Shifting Reflecting Positions: “You're Right from Your Side, I'm Right from Mine”

Implications for the idea that the therapist does not have access to reality, but to his or her constructions are spelled out for the practice of therapy, including the notion that therapy is conversation, and understandings of language, inner and outer dialogues, framing, the use of opening questions, social realities, gender questions, shifting reflecting positions are spelled out and illustrated.     

The therapeutic alliance–A conceptual analysis

The role and function of the therapeutic alliance in psychotherapy has increasingly been the focus of clinicians' and researchers' interests over the last decade. Alliance concepts have, however, been criticized for lack of conceptual clarity. The paper presents a generic model as a heuristic means for clarifying the conceptual meaning of the therapeutic alliance. The model distinguishes between the personal relationship aspect, and the collaborative, task-related aspect of the alliance, with therapist, patient, and common contributions to each of these aspects. The model is compared to other alliance conceptualizations, and its implications for alliance theory and research are discussed. A content analysis of four widely used alliance scales in relation to the model shows the scales to represent conceptually different, yet overlapping constructs. It is argued that the componential nature of the therapeutic alliance will render difficult any interpretation of findings regarding the relationship between alliance and outcome in traditional process-outcome research. More complex research strategies guided by theory are called for, if the therapeutic alliance should remain a vital field of research.     

Assessing therapeutic problem solving skills: Empirical analysis of a measuring operation

Employment of caregivers as trainers is an imperative in the training and treatment of mentally retarded persons. Besides being taught specific behavior modification skills, these paraprofessional trainers have to obtain a set of general skills in order to adjust their specific skills to new clients, situations, and behaviors across time. Empirical research on the characteristics of therapeutic problem-solving skills are scarce. This may be due to a reluctance of behavior researchers against including cognitive factors in the analysis of behavior influence. However, the development of basic knowledge on the existence of therapeutic problem-solving skills should be one of the primary research goals. This article describes the development and application of four scales assumed to be representative of an important set of general skills—therapeutic problem-solving skills. By means of these four scales 21 caregivers were evaluated before and after extensive training. A multifaceted measuring operation is employed with the main objective of empirically testing the dimensionality of problem-solving skills. Rater consistency and individual differences in change from pre- to post-training level are also uncovered. It is concluded that the four scales of therapeutic skills, largely reflect the same underlying concept of a rather general therapeutic problem-solving skill. Discussion of the findings also pointed to future research.     

A journey through languages: A systematic literature review on the multilingual experience in counselling and psychotherapy with children and adolescents

The purpose of this research was to address the gap in the existing literature on the multilingual aspect of language in psychotherapy with children and adolescents. This research aimed at interpreting possible meanings for clients of being multilingual in the therapeutic process as well as reflect on the influence of clients’ multilingualism in the therapeutic relationship. The researcher used a systematic literature review (PRISMA guidelines, 2009) to select articles based on empirical qualitative/mixed studies with participants up to 25 years old or adults referring to childhood/adolescence. The researcher used thematic synthesis (Thomas & Harden, 2008) to extract, analyse and interpret data. The rigour of this study was enhanced by the use of auto-ethnography as a source of evidence (McLeod, 2015). The auto-etnography documents self-reflections on personal experience of being multilingual contributing to deeper contextualised knowledge. The findings confirm previous research on the existence of a link between multilingualism and “identity” (Costa, 2020, p. 5). This research suggests that the meaning a client gives to bilingualism can be co-constructed within an attuned therapeutic relationship. In this co-construction journey, there is a significant opportunity for children and young people in finding their way through languages, hence reaching emancipation and affirmation in the world. The main limitation of this research relates to the fact that there are not many studies with children/young people. This led the researcher to also include studies based on a mixed sample and with adults referring to childhood/adolescence, which might have influenced the interpretation of findings.     

建言类型对领导者建言采纳的影响：面子与幽默的作用

以说服和面子理论为基础,通过两个研究探讨领导者建言采纳行为的影响因素及作用机制。结果发现：相对于促进型建言,抑制型建言给领导带来的面子威胁更大,且领导者感知面子威胁在建言类型与建言采纳之间起部分的中介作用。而幽默类型与水平影响领导者感知面子威胁的程度,积极幽默水平越高,领导者感知面子威胁的程度越低,其建言采纳可能性越高。这表明领导者感知面子威胁在建言类型与建议采纳间起中介作用,幽默调节了此中介效应。     

Representations of guidance counselors,psychologists, and psychoeducators regarding psychological assessment

IntroductionSocial representations related to collaborative/therapeutic and information-gathering assessment could explain some psychological assessment practices. However, no other study has attempted to examine the actual place of these models in psychological assessment practices.ObjectiveThe goal of this study was to examine the social representations of different groups of professionals with regard to their preferred approach to psychological assessment.MethodA latent profile analysis was conducted on a sample of licensed Canadian guidance counselors (n = 382), psychologists (n = 235), and psychoeducators (n = 97).ResultsResults revealed three psychological assessment profiles, which significantly differ in terms of a few social factors. Results also showed that some psychological assessment practices differ across profiles.ConclusionThis study provides a better understanding of psychometric instruments users’ approaches to assessment and the influence of social factors.     

工作同盟和领悟对咨询效果的影响

为了解短程咨询中工作同盟和领悟对咨询效果的影响,以12个个案94次会谈为对象,考察工作同盟、领悟分别与会谈效果、治疗效果的关系,并考察二者共同作用于效果的方式。结果表明,咨访双方评定的工作同盟都可以正向预测会谈效果,但不能预测治疗效果;领悟与会谈有效性正相关,领悟正向预测治疗效果;咨询师评定的同盟的三个维度以领悟为中介影响其对会谈效果的评价。     

Making conscious the unconscious in order to modify unconscious processing: Some mechanisms of therapeutic change1

This paper examines some of the mechanisms through which interpretation aimed primarily at increasing conscious awareness can nonetheless produce unconscious changes, the latter being deemed the basic aim of psychoanalysis. The concept of valency or motivational weight of the interpretation is proposed to assess which forces of the various motivational systems the interpretation mobilizes (hetero/self‐preservation, sensual/sexual, attachment, narcissistic, psychobiological regulation etc.), on which of the above‐mentioned systems interpretation relies, and which would oppose therapeutic intervention and why. Certain conditions are also analyzed that could explain the so‐called ‘change through the analytic relationship’, pointing out that, despite the major differences between this form of change and change through interpretation, both of them would share certain mechanisms. This conclusion leads to the need to qualify the idea that interpretation would be exclusively aimed at declarative memory, with no effects upon procedural memory. The paper examines the potential consequences for therapeutic techniques derived from recent fi ndings in neuroscience on so‐called labile state memory, and proposes the coupling of experiences as one of the analytical instruments used for therapeutic change. A clinical vignette is included to illustrate some of the theoretical and technical aspects considered.     

合理药物治疗的辩证观

介绍合理药物治疗的手段及其对临床治疗产生的影响.指出把治疗药物监测和药物基因组学方法相结合应是以后药物治疗的最佳模式.     

糖皮质激素在SARS治疗中利与弊的分析

糖皮质激素在重症SARS治疗过程中发挥了非常重要的作用,绝大部分SARS患者都不同程度地使用了糖皮质激素制剂.但也带来了许多不良后果,尤其是不合理应用更易产生,使病情加重,甚至导致治疗失败.因此,对该类药物的使用应权衡利弊,合理地使用.