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Ward, I’m Worried About the Beaver: Issues in Early Identification and Intervention With Children Experiencing Depression and Anxiety
Childhood anxiety and depression are commonplace yet often neglected problems. This article briefly summarizes information on the prevalence and developmental chronology of these disorders. Innovative intervention methods are presented and described. Finally, a section alerting readers to salient issues germane to working with children of color who experience depression and anxiety is included.
Storytelling is a developmentally sensitive tool to elicit children’s thoughts, identify their distortions, and help them to more accurately make sense of their world. Integration of storytelling into a cognitive approach to child psychotherapy is encouraged due to cognitive therapy’s conceptual richness and flexibility. Cognitive case conceptualization augments the application of the storytelling techniques. Advantages of the storytelling approach such as familiarity to children, relationship enhancement, meaningfulness, and flexibility are delineated. Clinical examples are described and special considerations are outlined.
The introduction to this special issue emphasizes that competent supervisors are made not born into their role. Earning supervisory competence is difficult work and requires a varied skill set. The contributions in the special issue help build this diverse skill set. Each contribution in the special issue is summarized and implications are delineated.
The therapeutic potential of cognitive therapy in psychiatric hospitals is enhanced through conceptually homogeneous milieus and skillful staff training. This paper describes methods, processes, and issues to be considered in developing staff training programs. An emphasis is placed on case conceptualization and matching training to patients’ needs. Further, a general training program is delineated and challenges facing trainers are discussed. Finally, questions which may guide future research directions are suggested.
As the health care system in the United States is becoming increasingly more politically and economically oriented, the concept of political caring needs to be advanced in contemporary nursing practice (Ray, 1989, 2001; Turkel, 2001). The purpose of this article is to present a model outlining the process of policy analysis through a phenomenologica research study illuminating the life world descriptions of experiences of United States Air Force personnel with managed care in the military and the civilian health care system. This process shows how qualitative data are used to give voice to a moral crisis and contribute to health care policy.