Vocal indicators of facilitative interpersonal skills

The facilitative interpersonal skills (FIS) method uses simulations of difficult client moments as a test of helpers' ability to remain therapeutic in therapeutically stressful situations. A total of 135 participants completed the FIS task as part of a training in helping skills and provided verbal responses that were assessed by trained raters for interpersonal skills. Audio recordings of these verbal responses were then analysed acoustically for fundamental frequency (F0), spectral slope and F0 range. Mean F0 and F0 range were more highly associated with trained raters' ratings of FIS for female participants than for male participants, although F0 range was associated with FIS of both males and females. The results suggest that F0 is associated with FIS for females, especially the FIS items that are indicative of emotional expression and verbal fluency. Findings are discussed as possibly indicating that some expression of higher F0 in response to distressed client situations may be part of interpersonal skills, such that more skilled therapists respond to stressful client situations with a higher F0.     

The variability of client,therapist and clinic in psychotherapy outcomes: A three-level hierarchical model

This article investigates the percentage of variance in psychotherapy outcomes explained by the case-mix variables for individual cases, by the therapist (therapist effects), and what additional variance is explained by the clinic with which the therapist is affiliated. While there has been substantial recent research regarding therapist effects, very little has been published regarding clinic-level effects after controlling for therapist effects. The study utilised the largest sample reported to date, using data from 28 clinics with a minimum of 2,000 cases in a clinical range of severity of symptoms with pre-post change scores on an outcome questionnaire. Only cases treated by a therapist with at least 30 cases were included. These selection criteria resulted in a case count of 156,258 clients treated by 874 therapists located at 28 clinics. After controlling for differences in case mix using diagnosis and intake score (severity of symptoms), the resulting analyses indicated that 5.21% of the variance in treatment outcome was explained by the therapist, while another 1.13% of the variance was associated with the clinic. Findings are discussed with implications for practice and policy.     

The expectation of guilt and resistance to temptation

Children's expectations about the emotions that surround a moral transgression were examined. In experiment 1, children aged 4-6 years and 8-9 years listened to a story about a child who resisted but then yielded to the temptation to take a sweet without permission. In line with earlier findings (Nunner-Winkler and Sodian, 1988), older children were more likely than younger children to expect the wrongdoer to feel pleased at resisting, but to feel bad after yielding to, temptation. In experiment 2, the relation between expectations of emotion and actual resistance to temptation was studied. Children aged 5-6 years again made judgements about a story character who eventually yielded to temptation. Their own resistance to temptation was assessed by means of a cheating task: children were given an opportunity to cheat by peeking during the experimenter's absence. Children who did not peek were more likely to attribute morally oriented feelings to the story protagonist. The results suggest that children who readily anticipate the emotional consequences of wrongdoing are more likely to resist the temptation to transgress.     

Lay understanding of genetic disease: A British study of families attending a genetic counseling service

Although lay people know that various diseases can be inherited, the idea that unhealthy life styles are the crucial cause of ill health has been promoted by health education policy in the United Kingdom. However, a new paradigm seems to be developing. The medical profession is increasingly using genetics to explain ill health, and people are being referred to geneticists for information and counseling. Lay conceptions of genetic disease emerged during this qualitative study of the process of genetic counseling. The results reported in this paper suggest that many lay people lack knowledge of genetics and inheritance, and that there is considerable stigma attached to genetic disease. Misconceptions and fears may not always be recognized or resolved during the process of genetic counseling. The implications of such misunderstandings and beliefs are considered in this paper.     

Künstliche Intelligenz und Philosophie

Artificial Intelligence can be considered as the so far last attempt to decode the anthropological comparison between human beings and machines. Thereby it also represents in a prominent way what can be called systemic thought. Searle's conclusive argument against strong AI (that is the idea of computers having intention in a literal way) refers to his precise distinction between syntax and semantics. This difference obviously opposing some of Searle's other essential ideas will only convince if it also explains the genetic-pragmatic aspect. A theory explaining the life of mind and the possibility of understanding needs to combine representation and intention with the subjective causation of signs. At the same time they have to be contextualized within a model of teleologically interpreted life recognized with the help of self-experience and self-reflection. This suggests that AI is a simulation which wrongly believes to be a real duplication. Actually it is a semiotic reduction (syntax and semantic surface of signs only) and a psychological compensation (Turing test) connected with a genetic or abductive fallacy. The biological decontextualization, in fact the elimination of teleology and intention, the deconstruction of subjectivity, the loss of the genetic-pragmatic dimension and the abductive fallacy induce the strong AI to confuse its surface-illusion of simulated understanding with the real process itself.     

Online Cognitive Behavioural Therapy Training for Therapists: Outcomes,Acceptability, and Impact of Support

The objectives of the present study were to assess the effects of online cognitive behavioural therapy (CBT) training for therapists on measures of CBT knowledge, skills, confidence, and utilisation; to determine what differences might exist between a group supported by regular telephone contact and an independent group who undertook online training without additional support; and to determine the acceptability of CBT online training among rural and remote mental health professionals. Mental health practitioners were randomly allocated to a supported training group (six sessions of 15‐min support) or an independent group. They undertook a 12‐week online CBT training program. The two groups showed similar gains on an objective test of knowledge of CBT, and on self‐report measures of knowledge, skills, confidence levels, and utilisation of skills. However, the supported training group had a significantly higher program completion rate than the independent group. Participants evaluated the program favourably. The results suggest that online CBT training represents a promising and cost‐effective approach to training the mental health workforce, and may be particularly attractive for those who live in regional, rural, and remote communities. A challenge is to determine the most cost‐effective ways to enhance program completion rates and trainee skills.     

The hermeneutic background of C. G. Jung

Hermeneutics has been central to the practice of Jung's psychology from the beginning, although he never fully and consistently developed a hermeneutic method of inquiry and the literature addressing this aspect of his psychology is not extensive. In this paper(1) we undertake a critical re-examination of Jung's relationship to hermeneutic thought, based on his explicit references to hermeneutics in the Collected Works and his theoretical development of the notion of archetypes. Although Jung did not consistently formulate a hermeneutic approach to inquiry, his theoretical development of archetypes is rich in hermeneutic implications. In particular, his notion of the archetype as such can be understood hermeneutically as a form of non-conceptual background understanding. Some implications of this construal of archetypes for Jungian hermeneutics as a form of inquiry are considered.     

‘Learning from research’: Therapist perspectives on the benefits and challenges of participating in a longitudinal,systematic case‐study

Objectives: In psychotherapy research we have often neglected to examine the impact of research procedures on therapy process and outcome. Such information is extremely important in helping us evaluate the validity of our findings, increase relevance of research for practice, and choose appropriate methods for future projects. The aim of this paper is to share the experience of six person‐centered therapists, who participated in a longitudinal, systematic study, and present their reflections about the impact of research on therapy process, therapeutic engagement and professional development. Methods: The findings have emerged from semi‐structured interviews that took place after the first, sixth (middle) and last therapy session. In total 18 interviews were conducted. These data were part of a much larger research protocol that included a number of outcome and process measures. Results & Conclusions: The analysis of therapist narratives revealed important benefits for those participating in systematic case study research. The use of Brief Structured Recall methods and qualitative interviewing was an important factor in promoting therapist reflexivity and professional development. The importance of a strong research alliance and the active involvement of the client in the research process is discussed.     

Japanese and British Children's Understanding of the Social Function of Pretend Crying

The purpose of this study was to investigate cross-cultural differences in children's understanding of pretend crying. Five- and 6-year-olds from Japan and the United Kingdom (N = 71) heard two hypothetical stories in which the protagonist of each story pretended to cry in front of another person. Children were asked about the appearance–reality distinction of pretend crying, the other character's thoughts and behavior, and the children's own moral judgment of pretend crying. Cultural differences were found in their understanding of the social function of pretend crying. Japanese children judged that pretend crying elicited another's concern and prosocial behavior more than British children. There were no significant differences in appearance–reality distinction or moral judgments between Japanese and British children. All participants successfully discriminated between pretend crying and real crying, and most participants judged pretend crying as “not good” behavior. These results suggested that Japanese children might be more expected to be sensitive to others’ feelings, and that such cultural differences in communication and socialization lead to different patterns in expectations of the social consequences of pretend crying.