An Evaluation of Physical Fitness Parameters for Graduate Students

Abstract

Although graduate physical therapy students are taught the principles of fitness for incorporation into their professional lives, they have difficulty finding the time to implement these principles during graduate school. The authors studied 3 successive classes of graduate physical therapy students at the beginning and ending of their respective programs. They found that the women's percentages of body fat were significantly greater over the period of the study. The men's lower extremity strength decreased at the slower speeds (60 degrees/second), and the women showed increased strength at the higher speeds (180 and 240 degrees/second, respectively). Male grip strength significantly increased over the period of the study. To decrease students' percentages of body fat and increase their strength, the authors asserted that physical therapy students should be allowed more time to participate in fitness activities during their graduate school years.     

叙事实践:一种人文生态学的心理取向

简要回顾了叙事疗法的诞生及其在中国的传播过程。重点讨论了叙事实践3个方面的生命伦理学关怀:首先,这种心理学取向以生命权利的平等为前提;其次,这种心理学实践以人文生态的和谐为途径;第三,这种心理学实践以生命意义的丰富为旨归。最后探讨分析了叙事疗法的发展潜力,主要包括叙事实践与中国文化的结合、超越性启示以及生态学启示。指出叙事疗法所蕴含的生命伦理学关怀是实现其潜力的一个重要的推动因素。     

四联疗法对HP阳性胃溃疡患者的治疗作用及HP清除效果观察

目的 观察四联疗法对幽门螺旋杆菌（HP）阳性胃溃疡患者的治疗作用及HP清除效果.方法 选择我院2012年3月至2013年5月132例HP阳性胃溃疡患者随机分为两组,对照组66例患者采用传统的甲硝唑＋奥美拉唑＋阿莫西林三联法治疗,观察组66例患者采用四联疗法治疗,疗程结束后,对两组患者治疗效果、HP根除率及不良反应进行比较.结果 观察组总有效率为95.45％;对照组总有效率为81.82％;两组治疗前HP均为阳性,治疗后观察组HP阴性49例,转阴率为74.24％,对照组HP阴性38例,转阴率为57.58％,两组比较差异具有显著性（P＜0.05）.两组不良反应发生率分别为4.55％,3.03％,差异无显著性（P＞0.05）.结论 四联疗法对HP阳性胃溃疡患者治愈率高,HP根除彻底,是安全.     

Social Work,Siblings, and SIDS: Conceptual and Case-Based Guidance for Family System Intervention

ABSTRACT

Sudden Infant Death Syndrome (SIDS) is a tragic loss event within the family, impacting adults as well as children. This article uses three case illustrations to discuss the role of a SIDS event on the family system with a special focus on the emergent challenges for surviving siblings of various ages. Practice application examples are woven throughout the review to illustrate the age-specific grief responses which may occur following a SIDS event. The article also presents a theoretically supported intervention matrix that integrates models of bereavement support and family system responses, taking into account children's varying developmental needs and tasks based on sibling age.     

Technology and Obsessive Compulsive Disorder: An Interactive Self-Help Website for OCD

Obsessive Compulsive Disorder (OCD) is a neurobiological illness characterized by unwanted thoughts and/or images followed by repetitive rituals. About 5 million Americans live with Obsessive Compulsive Disorder. OCD is a manageable illness when proper interventions are utilized. Treatment for OCD is limited due to the lack of adequately trained professionals and the high costs of treatment. Cognitive behavioral therapy (CBT) in conjunction with exposure with response prevention (ERP) is the most effective intervention modality available for OCD. To address the treatment gap, an online, interactive self-help website was developed for those living with OCD without access to an effective intervention. This report will explore development of the OCD Challenge website and future implications of its use.     

Integrating Art Therapy Methodology in Brief Inpatient Substance Abuse Treatment for Adults

ABSTRACT

Decades of drug addiction research and clinical work have underscored the need for multifaceted and comprehensive treatment responses in order to sufficiently address the varied needs of individuals struggling with addiction. One valuable treatment component that can be incorporated into traditional treatment protocols to expand the comprehensive nature of treatment response is art therapy. A conceptual framework is presented, detailing the integrative opportunities and benefits of including an art therapy component to short-term hospital-based inpatient substance abuse treatment programs. A creative arts component can be particularly beneficial for brief inpatient programs, where the client population is diverse, in crisis, and at high-risk for relapse; and where clinicians need to obtain comprehensive client information from multiple sources in a short amount of time. Art therapy methodology can provide a mechanism for collecting such collateral information for assessment purposes, can be employed to facilitate therapeutic change, and is used to track and document client progress and clinical change over time. Practice guidelines and specific treatment techniques are presented through short case examples.     

For the Love of Fluffy: Respecting,Protecting, and Empowering Transitional Objects in the Context of High-Conflict Divorce

ABSTRACT

Transitional objects are those idiosyncratically determined, beloved blankies and stuffed animals that communicate an absent parent’s affection. As such, transitional objects serve the short-term need to cope with separation, and the long-term need to move toward autonomy. This article discusses the value, use, and misuse of transitional objects in the context of coparental conflict. The concept of alienation-by-proxy is introduced. Specific recommendations are provided, including the therapeutic creation and empowerment of transitional objects to assist children experiencing separation anxiety, consideration of the role of transitional objects in child custody evaluations, and the court’s responsibility to encourage litigating parents to respect the child’s needs for transitional objects.     

Factors Influencing the Degree and Pattern of Parental Involvement in Play Therapy for Sexually Abused Children

Although much has been written about the role of therapists in children's recovery from child sexual abuse, relatively little attention has been paid to the role of nonoffending parents. This study investigated the work of a team of therapists who sometimes included such parents in therapy sessions with children. The study sought to understand what factors were influencing the degree and pattern of parental involvement and to understand what effect these patterns of parental involvement were having on the process and outcomes of therapy. The study successfully identified a range of factors influencing the patterns of parental involvement, but more research will be needed to understand the effect on outcomes.     

Game-Based Cognitive-Behavioral Therapy (GB-CBT) Group Program for Children Who Have Experienced Sexual Abuse: A Preliminary Investigation

This preliminary investigation examined the efficacy of a game-based cognitive-behavioral therapy group program for elementary school-aged children who have experienced sexual abuse. Treatment aimed to improve: (a) internalizing symptoms, (b) externalizing behaviors, (c) sexually inappropriate behaviors, (d) social skills deficits, (e) self-esteem problems, and (f) knowledge of healthy sexuality and self-protection skills. Results indicate that game-based cognitive-behavioral therapy was effective for improving internalizing and externalizing symptoms, reducing sexually inappropriate behaviors, and improving children's knowledge of abuse and self-protection skills. Although results pointed in a positive direction for social skills and self-perception, these findings were not statistically significant. Clinical significance was also evaluated to assess the clinical utility of treatment effects. Treatment implications of the findings and future research directions are discussed.