How do counsellors make client assessments?

This paper reports on a consultation exercise undertaken with 18 experienced counsellors on how they make client assessments. These practitioners expressed a high degree of consensus on the purposes of assessment making (to reach a shared understanding with the client about their willingness and ability to undertake a shared therapeutic journey) but the way in which they approached the task varied according to the theoretical orientation they acquired during training. Although most had developed their counselling skills and techniques considerably since initial training, not all had integrated the assessment implications of later experience into their formulation making. The implications of combining single model assessment with eclectic practice are discussed, particularly in relation to making a decision to continue working with a client or to refer a client to a colleague. The authors call for further debate on how counsellors find meaning in what their clients say, why they ask the questions they do at the assessment stage, and how they achieve coherence in relation to ideas and skills accrued through ongoing training and practice. The implications of such a debate for training and supervision are discussed.     

Developing therapist self‐understanding through research

This paper explores the application of reflexive action research in practice by examining a piece of the author's previously published work. A process of inquiry is described that involves reflexively engaging with original formulations in order to further continuing professional development. Guidelines for conducting this kind of research are described.     

西方心理疗法的整合趋势及其前瞻

由于认识到各种心理疗法皆有不足,故从20世纪70年代以后,人们开始探讨心理疗法的整合问题。可从总体上把它划分为三个彼此关联的层面：技术上的折衷;寻求对疗效起作用的共同因素;以及理论上的整合。心理疗法整合的目的并不是要到一个能囊括一切的完美的体系,而是让人们以更为开放的态度和更为开阔的眼光,多维度、多视角地探索各疗法间相得益彰的方式。     

文本阅读中简单推理情境下的信息整合

研究采用动窗技术探讨了文本阅读中需要简单推理情境下的信息整合发生的时机。本研究通过三个实验证明了在需要简单推理情境下的文本阅读中 ,需要推理的信息整合是即时发生的 ,而不是经过追溯才发生 ,在这种情况下支持文本阅读的更新追随假设理论。同时本研究发现文本阅读中协调性整合不是以词为单位的。     

Why Does Disaster Recovery Work Influence Mental Health?: Pathways through Physical Health and Household Income

Disaster recovery work increases risk for mental health problems, yet the mechanisms underlying this association are unclear. We explored links from recovery work to post‐traumatic stress (PTS), major depression (MD), and generalized anxiety disorder (GAD) symptoms through physical health symptoms and household income in the aftermath of the Deepwater Horizon oil spill. As part of the NIEHS GuLF STUDY, participants (N = 10,141) reported on cleanup work activities, spill‐related physical health symptoms, and household income at baseline, and mental health symptoms an average of 14.69 weeks (SD = 16.79) thereafter. Cleanup work participation was associated with higher physical health symptoms, which in turn were associated with higher PTS, MD, and GAD symptoms. Similar pattern of results were found in models including workers only and investigating the influence of longer work duration and higher work‐related oil exposure on mental health symptoms. In addition, longer worker duration and higher work‐related oil exposure were associated with higher household income, which in turn was associated with lower MD and GAD symptoms. These findings suggest that physical health symptoms contribute to workers’ risk for mental health symptoms, while higher household income, potentially from more extensive work, might mitigate risk.     

Visual perceptual and handwriting skills in children with Developmental Coordination Disorder

ObjectiveChildren with Developmental Coordination Disorder demonstrate a lack of automaticity in handwriting as measured by pauses during writing. Deficits in visual perception have been proposed in the literature as underlying mechanisms of handwriting difficulties in children with DCD. The aim of this study was to examine whether correlations exist between measures of visual perception and visual motor integration with measures of the handwriting product and process in children with DCD.MethodThe performance of twenty-eight 8–14 year-old children who met the DSM-5 criteria for DCD was compared with 28 typically developing (TD) age and gender-matched controls. The children completed the Developmental Test of Visual Motor Integration (VMI) and the Test of Visual Perceptual Skills (TVPS). Group comparisons were made, correlations were conducted between the visual perceptual measures and handwriting measures and the sensitivity and specificity examined.ResultsThe DCD group performed below the TD group on the VMI and TVPS. There were no significant correlations between the VMI or TVPS and any of the handwriting measures in the DCD group. In addition, both tests demonstrated low sensitivity.ConclusionClinicians should execute caution in using visual perceptual measures to inform them about handwriting skill in children with DCD.     

On the Integration of Need‐related Autobiographical Memories among Late Adolescents and Late Adults: The Role of Depressive Symptoms and Self‐congruence

Within self‐determination theory, integration denotes the process through which people accept past and present experiences and harmonize these experiences within their sense of self. We investigated associations between indicators of successful and poor integration of need‐related memories and memory‐related affect. We also examined the role of depressive symptoms and self‐congruence as antecedents of these indicators. Moreover, we investigated whether late adults, compared with late adolescents, were better capable of integrating need‐frustrating memories through higher levels of self‐congruence. Participants were 132 late adolescents (Mage = 17.83) and 147 late adults (Mage = 76.13), who reported on their level of depressive symptoms and self‐congruence. Next, participants generated a need‐satisfying and need‐frustrating memory and reported on the memories' integration (in terms of acceptance, connection and rumination) and associated affect. Whereas depressive symptoms related mainly to the poor integration of need‐frustrating memories, self‐congruence related positively to the integration of both need‐satisfying and need‐frustrating memories. In turn, integration was related to more positive and less negative affect. Late adults scored higher than late adolescents on the integration of need‐frustrating memories, an effect that was partly accounted for by late adults' elevated self‐congruence. Results suggest that self‐congruence, depressive symptoms and age play a role in the integration of need‐based autobiographical memories. Copyright © 2016 European Association of Personality Psychology     

Feature confirmation in object perception: Feature integration theory 26 years on from the Treisman Bartlett lecture

The Treisman Bartlett lecture, reported in the Quarterly Journal of Experimental Psychology in 1988, provided a major overview of the feature integration theory of attention. This has continued to be a dominant account of human visual attention to this day. The current paper provides a summary of the work reported in the lecture and an update on critical aspects of the theory as applied to visual object perception. The paper highlights the emergence of findings that pose significant challenges to the theory and which suggest that revisions are required that allow for (a) several rather than a single form of feature integration, (b) some forms of feature integration to operate preattentively, (c) stored knowledge about single objects and interactions between objects to modulate perceptual integration, (d) the application of feature-based inhibition to object files where visual features are specified, which generates feature-based spreading suppression and scene segmentation, and (e) a role for attention in feature confirmation rather than feature integration in visual selection. A feature confirmation account of attention in object perception is outlined.     

Integration of spatial information across vision and language

Three experiments investigated whether spatial information acquired from vision and language is maintained in distinct spatial representations on the basis of the input modality. Participants studied a visual and a verbal layout of objects at different times from either the same (Experiments 1 and 2) or different learning perspectives (Experiment 3) and then carried out a series of pointing judgments involving objects from the same or different layouts. Results from Experiments 1 and 2 indicated that participants pointed equally fast on within- and between-layout trials; coupled with verbal reports from participants, this result suggests that they integrated all locations in a single spatial representation during encoding. However, when learning took place from different perspectives in Experiment 3, participants were faster to respond to within- than between-layout trials and indicated that they kept separate representations during learning. Results are compared to those from similar studies that involved layouts learned from perception only.     

Clinical Exchange: The Architectural Failure

The Clinical Exchange invites eminent clinicians of diverse persuasions to share, in ordinary language, their clinical formulations and treatment plans of the same psychotherapy patient—one not selected or nominated by those therapists—and then to discuss points of convergence and contention in their recommendations. This Exchange concerns a Mr. L, a 47-year-old, married man presenting for outpatient individual psychotherapy with chief complaints of depression, anxiety, and a lengthy history of vocational underachievement. Drs. Herbert Fensterheim, Leslie Greenberg, and Leigh McCullough, who anchor their practices in the cognitive-behavioral, experiential, and psychodynamic orientations, respectively, are the featured commentators. Finally, Dr. Jerold Gold, the case contributor and Mr. L's psychotherapist, provides a few closing comments.