The Common Sense of Counseling Psychology: Introducing

The goal of therapy is typically to improve clients’ self-management of their problems, not only during the course of therapy but also after therapy ends. Although it seems obvious that therapists are interested in improving client’s self-management, the psychotherapy literature has little to say on the topic. This article introduces Leventhal’s Common-Sense Model of Self-Regulation, a theoretical model of the self-management of health, and applies the model to the therapeutic process. The Common-Sense Model proposes that people develop illness representations of health threats and these illness representations guide self-management. The model has primarily been used to understand how people self-manage physical health problems, we propose it may also be useful to understand self-management of mental health problems. The Common-Sense Model’s strengths-based perspective is a natural fit for the work of counseling psychologists. In particular, the model has important practical implicationsfor addressing how clients understand mental health problems over the course of treatment and self-manage these problems during and after treatment

Recidivism Treatment for Justice-Involved Veterans: Evaluating Adoption and Sustainment of Moral Reconation Therapy in the US Veterans Health Administration

Moral Reconation Therapy (MRT), an evidence-based intervention to reduce risk for criminal recidivism among justice-involved adults, was developed and primarily tested in correctional settings. Therefore, a better understanding of the implementation potential of MRT within non-correctional settings is needed. To address this gap in the literature, we evaluated the adoption and sustainment of MRT in the US Veterans Health Administration (VHA) following a national training initiative in fiscal years 2016 and 2017. In February 2019, surveys with 66 of the 78 VHA facilities that participated in the training were used to estimate the prevalence of MRT adoption and sustainment, and qualitative interviews with key informants from 20 facilities were used to identify factors associated with sustainment of MRT groups. Of the 66 facilities surveyed, the majority reported adopting (n = 52; 79%) and sustaining their MRT group until the time of the survey (n = 38; 58%). MRT sustainment was facilitated by strong intra-facility (e.g., between veterans justice and behavioral health services) and inter-agency collaborations (e.g., between VHA and criminal justice system stakeholders), which provided a reliable referral source to MRT groups, external incentives for patient engagement, and sufficient staffing to maintain groups. Additional facilitators of MRT sustainment were adaptations to the content and delivery of MRT for patients and screening of referrals to the groups. The findings provide guidance to clinics and healthcare systems that are seeking to implement MRT with justice-involved patient populations, and inform development of implementation strategies to be formally tested in future trials

Gut microbiome composition in the Hispanic Community Health Study/Study of Latinos is shaped by geographic relocation, environmental factors, and obesity.

Background: Hispanics living in the USA may have unrecognized potential birthplace and lifestyle influences on the gut microbiome. We report a cross-sectional analysis of 1674 participants from four centers of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), aged 18 to 74 years old at recruitment.Results: Amplicon sequencing of 16S rRNA gene V4 and fungal ITS1 fragments from self-collected stool samples indicate that the host microbiome is determined by sociodemographic and migration-related variables. Those who relocate from Latin America to the USA at an early age have reductions in Prevotella to Bacteroides ratios that persist across the life course. Shannon index of alpha diversity in fungi and bacteria is low in those who relocate to the USA in early life. In contrast, those who relocate to the USA during adulthood, over 45 years old, have high bacterial and fungal diversity and high Prevotella to Bacteroides ratios, compared to USA-born and childhood arrivals. Low bacterial diversity is associated in turn with obesity. Contrasting with prior studies, our study of the Latino population shows increasing Prevotella to Bacteroides ratio with greater obesity. Taxa within Acidaminococcus, Megasphaera, Ruminococcaceae, Coriobacteriaceae, Clostridiales, Christensenellaceae, YS2 (Cyanobacteria), and Victivallaceae are significantly associated with both obesity and earlier exposure to the USA, while Oscillospira and Anaerotruncus show paradoxical associations with both obesity and late-life introduction to the USA.Conclusions: Our analysis of the gut microbiome of Latinos demonstrates unique features that might be responsible for health disparities affecting Hispanics living in the USA

Варикозное расширение в системе суральных вен: диагностика, лечение, результаты

ВАРИКОЗНОЕ РАСШИРЕНИЕ ВЕН /ДИАГН /ТЕРКРОВЕНОСНЫХ СОСУДОВ БОЛЕЗНИРЕЦИДИВВЕНЫ /ПАТОЛО

Insights into Blainville's beaked whale (Mesoplodon densirostris) echolocation ontogeny from recordings of mother-calf pairs

The data we report were collected during two studies, “Behavioral Response Study-2008” and “Using Satellite Telemetry to Monitor Beaked whale Movements on a Navy Range,” both funded by the U.S. Office of Naval Research (ONR). CD received funds for analysis from ONR as part of the “Population Consequences of Acoustic Disturbance” project. LR and PT were supported by the Marine Alliance for Science and Technology for Scotland (MASTS) pooling initiative and their support is gratefully acknowledged. MASTS is funded by the Scottish Funding Council (grant reference HR09011) and contributing institutions.PostprintPeer reviewe

The Lantern Vol. 70, No. 1, Fall 2002

• (For Z) • Little Sister • Eulogy to Her Son, Dead at 22 • Tuesday • 7 Couplets for Drawing Genevieve • Diner Reflection • We Swam. We Made Sand Castles. • His Lips Were Figure Fitting • Public Transportation • Pop Culture • Running the Ridge • Like a Sunflower • Snooze • Match • Behavioral Correctional Facility of Santa Fe... • The Cellarhttps://digitalcommons.ursinus.edu/lantern/1161/thumbnail.jp

The Lantern Vol. 71, No. 2, Spring 2004

• Football Captain • Grass Blades • Identity Theft • Her Shoulders • Doing 100 • Watching the • Fifteen Lines for Five • Plague • On the Occasion of Kissing You Less Than I Used To • Decomposey • Broomhandles • Just a Minute • War of the Words • Seguidille • At the End of One\u27s Rope • The Ride and Joe • I Want Soft Curls • Broken • Stories of a Hypochondriac • The TV is in Jail & My Mom is the Wardenhttps://digitalcommons.ursinus.edu/lantern/1164/thumbnail.jp

The Lantern Vol. 72, No. 2, Spring 2005

• Transmigration • Faces of the Moon • Euphony of the Euphonium • He Met Me in the Arcs & Ebbs of Frailty • An Adoration of Ordination • Ebony: The Essence Thereof • Curbside Statue Has No Legs Left • Triggerfinger Romance • Lost • Running Through Connecticut • Eve • The Day Lates and the Dollar Shorts • Somnambulist • That\u27s That • The Glenn Machine • Evenfall in Bad Homburg • Absence of Field • Dating Myself • Traveling Without a Map • The Non-Euclidean Way to Get Some Bagels • La Belle Epoque • Satin Boxeshttps://digitalcommons.ursinus.edu/lantern/1166/thumbnail.jp