The Struggle to Prevent and Evaluate: Application of Population Attributable Risk and Preventive Fraction to Suicide Prevention Researach

Population attributable risk (PAR) estimates have been used in suicide research to evaluate the impact of psychosocial and socioeconomic risk factors, including affective disorders, traumatic life events, and unemployment. A parallel concept of preventive fraction (PF), allowing for estimation of the impact of protective factors and effectiveness of preventive interventions, is practically unknown in suicidology. The study authors discuss the application of both concepts to suicide research and prevention, and review literature on the subject. Despite several methodological and conceptual limitations, both PAR and PF are valuable instruments to inform development and evaluation of suicide prevention programs.     

Coping with the exposure to torture

This paper describes approaches taken at the International Rehabilitation and Research Centre in Copenhagen to helping torture victims and their families cope with the exposure to and aftermath of torture.     

"Existential" therapists and their group therapy practices.

Existential philosophical thought insists that human behavior is indeterminate and subject only to the individual's will. It is, therefore, skeptical of all dynamic psychologies based as they are on Freudian determinism. Group therapists imbued with this philosophy stop short of its extreme. Their existential position, however, does greatly modify treatment, and yet they preserve both the form and goals of therapy. They place properly selected and prepared patients in a group where their individuality and authenticity are highly valued. Finding most technical procedures irrelevant, the therapists themselves, that is, their evolving personalities are central. The key to patient change is the spontaneous meeting of members and the therapist which the therapist orchestrates. Instead of the usual interpretation, members are encouraged to confront the paradoxes in their lives, their humanness, and especially their finitude. Patients are to be brought up to the threshold of their self-knowledge so they can choose. Choice, therefore, along with action coupled with responsibility are frequent themes. Unless the individual is incompetent, decisions made for him or her by the therapist or by group consensus are thought to be nontherapeutic.     

Family therapy without the family: a framework for systemic practice

This paper contrasts the basic tenets of systemic thinking with some guiding principles of the psychodynamic approach, and outlines specific techniques which family therapists can use when seeing individuals. It is argued that a useful systemic framework can be maintained if the therapist aims to keep the therapy system 'open' for relevant others to join at any time.     

Short Paper Section The reliability of video viewing of family therapy interviews*

The use of video-taped material is common in family therapy practice and training. It is assumed that the video material conveys the same impression as when the interaction is viewed ‘live’. In this study the same eight interviews were viewed by two groups of experienced therapists, one group ‘in vivo’ and the other ‘via video’. The groups were required to rank concepts derived from Structural Family Therapy as relevant to each of the interviews. On six of the eight interviews there was substantial agreement in the ranking of concepts by the two groups lending general support to the assumption that judgements of family interactions are not influenced by the medium through which they are observed.     

Admissions interviews at university as counselling tools

Little research has been conducted on the university admissions interview, and with increasing selection ratios there has been a tendency for universities to dispense with interviews altogether. This paper argues for a re-assertion of the interview as a valuable component of the admissions procedure, not necessarily to improve institutional decision-making but for the guidance and personal decision-making of candidates. The rationale for treating admissions interviews as opportunities for counselling are reviewed, and the advantages for both candidates and institutions are outlined.