Leisure activities,caregiving demands and catecholamine levels in dementia caregivers

This study examined whether satisfaction from leisure activities moderates the relationship between caregiving demands (i.e., hours per day spent caring for a spouse with dementia) and resting levels of the catecholamines norepinephrine (NE) and epinephrine (EPI). Spousal caregivers (n?=?107; mean age?=?73.95?±?8.12 years) were assessed in home for plasma levels of NE and EPI, amount of care provided, and leisure satisfaction. Regression was used to determine whether leisure satisfaction moderated the relationship between hours providing care per day and catecholamine levels. A significant interaction was found between hours caregiving and leisure satisfaction for NE, but not for EPI. Post hoc regressions were conducted for both NE and EPI. At low leisure satisfaction, time spent caring for a spouse was positively associated with plasma NE (β?=?0.41; p?=?0.005) and EPI (β?=?0.44; p?=?0.003). In contrast, at high levels of satisfaction, time caregiving was not significantly associated with plasma NE (β?=?–0.08; p?=?0.57) or EPI (β?=?0.23; p?=?0.12). These findings suggest that leisure satisfaction may protect caregivers from increases in catecholamines, which have been implicated in cardiovascular risk. Further support for these findings may impact psychological treatments for distressed caregivers.     

Between the Horns: A Dilemma in the Interpretation of the Running of the Bulls – Part 1: The Confrontation

The essay, divided in two parts, examines the event of the running of the bulls (encierro in Spanish). The phenomenon of the encierro, a complex cultural activity of deep historical roots, demands to be understood: What drives people to risk injury or death at the horns of untamed bulls? How should we make sense of this, subjective and objectively? To answer these questions, I use a framework that relies on explanation and assessment of popular views on the way to arguing for a philosophical alternative. This arrangement is readily adaptable to many other sporting (and non-sporting) activities where risk and/or mass participation are key factors. Its unorthodox format – organised around an opening narrative of a paradigmatic, skilled and lucky run with the bulls, as well as hors texte (direct appeals to the reader) – brings the reader straight into the fray, philosophical and otherwise. Part I begins by presenting the history of the encierro. It also explains the dynamics of the event, often via images with pedagogical and critical side-commentaries. It proceeds to introduce and critically engage with prevalent explanations, most with ethnological tendencies, that conceive the running as tradition, rite, ritual and sport. This part ends with a dilemma whereby we either try to explain matters by resorting to particular and partial interpretations, or a ‘democratic’ conglomerate of superficial and confusing boundaries, or in the end we simply concede our inability to understand the phenomenon of the running of the bulls in toto. This philosophical impasse will be evaded in part 2 (Sport, Ethics and Philosophy 2, 1) via existentialist and phenomenological analysis.     

Extracurricular activities in young applicants’ résumés: What are the motives behind their involvement?

Applicants use résumés to demonstrate their knowledge, skills, abilities, and other personal characteristics (KSAOs) to recruiters, through education and job‐related or non‐job‐related experiences. But research suggests that the situation for young applicants is especially competitive, since they increasingly enter the labour market with similar educational credentials and limited job‐related experience. They may thus use non‐job‐related experiences, such as participation in extracurricular activities (ECAs) during their studies, to demonstrate KSAOs to recruiters, but also to add distinction and value to their credentials. ECAs may therefore become more important in the selection of young applicants. Yet few studies have undertaken a comprehensive and systematic analysis of the relationships students have with these activities. The purpose of this study was to investigate to what extent students’ involvement in ECAs is due to internal (e.g., passion) or external (e.g., résumé‐building) motives, and what factors influence these motives. Results from a study with 197 students suggest that students engage in ECAs mainly out of internal motives. But external motives are stronger for activities started closer to entering the labour market, for students active in associative or volunteering activities (as compared to sports or artistic activities), and for students holding leadership positions in their activities. Our results suggest that labour market pressure may be a key component of applicants’ involvement in ECAs. Also, organizations and recruiters may want to consider that students tend not to engage in ECAs purely out of internal motives, but also to add value to their credentials and match employers’ expectations.     

The therapist with her back against the wall

This clinical paper describes once weekly psychotherapy with two boys with traumatic histories. The way in which the trauma enters the consulting room and the relationship with the therapist is explored. Technical issues are discussed, particularly the understanding of the countertransference and its modulation in communication with the patient. The therapist's intense personal anxiety about failure and about management of the difficulties that arise is linked to the impact of trauma.     

In the spaces between – sustaining creativity in child psychotherapy

This paper gives an account of the developments in the intensive psychotherapy of a seven-year-old boy with global development delay. It also describes the adaptations to technique and the changes in the setting that were required to support the work, which was undertaken in a special school. The importance of the regularity of sessions in helping to establish object constancy; physical and mental boundaries in relation to me/not me; inside and outside is also explored. A central theme of the paper is how close observation can inform the understanding of the emotional states of disabled children, particularly those with little language. The paper draws links between the early communications of mothers and infants and the therapeutic relationship, with reference to music therapy. It describes banging as a form of communication and traces the development of banging into more coherent nursery rhymes arguing that this development is an internalisation of the rhythm of the therapy and of the growing understanding between the child and therapist.     

'Joined-up psychotherapy': the place of individual psychotherapy in residential therapeutic provision for children

This paper looks at the provision of individual psychotherapy within a residential setting for young children. It gives a brief historical context of the work of therapeutic communities, and describes one such community in detail. The paper emphasizes the need for psychotherapy to be fully 8 integrated into the overall treatment of severely damaged children, and seeks to raise questions about the need to modify ideas on confidentiality and boundaries in such a setting. Case material is presented to illustrate this.     

Occupational Therapists' Experience Concerning Occupational Performance in Adults With Asperger Syndrome

Persons with Asperger Syndrome often seem to have difficulty performing everyday occupations. This study aimed to describe occupational therapists' experience concerning abilities to occupational performance among adults with Asperger Syndrome. Data were collected in interviews with eight occupational therapists and analyzed using a qualitative method. Results showed that clients with Asperger Syndrome often possess abilities but seem to have difficulties knowing when, where, and how they should use them. The ability to adapt behavior in accordance with cues from the environment was identified as the core category. Environment plays a major role in how these persons interact in different situations.     

The Narrative/Collaborative Process in Couples Therapy:

A narrative approach to couples therapy provides a glance at the emerging postmodern dialogue. This article discusses changes in the therapeutic relationship, content, and process, emphasizing a feminist perspective. The client/therapist relationship is viewed as a collaborative process by which hierarchical distinctions are decreased. Externalization, deconstruction, and re-authoring are described and demonstrated through a clinical vignette. Our own evolving story as couples therapists is also presented.     

Gender,Racial, and Ethnic Differences in Job Context and Work-Activity Preferences

This study explores the effect of social norms in a military situation at the Royal Norwegian Air Force Academy. During the wintertime, standing on a wharf, officers were given the offer of jumping into the ocean or not. In the experiment (n?=?75), having an antijump norm induced by a confederate, the jump rate decreased from 76% to 51%. One implication of these findings is that the salience of one norm is a deciding factor when individuals have several conflicting norms.     

On integrity

This paper argues that, rather than statutory registration, it is the personal integrity of the individual practitioner that will best safeguard the interest of the client and ultimately the image and reputation of the counselling/psychotherapy profession within society. An attempt is made to define integrity as an absolute moral component of the personality and to consider its significance to the therapeutic relationship. Trust, too, is considered as a vital factor in this relationship. As well as the integrity of the individual practitioner, the integrity of the psychotherapy profession as a whole is considered with particular regard to its considerable reliance on the production of theory for its sense of self worth, as opposed to its efficacy as a therapeutic enterprise.