Chapter 16:Harm Reduction

Summary

Working with clients with both substance abuse and other Axis I mental health concerns is becoming more and more common on a college campus as well as in the general population. By utilizing both brief therapy techniques and a harm reduction approach, the therapist engages the client where the client is ready to begin in an attempt to motivate the client toward healthier choices. This case study examines the inter-relationship among alcohol abuse, attention-deficit disorder, anxiety, and depression.     

Chapter 7: Fostering Development

Summary

This chapter reports a case of college student psychotherapy involving short 1doses” of counseling over the course of a student's four-year college career. During treatment, the student addressed and increasingly came to terms with issues involving relationships with his family, friends, and love interests. By his own report, he gained considerably from this experience.     

Chapter 5: Don't Go There

Summary

Impulse control manifested in following or low-level stalking behavior is treated using stage-specific interventions described by Prochaska. This approach suggests that therapy address the particular stage at which the client is working as well as the conditions of the diagnosis. Dialogue is employed to illuminate both stage and therapeutic intervention.     

从心理学视角探讨进食障碍的成因

以神经性厌食和神经性贪食为主要症状的进食障碍已成为一个严重的社会问题,它直接威胁到人们的身心健康。文章通过对影响进食障碍的两大因素——心理因素和社会因素的介绍和分析,帮助人们对进食障碍的病因有更深的认识,从而促进对其进行预防和临床的诊断治疗。     

Chapter 3: Resolving PTSD Through Time Limited Dynamic Psychotherapy

Summary

The effect of short-term psychodynamic therapy with a young and highly motivated African-American student athlete presenting with posttraumatic stress syndrome-delayed onset was examined. In 12 sessions, the client successfully addressed several issues including: rape, spirituality, race, and family dynamics.     

催眠实施超个人心理治疗的个案研究

超个人心理治疗是通过超越个人狭隘的意识状态,与无(潜)意识及宇宙融为一体,达到超越个人和提升个人目的的一种心理治疗方式。超个人心理治疗一般通过静坐、沉思、冥想等手段来进行,但催眠可以更加快速地实施这一疗法。实践证明催眠是实施超个人心理治疗的绝佳途径。     

A Student Mental Health Service as a Place to Work:

This paper describes some aspects of a student mental health service as a place to work as well as a brief discussion of the interrelationship between a service and the parent university. The author retired recently after spending his entire professional life in a college mental health clinic, and the content is a retrospective view of his experience. It was prepared for a symposium which took place at the Tavistock Clinic in London during July, 1989.     

Chapter 14: Shoulder to Shoulder

Summary

This single session conversation demonstrates a post-modern approach to counseling. Using constructionist concepts, the therapist and student collaborated to create a common language. Through this shared meaning making, the therapist witnessed the student retrieve a preferred story of her life. Furthermore, the retelling of this story has helped others to find their own forgotten narratives.     

Chapter 4: From Hate to Healing

Summary

This case demonstrates the use of brief therapy with a young woman who experienced a vicious sexual assault within a dating relationship. Complex family of origin issues and prior history of problematic relationships, including a stalking episode, complicated her response. The recovery process is elaborated in terms of specific critical incidents within a feminist context.     

Chapter 2: Flight of the Appalachian Bumblebee

Summary

A 19-year-old single Appalachian Caucasian man presented with panic attacks related to a recently developed phobia of bees. Brief solution-oriented therapy, along with the tools of Rational Emotive Behavior Therapy (REBT), was employed successfully to treat this specific phobia. Cultural, familial, gender, and sexual identity issues were also addressed.     

Chapter 15:The Runaway Client

Summary

The case of a male graduate student struggling with excessive interpersonal anxiety and promiscuous sexual behavior is presented. The interpersonal issues were addressed within the therapeutic relationship drawing parallels to and from relationships outside of therapy. During the fifteen sessions of interpersonally focused therapy, the client made significant progress in his ability to form and maintain healthy relationships.     

The Impact of Disordered Eating Behavior on College Relationships: A Qualitative Study

The authors explored how college students’ disordered eating behaviors affect their peers. Participants were 8 undergraduate students from a northeastern university with a peer who currently or previously engaged in eating disorder (ED) behaviors. Results from a consensual qualitative analysis provided preliminary evidence that students’ EDs negatively affect peers. Outreach and interventions such as cognitive behavior therapy could be used to assist peers of students with EDs. Researchers should investigate the impact of students’ ED behaviors on peers’ health and academic performance.     

社会心理：体育利益调整与制约因素分析

社会心理、经济基础和政治理念共同而有差别地制约着体育利益调整,社会心理制约体育利益调整的相对性、潜在性、复杂性等特点,决定了其在经济必然性要求下的一种深层次制约因素。任何体育政策的实施必须得到社会心理的支持才能发挥制度的预期效能。体育利益调整只有主动应对社会心理的影响和制约,才能够实现人们对待体育利益调整的心理状态由冲突走向更新,保障体育制度质量。     

A Short-Term Dynamic Psychotherapy Approach for College Students

Abstract

This article explores the need for university counseling centers (UCCs) to implement brief therapies and describes one such treatment, intensive short-term dynamic psychotherapy (ISTDP), as a particularly viable therapeutic approach in this setting. Because ISTDP is not appropriate for all students seeking therapy, a careful assessment of the client is conducted prior to deciding which treatment approach is best suited for the client. The different restructuring techniques that comprise ISTDP are discussed. The article ends with a brief vignette from a therapy session with a student involving ISTDP techniques.     

Drunkorexia: An Exploratory Investigation of College Students With Alcohol‐Related Infractions

The construct of drunkorexia, caloric restriction prior to or during alcohol consumption, was examined in 411 college students who experienced alcohol‐related infractions. Analyses were conducted to examine differences in demographic prevalence distributions, alcohol‐related consequences, and alcohol consumption between a subsample of participants who reported drunkorexia behaviors and a subsample who did not.     

Chapter 10: Saying Good-bye to the Guru

Summary

A young adult devotee of a High Demand Group (“cult”) was engaged in brief intermittent developmental (BID) therapy, initially aimed at assisting him to critically assess his cult involvement. Over a five-year period, BID therapy helped him cope with two subsequent post-cult crises. Successfully negotiating these crises allowed further consolidation of his identity, and facilitated continued development of autonomy.     

Eating Disorders: Explanatory Variables in Caucasian and Hispanic College Women

The authors explored Hispanic and Caucasian college women's (N = 264) behavioral and attitudinal symptoms of eating disorders after controlling for body mass index and internalization of the thinness ideal, as well as the roles of ethnicity and ethnic identity in symptomatology. Correlational analysis, multivariate analysis of variance, and regression analysis suggested more similarities than differences between Hispanic and Caucasian college women in terms of eating disorders.     

Distress Tolerance Skills for College Students: A Pilot Investigation of a Brief DBT Group Skills Training Program

This report outlines the evaluation of a brief dialectical behavior therapy (DBT) group skills training program for students presenting with serious psychological concerns (referral reasons included suicidality, self-injury, and substance use). Students were enrolled in distress tolerance groups ranging from 7–10 weeks. The majority of the students in the sample were receiving psychiatric medication, individual therapy, or both. All students (N = 22) demonstrated significantly improved scores on measures of emotion regulation and functional and dysfunctional coping. These results are the first to show that targeted skills training with DBT mindfulness and distress tolerance skills can produce beneficial outcomes in college students in the context of a short-term intervention.     

Peer Counseling in Colleges and Universities:

Peer counseling owes its beginnings to the paraprofessional movement of the '60s. During the last fifteen years, there has been a growing acceptance of peer counseling, particularly on college campuses. It can be defined as the active use of listening and problem-solving skills together with knowledge about growth and development by students in order to help, advise, and counsel other students. The peer counselor assists other students by clarifying thoughts and feelings, be exploring options, or providing needed information. The use of nonprofessionals in counseling roles has a systematic research history in the literature. Further, there is evidence that preparation for the role and reflection on experience as a peer counselor can be a powerful and enabling factor in individual and group development; through providing service to others, students exercise altruism and learn interdependence in the process of individuation. Recommendations are made for program structure, function, and evaluation; it is suggested that peer counseling programs fit well into a matrix of interventions aimed at assisting student development in a learning environment conductive to growth and developmental needs.     

Relationship Between Flow and Athletic Identity: The Case of Three Elite Sportsmen

This study analyzes the personal narrative of flow experiences across three elite sportsmen within their particular sport autobiographical contexts. Using a holistic formal structure analysis to examine the participants’ self-narratives, five major themes emerged: (a) early socialization as the basis of a strong athletic identity, (b) withdrawal from sports as a threat to athletic identity, (c) the dramatic weight of the narrative plots within which the experiences of flow are inserted, (d) biographical sporting flow accounts, and (e) silences and devaluations in flow narrative. The results of the narrative analyses show a close relationship between the flow experiences and athletic identity. This study concludes that, in this case, the narratives of flow experiences have had an ontological role as they served to assert the participants’ threatened athletic identity. Hence, studying narratives as practices is a useful way to better understand not only the internal coherence of the narrative fragments into which flow experiences are inserted, but also the role that they play regarding the autobiographical narrative into which these are inserted.