Therapists' Experiences of Conducting Cognitive Behavioural Therapy Online vis-à-vis Face-to-Face

This study has explored therapists' experiences of conducting cognitive behavioural therapy (CBT) online and face-to-face. Eleven therapists partook in semi-structured interviews, which were thematically analysed using an abductive approach. The results indicate that the therapists viewed face-to-face therapy as a stronger experience than Internet-based CBT (ICBT), and the latter as being more manualised, but providing more work-time control. Several participants also thought that working alliance may be achieved faster and more easily in face-to-face therapy, and might worsen with fewer modalities of communication. Clinical implications in need of investigation are whether working with ICBT might buffer therapist exhaustion, and whether this therapy form can be improved by becoming less manual dependant in order to be easier to individualise.     

Research Note Examining non-religious groups in Britain: theistic belief and social correlates

Major changes in religious belonging in Britain in recent decades have included a marked decline in levels of Christian affiliation and a growing segment of society who profess no affiliation—the ‘religious nones’. This research note uses a contemporary opinion poll to examine the groupings within the broad ‘religious nones’ category, focusing on those who identify as atheist or agnostic or who profess some other non-religion identity. This research note examines the patterning in theistic belief across these groups and assesses the socio-demographic correlates of these groups. At each stage, the non-religious groups are compared with those who profess a religious affiliation. These empirical findings are of note, given trends in the British religious landscape and wider scholarly debates about the nature and extent of secularisation, and should encourage future research in the area of non-religion.     

结构化面试中评分量表对评分准确性的影响

采用2(组内变量:量尺大小(25分和9分))×2(组间变量:评分方法(相对和绝对))的混合实验设计探讨评分量表对115名大学生新手评委评分准确性的影响。对于评分准确性,采用Cronbach1955年提出的四个指标,Elevation(EL)、Differential elevation(DE)、Stereotype accuracy(SA)、Differential Accuracy(DA)。结果发现,评分方法只在SA上主效应显著,量尺大小在只在DA上主效应边缘显著,评分方法和量尺大小在DE、SA和DA三个指标上均有交互作用。总体上看,在结构化面试评分中,对于评分准确性,相对评分量表优于绝对评分量表,小量尺量表优于大量尺量表。     

Popular or unpopular? Therapists' use of structured interviews and their estimation of patient acceptance

An accurate diagnosis is an important precondition for effective psychotherapeutic treatment. The use of structured interviews provides the gold standard for reliable diagnosis. Suppiger et al. (2009) showed that structured interviews have a high acceptance among patients. On a scale from 0 (not at all satisfied) to 100 (totally satisfied) patients rated overall satisfaction with a structured interview at M = 86.55. Nevertheless, therapists rarely seem to use structured interviews in clinical practice. The aim of this study was to assess how frequently therapists use structured interviews in daily practice. Secondly, we hypothesized that therapists underestimate patient acceptance of structured interviews. As a third goal, we explored further reasons why therapists choose not to use structured interviews. We conducted an online survey of 1,927 psychiatrists and psychotherapists in Switzerland and asked them how frequently they used structured interviews and how they estimated patient satisfaction with these interviews. Furthermore, we asked therapists why they chose to use or not use structured interviews. Therapists reported using structured interviews on average with about 15% of their patients. Furthermore, therapists estimated significantly lower patient acceptance than patients themselves indicated (M_therapist = 49.41, M_patient = 86.55). Our data suggest lack of familiarity with these instruments as well as an overestimation of the utility of open clinical interviews as further reasons for not using structured interviews.     

Estimating Religious Populations with the Network Scale‐Up Method: A Practical Alternative to Self‐Report

Getting accurate information on religious demographics from survey‐based self‐reports presents a difficult task, suffering from the biases of social desirability, personal safety concerns, and the ambiguous definitions of religious identity. The network scale‐up method (NSUM) is an estimation strategy based on the enumeration of social network ties. NSUM has recently been employed to estimate the sizes of hidden populations in criminology and public health, but it has not been utilized in the study of religion. In this study, we argue for the advantages of NSUM in overcoming the biases associated with self‐reports and lay out a practical guide for the scholars of religion to the design and calculation of NSUM. We use a recent survey of Chinese international students to illustrate the use of NSUM and estimate the percentage of Buddhists (4.3 percent) and Christians (8.6 percent) in this population. We recommend interested scholars to adopt NSUM for its reliability, easy implementation, and the affinity between the sociological perspective on religion and the socially‐oriented assumption of NSUM.     

Child psychotherapy with looked after and adopted children: a UK national survey of the profession

Relatively little empirical data is available about the range of work undertaken by child psychotherapists in the UK; however, previous surveys have shown high levels of complexity amongst children referred to child psychotherapists and an increasing proportion of work with children in foster or adoptive placements. Aims: We sought to examine child psychotherapists’ working practices with looked after and adopted children (LAAC), including the types of activities undertaken and their views on this work. Method: An online survey was designed to elicit this information from the members of the Association of Child Psychotherapists (ACP), the regulatory body for child psychotherapists in the UK. The survey included a number of categorical and open-ended questions, which were analysed quantitatively and qualitatively. Findings: 215 responses were received (24.5% of the eligible ACP membership). The vast majority of the sample were working with LAAC in some context (87.9%). Respondents were conducting a range of work: the most frequently conducted activities were assessment (83.7%), direct psychotherapy (82.3%), work with foster carers and adoptive parents (80.9%) and consultation with the professional network (76.7%). Thematic analysis of qualitative data suggested the complexity of problems amongst the children attending psychotherapy, as well as the perceived need for long-term work with these children. Many respondents placed emphasis on the importance of working with the professional network around the child, including foster carers and adoptive parents, despite feeling that this was often an under-resourced area of child and adolescent mental health services. The implications of the survey for practice and future research are discussed.     

What’s in a name? A psychoanalytic exploration of self and identity in transgender individuals who were assigned female at birth

This study explores the development of self and gender identity within the lived experience of transgender individuals who were assigned female at birth and now identify as male or male spectrum. A psychoanalytically informed interview technique was employed here, involving six participants, aged 20–37 for 3–4 one-hour interviews. Alongside close attention to the content and the manner of representation of self and other across interviews, the analysis was also informed by counter-transference processes. Three core themes emerged from the data: ‘What’s in a Name?’; ‘Rejected, Bullied, Ignored and Forgotten’; and ‘I’m a Boy (not a Girl)’. Recollections of traumatic experiences and the use of laughter were other notable details that appeared across participants. Links are made between the emerging themes and concepts of incongruent mirroring and the development of a false self. Directions for further research and clinical implications for working with transgender clients in a psychotherapeutic context are also outlined.     

Sense of Community, Neighboring, and Social Capital as Predictors of Local Political Participation in China

This study examines the state of sense of community, neighboring behavior, and social capital in the People’s Republic of China, and explores their ability to predict local political participation, in the form of voting in elections for Urban Resident/Rural Villager Committees. Using a nationally representative survey, rural, older and married residents and those with a primary or high school education and higher perceived socio-economic status are more likely to participate. In rural areas, men are more likely than women to vote. For urban residents, knowing one’s neighbors is more important whereas in rural areas, neighboring behavior is more important, but both predict voting. Social capital does not generally predict Chinese people’s local political participation. Western definitions of social capital derived from theories about networking, bonding and bridging ties may be too culturally individualistic for China, whose collectivist society and agrarian kinship networks predate Communism. Simply knowing and helping one’s neighbors, rather than more abstract notions of trust, reciprocity or membership, may lead to the development of local democracy.     

大连市抑郁障碍的现况调查

了解大连市18岁以上人群抑郁障碍的患病率和分布特点。采用多阶段分层整群随机抽样方法,以复合性国际诊断交谈检查量表(CIDI3.0)对大连市5062名≥18岁城乡居民进行了调查。抑郁障碍的患病率为4.30%,其中男性为3.40%,女性为5.00%,女性高于男性(P0.01);重度抑郁障碍的男性患病率为2.90%,女性为4.40%,女性高于男性(P0.01)。城乡间患病率无显著性差异。不同收入水平的患病率存在差异,收入处于中等水平的人群患病率低于低、高收入者。目前抑郁障碍已经成为迫切需要解决的重大公共卫生问题,关注女性,关注低收入群体,进行健康宣传,提供支持,以便促进家庭及社会的和谐。了解大连市18岁以上人群抑郁障碍的患病率和分布特点。采用多阶段分层整群随机抽样方法,以复合性国际诊断交谈检查量表(CIDI3.0)对大连市5062名≥18岁城乡居民进行了调查。抑郁障碍的患病率为4.30%,其中男性为3.40%,女性为5.00%,女性高于男性(P0.01);重度抑郁障碍的男性患病率为2.90%,女性为4.40%,女性高于男性(P0.01)。城乡间患病率无显著性差异。不同收入水平的患病率存在差异,收入处于中等水平的人群患病率低于低、高收入者。目前抑郁障碍已经成为迫切需要解决的重大公共卫生问题,关注女性,关注低收入群体,进行健康宣传,提供支持,以便促进家庭及社会的和谐。     

Post‐traumatic factors and resilience: the role of shelter management and survivours' attitudes after the earthquakes in El Salvador (2001)

A participatory research action was undertaken in the two largest shelters established after the earthquakes in El Salvador (2001). One hundred fifteen semi‐structured interviews were carried out among refugees, which later formed the basis for a self‐managed community plan. Comparisons between the two shelters—which differed primarily in whether the grouping of tents was made to reflect the community of origin of the survivors (shelter Santa Gertrudis) or not (shelter El Cafetalón)—showed that refugees in Santa Gertrudis participated more often in community activities, and had more positive emotional memories, fewer feelings of having been humiliated and less emotional discomfort than refugees in El Cafetalón. The results suggest that forms of organisation and management which consider elements of dignity, participation and respect for the capacity of the victims to control their own lives are relevant factors for effective individual and community coping after a catastrophe. Copyright © 2005 John Wiley & Sons, Ltd.