The Use of a Peer Supervision Group by Social Work Clinicians

We describe the origin and structure of a peer supervision group organized by social workers and ongoing for five years. Peer supervision was our response to a felt need for the social work practitioner to continue to develop professionally. The group has met a wide range of professional needs for social work practitioners. Group members were generally eager for the opportunity to discuss case material with one another. We foresee such peer group supervision as a viable mechanism for providing consultation and continuing education for experienced clinicians.     

Unexpected Challenges Faced by Psychotherapy Trainees

Abstract

Clinical supervision of school psychology candidates at the pre-internship level is an essential component of professional training and acculturation of new practitioners into the field. However, limited attention has been paid to issues regarding the clinical supervision of school psychologists at this level. Indeed, there appears to be a dearth of information in the literature addressing the supervision of school psychologists at the pre- and post-graduate levels. While this area remains largely unexamined, clinical supervision of school psychologists is an important component in the development of the profession at all levels. This article discusses supervision in the context of a competency-based model for training school psychology candidates at the pre-internship level.     

Exploring organisational influences on the implementation of gatekeeper training: a qualitative study of the Applied Suicide Intervention Skills Training (ASIST) programme in Wales

Suicide is a public health priority. International guidance on prevention, epidemiology and treatment-based research indicates the potential of gatekeeper training in this area. Whilst there is some evidence to suggest that interventions enhance the knowledge and skill set of gatekeepers, evidence regarding changes to intervention-related behaviour remains unclear. This disruption to the causal pathway between competency and action suggests the need to address contextual mediators of the implementation of gatekeeper training and to consider the individual as a situated agent, who is both enabled and constrained by the discourses and working practices of the organisation in which they work. To explore organisational influences on intervention behaviour, this paper draws upon a qualitative study of the applied suicide intervention skills training (ASIST) gatekeeper intervention in Wales. Thirty-three individual interviews and six focus groups (n?=?25 individuals) with those employed by a range of statutory and non-statutory organisations and networks were included. Three key organisational influences were identified as impacting on gatekeeper’s intervention behaviour. These include: the democratisation of intervention; organisational attempts to enhance opportunities to intervene; and the creation of a positive context for intervention. This study concludes that both policy and practice need to move beyond a reductionist approach to gatekeeper training and attend to the organisational influences and contextual factors affecting intervention-related behaviour.     

The Nurse Practitioners-Physician Team in Nursing Home Practice

Development and effectiveness of a Family Nurse Practitioner-Physician faculty team is providing health care to nursing home residents and educational experiences to Family Practice residents is evaluated. Indicated changes in the educational program and implications for faculty teams are given.     

Countertransference Reactions Toward Older Adults Facing HIV and AIDS

Abstract

This article will provide a technique designed to identify and explore areas of countertransference when working with older adults facing HIV/AIDS. It offers instructors and supervisors a way to teach about countertransference toward older adults facing HIV and AIDS. This technique can be utilized in a variety of gerontological settings such as mental health clinics, multipurpose centers for older adults, as well as classrooms and private practice.     

军医大学预选卫生士官军体教学思考

本文就预选卫生士官在军体教学中存在的问题进行分析和探讨,并提出全程化和多样化的军体教学做法和对策。     

Effect of long-term physical training on plasma testosterone,androstenedione, luteinizing hormone and sex-hormone-binding globulin capacity

The effect of 6-months' physical training on plasma testosterone, androstenedione and luteinizing hormone levels and the binding capacity of sex-hormone-binding globulin (SHBG capacity) were studied in thirty-nine army recruits. Highly significant increases in mean plasma testosterone (21 %), androstenedione (25%) and LH (25%) were observed during the training period and were associated with a mean 16% increase in the estimated maximal oxygen uptake. The mean increases in hormone levels tended to be greater in the well conditioned group than in the poorly conditioned group. The mean ratio of testosterone to SHBG capacity increased by 32% (P<0.05), which may be in relationship with the various training-induced effects.     

The Effect of Physical Training on the Sympathoadrenal Response to Exercise

The urinary excretion of catecholamines was measured in six healthy male volunteers at rest and during a fixed amount of work before and after physical training. It was found that, although training resulted in a significantly lower heart rate during exercise, the output of catecholamines was unaltered, indicating that the total activation of the sympathoadrenal system by exercise was similar before and after training. A similar heart rate study before and after training was also made during beta-adrenergic receptor blockade. Under these conditions the heart rate during exercise was not significantly changed by training. It is suggested that physical training reduces the sensitivity of the beta-receptors of the heart.