Diaries of significant events: socio-linguistic correlates of therapeutic outcomes in patients with addiction problems

The principles of narrative therapy imply that autobiographical diaries written by patients in treatment will not only facilitate but also elucidate progress. The relationship between the linguistic content of diaries and progress in treatment was examined in this study. Complete sets of daily diaries of ‘significant events’ written by 16 patients receiving treatment for drug, alcohol and food addictions at a residential centre, using the 12-step approach of the Anonymous fellowships, were typed up for analysis. Three forms of socio-linguistic enquiry were employed: narrative characterization; evaluative statement coding and computer analysis of word strategies. Results indicated that success in treatment as rated by counselling and psychiatric staff was associated with the following characteristics of diary narratives. They are (a) focused on individual progress, whether adopting a ‘positive interpretative’ or ‘negative reactive’ style; (b) less critical of self over time and more positive about others external to the treatment centre; (c) both positive about the treatment programme and critical of self; (d) using words indicative of ‘insight’ and ‘negativity’ as assessed by Pennebaker's LIWC programme. It is concluded that autobiographical material can usefully be employed to assess progress in treatment, and that its intrinsic value in effecting change should be further explored. © 1997 John Wiley & Sons, Ltd.     

Community-based Peer Groups: an Intervention Programme for Teenage Mothers

This paper assesses the use of community-based peer groups as an intervention strategy to provide teenage mothers with an opportunity to share common experiences, receive social support and identify links between personal and social problems. The method utilized in a recent community project on teenage pregnancy is outlined. Over a period of 8 weeks a group of 10 teenage mothers met weekly to share their experiences of pregnancy and motherhood. The facilitators used various games and audio-visual aids to build rapport and to enhance willingness to discuss sensitive topics. The final session comprised a 1-day training workshop to enable the participants to act as co-facilitators for similar groups in the future. The evaluation indicated that the participants felt empowered by the opportunity to discuss common experiences and to have their perceptions affirmed by their peers. The potential value of this programme within the broader mental health context of South Africa is briefly discussed, and also the possibility of adding a consciousness-raising element to such groups.     

推进代际公正 建设和谐社会

和谐社会是公平、正义的公正社会。代际公正理念强调对于每一代人（包括老年人）基本贡献的肯定和尊严的维护。在现阶段,公正对待老年人的问题正逐渐凸现,这个问题的解决直接关系到整个社会的公平正义能否实现。为此,除了社会的保障体系的建立和不断完善外,还必须继续弘扬尊老、敬老的中华民族传统美德,在社会、社区乃至每一个家庭中形成尊老敬老的良好风气,以代际和谐、家庭和谐推动社会和谐。     

A distinction concerning vision-for-action and affordance perception

In this paper, I offer a discussion concerning the conceptual connection between the notion of vision-for-action and the one of affordance perception. I first analyze the notion of vision-for-action. I then analyze a notion usually coupled with it: the notion of affordance perception, the main insights behind which are guiding several current neuroscientific enterprises and the related philosophical speculations. Then, I argue that we should not couple these two notions with a light heart: though these two processes can be, from a theoretical point of view, related, we should be careful in inferring the actual and effective occurrence of the latter in the presence of the former. This will be done by carrying out a conceptual analysis of the experimental evidence coming from the ‘Two Visual Systems Model’, which is the main reference in the literature on affordance perception and vision-for-action. My point has strong philosophical implications for our view concerning the best interpretation of how vision-for-action really works, and the specific relation it actually entertains with affordance perception.     

A New Model for Social Justice Supervision

Social justice supervision honors the identities of the supervisee and the client, teaches social justice skills to the supervisee, and prioritizes social justice counseling outcomes in the supervisee's counseling work. The purpose of this article is to describe a comprehensive model for social justice supervision that mandates supervisor self‐evaluation, explores supervisees' identities and strengths, emphasizes the social justice needs of clients, and uses social justice outcomes for clients as a measure of counseling success. Implications are explored.     

Use of a reference group in researching children’s views of psychotherapy in Malta

This paper explores the process and outcomes of a children’s reference group within the context of child psychotherapy research in residential care. The reference group was set up to consult children about the design of a research project which seeks to evoke, represent and understand children’s views of psychotherapy. No work to date has explored the experience of reference groups in the context of child psychotherapy in residential care in Malta. The paper contextualises the research within the literature on reference groups in child research, which identifies the potential of reference groups as a participative and co-reflexive activity which can inform research design. The paper critically examines the nature and conduct of the reference group by acknowledging the specific context of this work rather than assuming this is necessarily positive. It does so by specifying and evaluating the outcomes of the reference group in line with its aims. The paper draws on the recordings of the reference group meetings and reference group field notes taken by the researcher as key data which were thematically analysed. The main outcomes of the reference group include children’s contribution to the design of data collection methods especially in terms of not relying only on words during data collection. Children also identified key ethical issues from the point of view of young psychotherapy service users, especially in relation to issues of trust within a residential care context. Children also reviewed and appraised research information material. The reference group process drew from the researcher’s and participants’ contexts and contributed significantly to the researcher’s reflexive process especially in terms of acknowledging his power and positioning as an adult and his dual role as a practitioner/researcher.     

A discursive analysis of psychosocial issues: Talk in a ‘parent group’ for families who have children with chronic renal failure

Abstract

This paper illustrates a discursive approach to ‘psychosocial issues’ in health care. The analysis examines examples of talk within support groups for parents of children with chronic renal failure. These ran over a 32 month period at a Regional Paediatric Renal Unit within the UK National Health Service. All the parents are directly involved in management of home based peritoneal dialysis of their children. The analysis examines features of the organisation and content of parents' talk about what is commonplace in the management of the demands they face in the difficult circumstances of their child care. Common understandings within the groups are shown to be achieved through the parents' exploration of uncertainties in the care of their children. The value of qualitative analysis of health care talk in the evaluation of support groups for families involved in this form of paediatric care is also discussed.     

Developing a model for online support group use,empowering processes and psychosocial outcomes for individuals living with HIV/AIDS

This study examined the mechanism through which online support group (OSG) participation may promote patient empowerment among 340 individuals living with HIV/AIDS. Results from structural equation modelling revealed that greater use of OSGs was associated with more frequent occurrence of the empowering processes as measured by receiving useful information, receiving social support, finding positive meaning and helping others. Receiving useful information and finding positive meaning were related to higher levels of adaptive coping and lower levels of maladaptive coping, while receiving social support and helping others were related to higher levels of self-care self-efficacy, which in turn was related to higher levels of adaptive coping, and lower levels of maladaptive coping. Finally, higher levels of maladaptive coping were related to poorer quality of life, while higher levels of adaptive coping were related to better quality of life. Results suggest that OSG participation may offer some benefits for those living with HIV/AIDS.     

Physical self-perceptions and self-esteem in adolescents participating in organized sports and religious groups

Drawing on the exercise and self-esteem model (EXSEM), the current study examined associations between sport activities and aspects of the self-system among adolescent members of sport groups. Youths attending religious groups were included in the study to allow for a test of generalization. Participants were 595 adolescents (sport groups: n = 355, M_age = 15.09 years, SD = 1.49, 54.6% female; religious groups: n = 240, M_age = 15.67 years, SD = 1.44, 53.8% female) who completed a series of paper and pencil measures detailing their involvement in sport activities (sport group only), their self-efficacy beliefs in the physical domain, perceived sport competence and attractiveness, as well as global self-esteem. A structural model was tested for sport youth, specifying an effect of sport activities on self-efficacy that, in turn, was expected to predict subjective sport competence and attractiveness. Finally, the model postulated effects of competence and attractiveness on self-esteem. The model test revealed a good fit. Multi-group models considering type of leisure group and sex pointed to parallel patterns in the associations of self-efficacy, competence, attractiveness, and self-esteem in the subgroups.