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101.
Wiktoria Kozlowska 《Counselling and Psychotherapy Research》2020,20(2):357-367
There is a growing body of evidence suggesting that domestic abuse (DA) should be conceptualised within the complex post‐traumatic stress disorder (C‐PTSD) model. Recently, in the draft of the International Classification of Diseases, Eleventh Revision, produced by the World Health Organization (WHO), C‐PTSD was included as a separate criterion in which DA is incorporated (ICD‐11, WHO, 2018). In this study, a thematic analysis was used to explore to what extent practitioners working with DA survivors are familiar with PTSD and C‐PTSD. Research into such a prevalent and detrimental problem as DA is important to understand whether the development of theoretical knowledge about DA and C‐PTSD is addressed in practice. In a Women's Centre in South London, six semi‐structured interviews with middle‐aged female practitioners were conducted to investigate each counsellor's experiences, knowledge and reflections. Six final themes were constructed to summarise the main results. The findings demonstrate limited practitioner understanding of DA in terms of C‐PTSD, which seems to impact not only the effectiveness of treatment plans with DA survivors, but also counsellors’ own psychological and physical states. It is also indicated that DA can be conceptualised within the C‐PTSD model that corresponds with previous literature indicating the complex nature of DA. The overall results of the current research acknowledge that DA sectors should not be neglected and better funding and effective psychoeducation in this field are needed. 相似文献
102.
Khuraman Mamedova Henny A. Westra Michael J. Constantino Nazanin Shekarak Ghashghaei Martin M. Antony 《Counselling and Psychotherapy Research》2020,20(2):265-275
Greater client resistance has been consistently found to be negatively associated with outcome in psychotherapy. However, the pathways through which resistance impacts such outcomes are underexplored. Given that client outcome expectation (OE) has been identified as an important common factor in psychotherapy, the goals of the present study were to examine: (a) the impact of resistance on subsequent client and therapist OE (COE & TOE, respectively); and (b) whether COE and/or TOE mediate the relationship between resistance and outcome. These relationships were tested among 44 clients with severe generalised anxiety disorder treated with cognitive‐behavioural therapy in the context of a randomised controlled trial (Westra, Constantino, & Antony, 2016). Resistance was measured at a mid‐treatment session, and COE and TOE were assessed at baseline and immediately after the resistance session. Treatment outcome was measured via client‐rated worry severity at post‐treatment. As predicted, higher resistance was associated with lower subsequent COE and TOE; B = ?.73, p < .001 and B = ?.46, p < .001, respectively. In turn, lower post‐resistance COE predicted higher post‐treatment worry (B = ?.5, p < .001), indicating mediation. In contrast, TOE did not mediate the relationship between resistance and outcome (B = ?.02, p = .876). These results suggest that resistance can be demoralising to both clients and therapists. However, only lower client morale may be detrimental to therapy outcome. This study contributes to understanding outcome pathways through two common therapy processes. 相似文献
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Timothy W. Smith Carlene Deits‐Lebehn Paula G. Williams Brian R. W. Baucom Bert N. Uchino 《Social and Personality Psychology Compass》2020,14(3)
Theory and research on self‐regulation, emotional adjustment, and interpersonal processes focus increasingly on parasympathetic functioning, using measures of vagally mediated heart rate variability (vmHRV) or respiratory sinus arrhythmia (RSA). This review describes models of vmHRV in these areas, and issues in measurement and analysis. We propose a framework organizing theory and research as examining (a) vmHRV as an individual difference or a situational response, and (b) resting, reactive, or recovery levels. Evidence supports interpretation of individual differences in resting vmHRV as a broad biomarker for adaptive functioning, but its specificity and underlying mechanisms require elaboration. Individual differences in vagal reactivity (i.e., trait‐like differences in vmHRV decreases during challenge or stress) are less commonly studied in adults and results are mixed. Many stressors and challenges evoke temporary decreases in vmHRV, and in some research self‐regulatory effort evokes increases. In a smaller literature, positive interpersonal experiences and some restorative processes increase resting vmHRV, whereas depletion of self‐regulatory capacity through related effort decreases it. Greater attention to conceptual distinctions regarding vmHRV constructs and several methodological issues will strengthen future research. Importantly, researchers should exercise caution in equating vmHRV with specific psychosocial constructs, especially in the absence of converging assessments and precise experimental manipulations. 相似文献
107.
A series of experiments were undertaken to demonstrate the dominance advantage of a territorial resident over an intruder (the prior residence effect) in the adult male Convict Cichlid (Cichlasoma nigrofasciatum) and to evaluate the effects of alcohol (ethanol) on this phenomenon. After successfully demonstrating the prior residence effect, additional experiments were conducted in which the resident or intruder was given one of three different doses of ethanol (0.15%, 0.20%, 0.35%). These doses have previously been shown to reduce or increase intraspecific aggression in this species Over the entire dosage range, drugging the intruder produced no changes in the dominance advantage of the resident. However, drugging the resident at the higher doses (0.20%, 0.35%) resulted in loss of the resident's dominance advantage. These effects were not due to impaired locomotor behavior of the drugged fish, as no abnormal motor behaviors were noted. In general, as reported in previous studies, the resident fish, whether drugged or not, typically attacked first. Also as has been previously shown, the fish that attacked (bit) first typically showed eventual dominance. The present results show that the dominance advantage of the territorial resident is not altered by giving an intruder a hypo- or hyperaggression-producing dose of alcohol. Changes in the dominance advantage occur only as a function of drugging the resident, thereby providing evidence that the behavior of the territorial resident is either directly or indirectly (reaction of the intruder to these changes) responsible for the prior residence effect. The present studies also provide some pharmacological approaches for determining the variables important in a laboratory analog of a naturally occurring instance of intraspecific aggression. 相似文献
108.
Stuart P. Taylor Richard M. Vardaris Allen B. Rawtich Charles B. Gammon Jay W. Cranston Arvin I. Lubetkin 《Aggressive behavior》1976,2(2):153-161
Forty male undergraduates were provoked following their ingestion of high or low doses of either alcohol or delta-9-tetrahydrocannabinol (THC). The expression of physical aggression was related to the quantity of alcohol ingested. The high dose of alcohol instigated more intense aggression than the low dose. The high dose of THC, on the other hand, did not increase aggressive behavior. In fact, it tended to produce a weak suppression effect. 相似文献
109.
OBJECTIVE: This study examined outcome differences of 109 obese subjects, who participated in a 10-week cognitive-behavioral inpatient treatment followed by either a weight maintenance program or a follow-up period without professional support. METHODS: Self-rated weight loss, eating behaviors, and general psychopathology were assessed several months before treatment, when subjects were admitted, at discharge, and at the 6-, 12-, and 18-month follow-ups. Structured interviews for mental disorders and eating pathology were conducted additionally. RESULTS: The mean weight of the sample at baseline was 127 kg. Weight loss of the total sample amounted to 8.0 kg (6.3%) and was completely maintained during the follow-up period. Significant reductions of eating and general psychopathology were observed at the 18-month follow-up. The outcome in the maintenance condition did not significantly differ from the outcome in the control condition. CONCLUSIONS: Weight regain after obesity treatment is not inevitable, but continuous patient-therapist contacts do not distinctly improve treatment effects. 相似文献
110.
The purpose of this study was to determine the effects of teacher feedback delivered via a public address system on the off-task behavior of elementary-school physical education students. A multiple baseline design across three classes was used in this investigation. Results indicated a consistent decline in off-task behavior when the public address feedback system was used. 相似文献