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941.
This paper introduces the concept of “dissociative collusion” as a helpful theoretical and clinical tool for understanding and working with clients with histories of trauma in couple therapy. The paper describes ways to diagnose and treat dissociative collusion based on the integration of an object relations approach, a relational approach, and a narrative approach. Dissociative collusion, a unique version of the well‐documented “couple collusion,” describes relational unconscious dynamics where split‐off aspects of one or both partners are mutually dissociated in a complementary fashion that becomes a part of the shared unconscious and is reenacted in destructive ways. The dissociative collusion concept is especially relevant to couple therapists who work with clients with histories of trauma, who frequently use dissociation as a primary defense mechanism. We suggest that the challenge and goal for couple therapy with this population are to help them reconnect and better oscillate between dissociated self‐other configurations. A case of couple therapy of a wife who had been a victim of childhood sexual abuse and her husband who displayed frequent use of dissociative defenses is presented. 相似文献
942.
A. Cantarella E. Borella B. Carretti M. Kliegel N. Mammarella B. Fairfield R. De Beni 《Psychologie Fran?aise》2021,66(2):157-171
IntroductionWorking memory (WM) training is known to produce benefits in older adults’ WM. Transfer effects to untrained abilities, however, remain controversial and several aspects are thought to influence the generalization of benefits, including the kind of stimuli used in the training tasks, an aspect rarely addressed in older adults.ObjectiveThe present study had two aims: (1) to test the efficacy of a visuospatial WM training procedure in older adults, in terms of specific and transfer effects; (2) to examine in two experiments whether the type of stimuli used in the training task influences the training's effectiveness. Experiment 1 adopted images with a neutral valence while experiment 2 used emotionally positive images based on evidence that older adults tend to remember positive stimuli better. In both experiments, specific training-related gains in a visuospatial WM task (the criterion task) and transfer effects on measures of verbal WM, visuospatial short-term memory, processing speed and reasoning were examined. Maintenance of training benefits was also assessed at an 8-month follow-up.MethodSeventy older adult (63–75 years old) volunteers (35 for experiment 1, and 35 for experiment 2) were randomly assigned to a training or active control group. The same visuospatial WM training procedure was used in both experiments, manipulating only the type of stimuli used (neutral in experiment 1 and emotionally positive in experiment 2).ResultsIn both experiments, only trained participants showed specific benefits in the WM criterion task. These gains were also maintained at the follow-up, but no transfer effects were identified.ConclusionOverall, our findings using the present visuospatial WM training paradigm suggest that it is less effective, in terms of transfer effects, than the same paradigm administered verbally in a previous study, regardless of the type of stimuli used in WM training tasks (neutral or emotionally positive stimuli). 相似文献
943.
Andreas Hinz Markus Zenger Katja Leuteritz Anja Mehnert-Theuerkauf Katja Petrowski 《International Journal of Clinical and Health Psychology》2021,21(3):100230
Background/Objective: To examine the impact of a disease on a person's subjective health state, patients are often asked to assess their current health state and to retrospectively assess how healthy they were before they fell ill. The objective of this study was to test whether patients generally overestimated the quality of their pre-disease health. Method: Six samples of patients with chronic diseases (cancer patients, cardiovascular patients, and patients diagnosed with sarcoidosis, N between 197 and 1,197) were analyzed. The patients assessed their current health states and their health states at the time before diagnosis. The retrospective scores were compared with matched data from general population studies. Results: In three of the six studies, the retrospective health ratings of the patients were significantly higher than the general population norms (effect sizes between 0.24 and 0.46), two studies yielded nonsignificant effects, and in one study there was an opposite trend. The general overestimation of pre-disease health was more pronounced in older patients as compared with younger ones, and it was more pronounced when global health/quality of life was to be assessed. Conclusions: Retrospective assessments of pre-disease health states are not appropriate for assessing disease-related changes in a person's health state. 相似文献
944.
Mareike Ernst Elmar Brähler Philipp S. Wild Jörg Faber Hiltrud Merzenich Manfred E. Beutel 《International Journal of Clinical and Health Psychology》2021,21(1):100201
Background/ObjectiveLong-term childhood cancer survivors (CCS) are at risk for adverse late effects. However, not all of them are well understood. The present study addressed loneliness, a previously under-researched mental health risk in cancer survivor populations. We assessed the prevalence of loneliness and its impact on psychological symptoms over time. Method: A registry-based sample of N = 633 adult long-term CCS underwent medical and psychological assessments and took part in a follow-up survey 2.5 years later. Psychological symptoms (somatic, anxiety, depression symptoms, and suicidal ideation) were measured using the Patient Health Questionnaire. We calculated linear regression models of symptoms at follow-up to investigate the impact of loneliness over time (controlling for symptoms at baseline and relevant confounders). Results: Loneliness was reported by 17.70% of CCS. In multivariate linear regression analyses, loneliness was still predictive of more severe anxiety symptoms and suicidal ideation over two years later. Loneliness did not predict somatic and depression symptoms at follow-up (which increased with age). Conclusions: Loneliness affected a significant number of CCS and was a risk factor for persistent anxiety symptoms and suicidal ideation. The extent to which young cancer patients’ re-integration into society is successful could thus have important implications for well-being in adulthood. 相似文献
945.
946.
This study used a person‐centered approach to examine stability and change in parenting typologies across early childhood. Profiles were associated within and across time with contextual covariates, including demographic characteristics, risk factors, and Early Head Start participation. Participants were drawn from the Early Head Start Research and Evaluation Project (N = 2, 876). Parenting profiles were identified based on observed parenting dimensions at 14, 24, and 36 months, and pre‐Kindergarten (pre‐K). Results suggested a four‐profile solution at each time point: Supportive, Lukewarm (14 & 24 months)/Sufficient (36 months and pre‐K), Harsh, and Detached. Supportive was the largest, most stable, and most likely transitioned into profile while Harsh and Detached represented rare profiles with moderate to low membership stability across time. Depression and family conflict emerged as important correlates of unsupportive parenting profiles both within and across time. Findings are discussed in terms of their relevance for both policy and implementation practices for low‐income mothers with young children. 相似文献
947.
OBSERVATION AND COMPARISON OF MEALTIME BEHAVIORS IN A SAMPLE OF CHILDREN WITH AVOIDANT/RESTRICTIVE FOOD INTAKE DISORDERS AND A CONTROL SAMPLE OF CHILDREN WITH TYPICAL DEVELOPMENT 下载免费PDF全文
Victoria K. Aldridge Terence M. Dovey Nicole El Hawi Antonie Martiniuc Clarissa I. Martin Caroline Meyer 《Infant mental health journal》2018,39(4):410-422
Despite widespread use of behavioral observations to evaluate child feeding behaviors in research and clinical practice, few studies have comprehensively characterized mealtimes or identified features that differentiate children with and without disordered feeding; these were the aims of the current study. Mealtime observations were conducted for 18 children with avoidant restrictive food intake disorder (ARFID) and 21 typically developing children. Observations were coded inductively, and associations between disorder and observed mealtime actions were examined. Most behaviors were observed across both clinical and nonclinical mealtimes, and many did not differ in frequency between children with and without ARFID. However, significant group differences were observed in the frequencies of behaviors relating to food intake, visual and physical engagement with feeding, and movement during mealtimes. The comparability of behaviors across clinical and nonclinical groups suggests that eating behaviors exist on a continuum from “normal” to “abnormal,” with group differences relating to frequency rather than type of behavior. The behavioral differences observed in this study suggest that identification of children with ARFID should focus on child engagement with food and restlessness during mealtimes. Reliance on emotional and escape‐maintained behaviors will lead to underrecognition of families in need of clinical support. 相似文献
948.
Hanna Wersebe Roselind Lieb Andrea H. Meyer Patrizia Hofer Andrew T. Gloster 《International Journal of Clinical and Health Psychology》2018,18(1):60-68
Background/Objective: Prolonged stress can overwhelm coping resources, leading people to seek mental health care. Acceptance and commitment therapy (ACT) is an intervention that enhances well-being and reduces distress, assumedly by means of increasing psychological flexibility (PF). We examined the association between a total increase in PF during an intervention and decreases in stress and increases in well-being during and after the intervention. Method: The intervention was a randomized controlled trial of an ACT-based self-help intervention. Participants were 91 individuals reporting elevated levels of work-related stress. Measurements were completed at preintervention, postintervention, and 3-month follow-up. Results: Structural equation models revealed that the total increase in PF during the intervention was negatively associated with a decrease in stress (b = -0.63, SE = 0.14, p < .001) and positively associated with an increase in well-being during the intervention (b = 0.48, SE = 0.11, p < .001), but not with a decrease in stress (b = 0.03, SE = 0.27, p > .05) and well-being (b = -0.04, SE = 0.39, p > .05) following the intervention. Conclusions: Our study provides empirical support for decreasing stress and promoting well-being through ACT and emphasizes the potential of PF in promoting well-being. 相似文献
949.
Caterina Calderon Paula Jiménez-Fonseca Pere Joan Ferrando Carlos Jara Urbano Lorenzo-Seva Carmen Beato Teresa García-García Beatriz Castelo Avinash Ramchandani María Mar Muñoz Eva Martínez de Castro Ismael Ghanem Montse Mangas Alberto Carmona-Bayonas 《International Journal of Clinical and Health Psychology》2018,18(2):143-151
Background/Objective: This study sought to assess the psychometric properties of the 9-item Shared Decision-Making Questionnaire (SDM-Q-9) in patients with resected, non-metastatic cancer and eligible for adjuvant chemotherapy. Method: A total of 568 patients were recruited from a multi-institutional, prospective, transversal study. Patients answered the SDM-Q-9 after visiting their medical oncologist who, in turn, completed the SDM-Q–Physician version. Reliability, factorial structures [exploratory factor analysis (EFA), confirmatory factor analysis (CFA)], and convergent validity of the SDM-Q-9 scores were explored. Results: SDM-Q-9 showed a clear factorial structure, compatible with a strong and replicable general factor and a secondary group factor, in patients with resected, non-metastatic cancer. Total sum scores derived from the general factor showed good reliability in terms of omega coefficient: .90. The association between patient and physician perception of SDM was weak and failed to reach statistical significance. Males and patients over 60 years of age displayed the greatest satisfaction with SDM. Conclusions: SDM-Q-9 can aid in evaluating SDM from the cancer patients’ perspective. SDM-Q-9 is helpful in studies examining patient perspectives of SDM and as an indicator of the degree of quality and satisfaction with health care and patient-physician relationship. 相似文献
950.
Recently, social psychology has taken an interest in attitudes and beliefs about laïcité and their relations to other variables, such as expressions of prejudice. Laïcité can be defined as the separation of churches and State, the role of the State being to assure an equality and a freedom of religion. The aim of this study was to construct a measure of beliefs of laïcité, and then to compensate for the lack of reliable measures about the possible interpretations of laïcité. The exploratory (study 1) and confirmatory factor analyses (study 2) led to sixteen items being included in the scale and representing four laïcité dimensions: public expression of religious beliefs, religious neutrality of the State and its institutions, equality of different religious beliefs, and protection of religious groups. Correlations across different dimensions showed that the public expression of religious beliefs was positively correlated with equality of different religious beliefs and negatively to neutrality of the State and its institutions. Moreover, convergent and discriminant validity (studies 2 and 3) showed that dimensions of laïcité are differently correlated with prejudice, SDO, religiosity, or with the republican model's adhesion. t-tests showed that compared to Catholics, agnostics and atheistics want a stronger religious neutrality of the State, are more in favor of an equalitarian treatment of different religious beliefs, but are less in favor of a protection of religion by State. Concerning the attachment to laïcité, this variable is only very weakly correlated with the four dimensions. Statistical analysis conducted on attachment to laïcité and other psychosocial variables such as prejudice, social dominance orientation (SDO), religiosity, religious beliefs (atheistics and agnostics vs. catholics) and political orientation showed that only SDO is (negatively) related to attachment to laïcité. These results suggest different conceptions of laïcité depending on psychosocial variable such as religion, prejudice or SDO. Finally, a test-retest has been effected on the scale (study 4). The results shown that the adhesion to the laïcité’s dimensions is stable in the time. 相似文献