Finding focus in a difficult landscape: Therapists’ experiences with challenging video guidance processes for parent–infant dyads

Marte Meo video guidance uses filmed interaction of the actual parent–infant dyad in the guidance of caregivers. Exploring the challenges that therapists meet in the guidance of parent–infant dyads may illuminate important aspects of the method itself as well as the therapists’ role and requirements. This could lead to method development and improved practice, but is hitherto little addressed. In this paper, we explore how skilled therapists experience and handle challenging or failing guidance processes with parent–infant dyads. We analyzed interviews with 13 Marte Meo therapists/supervisors using team-based reflexive thematic analysis. Four main themes were identified: promoting relational growth in a coercive context, building an alliance that feels safe for the parents, looking at positive moments in difficult lives, and handling intense feelings as a therapist. Our findings show that therapists experience specific therapeutic and ethical challenges with a vulnerable subgroup of parent–infant dyads where child protective issues arise, where caregivers’ insecurities impede the therapeutic relationship, and where caregivers have unsolved relational or mental health problems. The therapists’ role becomes pivotal and demanding with regard to the therapeutic alliance, the therapeutic interventions in the guidance process, and their own need for regulation, supervision, and structure. Identification of these vulnerable dyads early in the process could facilitate a better adaptation and practice of video guidance. Our findings suggest a need for supporting structures, clinical supervision, and training that address these challenges.     

Maternal postpartum depression is a risk factor for infant emotional variability at 4 months

Maternal postpartum depression (PPD) is a risk for disruption of mother–infant interaction. Infants of depressed mothers have been found to display less positive, more negative, and neutral affect. Other studies have found that infants of mothers with PPD inhibit both positive and negative affect. In a sample of 28 infants of mothers with PPD and 52 infants of nonclinical mothers, we examined the role of PPD diagnosis and symptoms for infants’ emotional variability, measured as facial expressions, vocal protest, and gaze using microanalysis, during a mother–infant face-to-face interaction. PPD symptoms and diagnosis were associated with (a) infants displaying fewer high negative, but more neutral/interest facial affect events, and (b) fewer gaze off events.  PPD diagnosis, but not symptoms, was associated with less infant vocal protest. Total duration of seconds of infant facial affective displays and gaze off was not related to PPD diagnosis or symptoms, suggesting that when infants of depressed mothers display high negative facial affect or gaze off, these expressions are more sustained, indicating lower infant ability to calm down and re-engage, interpreted as a disturbance in self-regulation. The findings highlight the importance of not only examining durations, but also frequencies, as the latter may inform infant emotional variability.     

Maternal fatigue and burnout: From self-forgetfulness to environmental expectations

ObjectiveThe main objective of this study is to explore, through a qualitative approach, maternal and family expectations that could be related to maternal fatigue and exhaustion. The secondary objective is to identify aspects that could be specific to a specific age group.MethodA total of fourteen French mothers aged 28 to 42 (mean age 32 ± 4.3 years), with at least one child under 10 years of age, participated in a Focus Group. Mothers were grouped into two groups according to the age of their child(ren): 1) with children between 0 and 1 year of age; 2) with children between 1 and 10 years of age. Several themes were discussed: mothers’ sacrifices and efforts, maternal fatigue and exhaustion, maternal, family and social expectations, and means of prevention. A thematic analysis and a classification analysis were carried out.ResultsThe thematic analysis revealed that exhaustion is partly related to expectations and family and social remarks. The classification analyses showed that mothers’ discourse can be classified into three classes: the first class called “Self-forgetfulness and its consequences” (38.1%); the second class called “The mother as the main manager of the family's daily life” (39.2%) and the third “Social pressure” (22.7%).DiscussionThis exploratory study shows that maternal exhaustion has its origin in the tasks and responsibilities often associated with maternal role as well as in the pressure exerted by family and friends. Although differences exist between mothers in the two groups, several factors appear to be independent of the age of the children. Prevention strategies are discussed in this article.     

《昭元秘诀》的成书与流传

《昭元秘诀》波斯文原本、注解本及其汉译本,作为中国化伊斯兰教经堂教育的认主学最高教材,国内学术界却鲜有系统的研究。本文通过综合国内外文献资料和研究成果,完整回溯了《昭元秘诀》的成书、注释、流传及汉译的过程,考证了作者、注者、译者的生平与师承关系,为进一步开展研究奠定了基础。     

La distribution du voisinage influence l'amorçage orthographique non masqué des mots écrits

The aim of the present research is to study whether orthographic neighbourhood distribution influences unmasked orthographic priming. Two word conditions were compared in the lexical decision task. All word targets had two higher frequency neighbours that were either spread across two letter positions (SINGE/linge-songe) or concentrated on a single letter position (RUCHE/riche-roche). Results showed an inhibitory effect of unmasked orthographic priming. Furthermore, this priming effect was influenced by the target neighbourhood distribution. Priming was only found when the word targets had two neighbours that were spread across two letter positions. These data are discussed within an interactive activation framework in terms of prime activation (Versace and Nevers, 2003).     

Jung's views on causes and treatments of schizophrenia in light of current trends in cognitive neuroscience and psychotherapy research I. Aetiology and phenomenology

Jung's writings on schizophrenia are almost completely ignored or forgotten today. The purpose of this paper, along with a follow‐up article, is to review the primary themes found in Jung's writings on schizophrenia, and to assess the validity of his theories about the disorder in light of our current knowledge base in the fields of psychopathology, cognitive neuroscience and psychotherapy research. In this article, five themes related to the aetiology and phenomenology of schizophrenia from Jung's writings are discussed:1) abaissement du niveau mental; 2) the complex; 3) mandala imagery; 4) constellation of archetypes and 5) psychological versus toxic aetiology. Reviews of the above areas suggest three conclusions. First, in many ways, Jung's ideas on schizophrenia anticipated much current thinking and data about the disorder. Second, with the recent (re)convergence of psychological and biological approaches to understanding and treating schizophrenia, the pioneering ideas of Jung regarding the importance of both factors and their interaction remain a useful and rich, but still underutilized resource. Finally, a more concerted effort to understand and evaluate the validity of Jung's concepts in terms of evidence from neuroscience could lead both to important advances in analytical psychology and to developments in therapeutic approaches that would extend beyond the treatment of schizophrenia.     

Étude comparative des profils motivationnels d’adolescents scolarisés en lycée d’enseignement général,technologique et professionnel

The present research investigated motivational profiles of high school students following general, technological or vocational education. The French educational system is defined by an implicit hierarchy: the general education is considered as the most prestigious one, while specific education such as technological or vocational education is perceived as more appropriated for students with learning difficulties. Those representations could induce differences in academic engagements’ reasons. Nine hundred and forty-seven French students (552 following general, 222 following technological and 173 vocational education) completed the French version of the Academic Motivation Scale (AMS, Vallerand, Blais, Brière, & Pelletier, 1989). The AMS assesses various types of motivation defined by self-determination theory (Deci & Ryan, 2002). Cluster analysis revealed three distinctive motivational profiles present in all three types of education. In the first cluster, students’ scores were moderate in autonomous and controlled motivation and low in amotivation (moderate autonomous – controlled profile). The second cluster was characterized by high levels of autonomous and controlled motivation and a low amotivation (high autonomous – controlled profile). Finally, the third cluster was defined by a low autonomous motivation, a moderate controlled motivation and high level of amotivation (controlled profile). In addition, we found an impact of secondary education's type on academic motivation. Technological education was associated with the controlled profile, whereas adolescents involved in vocational education were more numerous in the high autonomous-controlled profile. Students following the general education were over-represented in moderate autonomous-controlled profile. The results presented above might be of a great interest to career counseling professionals and professors, especially if discussed in line with self-determination theory, in terms of motivational remediation.     

Liberation as a Correlate of Religiosity: a Christian–Muslim Perspective on Fundamental Trust

This article explores the dialectical relationship between liberating trust in reality and religious faith in God, interpreted from a Christian–Muslim perspective. An underlying conviction is that liberation constitutes a necessary mutual correlate of a “true” religiosity, i.e. liberation is to be conceived as both prerequisite for and realization of a genuine religiosity, and vice versa. As opposed to a “true” religiosity, born from liberating trust and finding its fulfilment in prophetic action aimed at liberation of human realities, religious belief and practice that stem from fundamental mistrust are likely to deteriorate into either religious fundamentalism or indifferentism. The article focuses on fundamental trust in reality as capable of evoking the liberating and uniting force of religious theory and praxis. It aims to render explicit the religious and ecumenical potential (hitherto not fully realized) of the theological–ethical considerations of Hans Küng, in particular within a Christian–Muslim framework. The first part of the article, more conceptual in character, examines Küng's views on fundamental (mis)trust and its religious implications. The second part seeks to identify theological insights that shed light on the specifically Christian and specifically Muslim interpretations of liberating trust. My hope is that this study may contribute to a truly global ecumenism whose objective is to render religion an instrument of liberation, not oppression.     

Eating disorder prevention on college campuses: Recruitment challenges

IntroductionUniversities are believed to present rich opportunities for eating disorder prevention research. However, the widespread recruitment from psychology subject pools and the attractive compensation offered widens the gap between efficacy trials and effectiveness studies, and raises concerns about the possibility of wide-scale dissemination.ObjectiveTo encourage thinking about how to disseminate prevention programs broadly.MethodWe provide a real-world example of the implementation of two prevention programs.ResultsThis paper illustrates the difficulties of recruiting for a disordered eating prevention intervention when offering minimal compensation despite the use of comprehensive and creative advertising.ConclusionsThese difficulties speak to the challenges in conducting widespread eating disorder prevention in university settings and highlight the need to develop strategies to help overcome challenges in prevention research and dissemination.