Defensive patterns in reflective group supervisions at Child Health Centres

Reflective group supervision with infant healthcare workers has been described in several publications. It aims to enhance their ability to help distressed families, and to comprehend and relieve themselves of the distress that they encounter in such work. The ultimate aim has been formulated as an effort at increasing the professional's reflective function. The present article adds to the literature by applying an ego-psychological perspective on the group process and investigating defensive patterns in such supervisions. This approach includes a critical discussion of the place of the reflective function concept in psychoanalytic metapsychology. The article also suggests a Bionian perspective to account for skewed communicative patterns in groups, so-called basic assumptions. Some technical recommendations are provided on the frame in group supervision. They aim to disarm such defenses and facilitate the group participants’ possibilities of understanding and thus helping their colleague's problematic relationship with the family. To illustrate the discussion, and to help readers form an image of the supervision process, brief detailed accounts of such work are submitted.     

Eyes on the street: Photovoice,liberation psychotherapy,and the emotional landscapes of urban children

Eyes on the Street is a therapeutic photovoice program which empowered 25 predominantly African American children (ages 7–12) to use digital photography to express and process emotions about their neighborhood, the Hilltop South community of Pittsburgh. Many of the Hilltop South neighborhoods suffer from the effects of systemic sociopolitical disenfranchisement and trauma. This program implemented photovoice as a trauma-healing intervention to empower youth in the Hilltop South to recognize, utilize, and artistically express their emotional responses to the public places of their neighborhood. The program's objectives were to create activities and spaces where children can practice emotional agility by articulating their feelings as images, and to introduce children to a self-advocacy tool with which to assert the needs of their community. This paper lays out the principles of liberation psychotherapy, discusses how they have guided the program development for Eyes on the Street, and showcases the details of the trauma-healing photovoice curriculum.     

从恢复体验到地方依恋:环境偏好与居住时长的作用

探究源自环境的恢复体验(如,放松、平静等)对居住者地方依恋(包括地方依赖和地方认同两个维度)的预测作用,并分析其中的内在过程与情境条件。采用问卷研究法(N=410),结果发现:(1)恢复体验能显著正向预测个体地方依恋;(2)环境偏好在恢复体验与地方依恋之间起完全中介作用;(3)居住时长调节环境偏好与地方依恋(主要是地方认同)之间的关系。研究将有助于探寻环境心理学视角下的压力管理与城市管理协同路径。     

Race,Ethnicity, and Gender of Faculty Members in APA‐ and CACREP‐Accredited Programs: Changes Over Five Decades

This study examined changes in race, ethnicity, and gender of faculty members in APA‐ and CACREP‐accredited counseling programs over 5 decades based on the year of their degree. Of those faculty members working in accredited programs who graduated in the 1960s/1970s, 26.7% were female, 5.6% were racially diverse, and 1.7% were Latina/o. Of those who graduated 5 decades later, 63% were female, 18% were racially diverse, and 4.9% were Latina/o. Implications are discussed. Este estudio examinó los cambios en raza, etnicidad y sexo de los miembros del profesorado en programas de consejería acreditados por la APA y CACREP a lo largo de 5 décadas basados en el año de graduación del profesor. De aquellos miembros del profesorado trabajando en programas acreditados que se graduaron en las décadas de los 60 y 70, el 26.7% fueron mujeres, el 5.6% racialmente diversos y el 1.7% latinos. De aquellos que se graduaron 5 décadas después, el 63% fueron mujeres, el 18% racialmente diversos y el 4.9% latinos. Se discuten las implicaciones.     

Writing life narratives through art practice

This article shares some of my doctoral experiences in a practice-based PhD research in arts developed at the Chelsea College of Arts, University of the Arts London. It locates art practice within the academic research realm and contributes to researchers working on autobiographical studies and practice-based research methods. By offering an overview on my research topic focusing on the relationship between language and place in the life of Brazilian women living in London, I reflect on the relevance of “not-knowing” as a fruitful space for researching autobiographical and situated life narratives through art practice. The article concludes that qualitative methods are relevant for building passages from the individual to the collective sphere of an art practice developed within geographical displacement and in the context of academic research.     

A case-controlled field study evaluating ICD-11 proposals for relational problems and intimate partner violence

Background/Objective: Intimate partner relationship problems and intimate partner abuse and neglect — referred to in this paper as “relational problems and maltreatment” — have substantial and well-documented impact on both physical and mental health. However, classification guidelines, such as those found in the International Classification of Diseases (ICD-10), are vague and unlikely to support consistent application. Revised guidelines proposed for ICD-11 are much more operationalized. We used standardized clinical vignette conditions with an international panel of clinicians to test if ICD-11 changes resulted in improved classification accuracy. Method: English-speaking mental health professionals (N = 738) from 65 nations applied ICD-10 or ICD-11 (proposed) guidelines with experimentally manipulated case presentations of presence or absence of (a) individual mental health diagnoses and (b) relational problems or maltreatment. Results: ICD-11, compared with ICD-10, guidelines resulted in significantly better classification accuracy, although only in the presence of co-morbid mental health problems. Clinician factors (e. g., gender, language, world region) largely did not impact classification performance. Conclusions: Despite being considerably more explicated, raters’ performance with ICD-11 guidelines reveals training issues that should be addressed prior to the release of ICD-11 in 2018 (e. g., overriding the guidelines with pre-existing archetypes for relationship problems and physical and psychological abuse).     

Parent Education for Migrant Mothers of Left‐Behind Children in China: A Pilot Randomized Controlled Trial

Although numerous studies have indicated the significance of parental support and parent–child communication in alleviating the adverse effects of parental departure on left‐behind children, researchers have rarely addressed the impact of parent education on migrant parents. On the basis of the results of a pilot randomized controlled trial, the study reported here involved examining the possible outcomes and feasibility of a parent education program for rural‐to‐urban migrant mothers of left‐behind children in China. Informed by an existential–narrative approach to parent education, the program was composed of six 2.5‐hour sessions. The sample included 56 migrant mothers recruited from a social service center in Shenzhen, China, who were randomly assigned to either the immediate group (n = 28, M = 34.82 years, SD = 4.12, aged 23–43) or the waitlist control group (n = 28, M = 34.68 years, SD = 4.53, aged 28–43). The hypotheses of the trial were twofold: that the program would positively affect participants’ parental identity and that it would improve mother–child relationships and parenting practices. The results revealed no significant difference in parental identity between the intervention group and the waitlist control group at the post‐test assessment after ruling out the effects of pretest survey scores. However, significant differences did emerge in parent–child relationships and parenting practices. Overall, the results corroborate the feasibility of examining the current program for migrant mothers in China in a full trial. The findings also offer insights into developing empirically supported parent education programs for migrant parents.     

On Murray Jackson's 1961 ‘Chair,couch and countertransference’

One of the problems facing psychoanalysts of all schools is that theory has evolved at a much faster pace than practice. Whereas there has been an explosion of theory, practice has remained, at least officially, static and unchanging. It is in this sense that Murray Jackson's 1961 paper is still relevant today. Despite the rise of the new relational and intersubjective paradigms, most psychoanalysts, and not a few Jungian analysts, still seem to feel that the couch is an essential component of the analytical setting and process. If the use of the couch is usually justified by the argument that it favours regression, facilitates analytical reverie and protects the patient from the influence of the analyst, over time many important psychoanalysts have come to challenge this position. Increasingly these analysts suggest that the use of the couch may actually be incompatible with the newer theoretical models. This contention is strengthened by some of the findings coming from the neurosciences and infant research. This underlines the necessity of empirical research to verify the clinical effectiveness of these different positions, couch or face‐to‐face, but it is exactly this type of research that is lacking.