核心人际图式改变、人格改变与症状缓解的关系:个案研究

本研究旨在通过一例抑郁症病例的52次心理治疗和效果评估说明核心人际图式改变、人格改变与症状缓解的关系。核心人际图式采用自编我的感受问卷测量,人格改变采用SWAP-200测量,症状采用OQ45.2测量。结果:核心人际图式的变化伴随着临床上可观察的人格改变、症状缓解及当事人总体功能和心理健康水平的提高。症状缓解主要体现为主观困扰的降低,但在社会功能和人际关系质量上改变不明显。结论:核心人际图式、人格障碍轮廓和症状缓解具有共变关系。     

Interventions in everyday lives: How clients use psychotherapy outside their sessions

The purpose of psychotherapy is to help clients address and overcome problems troubling them in their everyday lives. Therapy can therefore only work if clients include it in their ongoing lives to deal with their problems. Detailed, systematic research is needed on how clients do so in their everyday lives outside their sessions. A design of exploratory case studies on this topic is presented in this article. The main outcomes of such a case study on family therapy are then laid out in general terms. They highlight how treatment practices and clients’ ordinary everyday practices interact when clients change their everyday lives to overcome their troubles. They also highlight what it involves for clients to accomplish this. It is concluded that we need more research on how to understand intervention; on the interaction between interventions and clients’ conduct of their everyday life; on sessions as a particular, secluded part of clients’ ongoing everyday lives, and on how to consider therapists’ procedures and conduct of sessions accordingly.     

学校群体性癔症的处理

从安徽泗县疫苗事件出发,结合文献分析,作者阐述了群体性癔症的特点、发生的一般过程及处理方法。     

最大信息量法在CCSPC评分中应用的效度证据

采用基于最大信息量法的多维项目反应理论模型估计计算机模拟心理咨询病例系统（CCSPC）的合成分数及四个模块分数,并收集效标效度证据、成长变化效度证据和内容效度证据,结果表明：五个指标与心理咨询师考试三级技能成绩的相关均达到显著,且高于其与三级理论成绩的相关;所有指标得分均随着心理学学历升高而升高;多数指标分数随心理学本科年级提高而提高;获得心理咨询师资格认证的被试在CCSPC上有更高的得分.     

Structuring Case-Based Ethics Training: How Comparing Cases and Structured Prompts Influence Training Effectiveness

This study examined how structuring case-based ethics training, either through (a) case presentation or (b) prompt questions, influences training outcomes. Results revealed an interaction between case presentation and prompt questions such that some form of structure improved effectiveness. Specifically, comparing cases led to greater sensemaking strategy use and decision-ethicality when trainees considered unstructured rather than structured prompts. When cases were presented sequentially, structuring prompts improved training effectiveness. Too much structure, however, decreased future ethical decision making, suggesting that there can be too much of a good thing when structuring case-based ethics education. Implications for designing ethics training programs are discussed.     

From Good to Great: Examining Exemplary Counselor Development

Some counselors excel in the profession. Few do so while maintaining a balance in life. This article examines the life of one such individual, Samuel T. Gladding. He models for counselors an aspirational process of making significant contributions to the profession while staying personally grounded. Qualities that propel professionals like Gladding from being good as a young professional into prominence as a mature counselor are examined.     

The Assessment and Treatment of Post-Abortion Syndrome: A Systematic Case Study From Southern Africa

This article reports a clinical case study of “Grace”, a black Zimbabwean woman with post-abortion syndrome (PAS), a form of post-traumatic stress disorder precipitated by aborting an unwanted pregnancy. She was treated by a middle class white South African trainee Clinical Psychologist. The case narrative documents the assessment and the course of treatment which was guided by ongoing case formulation based on current evidence-based models. Factors that made her vulnerable to developing PTSD included active suppression of the memory of the event and lack of social support. An understanding of these factors was used to guide an effective intervention. In spite of the differences in culture and background between client and therapist, there was considerable commonality in their experience as young women and students who each had to balance personal and occupational priorities. The narrative also highlights the commonalities of Grace's experiences with those reported in the literature on post-abortion syndrome, which is mostly from the U. S. A. and Europe.     

Combining Explicit Timing with an Interdependent Group Contingency Program to Decrease Transition Times

ABSTRACT

A sixth-grade teacher and consultant serving as a behavioral specialist developed, implemented, and evaluated the Timely Transitions Game (TTG), a procedure designed to reduce room-to-room transition times. The TTG combined several procedures that have been shown to alter student behavior including explicit timing procedures and an interdependent, group-oriented reward program with randomly selected criteria. Five transition times were measured and recorded each day. At the end of the school day, the teacher randomly selected a transition and a criterion (seconds taken to transition). If the class completed the randomly selected transition in less time than the randomly selected criterion, they earned a letter. When students earned enough letters (e.g., the five letters that spell M-U-S-I-C), they received access to the reward (e.g., listening to music during independent seat-work). Results indicated immediate and sustained decreases in transition times following the implementation of the intervention. Although methodological concerns prevent drawing cause-and-effect conclusions, the current study shows how educators can adapt and combine empirically validated strategies and procedures to remedy presenting problems.