咨询期望与人格特质的相关性及对临床心理干预的启示

本研究探析了人格因素与咨询期望的相关性及对临床工作的启示.通过方便抽样选取样本348人,用心理咨询预期简表、卡特尔16项人格因子问卷进行调查.咨询期望在性别之间无差异,心理咨询中的个人承诺与聪慧性、稳定性等人格因子呈正相关;与怀疑性、忧虑性等呈负相关.对咨询师专业性的期待与乐群性、稳定性等人格因子呈正相关;与怀疑性、忧虑性等呈负相关.人格中的有恒性、聪慧性等对个人承诺有正向影响,而忧虑性、怀疑性对其有负向影响.有恒性、乐群性对专业性期待有正向影响,而忧虑性则产生负向影响.在临床心理咨询中要想达到理想效果,需要依据来访者的人格特点,评估并适时调整咨询期望.     

Focus,Scope, and Practice of Behavioral Consultation to Public Schools

SUMMARY

Public school districts frequently seek professional consultation to improve educational services. This article is an overview of the focus, scope, and practice of behavioral consultation to public schools. A four-stage process of consultation is described, followed by a discussion on the expanding role of behavior support intervention. Next, the involvement of consultants in the design of individual-student, classroom-wide, and whole-school programs is considered. Contemporary approaches to consultation are presented such as positive behavior support, functional behavioral assessment, and efficacy evaluation that targets natural data sources. A concluding section sets forth recommendations for the successful practice of public school behavioral consultation.     

Expanding Technical Assistance Consultation to Public Schools: District-Wide Evaluation of Instructional and Behavior Support Practices for Students with Developmental Disabilities

SUMMARY

We describe consultation to a public school district in the form of a systems-wide evaluation of instructional and behavior support practices for students with developmental disabilities. The evaluation targeted (1) the financial costs of educating students out-of-district, (2) an analysis of a representative sample of Individualized Educational Plans, and (3) interviews with and a questionnaire completed by teachers. The primary objective of the evaluation was to determine practice standards in the public school district and to make recommendations to improve service delivery. The format of the evaluative model, respective findings, suggested remedies, and implications for large-scale public school consultation are presented.     

The Effectiveness of a Consultation Model in Community Mental Health

This one-year study explored the impact of an occupational therapy consultation model on housing status and goal attainment among 57 people with severe mental illness who were homeless or at risk of homelessness. A repeated-measure experimental design was used. Although results were mixed, the significant improvement in housing stability and goal attainment six months into the study supports the value of continued research on the effects of both direct and consultative occupational therapy intervention on client goal attainment.     

Consultation to Improve a Special Educaton Teacher's Participation in Annual Review Multidisciplinary Team Meetings

Annual review multidisciplinary team meetings, in which special education student cases are reviewed and placement decisions made for the coming year, depend for their effectiveness on appropriate teacher assessment of student progress. This article reports on a consultation effort, internal to a multidisciplinary team, from which were developed two decision-making models which allowed a special education teacher to assess problem areas in her typical preparation for meetings and to devise more systematic preparation procdures. Changes resulting from the consultation are discussed. General issues posing difficulties for multidisciplinary team staffing of students in classes for the emotionally disturbed are also described.     

Training District Personnel as Peer Consultants and Inservice Leaders: Implementation and Evaluation of a Training Program

For several years, Furman University has offered training for special educators to develop skills as peer inservice providers and as peer consultants to general education personnel. By means of a personnel preparation grant, School Initiated Teacher Education (SITE) Outreach, 61 special education teachers, speech therapists, and curriculum specialists have been involved in a series of three graduate level courses designed to address development of skills in inservice content and presentation and peer consultation. Evaluation data were collected to determine the impact of the training program, perceived benefits to the participants, and the receptiveness of the participating school districts in terms of the incorporation of peer inservice and consultation activities into the ongoing instructional program.     

Effects of Different Listening-While-Reading Rates on Comprehension in Secondary Students with Reading Deficits

Abstract

Effects of instructing students to read silently as another person reads aloud (listening-while-reading) on comprehension in secondary students with learning disabilities were examined. Two separate treatment conditions were implemented. During student rate listening-while-reading, (SLWR), experimenters read aloud at rates that approximated each student's oral reading rate. During fast rate listening-while-reading, (FLWR), experimenters increased their reading rates. A silent reading (SR) control condition was also implemented. Following each intervention the students answered five literal and five inferential questions. SLWR resulted in lower inferential accuracy than FLWR and SR. Discussion focuses on future research and implications for accommodating secondary students with reading skills deficits in general education classrooms.     

Adolescents in mind

Adolescents in serious emotional difficulty are often unwilling to accept help from formal and statutory services. However, they remain a great worry to their parents, families and society as a whole. In this paper, I present the development of a model where the parents of adolescents are seen without the adolescent being referred. The adolescents themselves are occasionally present to help in the thinking about what they need from their parents and what they find unhelpful. They are not there to be engaged in therapy. Parents are encouraged to restore their authority and develop their role as parents appropriate to the new demands and needs of adolescents, who are held in mind by the therapist and are engaged indirectly through the work with their parents.     

Talking about Spirituality in the Clinical Setting: Can Being Professional Require Being Personal?

Spirituality or religion often presents as a foreign element to the clinical environment, and its language and reasoning can be a source of conflict there. As a result, the use of spirituality or religion by patients and families seems to be a solicitation that is destined to be unanswered and seems to open a distance between those who speak this language and those who do not. I argue that there are two promising approaches for engaging such language and helping patients and their families to productively engage in the decision-making process. First, patient-centered interviewing techniques can be employed to explore the patient's religious or spiritual beliefs and successfully translate them into choices. Second, and more radically, I suggest that in some more recalcitrant conflicts regarding treatment plans, resolution may require that clinicians become more involved, personally engaging in discussion and disclosure of religious and spiritual worldviews. I believe that both these approaches are supported by rich models of informed consent such as the transparency model and identify considerations and circumstances that can justify such personal disclosures. I conclude by offering some considerations for curbing potential unprofessional excesses or abuses in discussing spirituality and religion with patients.