Multicultural Counseling Beyond the Relationship: Expanding the Repertoire With Techniques

Multicultural counseling approaches variously focus on the counseling relationship. Relatively few discuss clinical techniques and strategies to any significant extent. This article explores enhancing multicultural counseling by offering an array of techniques and strategies based on addressing oppression and increasing psychological freedom. Techniques offered seek to internally free a person cognitively, affectively, and systemically using the Precursors Model of Change (Hanna, 2002). The goal is to help set a person free from oppressive, discriminatory systems and individuals.     

An Evolutionary Approach Toward Exploring Altered States of Consciousness,Mind–Body Techniques,and Non-Local Mind

Humans are a part of the complex system including both natural and cultural-technological environment. Evolution of this system included self-amplifying feedbacks that lead to the appearance of human conscious mind. We describe the current state of the understanding of human brain evolution that stresses neurohormonal and biochemical changes rather than simple increase of anatomical substrate for the mind. It follows that human brain is strongly influenced by the state of the body and may operate at various levels of consciousness depending on its biochemical environment created by ingestion of various substances and by specific physical activities. Through the study of the widespread phenomenon of shamanism that uses mind-altering practices we argue that altered states of consciousness and non-local minds are not only real phenomena, but that they are products of natural evolution, valuable for human survival and development. Consideration of altered states of consciousness and broadening of the framework for understanding brain function beyond mechanistic interpretations is necessary to further develop human adaptations and provide a better way of fitting humans as parts of the interconnected system into the global and universal patterns.     

Development of a Multi-Disciplinary Intervention for the Treatment of Childhood Obesity Based on Cognitive Behavioral Therapy

Along the lines of the evidence-based recommendations, we developed a multi-disciplinary intervention for overweight children 7- to 12-years-old, primarily aiming at helping children to adopt healthier eating habits and a physically active lifestyle. The program combined nutrition intervention, based on a non-dieting approach, with physical activity intervention, implemented through the basic principles of Cognitive Behavioral Therapy (CBT), along with parental support. The program was conducted by dieticians with the collaboration of child psychiatrists and pediatricians. Training and regular supervision upon CBT priniciples application was intended to enhance dieticians' efficiency. The intervention is currently being evaluated to determine its effectiveness in treating childhood obesity.     

Episodic development in preschool children's play-prompted and direct-elicited narratives

This study investigated the premise that action, manifested here through pretend play, is a semiotic arena that can enhance narrative development. It was hypothesized that children would produce structurally more complex narratives in play-prompted elicitation than in direct elicitation conditions, and that this competence would increase with age. Thirty Turkish 3-, 4-, and 5-year-olds, with 10 children per age group, participated in the study. Children's narratives were analyzed according to a story grammar framework that differentiated between pre-episodic and episodic structures. A repeated-measures ANOVA revealed a significant effect between age and type of elicitation condition. Narratives displaying an episodic structure with temporal–causally integrated components were observed in the play-prompt elicitation condition by 4-year-olds and in the direct elicitation condition by 5-year-olds, supporting the hypothesis that action helps enhance narrative development. It is concluded that the emerging competence of children to construct narratives with episodic structures can best be observed in play contexts where action and objects scaffold both the conceptual organization and its expression.     

Factors influencing child witnesses

This study elucidates how professional intervention can influence children's abilities to report accurately about abuse experiences. Based on knowledge acquired through previous research and the present case study, the study shows how methods of information acquisition used during preliminary investigations can negatively affect child reports. The case study emanates from a larger study of 193 allegedly sexually abused children. Examination of these police interviews shows that 55 children were interviewed more than once and their reports were exposed to possible professional influences before and during the preliminary investigation. The case study reveals the inadequate management of a child witness. The findings indicate that police officers and psychologists should avoid suggestive interventions and co-ordinate their efforts during the preliminary investigation in order to safeguard the children's as well as the suspects' legal interests. This paper points out the need for implementing interview interventions that can enhance children's abilities to report accurately about abuse experiences.     

Long-term efficacy of exercise across diagnostically heterogenous mental disorders and the mediating role of affect regulation skills

BackgroundExercise interventions are efficacious in reducing disorder-specific symptoms in various mental disorders. However, little is known about long-term transdiagnostic efficacy of exercise across heterogenous mental disorders and the potential mechanisms underlying treatment effects.MethodsPhysically inactive outpatients, with depressive disorders, anxiety disorders, insomnia or attention deficit hyperactivity disorder were randomized to a standardized 12-week exercise intervention, combining moderate exercise with behavior change techniques (BCTs) (n = 38), or a passive control group (n = 36). Primary outcome was global symptom severity (Symptom Checklist-90, SCL-90-R) and secondary outcomes were self-reported exercise (Physical Activity, Exercise, and Sport Questionnaire), exercise-specific affect regulation (Physical Activity-related Health Competence Questionnaire) and depression (SCL-90-R) assessed at baseline (T1), post-treatment (T2) and one year after post-treatment (T3). Intention-to-treat analyses were conducted using linear mixed models and structural equations modeling.ResultsFrom T1 to T3, the intervention group significantly improved on global symptom severity (d = −0.43, p = .031), depression among a depressed subsample (d = −0.62, p = .014), exercise (d = 0.45, p = .011) and exercise-specific affect regulation (d = 0.44, p = .028) relative to the control group. The intervention group was more likely to reveal clinically significant changes from T1 to T3 (p = .033). Increases in exercise-specific affect regulation mediated intervention effects on global symptom severity (ß = −0.28, p = .037) and clinically significant changes (ß = −0.24, p = .042).ConclusionsThe exercise intervention showed long-term efficacy among a diagnostically heterogeneous outpatient sample and led to long-lasting exercise behavior change. Long-term increases in exercise-specific affect regulation within exercise interventions seem to be essential for long-lasting symptom reduction.