Women–Focused Treatment Agencies and Process Improvement: Strategies to Increase Client Engagement

Behavioral health treatment agencies often struggle to keep clients engaged in treatment. Women clients often have additional factors such as family responsibilities, financial difficulties, or abuse histories that provide extra challenges to remaining in care. As part of a national initiative, four women-focused drug treatment agencies used process improvement to address treatment engagement. Interviews and focus groups with staff assessed the nature and extent of interventions. Women-focused drug treatment agencies selected relational-based interventions to engage clients in treatment and improved four-week treatment retention from 66% to 76%. Process improvement interventions in women-focused treatment may be useful to improve engagement.     

“The primary process”: The vicissitude of a concept

Abstract

During the first twenty years that Freud spent creating his theory, he assumed that most of the functions responsible for creating mental-thought structures were organized according to two different forms or principles of thought. He called these forms “primary process” and “secondary process”. The “secondary process” is identified with rational thinking and the ego, and it is easy to follow the changes that this concept underwent in the works of Freud that followed. The concept of “primary process”, on the other hand, disappeared from his later works with no explanation. This article traces the changes that the “primary process” underwent in Freud's thinking and examines the connection between his analytical technique and his research method. A close study of the changes that the “primary process” underwent reveals that Freud's developmental thought process included concepts whose directional changes may be termed “regressive”.     

COPY AND RECALL PERFORMANCE OF 6–8-YEAR-OLD CHILDREN AFTER STANDARD VS. STEP-BY-STEP ADMINISTRATION OF THE REY-OSTERRIETH COMPLEX FIGURE

Turner syndrome (TS) is a genetic disorder in females characterized by the complete or partial absence of one X chromosome. Its most consistent physical features include short stature and ovarian dysgenesis. TS individuals demonstrate a characteristic neurocognitive profile involving weaknesses in visuospatial processing. The hypothesis of defective right hemisphere specialization has been offered to explain the visuospatial deficits in TS. In contrast, an alternative explanation proposes a more uniform dysfunction of the left and right hemispheres, based on findings of symmetrical abnormalities. This article presents an overview of the two hypotheses, along with relevant findings on hemispheric specialization with respect to TS. The impact of the genetic and hormonal mechanisms on the neurocognitive profile of TS is also discussed and directions for further empirical research are identified.     

Developmentalism And The Child In Nineteenth-Century Science

In recent years, public science events have been designed as a means to foster a dialogue between science and the public and to contribute to ongoing policy processes. Regardless of their tangible outcome, such events rely on a certain framing, reconfigure scientific knowledge and conceptualise the public in specific ways. These constructs are exemplified by a science festival that was held in the train station hall in Zurich. Novel insights can be gained from a spatial, an object and an actor-related approach borrowed from the artistic context: the discussions about the White Cube can be adapted to contribute to the analysis of the science festival. When we look into the spatial situation created to foster exchange about scientific knowledge, we find how the exhibition display is taking care of minor details. While the organisers transformed the station hall into a laboratory, they created a kind of dialogic situation that filled an authority gap as it equally enabled exchange. The objects put in place in the exemplary case helped to design a customer–supplier relationship between the public and science. Under the umbrella of the science event, a range of diverse research endeavours was homogenised and unified. The audience, finally, was invited to familiarise itself with scientific knowledge. However, they were allocated a consumer role that obliged them to remain guests in the laboratory environment of the station hall. Thus, public science events may be successful in attracting large attendance and allowing more experiences with science, but while they create novel forms of familiarisation with science for visitors, they do not necessarily remedy public doubts about science and technology.     

Language-guided visual processing affects reasoning: The role of referential and spatial anchoring

Language is more than a source of information for accessing higher-order conceptual knowledge. Indeed, language may determine how people perceive and interpret visual stimuli. Visual processing in linguistic contexts, for instance, mirrors language processing and happens incrementally, rather than through variously-oriented fixations over a particular scene. The consequences of this atypical visual processing are yet to be determined. Here, we investigated the integration of visual and linguistic input during a reasoning task. Participants listened to sentences containing conjunctions or disjunctions (Nancy examined an ant and/or a cloud) and looked at visual scenes containing two pictures that either matched or mismatched the nouns. Degree of match between nouns and pictures (referential anchoring) and between their expected and actual spatial positions (spatial anchoring) affected fixations as well as judgments. We conclude that language induces incremental processing of visual scenes, which in turn becomes susceptible to reasoning errors during the language-meaning verification process.     

外源性视觉选择性注意的时空特征

使用与目标出现位置无关的外周空现刺激作为线索,研究在不同刺激呈现间隔（ＳＯＡ）下它对不同偏心 视觉目标的辨别反应时的影响,以考察外源性觉选择性注意的加工特生,并下三种注意空间分布模型对选择性注意时空特征的不同预测,结果表明：１．外周突现刺激能够不随意地吸引注意,符合自动加工特性;２．注意转移以注意中心连续移动的方式进行,支持探照灯模型,不支持透镜模型和静态的空间梯度模型,并在注意移动速率进行了估计     

Talking about talking: Interpersonal process recall as an intersubjective approach to research

Research methods are often marked by inequalities between researcher and researched, maintained through dominant discourses that structure expectations of research. This study considers how therapeutic skills such as reflexivity can help to develop alternative discourses, raise awareness and challenge inequalities in research. An approach to the qualitative analysis of research interviews using interpersonal process recall (IPR) is outlined. By focusing attention on the dialogue and enabling researcher and research participant to review and explore their interaction reflexively, IPR offers an opportunity to understand interviews as intersubjective events. It thus facilitates the collaborative identification of processes and narratives as key moments for further analysis and increases awareness of the potential blurring of genres between therapeutic and research conversations. The contribution of IPR to an intersubjective lens and greater equality in research interviewing is discussed. Potential implications for both research and therapy practices are suggested.     

Three Aspects of the Therapeutic Conversation in Couples Therapy

Abstract

Feminist scholars have revealed the importance of examining the influence of gender on the therapeutic process. Gender differences in the treatment of clients may reveal inequitable or traditionally Stereotypie treatment of clients by therapists. This study examined gender differences in three conversational strategies widely used by therapists: expressions of empathy or understanding, compliments or praise, and challenges or requests for change. Fourteen tapes of live therapy sessions conducted by “master” therapists were examined using an exploratory, qualitative methodology based on Conversation Analysis. Results of this exploration revealed that therapists who are not self identified as “feminist challenged female clients more than male clients, and complimented male clients more than female clients. Feminist therapists challenged male clients more than female clients, and complimented female clients more than male clients. Feminist therapists used more challenges designed to facilitate non-stereo-typic gender behavior in both male and female clients. Only male therapists used disrespectful challenges of female clients, and were more often disrespectful to female clients than to male clients. Implications for the therapist-client relationship and the feminist critique are provided.     

Enhancing Adherence to a Problem-Solving Model for Middle-School Pre-Referral Teams

Abstract

Performance feedback and checklists were used to improve the degree to which middle-school teams adhered to elements of systematic problem solving as described in the Instructional Consultation literature (Bartels & Mortenson, 2002; Rosenfield, 1987). Direct observations of problem-solving meetings were conducted to determine levels of adherence to a problem-solving methodology. Performance feedback was provided to each participating school psychologist after a period of no feedback and was followed by the provision of a checklist of problem-solving steps to all team members. Visual analysis of the data indicated variable improvements in systematic problem solving following presentation of feedback and checklists. Feedback and prompts, while necessary, may not be sufficient to ensure adequate adherence to problem solving.     

Spiritual Maturity and Meaning-Filled Relationships: A Sociological Perspective

SUMMARY

The process of self-development, spiritual maturity and the construction of new meaning-filled relationships in late life are analyzed through the actions and interactions observed in the biographical case history of Sarah-Patton Boyle. Atchley's four stages in the process of retirement applied to the case of Sarah-Patton Boyle identifies the changes in her social roles and relationships and the struggle to maintain a positive self-view in the midst of socio-environmental changes. The struggle to continue “spiritual self” identity and ties with the church are discussed.