The Effects of Emotional (Non-)Expression in (Chronic) Disease: A Meta-Analytic Review

Research on emotional (non-)expression is characterized by two facets; it has mainly focused on healthy individuals and it has failed to explore the relationships between the different concepts describing expression and non-expression. A meta-analysis was conducted in order to identify the differential effects of emotional expression and non-expression in patient samples. Results showed that neither expression, nor non-expression of emotions was related to perception of disease severity. Psychological distress increased in relation to emotional non-expression, but no effect was shown for emotional expression. Emotional non-expression was also related to adopting a helpless attitude towards the disease. The conceptual and methodological disparities identified in the retrieved studies undermined the validity of the emerged relationships. Reported changes in physical and psychological outcomes were related to the kind of research design, operationalization of (non-)expression and the clinical and psychological condition of the recruited samples. Implications for improving future research are discussed.     

The influence of implicit theories and message frame on the persuasiveness of disease prevention and detection advocacies

This research investigates the effectiveness of health message framing (gain/loss) depending on the nature of advocacy (prevention/detection) and respondents’ implicit theories (entity/incremental). Three experiments demonstrate that for detection advocacies, incremental theorists are more persuaded by loss frames. For prevention advocacies, incremental theorists are more persuaded by gain frames. For both advocacies (detection and prevention), entity theorists are not differentially influenced by frame. However, entity theorists are message advocacy sensitive such that they are more persuaded by prevention than detection advocacies, regardless of the message frame. These results are robust for measured as well as manipulated implicit theories and for different health contexts.     

Evaluating Addictions Counseling Programs: Promoting Best Practices,Accountability, and Advocacy

Program evaluation offers several benefits to addictions counselors, including identifying best practices, providing accountability to stakeholders, and advocating for minority client populations. This article reviews the benefits of addictions counseling program evaluation and outlines main steps in the evaluation process.     

Victim-Defendants in Mandated Treatment: An Ethical Quandary

Battered women are being arrested and convicted of domestic violence-related crimes in higher numbers than ever before. In addition, battered women are being sentenced to treatment as primary perpetrators even though their aggression was in response to the violence perpetrated against them. Many service providers are presently ill-equipped to offer treatment and/or other services that will effectively serve these women in a manner that will truly reduce violence and is not re-victimizing. This article will present key issues surrounding the problem, and provide suggestions for effective advocacy and intervention approaches.     

Thomas J. Sweeney: A Visionary Leader and Advocate for the Counseling Profession

The contributions of Thomas J. Sweeney to the counseling profession through professional leadership and advocacy, scholarship, teaching, and the development of Chi Sigma Iota are chronicled through a personal interview and comments from professional colleagues. Readers are provided with a sense of the depth and breadth of his more than 50 years of dedicated service.     

Reentry as Experienced by Women in Jail: Advocating for Change

We conducted a phenomenological study with 35 women in a substance abuse treatment jail program about their lived experiences in preparing for reentry. The women addressed their past, the needs of their families, and education of criminal justice personnel, providers, and the whole citizenry. The women advocated for effective reentry practices.     

Change schools through revolution,not evolution

The school's traditional practices are linked to current failures and to the limited prospects of future success. The major problems with current school practices are: adopting instructional programs that have never been fieldtested and revised on the basis of data; using diagnostic practices that blame the child as being the sole cause of poor performance; using testing techniques that do not imply curricular remedies; promoting children beyond their grade-level performance; failing to provide teachers with effective training and monitoring. Recommendations for changing the system to become accountable and databased include: bringing pressure from outside the system; lobbying for alternatives to public schools; promoting intervention by the board; involving parents in union negotiations; establishing committees of expert teachers to review administrative proposals and report to the board. The central feature of the plan is to fire administrators who fail to meet attainable student-achievement goals. This practice would ensure that administrators are reinforced when children succeed, a feature that is not part of current practices.     

危重病人的权利

危重病人作为较特殊的病人,其种种权利因病情、行动和医院等方面的原因,使得实现起来困难,我国正是因为医院管理,医疗制度和伦行等原因使危重病人的权利的行使存在了许多障碍。     

Patient experiences with treatment in private practice compared with public mental health services

The study compared patient experiences with psychiatric treatment provided by private practitioners and public outpatient clinics. Questionnaires were completed by 642 outpatients in private practice and 6,677 outpatients in public clinics. The questionnaire included a measure of patient experiences comprising six items: treatment outcome, enough time for contact and dialogue with clinician, clinicians' understanding of patient's situation, suitability of therapy and treatment, clinician follow-up of planned actions, and influence on treatment. Patients in private practice had generally better experiences than patients in public outpatient treatment. The difference between private and public patients was largest for patients with poor self-evaluated mental health or those who had just one consultation in the previous three months. Private practitioners appear to have an important role in mental health services delivery, and patients have relatively good experiences with services. Further studies that assess the patient - clinician interaction in different mental health services may give further insights into potential service improvements.