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Background: In rural and regional areas, older Australians have poorer health outcomes and higher rates of potentially preventable hospital admissions than their metropolitan counterparts. Paramedics may be uniquely placed to improve health outcomes of rural-dwelling older adults through involvement in primary and preventive healthcare, health promotion and health education. However, the feasibility and acceptability of this remains unexplored. Aim: To investigate the utility, feasibility and acceptability of paramedic involvement in health education initiatives aimed at rural-dwelling older people. Methods: Semi-structured telephone interviews were conducted with key stakeholders between July and September 2021. Interviews were transcribed verbatim and reflexive thematic analysis was undertaken. Findings: Participants (older people and their carers, n = 3; health service representatives, n = 4; and ambulance service representatives, n = 3) linked acceptability to the position of trust and visibility paramedics held within the community. The coverage provided by ambulance services in rural and regional areas, and the enhanced skills and collaborative relationships that rural paramedics develop, were seen as enabling factors to expanded roles. Conclusion: Key stakeholders' perspectives on the role of paramedics in health education for rural-dwelling older people highlighted the trust placed in paramedics. Meeting identified needs without competing with established health initiatives was seen as important with respect to paramedic engagement in broader primary health care opportunities.

Research into the intergenerational effects of the Holocaust has focused on traumatization of the survivors' children, and has yet to explore adaptive responses in succeeding generations. In this study, 10 semi-structured interviews were conducted with Australian adult grandchildren of Holocaust survivors. Interpretive phenomenological analysis identified six themes: connection and discomfort with the Holocaust's salience, reckoning with a legacy of trauma, insecurity and survival strategies, the value of a strong education, family is everything, and valuing a communal outlook. These findings imply that the Holocaust's traumatizing effects linger for multiple generations, but responding in adaptive ways benefits relationships within survivor families. [ABSTRACT FROM AUTHOR]

Self-disclosure is a necessary component of group self-practice/self-reflection (SP/SR), a teaching method whereby (trainee) psychotherapists engage in reflections with their peers and the facilitator on the self-practice of therapeutic techniques on personally relevant experiences. The making of personal disclosures by nature and within a professional educational environment can be associated with challenging emotions and must be managed appropriately by trainees and facilitators. This study aimed to understand how participants navigate and benefit from this self-disclosure process. In semistructured interviews, eight clinical psychology trainees recounted their experiences, decision-making processes, and the associated learning outcomes of selfdisclosures made and witnessed during a group cognitive behaviour therapy (CBT) program using SP/SR principles. Four themes were developed: "to disclose or not to disclose," "the virtuous (and nonvirtuous) cycle of self-disclosure," "sitting in the other chair," and "making it safer, making it better." Trainees described that the CBT program using SP/SR helped them to understand and empathize with client self-disclosure and their role as a psychologist in supporting this process and facilitated their understanding of psychotherapist selfdisclosure. Recommendations for effective and safe promotion of self-disclosure in SP/SR are made. [ABSTRACT FROM AUTHOR]

Self-practice/self-reflection (SP/SR) supports understanding and delivery of cognitive behavioral therapy (CBT) in participants by facilitating reflection on the practice of CBT techniques on personally relevant experiences. To date, little is known about the online potential of SP/SR training, particularly relevant through the course of the COVID-19 pandemic which saw an increase in online teaching and training delivery. The present study examined the perspectives of ten trainee therapists and three clinical educators (facilitators) on the experience, benefits, and challenges of participating in and facilitating an online CBT group integrating SP/SR principles. Reflective thematic analysis of semistructured interviews led to two trainee themes ("experiencing the other chair" and "learning to be a CBT therapist") and two facilitator themes ("learning to facilitate online" and "reflections on unexpected gains"). Facilitators and trainees described the online platform as a suitable delivery format, providing a comparable experience to in-person teaching and an authentic therapeutic experience to facilitate trainees' understanding of delivering CBT generally and in a telehealth context. Some trainees noted challenges being vulnerable online and all facilitators noted being less likely to push trainees to experience and express difficult thoughts and emotions online. Recommendations are provided to enhance learning in similar groups in psychology training. [ABSTRACT FROM AUTHOR]

Introduction: The COVID-19 pandemic has led to significant challenges for frontline healthcare workers’ (FHW), raising many mental health and wellbeing concerns for this cohort. To facilitate identification of risk and protective factors to inform treatment and interventions, this study investigated key predictors of psychological distress and subjective wellbeing in FHWs. Methods: During the Omicron wave of the COVID-19 pandemic (January 2022), Victorian (Australia) doctors, nurses, allied health and non-medical staff from Emergency Departments, Intensive Care units, Aged Care, Hospital In The Home, and COVID Wards completed a cross-sectional survey consisting of the Kessler 6 item (Psychological Distress), Personal Wellbeing Index (Subjective Wellbeing), Coronavirus Health Impact Survey tool (COVID-19 related factors) and occupational factors. Multivariable linear regressions were used to evaluate unadjusted and adjusted associations. Relative weight analysis was used to compare and identify key predictors. Results: Out of 167 participants, 18.1% screened positive for a probable mental illness and a further 15.3% screened positive for low wellbeing. Key risk factors for greater psychological distress included COVID infection worries, relationship stress and younger age. For both psychological distress and lower wellbeing, health status and supervisor support were key protective factors, while infection risks were key risk factors. Only positive changes in relationship quality was protective of lower wellbeing. Conclusion: This study highlights the significance of social determinants and individual level factors alongside work related factors, in influencing FHWs’ mental health and wellbeing during public health crises, such as the COVID-19 pandemic. Findings suggest that future interventions and supports should take a more holistic approach that considers work, social and individual level factors when supporting FHWs’ mental health and wellbeing. [ABSTRACT FROM AUTHOR]

This study examined the effect of absorption on women's emotional and cognitive processing of erotic film. Absorption was experimentally manipulated using 2 different sets of test session instructions. The first, participant-oriented, instruction set directed participants to absorb themselves in the erotic film presentation, imagining that they were active participants in the sexual activities depicted. The second, spectator-oriented, instruction set directed participants to observe and assess the erotic film excerpt as impartial spectators. The participant-oriented instruction set was found to elicit greater subjective absorption in women than the spectator-oriented instruction set, and women reported greater subjective sexual arousal in the former set compared with the latter. Thus, it appears that the degree to which a woman becomes absorbed in an erotic stimulus may affect her subsequent subjective sexual arousal. Also, women reported greater degrees of positive affect when they took a participant-oriented perspective than when they viewed the erotic materials as impartial spectators. Thus, participants who were highly absorbed in the erotic film excerpt were more likely to view the stimulus favorably. By contrast, the degree to which women became absorbed in the stimulus had no effect on their reported negative affect. Future directions for examining female response patterns are suggested., The information processing model of arousal is a multi-dimensional approach that purports that cognitive, affective, subjective, physiological, and attentional responses play an integral role in the processing of erotic stimuli [...]