Impact of the telephone motivational interviewing on the colorectal cancer screening participation. A randomized controlled study

IntroductionWhile high participation rates ensure the cost-effectiveness of colorectal cancer screening programs, it is well known that postal requests do not achieve acceptable levels of participation.ObjectiveThis randomized controlled study aimed to test the impact of individualized phone counseling to prompt people aged 50 to 74 to take a colorectal cancer test.MethodTwo phone strategies were compared. The first involved computer-aided individualized counseling while the second was based on motivational interviewing. A total of 49,972 people were randomly assigned to a control group (CG) and to the individualized counseling (IC) and motivational interviewing (MI) telephone groups.ResultsA simple call doubled the participation rate per protocol (19.2% > 9.2%; p < .001; r = .131; OR = 2.374), and tripled it when the interview was conducted (30.4% > 9.2%; p < .001; r = .219; OR = 4.321). In an intention-to-treat analysis, the benefit of calling by phone remained even higher than postal requests (10% > 9.2%; p < .01; r = .014; OR = 1.103). However, there was no impact of the type of interview on participation rates.ConclusionThe results are discussed for future research.     

Play Therapy in a Natural Setting: A Case Example

Play therapy is commonly used when working with children in counseling. Play therapists work at a developmentally appropriate level to assist children with a variety of mental health and behavioral concerns. Traditionally, play therapy and many counseling methods occur in office settings. We propose that play therapists and other mental health professionals working with children integrate nature and natural settings into their work. The use of nature has been shown to be effective in helping people cope with mental health and physical ailments. In this article, we explore the benefits of the use of nature in mental health and provide a case example of the use of nature and natural settings in counseling.     

Overcoming Obstacles to Empathy: The Use of Experiential Learning in Addictions Counseling Courses

Empathy is associated with positive outcomes in addictions counseling. The moral model of addiction and unresolved countertransference issues may hinder counseling students’ development of empathic understanding for clients with substance use disorders. Counselor educators must structure courses in such a way as to help students overcome obstacles to empathy. We provide examples of several experiential activities framed within the context of Kolb’s experiential-learning cycle that are designed to deconstruct obstacles to student empathy development.     

Educating Counselors to Practice Interprofessionally Through Creative Classroom Experiences

Interprofessional education is a creative endeavor that seeks to prepare health professionals to collaborate within and outside of their profession to better serve clients. This article reports on the experiences and attitudes of counselors-in-training toward this approach before and after a semester-long interprofessional course. Results from quantitative and qualitative assessments show changes in attitudes and readiness for interprofessional education and practice.     

Beyond Theory: Martin Buber’s I and Thou and the Role of Contemplation in Integrated Relational Counseling

The current paradigm in mental health practice does not completely protect practitioners from theory-induced blindness. Many clinicians continue to rely on stable theoretical frameworks, which, although helpful, can become a hindrance to integrated relational practice. Overreliance on a particular theory or set of techniques can prevent clinicians from adopting a genuinely relational orientation. This article describes the nature of the contemplative-relational orientation using concepts from Martin Buber’s I and Thou and proposes that clinicians wishing to build competency in integrated relational counseling may benefit from contemplative prayer, meditation, and other mindfulness practices. A clinical vignette is provided and illustrates general features of an integrated relational approach, and empirical evidence is advanced to support the benefits of contemplative practice for mental health practitioners.     

Effects of Verbal Processing on Psychiatric Patients’ Proactive Coping Skills Using Recreational Music Therapy

Psychiatric patients who are able to cope with life stressors and appropriately use leisure time are less likely to be rehospitalized. The purpose of this study was to examine how verbal processing of recreational music therapy affected psychiatric patients’ knowledge and use of coping and leisure skills. The researchers utilized a quasirandomized controlled design and collected data at pretest, immediately before discharge, and at one month postdischarge. The researchers isolated verbal processing within recreational music therapy sessions to determine if the verbal-processing component affected proactive coping and patients’ use of coping and leisure skills. Using the Proactive Coping Scale, the researchers measured patients’ proactive coping before and after attending recreational music therapy sessions. Results indicated no significant between-group differences in patients’ proactive coping scores. Difficulties conducting research in psychiatric settings, clinical implications, limitations, and suggestions for future research are discussed.     

Utilizing Creative Expressive Techniques and Group Counseling to Improve Adolescents of Divorce Social-Relational Capabilities

Adolescents of divorce present challenges for mental health counselors unfamiliar with issues this population encounters. Problems such as negative societal perceptions and low behavioral self-efficacy can combine, causing long-lasting problems. Specifically, adolescents of divorce appear to be at risk for developing inadequate social/relational capabilities. To improve adolescents’ relational and social competencies, the authors advocate for a creative combination of expressive techniques and group counseling. This brief, six-week intervention may be a viable, creative tool for counselors working with this distinct client population.     

心理咨询中好坏效果案例的同化水平对比:基于同化模型的视角

目的:通过对比心理咨询中4例好效果案例和4例坏效果案例同化水平的差异,对同化模型有关成功治疗改变过程的理论构想进行检验,并寻找区分好坏案例的关键点。方法:选用7位经过培训的评定者组成三个研究小组,采用同化分析这一用来追踪当事人问题经验发展进程的研究方法,对8个当事人完整的咨询逐字稿资料进行分析,并对涉及当事人问题经验的段落进行摘录。依据同化问题经验量表和同化标识手册对摘录的段落进行同化评定。结果:8个案例的核心问题得到一致确定,三组评定者评分的组内相关系数ICC(1,1)在.64~.86之间,ICC(1,K)在.84~.96之间。好效果案例结束时的同化水平均分(M=5.50)和同化进展均分(M=4.25)高于坏效果案例(2.13和-.13)。好坏效果案例的同化进程均出现前进中倒退的情形,但好效果案例能够在倒退中保持上升,而坏效果案例未能完成上升。好效果案例最终的同化水平均达到了4(理解/领悟)及以上,坏效果案例最终的同化水平均未达到4。结论:研究结果基本支持同化模型的理论设想,即症状强度的减少同更高的同化水平相联系;并初步确定区分好坏效果的关键点是同化水平4;但从同化进程来看,可考虑对模型的发展序列进行修改完善。     

The Role of Identity Integration in Hedonic Adaptation to a Beneficial Life Change: The Example of “Coming Out” for Lesbians and Gay Men

After apparently beneficial life changes, people are expected to experience elevated well-being. However, research suggests that some individuals adapt quickly to change, so their well-being increases little in the long-term. We propose this phenomenon is explained by the integration of the changes into identity, in interaction with perceived valence of the changes. We hypothesized that higher integration would be associated with smaller increases in well-being for changes perceived as positive. For changes perceived as negative, higher integration would be associated with larger increases in well-being. Lesbians and gay men (N = 80) completed a questionnaire on well-being, perceived valence of coming out and its integration into identity. Moderated regressions supported the hypotheses, revealing the importance of considering identity integration and perceived valence in research on adaptation to changes. The results question the merits of interventions promoting identity integration.     

Fighting ability influences mate value in late adolescent men

Several studies have demonstrated the relationship between handgrip strength (HGS) and fighting ability in men, which is a relevant trait for intrasexual competition to increase the probability of obtaining a mate. However, few studies have determined a relationship between fighting ability and men’s self-perceived capacity to find, attract and retain a mate. This capacity is a complex compound of several traits that evolutionary psychology has called mate value. In the present study, in a population of late adolescent men from Chile (M ± SD = 16.94 ± .89 years), we explored the relationship between fighting ability, estimated by both HGS and a self-perceived fighting ability questionnaire, and mate value, assessed with a self-perceived mate value components questionnaire. The results show a strong influence of fighting ability on mate value. This influence affects the subscales of “views from the opposite sex”, “sociality” and “relationship history”. However, we did not find an effect on the subscales of “wealth”, “parenting” or “fear to failure”. The relationship between mate value and fighting ability indicates that fighting ability is a relevant component in understanding men’s reproductive behaviour, including intrasexual competition and intersexual selection. This effect was observed in adolescents, who have less mating experience than adults.