Early childhood mental health consultation: Care providers’ experiences of the consultative relationship

This article presents findings from a qualitative research study exploring child care teachers’ experiences receiving early childhood mental health consultation (ECMHC). As an emerging intervention in early childhood education, ECMHC is already yielding promising results, namely in helping teachers better address challenging behaviors in their classroom and promote a more nurturing classroom environment. However, there remains a lack of personal testimony from teachers who receive this intervention. Considering that teachers are the primary focus of most ECMHC interventions, the purpose of this study was to examine child care teachers’ personal experiences receiving consultation. Eight child care teachers were interviewed for this study. Results from this study illuminate key interpersonal processes in the development of the consultant–consultee relationship, indicate what teachers consider to be the most helpful components of consultation, and speak to the challenges that teachers experience in consultation. By examining the personal testimony of child care teachers who have received ECMHC services, consultants and researchers can consider ways to expand and improve future implementation of ECMHC.     

关系认知与善意认知对大学生人际信任的影响

采用投资博弈,以大学生为被试探讨关系认知（亲疏关系、阶层关系）和特质认知（以善意为例）对中国人人际信任的影响。结果发现,亲疏关系认知、阶层关系认知和善意认知都会影响中国人的人际信任。关系越近、阶层越高、越善意,信任水平越高。随着亲疏关系下降或善意降低,阶层关系对信任水平的作用之间的差异逐步减弱。亲疏关系认知和阶层关系认知存在交互作用,亲疏、阶层和善意也具有交互作用。人们对上位阶层的信任大于平位大于下位,但是当信任对象存在低善意特质或陌生人身份时,人们对上位阶层的信任会下降至和平位没有差异;当低善意特质和陌生人身份同时存在时,人们对上位、平位和下位的信任无差异。     

Online implementation of an event history calendar with formr: A tutorial

Event history calendars (EHCs) are popular tools for retrospective data collection. Originally conceptualized as face‐to‐face interviews, EHCs contain various questions about the respondents' autobiography in order to use their experiences as cues to facilitate remembering. For relationship researchers, EHCs are particularly valuable when trying to reconstruct the relational past of individuals. However, although many studies are conducted online nowadays, no freely available online adaptation of the EHC is available yet. In this tutorial, detailed instructions are provided on how to implement an online EHC for the reconstruction of romantic relationship histories within the open‐source framework formr. Ways to customize the online EHC and provide a template for researchers to adapt the tool for their own purposes are showcased.     

青少年早期身体攻击与关系攻击的异质性共发模式、稳定性及其与同伴关系的联系

采用整群抽样法选取1967名青少年被试（平均年龄13.22±0.36岁,男生1018人）进行三年追踪,运用个体定向方法考察青少年早期身体攻击和关系攻击的异质性共发模式及其稳定性、与同伴关系间联系。结果发现三时间点均存在5个身体—关系攻击共发模式组：高身体—关系攻击组、中等身体—关系攻击组、中下身体且低关系攻击组、低身体且中下关系攻击组、低身体—关系攻击组,表明两类攻击总体上表现出水平一致或类似的共发模式,且具跨年龄一致性。各共发模式身份表现出有差异的跨时间稳定性,低攻击组稳定性最高,其次是高攻击组、中等攻击组,低身体且中下关系攻击组转变概率最高。高攻击组同伴拒绝水平最高、同伴接纳最低,低攻击组反之,其他组同伴拒绝水平均显著高于低攻击组,为两类攻击亚组共发模式提供了效度证据。     

Nymphea: from psychic breakdown to the emergence of subjectivity

In the first part of the paper the author presents an account of the analysis of a woman who is psychically extremely disturbed. This clinical presentation focuses on the unfolding of the transference process, and on the countertransference difficulties encountered during the course of the treatment which lasted more than ten years. In the second part of the paper the author proposes a theoretical approach to the breakdown experienced by the patient, and puts forward the hypothesis that there was insufficient differentiation between her internal objects and the archetypes, and that this prevented the development of symbolization. The author proposes the idea of a collapse between internal and external objects, which destroys the space necessary for representation and symbolization that normally arise between the two poles of the object. The account of this transference process between the analyst and the patient is thus seen as the account of the (re)construction of true internal objects, and of the resumption of a symbolic process to make possible the development of subjectivity.     

In Experiential Sessions, There Is No Therapist or Client: There Is a “Teacher” and a “Practitioner”

In virtually every kind of psychotherapy, therapist and client attend mainly to one another throughout almost the entire session. If each experiential session is to be successful in enabling the person to become the whole new person that the person can become, and to become free of the painful feeling in the painful situation, the radical alternative is for the experiential teacher–therapist and the person to attend mainly to the third thing that is the important center of attention for the person. An even more radical glimpse into the future includes the person having one's own sessions by oneself, complemented by skill-development sessions with the experiential teacher.     

Might Relationship “Techniques” Extend the Reach, Efficacy, and Efficiency of the Psychotherapies? The Challenge of Treatment-Resistant Outpatients

Study-based clinical observations and two premises are presented as indications for a need to identify therapeutic relationship techniques or the like that can extend the reach and efficiency of the psychotherapies. The premises are: (1) advances in psychotherapy practice and research now highlight one of the field's most longstanding challenges, signified by terms like treatment resistance; and (2) some proportion of outpatients whose problems are resistant to the psychotherapies (and medications) have marked limitations in the capacity to relate positively and productively to others, including therapists. Thus, ironically, they cannot optimally utilize a treatment modality that largely has developed to ameliorate problems relating to others.     

"以病人为中心"医疗服务模式的理念与发展

纵观20世纪医疗服务的发展历程,医疗服务的发展经历了“以疾病为中心”的传统医疗服务模式到“以病人为中心”的新的医疗服务模式的转变;目前,以“以病人为中心”的医疗服务模式已经成为我国现代医院改革与发展的主题。因此,在阐述医疗服务模式变革与发展的基础上,系统论述了“以病人为中心”的医疗服务模式的内涵与特点,新的理念、新的认识,也带来了新的希望,新的医疗服务模式将不断地改善与提高人们的健康状况与生活质量。     

Touching Mortality, Touching Strength: Clinical Work with Dying Patients

This paper outlines some of the special stresses that must be shouldered by clinicians—physicians, nurses, chaplains, social workers, pastoral staff, and others—whose work focuses on dying and extremely vulnerable patients. The utility of a theory of generative death anxiety as a framework for interpreting the nature of these special stresses is suggested. Three common burnout reactions are examined. The paper concludes that positive acceptance of personal mortality may help clinicians avoid burnout and lead to better therapeutic practice. This framework for interpreting therapeutic practice demonstrates the integral role spirituality plays in work with this particular patient group.     

“The Dead”

Gabriel Conroy, central to James Joyce's novella, The Dead, keys the reader's experience of the evening portrayed. A third-person narration allows for distance, but Gabriel's closely depicted thought processes and actions, and his insistent self-consciousness, shape the story. As such they invite psychoanalytic interpretation and reward it. Gabriel's shocking discovery and reaction to it can be seen to be informed by rendered psychodynamics and a credible internalized past. Joyce and Freud, actual contemporaries, can be seen as contemporaneous in imagination as well.