Drift is a phenomenon that can occur in cognitive-behavioral supervision, where core components of supervision are omitted, avoided, or deprioritized. This narrative review explores the signs, reasons, and impact of supervisory drift at the experiential, cognitive, and emotional levels for both the supervisor and the supervisee. Additionally, the article presents potential solutions for preventing and addressing supervisory drift, such as staying on track, anticipating problems before they arise, adapting supervision to the supervisee's needs, using active supervision methods to understand drift better, engaging in Supervision of Supervision (SoS), and using alliance measures. Through the use of case vignettes, we illustrate the potential solutions. We aim to provide a comprehensive understanding of supervisory drift and offer practical strategies for its prevention and management.
- MeSH
- kognitivně behaviorální terapie * organizace a řízení MeSH
- lidé MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
Nurse educators' competence requirements are constantly evolving. Continuous professional development opportunities vary and there are very few programmes that utilize international collaboration. An Erasmus+ funded New Nurse Educator project developed and implemented a 30 ECTS study programme for nurse educator education and continuous professional development. The aim of the current study is to report the evaluation of the utility of the Empowering Nurse Educators in the Changing World (ENEC) study programme. International descriptive multi method study with a pre-test post-test design was conducted. Evaluation of the impact of the programme on the participants utilized five different instruments and participants' learning diaries. Programme participants were nurse educators and nurse educator candidates from six European countries (n = 42). Analyses indicate that the participants' competence increased in all areas measured after the programme, and that their competence is good. Participants highly valued the international collaboration and exchange of experiences and expertise. The evaluation indicates that international nurse educator education programmes are beneficial for both seasoned and aspiring nurse educators. This study provides novel information on the development and enhancement of nurse educator competence. For further development of continuing professional development, it is crucial to support the development of nurse educator education study programmes in Europe.
- MeSH
- kontinuální vzdělávání zdravotních sester * metody organizace a řízení MeSH
- odborná způsobilost statistika a číselné údaje MeSH
- postoj MeSH
- průzkumy a dotazníky MeSH
- statistika jako téma MeSH
- studium ošetřovatelství vysokoškolské * metody organizace a řízení MeSH
- zdravotní sestry MeSH
- Publikační typ
- práce podpořená grantem MeSH
Napriek stúpajúcej prevalencii neurovývinových porúch u detí raného veku sú potenciálne medzipohlavné rozdiely detí v prekurzoroch neurovývinových porúch a behaviorálnych ťažkostí nejednoznačné. Cieľom tejto štúdie bolo zistiť súvislosť medzi pohlavím a prejavmi špecifického správania dvojročných detí. Výskumný súbor pozostával z 1853 dvojročných detí, ktorých rodič (alebo iný opatrovateľ) vyplnil Metódu monitorovania vývinu psychomotorických funkcií a skríningovania vývinových ťažkostí pre 11. preventívnu prehliadku v primárnej starostlivosti, S-PMV11. Zistenia poukázali na trend signifikantne častejšieho výskytu používania cumľa dievčatami v porovnaní s chlapcami. U chlapcov súviselo ich pohlavie s častejším neprimeraným sústredením a menej častou schopnosťou upokojiť rodiča oproti dievčatám. Zistenia sú diskutované ako aktuálne trendy v populácii, s dôrazom na zapojenie psychológa do procesu poskytovania vývinového a rodinného poradenstva.
Despite the increasing prevalence of neurodevelopmental disorders in young children, potential intersex differences in children's precursors of neurodevelopmental disorders and behavioral difficulties are ambiguous. The aim of this study was to investigate the association between gender and the manifestations of specific behaviour in two-year-old children. The study population consisted of 1853 2-year-old children whose parent (caregiver) completed the Method for Monitoring Development of Psychomotor Function and Screening for Developmental Difficulties for the 11th Preventive Examination in Primary Care, S-PMV11. Findings showed a trend of significantly more frequent pacifier use by girls. In boys, their gender was associated with more frequent inappropriate concentration and less frequent ability to reassure the parent compared to girls. Findings are discussed as current trends, emphasising psychologist involvement in the process of providing developmental and family counseling.
- MeSH
- chování dětí * MeSH
- genderová identita MeSH
- lidé MeSH
- neurovývojové poruchy diagnóza MeSH
- plošný screening MeSH
- předškolní dítě MeSH
- psychomotorický výkon MeSH
- rodiče MeSH
- sexuální faktory MeSH
- škály posuzující chování MeSH
- vývoj dítěte MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
BACKGROUND: Prejudices against individuals with schizophrenia can interfere with diagnostic and treatment processes, particularly with the patient's further adaptation and reintegration. Self-stigma could have significant detrimental consequences for patients suffering from psychotic disorders, including schizophrenia. METHOD: This paper reviews findings about self-stigma connected to schizophrenia. The PubMed database used the keywords to find the papers published from January 1997 to March 2023, and 189 articles were included in the review process. RESULTS: The schizophrenia-related stigma decreases patients' self-confidence, worsens their social functioning, and impedes daily functioning. Feelings of embarrassment are prominent in many patients with schizophrenia. Self-stigma predicts many unfavourable outcomes - more severe social anxiety and depressive symptoms, lower self-confidence, hopelessness, worse social functioning, lower quality of life, worse treatment cooperation, and lower adherence to medication adherence. Addressing self-stigma in psychoeducation or psychotherapy may increase the patient's stigma resistance and well-being. Self-help groups present an underutilised but potentially effective strategy. CONCLUSION: Stigma presents a common issue in patients with schizophrenia. Targeting the issue in clinical management or psychotherapy may be beneficial. Still, more high-quality intervention studies are needed.
- MeSH
- kvalita života MeSH
- lidé MeSH
- psychoterapie MeSH
- psychotické poruchy * MeSH
- schizofrenie * terapie MeSH
- sebepojetí MeSH
- společenské stigma MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
BACKGROUND: Individuals with borderline personality disorder (BPD) suffer from an excessive fear of abandonment, leading to tense moments in their intimate relationships. These struggles translate into lower marital satisfaction perceived by both intimate partners. However, this connection is bidirectional, since conflicts with a romantic partner are the most common precipitating factors of decompensation in BPD patients. METHOD: This narrative review was performed using PubMed, Web of Science, and Scopus databases with keywords "borderline personality disorder", "partnership", marital problems", and "marital conflicts". Articles, books, and book chapters published within January 1980 - December 2020 were extracted and analysed. Additional sources were found while reviewing references of relevant articles. The total of 131 papers met the inclusion criteria. RESULTS: Patients with BPD struggle with reaching marital satisfaction. They often find themselves in disharmonic and unfulfilling relationships. The association between the relationship issues and BPD may partly come from misunderstanding one or both partners' behaviour. Individuals with BPD tend to misinterpret their partner's behaviour, struggle with communication, and sometimes be verbally and physically aggressive. They often do not recognize that their intrapersonal processes influence their interpersonal struggles. Understanding the role of the maladaptive personality traits in the relationship and their management could be beneficial for both partners. CONCLUSION: Individuals with BPD often report dysfunctional romantic relationships characterized by insecure attachment, maladaptive communication, and lower relationship satisfaction. Future studies should focus on finding effective strategies of couples ́ therapy working with this population.
- MeSH
- hraniční porucha osobnosti * MeSH
- interpersonální vztahy MeSH
- konflikt v rodině MeSH
- lidé MeSH
- manželství MeSH
- sexuální chování MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
Cognitive-behavioural therapists and trainees are encouraged to undergo supervision when offering therapy to troubled clients and to process personal attitudes and events likely to affect their therapeutic work. We discuss common problems in cognitive behavioural therapy (CBT) supervision, which may arise at the client, supervisee, or supervisor level. These issues include difficulties with case formulation, therapeutic strategies, and the therapeutic relationship. A supervisor can help their supervisee deal with clients with multifaceted or particularly challenging problems, such as difficulties with compliance, complex psychosocial problems, or chronic mental disorders. We also discuss matters related to the supervision process, the supervisor's role, different supervisory styles, and issues affecting a supervisee's feelings of vulnerability and shame. Furthermore, we analyze distinct supervision styles and potential problems arising from the supervision of experienced CBT therapists.
INTRODUCTION: Borderline personality disorder (BPD) presents a highly stigmatised condition. Individuals with BPD may experience stigmatising attitudes and remarks from the general population and mental health professionals. Significant self-stigma also seems common. The paper reviews the current knowledge regarding the stigma connected to BPD. METHOD: The Web of Science, Medline, and Scopus databases identified studies published from January 1990 to January 2023. Additional references were found using analyses of the primary articles. The search terms included "borderline", "stigma", and "self-stigma". RESULTS: Public knowledge of BPD is scarce. The general population may interpret the BPD symptoms as "purposeful misbehaviour" rather than signs of a mental disorder. Mental health professionals commonly distance themselves from patients with BPD and may prematurely give up their treatment efforts. This stance often comes from believing BPD is difficult or impossible to treat. Therefore, treating patients with a personality disorder should be consulted with a supervisor, especially when the psychotherapist shows a negative attitude towards the patient. Generally, few BPD-specific destigmatisation interventions have been verified by research. Limited evidence suggests that targeted training of the healthcare providers can reduce stigmatising attitudes and that interventions combining positive messages of the recovery potential with biological aetiology of the disorder are most impactful in reducing the stigma. CONCLUSION: BPD is commonly stigmatised by the general population and mental health professionals. Destigmatising efforts need to tackle the stigma's primary sources, namely the general population's lack of understanding and the pessimistic beliefs in the healthcare providers. More BPD-specific research on stigma is needed.
- MeSH
- hraniční porucha osobnosti * terapie MeSH
- lidé MeSH
- poruchy osobnosti MeSH
- psychotické poruchy * MeSH
- společenské stigma MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
The homework aims to generalize the patient's knowledge and encourage practicing skills learned during therapy sessions. Encouraging and facilitating homework is an important part of supervisees in their supervision, and problems with using homework in therapy are a common supervision agenda. Supervisees are encouraged to conceptualize the patient's lack of homework and promote awareness of their own beliefs and responses to non-cooperation. The supervision focuses on homework twice - first as a part of the supervised therapy and second as a part of the supervision itself. Homework assigned in supervision usually deals with mapping problems, monitoring certain behaviors (mostly communication with the patient), or implementing new behaviors in therapy.
- Publikační typ
- časopisecké články MeSH
Dysfunctional patterns, beliefs, and assumptions that affect a patient's perception of other people often affect their perceptions and behaviours towards the therapist. This tendency has been traditionally called transference for its psychoanalytical roots and presents an important factor to monitor and process. In supervision, it is important to put the patient's transference in the context of the conceptualization of the case. Countertransference occurs when the therapist responds complementary to the patient's transference based on their own dysfunctional beliefs or assumptions. Transference and countertransference provide useful insights into the inner world of the patient, therapist, and supervisor. Guided discovery is one of the most common approaches used by a supervisor and a supervisee to map all types and directions of transference and countertransference. Other options to map transference and countertransference are imagery and role-playing techniques.
- Publikační typ
- časopisecké články MeSH
OBJECTIVES: Obsessive-compulsive disorder (OCD) is a chronic mental disorder that is often hard to treat with current treatment options. Therapeutic outcomes are predicted by many factors, ranging from biological to psychosocial. Early life experiences and adult attachment influence the effectiveness of the treatment. This study explores their predictive abilities in the combined treatment of adult inpatients with OCD. METHODS: Seventy-seven patients with OCD, diagnosed according to the ICD-10 criteria, were included in the study, out of which 66 patients completed the treatment. All patients were previously unsuccessfully treated with a minimum of two antidepressants for three months each. They were evaluated with rating scales and questionnaires at the start and the end of a six-week hospitalization in a psychotherapeutic department. The treatment approach presented a combination of group cognitive-behavioural therapy and medication. RESULTS: The average severity of OCD, anxiety and depressive symptoms significantly decreased during the inpatient treatment. The improvement in Y-BOCS negatively correlated with the age of onset. The history of emotional abuse and neglect and physical neglect predicted a lower change in anxiety evaluated by a psychologist and perceived maternal care positively correlated with a decrease in anxiety assessed with a rating scale. Adult attachment anxiety predicted a lower decrease in the anxiety measured by the clinician but not the OCD symptomatology. Dissociative symptoms did not significantly predict a change in any of the measures. Comorbid personality disorder did not have a significant impact on therapeutic change. CONCLUSIONS: The early onset of the disorder was the sole predictor of the treatment outcomes regarding specific OCD symptomatology. Selected early adverse experiences, maternal care, and adult attachment anxiety predicted a change in the anxiety symptoms. Future research should focus on mediation and moderation analyses that could help target specific treatment strategies to decrease the impact of these factors.
- MeSH
- dospělí MeSH
- kognitivně behaviorální terapie * MeSH
- lidé MeSH
- obsedantně kompulzivní porucha * psychologie MeSH
- pacienti hospitalizovaní MeSH
- psychiatrické posuzovací škály MeSH
- úzkost psychologie MeSH
- úzkostné poruchy MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
