Approaching Complex Cases With a Crisis Intervention Model and Teamwork

Patients referred for genetic counseling may be in a state of crisis, feeling as though they are incapable of making decisions about the management of their pregnancy, genetic testing options and/or life planning issues. The role of the genetic counselor is to assist a patient through this crisis state by increasing the patient's understanding and by helping to facilitate decision making and adjustment to those decisions. In this paper we present a clinical genetic counseling case that was complicated by numerous medical and psychosocial issues. The wide scope of this case required the involvement of both a prenatal and a medical genetic counselor. Working as a team we utilized a crisis intervention model. Our counseling focused on identifying and isolating the issues, providing factual information, setting a time frame for decisions to be made, and encouraging social support and emotion-focused coping strategies.     

Increasing Behavioral Skills and Level of Understanding in Adults: A Brief Method Integrating Dennison's Brain Gym & #x00AE; Balance with Piaget's Reflective Processes

A single session intervention was given individually to 4 adults in order to assist them in achieving their personal goals by improving their behavioral skills for achieving the goals and their conceptual understanding of & #x201C;how to & #x201D; attain these goals. The method was based on a brain-ability analysis of understanding & #x201C;conservation & #x201D; on Jean Piaget's conservation tasks combined with Paul and Gail Dennison's Brain Gym & #x201C;balance & #x201D; procedure. My & #x201C;whole brain understanding & #x201D; model (C. A. Wolfsont, 1999, 2000) and M. L. Commons et al.'s Hierarchical Complexity Scoring System manual were used to analyze the verbal protocols (M. L. Commons et al., 1992; Commons, Danaher, & Meaney, 2000). Increases were found in the participants' conceptual understanding and in the complexity of their performance.     

The Nature of School Bullying and the Effectiveness of School-Based Interventions

School bullying has become a topic of public concern and considerable research in various countries around the world in the last two decades. We summarise characteristics such as types and causes of school bullying, based on findings from various studies. We further review a variety of large-scale, school-based intervention programmes, implemented in different countries and school settings, that have been systematically evaluated. These programmes have varied substantially in their effectiveness in reducing levels of bullying at schools. Reasons for these mixed outcomes are discussed, together with suggestions for improving the effectiveness of future interventions.     

关于儿童自闭症行为矫治法的几个理论问题

了解儿童自闭症行为矫治法有助于提高自闭症治疗的质量和效果。本文讨论了有关儿童自闭症行为矫治法的几个理论问题。作者还介绍分析了中外自闭症文献中记载的儿童自闭症行为矫治法的临床实验及其治疗效果。     

Are Women Perceived as Engaging in More Maladaptive Worry Than Men? A Status Interpretation

Studies 1 and 2 addressed people's perceptions of women's and men's overall maladaptive worry. In Study 1, participants rated how they perceive women's and men's worry in general. In Study 2, participants rated the worry of either a woman or a man whom they know well. As expected in both studies, participants perceived women as experiencing more maladaptive worry than men. A second objective was to compare people's perceptions of women's and men's worry to their perceptions of low- and high-status individuals' worry to determine if a status model can account for the perception that women worry more than men. In Study 3, participants were presented a minimal instantiation of status (Conway, Pizzamiglio, & Mount, 1996). As expected, participants perceived low-status individuals as experiencing more maladaptive worry than high-status individuals. Findings are discussed in terms of gender stereotypes and theoretical models of gender.     

Mothers’ physical interventions in toddler play in a low-income,African American sample

This mixed method study examined 28 low-income African American mothers’ physical interventions in their 14-month-old toddlers’ play. Inductive methods were used to identify six physical intervention behaviors, the affect accompanying physical interventions, and apparent reasons for intervening. Nonparametric statistical analyses determined that toddlers experienced physical intervention largely in the context of positive maternal affect. Mothers of boys expressed highly positive affect while physically intervening more than mothers of girls. Most physically intervening acts seemed to be motivated by maternal intent to show or tell children how to play or to correct play deemed incorrect. Neutral affect was the most common toddler affect type following physical intervention, but boys were more likely than girls to be upset immediately after physical interventions. Physical interventions intended to protect health and safety seemed the least likely to elicit toddler upset.     

Jus Ad Bellum,Values, and the Contemporary Structure of International Law

In “Religion, Violence, and Human Rights: Protection of Human Rights as Justification for the Use of Armed Force,” James Johnson discusses an important dilemma for contemporary society: when should transnational military force be permitted to protect human rights? Professor Johnson uses the relatively recent doctrine of a “responsibility to protect” as the centerpiece of his paper, characterizing it as a reaction to legal concepts that emerged in the “Westphalian system.” Yet the doctrine, at least as it relates to the use of military force, is not a reaction to that system but, rather, to the relatively recent system of the UN Charter, particularly its relegation to the Security Council of the exclusive authority to determine when military force should be used for purposes other than self‐defense. When the Cold War ended and the Security Council failed to act to protect human rights, the doctrine was born.