SOLUTION-FOCUSED THERAPY IN A PSYCHIATRIC HOSPITAL

This paper presents the authors' use of solution-focused brief therpay in an adult inpatient psychiatric hospital setting. we suggest that a theoretical inteeegration of the medical model and the solution-focused approach provides a useful treatment modality. We discuss implementation of the model, emphasizing assessment, treatment milieu, the role of staff, therapy, and discharge issues. We also describe the model's usefulness for training and supervision and offer recommendations for future research.     

Social support and psychoeducational interventions with middle class dropout youth

There are substantial numbers of high school dropouts among middle class, high achieving and majority youth. Yet, little research has been undertaken to identify the psychosocial and family characteristics, educational needs, and program requirements of middle class dropout youth. This paper reports the educational history, individual psychosocial characteristics and family backgrounds of 102 middle class dropout youth who participated in an educational treatment program within a university. Data from a questionnaire and a family assessment instrument indicate that middle class dropout youth have a variety of family, social, emotional and learning disorders. Implications for clinical interventions are presented along with a case history and treatment plan of one of the youth in the study.     

用讲故事来激发行动

在合适的时候讲个合适的故事,可能是非常有力的领导手段 20世纪90年代中期,身为世界银行项目主管的施蒂芬·丹宁(Stephen Denning)不知道如何说服自己的同事相信知识管理的价值。尽管他依靠坚实的研究结论和精心准备的电脑幻灯片进行讲解,但仍毫无成效。随后,他开始讲述下面这个简单的故事:     

Assessment of Intimate Partner Violence by Child Welfare Services

The purpose of this study was to describe policy and practice with respect to the assessment of intimate partner violence in a sample of child welfare agencies located throughout the United States and to examine the relationship of contextual characteristics and assessment practices. Telephone interviews were conducted with key informants from child welfare agencies. A snowball interviewing strategy was used to identify the best informant in each agency. Almost all of the participating agencies conducted some assessment of intimate partner violence, with most reporting that the majority of screening or assessment occurred during investigation of referrals. However, only 43.1% reported that all of the families referred to the child welfare system were assessed for intimate partner violence, and 52.8% indicated they had a written policy pertaining to screening and assessment of the problem. There was little relationship between county or agency characteristics and assessment practices. Additional research is needed to determine factors that influence assessment practices and to identify strategies to support and extend efforts to identify intimate partner violence and provide appropriate services for families in the child welfare system.     

Neurobehavioral Consequences of Prenatal Exposure to Smoking at 6 to 8 Months of Age

Between 400,000 and 800,000 infants are born in the United States each year to women who smoked cigarettes during their pregnancy. Whereas the physical health consequences to infants of prenatal exposure to smoking are well established, the early neurobehavioral consequences are less well understood. This study investigated the neurobehavioral consequences of prenatal exposure to smoking using an epidemiologically derived sample of 454 infants who were drawn from a larger sample of 1,292 infants whose families were recruited at birth. Results indicated that, on average, infants who were exposed to higher levels of prenatal smoking exhibited less positive affect and greater irritability. Moreover, among male infants, elevated levels of prenatal exposure to smoking were associated with lower levels of approach, gross motor movement, reactivity, and attention. There was no evidence that the effects of prenatal exposure to smoking on infant neurobehavioral functioning were mediated by physical growth parameters (infant weight and head circumference) that are also known to be affected by prenatal exposure to smoking.     

Unit training to increase support for military personnel with mental health problems

The present study examined the effectiveness of training designed to increase support toward military personnel with mental health problems. Soldiers from two Battalions (N?=?349) were randomly assigned by squad to receive the training (n?=?179) or to a survey-only control group (n?=?170). Soldiers completed survey assessments at baseline and three months later. Soldiers also completed an implicit association test assessing attitudes toward mental health treatment at the three-month follow-up. Results revealed that soldiers in the training condition reported an increase in supportive behaviours toward soldiers with mental health problems three months following the training, whereas there was no increase in soldiers assigned to the control group. Soldiers in the training condition were also marginally more likely to increase their own treatment seeking in the three months following the training. Discussion focuses on the importance of unit member support for military personnel with mental health problems and the implications for employees in other occupations characterised by the expectation for resilience.     

Romantic Relationships,Relationship Styles,Coping Strategies,and Psychological Distress among Chinese and Australian Young Adults

This study examined the association between relationship styles, coping strategies, and psychological distress among 144 Anglo‐Australian and 250 Hong Kong Chinese undergraduate students. The results indicated that relationship styles (secure, clingy, and fickle) influenced psychological distress through their association with coping strategies (avoidance and self‐punishment). Society of residence was a moderating factor for the association between clingy relationship style and psychological distress. Females also reported higher levels of psychological distress than males. Among participants who had experienced a romantic relationship break up, participants endorsing clingy relationship style and those whose partners initiated the break up expressed more hurt in comparison, whereas those who endorsed avoidance strategy reported less hurt. The results of the present study also suggested that psychosocial variables (relationship styles, coping strategies) were generally more important than demographic factors (e.g., age) in predicting mental health outcomes. However, relationship styles and coping strategies may operate differently under different contexts.     

Relations of Temperament to Maladjustment and Ego Resiliency in At‐risk Children

The relations of control/regulation‐related temperamentally based dispositions (effortful control (EC), impulsivity, and approach/avoidance) to externalizing problems and personality ego resiliency were examined in a sample of 467 children (M age = 7.46 years), some of whom were children of alcoholics (COAs). In addition, we examined if the relations of temperamental regulation/control to maladjustment/ego resiliency were moderated by COA status or sex of the child. In general, regulated, controlled temperament was negatively related to externalizing problems and EC was positively related to ego resiliency. Relations between a problematic temperament and externalizing problems were stronger and sometimes only found for COAs, especially male COAs. Ego resiliency was positively related to high father‐reported approach for boys who were not sons of alcoholics. In addition, COA status was related to high impulsivity, approach behavior, and externalizing problems and low EC.