Qu’est-ce que les professionnels dévoilent d’eux-mêmes dans la relation thérapeutique avec les personnes atteintes de schizophrénie ?

IntroductionHealth professionals’ self-disclosure is a common practice, but there is still controversy regarding when it is appropriate, what the extent and content of self-disclosure should be, and what the clinical consequences are.ObjectivesThis qualitative study aimed to investigate self-disclosure in health and social-care professionals.MethodThirteen in-depth interviews with group leaders of an intervention to improve pleasure and motivation in schizophrenia. The interviews were subjected to thematic analysis.ResultsProfessionals describe their personal disclosures as authentic sharing of lived experiences. From a content point of view, professionals select simple events from their personal or professional life, which they find easy to share with patients, in a group. The selection criteria for these experiences mainly concern the therapeutic value and are formulated in terms of relevance of the content and the usefulness envisioned for the patient as well as authenticity. Self-disclosure generates a redefinition of the places in interaction and a more egalitarian relationship.ConclusionSelf-disclosure is found to be a tool for developing and maintaining the therapeutic relationship. Further studies of the phenomenon would be useful to design training and supervision for professionals.     

Sharing therapeutic experiences of place: Co-creative digital storytelling as a way to explore connection to place

This paper explores two seemingly diverse case studies that share stories of place through co-creative media digital storytelling practices. The co-creative media practice of digital storytelling is applied as a framework to extend the current understanding of community issues in their individual contexts. Case one applied digital storytelling as a tool to investigate aged-care residents' therapeutic landscape experience. In Case two, it explores local communities’ experience of flood and how digital storytelling was applied as a way to relieve trauma. This research adopts a comparative case studies methodology. With the two cases in very different contexts, common themes of “a sense of identity”, “memories and belonging” and “therapeutic narratives” emerged. Findings suggest digital storytelling enables social connection. It also engages with memories as narratives and is an effective way to recall significant experiences, in our research contexts, therapeutic experiences. Finally, digital storytelling as a co-creative practice is also a way to build resilience and contribute to co-creating places.     

儿童语言和认知（思维）发展的关系

在对幼儿从出生到３岁语言发展追踪研究和有关实验研究结果的基础上,比较、分析儿童语言和认知（思维）发展的各阶段及起作用的因素,探讨语言发展和认知发展的关系,提出以下几点看法：（１）儿童在１岁前（前语言期）的具体思维阶段有认知（有感知、记忆、表象和思维）,但还没有真正的语言。这说明语言不是先于思维,也不是所有的思维都与语言相联系。但是,人类特有的抽象思维却与语言有着密切的联系。（２）认知（思维）发展是语言发展的基础。（３）认知（思维）发展和语言发展的关系是双向的,辩证的,是复杂地交互作用的。（４）应以辩证的唯物主义的观点来看语言和认知（思维）的产生。人类所以有语言,有高度抽象概括的思维,都源于人类的实践活动。     

Recent advances in research on school-based extracurricular activities and adolescent development

Updating a previous systematic review of the literature, this review summarizes the literature over the last 5 years on the relationship between school-based extracurricular activity participation and academic achievement, substance use, sexual activity, psychological adjustment, and delinquency. The review also considers mediators and moderators of these relationships. This review also discusses recent advances in activity research including participation measurement (intensity, breadth, and duration), person-centered approaches, and an exploration of the overscheduling hypothesis. The review reveals a mixed picture of the relationship between activity participation and these adolescent developmental outcomes. A call for continued exploration into measurement issues, analysis approaches, outcome measures, and causal models of activities and adolescent functioning is made.     

Transference,triangles and trajectories

In this article the author addresses the issue of the need to lessen the likelihood of a regressive transference neurosis in short-term therapy. He examines the role that active interpretation of the transference can have in shaping the transference so that it remains at the level of the transference that is ubiquitous. He explores the relationship between such an active interpretative approach and the need for the therapist to be empathic and sensitive to the patient and to allow space for a patient's independent discoveries. The author describes the role of the Central Therapeutic Focus, as a constellation of the Triangles of Insight, in guiding the therapist to select those manifestations of the transference to interpret, and in enabling the therapist to retain a stance that is sensitive and empathic. The Central Therapeutic Focus is contrasted with the concept of the Central Issue, and with the latter's more specific attention to the contribution that it makes to the therapist's communication of their empathic understanding of the patient's difficulties. The nature of the relationship between the therapist and the patient in short-term therapy is explored further and the connections between companionable interaction, ego-relatedness and the matrix of the transference are outlined. The author proceeds to consider the nature of the process of working through in short-term therapy and of the need to attend to the patient's external world as the place in which this can occur. The contribution of the Central Therapeutic Focus in shaping the trajectory through which the patient and therapist attend to the external world is examined. This in turn is linked to the identification of a patient's ordinary solution to their problem as a means of resolving their Dilemma. The article concludes with a case example that illustrates these themes.     

Spiritual Activities for Adults with Alzheimer's Disease: The Cognitive Components of Dementia and Religion

SUMMARY

Engaging adults with Alzheimer's disease in activities can prevent disease related agitation. Finding meaningful and enjoyable activities proves to be a difficult task due to severe damage to explicit memory and executive functioning. Fortunately, many spiritual and religious activities rely on more resilient cognitive features such as procedural memory and limbic system aspects of attachment and motivation. Such spiritual activities, if properly selected, can be used to engage adults with dementia. This approach, called Procedural and Emotional Religious Activity Therapy, can be used by various religious traditions and extended to multiple therapeutic venues.     

Developing the therapeutic relationship: from 'expert' professional to 'expert' person who stutters

This article looks back over the years and identifies some of the most influential thinkers, writers, and researchers who have had a profound effect on the way the therapy at the Michael Palin Centre for Stammering Children in London has evolved. It tracks the changes that have occurred in theoretical perspective, treatments offered, and the delivery of therapy. In particular this author is interested in the changing nature of the therapeutic relationship between professionals and people who stutter (PWS), and describes the way it has developed from the “expert professional” towards a more collaborative relationship that recognises the “expert patient”. It was inspired by a book written in 1902 by Mr Beasley, a person who stammered. After several unsuccessful attempts to find a ‘cure’ he found his own solution to his stuttering and then used what he had learned to help many others. Much of what he wrote was well ahead of his time and reminds us, the professionals, of the importance of listening to and taking account of the views of PWS in therapy and designing treatment that meets the needs of the individual. This article also looks briefly at evidence based practice (EBP) and the issues involved in measuring outcomes that reflect the complex and individual nature of the problem. Finally the importance of the research in developing the knowledge and skill base of clinicians as well as PWS is acknowledged and discussed and the way ahead signposted.Educational objectives: The reader will learn about (1) the early history and development of stuttering therapy, (2) the influence of a variety of psychotherapeutic approaches, (3) the relevance of designing therapy to meet the needs of the PWS, and (4) discuss the role of ‘common’ factors in EBP.     

Reductive and Emergent Views on Motor Learning in Rehabilitation Practice

To allow different views on motor learning to inform rehabilitation research, the authors aimed to explicate a frequently missed yet fundamental difference in starting point of such views. By considering how rehabilitation in practice answers the question of what parts an activity consists of, reductive and emergent approaches to motor learning are identified and traced throughout rehabilitation practice. The authors show that when a task is cut up along reductive dimensions while also apparently relying on emergent components, this unequally favors the reductive approach and acts to limit the views on motor learning available. By showing the approaches in practice, the authors hope to inspire an awareness that brings both approaches the opportunity to independently inform research so that new theories and practices can proliferate.