Topic-focused analysis in a case of integrative psychotherapy with a father fearing his own anger

Even though evidence-based knowledge is considered the foundation of clinical practice, many clinicians question the clinical relevance of published research. Clinicians increasingly define themselves as having an integrative stance, in contrast to the tendency for most research to be based on clearly defined psychotherapies. Qualitative single case studies make it possible to generate knowledge about what actually occurs in integrative therapy. Topic change process analysis (TCPA) is used in the analysis of brief integrative therapy conducted by a very experienced psychotherapist drawing on a complex variety of therapeutic approaches. The client was a man in his late thirties, worrying about his strong anger, particularly related to one of his children. Analysis of topic areas, topic shifts, response patterns within topics and changes in perspective made it possible to identify key processes and key patterns of the therapy which resulted in a very positive outcome for the client. Implications of these findings for practice, and future research, are discussed.     

基于叙事医学“细读”方法探讨中医医案叙事分析方法

医案作为叙事文本,可进行故事分析与叙事分析。叙事分析结果能够完善故事分析结果。叙事医学提出的细读方法是医学叙事分析方法的集大成者。为增加医案研读结果的完整度,借鉴叙事医学的细读方法,提出了分析医案“框架”、“形式”、“时间”、“情节”、“意愿”的方法,介绍了时间性、独特性、因果关系/偶然性、伦理性、主体间性特征等叙事医学概念对医案分析需求的启发。为了便于记录与规范医案叙事分析的过程,设计了医案叙事分析表。本研究丰富了医案研究方法,扩大了叙事医学细读方法的运用范围。     

《四分律》中的耆婆医案探析

耆婆在中印医学交流中发挥了重要作用,《四分律》中关于耆婆医案的记载最为集中,案例涉及疾病病种有头痛、痔疮、肠扭结、水肿,治疗方法涉及外治法、内治法、手术疗法。通过对耆婆的生平、《四分律》中关于耆婆的六则医案以及医案反映出的医学思想等三个方面进行介绍,说明耆婆在我国医学发展史上的重要地位,突出耆婆在医学上丰富的诊疗经验和高超的医学技术,有助于准确把握耆婆诊疗方式、手术治疗特点、用药特色,挖掘当时医学的发展进程,有助于梳理耆婆医学思想在医学发展史上的历史意义以及更好地指导临床实践。     

Keeping the Result in Sight and Mind: General Cognitive Principles and Language‐Specific Influences in the Perception and Memory of Resultative Events

We study how people attend to and memorize endings of events that differ in the degree to which objects in them are affected by an action: Resultative events show objects that undergo a visually salient change in state during the course of the event (peeling a potato), and non‐resultative events involve objects that undergo no, or only partial state change (stirring in a pan). We investigate general cognitive principles, and potential language‐specific influences, in verbal and nonverbal event encoding and memory, across two experiments with Dutch and Estonian participants. Estonian marks a viewer's perspective on an event's result obligatorily via grammatical case on direct object nouns: Objects undergoing a partial/full change in state in an event are marked with partitive/accusative case, respectively. Therefore, we hypothesized increased saliency of object states and event results in Estonian speakers, as compared to speakers of Dutch. Findings show (a) a general cognitive principle of attending carefully to endings of resultative events, implying cognitive saliency of object states in event processing; (b) a language‐specific boost on attention and memory of event results under verbal task demands in Estonian speakers. Results are discussed in relation to theories of event cognition, linguistic relativity, and thinking for speaking.     

最大信息量法在CCSPC评分中应用的效度证据

采用基于最大信息量法的多维项目反应理论模型估计计算机模拟心理咨询病例系统（CCSPC）的合成分数及四个模块分数,并收集效标效度证据、成长变化效度证据和内容效度证据,结果表明：五个指标与心理咨询师考试三级技能成绩的相关均达到显著,且高于其与三级理论成绩的相关;所有指标得分均随着心理学学历升高而升高;多数指标分数随心理学本科年级提高而提高;获得心理咨询师资格认证的被试在CCSPC上有更高的得分.     

From Good to Great: Examining Exemplary Counselor Development

Some counselors excel in the profession. Few do so while maintaining a balance in life. This article examines the life of one such individual, Samuel T. Gladding. He models for counselors an aspirational process of making significant contributions to the profession while staying personally grounded. Qualities that propel professionals like Gladding from being good as a young professional into prominence as a mature counselor are examined.     

The Assessment and Treatment of Post-Abortion Syndrome: A Systematic Case Study From Southern Africa

This article reports a clinical case study of “Grace”, a black Zimbabwean woman with post-abortion syndrome (PAS), a form of post-traumatic stress disorder precipitated by aborting an unwanted pregnancy. She was treated by a middle class white South African trainee Clinical Psychologist. The case narrative documents the assessment and the course of treatment which was guided by ongoing case formulation based on current evidence-based models. Factors that made her vulnerable to developing PTSD included active suppression of the memory of the event and lack of social support. An understanding of these factors was used to guide an effective intervention. In spite of the differences in culture and background between client and therapist, there was considerable commonality in their experience as young women and students who each had to balance personal and occupational priorities. The narrative also highlights the commonalities of Grace's experiences with those reported in the literature on post-abortion syndrome, which is mostly from the U. S. A. and Europe.