Piloting a Psychotherapy Group for Transgender Clients: Description and Clinical Considerations for Practitioners

The likelihood that a psychologist will work with a transgender client is greater today than ever before; however, many psychologists report being unfamiliar with the challenges faced by this population. Training programs provide minimal exposure to transgender issues by way of coursework and practicum experiences, and many barriers prevent transgender persons from accessing quality mental health care. The provision of group psychotherapy services in psychology training clinics may help reduce barriers to treatment, but there is little literature to guide professionals interested in facilitating such a group. In response, this article provides psychologists with a description of an experiential/process psychotherapy group for transgender clients that was offered at a university training clinic. Logistical aspects of forming the group are reviewed. Prominent themes that emerged over the course of three 12-session groups are discussed. Considerations for other professionals and training clinics interested in offering similar groups are also provided

Trait Hope as a Moderator of the Effects of Hassles and Uplifts on Depressive Symtpoms in College Students

Major Depression is the leading cause of disability in the United States and has been studied for decades. Research suggests that daily hassles may increase the likelihood of depressive symptoms while daily uplifts may help protect against depressive symptoms (Mayberry & Graham, 2001). Snyder\u27s hope theory (Snyder et al., 1991) provides an avenue for understanding how hope can protect against symptoms of depression. Hope, hassles, uplifts, and depressive symptoms were assessed at three time points with one-month intervals in a sample of 186 undergraduate students via self-report measures. Results, analyzed using a Generalized Estimating Equation, were threefold: there was (1) a significant main effect of trait hope (chi-squared= 9.18, p = .01), (2) a significant main effect of uplifts (chi-squared = 3.96, p \u3c.05), and (3) a significant two-way interaction between trait hope and uplifts (chi-squared = 3.94, p = .05). No significant findings related to hassles were observed. These findings are consistent with prior hope and hassle/uplifts theories, but expand upon research by demonstrating longitudinal findings and a unique hope/uplifts relationship. Implications for a concurrent analysis of hassles and uplifts and clinical interventions with hope-based and uplift-based elements are discussed

Self-completed online dietary recalls as an alternative method of dietary assessment for dietetic outpatient appointments: A feasibility study

Background Integrating digital dietary assessment within dietetic care could save time and reduce costs, at the same time as increasing patient engagement. The present study explores the feasibility of implementing a web-based dietary assessment tool, myfood24 (https://www.myfood24.org), into routine healthcare. Methods This mixed methods feasibility study recruited dietitians and patients from a National Health Service (NHS) hospital outpatient setting. Patients completed and shared three online 24-h dietary recalls in advance, which were used as a dietary assessment by dietitians. Recruitment data were collected and questionnaires on technology, usability, and acceptability were completed. Patient interviews and focus groups with dietitians were conducted. Results Eleven dietitians working in allergy, bariatrics, diabetes, oncology, general, renal, infectious diseases, and coeliac services took part with 39 patients. Recruitment rates were highest in bariatrics and lowest in renal and oncology. Compared to other studies, completion rates were good, with 29 (74.4%) completing three recalls despite lower technology readiness and software usability scores than in similar studies. Illness and difficulty with technology were reasons for non-completion. Opportunity to receive nutritional feedback from the tool and share this with a dietitian motivated patients to complete the record accurately. Consultation times were shortened in approximately one-third of appointments and a higher proportion of time was spent on nutritional education compared to usual practice. However, mean preparation time increased by 13 min per appointment because dietitians found nutritional analysis reports difficult to interpret. Conclusions It is feasible to introduce a digital dietary assessment tool into NHS dietetic practice. However, further development is needed to ensure that the tool is suitable for healthcare

Regeneration of Fe(II) during EIFeX and SOFeX

Investigations into Fe(II) cycling during two Southern Ocean mesoscale iron enrichment experiments, SOFeX and EIFeX, clearly show the importance of Fe(II) to iron speciation during these experiments. In both cases the added Fe(II) persisted significantly longer than its expected oxidation time indicating a significant Fe reduction process at work. During EIFeX diel studies showed a strong photochemically induced cycle in Fe(II) production in sunlit surface waters. Our results suggest that the photochemical cycling of iron may also be important in unfertilized waters of the Southern Ocean