Despite empirical associations with many health-related outcomes and its fundamental place in Alcoholics Anonymous, the scientific study of forgiveness in addiction and recovery has only recently begun. Evidence derives from naturalistic studies and, when used, a short follow-up interval. It is time to expand the empirical study of the salutary forgiveness-alcohol association to include intervention-based research with sufficient follow-up intervals. Understanding the basic and nuanced effect of forgiveness among people with alcohol and other drug problems, though not a panacea, will inform the development of more refined and efficient treatment strategies for individuals struggling with alcoholism and addiction.

Parent involvement has been recognized as a promising component in the treatment of pediatric overweight. However, to what extent and how to involve parents remains unclear. Family systems models have been used to treat a range of childhood illnesses and may also provide a useful framework for understanding and treating pediatric overweight. The current review presents relevant literature on family systems and child health, discusses the current state of intervention efforts in pediatric overweight, and utilizes family systems ideas to offer suggestions for practice and directions for research regarding the role of parents in treatment.

This national survey reports the current state of batterer intervention programs (BIP) and the provision of batterer intervention services. BIP directors (N = 150) provide data regarding program structure, service characteristics, referral processes, client characteristics, evaluation activities, and recidivism. Results indicate that BIP have become more independent of parent agencies and two-thirds are completely selfsupporting from client fees. Current development of specific treatment tracks and the screening of clients for these tracks are judged to be inadequate. This survey is believed to be the largest to date and the first on a national scale in 20 years. Recommendation is made for national coordination of BIP efforts.

Clefts of the lip and palate are one of the most frequently occurring birth defects, affecting approximately 1 in 700 births in the United States. Early childhood special educators are often among the first professionals to provide intervention for children with cleft lip and palate. Early intervention for children with clefts often focuses on speech production skills; however, results of recent research suggest that early intervention in language skills including parent training is warranted. A model of early intervention that uses language intervention to facilitate vocabulary and speech sound development is described. This model has been successful in improving productive vocabulary use and speech sound repertoires and shows promising reduction in compensatory articulation errors. Developmentally appropriate application of the model includes provision of direct intervention to children and parent training to promote naturalistic intervention in everyday settings. Strategies for working collaboratively with speech-language pathologists and members of cleft palate and craniofacial multidisciplinary teams are also described. Finally, answers are provided to frequently occurring questions from parents about cleft palate.

Abstract Introduction & Background: One of the most common and debilitating side effects of cancer is fatigue. Fatigue is a general feeling of tiredness or weakness that can greatly impact a patient’s quality of life. It can have a profound impact on a patient’s ability to perform day to day activities and cause emotional distress leading to anxiety and depression. In recent years, there has been an increase in research to look at the effectiveness of non-pharmacological interventions on improving cancer patients’ fatigue. Purpose Statement: The purpose of our research is to look at the effectiveness of different types of non-pharmacological interventions on improving fatigue in lung cancer patients. Literature Review: The ETSU Library Database was used to locate the articles reviewed for this research. Only articles that were peer reviewed, open access, and available online were used. Articles that were published in 2016 or before were eliminated in the search to ensure the research’s relevancy. A total of five articles were selected to be reviewed. Findings: Progressive muscle relaxation therapy, physical therapies such as acupressure, acupuncture, and transcutaneous electrical acupoint stimulation, psychological intervention using the PERMA framework, and light exercise and balance programs consisting of walking in place showed an improvement in cancer patients’ level of fatigue. Conclusions: Non-pharmacological interventions for fatigue, compared to traditional pharmacological treatments, prove to have fewer adverse side-effects and risks for the patient. Therefore, these interventions are a safer and effective option in managing the distressing symptoms like fatigue that many lung cancer patients face while undergoing treatment.

This study investigated the impact of working with domestic violence victims on domestic violence shelter workers. Recent research has shown that working with trauma victims may have a profound impact on the worker, including levels of intrusive and avoidant PTSD symptoms as well as distorted beliefs about the self and others. This was the first study to examine secondary traumatization in the domestic violence worker population. Results suggested that domestic violence workers are experiencing levels of secondary traumatization slightly higher than sexual assault counselors, a group used for comparison due to their similar job demands and client population. Though this study attempted to ameliorate symptom levels by providing feedback, and feedback with suggestions for improvement to two treatment groups, no significant effects were found post-treatment. Various reasons were offered for this lack of effect, including the lack of adequate sample size at follow-up. Overall, several predictors of secondary traumatization were confirmed, the most notable of which was social support. Individuals with high levels of social support tended to have less symptoms of secondary traumatization, and individuals with high levels of social avoidance tended to have more symptoms of secondary traumatization. For this sample, trauma history was not found to predict secondary traumatization symptoms. These findings were discussed in relation to the vicarious traumatization model of indirect trauma. Clinical implications and implications for future research were also offered. This study was supported in full by the Agency for Healthy Care Policy and Research Grant for Health Service Dissertation Award, number R03 HS10036-01. / Ph. D.

A thesis submitted to the Faculty of Arts in fulfilment of the requirements for the Degree of Doctor of Philosophy in the Department of Psychology at the University of Zululand, South Africa, 2013. / Art therapy is very popular amongst therapists, and Bonsai art adds another dimension to the intervention stratagem. One aspect of an intervention strategy is to reduce the burden of mental illness and related conditions. Bonsai as an intervention combines meditation, spirituality, responsibility and the ability to express oneself through this timeless art. An international study was conducted of the habits, health and spirituality of bonsai practitioners. Participants completed the Spirituality Scale, Patient Health Questionnaire and the Quality of Life Scales, as well as a questionnaire about their interest in Bonsai. Results indicated that although the participants were not necessarily healthier than the general population, they experienced peace by being actively involved in Bonsai. Bonsai is proposed as a new expanded category of supportive therapeutic mechanism, along with an elaboration of expressive therapeutic mechanisms such as when working in groups,such as hospitals,old age homes and prisons.

A dissertation submitted to the Faculty of Education in fulfilment of the requirements for the degree of Master of Education in the Department of Educational Psychology and Special Needs at the University Of Zululand, South Africa, 2016 / The present study examines the intervention strategies used by educators to reduce bullying behaviour in high schools in KwaDlangezwa. The objectives of the study include the following: • To determine educators’ intervention strategies to reduce bullying behaviour in high schools in KwaDlangezwa. • To determine educators’ perceptions concerning bullying behaviour in high schools in KwaDlangezwa • To determine learners’ perceptions of educators’ intervention strategies to reduce bullying behaviour in high schools in KwaDlangezwa. The study involved both quantitative and qualitative approach (mixed method approach). Data was collected using purposive sampling in selecting educators and learners. The study contained seventeen educators and twenty learners. To collect data, semi-structured interview schedule were formulated. Interview questions of both educators and learners consisted of open-ended and closed-ended questions. A descriptive and exploratory design was used in this research. Qualitative data analysis was utilised and quantitative frequency distribution. The findings of the study indicated that educators are doing enough to minimise bullying behaviour in schools and different strategies are being utilised to reduce the issue. Some of the positive strategies used include the following: reporting procedures, discipline, advocacy and supervision of learners. However, obstacles have been reported in the process of intervening such as gender related problem, un-reported bullying behaviour and outside school bullying. Ideal strategies which could be used in future to improve the interventions of educators in the issue of bullying behaviour suggested by learners include role playing, segregation of learners and strict security. The study concluded with suggestions on the avenue for further research and recommendations with regards to bullies and victim assistance when bullying behaviour occurs.

The provision of psychotherapeutic services has undergone many changes in its history. Recently the field of therapy has seen an increased emphasis on providing services in briefer periods of time, which has resulted in greater investigation into the parameters that influence rapid therapeutic growth by clients. Despite this push for quick results, many service agencies continue to utilize initial intake interviews that focus exclusively on gathering diagnostic and demographic information. Therapeutic intervention is therefore reserved for some later time when the clients can be accommodated from the agency's waiting list. The present study investigated the influence of a standard intervention presented during the intake interview on reported psychological distress, therapeutic alliance, and dropouts from therapy. In addition, the relationship of self-efficacy to these dimensions was investigated. Eighty subjects who were clients at a university counseling center in the Rocky Mountain region of the United States were split into two groups. One group received the intervention while the other experienced a standard intake without the intervention. Results indicated that the experimental subjects decreased more in their reported levels of distress between the time of the intake interview and their first counseling session than did the control subjects. Similarly, the experimental subjects reported significantly greater feelings of alliance with their therapists than did the control subjects. The number of dropouts from therapy (defined as those who failed to show for the first counseling session) was similar for the groups. Finally, high versus low levels of self-efficacy did not further explain changes in psychological distress or group differences in therapeutic alliance, although level of self-efficacy was related to level of distress. The results of this study suggest that a client's initial contact with a service agency (i.e., the intake interview) can be utilized to initiate therapeutic gain. It is notable that the observed changes occurred regardless of presenting problems and diagnosis. It was speculated that the therapeutic effects could be enhanced further by expanding this approach to provide specific interventions to individual clients based on initial diagnostic impressions.

Leaders in the field of home visiting and family support research have indicated that the inclusion of home visiting in comprehensive services for low-income families with young children can play a key role in improving a wide variety of outcomes for at-risk children and their families. These recommendations have been based in part on selected empirical findings from the home visiting literature. However, synthesis of empirical findings has proven difficult, due to the heterogeneity of this population and the diverse applications of home visiting as a service delivery strategy. The present meta-analysis examined a representative sample of the peer-reviewed literature to provide a comprehensive, quantified description of the features and findings of this literature. The four research questions addressed by the meta-analysis provide a framework for this description. The first research question concerned a description of research designs and methodological features found in the literature. The second and third research questions concerned, respectively, descriptions of the samples and interventions employed in primary studies. The final research question concerned the examination of those domains in which primary studies measured outcomes, and the quantification of outcomes in terms of standardized mean difference effect sizes. Summarization of primary studies' methodological features illustrated specific issues that may be addressed in the design of future home visiting research, and laid a basis for the examination of meta-analysis findings. The composition of primary studies' samples reflected the heterogeneity expected from a population defined by a parameter as broad as "low-income," yet included lacunae that may represent subgroups among the poor that are not being studied. Data providing an assessment of several types of intervention features have implications for questions of treatment efficacy, and for future home visiting research. Mean effect sizes in several domains were found to have a magnitude of practical significance for child and family outcomes. Findings of this project provide a structure for continued meta-analysis of this body of literature, and highlight potential areas for further primary research. Meta-analysis data lend support to previous recommendations, as well as point out gaps in our knowledge.