‘It’s silly these doors don’t open’: a six-year-old girl emerges from a chronic state of emotional withdrawal

This clinical paper explores the way in which the first two years of a long-term psychotherapy helped six-year-old Anna to lessen her retreat into a chronic withdrawn emotional state. Over the course of the first year she would occasionally pick up the fridge from the doll’s house and try to open the doors, but because the fridge was actually a block of wood the doors could not open. In treatment, this inquiry came to represent the difficulties of engaging and making contact with a baby who found it very hard to feed. The author describes how, as Anna entered into a therapeutic relationship, it slowly became clear that there was an inner world jam-packed with persecutory anxieties and a family history of unmourned loss and trauma. Through fear Anna slammed the doors to her mind – to knowing herself – and by not feeding, Anna starved herself of opportunities for mental growth. It took some time for her to state, “it’s silly these doors don’t open, they should”. In the discussion of this clinical material the author draws on the work of Francis Tustin, Alessandra Piontelli and Marguerite Reid to consider the link between intergenerational and prenatal trauma and subsequent emotional disturbance in the child.     

Career development and counselling needs of LGBTQ high school students

There is a dearth of research concerning the career development and counselling issues that are relevant for high school students who identify as lesbian, gay, bisexual, transgender and queer (LGBTQ). As such, little is known to understand LGBTQ students when it comes to their career-related struggles and needs. This article attempts to examine the career development needs of LGBTQ high school students, addressing and analysing career problems from the unique circumstances of this student population. To do so, it provides an overview of the various career-related issues afflicting LGBTQ high school students. It then proposes a series of career guidance and counselling intervention considerations that are tailored to address the specific career needs and challenges of the LGBTQ high school students.     

Mind the Gaps: Are Conclusions About Mindfulness Entirely Conclusive?

Mindfulness has emerged as an important construct in the mental health field. Although evidence suggests benefits, it also appears that excitement over the clinical applications of mindfulness has largely suspended concentrated efforts to clarify fundamental elements of the construct. This article explores conceptual confusion and contrasts primary mindfulness‐based techniques before investigating attrition factors, adverse effects of mindfulness practices, and populations contraindicated for mindfulness‐based techniques. Implications for practice are provided.     

Use of positive interventions: Does neuroticism moderate the sustainability of their effects on happiness?

Previous research indicates that performing positive activities boosts happiness. The present studies examined whether neuroticism would moderate the sustainability of the effects of positive activities on happiness. Study 1 showed that the effects of counting blessings/kindness daily for seven days lasted a week after participants stopped performing the activity, but only for low-neuroticism individuals (who reported increased happiness) and not high-neuroticism individuals. However, a week post-intervention, gratitude-/kindness-listing participants were more likely to choose an amusing rather than a sad film, regardless of neuroticism differences. This suggests that behavioral choice is more sensitive to positive intervention effects than self-reported happiness. In Study 2, high-neuroticism individuals who occasionally visualized and wrote about their best possible selves over three weeks were happier than their counterparts in the control condition. The present research illustrates that although neuroticism moderates the sustainability of positive intervention effects, encouraging continuance of positive activities may produce more lasting effects.     

Genetic Counseling for Fragile X Syndrome: Recommendations of the National Society of Genetic Counselors

The National Society of Genetic Counselors' (NSGC) recommendations for fragile X syndrome (FXS) genetic counseling are intended to assist health care professionals who provide genetic counseling for individuals and families in whom the diagnosis of FXS is strongly suspected or has been made. The recommendations are the opinions of genetic counselors with expertise in FXS counseling and are based on clinical experience, a review of pertinent English language medical articles, and reports of expert committees. These recommendations should not be construed as dictating an exclusive course of management, nor does use of such recommendations guarantee a particular outcome. These recommendations do not displace a health care provider's professional judgment based on the clinical circumstances of a particular client.     

The Efficacy of Interventions Aimed at Reducing Procrastination: A Meta‐Analysis of Randomized Controlled Trials

This meta‐analysis investigated the efficacy of interventions aimed at reducing procrastination in randomized controlled trials. Twelve studies, with a total of 646 participants, met inclusion criteria. The significant meta‐analytic effect size, Hedges's g = 1.18, indicates that the interventions had a large positive effect. Three variables significantly moderated effect size: Higher effects were associated with interventions delivered in person, student samples, and a no‐treatment control condition. The results lay a foundation for procrastination treatment and future research.     

Challenge your stereotypes! Human Library and its impact on prejudice in Poland

Human Library is a public event aimed at reducing stereotypes and prejudices, in the form of an interactive, contact‐based intervention. It employs the logic of a regular library yet with readers “borrowing” Living Books, which are real people representing various minority groups. Readers engage in 30‐min conversations, during which they can challenge their stereotypes and widen their scope of knowledge and understanding. This pre‐post intervention study examined the effectiveness of the Human Library (held in Wroc?aw, Poland) in reducing social distance towards Roma, Muslims, dark‐skinned, and transgender people, as well as in decreasing homonegativity. Also, we measured whether participation in the Human Library changes individual attitudes towards diverse workgroups. We found that the Human Library decreased social distance towards Muslims. Also, the more Living Books that the participants “read,” the bigger the shift in their social distance towards Muslims. Furthermore, we observed an increase in positive affective attitude towards working in diversified groups, as a result of participation in the event. The study serves as partial support for the effectiveness of the Human Library in altering one's attitude towards minority groups and diversity. The intervention is discussed as a promising but not yet entirely understood tool to improve intergroup relations.