From trainee to trainer: crossing over to the other side of the fence

This article discusses the authors' experiences of the transition from trainee to trainer on a psychotherapeutic training programme, and some of the challenges involved. Using the framework offered by Rizq (2009), the article examines the many parallel processes implicit in the roles of trainee, trainer and therapist. We explore these using examples from personal experience and psychodynamic theory and concepts. We believe our experience illustrates one of the transitions that are inevitable throughout the process of training, qualifying and practising as therapeutic practitioners. These transitions, whilst often fraught with difficulty, are invariably paramount to the process of reflection and development as a practitioner and teacher. Therefore, this article hopes to formulate a deeper understanding of this edifying, yet challenging transition.     

Training attentional control and working memory – Is younger,better?

Authors have argued that various forms of interventions may be more effective in younger children. Is cognitive training also more effective, the earlier the training is applied? We review evidence suggesting that functional neural networks, including those subserving attentional control, may be more unspecialised and undifferentiated earlier in development. We also discuss evidence suggesting that certain skills such as attentional control may be important as ‘hub’ cognitive domains, gating the subsequent acquisition of skills in other areas. Both of these factors suggest that attentional training administered to younger individuals ought to be relatively more effective in improving cognitive functioning across domains. We evaluate studies that have administered forms of cognitive training targeting various subcomponents of attention and the closely related domain of working memory, and we contrast their reported transfer to distal cognitive domains as a function of the age of the participants. Although negative findings continue to be common in this literature we find that cognitive training applied to younger individuals tends to lead to significantly more widespread transfer of training effects. We conclude that future work in this area should concentrate on understanding early intensive training, and discuss a number of practical steps that might help to achieve this aim.     

Counseling in Ireland

Counseling in Ireland has experienced rapid growth in the past 30 years. Public attitudes toward counseling have become more positive, especially with the increasing secularization of a once strongly religious Catholic society. Licensure is nonexistent but there are certification bodies that attempt to ensure qualified practice. There is no third‐party payment, so access to counseling for impoverished individuals is a problem. Training programs are quite varied. Efforts are being made to standardize training and to develop licensure requirements.     

两种训练方法对幼儿在园欺负行为的影响

该研究为了减少幼儿在园欺负行为,采用情境讨论法、角色扮演法对36名中班幼儿和39名大班幼儿的欺负行为进行为期一个月的训练.结果发现:角色扮演法和情境讨论法对减少幼儿的在园欺负行为都产生了一定的影响,但角色扮演法对幼儿在园欺负行为的影响效果显著,而情境讨论法的影响效果不显著,同时这两种训练方法的影响效果之间无显著性差异;训练对中班和大班幼儿的欺负行为都起到了一定的矫正作用,中班幼儿的在园欺负行为下降水平略高于大班幼儿,但并没有达到显著性差异;训练对减少中班男生和大班女生的在园欺负行为更有效果.     

An Introduction to Core Competencies for the Use of Mobile Apps in Cognitive and Behavioral Practice

Mobile technologies have become increasingly pervasive and integral in our daily lives. A growing number of mobile applications are focused on health applications with many specifically focused on helping the prevention, treatment, and management of mental health issues. These apps are slowly being introduced into clinical settings, either being brought in by clients who themselves are using these tools or by health systems or providers. Unfortunately, most practicing providers obtained their clinical training before the advent of mobile health tools and methods. Thus, a critical need exists to develop and disseminate resources to develop the essential skills needed to adopt mobile health techniques. We discuss the five core competencies in mobile health care: evidence, integration, security and privacy, ethics, and cultural considerations. Although this paper will not fully prepare a provider to use mobile apps in their practice, it provides an introduction that will helpfully guide a provider to additional resources and additional ways to develop these competencies. Finally, we discuss the future directions of the field, including a growing differentiation of the impact of mobile apps on clinical care and the need for training models and experiences to match this differentiation.     

Using Technology to Train and Sustain Delivery of Evidence-Based Practices

Practitioners face three challenges in delivering evidence-based practice: limitations in the evidence available to guide routine clinical decisions; limitations in clinical judgment that are hard to remedy with typical work routines; and the practical difficulties of training and sustaining the breadth of skills relevant to meet diverse patient needs in a generalist practice. We recommend designing practice environments that support development of excellent clinical judgment with use of standardized work routines that help detect relationships between clinical decisions, interventions, and patient outcomes. We describe examples illustrating how technology can support training and supervision within this framework.     

Enhancing spatial skills of preschoolers from under-resourced backgrounds: A comparison of digital app vs. concrete materials

Spatial skills support STEM learning and achievement. However, children from low-socioeconomic (SES) backgrounds typically lag behind their middle- and high-SES peers. We asked whether a digital educational app—designed to mirror an already successful, spatial assembly training program using concrete materials—would be as effective for facilitating spatial skills in under-resourced preschoolers as the concrete materials. Three-year-olds (N = 61) from under-resourced backgrounds were randomly assigned to a business-as-usual control group or to receive 5 weeks of spatial training using either concrete, tangible materials or a digital app on a tablet. The spatial puzzles used were an extension of items from the Test of Spatial Assembly (TOSA). Preschoolers were pretested and posttested on new two-dimensional (2D) TOSA trials. Results indicate that both concrete and digital spatial training increased performance on the 2D-TOSA compared to the control group. The two trainings did not statistically differ from one another suggesting that educational spatial apps may be one route to providing early foundational skills to children from under-resourced backgrounds.     

Parents’ self-efficacy and the quality of supervised driving practice they provide for their children

Learner drivers must gain supervised driving practice in a wide variety of driving situations to prepare them for independent driving. This study investigated the way that sociodemographic factors, parental self-efficacy and driving self-efficacy of parents are associated with the quality of supervised driving practice they provide to their learner driver children. An online survey was completed by 293 fully licensed parents (female = 86%) of learner (52%) and provisional (intermediate; 48%) drivers from Queensland, Australia. A variable indicating quality of supervised practice was defined based on the understanding that higher frequency and greater variety of driving situations and environments represents higher quality supervised practice. Hierarchical multiple regression was used to analyse parent responses. As predicted, driving self-efficacy was significantly and positively associated with quality of supervised practice. However, no significant association was found between parental self-efficacy and quality of supervised practice. Parent gender and perceived level of involvement were also important predictors of supervised practice quality. The association between previous experience with providing supervised practice and supervised practice quality was unclear. A key implication of this research is that devising methods to improve the driving self-efficacy of parents may contribute to provision of more frequent and varied supervised practice.     

工作记忆训练诱发的神经可塑性——基于系列fMRI实验的脑区分布递减时空模型

工作记忆训练(Working Memory Training, WMT)诱发神经可塑性, 但其具体机制尚不明晰。为探索WMT改变正常人群大脑功能的时空特性, 以“扩展的智力顶额整合理论”和“神经效率假说”为依据, 采用逐层递进的5种方法, 分6个步骤来查究近20年来正常人群WMT的37篇fMRI文献。第一步, 用叙述性综述、频数分析和卡方检验法比较脑区激活模式和脑网络功能连接在WMT前后发生的改变, 发现WMT改变了大脑的5个联合区、7个宏观区和3个子区。其中, 额上回、顶下小叶和扣带回这3个子区各自激活减弱的报道文献数量多于其激活增强的, 且这种差异分别具有统计学意义。第二步, 采用激活似然估计法对其中26篇开展元分析, 发现大脑的3个子区激活减弱水平在WMT前后的差异具有统计学意义, 即额中回(BA6和8)、额上回(BA6)和前扣带回(BA24和32)。第三步, 综合定性和定量分析结果, 提出WMT脑区分布递减时空模型, 产生5个结果和讨论。第四步, 采用非参数检验进一步追踪WMT效应的调节因素, 发现训练的任务类型和时间分别对脑区激活的影响具有统计学意义。第五步, 针对正常人群WMT诱发神经可塑性的时空特性, 得出3个结论：第一, WMT改变了正常人群相应脑区的神经活动, 表现为减弱或增强, 但减弱更加突出, 且更新和较短时间的WMT倾向于诱发较多减弱; 第二, 这些神经活动变化主要发生在额顶叶联合区, 但也包括分别以颞叶、枕叶、扣带回及纹状体为主的联合区, 在一定范围内体现了整脑功能联合。这体现了WMT诱发神经可塑性的空间特性, 且符合“扩展的智力顶额整合理论”; 第三, 额中回、额上回、顶下小叶和扣带回(尤其前扣带回)这4个子区在激活减弱水平上重点展示了WMT神经可塑性的时间特性, 且符合“神经效率假说”, 恰好体现出“聪明的大脑更懒惰”。第六步, 指出WMT诱发神经可塑性的未来研究可能关注脑可塑性中的低活跃性、辨析额中回、额上回、顶下小叶和扣带回(尤其前扣带回)这4个子区在激活减弱水平上体现的时间特性、找寻训练减弱或增强大脑活动的综合性影响因素。