Changes in adolescent and parent hopefulness in psychotherapy: effects on adolescent outcomes as evaluated by adolescents,parents, and therapists

We examined the role of hope in the behavioral and socioemotional outcomes of adolescents referred to psychotherapy. Adolescents (n = 3517), aged 12–17 years, and their parents rated adolescents’ behavior problems, adolescents’ adaptive behavior, and their own subjective experience of hopefulness at intake and at 3-month follow-up. Therapists also rated adolescents’ behavior problems and adaptive behavior at intake and follow-up. Adolescents who reported increased hopefulness during treatment showed significantly fewer problems and significantly greater adaptive behavior at follow-up than adolescents who reported stable or decreased hopefulness. Similarly, adolescents’ outcomes were significantly associated with parents’ change in hopefulness during treatment. Results were consistent for adolescent, parent, and therapist ratings of outcomes. Our findings provide some of the first empirical evidence for the importance of hopefulness in the psychosocial treatment of adolescents and highlight the need to attend to hopefulness in both youths and their parents.     

The False-Hope Syndrome: Unfulfilled Expectations of Self-Change

Why do people persist in attempting to change themselves, despite repeated failure? Self-change is often perceived as unrealistically easy to achieve, in an unreasonably short period of time. Moreover, embarking on self-change attempts induces feelings of control and optimism that supersede the lessons of prior experience. Finally, people tend to expect an unrealistically high payoff from successful self-change. Some sorts of self-change are feasible, but we must learn to distinguish between realistic and unrealistic self-change goals, between confidence and overconfidence. Overconfidence breeds false hope, which engenders inflated expectations of success and eventually the misery of defeat.     

父母忽视对青少年自杀意念的影响:自尊和希望的中介作用

为考察父母忽视对青少年自杀意念的影响及其作用机制,采用父母忽视量表、自尊量表、希望量表和自杀意念量表,对全国七个省份八所中学共845名初二学生进行调查。结果表明：（1）父母忽视、自尊、希望和自杀意念两两之间存在显著的相关,且父母忽视对自杀意念具有显著的正向预测作用;（2）自尊和希望在父母忽视与自杀意念的关系中起部分中介作用。具体而言,父母忽视通过三条路径影响自杀意念：一是自尊的单独中介作用;二是希望的单独中介作用;三是自尊-希望的链式中介作用。本研究揭示了父母忽视与青少年自杀意念的关系及其作用机制,对预防以及减少青少年自杀行为具有一定的现实意义。     

‘I want to be a hope champion!’ – Research as hope intervention with rural South African children

This study explored how visual participatory research-as-intervention enabled a strengthening of hope among a group of South African primary school children. Twelve learners aged 9–13 years from a rural village in the QwaQwa region of South Africa participated in the study. Data on the children’s experiences of hope were co-constructed with them, applying various visual participatory approaches, while data on their engagement in the research itself was generated using group discussion, individual interviews, and notes captured in a research journal. Thematic analysis of the data revealed a strengthening of the children’s hope on personal, relational, and collective levels from engaging in hope-oriented visual participatory processes. The findings suggest that research-as-intervention has hope-enhancing value for rural South African children.     

Evidence for Relationships Between Hope,Resilience, and Mental Health Among Youth

Predictive modeling was used to evaluate the associations between hope, resilience, happiness, and mental health in 449 middle and high school students. Model results indicated large effect sizes for middle school (R² = .28) and high school (R² = .36) participants, with hope and resilience tending to predict self‐reported mental health symptoms. These findings and their application to counseling practice are explained.     

Placing hope in self and others: Exploring the relationships among self-construals,locus of hope,and adjustment

Traditional hope theory is dominated by an individualistic assumption wherein the self is considered as the focal agent of goal attainment. However, in collectivist cultures more relational dimensions of hope also need to be considered. The locus of hope dimension (internal vs. external locus) was added to the traditional hope theory in order to capture both individualistic and collectivist types of hope. Hope could either be anchored on oneself (internal locus) or on significant others (external locus). External locus could further be divided into family, friends, and spiritual hope. There is still a dearth of research on the external locus of hope, with most of the previous studies focusing on the internal locus. Therefore, the aim of this study was to examine how internal and external loci of hope could predict various indices of psychological adjustment. We also examined how individual differences in self-construals would predict locus of hope. Results among the Chinese university students indicated that independent self-construal was positively associated with the internal locus of hope, while interdependent self-construal was positively associated with the external locus of hope. Internal locus and external locus of hope related to family and friends were positively associated with adjustment, but spiritual hope was not. Implications and directions for future research are discussed.     

Self-harm as a sign of hope

The author describes psychotherapeutic treatment with a woman who uses severe forms of self-harm to express her hope that she can find real understanding and an environment that can respond to her. She discusses the significance of the earliest experiences of maternal care and the particular importance of the skin; she describes how traumatic breakdowns in early care are unconsciously re-created in later assaults on the body, which serve to communicate distress, anger, protest and the hope that a real attempt will be made to relate to the person who self-harms. Self-harm is viewed not as a suicidal gesture, but rather, as an attempt to preserve life, and to represent and contain unbearable states of minds. The author outlines ways in which self-harm can create a narrative and embody unbearable feelings and unspoken thoughts. It is seen as a form of self-expression and communication, both conscious and unconscious, which is not wholly destructive but has important hopeful and self-preservative aims.     

Hope in the Supervision of Therapy of Patients with Psychotic Disorders

Abstract

Psychotherapeutic interventions for individuals diagnosed with psychotic disorders have been extensively reviewed and studied (Fromm-Reichmann, 1950; Searles, 1965; Rosenfeld, 1988) and have recently received further attention (Kanwal, 1997; Silver, 2001; Spinelli, 2001). Nevertheless, there are almost no updated articles on the supervision of this therapy. This article addresses the issue, focusing on the importance of a sense of hope among therapists working with individuals who have psychotic disorders.     

Therapeutic Work with Trauma,Revictimization, and Perpetration: Bearing Witness,Offering Hope,Embracing Despair

ABSTRACT

This paper offers a case study of a survivor of childhood incest who in adulthood has become a victim of violence in her relationships with chosen partners and is concerned that she herself may be a perpetrator of sexual abuse. It examines selected literature on attachment, dissociation, transference/countertransference, role responsiveness and sadomasochistic therapeutic enactments, the two-system superego model, and the triadic self. The paper focuses on long-term treatment dynamics with survivors of cumulative trauma and explores such psychodynamic psychotherapy issues as the therapist as a perpetrator of violence, the development of sacred space, authenticity, and the importance of both offering hope and embracing despair in this work.