narrative intervention

叙事干预
  • 文章类型: Journal Article
    理解和处理生活经历对于治疗人格障碍以促进个人康复和心理健康至关重要。在这份定性案例报告中,在客户之间共同创作中起草的,临床心理学家,艺术治疗师,个体治疗包括两种心理治疗干预措施,“赋权故事”和以生活故事为中心的艺术疗法,在24周的12次平行会议中。希尔达,68岁,被诊断出患有未指明的人格障碍和各种边缘性人格障碍。在长期的心理健康问题植根于创伤的早期童年后,她经历了情绪疲惫。这影响了她管理情绪和社会关系的能力,导致她的生活毫无意义。希尔达被邀请去重建她的生活经历,分为过去,转折点,和现在/未来,在一个书面和绘画的生活故事。这允许整合创伤和积极的记忆,增强自我同情,和意义制作。她发展了自我反省和内部冲突的整合,从而实现了更好的情感平衡和自我理解。艺术疗法强调自下而上的监管过程,而叙事心理学支持自上而下的监管过程。组合方法有效地整合了自下而上,经验,自上而下的感官体验,认知情绪调节过程。结果表明,心理治疗干预涉及多管齐下,互补,因此,更全面的方法可以支持人格障碍的个人康复。
    Understanding and processing life experiences are essential in the treatment of personality disorders to promote personal recovery and psychological wellbeing. In this qualitative case report, drafted in co-creation between the client, clinical psychologist, and art therapist, individual treatment consisted of two psychotherapeutic interventions, \"An Empowering Story\" and life-story-focused art therapy, in 12 parallel sessions for 24 weeks. Hilda, 68 years of age, had been diagnosed with an unspecified personality disorder and various traits of borderline personality disorder. She experienced emotional exhaustion following long-term mental health problems rooted in a traumatic early childhood. This affected her ability to manage her emotions and social relations, resulting in the sense that her life had no meaning. Hilda was invited to reconstruct her life experiences, divided into the past, turning point, and present/future, in a written and a painted life story. This allowed for the integration of traumatic as well as positive memories, enhanced self-compassion, and meaning making. She developed self-reflection and integration of internal conflicts leading to a better emotional balance and self-understanding. Art therapy emphasizes bottom-up regulatory processes, while narrative psychology supports top-down regulatory processes. The combined approach effectively integrated bottom-up, experiential, sensory experiences with top-down, cognitive emotion-regulation processes. The results suggest that psychotherapeutic interventions involving a multi-pronged, complementary, and thus more holistic approach can support personal recovery in personality disorders.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:由于语言轨迹的异质性和语言暴露的差异,许多双语儿童可以使用额外的支持来获得学校语言,以减少语言问题和学习困难的风险。提高双语儿童在学校语言中的叙事能力也可能是改善一般学校语言能力的有效方法。因此,这项研究旨在调查叙事干预是否可以提高通常发展中的双语(土耳其-荷兰)儿童的一般和叙事学校语言能力.
    方法:这项单臂早期疗效研究纳入了19名土耳其-荷兰双语儿童(6-9.9岁)。干预程序以学校语言(荷兰语)进行,并基于具有两个基线测量的测试-教学-重测原则。在基线1,表现力,接受和叙事的语言能力被确定。第二个基线测量包括叙述能力的第二个测量。随后,在10个疗程中,我们实施了每周1小时的分组干预.在干预阶段之后,表现力,再次测试了接受和叙述语言能力。
    结果:干预后,与两种基线测量相比,儿童产生的故事结构元素明显更多.微观结构叙事度量没有发现显着差异。干预后,参与者在表达性和接受性语言测量方面的得分明显更高。
    结论:这些研究结果表明,干预措施可能是刺激双语儿童第二语言发展的有效方法。
    BACKGROUND: Due to the heterogeneity in language trajectories and differences in language exposure, a lot of bilingual children could use some extra support for the acquisition of the school language to reduce the risk of language problems and learning difficulties. Enhancing bilingual children\'s narrative abilities in the school language could be an efficient approach to advance the general school language abilities as well. Therefore, this study aimed to investigate whether a narrative intervention could improve both general and narrative school language abilities of typically developing bilingual (Turkish-Dutch) children.
    METHODS: Nineteen Turkish-Dutch bilingual children (6-9.9 years) were enrolled in this single-arm early efficacy study. The intervention procedure was administered in the school language (Dutch) and based on a test-teach-retest principle with two baseline measurements. At baseline 1, the expressive, receptive, and narrative language abilities were determined. The second baseline measurement consisted of a second measurement of the narrative abilities. Subsequently, a weekly 1-h group-based intervention was implemented during 10 sessions. After the intervention phase, the expressive, receptive, and narrative language abilities were tested again.
    RESULTS: After the intervention, the children produced significantly more story structure elements compared to both baseline measurements. No significant differences were found for microstructure narrative measures. The participants had significantly higher scores on the expressive and receptive language measurements post-intervention.
    CONCLUSIONS: These findings suggest that the intervention could be an efficient approach to stimulate the second language development of bilingual children.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    社区组织倡议,通过倾听的循环来建立力量,参与式研究,集体行动,和反思,展示了干预的能力,复杂,抵制占主导地位的社会叙事,同时促进以共同价值观和对美好未来的希望为重点的另类公共叙事。
    为了探索公共叙事变化的过程及其与社区和组织授权的关系,我们采访了底特律社区组织活动的35位主要领导人,MI和辛辛那提,OH关于社区组织实践中的叙事变化如何发生。
    领导者的观点揭示了叙事和讲故事在指导个人和集体行为方面的关键作用,支持信任和责任关系的发展,并将个人和集体经验与紧迫的社会问题联系起来。
    这项研究的结果表明,系统性变革是一个劳动密集型的过程,需要领导者的发展(自我的故事)和集体结构的培养(我们的故事)能够制定权力来实现紧急变革(现在的故事)。最后,我们讨论了这些发现对公共叙事干预和相关健康公平促进工作的影响。
    Community organizing initiatives, which build power through cycles of listening, participatory research, collective action, and reflection, have demonstrated the capacity to intervene on, complicate, and resist dominant societal narratives while promoting alternative public narratives focused on shared values and hope for a better future.
    To explore processes of public narrative change and their relationship to community and organizational empowerment, we interviewed 35 key leaders in community organizing initiatives in Detroit, MI and Cincinnati, OH about how narrative change takes place within community organizing practices.
    Leaders\' perspectives revealed crucial roles for narrative and storytelling in guiding individual and collective behavior, supporting the development of relationships of trust and accountability, and linking personal and collective experiences to pressing social issues.
    Findings from this study indicate that systemic change is a labor-intensive process and one that requires the development of leaders (stories of self) and the cultivation of collective structures (stories of us) capable of enacting power to effect change with urgency (stories of now). We conclude by discussing implications of these findings for public narrative interventions and related health equity promotion efforts.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    坚持是学习动机最关键的方面之一,但是文献中很少关注持久性干预。本研究从叙事心理学的角度来考察叙事形式对初中生坚持能力的影响。32名学生被随机分配到能力培养叙事的实验组和对照组。虽然所有的学生构建了过去的成功和失败的经验,实验组的人被提示从能力建设的角度思考。然后两个小组都解决了一个基于数字的问题,其中研究人员记录了他们的尝试次数和花费的时间。结果表明,从能力建设的角度构建过去的成功和失败的人尝试了更多的时间,并在无法解决的问题上花费了更多的时间。
    Persistence is one of the most critical aspects of learning motivation, but little attention has been paid to persistence intervention in the literature. The current study took a perspective from narrative psychology to examine the effect of narrative form on junior middle school students\' ability to persist. Thirty-two students were randomly assigned to the experimental group of competence-building narrative and the control group. While all the students constructed past experiences of success and failure, those in the experimental group were prompted to think from a competence-building perspective. Then both groups solved a figure-based problem, within which the researcher recorded their number of attempts and time spent. Results showed that those who construct past success and failure from a competence-building perspective attempted more times and spent more time on the unsolvable problem.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    经历无家可归的母亲很少被问及过去可能导致住房不稳定和健康状况不佳的创伤。在家庭庇护所中,也很少有经过验证的以创伤为重点的干预措施。为了解决这个差距,我们测试了以创伤为重点的临床人种学叙事干预(CENI-TF)在增加母亲创伤披露中的可行性和可接受性,评估它在他们生活中的意义,和寻求帮助的行为。我们还提出了定性发现,以说明干预的背景。研究结果分为三个主要领域和九个子主题,捕捉参与者的声音和经验。CENI-TF有可能促进这一高危人群的寻求帮助行为,并中断创伤和住房不稳定的反复循环。
    Mothers experiencing homelessness are seldom asked about past trauma that may be causal to housing instability and poor health. There are also few validated trauma-focused interventions in family shelters. To address this gap, we tested the feasibility and acceptability of the trauma-focused clinical ethnographic narrative intervention (CENI-TF) in increasing mothers\' trauma disclosure, appraisal of its meaning in their lives, and help-seeking behaviors. We also present the qualitative findings to contextualize the intervention. Findings are organized under three major domains and nine subthemes that capture participants\' voices and experiences. The CENI-TF has the potential to promote help-seeking behaviors and interrupt recurring cycles of trauma and housing instability in this at-risk population.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    采用新的心理策略来改善心理健康可能具有挑战性,因为人们往往无法预测新的习惯如何适用于他们的环境。基于叙事的干预有可能通过在应用背景下说明心理学原理来减轻这种负担。在这项工作中,我们探索如何通过无处不在和可扩展的文本消息媒介来传递故事。通过与15名参与者进行访谈和焦点小组讨论的形成性工作,我们确定了关于心理健康的故事的理想元素,包括真实性和相关性。然后,我们向42名参与者部署了基于故事的短信,以探索关于这两个故事内容的挑战(例如,具体与广义)和格式(例如,故事长度)。我们观察到,我们的故事帮助参与者反思和识别他们思维模式中的缺陷。我们的发现强调了利用短信服务中的故事进行心理健康干预的设计意义和机会。
    Adopting new psychological strategies to improve mental wellness can be challenging since people are often unable to anticipate how new habits are applicable to their circumstances. Narrative-based interventions have the potential to alleviate this burden by illustrating psychological principles in an applied context. In this work, we explore how stories can be delivered via the ubiquitous and scalable medium of text messaging. Through formative work consisting of interviews and focus group discussions with 15 participants, we identified desirable elements of stories about mental health, including authenticity and relatability. We then deployed story-based text messages to 42 participants to explore challenges regarding both the stories\' content (e.g., specific versus generalized) and format (e.g., story length). We observed that our stories helped participants reflect on and identify flaws in their thinking patterns. Our findings highlight design implications and opportunities for mental wellness interventions that utilize stories in text messaging services.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    UNASSIGNED: Narrative-based language intervention provides a naturalistic context for targeting overall story structure and specific syntactic goals in children with Developmental Language Disorder (DLD). Given the cognitive demands of narratives, narrative-based language intervention also has the potential to positively impact related abilities such as working memory and academic skills.
    UNASSIGNED: Ten children (8-11 years old) with DLD completed 15 sessions of narrative-based language intervention.
    UNASSIGNED: Results of single subject data revealed gains in language for five participants, four of whom improved on a probe tapping working memory. An additional four participants improved on a working memory probe only. On standardized measures, clinically significant gains were noted for one additional participant on a language measure and one additional participant on a visuospatial working memory. Carry over to reading was noted for three participants and to math for one participant. Across measures, gains in both verbal and visuospatial working memory were common. A responder analysis revealed that improvement in language may be associated with higher verbal short-term memory and receptive language at baseline. Those with working memory impairments were among those showing the fewest improvements across measures.
    UNASSIGNED: Narrative-based language intervention impacted verbal skills in different ways across individual children with DLD.Implications: Further research is needed to gain an understanding of who benefits most from narrative-based language intervention.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

       PDF(Pubmed)

  • 文章类型: Journal Article
    Objective.我们调查了旨在增加HPV疫苗接种意向的定制人乳头瘤病毒(HPV)疫苗在线干预的初步疗效。参与者。女大学生(N=101;18-26岁),没有接种HPV疫苗的人。方法。参与者被随机分为对照组,以阅读标准的疾病控制中心信息或叙事干预组,以阅读有关HPV/HPV疫苗接种的两个叙事信息,这些信息是根据个人的性史量身定制的,并从同行和专家的角度讲述。参与者在基线(T1)和干预后立即(T2)进行评估。结果。与对照组相比,叙事干预组报告的疫苗接种意向从T1到T2增加更多。两组都报告了知识的增加,积极的态度,自我效能感,社会规范,从T1到T2对HPV的易感性。Conclusions.叙事干预有望有效提高HPV疫苗接种意向。
    Objective. We investigated the preliminary efficacy of a tailored human papillomavirus (HPV) vaccination on-line intervention designed to increase HPV vaccination intention. Participants. Female college students (N = 101; 18-26 years), who have not received the HPV vaccine. Methods. Participants were randomized to either a control group to read standard Center for Disease Control information or a narrative intervention group to read two narrative messages about HPV/HPV vaccination that were tailored based on the individual\'s sexual history and told from the perspectives from a peer and an expert. Participants were assessed at baseline (T1) and immediately after the intervention (T2). Results. The narrative intervention group reported a greater increase from T1 to T2 in vaccination intention compared with control group. Both groups reported increases in knowledge, positive attitude, self-efficacy, social norm, and perceived susceptibility to HPV from T1 to T2. Conclusions. A narrative intervention is promising to effectively increase HPV vaccination intention.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    作为破坏COVID-19错误信息传播的基于设计的研究工作的一部分,我们迭代设计,开发,并评估了针对公众受众的学习干预措施。在本文中,我们描述了我们创建的设计原则,以指导我们对在线错误信息主题的教育的应用研究。指导我们设计的六项原则是:微学习;公平;相关性和对学习者的吸引力;不会无意中传播错误信息的干预措施;有效的反消息传递;和情感层面的参与。这些原则是基于公平的设计,反错误信息设计,和情感设计。
    As part of a design-based research effort into disrupting the spread of COVID-19 misinformation, we have iteratively designed, developed, and evaluated a learning intervention intended for public audiences. In this paper we describe the design principles we created to guide our applied research into education on the topic of online misinformation. The six principles guiding our design are: microlearning; equity; relevance and appeal to learners; interventions that do not inadvertently spread misinformation; effective counter messaging; and engagement on an emotional level. These principles are grounded on equitable design, anti-misinformation design, and emotional design.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Clinical Study
    背景:尽管遗传咨询和检测有好处,癌症遗传服务的摄取普遍较低,黑人/非裔美国人(黑人)女性与非西班牙裔白人女性相比,接受遗传服务的可能性大大降低。我们的团队开发了一种文化敏感的,叙事决策辅助视频,以促进有遗传性乳腺癌综合征风险的黑人女性接受遗传咨询,可将其与临床环境中基于人群的癌症风险评估结合起来.我们在这里报告了一项试点研究,以证明获得遗传咨询和干预满意度的意图发生变化。
    方法:在乳房X线照片检查时,招募个人未受乳腺癌影响的黑人女性,并根据家族史筛查在乳房X线照相术中心进行遗传咨询。一个潜在的,事后调查研究设计,在理论建构的指导下,用于评估基线和即时干预后的社会心理因素,包括意向参与遗传咨询和干预满意度。
    结果:达到了试点招募目标(n=30)。干预前,50%的参与者表示他们极有可能进行遗传咨询预约,与干预后的70%相比(p=0.05)。看完干预后,50%的参与者表示,该视频改变了他们对遗传咨询的看法。
    结论:这项研究证明了文化对决策辅助干预的满意度,该干预旨在激发患有遗传性乳腺癌风险的黑人女性参加遗传咨询预约。我们的研究表明,意图可能是旨在支持遗传服务决策的干预措施的特定和关键结构。研究结果为后续大规模的设计提供了信息,随机实施研究。
    背景:试验注册:Clinicaltrials.govNCT04082117。2019年9月9日注册。追溯登记。
    BACKGROUND: Despite the benefits of genetic counseling and testing, uptake of cancer genetic services is generally low and Black/African American (Black) women are substantially less likely to receive genetic services than non-Hispanic White women. Our team developed a culturally sensitive, narrative decision aid video to promote uptake of genetic counseling among Black women at risk for a hereditary breast cancer syndrome that can be incorporated in conjunction with population-based cancer risk assessment in a clinical setting. We report here a pilot study to demonstrate changes in intention to access genetic counseling and intervention satisfaction.
    METHODS: Black women who were personally unaffected by breast cancer and were recommended for genetic counseling based on family history screening in a mammography center were recruited at the time of the mammogram. A prospective, pre-post survey study design, guided by theoretical constructs, was used to evaluate baseline and immediate post-intervention psychosocial factors, including intention to participate in genetic counseling and intervention satisfaction.
    RESULTS: Pilot recruitment goals were met (n = 30). Pre-intervention, 50% of participants indicated that they were extremely likely to make a genetic counseling appointment, compared with 70% post-intervention (p = 0.05). After watching the intervention, 50% of participants indicated that the video changed their mind regarding genetic counseling.
    CONCLUSIONS: This study demonstrated cultural satisfaction with a decision aid intervention designed to motivate Black women with hereditary breast cancer risk to attend a genetic counseling appointment. Our study showed that intention may be a specific and key construct to target in interventions designed to support decision-making about genetic services. Study results informed the design of a subsequent large scale, randomized implementation study.
    BACKGROUND: Trial registration: Clinicaltrials.gov NCT04082117 . Registered September 9, 2019. Retrospectively registered.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号