Not starting psychotherapy is more often initiated by the therapist than the patient

The phenomenon of not starting psychotherapy is seldom investigated. The present study of psychotherapy in the Swedish mental health services differentiates between patients applying for and being offered psychotherapy but choosing not to start (n = 69), patients recommended to receive no treatment, another type of treatment or treatment at another clinic (n = 133), and therapy starters (n = 1294). After the initial assessment, nearly twice as many patients did not start based on the therapist’s decision than on the patient’s. Cases of not starting psychotherapy decided by the therapist were more frequent among patients whose occupational status was less stable, presented a danger to others, had lower levels of initial therapeutic alliance, and by therapists with lower levels of psychotherapy training and those at less structured and more unstable clinics. Patients choosing not to start therapy had lower levels of mental ill-health than both starters and therapist-initiated nonstarters. The most frequently presented reason for a patient-initiated decision to not start therapy was “patient wished another treatment or therapist,” whereas the most common therapist-initiated reason was “recommended or referred to another treatment or clinic”.     

The edge of chaos: A nonlinear view of psychoanalytic technique

The field of nonlinear dynamics (or chaos theory) provides ways to expand concepts of psychoanalytic process that have implications for the technique of psychoanalysis. This paper describes how concepts of “the edge of chaos,” emergence, attractors, and coupled oscillators can help shape analytic technique resulting in an approach to doing analysis which is at the same time freer and more firmly based in an enlarged understanding of the ways in which psychoanalysis works than some current recommendation about technique. Illustrations from a lengthy analysis of an analysand with obsessive‐compulsive disorder show this approach in action.     

Is Therapist Support Needed? Comparing Therapist- and Self-Guided Internet-Based CBT for Somatic Symptom Distress (iSOMA) in Emerging Adults

Persistent somatic symptoms of varying etiology are very common in emerging adults and can lead to distress and impairment. Internet-delivered interventions could help to prevent the burden and chronicity of persistent somatic symptoms. This study investigated the impact of therapist guidance on the effectiveness of a cognitive-behavioral Internet intervention for somatic symptom distress (iSOMA) in emerging adults, as a secondary analysis of a two-armed randomized controlled trial. We included 149 university students (83.2% female, 24.60 yrs) with varying degrees of somatic symptom distress who were either allocated to the 8-week intervention with regular, written therapeutic guidance (iSOMA guided) or to the control group (waitlist), which was afterwards crossed over to receive iSOMA with guidance-on-demand (iSOMA-GoD). Primary outcomes were somatic symptom distress (assessed by the PHQ-15) and psychobehavioral symptoms of the somatic symptom disorder (assessed by the SSD-12) at pre- and post-treatment. Secondary outcomes included depression, anxiety, and disability. Both treatments showed statistically significant pre-post improvements in primary (iSOMA-guided: d = 0.86–0.92, iSOMA-GoD: d = 0.55–0.63) and secondary outcomes. However, intention-to-treat analysis revealed non-significant between-group effects for all outcomes (ps ≥ .335), after controlling for confounding variables, and effect sizes were marginal (d = −0.06 to 0.12). Overall, our findings indicate that Internet-delivered cognitive behavioral therapy with regular guidance is not unequivocally superior to guidance-on-demand in alleviating somatic symptom distress and associated psychopathology in emerging adults. As a next step, non-inferiority studies are needed to test the robustness of these findings and their impact on clinical populations.     

视听时、空一致性对Pip-and-Pop效应的影响

多感觉整合遵循空间原则和时间原则, 有研究表明Pip-and-Pop效应产生的原因是多感觉整合, 那么Pip-and-Pop效应是否同样遵循空间原则和时间原则呢?本研究采用动态视觉搜索范式, 通过两个眼动实验考察空间一致性(实验1)和时间一致性(实验2)对Pip-and-Pop效应的影响。结果发现：(1)当视觉目标颜色变化伴随一个同侧的听觉刺激时所产生的Pip-and-Pop效应最大, 对侧条件没有发现Pip-and-Pop效应。(2)视听刺激同时呈现所产生的Pip-and-Pop效应最大, 随视听刺激呈现时间间隔的增加Pip-and-Pop效应逐渐减弱直至消失。结果表明, 视听时、空一致性对Pip-and-Pop效应具有调节作用, 这为多感觉整合在产生Pip-and-Pop效应中的作用提供了证据。     

The flawed interview of a psychopathic killer: what went wrong?

The flawed interview of convicted killer Christopher Porco illustrates what occurs when a suspect's psychopathic traits are not considered in formulating an interview strategy. Specific areas of the dialogue between Christopher Porco and law enforcement demonstrates that traditional methods of interviewing may not produce a confession or valuable information when it comes to psychopathic suspects. Although the traditional goal of an interview is to obtain a confession or valuable information, law enforcement will have to display flexibility in the interview process by implementing alternative interview strategies and redefining what a successful interview is composed of when these suspects are unwilling to confess to their crimes. Failure to remain flexible, as displayed in the Christopher Porco case, which yielded neither a confession nor valuable information, can jeopardise the strength of a homicide case that ultimately may go to trial. Copyright © 2010 John Wiley & Sons, Ltd.     

国内外关于笔记的研究综述

记笔记是学生在听课和阅读时普遍采用的学习策略。本文对近些年来国内外的笔记研究进行了综述,分别从笔记的功能、笔记效果的影响因素、学习障碍学生的笔记研究和基于网络的笔记研究四个方面对以往的笔记研究进行了总结。其中在笔记效果的影响因素方面,又分别从笔记技术、工作记忆、元认知知识以及其他影响因素方面进行了概括总结。另外本文也提出了关于未来研究方向的展望。     

人事选拔决策过程的匹配评价研究: 基于策略捕捉技术

传统的人事选拔是以胜任力或者说是人－职匹配为基础的,即强调基于胜任力,但研究者和实践者们越来越多的强调人－组织匹配在人事选拔中的重要性,即强调人事选拔过程中招募者匹配评价的多维性。本研究通过实验运用策略捕捉技术,检验多种职位特征和不同层次的匹配评价对选拔雇佣结果的影响。通过HLM分析结果发现四种匹配类型需要－供给匹配、要求－能力匹配、个性匹配和价值观匹配对雇佣决策都有显著的独立主效应,招募者在长期招募比短期招募中更多依靠个性匹配来评价应聘者,招募者在对管理类职位更多依靠价值匹配来进行评价,而对专业类职位则更多依靠要求－能力匹配进行评价。     

‘Coming out’ in therapy? Perceived risks and benefits of self‐disclosure of sexual orientation by gay and lesbian therapists to straight clients

Primary objective: The study's primary objective was to investigate the experiences of gay and lesbian therapists, when considering self‐disclosure of their sexual orientation to straight (i.e. heterosexual) clients. This qualitative study set out to ascertain the key factors gay therapists take into account when considering this decision and to explore the effects this self‐disclosure may have on themselves, their clients and their therapeutic relationships. Research design: The research design was based on the use of semi‐structured interviews, undertaken with a non‐random, purposive sample of counsellors and psychotherapists (n=8) in current practice. The rationale for this method was to aid exploration of therapists' experiences of the process of self‐disclosure. Methods and procedures: Inclusion criteria were for therapists who self‐identified as being gay or lesbian, and who were experienced in clinical work with straight clients. Transcribed data was analysed using inductive thematic analysis. Main outcomes and results: Some therapists reported being confident with self‐disclosure relating to their own sexual orientation. However, a common theme related to the reportedly high levels of anxiety and vulnerability, which therapists identified. Key themes emerged around: respondents' fears of client judgement; a need for therapist self‐protection; self‐awareness of the potential impact of their own fears and prejudices on the therapeutic relationship; and the potential relevance of internalised homophobia, as an overall constraining factor. Conclusions: Self‐disclosure of their sexual orientation to straight clients is constructed, in this initial survey, as being potentially problematic and risky for some gay therapists.     

创造力测量手段——同感评估技术（CAT）简介

同感评估技术（consensusassessmenttechnique）,又称主观评价法,是Amabile于1982年提出的评价创造力的一种方法。文章简要回顾了同感评估技术出现之前,基于发散思维测验的创造力评价法及其局限性。人们在寻求新的创造力评价方法的过程中,提出了同感评估技术。文章重点介绍了同感评估技术的理论基础,即它的同感定义和概念定义,然后说明了同感评估技术的具体使用方法、发展,以及在各领域的应用情况。最后,通过与创造性思维测验的比较,对同感评估技术作了评价,指出了CAT的优势和存在的问题