A common ground in clinical discussion groups: Intersubjective resonance and implicit operational theories

Clinical discussion groups based on the Three‐Level Model for Observing Patient Transformations (3‐LM) enable us to reflect on the clinical common ground shared by psychoanalysts who have different theoretical frameworks. The very existence of this common ground is controversial. While analysts such as Wallerstein support it, others, like Green, think it is just a myth. In their 2005 controversy Wallerstein and Green proposed an observation procedure that might clarify this matter. This procedure bears great similarity to the one used by clinical discussion groups that apply the 3‐LM. The study of numerous theoretically heterogeneous groups that use this model shows that communication is possible in crucial areas. We may thus conclude that a partial and dynamic common ground exists. At a phenomenological level, certain fragments of material produce a shared resonance that enriches clinical understanding for the whole group. Communication is also possible with regard to the conceptualization of patient changes, although some controversial issues persist at this level. Finally, at the level of theoretical explanations, divergences concerning abstract theories do not prevent a fertile interaction among ‘in vivo’ personal implicit theories. The latter give rise to the actual operational frameworks underlying participants' approach to clinical problems.     

Accessibility and characteristics of memories of the future

Recent research suggests that some imagined future events are encoded in memory, leading to the formation of “memories of the future”. However, questions remain regarding the exact components of future event simulations that are encoded and the factors that determine their accessibility. To address these questions, the present study investigated memory for previously imagined future events using both free and cued recall tasks. The results showed that most future event simulations were successfully encoded and remained available in memory after a one week delay, but only some of them were readily accessible, whereas others could only be accessed when relevant cues were provided. Persons and locations were particularly well remembered, suggesting that these components are central to the simulation and memorisation of future events. We also found that memory for future event simulations was related to the clarity and familiarity of represented persons, the subjective feelings of pre-experience and mental time travel, the importance of imagined events to personal goals, and their emotional intensity during the initial simulation phase. Taken together, these findings expand our understanding of the formation, accessibility, and characteristics of memories of the future.     

Action: a bridge between vocational and mental health counselling*

A theory of goal-directed action is proposed as a conceptual link between vocational and mental health counselling. Originally emerging from the vocational counselling field, contextual action theory is presented as a critical conceptual link not only between mental health and occupational life but also between counselling practices in these domains. This specific application of goal-directed action to vocational and mental health counselling is addressed by describing counselling as goal-directed action, the five tasks of counselling it invites, and tools for supporting client goals, such as the self-confrontation interview.     

The ‘tyranny of time’: getting to the heart of the impact of educational cuts on the provision of guidance counselling in Ireland

The Irish Education Act (Government of Ireland 1998) stipulates that each young person in secondary school in Ireland is entitled to access ‘appropriate’ guidance. It has been argued that this very right has been eroded since Budget 2012, where resource re-allocations in guidance counselling are obstructing the requirement for schools to implement this section of the Act. This qualitative study explored the effects of ‘educational cutbacks’ from the perspective of guidance counsellors. Findings from interviews with guidance counsellors, suggest that the effects of such cutbacks in guidance counselling are far-reaching and ultimately students are the one’s losing out. The paper proposes that there is a need to reinstate guidance counselling hours to allow guidance counsellors provide a comprehensive service to young people – which they are entitled to.     

On being guided – a typology of career guidance in EU discourses*

With this article we want to illustrate how the central publications of the European Union legitimate a role of Career Guidance Services (CGS) that help in establishing a desired form of social order. Using the Sociology of Knowledge Approach to Discourse, we reconstructed four typical metaphorical conceptualisations of CGS that go along with desirable and taken-for-granted subject positions. The results reveal the assigned active role of CGS in establishing a specific vision of and in transforming the European society. We conclude by outlining the ways in which critique is expressed within the discourse and by highlighting the inherent ambivalences of these practices of critique.     

糖尿病性视网膜病变的个体化治疗

糖尿病性视网膜病变(DRP)是糖尿病患者致盲的一个主要原因。其发病的多样性决定了对其治疗应该个体化。就其个体化治疗的依据、方法的研究及具体的措施运用哲学原理加以综述。     

The influence of perceived prison crowding on male inmates' perception of aggressive events

This study examines whether, in a male prison, the subjective experience of crowding increases the likelihood that events are perceived as aggressive in nature, and whether the protagonists involved are viewed as more hostile, malevolent, and aggressive. In addition, this paper also examines the possible mediating effects of stress, arousal, and psychological well‐being on two hypothesised relationships. First, these mediating factors are examined for the link between individuals' personal space preferences and their perceived level of crowding. Second, these factors are examined for the link between perceived crowding and interpretations of an aggressive event. Such associations may help to explain why crowding and aggression are linked within a social interactionist perspective. The results confirmed previous findings that crowding is linked to increases in arousal and stress, and a reduction in psychological well‐being. This study also found, however, that those inmates who experienced crowding were also more likely to interpret behaviour as aggressive and violent. This relationship was not mediated by arousal, stress, or psychological well‐being. However, these factors were found to partially operate in the relationship between personal space preferences and the experience of subjective crowding. The implications of this study for social interactionist explanations of the link between crowding and prison violence are offered. Aggr. Behav. 30:273–283, 2004. © 2004 Wiley‐Liss, Inc.     

新的人身损害赔偿司法解释对医疗行业的影响及医疗行业的对策

新的人身损害赔偿司法解释将于2004年5月1日正式施行.预计将引起医疗纠纷诉讼大量增加,且多以医疗侵权为诉因,医疗机构的赔偿费用也会大幅上升.医疗行业应从减少医疗过失,改善医患关系,完善医疗事故鉴定等方面加以应对.