Dialectical Behavior Therapy Skills for Families of Individuals With Behavioral Disorders: Initial Feasibility and Outcomes

Family members of individuals with behavioral disorders are a valuable source of logistical and emotional support for patients. Family members may take on tremendous financial and/or psychological responsibility to care for their loved ones, which can result in poor psychological outcomes for the family and, in turn, impede the recovery of the patient. Dialectical Behavior Therapy (DBT) skills training is an effective treatment that has been utilized with numerous populations, including family members of individuals with behavioral problems, and has shown efficacy in improving various interpersonal outcomes; however, no study has examined feasibility and outcomes of delivering all four unabridged DBT skills modules to this population. Twenty participants attended weekly DBT skills classes for 6 months, where they acquired skills in mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance. There were significant pre-post improvements for emotion dysregulation, stress reactivity, and various interpersonal outcomes; there were no significant changes in depression or anxiety. These results suggest that DBT skills may be effective at improving broad clinical domains in a sample of family members of individuals with behavioral problems. This research is the first step in demonstrating that DBT skills might benefit family members of patients with heterogeneous mental health problems and, therefore, fits in to the field’s growing interest in cost-effective transdiagnostic interventions.     

Sacred and secret stories in professional knowledge landscapes: learner agency in teacher professional learning

Set in a schooling practitioner research context, this article critiques instrumental forms of teacher professional development. An account of teacher professional learning and development is provided, as an inter-relational construct, where teachers reflect on practice to inquire into their students’ learning and foster their own and others specific interests and talents in creative ways. In an Aotearoa/New Zealand context, teachers are mandated to inquire into what their students need to know and understand, the strategies required for teachers to attain these learning goals, and how effective the approach implemented is in enhancing student learning. Emerging from qualitative case study research, a teacher’s narrative account of a student-initiated critical thinking episode in a secondary science classroom is analysed to demonstrate sacred, secret and cover stories of professional knowledge landscapes. Findings highlight the importance of agentic teacher-enacted forms of practitioner inquiry that support critical and collaborative reflective practice.     

Rethinking leadership education: narrative inquiry and leadership stories

This narrative essay shares observations and insights about how instructors can use creativity, student voice, and personalized learning to create more responsive educational leadership pedagogy. Three stories, as told by a professor and two former students, explore how students’ narratives can naturally inform educational leadership preparation across international borders. We aim to demonstrate how students’ narrative experiences in education can contribute to exisiting discourse and research on effective and innovative pedagogical practice in educational leadership preparation.     

The educative value of Dewey’s religious attitude for spirituality

John Dewey’s ‘religious attitude’ has great potential for the educative development of children’s spirituality. This is because it enables their spiritual understandings to become more intelligently composed – not just in a cognitive or hyper‐rational sense, but as a way of being. This paper provides an outline of Dewey’s approach, which is described as being democratic, inquiry based, and ‘scientific’. Such an approach therefore offers a contrast to other more epistemologically focused curricula which attempt to educate a person’s spirituality. In order to make the case for the potential educative value of such an attitude, a brief review of Dewey’s approach to education shall be offered, in which the notions of inquiry, democracy, and ‘science’ shall be highlighted to make the case that such attributes might be necessary for spiritual education if the United Nations Educational and Scientific Organization’s goal of attaining world peace is to ever become possible.     

Life story research: A relevant methodology for counsellors and psychotherapists

Aims: This paper introduces, describes and proposes life story research as an important, relevant and appropriate contribution to counselling and psychotherapy research. It shows how narrative knowledge is created and constructed through the stories people tell about their lived experiences and explores the concept of ‘narrative knowing’ (Bruner, 1986). Methods: Drawing on life story research with people who linked their history of problematic drug use with experiences of historic trauma/abuse, the paper contributes to the ongoing discussion related to the similarities/differences between therapy and research and what we might learn from each that informs the other. Implications for practice: The paper offers narrative ideas and practices as ways of researching matters of social and psychological importance. It suggests that therapists (and counselling researchers) could learn from what participants tell us about the therapeutic value of using life story methods which one participant described as helping him to face ‘out into the world, without unduly or specifically delving into, or focusing on [my] emotional state’. This learning may be particularly relevant for therapists working with traumatised clients.     

糖尿病酮症酸中毒急救措施

辩证思维是最重要的科学思维方法,是指导临床工作的重要科学方法。糖尿病酮症酸中毒（DKA）为糖尿病的急性并发症,是导致糖尿病死亡的主要原因之一。在临床诊治过程中,应科学合理运用辩证思维方法,对DKA快速正确地诊断,积极及时地救治,从而降低糖尿病的病死率,提高患者的生存质量。     

个体化角膜屈光手术的探讨

对个体化角膜屈光手术这一屈光矫正领域的新理念和新方法进行探讨,提出医务工作者要勇于思想创新;以辩证思维看问题;关注社会需求,正确处理以人为本与追求经济利益的关系;加强多学科交叉合作和复合型人才的培养,才能推动个体化角膜屈光手术不断向更高层次迈进。     

HIV: How Science Shaped the Ethics

AIDS is a debilitating and fatal disease that was first identified as an infectious disease syndrome in the 1970s. The discovery of a nearly universally fatal infectious and rapidly spreading disease in the post–antibiotics era created apprehension in the medical community and alarm in the general population. Questions about how patients should be handled in medical and nonmedical settings resulted in the ostracizing of many AIDS patients and inappropriate patient management. Scientific investigation into modes of disease transmission and control helped to shape the management of AIDS patient care in such a way that ethical and protective practices could be developed. In this article I discuss some of the ethical questions that were addressed by appropriate scientific inquiry.     

Using Liberation Psychology and Dialectical Humanism to Understand Latinx Adolescents’ Life Satisfaction and Depressive Symptoms

The authors conducted a study to examine how the presence of meaning in life, search for meaning in life, hope, family importance, and enculturation influenced Latinx adolescent students’ depressive symptoms and life satisfaction. Two regression models revealed there was a statistically significant relationship between predictor variables, life satisfaction, and depression. The article concludes with a discussion regarding the importance of these findings and recommendations for practice and research. Los autores llevaron a cabo un estudio para examinar cómo la presencia de sentido en la vida, la búsqueda de sentido en la vida, la esperanza, la importancia de la familia y la enculturación influyeron en los síntomas depresivos y satisfacción vital de estudiantes adolescentes Latinx. Dos modelos de regresión revelaron que existe una relación estadísticamente significativa entre las variables de predicción, la satisfacción vital y la depresión. Este artículo concluye con una discusión en torno a la importancia de estos hallazgos, así como recomendaciones para la práctica y la investigación.     

肝癌综合治疗的发展与展望

原发性肝癌是我国最常见的恶性肿瘤之一,预后较差,病死率较高。经过多年的探索与努力,人们利用辩证思维的方法,在总结了各种治疗方法的优、缺点后,取长补短兴起了肝癌的综合治疗。包括手术治疗、化疗、放疗、导向治疗、局部治疗、中医治疗、免疫治疗、基因治疗的综合治疗,成为进一步提高肝癌疗效的新途径。