Active-interactional cotherapy

In the literature on cotherapy, little attention has been focused on maximizing the effectiveness of two therapists working in tandem with families and couples. While cotherapists may at times share their ideas and feelings with their clients, and after the therapeutic session exchange views between themselves, generally little interaction occurs between them during the session. In this paper, a case is presented for more active interactions between cotherapists during the session, in order to expedite and facilitate change and growth in their clients. Anecdotal examples are provided to illustrate the approach.     

Teaching cotherapy: Instructional and supervisory processes

A course on cotherapy for mental health practitioners is described. The authors strongly recommend that clinicians from all disciplines be taught and trained to do cotherapy, since it is a highly effective therapeutic modality in treating individuals, families and groups.     

Kierkegaard’s Analysis of Human Existence in Either/Or: There is No Choice Between Aesthetics and Ethics

Abstract

According to Alasdair MacIntyre, Kierkegaard fails to provide rational reasons to choose between an aesthetic lifestyle and an ethical lifestyle. This claim subsequently initiated a significant discussion that investigated whether one can rationally choose between ethics and aesthetics. I will be challenging both MacIntyre’s criticism and in large part the basis of the subsequent discussion by arguing that there is no choice between aesthetics and ethics at all. Specifically, I will be arguing that in Either/Or Kierkegaard demonstrates that the essence of human existence is the freedom to make choices. Given that the ethical is the existential reality of having to make choices, human existence is therefore necessarily ethical. This conclusion follows from my thesis that the essential difference between the aesthete and the ethicist in Either/Or is their opposing views on whether choices are necessary elements of experience.     

A combined fMRI and DTI examination of functional language lateralization and arcuate fasciculus structure: Effects of degree versus direction of hand preference

The present study examined the relationship between hand preference degree and direction, functional language lateralization in Broca’s and Wernicke’s areas, and structural measures of the arcuate fasciculus. Results revealed an effect of degree of hand preference on arcuate fasciculus structure, such that consistently-handed individuals, regardless of the direction of hand preference, demonstrated the most asymmetric arcuate fasciculus, with larger left versus right arcuate, as measured by DTI. Functional language lateralization in Wernicke’s area, measured via fMRI, was related to arcuate fasciculus volume in consistent-left-handers only, and only in people who were not right hemisphere lateralized for language; given the small sample size for this finding, future investigation is warranted. Results suggest handedness degree may be an important variable to investigate in the context of neuroanatomical asymmetries.     

Laying the Groundwork: Conceptualizing a Trauma-Informed System of Care in Juvenile Detention

ABSTRACT

Youth involved in the juvenile-justice system experience trauma at a disproportionately higher rate compared with the general population. Posttraumatic stress reactions place youth at greater risk for penetrating deeper into the juvenile justice system and being placed in secure detention settings. Juvenile detention settings with a systemic approach to addressing youth traumatic stress reactions promote an environment positioned to support the physical and psychological safety of youth and detention center staff. This article reviews key elements of a trauma-informed juvenile detention system and explores implications for trauma-informed interventions and cross-system collaboration.     

The association between reality-based beliefs and indirectly experienced traumatization

The purpose of the study was to examine the association between belief types and the magnitude of indirect traumatization. Specific types of beliefs were defined in terms of the cognitive orientation theory, which is a cognitive-motivational approach to the understanding, predicting, and changing of behaviors. Belief types that were analyzed included beliefs about self, general beliefs, beliefs about norms, and goal beliefs as they relate to personal growth. Study participants included 38 rescuers (body handlers), 37 nurses, and 31 rehabilitation workers who treated injured civilians that had been exposed to politically motivated violence. The Cognitive Orientation for Posttraumatic Growth Scale was used to assess beliefs about personal growth. The Revised Posttraumatic Stress Disorder Inventory was administered to evaluate indirect traumatization. The results indicate that three of the four belief types related to personal growth were associated with the level of indirect traumatization. Optimistic and positive beliefs about self and general beliefs were associated with a lower level of indirect traumatization symptomatology, suggesting that these types of beliefs may counteract indirect traumatization. On the other hand, stronger goal beliefs were associated with greater indirect traumatization. The negative association between positive goal beliefs and indirect trauma may be related to the gap the individual perceives between the hoped-for ideals and the trauma-stricken reality. These results indicate the importance of cognitive beliefs and their possible role in determining the response to indirect traumatization.     

What is learned from experience in a probabilistic environment?

Three experiments explored what is learned from experience in a probabilistic environment. The task was a simulated medical decision‐making task with each patient having one of two test results and one of two diseases. The test result was highly predictive of the disease for all participants. The base rate of the test result was varied between participants to produce different inverse conditional probabilities of the test result given the disease across conditions. Participants trained using feedback to predict a patient's disease from a test result showed the classic confusion of the inverse error, substituting the forward conditional probability for the inverse conditional probability when tested on it. Additional training on the base rate of the test result did little to improve performance. Training on the joint probabilities, however, produced good performance on either conditional probability. The pattern of results demonstrated that experience with the environment is not always sufficient for good performance. That natural sampling leads to good performance was not supported. Further, because participants not trained on joint probabilities did, however, know them but still committed the confusion of the inverse error, the hypothesis that having joint probabilities would facilitate performance was not supported. The pattern of results supported the conclusion that people learn all the necessary information from experience in a probabilistic environment, but depending upon what the experience was, it may interfere with their ability to recall to memory the appropriate sample set necessary for estimating or using the inverse conditional probability. Copyright © 2004 John Wiley & Sons, Ltd.