Issues in training clinical health psychologists

The author describes general issues in the training of clinical health psychologists and provides an overview of specific content needed in core health psychology and clinical health psychology assessment and intervention. Special attention is given to training in professional, personal, ethical and legal issues of practice.     

Personal mastery predicts pain,stress, fatigue,and blood pressure in adults with rheumatoid arthritis

Among individuals with rheumatoid arthritis (RA), stress-associated disease flare can severely impact well-being. Psychological factors such as personal mastery may buffer an individual from the negative effects of those flares. We tested the hypothesis that a high sense of personal mastery would prospectively predict stress reactivity. Measures of pain, perceived stress, fatigue, and mean arterial pressure (MAP) were collected before, during, and after two interpersonal stressors conducted on 73 individuals with RA. Factor analysis of the personal mastery scale yielded two independent factors: a 5-item “fatalism” component and a 2-item “control” component. Individuals with high fatalism scores reported overall greater joint pain at baseline and those scoring high on control exhibited lower MAP, and reported less stress and fatigue at baseline. After controlling for baseline differences, those high in control exhibited greater MAP increase during stress, and less drop in pain when compared to those low in control. These results suggest that individuals high in control may be more susceptible to the effects of acute stress; however, the overall beneficial aspects of high control outweigh the acute negative effects. Personal mastery may play a role in the experience of pain, stress, and fatigue for people with RA.     

Room temperature ferromagnetism and photoluminescence of nanocrystalline Zn1 − xCoxO thin films prepared by sol–gel MOD

Zn_1???xCo_xO (ZC) [x?=?0, 1, 3, 5, 7 and 9?mol%] thin films were prepared by sol–gel combined metallo-organic decomposition method. The films were deposited on the Si substrate with spin-coating technique and annealed at 600?°C for 3?h. X-ray diffraction pattern shows the formation hexagonal wurtzite phase and distortion (c/a) decreases with increasing Co concentration in ZnO. The average grain size is measured using Scherer relation. Atomic force microscopy is used to confirm the formation of nanograins resulted by the use of polyethylene glycol as surfactant. The photoluminescence was recorded by using He-Cd laser of excitation wavelength 325?nm in wavelength region of 350–650?nm which exhibits some influence of Co doping on the multiplication of defects such as O vacancies, Zn interstitials and grain boundary defects. All thin films show room temperature ferromagnetism except pure ZnO which is diamagnetic and 9?mol% of Co shows paramagnetism. This behaviour is interpreted as due to fluctuations in the magnetic ordering, depending on grain size and site location in grain boundaries or oxygen vacancies.     

Log-normal nanograin-size distributions in nanostructured composites

A key challenge in the fabrication of superhard nanocomposite films is how to control the distribution of grain sizes in these materials. High-resolution transmission electron microscopy has been used to measure nanograin-size distributions in the Ti–B–N films with various B contents. The results show that the mean grain size decreases with increase of B content and the grain-size distribution conforms to a log-normal function when the hardness approaches a maximum value. The transition from normal to log-normal distributions can be determined by analysis in terms of a minimum information criterion. The origin of a log-normal size distribution probably results from heterogeneity arising from a diffusion-drift process.     

Electromechanical behavior of single-walled carbon nanotube thin films

Carbon nanotubes have been intensively studied owing to their great potential in nanoelectronics and nanomechanical devices. Recently, experimental results have shown that single-walled carbon nanotubes (SWCNTs) change their electronic properties when subjected to strain. In this study, the electromechanical characteristics of SWCNT networks were investigated for the application of printable strain sensors on flexible substrates. SWCNT films were formed on plastic substrates of poly(ethylene terephthalate) using a spray process. In this manner, we were able to control the transparency and obtain uniform electrical properties of the films. The films are isotropic on account of the random orientation of bundles of SWCNTs. Experimental results showed a nearly linear change in the resistance across a film when it was subjected to tensile strain, even in the inelastic range of the flexible substrate. The results demonstrate the potential use of SWCNT films for highly sensitive printable strain sensors on a macroscale.     

Depression in Homebound Older Adults: Problem-Solving Therapy and Personal and Social Resourcefulness

The goal of problem-solving therapy is to teach patients systematic coping skills. For many homebound older adults, coping skills must also include both personal and social (help-seeking) resourcefulness. This study aimed to examine the relationship between perceived resourcefulness and depressive symptoms at postintervention and potential mediating effect of the resourcefulness among 121 low-income homebound older adults who participated in a pilot randomized controlled trial testing feasibility and preliminary efficacy of telehealth-PST. Resourcefulness Scale for Older Adults was used to measure personal and social resourcefulness. Only personal resourcefulness scores were significantly associated with depression outcomes at postintervention, and neither resourcefulness scores were significantly associated with group assignment. Analysis found no mediation effect of resourcefulness. The findings call for further research on potential mediators for the potentially effective depression treatment that could be sustained in the real world for low-income homebound older adults who have limited access to psychotherapy as a treatment modality.     

The good,the bad and the uncertainty: Trainees' perceptions of the personal development group

Background: Views about the purpose and role of personal development groups (PD group) in the counsellor training process are varied. Some argue they enhance self‐awareness, self‐exploration, the ability to be congruent and, ultimately, that they make for better practitioners. Others argue there is no clear evidence for such benefits and that they can actually be damaging to trainees. Aims: This study aimed to explore the beliefs of 25 trainees enrolled on counselling diploma or counselling psychology doctoral courses. It looked in particular at their perceptions of the purpose of PD groups and their expectations regarding support, difficulties and the scope of their participation. Method: Data was collected using open‐ended questions in an anonymous survey and was subjected to a thematic analysis. Results: Trainees appeared to hold mixed – and sometimes conflicting – views about the PD group. For some it was a positive endeavour that facilitated learning about self and clients, and helped in the processes of developing counselling skills and keeping the training group healthy. For others it was a feared space, which could elicit negative emotional experiences, and impact negatively on both learning outside of the PD group and the health of the group itself. Still others were unclear about its purpose. Hope/idealisation (of the process, the facilitator and course tutors) were also evident in the trainees' responses. Implications: Implications of these findings for counselling training are discussed.     

A trans-disciplinary study of the therapist's self

Participation in personal therapy during training is required by British accreditation bodies for counselling psychology as well as by most psychotherapy trainings. By contrast, trainee clinical psychologists are not required to undertake personal therapy, although they may elect to. Prior research in Britain and the US suggests that practitioners have a wide range of motives for entering therapy as well as motives for not doing so (Norcross &; Connor, 2005). This study addresses the fact that no research to date has specifically explored what individuals beginning their counselling psychology, clinical psychology and counselling training think and feel about participation in personal therapy during training. Data from open-ended questionnaires was analysed using inductive thematic analysis. Two main themes were identified. These consisted of: ‘Personal therapy helps me to be a better practitioner’, and ‘Personal therapy costs me’. The study results are considered in light of the limited prior research and recommendations for training are made.     

Rational Emotive Behavior Coaching

Managed care has led some psychotherapists to seek alternative modes of practice. Personal coaching provides one such approach. To what extent might an REBT practitioner already be “coaching”? How can REBT be meshed with personal coaching? What advantages and problems might ensue? What training is involved? These questions are answered based on the experiences of the author in shifting her work to what she calls Rational Emotive Behavior Coaching.