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Journal of Clinical Psychology

Deanna M Kaplan, Roman Palitsky, Angela L Carey, Tracy E Crane, Cody M Havens, Michael R Medrano, Samantha J Reznik, David A Sbarra, Mary-Frances O'Connor
OBJECTIVE: Maladaptive repetitive thought (RT), the frequent and repetitive revisiting of thoughts or internal experiences, is associated with a range of psychopathological processes and disorders. We present a synthesis of prior research on maladaptive RT and develop a framework for elucidating and distinguishing between five forms of maladaptive RT. METHOD: In addition to the previously studied maladaptive RT (worry, rumination, and obsession), this framework is used to identify two additional forms of maladaptive RT (yearning and interoceptive RT)...
January 17, 2018: Journal of Clinical Psychology
Graham H Nelson, Michael W O'Hara, David Watson
OBJECTIVES: The present study developed normative data for the expanded version of the Inventory of Depression and Anxiety Symptoms (IDAS-II). The IDAS-II is a self-report measure containing 18 factor-analytically derived scales, each assessing a specific symptom of internalizing disorders, including depression, anxiety disorders, OCD, bipolar disorder, and PTSD. These normative data were used to examine group differences in internalizing symptoms across demographic characteristics. METHOD: A total of 1,836 Mechanical Turk users (47...
January 12, 2018: Journal of Clinical Psychology
Billie A Pivnick
This article describes the author's development of an aesthetic approach to psychoanalytic psychotherapy of patients suffering from traumatic levels of grief by describing her experiences as a patient, a therapist, and a consultant to the design firm that partnered with the National September 11 Memorial and Museum. Using Aristotle's On Poetics as an inspiration, this article explores the ways dialogical storytelling creates a therapeutic "action-plot" that transforms reversals of fortune. Attending to patients' first-person phenomenological experience (without attributing cause), therapists help them transform their losses by listening to their stories...
January 11, 2018: Journal of Clinical Psychology
Joan Wexler
Is there an aesthetic dimension to therapeutic action? The author proposes that while the arts, in this example, dance, can serve as a bridge to give form and expression to the ineffable for both the artist and the observer, language, especially metaphorical language, in the context of a resonating therapeutic relationship, similarly gives form and enhanced meaning to what has been felt but not yet understood. Even if the content is painful, the process of mutually creating a common language that reorganizes the mind is aesthetically pleasing...
January 11, 2018: Journal of Clinical Psychology
Ayse S Ikizler, Dawn M Szymanski
OBJECTIVE(S): We investigated (1) the moderating role of religiosity in the link between religious affiliation and ethnic discrimination and (2) the moderating roles of religiosity, ethnic identity, and family connectedness in the relations between ethnic discrimination and psychological distress. METHOD: Our sample consisted of 122 (60% women, 40% men) Middle Eastern/Arab Americans (MEAAs), ranging in age from 18 to 82 years old, who completed an online survey...
January 11, 2018: Journal of Clinical Psychology
Megan L Rogers, Christopher R Hagan, Thomas E Joiner
OBJECTIVE: Interoception deficits have been associated with various points on the suicidality continuum. Most research, however, has focused on general, rather than specific facets of, interoception. This study compared individuals with lifetime suicidal ideation, plans, and attempts using a multidimensional assessment of interoception. METHOD: A total of 537 adults completed measures of their interoception and lifetime suicide histories. RESULTS: Individuals with lifetime suicidal ideation reported more worry about their bodily sensations...
January 10, 2018: Journal of Clinical Psychology
Naline Geurtzen, Ger P J Keijsers, Johan C Karremans, Giel J M Hutschemaekers
OBJECTIVES: Patients' dependency on the therapist or treatment has received little empirical attention. To examine care dependency, we aimed to develop a theory-driven questionnaire based on three hypothetical dimensions (passive-submissive dependency; active-emotional dependency; and lack of perceived alternatives) and to provide a preliminary exploration of several correlates of care dependency. METHOD: Care dependency, perceived social support, therapeutic alliance, remoralization, and symptom severity were measured in a large cross-sectional sample of 742 outpatients with various psychiatric disorders...
January 10, 2018: Journal of Clinical Psychology
Matthew Steinfeld
This paper addresses how musical metaphors can be useful in understanding the substructure of psychotherapy by considering how our patients resonate inside us, what that resonance does to and for us, and how these acoustic properties seem to be foundational in the construction of the therapist as an instrument of healing. From this perspective, psychotherapy involves "living music" with another person, as the process of psychotherapy always involves the passing of sound back and forth across an interpersonal divide...
January 10, 2018: Journal of Clinical Psychology
David Read Johnson
A jazz paradigm is applied to traditional psychotherapy practice, illuminating the links between psychotherapy and the Romantic aesthetic tradition, primarily in the centrality of concepts such as attunement. Modernist disruptions of realism during the early 20th century, such as jazz, elaborated dissonant and improvisational artistic impulses that brought new vitality to their art forms. The psychotherapeutic relationship also has potential avenues for multilevel and discrepant communication that open possibilities of freedom...
January 10, 2018: Journal of Clinical Psychology
Devlin Jackson
The physical spaces in which we conduct psychotherapy are an important yet underacknowledged aspect of psychotherapeutic work. Although a few contemporary publications have provided suggestions for the creation of welcoming, comfortable, and efficient practice spaces, considerations of what it means to transform a room into a therapeutic space have remained largely absent from recent literature. This paper reviews the existing literature on this subject and describes the ways in which the therapist's office is intimately tied to several process of the therapy itself, by way of creating an adaptive environment that is able to meet the needs of both therapist and client over the course of their work together...
January 10, 2018: Journal of Clinical Psychology
Jesse D Geller
This issue of the Journal of Clinical Psychology: In Session contains seven essays that give expression to three basic convictions. The first is that therapists who are consistently able to help their patients make constructive changes in their lives practice psychotherapy creatively, whether or not they conceive of therapy as an applied science or as an art form. The second is that cultivating an aesthetic perspective on the communicative exchanges that take place in therapy can enhance a therapist's capacity to serve creatively as an agent of change...
January 8, 2018: Journal of Clinical Psychology
Emma Wallin, Pernilla Maathz, Thomas Parling, Timo Hursti
OBJECTIVES: The present study aims to investigate the impact of help-seeking self-stigma on the preference and intention to seek psychological treatment delivered online compared to face-to-face. DESIGN: This study uses survey data from two Swedish samples. Sample 1 consists of 267 students (78.7% women) with a mean age of 24.5 (SD = 6.1). Sample 2 consists of 195 primary care patients (56.9% women) with a mean age of 45.3 (SD = 17.7). RESULTS: The number of participants who preferred online treatment was higher if seeking psychological help for a perceived stigmatized problem compared to mental health problems in general...
January 8, 2018: Journal of Clinical Psychology
David E Orlinsky
Insights from the study of literature can inform and clarify concepts to guide psychotherapy practice and research. The author offers instances from narrative fiction (Durrell's Alexandria Quartet) and poetry (Hopkins, Baudelaire) to illustrate how the formulation of experience in words that are evocative (vs. ordinary), original (vs. trite), and precise (vs. approximate) are able to capture attention, move the emotions, and challenge beliefs; and how linkages among experiences, vividly and precisely expressed, create and enhance narrative meaning-revealing the inherent relativity of individual meanings and the need to consider the aggregate of relevant perspectives in every interpersonal situation...
January 5, 2018: Journal of Clinical Psychology
Karen M Schwartz
I contend that painting, like psychoanalytic psychotherapy, is an intersubjective process able to connect hearts and minds of painters and viewers alike, because the creative process of making a painting brings painters into more complex and more animated relationship with themselves. My own painting process is largely nonverbal. Interactions between me and my evolving artwork-in-process reveal experiences, thoughts, and feelings not yet formulated in words, and so, not available explicitly to conscious awareness until visual representation allows questions of meaning and intention to be thought about and elaborated in the usual, verbal sense...
January 5, 2018: Journal of Clinical Psychology
Marta I Krajniak, Michelle Pievsky, Andrew R Eisen, Robert E McGrath
OBJECTIVE: The current study examined the relationship between emotional intelligence, personality disorder traits, and college adjustment. METHOD: A sample of 246 first-semester, first-time freshmen (73.6% female, age mean = 18.7, standard deviation = 2.0) at a large university in the Eastern United States completed the Trait Emotional Intelligence Questionnaire (Petrides, 2009), the Schedule for Nonadaptive and Adaptive Personality-2 (Clark, Simms, Wu, & Casillas, 2014), and the Student Adaptation to College Questionnaire (Baker & Siryk, 1998)...
December 20, 2017: Journal of Clinical Psychology
Lucien Rochat, Rumen Manolov, Joël Billieux
OBJECTIVE: Metacognitive therapy and one of its treatment components, the attention training technique, are increasingly being delivered to improve mental health. We examined the efficacy of metacognitive therapy and/or attention training technique on mental health outcomes from single-case studies. METHOD: A total of 14 studies (53 patients) were included. We used the d-statistic for multiple baseline data and the percentage change index to compute the effect sizes...
December 20, 2017: Journal of Clinical Psychology
Lior Galili-Weinstock, Roei Chen, Dana Atzil-Slonim, Eran Bar-Kalifa, Tuvia Peri, Eshkol Rafaeli
OBJECTIVE: Self-compassion (SC) has been consistently linked to less psychopathology; however, the link between changes in client's SC levels and psychotherapy outcomes has yet to be explored. METHOD: Clients at a university-based community clinic completed SC and outcome measures session by session (N = 112) as well as pre- to posttreatment (N = 70). RESULTS: Increases in clients' SC levels across the entire therapeutic process were associated with improvement in all posttreatment outcomes...
December 18, 2017: Journal of Clinical Psychology
Yaxuan Ren, Xu Zhang, Jianing You, Yongqiang Jiang, Min-Pei Lin, Freedom Leung
OBJECTIVE: Adolescence is a developmental period associated with a heightened risk for suicidal ideation. During this phase of life, individuals tend to focus on both intrapersonal self and interpersonal relationships. Thus, it is of much significance to understand the roles of intrapersonal and interpersonal factors in the development of suicidal ideation among adolescents. The present study examined the reciprocal associations between identity disturbance, relationship disturbance, and suicidal ideation by using a three-wave cross-lag model in a sample of adolescents...
December 18, 2017: Journal of Clinical Psychology
Carmen Senra, Hipólito Merino, Fátima Ferreiro
OBJECTIVE: This study investigated the mediating and moderating roles of emotion-focused coping strategies (rumination and immature defenses) in the relationship between perfectionism and depressive symptoms in a Spanish community sample. METHOD: 438 participants (67.4% female; mean age = 36.94 years) completed self-reports assessing perfectionism, rumination, immature defenses and depression. Multiple mediation, moderation and moderated mediation analyses were conducted...
December 18, 2017: Journal of Clinical Psychology
Christian Aljoscha Lukas, David Daniel Ebert, Hugo Trevisi Fuentes, Franz Caspar, Matthias Berking
OBJECTIVE: Deficits in emotion regulation (ER) skills are discussed as a transdiagnostic factor contributing to the development and maintenance of various mental disorders. However, systematic comparisons of a broad range of ER skills across diagnostic groups that are based on comparable definitions and measures of ER are still rare. METHOD: Therefore, we conducted two studies assessing a broad range of ER skills with the Emotion Regulation Skills Questionnaire in individuals meeting criteria for mental disorders (N1  = 1448; N2  = 137) and in a general population sample (N = 214)...
December 15, 2017: Journal of Clinical Psychology
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