Perfectionism and Acceptance

The present paper argues that there is both a positive and a negative form of perfectionism, and that they can be differentiated in terms of acceptance. The basic argument is that there is nothing unhealthy or dysfunctional about the striving for perfection as such—perfectionism, however, becomes dysfunctional when this striving for perfection turns into a demand for perfection, defined as an inability to accept being less than perfect. Positive perfectionism, in other words, is viewed as a dialectic combination of (a) a striving for perfection, and (b) the acceptance of non-perfection. Some therapeutic implications are discussed, and some directions for further research are pointed out.     

箱庭疗法在灾后心理援助与辅导中的应用

本文简述了箱庭疗法引入灾后心理援助工作的在可行性,介绍了以"心"为主题的心理危机援助模式,并报告了存灾区活动板房内使崩箱庭疗法为一名初中一年级学生进行心理咨询的过程,还报告了一位女教师通过箱庭制作梳理负面情绪的过程,说明箱庭疗法可以作为灾后心理援助与辅导的重要方法.     

强迫思维女大学生的箱庭疗法个案研究

探讨箱庭疗法对强迫思维患者的有效性和治疗过程.采用个案研究法,对一名强迫思维女大学生进行12次箱庭治疗,结果发现:来访者的箱庭治疗经历了问题呈现-斗争对抗-转化成长-治愈整合四个阶段;来访者的箱庭作品主题呈现出由"受伤主题"向"治愈主题"的转化.经过箱庭治疗,来访者的强迫症状得以缓解,来访者的内心世界从创伤走向治愈.     

Cultural, Gender, and Socioeconomic Contexts in Therapeutic and Social Policy Work

The contention of this paper is that the context of social and therapeutic problems is critical to their resolution, and that many of them stem from historical and structural injustice. It focuses on the contextual issues of cultural, gender, and socioeconomic equity as providing important insights into authentic notions of social inclusion and well-being, and encourages therapists, service providers, researchers, and policy makers to take responsibility to ensure that these injustices are addressed, and become part of the public discourse about the sources and solutions of endemic social problems. Critique and deconstruction of institutional power in our public, private, and voluntary services is encouraged in a manner that honors diversity and enables sensitive therapy, other forms of service delivery and policy making that genuinely reflect the range of cultural, gender, and socioeconomic experiences of citizens.     

Multidimensional Family Therapy HIV/STD Risk-Reduction Intervention: An Integrative Family-Based Model for Drug-Involved Juvenile Offenders

Drug and juvenile justice involved youths show remarkably high rates of human immunodeficiency virus (HIV)/sexually transmitted disease (STD) risk behaviors. However, existing interventions aimed at reducing adolescent HIV risk behavior have rarely targeted these vulnerable young adolescents, and many approaches focus on individual-level change without attention to family or contextual influences. We describe a new, family-based HIV/STD prevention model that embeds HIV/STD focused multifamily groups within an adolescent drug abuse and delinquency evidence-based treatment, Multidimensional Family Therapy (MDFT). The approach has been evaluated in a multisite randomized clinical trial with juvenile justice involved youths in the National Institute on Drug Abuse Criminal Justice Drug Abuse Treatment Studies ( http://www.cjdats.org ). Preliminary baseline to 6-month outcomes are promising. We describe research on family risk and protective factors for adolescent problem behaviors, and offer a rationale for family-based approaches to reduce HIV/STD risk in this population. We describe the development and implementation of the Multidimensional Family Therapy HIV/STD risk-reduction intervention (MDFT-HIV/STD) in terms of using multifamily groups and their integration in standard MDFT and also offers a clinical vignette. The potential significance of this empirically based intervention development work is high; MDFT-HIV/STD is the first model to address largely unmet HIV/STD prevention and sexual health needs of substance abusing juvenile offenders within the context of a family-oriented evidence-based intervention.     

Small Acts of Living: Everyday Resistance to Violence and Other Forms of Oppression

The author describes an approach to therapy which is based on the observation that whenever persons are badly treated, they resist. Case illustrations are given in which individuals seeking therapy had been subjected to violence and oppression.     

Solution-Focused Therapy in Prison

This is a report on a combined therapy and research project conducted with a seriously criminal population in Swedish prisons and using a Solution-Focused Brief Therapy approach with a focus on networks. Recidivism was significantly lower and less serious among experimental group participants. A case study is included.     

Tasteful Solutions: Solution-Focused Work with Groups of Immigrants

Solution-focused family therapy is well established as a method in the therapeutic field. Less is written regarding solution-focused thinking and practice in preventive work, providing health information. Informed by the work of Insoo Kim Berg and Steve de Shazer, a workshop of primary health care was established in an inner city area of Oslo, Norway in 1994 with a major task of developing methods for providing information about health issues for immigrants as well as the native population. Results from an evaluation of this work are presented and some issues are related to empowerment work and especially Paulo Freires' liberating dialogue.     

Evaluating Trainees' Skill Development: The Family Therapy Skills Checklist

Training competent therapists is the fundamental goal of supervisors. Supervisors and academic programs need to increase efforts to identify and operationalize therapeutic skills required for trainees. This study examines the Family Therapy Skills Checklist (FTSC) designed to assess therapists' conceptual, behavioral, and professionalism skills. The 315 separate evaluations by therapists-in-training and their supervisors' indicated a high level of inter-rater consistency and the ability to discriminate between advanced, struggling, and beginning therapists. Recommendations for further research are suggested.     

Acute treatment of inpatients with psychotic symptoms using Acceptance and Commitment Therapy: pilot results

Cognitive behavior therapy (CBT) has been demonstrated in a number of randomized controlled trials to be efficacious as an adjunctive treatment for psychotic disorders. Emerging evidence suggests the usefulness of CBT interventions that incorporate acceptance/mindfulness-based approaches for this population. The current study extended previous research by Bach and Hayes (2002. The use of Acceptance and Commitment Therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 70, 1129-1139) using Acceptance and Commitment Therapy (ACT) in the treatment of psychosis. Psychiatric inpatients with psychotic symptoms were randomly assigned to enhanced treatment as usual (ETAU) or ETAU plus individual sessions of ACT. At discharge from the hospital, results suggested short-term advantages in the ACT group in affective symptoms, overall improvement, social impairment, and distress associated with hallucinations. In addition, more participants in the ACT condition reached clinically significant symptom improvement at discharge. Although 4-month rehospitalization rates were lower in the ACT group, these differences did not reach statistical significance. Decreases in the believability of hallucinations during treatment were observed only in the ACT condition, and change in believability was strongly associated with change in distress after controlling for change in the frequency of hallucinations. Results are interpreted as largely consistent with the findings of Bach and Hayes and warrant further investigations with larger samples.