Positive psychotherapy effectiveness study and quality assurance

Positive Psychotherapy is a form of short-term psychotherapy based on an in-depth psychological approach, resulting from cross-cultural psychotherapy. After a brief introduction to some central elements of the theory of Positive Psychotherapy (PPT), the first results of the effectiveness study will be discussed in this paper. an assessment of alterations in symptoms, as well as changes in the way subjects feel and behave, which occurred in the period of time between the beginning and after the end of therapy will be presented here. In a longitudinal study, patients treated with PPT showed a distinct reduction of symptoms as well as improvement with regard to the way the subjects experience and behave compared to the control group, where no significant changes were observed. an additional cross-section comparison between the post-measures of the prospective assessment of PPT patients and retrospective assessments of PPT patients was carried out. No significant differences between the assessments made directly after finishing PPT and the assessments made within three different time spans after finishing PPT (a) 3-10 months; b) 10 months-4 years; c) 4-5 years) were found. This finding is viewed as an indication of the lasting stability of the therapeutic effects of PPT, which can still be detected up to five years after finishing PPT.     

Cognition,daily living,and health-related quality of life in 85-year-olds in Sweden

ABSTRACT

This study investigates how cognition influences activities of daily living and health-related quality of life in 85-year-olds in Sweden (n?=?373). Data collection included a postal questionnaire comprising demographics and health-related quality of life measured by the EQ-5D. The ability to perform personal activities of daily living (PADL) was assessed during a home visit that included administering the Mini Mental State Examination (MMSE). Cognitive impairment was shown in 108 individuals (29%). The majority were independent with respect to PADL. A larger number of participants with cognitive impairment reported that they needed assistance in instrumental activities of daily living (IADL) compared to the group without cognitive impairment. Impaired cognition was significantly related to problems with IADL. Significant but low correlations were found between cognition and health-related quality of life – higher ratings on perceived quality of life correlated with higher results on the MMSE.     

Young Women who Have Experienced Unwanted Pregnancy: A Multiple Case Study

Qualitative approaches were used to understand the experience of pregnancy in a group of young Xhosa women (N =10, M age = 19.70, SD = 3.20). Data is provided on their retrospective accounts of factors which contributed towards unwanted pregnancy. Thematic content analysis revealed a range of influences on pregnancy including: background, parenting and restrictions; stigma towards contraception; carelessness and ignorance; power and pressure from the partner; and shifting responsibility.     

Spirituality and Religion in Antiretroviral Therapy (ART) in Kwazulu-natal,South Africa: A Longitudinal Study

This study assesses the effects of spirituality and religion in health outcomes of patients on ART in KwaZulu-Natal, South Africa. Participants were 735 patients who attended three HIV clinics for ART over a period of 20 months as follows: 519 after 6 months on antiretroviral therapy (ART), 557 after 12 and 499 after 20 months on ART. They completed the Duke Religion Index each visit. Factors associated with spirituality/religiousness included fewer mental health problems (lower depressive symptoms, lower alcohol use), CD4 cell counts, adherence to ART, better certain health related quality of life outcomes (physical, psychological and environmental), social support and internalized HIV/AIDS stigma. Further research could examine the feasibility of including spirituality and religion in the assessment and providing support interventions for HIV patients.     

The spiritual wellness of Beyers Naudé: A psychobiographical study of a South African anti-apartheid theologian

The study explores and describes Beyers Naudé's (1915–2004) spiritual wellness across his lifespan. Naudé's life history was uncovered through the systematic collection and analyses of life history materials. Data were interpreted applying the Wheel of Wellness model (WoW) by Sweeney and Witmer (1991 Sweeney, T. J., & Witmer, J. M. (1991). Beyond social interest: Striving toward optimum health and wellness. Journal of Individual Psychology, 47(4), 527–540. Retrieved from http://www.utexas.edu/utpress/journals/jip.html [Google Scholar], 1992). Findings suggest that spirituality, as the major life task of the WoW, characterised Naudé's earlier years and also epitomised his later years. Underlying life-span and life-space influences included important life-forces such as the roles of the community, religion, government and politics in his life. Hope and optimism embodied Naudé's belief about promoting and preserving human dignity, human rights and respect for life.     

The Efficacy of Systemic Therapy for Internalizing and Other Disorders of Childhood and Adolescence: A Systematic Review of 38 Randomized Trials

Systemic therapy (ST) is one of the most widely applied psychotherapeutic approaches in the treatment of children and adolescents, yet few systematic reviews exist on the efficacy of ST with this age group. Parallel to a similar study on adults, a systematic review was performed to analyze the efficacy of ST in the treatment of children and adolescents. All randomized or matched controlled trials (RCT) evaluating ST in any setting with child and adolescent index patients were identified by database searches and cross‐references, as well as in existing meta‐analyses and reviews. Inclusion criteria were: index patient diagnosed with a DSM‐IV or ICD‐10 listed psychological disorder, or suffering from other clinically relevant conditions, and trial published by December 2011. Studies were analyzed according to their sample, research methodology, interventions applied, and results at end‐of‐treatment and at follow‐up. This article presents findings for internalizing and mixed disorders. Thirty‐eight trials were identified, with 33 showing ST to be efficacious for the treatment of internalizing disorders (including mood disorders, eating disorders, and psychological factors in somatic illness). There is some evidence for ST being also efficacious in mixed disorders, anxiety disorders, Asperger disorder, and in cases of child neglect. Results were stable across follow‐up periods of up to 5 years. Trials on the efficacy of ST for externalizing disorders are presented in a second article. There is a sound evidence base for the efficacy of ST as a treatment for internalizing disorders of child and adolescent patients.     

Naturalizing Moral Justification: Rethinking the Method of Moral Epistemology

The companion piece to this article, “Situating Moral Justification,” challenges the idea that moral epistemology's mission is to establish a single, all‐purpose reasoning strategy for moral justification because no reasoning practice can be expected to deliver authoritative moral conclusions in all social contexts. The present article argues that rethinking the mission of moral epistemology requires rethinking its method as well. Philosophers cannot learn which reasoning practices are suitable to use in particular contexts exclusively by exploring logical relations among concepts. Instead, in order to understand which reasoning practices are capable of justifying moral claims in different types of contexts, we need to study empirically the relationships between reasoning practices and the contexts in which they are used. The article proposes that philosophers investigate case studies of real‐world moral disputes in which people lack shared cultural assumptions and/or are unequal in social power. It motivates and explains the proposed case study method and illustrates the philosophical value of this method through a case study.     

Treatment effectiveness of PMTO for children's behavior problems in Iceland: Assessing parenting practices in a randomized controlled trial

Findings are presented from an Icelandic randomized control trial (RCT) evaluating parent management training – Oregon model (PMTO?), a parent training intervention designed to improve parenting practices and reduce child behavior problems. In a prior report from this effectiveness study that focused on child outcomes, children in the PMTO condition showed greater reductions in reported child adjustment problems relative to the comparison group. The present report focuses on observed parenting practices as the targeted outcome, with risk by treatment moderators also tested. It was hypothesized that mothers assigned to the PMTO condition would show greater gains in pre‐post parenting practices relative to controls. The sample was recruited from five municipalities throughout Iceland and included 102 participating families of children with behavior problems. Cases were referred by community professionals and randomly assigned to either PMTO (n = 51) or community services usually offered (n = 51). Child age ranged from 5 to 12 years; 73% were boys. Contrary to expectations, findings showed no main effects for changes in maternal parenting. However, evaluation of risk by treatment moderators showed greater gains in parenting practices for mothers who increased in depressed mood within the PMTO group relative to their counterparts in the comparison group. This finding suggests that PMTO prevented the expected damaging effects of depression on maternal parenting. Failure to find hypothesized main effects may indicate that there were some unobserved factors regarding the measurement and a need to further adapt the global observational procedures to Icelandic culture.     

学前儿童努力控制的发展轨迹与父母养育的关系：一项多水平分析

通过3年追踪研究, 采用问卷法考察了474名学前儿童努力控制发展变化的轨迹, 以及初始父母养育方式对其发展水平和发展速率的影响。多水平分析的结果表明：(1)学前儿童的努力控制呈线性增长, 其发展水平和增长速度均存在明显的个体差异, 努力控制初始水平较高的儿童, 其增长速度也较快。(2)初始的父母鼓励与接纳对儿童努力控制的最后发展水平有促进作用, 而父母的拒绝与惩罚则起反作用。(3)父亲鼓励与接纳能加速儿童努力控制的平均增长速率, 而母亲鼓励与接纳则会延缓其平均增长速率。(4)初始的父亲养育方式可分别解释儿童努力控制发展水平和发展速率10%和2%的变异, 初始的母亲养育方式可分别解释其14%和3%的变异, 父母养育方式累计可分别解释其19%和10%的变异。     

The development of young children's memory strategies: First findings from the Würzburg Longitudinal Memory Study

This article reports the first findings of the Würzburg Longitudinal Memory Study, which focuses on children's verbal memory development, particularly the acquisition of memory strategies. At the beginning of the study, 100 kindergarten children (mean age 6 1/2 years) were tested on various memory measures, including sort-recall, text recall, short-term memory capacity, and metamemory. Assessments were repeated twice, with adjacent measurement points separated by 6-month time intervals. One major goal of the initial phase of the study concerned the exploration of the utilization deficiency phenomenon, which refers to the fact that young children who spontaneously use a memory strategy for the first time do not experience immediate memory benefits. Results obtained for the sort-recall task showed that, among those children who acquired a sorting strategy between Times 1 and 2, only a small proportion experienced the utilization deficiency problem. Additional analyses demonstrated that these few children also performed more poorly on the short-term memory tasks and the text recall measure when compared with the groups of efficient strategy users, suggesting that utilization deficiency is accompanied by a more general memory capacity problem. Overall, the findings revealed enormous variability in the early acquisition of memory strategies, indicating that the utilization deficiency phenomenon might not be as frequent as is assumed in the relevant literature.