Traitements spécialisés des personnes ayant des problèmes concomitants de santé mentale et toxicomanie : un modèle intégrant la thérapie dialectique comportementale

Cet article décrit un programme de traitements intégrés pour personnes ayant des troubles comorbides de santé mentale et de toxicomanie. La thérapie dialectique comportementale (TDC) a été développée à l'origine par Linehan (l993a ; 1993b) à l'intention des individus souffrant de troubles de personnalité limite et chroniquement suicidaires. Ses principes ont fourni le cadre pour l'organisation d'un programme de traitements spécialisés dans les domaines suivants : toxicomanie et trouble de personnalité limite, troubles liés aux substances et colère, et troubles liés aux substances et troubles alimentaires. Un aperçu de la TDC et les raisons qui appuient un programme concomitant basé sur cette approche sont discutés. On décrit les protocoles pour trois sous-groupes de patients, en portant une attention particulière aux similitudes et aux différences avec le protocole standard de la TDC. Les éléments principaux du programme sont soulignés.Specialized treatment for individuals with co-occuring mental health and substance use disorders : a model for integrating dialectical behaviour therapy This article describes an integrated treatment program for individuals with concurrent mental health and substance use disorders. Principles of dialectical behaviour therapy (DBT), originally developed by Linehan (l993a ; 1993b) for chronically suicidal individuals with borderline personality disorder, provided the framework for the organization of a program of specialized treatment services in the following areas ; substance use and borderline personality disorder, substance use and anger, and substance use and eating disorders. An overview of DBT and the rationale for founding a concurrent disorder program upon this approach is discussed. A description of our treatment protocols for the three subgroups of concurrent disordered patients is provided with attention to the similarities and differences from the standard DBT protocol. The principal elements of the program are highlighted.Tratamiento especialisado para indivduos con coacontecimiento de desordenes de salud mental y de abuso de sustancias: un modelo para integrar la terapia dialectica behavioral Este artículo describe un programa de tratamiento integrado para individuos con un coacontecimiento de desordenes de salud mental y uso de sustancia. Principios de la terapia dialectica behavioral (DBT), desarrollada por Linehan (1993a; 1993b) para individuos crónicamente suicida con un desorden de personalidad límite (borderline) constituye el cuadro para la organisación de un programa de servicios especialisados en los campos siguientes: uso de sustancia y desorden de personalidad límite, uso de sustancia y cólera, uso de sustancia y turbios alimentarios. Un sobrevuelto del DBT y la racionalización para fundar un programa conjunto de desordenes basado sobre esta aproximación esta discutido. Una descripción del protocolo de tratamiento por los tres subgrupos de patientes con desordenes esta dado con una atención a las similitudes y diferencias del protocolo estándar DBT. Elementos del progama estan subrayados

Nez Perce College and Career Readiness: Wíiwyeteq’is Growing into an Elder

The Nez Perce Mentoring Project (NPMP) addresses the need for a relationship-based and culturally sustaining/revitalizing approach to prepare Native American boys for college/careers and their overall role in the tribal community. The purpose of this study was to explore the preparation and mentoring supports that are perceived as helpful within the Nez Perce community and that may be further nurtured through the NPMP. Through focus groups utilizing Indigenous methods, participants conveyed the importance of wíiwyeteq’is, someone who is always growing. Wíiwyeteq’is is woven into four themes that guide the NPMP: piˀnit’ipec (reciprocal giving), híitemˀyekin’ (someone who is prepared for life), timmíyuninˀ (someone who is responsible), and qaˀnqaˀán (someone who is respectful). By bolstering cultural strengths, programs such as the NPMP may continue to help young men build meaningful careers and lives

Future Challenges in Psychotherapy Research for Personality Disorders.

Individuals with personality disorders are frequently seen in mental health settings. Their symptoms typically reflect a high level of suffering and burden of disease, with potentially harmful societal consequences, including costs related to absenteeism at work, high use of health services, ineffective or harmful parenting, substance use, suicidal and non-suicidal self-harming behavior, and aggressiveness with legal consequences. Psychotherapy is currently the first-line treatment for patients with personality disorders, but the study of psychotherapy in the domain of personality disorders faces specific challenges. Challenges include knowing what works for whom, identifying which putative mechanisms of change explain therapeutic effects, and including the social interaction context of patients with a personality disorder. By following a dimensional approach, psychotherapy research on personality disorders may serve as a model for the development and study of innovative psychotherapeutic interventions. We recommend developing the following: (a) an evidence base to make treatment decisions based on individual features; (b) a data-driven approach to predictors, moderators, and mechanisms of change in psychotherapy; (c) methods for studying the interaction between social context and psychotherapy

Future Challenges in Psychotherapy Research for Personality Disorders

Purpose of Review Individuals with personality disorders are frequently seen in mental health settings. Their symptoms typically reflect a high level of suffering and burden of disease, with potentially harmful societal consequences, including costs related to absenteeism at work, high use of health services, ineffective or harmful parenting, substance use, suicidal and non-suicidal self-harming behavior, and aggressiveness with legal consequences. Psychotherapy is currently the first-line treatment for patients with personality disorders, but the study of psychotherapy in the domain of personality disorders faces specific challenges. Recent Findings Challenges include knowing what works for whom, identifying which putative mechanisms of change explain therapeutic effects, and including the social interaction context of patients with a personality disorder. By following a dimensional approach, psychotherapy research on personality disorders may serve as a model for the development and study of innovative psychotherapeutic interventions. Summary We recommend developing the following: (a) an evidence base to make treatment decisions based on individual features; (b) a data-driven approach to predictors, moderators, and mechanisms of change in psychotherapy; (c) methods for studying the interaction between social context and psychotherapy

Student Searching with EBSCO Discovery: A Usability Study

The researchers conducted task-based usability testing of the EBSCO Discovery Service (EDS) with 20 students. While most participants felt positively about EDS, a few usability issues emerged. Confusion arose regarding source types and icons, facets/limiters, relevancy ranking, integrated search connectors and more. Students encountered difficulty with spelling corrections and a failure to understand terminology, and they demonstrated an unwillingness to view additional pages of search results. Findings indicate the need for changes to the local implementation of EDS as well as to features and structures under EBSCO’s control.Librar

Skills use and common treatment processes in dialectical behaviour therapy for borderline personality disorder

Background and Objectives Dialectical behaviour therapy (DBT) trains participants to use behavioural skills for managing their emotions. The study aimed to evaluate whether skills use is associated with positive treatment outcomes independently of treatment processes that are common across different therapeutic models. Method Use of the DBT skills and three common treatment processes (therapeutic alliance, treatment credibility and self-efficacy) were assessed every 2 months for a year in 70 individuals with borderline personality disorder receiving DBT. Mixed-multilevel modelling was used to determine the association of these factors with frequency of self-harm and with treatment dropout. Results Participants who used the skills less often at any timepoint were more likely to drop out of DBT in the subsequent two months, independently of their self-efficacy, therapeutic alliance or perceived treatment credibility. More frequent use of the DBT skills and higher self-efficacy were each independently associated with less frequent concurrent self-harm. Treatment credibility and the alliance were not independently associated with self-harm or treatment dropout. Limitations The skills use measure could not be applied to a control group who did not receive DBT. The sample size was insufficient for structural equation modelling. Conclusion Practising the DBT skills and building an increased sense of self-efficacy may be important and partially independent treatment processes in dialectical behaviour therapy. However, the direction of the association between these variables and self-harm requires further evaluation

Gender and social class inequalities in higher education: intersectional reflections on a workshop experience

This is the final version. Available on open access from Frontiers Media via the DOI in this recordData availability statement: The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.Research about the experiences of underrepresented groups in higher education (HE) demonstrates the persistence of challenges, despite policies and institutional strategies to promote inclusion. Diversity and inclusion policies have been part of the HE agenda for several decades, yet most policies and interventions focus on (a) a given, isolated identity experience (e.g., based solely on gender, social class, or ethnicity) rather than more intersectional approaches to identity; and (b) top-down interventions that do not include participants insights in their design. In this paper, we report a case study of a workshop with students at an elite university that drew on an intersectional approach to social identities (IASI), specifically, looking at gender and social class. We explore three key themes: (a) the importance of group processes, (b) the use of visual techniques, and (c) the institutional tensions and the (de)politicisation of social psychology research. Reflecting on this case study we argue that approaches to identity and inclusion in HE can benefit from intersectionality beyond the use of multi and overlapping identity and social group categories. We argue that research in this space is not neutral and needs to acknowledge researchers’ position about (a) inclusion and diversity, (b) perceptions of participants in research, and (c) the motivation and aims of institutions where the research is conducted. Finally, we discuss the theoretical and practical implications of integrating an intersectional approach within social identity research in HE when focusing on underrepresented groups.University of ExeterNational Agency for Research and Development (ANID)/Scholarship Programme/DOCTORADO BECAS CHILE/2019European Union Horizon 202