Efficacy of a Group Therapy for Sexually Abused Adolescent Girls

ABSTRACT

The effects of a group therapy program for teenage girls reporting child sexual abuse were evaluated by means of a pretest/post-test design with a control group. The psycho-educational intervention consisted of an average of 20 weekly two-hour meetings. Results of the repeated analyses of variance (ANOVA) revealed a sig-nificant improvement in youth participating in the therapy when compared with the control group on measures of post-traumatic stress, internalizing and externalizing behavior problems, coping strategies, relation- ship with the mother, and sense of empowerment. The findings suggest that the group therapy offered by the Centre d'Intervention en Abus Sexuels pour la Famille (CIASF) was effective in reducing symptoms for sexually abused teenagers.     

The efficacy and safety of short-acting testosterone ointment (Glowmin) for late-onset hypogonadism in accordance with testosterone circadian rhythm

Introduction: It is well known that there is a reduction of circadian rhythm in blood testosterone levels with aging. Our previous report revealed that 3?mg of short-acting testosterone ointment (Glowmin: GL) elevated serum testosterone levels to within the physiological range for 4–6?h. The aim of this study was to clarify the clinical efficacy and safety of GL used topically once every morning, to enhance the circadian rhythm of testosterone, for late-onset hypogonadism (LOH).

Methods: A total of 61 LOH patients received 3?mg of GL topically once a day in the morning on scrotal skin for 24 weeks. The clinical efficacy of GL was evaluated by the aging males symptoms (AMS) scale, and blood sampling tests were measured before and after GL treatment.

Results: Mean patients age was 55.3?±?9.2 years old. Total AMS scores at 4, 12, and 24 weeks after GL treatments significantly decreased. The results of sub-analysis of AMS, including psychological, physical, and sexual factors also significantly improved after GL treatments. No severe adverse reactions or abnormal laboratory data were reported.

Conclusions: This study shows that TRT for LOH with once daily GL treatment supports testosterone circadian rhythm and should be considered to be an effective and safe therapy for LOH.     

Adoption Issues: Preparation of Psychologists and an Evaluation of the Need for Continuing Education

This study is an investigation of the level of preparation psychologists have in dealing with adoption issues and an assessment of the need for further education in treating triad members. A questionnaire was mailed to 497 psychologists randomly selected from the National Register of Health Service Providers in Psychology who received doctoral degrees between the years of 1990 and 1996. Two hundred and ten psychologists, all of whom were currently treating clients, participated in the study. Psychologists completed a Likert rating of their sense of preparation to treat triad members. The largest group (51%) rated themselves as Somewhat prepared, with the second largest group (23%) rating themselves as Not very prepared. Ninety percent reported they needed more education in adoption, and 81% reported interest in taking a continuing education course in adoption. Of the 210 participants, only 67 reported taking courses that dealt with adoption as part of their formal education. Of those psychologists who reported taking courses that involved adoption, they averaged only 1.3 courses during their undergraduate education, and 1.5 courses during graduate education, while the remaining 143 psychologists received no education in this area. When one considers the proportion of triad members seen clinically, this study suggests psychologists need more education and background information about the effects of the adoption process.     

Genetic and environmental influences on cognition during childhood

The basic methodology of behavior genetics is described in the context of the twin and sibling/adoption design. Results of applying this model to cross-sectional data on cognitive development throughout the lifespan are presented. Results from a large longitudinal twin and adoption study of general intelligence are presented to illustrate the use of the basic behavior genetic model in studying the causes of continuity and change in development. A special model is presented for the study of abnormal behavior occurring at the extremes of the distribution and an adaptation of the model is discussed for the study of genetic linkage or the mapping of quantitative trait loci (QTL). Results of applying this model to a sample of twins and kindred siblings indicated the presence of a major QTL for dyslexia on chromosome 6. The purpose of the paper is to illustrate the scope of behavior genetic methodology in studying individual differences in behavior in a biosocial context.     

养老与收养——论我国步入老年型社会后收养制度的完善

探讨了收养的法律性质及目的等问题,在指出收养法律性质的"公法化"趋势以及收养目的的变迁所显示的收养制度适应性的基础上,结合我国开始步入老年型社会的国情,建议我国收养法将"养老"增设为立法目的,进而提出放宽成年人收养条件,增设不完全收养及撤销制度,确立配偶的收养同意权等立法构想.     

Factors Contributing to Parents’ Preparation For Special-Needs Adoption

Three hundred and sixty-eight parents shared their perceptions of special-needs adoption preparation. Utilizing both quantitative and qualitative data to determine and understand what factors contribute to preparation, this study found that 12 child, family, and agency variables were correlated with perceived preparation, and that parents perceived level of preparation was predicted by the childs ability to attach, by the parents relationship with the agency, by the duration of the adoption, and by the parents ages at the time of adoption. Implications of these findings are discussed, as they relate to supporting parents, children, and families in special-needs adoptive placements.     

儿童和青少年问题行为的家庭治疗

儿童和青少年的问题行为最好采取家庭治疗的方法。"家庭图谱"、"重新架构"、"悖论治疗"、个体心理治疗和家庭治疗相结合是解决儿童和青少年问题行为的重要方法;我国开展家庭治疗应该注意:积极向广大家长宣传家庭治疗的意义;大力培养我们的家庭治疗师队伍;家庭治疗应该重视多元文化的影响。     

Differentiation of Self and the Process of Forgiveness: A Clinical Perspective for Couple and Family Therapy

In this article we explore the role of differentiation of self in facilitating forgiveness in the context of couple and family relationships. Differentiation is defined from the Bowen perspective as the ability to connect with others without being excessively emotionally reactive to the ebb and flow inherent in all significant relationships (being able to connect to others yet also being able to self‐regulate). Forgiveness is described as the releasing of an emotional injury via a complex psychological and relational process that is less an act of will than a discovery or possibility through understanding and empathy. Differentiation of self is related to emotional intelligence and empathy. The developmental and relational benefits of such are illustrated and discussed. A rationale for viewing differentiation and forgiveness in a contextual, historical, and relational attachment paradigm is suggested. Relevant clinical cases illustrate the dynamics of differentiation and forgiveness as discovery in the context of an understanding and empathic relational environment.     

Specific Cases,Techniques and Approaches: Talking Pictures in Family Therapy

This article presents a case study on the use of arts‐based resources in family therapy to help children and their post‐separation families describe their experience, communicate and collaborate with each other, witness and learn about each other, and develop their individual and family well‐being.     

Family Work in Oncology: Trusting the Narrative

The author describes her work with a dying patient, work that extends from the patient to his wife and adult offspring, and has transformative benefits for the family.