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Journal of Clinical Psychology

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https://www.readbyqxmd.com/read/28910493/using-interpersonal-process-recall-to-compare-patients-accounts-of-resistance-in-two-psychotherapies-for-generalized-anxiety-disorder
#1
Nicholas R Morrison, Michael J Constantino, Henny A Westra, Angela Kertes, Brien J Goodwin, Martin M Antony
In a trial examining whether cognitive-behavioral therapy (CBT) could be improved by integrating motivational interviewing (MI) to target resistance, MI-CBT outperformed CBT over 12-month follow-up (Westra, Constantino, & Antony, 2016). Given that effectively addressing resistance is both a theoretically and an empirically supported mechanism of MI's additive effect, we explored qualitatively patients' experience of resistance, possibly as a function of treatment. For 5 patients from each treatment who exhibited early in-session change ambivalence, and thus were at risk for later resistance, we conducted interpersonal process recall interviews after a session...
September 14, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28898411/50-years-of-rational-emotive-and-cognitive-behavioral-therapy-a-systematic-review-and-meta-analysis
#2
REVIEW
Daniel David, Carmen Cotet, Silviu Matu, Cristina Mogoase, Simona Stefan
OBJECTIVE: Rational emotive behavior therapy (REBT), introduced by Albert Ellis in the late 1950s, is one of the main pillars of cognitive-behavioral therapy. Existing reviews on REBT are overdue by 10 years or more. We aimed to summarize the effectiveness and efficacy of REBT since its beginnings and investigate the alleged mechanisms of change. METHOD: Systematic search identified 84 articles, out of which 69 provided data for between-group analyses and 39 for within-group analyses...
September 12, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28898410/the-client-s-perspective-on-experiences-of-psychotherapy-a-practice-friendly-review
#3
Ladislav Timulak, Daragh Keogh
Recent decades have seen a significant increase in the number of studies exploring client perspectives on, and experiences of, psychotherapy. The present article provides a practice friendly overview of this research, identifying common domains of inquiry, and providing examples of findings relevant to practitioners. Research in this area can be categorized in terms of the client's perspective pertaining to theoretical constructs, studies of client satisfaction, and qualitative studies that are either open-ended or explore specific aspects of client experiences...
September 12, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28898408/emotion-related-impulsivity-and-rumination-predict-the-perimenstrual-severity-and-trajectory-of-symptoms-in-women-with-a-menstrually-related-mood-disorder
#4
Danyelle N Dawson, Tory A Eisenlohr-Moul, Julia L Paulson, Jessica R Peters, David R Rubinow, Susan S Girdler
OBJECTIVE: Women with menstrually related mood disorders (MRMDs) demonstrate clinically significant distress during the premenstrual week that remits with the onset of menses. Relatively little is known about psychosocial mechanisms of MRMDs. Given the core affective and behavioral symptoms of MRMDs, dysfunctional responses to emotion (e.g., difficulties with awareness and regulation of emotion; rumination and impulsive or maladaptive behavior in response to emotion) may be important factors to explore as cognitive and behavioral mechanisms in MRMDs...
September 12, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28898407/compassionate-and-self-image-goals-as-interpersonal-maintenance-factors-in-clinical-depression-and-anxiety
#5
Thane M Erickson, M Teresa Granillo, Jennifer Crocker, James L Abelson, Hannah E Reas, Christina M Quach
OBJECTIVE: Interpersonal models of depression and anxiety have not examined the role of interpersonal goals in shaping relationships and symptoms. Striving to promote/protect desired self-images (self-image goals) may undermine relationships and increase symptoms, whereas striving to support others (compassionate goals) may be protective, but clinical relevance is unknown. METHOD: We tested effects of compassionate versus self-image goals on interpersonal functioning and symptoms in clinically depressed and/or anxious participants (N = 47) during 10 days of experience sampling, over a 6-week follow-up, and in a dyadic relationship...
September 12, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28881027/meeting-in-difference-revisiting-the-therapeutic-relationship-based-on-patients-and-therapists-experiences-in-several-clinical-contexts
#6
Carolina Altimir, Claudia Capella, Lucía Núñez, Marianella Abarzúa, Mariane Krause
Despite decades of research on the therapeutic relationship and the therapeutic alliance and their connection with therapeutic outcomes (Horvath, Del Re, Flückiger, & Symonds, 2011), only a handful of studies have examined how they are experienced by the therapy participants. The aim of the present study is to describe the therapeutic relationship from the subjective perspective of the patients and therapists involved in 3 clinical cases: (a) a 7-year-old child diagnosed with attention deficit hyperactivity disorder, (b) a 29-year old woman diagnosed with a personality disorder, and (c) a 22-year-old man diagnosed with schizophrenia...
September 7, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28881015/exposure-to-suicide-in-the-family-suicide-risk-and-psychache-in-individuals-who-have-lost-a-family-member-by-suicide
#7
Rui C Campos, Ronald R Holden, Sara Santos
OBJECTIVE: The aim of the present study was to compare a sample of Portuguese individuals exposed to suicide in their families with a control group, for lifetime suicidality. This study also evaluated the incremental value of psychache (i.e., extreme psychological pain) in determining suicide risk beyond the contribution associated with having lost a family member by suicide. METHOD: A total of 225 community adults participated. Two groups were defined: a group exposed to suicide (n = 53), and a control group (n = 172)...
September 7, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28869291/the-client-as-the-expert-in-psychotherapy-what-clinicians-and-researchers-can-learn-about-treatment-processes-and-outcomes-from-psychotherapy-clients
#8
Joshua K Swift, Susannah R Parkin
Clients are frequently recognized as perhaps having the largest impact on the eventual success or failure of treatment; however, researchers and clinicians alike often give inadequate attention to clients' perspectives on psychotherapy processes and outcomes. Researchers who do examine client variables in psychotherapy often conduct research about the client rather than from the client. The purpose of this article is to introduce a special issue focused on the client's perspective in psychotherapy. Specifically, the articles in this issue present case studies and quantitative and qualitative research that seek to (a) demonstrate how to tailor interventions according to the client's perspective and (b) identify common themes in clients' perspectives about their experiences in psychotherapy...
September 4, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28869286/psychotherapy-clients-recalled-treatment-experiences-a-survey-of-perceived-evidence-based-practice-elements
#9
Yadi Chen, James F Boswell, Carly M Schwartzman, Brittany R Iles
Evidence-based practice (EBPs) elements can be observed across treatment approaches for commonly occurring problems. Little is known about the prevalence or pervasiveness of EBP elements from the routine client's perspective. We assessed psychotherapy clients' self-reported retrospective treatment experiences with regard to common EBP elements. Participants (N = 592) were consenting university undergraduate students who accessed a web survey that included (a) demographic items; (b) an item assessing the problem domain(s) of focus during their therapy; and (c) the presence/absence of 8 EBP elements and the extent to which they were a focus of their psychotherapy...
September 4, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28815684/cognitive-psychophysiological-treatment-of-bodily-focused-repetitive-behaviors-in-adults-an-open-trial
#10
Kieron O'Connor, Marc Lavoie, Benoît Desaulniers, Jean-Sébastien Audet
BACKGROUND: Body-focused repetitive behaviors (BFRBs), such as hair pulling, skin picking, and nail biting, are repetitive, destructive, and nonfunctional habits that cause significant distress. Separate BFRBs form a cohesive group and could be assessed as part of the Tourette/tic spectrum or obsessive-compulsive spectrum of disorders. The treatment of choice is either antidepressant or behavioral treatment, both of which have shown effectiveness. The cognitive psychophysiological (CoPs) model focuses on the tension and emotional build up that triggers habits by addressing cognitive-behavioral, emotional and psychophysiological processes preceding onset rather than the habit itself...
August 16, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28815600/the-many-facets-of-mindfulness-and-the-prediction-of-change-following-mindfulness-based-stress-reduction-mbsr
#11
Michael J Gawrysiak, Stevie N Grassetti, Jeffrey M Greeson, Ryan C Shorey, Ryan Pohlig, Michael J Baime
OBJECTIVES: Mindfulness-based stress reduction (MBSR) promotes numerous psychological benefits, but few studies have identified for whom MBSR is most effective. The current study tested the hypothesis that lower baseline mindfulness invites more "room to grow" and, thus, predicts greater improvement during MBSR. METHOD: We examined three facets of mindfulness (awareness, acceptance, decentering) among 131 MBSR participants prior to enrollment, to test the hypothesis that lower baseline mindfulness predicts greater improvements in perceived stress, positive affect (PA), and negative affect (NA) following MBSR...
August 16, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28776663/case-conceptualization-research-in-cognitive-behavior-therapy-a-state-of-the-science-review
#12
Michael H Easden, Nikolaos Kazantzis
OBJECTIVE: Prominent models of cognitive behavior therapy (CBT) assert that case conceptualization is crucial for tailoring interventions to adequately address the needs of the individual client. We aimed to review the research on case conceptualization in CBT. METHOD: We conducted a systematic search of PsychINFO, MEDLINE, Psychology and Behavioral Science Collection, and CINAHL databases to February 2016. RESULTS: A total of 24 studies that met inclusion criteria were identified...
August 4, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28759111/daily-mindful-responding-mediates-the-effect-of-meditation-practice-on-stress-and-mood-the-role-of-practice-duration-and-adherence
#13
Julien Lacaille, Gentiana Sadikaj, Midori Nishioka, Kimberly Carrière, Joseph Flanders, Bärbel Knäuper
OBJECTIVE: Although meditation practice is an important component of many mindfulness-based interventions (MBIs), empirical findings of its effects on psychological functioning are mixed and the mechanisms for the effects remain unclear. Responding with mindfulness (i.e., returning one's attention back to a nonjudgmental, present-oriented awareness) is a fundamental skill practiced in meditations. With repeated meditation practice, this skill is thought to become internalized and be applied to one's daily life...
July 31, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28752554/a-systematic-review-of-the-impact-of-mindfulness-on-the-well-being-of-healthcare-professionals
#14
Tim Lomas, Juan Carlos Medina, Itai Ivtzan, Silke Rupprecht, Francisco José Eiroa-Orosa
OBJECTIVE: Among efforts to improve the well-being of healthcare professionals are initiatives based around mindfulness meditation. To understand the value of such initiatives, we conducted a systematic review of empirical studies pertaining to mindfulness in healthcare professionals. METHOD: Databases were reviewed from the start of records to January 2016. Eligibility criteria included empirical analyses of mindfulness and well-being outcomes acquired in relation to practice...
July 28, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28685838/do-undiagnosed-suicide-decedents-have-symptoms-of-a-mental-disorder
#15
Thomas E Joiner, Jennifer M Buchman-Schmitt, Carol Chu
BACKGROUND: Psychological autopsy studies consistently report that the rate of detected mental disorders among suicide decedents is below 100%. This implies three possibilities: (a) a subset of suicide decedents did not have a mental disorder at the time of death; (b) all suicide decedents suffered from a mental disorder, but some were undetected due to methodological limitations; and/or (c) suicide decedents with an undetected mental disorder displayed significant and perhaps subclinical features of a mental disorder...
July 7, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28685823/current-patterns-of-training-in-personality-assessment-during-internship
#16
James M Stedman, Cindy A McGeary, Joshua Essery
OBJECTIVE: Training in broad-based objective and projective personality assessments has been a mainstay of applied psychology. Stedman (2007) and Piotrowski (2015) have documented a decline in projective training during internship. This study investigated internship directors' current expectations regarding graduate school training with objective and projective instruments, their ratings of the importance of that training, and current training patterns with objective and projective instruments during internship...
July 7, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28672075/severity-of-suicidal-ideation-matters-reexamining-correlates-of-suicidal-ideation-using-quantile-regression
#17
Megan L Rogers, Thomas E Joiner
OBJECTIVE: Numerous risk factors have been identified for suicidal ideation, including perceived burdensomeness, thwarted belongingness, agitation, insomnia, nightmares, cognitive anxiety sensitivity, and rumination. However, the complexity of these associations has not been well studied; the magnitude of these effects may vary at differing levels of suicidal ideation. The present study reexamined established risk factors for suicidal ideation using quantile regression, a statistical technique that calculates the effect at numerous quantiles of suicidal ideation, as opposed to the average effect across all quantiles...
July 3, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/27906447/validation-of-the-parental-facilitation-of-mastery-scale-ii
#18
Alyson K Zalta, Kelly M Allred, Eranda Jayawickreme, Laura E R Blackie, Dianne L Chambless
To develop a more reliable and comprehensive version of the Parental Facilitation of Mastery Scale (PFMS) METHOD: In Study 1, 387 undergraduates completed an expanded PFMS (PFMS-II) and measures of parenting, perceived control, responses to early life challenges, and psychopathology. In Study 2, 182 trauma-exposed community participants completed the PFMS-II and measures of perceived control, psychopathology, and well-being RESULTS: In Study 1, exploratory factor analysis of the PFMS-II revealed two factors...
October 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28294318/impact-of-killing-in-war-a-randomized-controlled-pilot-trial
#19
Shira Maguen, Kristine Burkman, Erin Madden, Julie Dinh, Jeane Bosch, Jessica Keyser, Martha Schmitz, Thomas C Neylan
OBJECTIVE: The purpose of this pilot study was to test the effectiveness of Impact of Killing (IOK), a novel, cognitive-behavioral treatment (CBT) aimed at reducing mental health symptoms and functional impairment. METHOD: Participants were 33 combat Veterans with a posttraumatic stress disorder (PTSD) diagnosis who had completed trauma-focused psychotherapy and reported distress regarding killing or feeling responsible for the deaths of others in war. Veterans were randomized to either IOK treatment or a 6-week waitlist condition, after which Veterans could receive IOK...
September 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28195649/validity-and-utility-of-the-patient-health-questionnaire-phq-2-and-phq-9-for-screening-and-diagnosis-of-depression-in-rural-chiapas-mexico-a-cross-sectional-study
#20
Jafet Arrieta, Mercedes Aguerrebere, Giuseppe Raviola, Hugo Flores, Patrick Elliott, Azucena Espinosa, Andrea Reyes, Eduardo Ortiz-Panozo, Elena G Rodriguez-Gutierrez, Joia Mukherjee, Daniel Palazuelos, Molly F Franke
BACKGROUND: Depressive disorders are frequently under diagnosed in resource-limited settings because of lack of access to mental health care or the inability of healthcare providers to recognize them. The Patient Health Questionnaire (PHQ)-2 and the PHQ-9 have been widely used for screening and diagnosis of depression in primary care settings; however, the validity of their use in rural, Spanish-speaking populations is unknown. METHOD: We used a cross-sectional design to assess the psychometric properties of the PHQ-9 for depression diagnosis and estimated the sensitivity and specificity of the PHQ-2 for depression screening...
September 2017: Journal of Clinical Psychology
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