The Conversational Model and Child and Family Counselling: Treating Chronic Complex Trauma in a Systemic Framework

Child and Family Counselling Teams in NSW Community Health Services are expected to provide therapeutic services to children who have experienced complex trauma. However, parental trauma is often overlooked or referred elsewhere. A systemic perspective informed by attachment theory and trauma theory provides the basis for addressing parental trauma in Child and Family Counselling Teams, thereby improving parenting. The Conversational Model is an evidence‐based intervention for chronic complex trauma. The foundations of the Conversational Model and its brief component, Short Term Intensive Psychodynamic Psychotherapy, are outlined and a case study is given to illustrate the usefulness of the intervention in Child and Family Counselling. Highlighted is the importance of addressing systemic trauma through parenting to improve attachment quality, family relationships, and children's function.     

日元对美元汇率的变化及其原因分析

自实行浮动汇率制到20世纪90年代上半期,日元持续升值,成为主要的世界货币之一。决定这一长期走势的基本原因是日元对美元购买力平价的提高。而经济实力的消长则是购买力平价提高的物质基础。20世纪90年代以来,日元对美元的购买力平价趋于稳定,从而结束了日元长期升值的趋势。在上述过程中,国家的宏观经济政策、国际间利率差别、跨国资本流动以及一些突发事件的影响成为汇率在短期内波动的直接原因。     

Abstracts of theses,July 1955: Smith College School for Social Work

Abstract

This commentary amplifies the dynamic strategies in Message in a Bottleto consider in working with clients who seek to augment psychotherapy with psychopharmacologic treatment. This commentary also addresses how to evaluate and enhance psychotherapy outcome independent of medications and reviews some of the factors which contribute to positive treatment outcome. In order for clinicians to resist the pervasive colonizing effects of the medical model, this commentary reevaluates some of the claims that medications seem to promise and reinforces data which demonstrate that psychotherapy remains a safe and effective first-line treatment.     

Au Revoir: An Attachment and Loss Perspective on Termination

Traditional views of psychotherapy hold that termination allows both for a consolidation of therapeutic work and an opportunity to work through issues of separation and loss. Such a view suggests not only that those issues will resolve in treatment, but also that endings are inevitable, permanent, and that the feelings invoked can and should be mastered and worked through. Recent research on termination, attachment, loss and grieving suggests a different conception. Consideration of that research can better ground therapists in more nuanced techniques for ending treatment in both child and adult psychotherapy.

Exploration of the reasons for dropping out of psychotherapy: A qualitative study

Elucidating the reasons for dropping out of psychotherapy can lead to the development of interventions aimed at reducing patient drop out. The present study aimed to explore patients’ reasons for dropping out of psychotherapy in Kermanshah, Iran. The present qualitative study was performed using conventional content analysis. The current sample included 15 participants consisting of 7 patients who dropped out of psychotherapy and 8 psychotherapists who have previously experienced patient dropout. A semi-structured interview was used for data collection. All interviews were audio recorded and subsequently transcribed. Content analysis using constant comparisons was performed for transcribed interviews. Four main categories emerged as reasons for dropping out of psychotherapy: dissatisfaction with the quality of psychotherapy, financial problems in psychotherapy, unprepared socio-cultural context of psychotherapy, and psychotherapy as a non-user friendly treatment. Additionally, specific subcategories within each main category were documented. The results revealed distinct reasons for psychotherapy drop out in the current Iranian-based sample. These identified reasons should be considered and addressed at the onset of treatment as well as in the development of formal interventions aimed at reducing dropout. Further research investigating the antecedents leading to patient drop out is recommended.     

宗教信仰与心理治疗:社会认知的角度

宗教信仰在心理疾病患者生活中扮演重要角色.信仰宗教的人往往表现出直觉思维的模式特点.这种思维的结果是假说偏差和组内/组外偏差.宗教对心理治疗积极的作用表现在宗教可以提供积极的应对策略;宗教还提供了替代依恋对象;宗教倡导宽恕,有助于调节情绪和行为.宗教信仰产生的认知偏差和偏见会影响心理治疗过程,而且宗教也会成为导致心理疾病的原因之一,宗教的负面影响还体现在宗教都是外部控制的,这与心理治疗倡导的自由探究和自我发展的原则相矛盾.心理咨询师和心理疾病患者在宗教上的差异主要体现在对待宗教的态度和应对方式上,是导致二者潜在冲突的根本原因.心理健康从业者需要对宗教信仰及其与心理治疗的关系重新再认识.     

Attachment Repair in Couples Therapy: A Prototype for Treatment of Intimate Relationships

This paper describes a prototype for the treatment of intimate relationships that takes into account how to evaluate attachment styles in the couple relationship and in psychotherapy, and how to integrate this understanding into clinical practice. It is important for the couple’s therapist to understand attachment, its neurobiological underpinnings, and its origins in early development. Secure attachment in an adult relationship may be challenged if one or both partners have experienced disruption of a primary attachment relationship. The goal of successful treatment is to restore the normative growth of intimacy, empathy, understanding, healthy dependency, and connection.

开征环境税对经济增长影响的实证研究——基于十二个发达国家二氧化碳税开征经验的面板数据分析

本文利用芬兰等十二个已开征二氧化碳税的发达国家1980～2009年间的跨国面板数据进行随机效应估计.结果发现:开征环境税在短期内可能给经济增长带来负向冲击;但环境税对经济增长的影响更多地体现为长期冲击,且这种长期冲击是显著的负向影响.因此,开征环境税时,不仅要通过税收体系调整缓解企业成本上升在短期内给经济增长带来的不利冲击,更应从长期影响的视角出发,设计配套政策,降低环境税在长期内对经济增长和社会福利可能存在的不利影响.     

Learning from bottom-up dissemination: Importing an evidence-based trauma intervention for infants and young children to Israel

This article describes a pilot study of a “bottom up” dissemination process of a new evidence based intervention for treating early childhood trauma. Clinicians applied to learn Child–Parent Psychotherapy (CPP), imported to Israel from the U.S. A focus group of six graduates of a CPP training program responded to questions concerning their experiences learning and using CPP. All 39 CPP graduates from two cohorts also completed a cross sectional survey related to their use of CPP. Within the focus group, the openness of the workplace and the intervention's characteristics were considered major factors impacting CPP use; the training program was perceived to promote CPP implementation, and lack of supervision and secondary traumatic stress were the major inhibiting factors. Using CPP-informed therapy, as opposed to CPP with fidelity, was perceived to be one of the main outcomes of the training. Survey results showed that 53% of graduates were using CPP in over three cases, and almost all intended to use CPP within the next year. Ninety-five percent were using CPP principles in their therapeutic work. The implications of importing a new evidence based intervention to a foreign country that utilizes a different dissemination system within a different professional culture are discussed.