaging with the power of therapeutic institutions. Users’ accounts suggest that while most speakers felt anxious about the prospect of therapy, there were clear differences in overall satisfaction/dissatisfaction with the experience according to the synchrony between speakers’ construction of the therapist, and themselves as client/patients. Those who seemed to take a traditional view of therapy within a medical discourse valued therapists who offered diagnosis and a cure; those who sought and experienced a counselling relationship with the therapist found their experience to be constructive in terms of enhanced self-knowledge. We believe that the research findings discussed in this paper have implications for family therapists in accommodating to parental and child positions to maximise the effectiveness of therapy and so minimise drop-out. 相似文献
254.
To let hair be,or to not let hair be? Gender and body hair removal practices in Aotearoa/New Zealand
Research and anecdotal evidence suggest women continue to remove body hair, and there is some evidence for cultural changes in men's hair removal practices. This paper reports on data collected using an online mix-methods survey from 584 New Zealanders between the ages of 18–35 (mean age 26, 48.9% male, 50.6% female). The data demonstrated that substantial proportions of both women and men in Aotearoa/New Zealand remove body hair from many sites. However, gendered differences remain, and a key dimension of gendered difference appears in the concept of flexible choice around body hair removal or retention. This was seen in the difference between perceived acceptability of having body hair (81% for men, 11% for women). These findings suggest that although men, like women, are now coming under some pressure to remove body hair, there is still a great difference in men and women's capacity to choose whether to bow to it. 相似文献
255.
《Women & Therapy》2013,36(4):89-107
Sexual abuse is defined as the involvement of children and adolescents in sexual activities they do not fully comprehend and to which they do not freely consent. The long term effects of these violations of children have been described clinically. This study was initiated to demonstrate differences in emotional distress experienced by childhood victims of sexual abuse and their non-abused counterparts. Clinical records of 311 women were reviewed following termination from psychotherapy. Fifteen (15%) percent of the women indicated that they had been abused by a father, brother, grandfather, stepfather, friend, or stranger. 相似文献
256.
Automatic imitation or “imitative compatibility” is thought to be mediated by the mirror neuron system and to be a laboratory model of the motor mimicry that occurs spontaneously in naturalistic social interaction. Imitative compatibility and spatial compatibility effects are known to depend on different stimulus dimensions—body movement topography and relative spatial position. However, it is not yet clear whether these two types of stimulus–response compatibility effect are mediated by the same or different cognitive processes. We present an interactive activation model of imitative and spatial compatibility, based on a dual‐route architecture, which substantiates the view they are mediated by processes of the same kind. The model, which is in many ways a standard application of the interactive activation approach, simulates all key results of a recent study by Catmur and Heyes (2011) . Specifically, it captures the difference in the relative size of imitative and spatial compatibility effects; the lack of interaction when the imperative and irrelevant stimuli are presented simultaneously; the relative speed of responses in a quintile analysis when the imperative and irrelevant stimuli are presented simultaneously; and the different time courses of the compatibility effects when the imperative and irrelevant stimuli are presented asynchronously. 相似文献
257.
Abstract The results of a meta-analysis of 75 controlled intervention studies between 1953 and 1985 concerning psychological preparation of children facing medical procedures are analyzed. Both the subject matter and methodological characteristics of the studies were subjected to multiple coding procedures. 125 controlled comparisons were carried out in the 75 studies. and 916 individual effect sue scores were calculated. The overall effect size was found to be 0.44. The effectiveness of modeling techniques, which were wed most frequently. was below average. With regard to coping-modeling films, systematic desensitization and cognitive-behavioral packages, the effect of psychological preparation is dependent in large pan on the methodological quality of the control strategy. Very few evaluations have been made of interventions with children considered to be at risk for psychological stress. Preparation r measures can attain higher effect rue scores when they are undertaken in conjunction with major medical operations. series of treatments or children in poor health. With regard to the validity of the studies analyzed, no relationship could be found with the effect size scores. In general, the poor level of documentation of the reported research findings is criticized. 相似文献
258.
Richard a. Young M. Judith Lynam Ladislav Valach Helen Novak Iona Brierton Ada Christopher 《Psychology & health》2013,28(6):853-868
Abstract A qualitative research method based on action theory is proposed and illustrated for use in health psychology and health promotion research. Action refers to the goal-directed and intentional behaviors of individual and groups. Action theory has the advantage of using the perspectives provided by manifest behavior, internal processes, and social meaning in the analysis of action. In this article, the actions under consideration are the health-related conversations of parents and their adolescent children. The approach is premised on an understanding of health promotion as a family task constructed through actions such as conversations between family members. Health conversations in two parent-adolescent dyads are used to illustrate the method. The analysis includes the identification of goals, functional steps, and elements and their relation to the family health promotion project. Specific attention is paid to data gathering and analysis issues and their implications for health promotion research. 相似文献
259.
Renato Pisanti Maria Pia Gagliardi Simona Razzino Mario Bertini 《Psychology & health》2013,28(4):523-536
As a part of a larger cross-cultural investigation (Euroteach) which involves 11 European countries and 2 182 secondary school teachers, two were the aims of the present study: (1) to examine the relationship between job conditions and wellness/health outcomes on a group of 169 Italian secondary school teachers, by using the Job Demand-Control-Support (JDCS) Model (Karasek and Theorell, <citeref rid="bib24">1990</citeref>); (2) to analyse the differences with other European countries in the light of specific cultural differences. Controlling for age and gender, results of hierarchical regression indicated that job control and social support combine in different additive patterns with job demands to explain the well-being outcomes (job satisfaction, emotional exhaustion, depersonalisation, somatic complaints). The predictor's linearity check indicated that the job demands variable is curvilinearly associated both with emotional exhaustion ( p<0.005) and with somatic symptoms ( p<0.01). As compared to the average of the other European countries, on the positive side, the Italian teachers manifest both a higher degree of personal accomplishment and a lesser degree of depersonalisation; on the other hand, they claim a lesser degree of social support and a higher degree of somatic complaints. 相似文献
260.
Nick Midgley 《Journal of Child Psychotherapy》2013,39(2):122-147
Abstract Since Freud's own time, there has been great deal of debate about the most appropriate research methodology for investigating psychoanalytic psychotherapy [Fonagy, Journal of Child Psychotherapy, 29 (2): 129 – 136, 2003; Rustin, Journal of Child Psychotherapy, 29 (2): 137–145, 2003]. The single case study, which has a long tradition both within child psychotherapy and the wider research field, has been widely criticised as an approach to research, even while its contribution to clinical practice, the development of new ideas and teaching have been acknowledged. After reviewing the history of case study as a research method, this paper argues that there are a broad range of approaches to the study of the single case, each of which may be appropriate depending on the particular research question. Each of these approaches, however, must respond to the three perceived weaknesses of the clinical case study as a research method: the ‘data problem’, the ‘data analysis problem’ and the ‘generalisability problem’. This paper outlines the nature of these criticisms and, using many examples of actual research projects, suggests various ways in which the criticisms can be addressed, in order for the single case study to re-gain its place at the heart of psychoanalytic research. 相似文献