Psychological trauma and PTSD symptoms as predictors of substance dependence treatment outcomes

Psychological trauma and post-traumatic stress disorder (PTSD) may complicate and reduce the effectiveness of treatment for substance use disorders (SUDs). This study assessed trauma history and symptoms of simple and complex PTSD at baseline in a randomized trial of contingency management (CM) compared to standard treatment (ST) with 142 cocaine- or heroin-dependent outpatients. History of exposure to each of eight types of psychological trauma was unrelated to treatment outcome, except for witnessed assaults and emotional abuse. Complex PTSD symptoms were inversely associated with short-term treatment outcomes, and PTSD symptoms were positively related to long-term outcome, independent of the effects of demographics, psychological distress, baseline substance use status, and treatment modality. Complex PTSD symptoms warrant further study as a potential negative prognostic factor in SUD interventions.     

Effects of Group Activity Play Therapy on Problem Behaviors of Preadolescent Ugandan Orphans

This randomized controlled study examined the effectiveness of group activity play therapy (GAPT) with 60 displaced Ugandan orphans, ages 10 to 12 years, exhibiting clinical levels of behavior problems. Teachers and housemothers reported that experimental group children demonstrated statistically significant reductions (p < .025) in behavior problems compared with children in the active control condition and that GAPT demonstrated moderate to large treatment effects. Results support GAPT as an effective intervention for troubled Ugandan orphans.     

The Individualised Patient‐Progress System: A decade of international collaborative networking

Background: The backstage of research projects is seldom presented to the general audience, in particular, how the research questions emerged, how the team interacted and how the methods and design were decided upon. Aim: In this paper we will recount the story behind an international practice‐based research network for personalising health assessment, the joint journey of researchers and therapists from three different countries in creating the Individualised Patient‐Progress System (IPPS). Results: We first describe how the idea of the IPPS emerged; then we show how IPPS is being piloted and integrated into clinical practice. Next, we present the views of therapists and researchers who have been part of this project. Conclusions: We discuss some lessons learned from this 14‐year collaborative research programme.     

Supervisor social skill and supervision outcome

Background: The practice of clinical supervision is considered an effective procedure to achieve a variety of professional outcomes for supervisees. Supervisory alliance mediates many of the learning outcomes thought important for effective supervision. Therefore, it is important to identity supervisor characteristics that relate to the capacity to develop a positive supervisory alliance and achieve supervision outcome. Aim: Supervisor interpersonal skill was investigated as a characteristic involved with both supervisee assessment of supervisory alliance and learning outcomes of supervision. Method: Forty supervisors completed assessments for interpersonal skill and provided 8 sessions of supervision to 50 supervisees. Supervisees completed assessments for supervisory alliance and supervision evaluation. Findings: Supervisor interpersonal skill predicted supervisee rated supervisory alliance and supervision outcome. Implications: Supervisor interpersonal skill is important for the capacity to develop a positive supervisory alliance and manage the learning environment of supervision.     

两种估计多维测验合成信度置信区间方法比较

有两种方法可以估计多维测验合成信度的置信区间：Bootstrap法和Delta法.本文用模拟研究比较这两种方法,结果发现,Delta法与Bootstrap法得到结果的差异很小.因为Bootstrap法得到的是实证结果,通常被认为是真值的反映,而Delta法比Bootstrap法简单得多,所以可以用Delta法估计合成信度的置信区间.举例演示如何计算多维测验的合成信度以及用Delta法计算其置信区间.     

Emotional inertia: A key to understanding psychotherapy process and outcome

The processes underlying psychotherapeutic change have increasingly been emphasized in both research and clinical practice. Nonlinear dynamical systems theory (NDS) offers a transdisciplinary scientific approach to the study of these processes. This paper introduces the NDS concept of “emotional inertia”, the property of human emotion by which it retains its course so long as it is not acted upon by an external force, as a key to understanding moment-by-moment and also longer-term change processes within psychotherapy. A testable mathematical model of emotional inertia is presented that represents specific impacts of psychotherapeutic processes on emotional dynamics over time. Emotional trajectories in phase space, treatment energy, and the interaction between them are the essential elements of the model, and a detailed explanation is provided. Procedures for testing this model are described, such as by tracking the movement of emotion in phase space within and across therapy sessions, along with clinical implications of the model, which can potentially help to make more clear the complementary roles of therapeutic force, timing, and leverage.     

A Meta‐Analytic Review of Child‐Centered Play Therapy Approaches

The authors explored the overall effectiveness of child‐centered play therapy (CCPT) approaches through a meta‐analytic review of 52 controlled outcome studies between 1995 and 2010. Hierarchical linear modeling techniques estimated a statistically significant moderate treatment effect size (.47) for CCPT, as well as statistically significant relationships between effect size and study characteristics, including child's age, child's ethnicity, caregiver involvement, treatment integrity, publication status, and presenting issue.     

Research on embedded counselling: An emerging topic of potential importance for the future of counselling psychology

A significant proportion of the counselling that people receive takes place within informal, situated encounters between service users and practitioners in fields such as nursing, medicine, teaching and social work. However, almost all of the research that has been carried out into the process and outcomes of counselling consists of studies of formal, contracted counselling and psychotherapy based in therapy clinics and offices. The competent and effective delivery of counselling that is embedded in a primary professional role, such as that of nurse, teacher or social worker, presents considerable challenges for practitioners. Research evidence around the process and outcomes of embedded counselling represents a valuable resource that has the potential to enhance the quality of counselling conversations enacted by practitioners in health, education, social work and other professions. An overview is provided of different types of research that has been carried out into informal and embedded counselling, and of the main themes that have emerged from these studies. Suggestions are made for the further development of this field.     

Dissociation between the behavioural and electrophysiological effects of the face and body composite illusions

Several studies have reported similarities between perceptual processes underlying face and body perception, particularly emphasizing the importance of configural processes. Differences between the perception of faces and the perception of bodies were observed by means of a manipulation targeting a specific subtype of configural processing: the composite illusion. The composite face illusion describes the fact that two identical top halves of a face are perceived as being different if they are presented with different bottom parts. This effect disappears, if both halves are laterally shifted. Crucially, the effect of misalignment is not observed for bodies. This study aimed to further explore differences in the time course of face and body perception by using the composite effect. The present results replicated behavioural effects illustrating that misalignment affects the perception of faces but not bodies. Thus, face but not body perception relies on holistic processing. However, differences in the time course of the processing of both stimulus categories emerged at the N170 and P200. The pattern of the behavioural data seemed to be related to the P200. Thus, the present data indicate that holistic processes associated with the effect of misalignment might occur 200 ms after stimulus onset.