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441.
The provision of counselling for work‐related problems has expanded in recent years, as organisations have recognised the value of this approach to staff support. However, there has been relatively little research into the outcomes of workplace counselling, and no systematic reviews have been conducted into the effectiveness of counselling in this setting. This paper presents the results of a preliminary review of evidence in this area. 34 studies of the effectiveness of workplace counselling were identified, of which 16 were sufficiently well designed to be considered as comprising reliable findings. The results of these studies suggest that, in general, workplace counselling is effective for clients for a wide variety of type and severity of presenting problems, employed across a range of different organisational contexts. The paper includes discussion of methodological issues associated with this research, recommendations for further research, and implications for practice. 相似文献
442.
Hilde Colpin Agnes De Munter Kristien Nys Lieve Vandemeulebroecke 《Infant and child development》1998,7(4):223-227
The present study aims at contributing to a better understanding of prenatal attachment in parents expecting twins. In particular, the relationship between prenatal attachment (measured with the Questionnaire for Antenatal Emotional Attachment) and three other psychosocial factors—the parents' psychosocial well-being and the quality of the marital relationship (respectively assessed with the General Health Questionnaire and the Relational Interactional Satisfaction Scale) and the presence of older children in the family—was investigated in both future mothers and fathers at 27 weeks of gestation. Multiple regression analysis revealed no significant relationship between the intensity of prenatal attachment and either of the three variables. For the mothers, a significant positive relationship was found between the quality of attachment on the one hand and psychosocial well-being and quality of the marital relationship on the other hand. For the fathers, the quality of attachment was only significantly predicted by the quality of the marital relationship. © 1998 John Wiley & Sons, Ltd. 相似文献
443.
There is a need for a measure of outcome in systemic family and couples therapy (SFCT) that reflects current theory and practice. To meet the needs of SFCT practice the measure needs to use self‐report by family members, take a short time to complete and be easy to understand. The development of such a measure, called the SCORE, is reported in this article. Substantial piloting, consultation and review in terms of clinical judgement led to the construction of the SCORE 40 which has forty items about how the family functions, rated by family members over 11 years of age on a Likert scale, in addition to independent ratings of the family and its difficulties. The SCORE 40 is shown to be a viable instrument but is too substantial for everyday clinical use. In a research project to reduce and refine the measure and determine its psychometric properties the SCORE 40 was administered to 510 members of 228 families at the start of their first appointment for family therapy at clinics throughout the UK. The scale has good psychometric properties and could operate with either three or four dimensions. The analyses of these data, combined with data from a convenience sample of 126 non‐clinical families, allowed a reduction to fifteen items while retaining most of the information provided by the SCORE 40. This version is offered with three dimensions of: (1) Strengths and adaptability; (2) Overwhelmed by difficulties; and (3) Disrupted communication. It is hoped that the ready availability of the SCORE 15 will encourage routine evaluation of outcomes in clinics as well as the SCORE being used flexibly for both therapy and research. 相似文献
444.
Jennifer L. Duffy Mary Severson Prince Erin E. Johnson Forrest L. Alton Shannon Flynn Amy Mattison Faye Polly Edwards Padgett Chris Rollison Dana Becker Angela L. Hinzey 《American journal of community psychology》2012,50(3-4):370-385
Getting To Outcomes (GTO), an innovative framework for planning, implementing, evaluating, and sustaining interventions has been shown to be effective in helping community‐based organizations (CBOs) introduce science‐based approaches into their prevention work. However, the Interactive Systems Framework (ISF) suggests that adopting innovations like GTO requires a significant amount of capacity building through training and technical assistance (T/TA). In this study, 11 CBOs and three schools in South Carolina entered into a 3 year program of intense and proactive T/TA based on the ISF to learn how to apply an adaptation of GTO (Promoting Science‐Based Approaches‐Getting To Outcomes, PSBA‐GTO) to their teen pregnancy prevention programs. Using semi‐structured interviews, the partnering organizations were assessed at three points in time, pre‐T/TA, 12 months, and post T/TA (30 months) for their performance of the steps of GTO in their work. The seven organizations which participated in T/TA until the end of the project received an average of 76 h of TA and 112 h of training per organization. Interview results showed increased performance of all 10 steps of PSBA‐GTO by these organizations when conducting their teen pregnancy programs. These results suggest targeted and proactive T/TA can successfully bridge the gap between research and practice by using a three part delivery system, as prescribed in the ISF, which relies on an intermediary prevention support system to ensure accurate and effective translation of research to the everyday work of community‐based practitioners. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith 相似文献
445.
Jessica Yakeley 《The International journal of psycho-analysis》2013,94(4):667-688
The paper explores the impact of the analyst’s pregnant body on the course of two analyses, a young man, and a young woman, specifically focusing on how each patient’s visual perception and affective experience of being with the analyst’s pregnant body affected their own body image and subjective experience of their body. The pre‐verbal or ‘subsymbolic’ material evoked in the analyses contributed to a greater understanding of the patients’ developmental experiences in infancy and adolescence, which had resulted in both carrying a profoundly distorted body image into adulthood. The analyst’s pregnancy offered a therapeutic window in which a shift in the patient’s body image could be initiated. Clinical material is presented in detail with reference to the psychoanalytic literature on the pregnant analyst, and that of the development of the body image, particularly focusing on the role of visual communication and the face. The author proposes a theory of psychic change, drawing on Bucci’s multiple code theory, in which the patients’ unconscious or ‘subsymbolic’ awareness of her pregnancy, which were manifest in their bodily responses, feeling states and dreams, as well as in the analyst s countertransference, could gradually be verbalized and understood within the transference. Thus visual perception, or ‘external seeing’, could gradually become ‘internal seeing’, or insight into unconscious phantasies, leading to a shift in the patients internal object world towards a less persecutory state and more realistic appraisal of their body image. 相似文献
446.
This study sought to describe a brief review of studies conducted on the therapeutic alliance, taking into consideration therapeutic process and outcomes. We seek to reflect about the need to encourage the communities who engage in and conduct research on clinical practice not only to implement surveys of empirically validated measures of therapeutic outcomes, but also make them a regular practice among all clinical mental health psychotherapists. We therefore suggest the following paradigm – the Practice Based on Evidence of Results (PBER) – as a way to improve the quality of technical and tactical interventions of psychotherapists 相似文献
447.
Qualitative approaches were used to understand the experience of pregnancy in a group of young Xhosa women (N =10, M age = 19.70, SD = 3.20). Data is provided on their retrospective accounts of factors which contributed towards unwanted pregnancy. Thematic content analysis revealed a range of influences on pregnancy including: background, parenting and restrictions; stigma towards contraception; carelessness and ignorance; power and pressure from the partner; and shifting responsibility. 相似文献
448.
Brian Rodgers 《Counselling and Psychotherapy Research》2002,2(3):185-193
This paper reports on an exploration of the experience of the client at the heart of therapy. A grounded theory analysis of clients' experiences of therapy provided through a voluntary sector counselling service was undertaken, and generated four main categories: permission, engagement, transparency and restructuring. The results of the study are presented in a way that hopefully retains much of the richness of what people have reported about their experience of counselling. The findings of the study are discussed in terms of the idea that counselling can provide a setting where people can have common therapeutic requirements met. 相似文献
449.
Background and Objectives: Prenatal stress increases risk for postpartum depression. While social support availability may attenuate this risk, little research has examined support receipt during pregnancy, which has been linked to increased distress in other domains. This study assesses the implications of motherhood-related and motherhood-unrelated support receipt for daily distress during pregnancy and tests whether negative responsiveness to motherhood-related support predicts postpartum depression risk. Design and Method: Thirty-one pregnant women were recruited from the community for a 3-wave study (beginning at approximately 26 weeks gestation, 34 weeks gestation, and 4 weeks postpartum). Each wave included a survey of general characteristics (e.g. depressive symptoms) and a two-week diary period measuring mood, stress, and support. Results: A multilevel model analysis suggested that motherhood-related support predicted greater increases in daily distress than motherhood-unrelated support. Follow-up regression analysis showed that those who responded more negatively to motherhood-related support reported higher postpartum depressive symptoms. Conclusions: Although preliminary due to the sample size, the results suggest that how women interpret and respond to support may contribute to postpartum depression risk. Future research should focus on how mothers can more positively construe the support they receive in addition to how to increase the support available to them. 相似文献
450.
The aim of this population-based study was to identify demographic factors for language delays at an early age. The risk analysis covered 11 biological and 8 environmental factors. The mothers’ concerns regarding language development were also examined. A total of 226 children from a Finnish cohort study were invited to participate in language assessments at 36 months. The test results for word finding and language comprehension were compared with parental questionnaires about children's vocabulary at 13 and 24 months.Regression analysis revealed that the father's social class (t = −2.79, p = 0.006) and working full time (t = −2.86, p = 0.005) significantly predicted children's language delay. In addition, language comprehension was significantly predicted by the mother's social class (t = −2.06, p = 0.041) and by gender, with an advantage to girls (t = −2.71, p = 0.008). Vocabulary at 24 months was a powerful predictor for lexical development (t = 4.58, p < 0.0001) and language comprehension (t = 4.85, p < 0.0001) at 36 months. Mothers’ concerns were correlated with children's limited lexicons as early as 24 months (r = 0.31, p < 0.0001) and poor language comprehension (r = −0.35, p < 0.0001) at 36 months. Mothers were especially concerned if the parents needed special education during school years.At the population-level, gender was the most powerful biological factor in predicting language delays. Similarly, both parents’ social status had predictive value for the child's language development. In addition, it was found that the mother's concern about her child's slow language acquisition should be taken into account when making decisions regarding special support. 相似文献