Life design counselling effects on the career adaptability of learners in a selective independent school setting

This collective case study applied life design counselling to augment the career adaptability of learners in a South African independent school setting. Five purposively selected learners attending Grade 11 (age range: 16–18) completed eight group-based life design counselling sessions. Data on their career adaptability pre- and post-intervention were gathered from sessional notes. The data were thematically analysed. Following the intervention the participants displayed improved career adaptability as evidenced by their demonstrated efforts to address aspects related to career concern, control, curiosity and confidence. Life design counselling appeared to have a positive effect on the career adaptability of learners in an independent school setting.     

Parental Involvement in Career Development among Disadvantaged Adolescents

The study investigated perceived parental involvement in career development amongst disadvantaged adolescents. Participants were 14 Grade 9 learners (8 boys and 6 girls: mean age =14 years) from a disadvantaged community in North-West Province in South Africa. Data were collected using semi-structured interviews, and analyzed thematically. Perceived constructive verbal persuasion or encouragement was influential in parents' facilitation of career development in their adolescent children. One-way communication from the parents to the adolescents was perceived to be non-supportive of their career development. Vicarious learning was manifested in the adoption of well-known people as role models in the absence of parental role models.     

Sport and Thought. Football as therapy: A year in the life of an inner city project

‘Sport and Thought. Football as therapy, A year in the life of an inner city project’ is a paper based on a way of working that fuses football and psychodynamic thinking. The project was set up at inner city all-boys secondary school in London and was created in response to the growing need for a therapeutic intervention which was accessible to adolescent boys who would not engage via more traditional therapeutic routes. The project works with adolescents experiencing behavioural and emotional difficulties. Sport and Thought is a way of working with adolescents that fuses the sport of football, psychodynamic thinking and theory to create a space to encourage thought and act as a catalyst to promote emotional and behavioural change. Sport and Thought believes an individual’s reactions within a sporting context are no different to a societal one, and thus the sport of football can be used to enable participants to consider their own emotional and behavioural traits, and the underlying reasoning behind them.     

The Invisible Griever

Many people are equipped, through crisis intervention strategies and plans, to handle the immediate ramifications of a death within a particular school or community system. However, after the crisis has passed the question generally surfaces as to how one can help the children who have been greatly impacted by the death and are in the midst of the grieving process. The grieving child has often been invisible to adult caregivers like counselors, teachers, and school psychologist. The means of helping a child who has experienced a death in his family can be greatly enhanced by the developmcnt of grief support groups. Through the use of support groups children can learn to share their feelings, discover that they are not alone, and move through the grieve process.     

A Self-Modeling Intervention for High School Students with Public Speaking Anxiety

ABSTRACT

The study investigated the effectiveness of self-modeling as an intervention for public speaking anxiety. The participants were six high school students with elevated levels of self-reported public speaking anxiety. Students presented public speeches to randomly selected peer audiences. Direct observations measured the behavioral manifestations of public speaking anxiety. In the intervention phase, students viewed self-modeling videotapes that were edited to remove speech dysfluencies and behavioral symptoms of speech anxiety. The self-modeling tapes depicted only adaptive, exemplary behavior with an edited-in audience feature making it appear that the students were producing a fluent speech to an audience of their peers. All of the participants evidenced substantial decreases in behavioral symptoms of speech anxiety and these changes were maintained throughout follow-up. The range of the participants' effect sizes was 2.7 to 4.9. Self-report measures of state anxiety and confidence as a speaker were used to assess additional effects of treatment. For all participants, there were also substantial decreases in self-reported public speaking anxiety and state anxiety from baseline to follow-up. A post-treatment interview revealed high social validity and self-reported generalization of treatment.     

Clinical Management of Gender Dysphoria in Adolescents

SUMMARY

This paper aims to provide professionals working with adolescents with gender-dysphoric feelings practical clinical guidelines for diagnosis and treatment. The different phases of the assessment procedure and treatment process are described. Differential diagnostic considerations and possible psychotherapeutic treatment options are given. Physical interventions, including GnRH analogues to inhibit puberty and cross-sex hormones, are described with consideration of eligibility and readiness issues. We end with discussion of post-treatment evaluation.     

The relationship between emotional clarity and suicidal ideation among trauma-exposed adolescents in inpatient psychiatric care: does distress tolerance matter?

ABSTRACT

The present investigation examined associations between low emotional clarity (the extent to which individuals are confused about the specific emotions they are experiencing) and suicidal ideation in a diverse sample of trauma-exposed inpatient adolescents, as well as the moderating role of distress tolerance (DT) in this association. Participants (N = 50; 52.0% female; M = 15.1 years, SD = .51; 44% White) completed measures of emotion dysregulation, posttraumatic stress disorder (PTSD), and suicidal ideation/attempts, as well as a behavioral measure of DT. Controlling for age, gender, presence of mood disorder, and past history of attempts, results revealed a significant interaction between DT and low emotional clarity in relation to suicidal ideation. Specifically, lower emotional clarity was related to suicidal ideation at higher, but not lower, levels of DT. Findings suggest that presence of suicidal ideation among traumatized youth with low emotion clarity is most likely when these emotional deficits are coupled with a high tolerance for cognitive/psychological distress. Given that the ability to withstand distress is arguably a key factor in transitioning individuals from ideation to lethal suicidal behavior, attention to the presence of this construct in the context of clinical practice may be warranted.     

Coping among children and adolescents with chronic illness

The present study was aimed to investigate age and gender effects on coping with everyday stressors among children and adolescents with chronic illness and healthy controls. Patients (8–13 years of age) with asthma (n=47), atopic dermatitis (n=52), and cancer (n=57) were compared to healthy controls (n=158) matched by age, gender, and grade. Self-report data on coping with academic and interpersonal stressors were collected. The primary results indicated that coping with everyday stressors was improved in children and adolescents with chronic illness compared to healthy controls. Thus, patients reported less passive avoidance on cross-situational coping and tended to show more situation-specific coping with social and school-related stressors than healthy controls. Additionally, among the clinical groups, patients with atopic dermatitis and cancer scored higher on positive self-instructions than patients with asthma. Conclusively, the results suggest that coping with a chronic illness may lead to more effective coping with everyday stressors. Implications for evaluating coping styles in patients with chronic illness are discussed.