Disclosures of sibling sexual behavior (SSB) usually affect all family members but there remains, however, a paucity in studies on therapeutical family interventions and how they can initiate changes in families. This study was designed to explore relational impacts of SSB disclosures, goals for therapy and interventions that helped a family initiate the recovery process after a SSB disclosure. A single case study design was used to analyze a family\'s long-term therapy process. Data on this N = 1 study comprised 18 interviews with involved therapists, five interviews with involved family members, therapy files, and notes on family sessions. Data was analyzed using a thematic approach. Relational traumas were experienced in broken relationships, relationships under pressure and damaged trust between family members. Therapy goals were to (1) recreate family\'s safety, (2) help the family process the SSB consequences and (3) restore trust and search for relationship healing. Appropriate interventions to target the goals included individual-centered psycho trauma treatment as well as interventions for the parents, the involved siblings, and the uninvolved siblings, followed by sessions between the involved siblings and with the whole family. Therapy outcomes were found in reduced individual trauma symptoms, a recreated sense of family safety, the start of relational trauma processing, and newfound forms of sibling/family relationships. This study provides a unique and comprehensive insight into a family\'s healing process after SSB disclosures from the perspectives of both professionals and family members. The effective interventions identified in this study may provide tools for therapists working with these families. This study may also offer greater insights into both the abusive and mutual types of SSB.

There is a need for a better understanding of psychological processes when appearance is changed dramatically through surgery. The aim of this article is to shed light on how complex the process of changing appearance can be, and highlight the importance of including a psychological perspective to the treatment offered to children and adolescents with a visible condition affecting appearance. In order to illustrate some psychological aspects involved in a change of appearance, the case study of a young woman born with a cleft palate is presented. Through orthognathic surgery, an operation that changes the relationship and position of the upper and lower jaw, this young woman experienced a dramatic change in appearance. As a result of a new attractive appearance, she experienced new and different social interactions, which challenged her in surprising ways. Unexpectedly, an unknown past of childhood sexual abuse was triggered by romantic experiences due to her new appearance, and she developed signs of post-traumatic stress disorder (PTSD) and depression. This article presents central themes from the therapy and clinical interventions, which were mainly based on a solution-oriented and cognitive framework, and considers how the change of appearance affected the way this young woman behaved, felt and thought about herself after the surgery. Clinical implications of the case are discussed and their relevance to another research field - dramatic weight loss among those suffering from obesity - is suggested.

The aim of this research study was to examine the impact of the provision of a lifelike baby doll as a therapeutic tool on the behaviour of a person living with dementia. Specifically, this single case study assessed the potential benefits, if any, of the use of doll therapy in reducing behaviours of concern such as anxiety and agitation that may be associated with observed attachment needs of a person living with dementia.
METHODS: A single case study of a female participant, with moderately advanced Alzheimer\'s disease, was the subject of this research. The case study used both qualitative and quantitative research design and methodology in data collection and analysis.
RESULTS: Demonstrated that doll therapy was a positive intervention for the person living with dementia who was the participant in this research. The findings indicate a reduction in behaviours of concern related to the need for attachment and a considerable decline in levels of anxiety and agitation. There was extensive ongoing improvement in social interaction and communication.
CONCLUSIONS: This research supports doll therapy as a therapeutic intervention that may be utilized within the ongoing care of some persons with dementia to meet needs for attachment and to reduce behaviours of concern. Despite some controversy on this topic, doll therapy should be considered as a therapeutic approach to further dementia care in light of this positive outcome.