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.

Mindfulness Acceptance Commitment (MAC) programs have garnered much support in enhancing sport performance through present-moment focus and non-judgmental thoughts. Expanding on previous studies conducted in collegiate and professional settings, the current study investigates the application of MAC amongst national sub-elite athletes. The study was conducted utilizing a single case A-B design, with a total of six sub-elite Malaysian Squash athletes (2 males, 3 females; Mage = 15 ± 2 years) purposively sampled from the Malaysian national squash team. Participants underwent 6 weeks of baseline testing, 7 weeks of program intervention, and a retention test 4 weeks post-intervention. The intervention consisted of psycho-education, centering and cognitive defusion among other aspects as purported in MAC programs. Changes in proficiency of mindful practice was observed through the Mindfulness Awareness Acceptance Scale (MAAS), experiential avoidance through the Acceptance Action Questionnaire (AAQ-II), stress levels through the Perceived Stress Scale (PSS), and sport performance through both coach- and self-rated scales. Overall, visual analysis revealed improvements in MAAS levels (M = 1.15 ± 0.15), with no marked changes in AAQ-II (M = -0.002 ± 1.12) and PSS (M = 0.7 ± 0.93) after 7 weeks of intervention. Coach-rated sport performance also improved across the phases (M = 0.86 ± 0.93), with mixed responses for self-rated improvements (M = 0.01 ± 1.19). Overall, the benefits of MAC program were well-maintained past the post-intervention phase. The current study supported the implementation of an MAC program for sub-elite athletes in real-world settings.

Varying methods for evaluating the outcomes of single case research designs (SCD) are currently used in reviews and meta-analyses of interventions. Quantitative effect size measures are often presented alongside visual analysis conclusions. Six measures across two classes-overlap measures (percentage non-overlapping data, improvement rate difference, and Tau) and parametric within-case effect sizes (standardized mean difference and log response ratio [increasing and decreasing])-were compared to determine if choice of synthesis method within and across classes impacts conclusions regarding effectiveness. The effectiveness of sensory-based interventions (SBI), a commonly used class of treatments for young children, was evaluated. Separately from evaluations of rigor and quality, authors evaluated behavior change between baseline and SBI conditions. SBI were unlikely to result in positive behavior change across all measures except IRD. However, subgroup analyses resulted in variable conclusions, indicating that the choice of measures for SCD meta-analyses can impact conclusions. Suggestions for using the log response ratio in SCD meta-analyses and considerations for understanding variability in SCD meta-analysis conclusions are discussed.

Although previously proposed that chronic scleroderma should be cared for clinically and early rehabilitation should be performed in hospital by a chest physical therapist, little evidence is currently available on its benefits. Therefore, this study demonstrated the benefits of short-term pulmonary rehabilitation during hospitalization in a female patient with chronic scleroderma. The aim of rehabilitation was to improve ventilation and gas exchange by using airway clearance, chest mobilization, and breathing-relearning techniques, including strengthening the respiratory system and the muscles of the limbs by using the BreathMax® device and elastic bands. Gross motor function and activities of daily life were regained by balancing, sitting, and standing practices. Data on minimal chest expansion, high dyspnea, high respiratory rate, and low maximal inspiratory mouth pressure were recorded seven days before rehabilitation or at the baseline period. But there was a clinically significant improvement in dyspnea, chest expansion, maximal inspiratory mouth pressure, and respiratory rate, when compared to baseline data, which were recorded by a chest physical therapist during seven days of rehabilitation. Furthermore, physicians decided to stop using a mechanical ventilator, and improvement in functional capacity was noted. Therefore, in the case of chronic and stable scleroderma, short-term rehabilitation during hospitalization for chest physical therapy possibly shows clinical benefits by improving both pulmonary function and physical performance.