Differential outcomes of skill training,group counseling,and individual cognitive therapy for persons with acquired visual impairment

As part of the Living Skills Training Program, group counseling and individual cognitive therapy were implemented to decrease psychological distress for adults with acquired visual impairment. This quasi‐experimental design study compared the outcomes of a 6‐month skill training program combined with a group counseling program (n = 37), with (n = 9) or without (n = 10) individual cognitive therapy, and with a control group (n = 42). The outcome measures were the Profile of Mood States and the Nottingham Adjustment Scale Japanese Version. The results showed that participants with low psychological distress decreased anxiety and increased acceptance of disability, even when they did not participate in group counseling. However, among the participants with high distress, they did not show any improvement without group counseling or individual therapy. The participants with high distress who engaged in group counseling showed an improving trend in attitudes toward others. Moreover, the participants who chose to engage in individual therapy in addition to group counseling showed decreased tension‐anxiety, depression, and fatigue, and significantly improved acceptance of disability. These results suggest that group counseling, combined with individual cognitive therapy, can be an effective part of rehabilitation treatment for clients who have high psychological distress.     

Block‐wise conflict adaptation of visual selectivity: Role of hemisphere‐dependent and location‐specific mechanisms

Three experiments investigated views on modulation of visual selectivity that involve hemisphere‐dependence and conflict frequency based views for a whole display. In each experiment, 16 participants completed a flanker task with compatible/incompatible stimulus arrays presented in the left, center, or right visual fields. The relative frequency of the compatible stimulus‐arrays within a trial block was varied as a function of the visual field. In Experiment 1, the relative compatibility frequency in the lateral visual fields was varied (75% / 25%) but not in the center visual field (50%). The results showed that in the lateral visual fields, the performance between the compatible and incompatible trials differed more in conditions with few (vs. many) compatibility trials. Experiments 2 and 3 validated these findings. In Experiment 2, the compatibility frequency varied in the center visual field but not in the lateral fields, resulting in performance effects in all three visual fields. Experiment 3 varied the magnitude of the differences between the compatibility and incompatibility frequencies. Together, the findings showed that participants adjusted to the frequencies of compatible stimuli in all visual fields, indicating conflict adaptation that depends on the relative frequencies of compatible stimuli. The results also suggest that this adaptation is associated with hemisphere‐dependent and location‐specific mechanisms.     

The use of child drawings to explore the dual↔group analytic field in child analysis

Awareness that the child is part of a complex relational system has ensured that all child analysts agree on the necessity of establishing a therapeutic alliance with the parents. Unconscious conflictual dynamics involve the child analyst and include him, from the time of the initial consultation, in an analytic field that is closer to that of a group than to the bi‐personal set‐up of therapy with adults. Through a clinical example, the author hypothesizes that the child’s drawings and play can be viewed as tools capable of mapping the unconscious emotions present in an analytic field that extends beyond the analyst–child couple. Play and drawings can be used in the relationship with the parents not in an explanatory sense, but as a probe with which to explore the universe of unconscious emotions present in the group field. The images or the story of the play used with this particular modality prove to be an attractive pathway that is effective in facilitating the alpha function of each of the members of the group. Furthermore, in this sense, they create the conditions for an occasion through which the parents can become more aware of their own unconscious emotions that have been entrusted to the child and expressed through his symptomatology. The possibility for the little group of subjects involved in a child analysis for oscillation in a dual–group field permits not only a shared experience of knowledge, but also a shared creativity aimed at knowledge of emotional truth (O).     

Risk and resilience: The moderating role of social coping for maternal mental health in a setting of political conflict

Violence can threaten individual wellbeing and tear at the social fabric of communities. At the same time, suffering can mobilize social coping and mutual support. Thus, the backdrop of political violence increases risk factors and stimulates resilience. The current study examined the moderating role of social coping as reflective of risk and resiliency in Northern Ireland, a setting of protracted conflict. Specifically, structural equation modeling was used to investigate whether social coping protects from or exacerbates the negative impact of sectarian crime and nonsectarian crime on maternal mental health (N = 631). Nonsectarian crime predicted greater psychological distress for mothers in Belfast. Mixed support was found for the buffering and depletion moderation hypotheses; social coping functioned differently for nonsectarian crime and sectarian crime. Greater social coping buffered mothers’ psychological distress from the negative effects of nonsectarian crime, but exacerbated maternal mental health problems when facing sectarian crime. Results suggest that social coping is a complex phenomenon, particularly in settings of protracted political violence. Implications for interventions aimed at alleviating psychological distress by enhancing mothers’ social coping in contexts of intergroup conflict are discussed.     

What does being initiated severely into a group do? The role of rewards

Undergoing an admission process (an initiation) can induce exaggerated feelings about a group, but there is little research about the role of rewards. This study replicated Aronson and Mills’ (1959) experiment. Seventy participants underwent either a severe initiation or a mild initiation. After the initiation, about half the sample received an extrinsic reward for merely completing the task. The remaining half did not receive an extrinsic reward. This was to vary the amount of dissonance. Initiation severity and reward condition had significant, noncrossing interactions. A reward led to higher group identity than no reward, supporting Levine and Moreland's (1994) group socialization model. A severe initiation did not lead to more group identity than a mild initiation; therefore, Aronson and Mills’ findings were not replicated. Interestingly, a mild initiation followed by a reward led to more group identity than a severe initiation followed by a reward. Another unexpected finding was that the extrinsic reward made no difference to group identity if the initiation was severe. Effects on ratings of the discussion were nonsignificant. Future research needs to establish how new group members ponder the severity of the admission process during the cost–benefit calculation preceding their identification with a group.     

Group Session Rating Scale: Preliminary psychometrics in substance abuse group interventions

Background: Although ultra‐brief outcome and process measures have been developed for individual therapy, currently there are no ultra‐brief alliance measures for group therapy. Method: The current study examined 105 clients in group therapy for issues related to substance abuse or with issues related to the substance abuse of a significant other. We tested whether a newly developed group therapy alliance measure – the Group Session Rating Scale would be related to other commonly used group process measures (Working Alliance Inventory, Group Cohesion, Group Climate) and early change (change over the first four sessions of group therapy). Results: The findings provided support for reliability based on Cronbach alphas and test‐retest coefficients. Additionally, the GSRS was a one‐factor measure that was related to other group process measures as well as predicted early change. Discussion: Clinical implications for how to utilise ultra‐brief outcome and alliance measures are provided.     

Religion in War and Peace

The role of religion in generating violent conflict and peace is a major topic in public, political and scholarly debates. However, despite a burgeoning field of literature, this relationship remains inadequately explained. In general, social and religious studies tend to focus on macro-analyses, resulting in essentialist and even ethnocentric notions of religion, violent conflict and peace. By using the Bougainville crisis as a case study, this article argues that as long as we disregard people's ‘lived religion’, local realities remain intangible and, furthermore, no insight is gained into the actual processes by which religion may generate conflict and peace. In particular, I show how the Bougainville crisis was conceptualised as a Holy War, revealing how Mary, the mother of Jesus Christ, inspired people to fight against oppression and for peace at the same time.     

Couples

The author summarizes some of the views of the founder of the Contextual Family Therapy approach, Ivan Boszormenyi-Nagy, M.D., that lead to an integration of Object Relations Theories with the more recent Family Systems Theories. She then examines the relevance of some of the concepts decribed in Contextual Therapy for an understanding of the functioning of healthy couples.     

EDITOR'S INTRODUCTION

No abstract available for this article.     

Facing the Music

Abstract

This article outlines how group practitioners can harness creative strategies to assist addicted clients in verbalizing and addressing the losses associated with addictive disorders. This article overviews the implementation of an experiential process that includes a warm up activity, a psychodrama, and utilization of empty chair techniques to address addiction related grief and loss. In addition, these models assist clients to discuss change and healing from the interpersonal devastation of addiction. Finally, the appropriate use and timing of these models are discussed and a case study is included to illustrate these principles in action.