MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Journal of Clinical Psychology' source. Thu, 09 Feb 2012 02:31:52 +0100 http://www.medworm.com/index.php?rid=5661443&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.21828 ConclusionsThe Anxiety Depression Distress Inventory‐27 dimensions of low positive affect and somatic anxiety provided optimal detection of depression and panic disorder, respectively, as hypothesized, supporting discriminant validity. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5661443 Fri, 03 Feb 2012 05:00:00 +0100 5661443 http://www.medworm.com/index.php?rid=5661442&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20864 ConclusionsPsyD students rated a program's structure, tone, and reputation as particularly important factors to consider in selecting a program. Students' quality ratings were used to determine the top 5 programs for each of the factors assessed in the study. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5661442 Fri, 03 Feb 2012 05:00:00 +0100 5661442 http://www.medworm.com/index.php?rid=5661441&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.21827 ConclusionsOverall, findings demonstrate that proration and linear scaling methods are feasible procedures when estimating actual Indexes. There was no advantage of one computational method over the other. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5661441 Fri, 03 Feb 2012 05:00:00 +0100 5661441 http://www.medworm.com/index.php?rid=5661440&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20867 ConclusionsThese results provide general support for the 5‐factor structure of the K‐MCQ‐30 and its good concurrent validity in nonclinical samples. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5661440 Fri, 03 Feb 2012 05:00:00 +0100 5661440 http://www.medworm.com/index.php?rid=5661439&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20870 ConclusionThese results suggest that emotion regulation difficulties and interpersonal problems may be particularly problematic for those with high BPD symptoms in different ways. Implications and future directions are discussed. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5661439 Fri, 03 Feb 2012 05:00:00 +0100 5661439 http://www.medworm.com/index.php?rid=5661438&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20866 ConclusionsThese findings are discussed in terms of their implications for mental health services designed to anticipate and address client‐related companion animal needs. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5661438 Fri, 03 Feb 2012 05:00:00 +0100 5661438 http://www.medworm.com/index.php?rid=5661437&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20869 ConclusionsLimitations of the study and further implications for treatment outcome research are discussed. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5661437 Fri, 03 Feb 2012 05:00:00 +0100 5661437 http://www.medworm.com/index.php?rid=5661436&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20862 ConclusionsResults suggest that the maladaptive consequences and precipitants of adolescent romantic activities extend beyond depression, but also imply that this association is not secondary to comorbid symptoms. Future work should clarify causal pathways. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5661436 Fri, 03 Feb 2012 05:00:00 +0100 5661436 http://www.medworm.com/index.php?rid=5661435&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20865 ConclusionsThis study provided evidence that the concerns held by socially anxious individuals that others will judge them negatively based on their signs of anxiety is accurate to a degree. These findings might inform the process of cognitive restructuring for social anxiety. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5661435 Fri, 03 Feb 2012 05:00:00 +0100 5661435 http://www.medworm.com/index.php?rid=5661434&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20868 ConclusionsThe results are inconsistent with the cognitive model, because patients with SAD did not underestimate their performance. Compared with spontaneous interactions, the clear rules established for such social situations as speeches may result in less cognitive distortion for SAD patients. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5661434 Wed, 01 Feb 2012 05:00:00 +0100 5661434 http://www.medworm.com/index.php?rid=5631336&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.21835 This article examines the research on patient‐psychotherapist collaboration in ways that can inform and improve clinical practice. Clinical wisdom suggests and research supports the importance of goal consensus and collaboration; empirical support for this assertion is summarized and the implications for practice are provided. Then, we present a method of heightening collaboration through the use of assessment and feedback. Systematically monitoring psychological functioning, client perceptions of the therapeutic relationship, motivation and expectations of therapy, social support network, and untoward life events can enhance collaboration and ultimately treatment outcomes. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5631336 Fri, 27 Jan 2012 07:33:34 +0100 5631336 http://www.medworm.com/index.php?rid=5631335&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.21836 Collaboration in pharmacotherapy implies a professional willing to prescribe an effective medication and a patient willing to adhere to the therapeutic regimen in order for both to achieve their common goal. This relationship requires trust in the relationship, collaboration in goal setting, and effective means for promoting and restoring mental health. Variables like illness insight and patients’ attitudes towards medication should be dealt within a collaborative relationship. Several methods of shared decision making, culled from the research literature and clinical experience, promote such prescriber‐patient collaboration and, even more specifically, medication adherence. Detailed physician‐patient interactions in 2 cases, one of a depressed patient and one of a patient suffering ... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5631335 Fri, 27 Jan 2012 07:33:33 +0100 5631335 http://www.medworm.com/index.php?rid=5631334&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.21829 This article offers concrete guidance grounded in empirical research on therapist behaviors and treatment features to enhance collaboration in multicultural therapy. This is followed by a multicultural case study of a patient presenting with several co‐morbid disorders to exemplify the application of these guidelines over the course of therapy. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5631334 Fri, 27 Jan 2012 07:33:31 +0100 5631334 http://www.medworm.com/index.php?rid=5631333&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.21832 In this article, we describe the nature of therapeutic collaboration between psychotherapist and group participants in mindfulness‐based cognitive therapy (MBCT), which occurs in a group format and incorporates cognitive therapy and mindfulness practices with the aim of preventing depression relapse. Collaboration is a central part of two components of MBCT: inquiry and leading mindfulness practices. During the process of inquiry, the therapist‐initiated questions about the participant's moment‐to‐moment experience of the practice occurs in a context of curious, open, and warm attitudes. In addition, collaboration is maintained through co‐participation in mindfulness practices. We provide a case illustration of collaboration in these contexts and conclude with recommendations for... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5631333 Fri, 27 Jan 2012 07:33:30 +0100 5631333 http://www.medworm.com/index.php?rid=5631332&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.21833 This article summarizes and illustrates the collaboration strategies used by several family therapies. The strategies used within multisystemic therapy (MST) are emphasized because it has demonstrated high rates of treatment completion and favorable outcomes in multiple clinical trials. Many of the collaboration strategies in family work are common to other forms of evidence‐based psychotherapy (e.g., reflective listening, empathy, reframing, and displays of authenticity and flexibility); however, some strategies are unique to family systems treatments, such as the identification of strengths across multiple systems in the youth's social ecology and the maintenance of a family (versus a child) focus during treatment. A case example illustrates collaboration and engagement in the context ... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5631332 Fri, 27 Jan 2012 07:33:29 +0100 5631332 http://www.medworm.com/index.php?rid=5631331&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.21830 We offer a view of the nature and role of client‐therapist collaboration in experiential psychotherapy, focusing on Gestalt and emotion‐focused therapy (EFT). We distinguish between the necessary condition of mutual trust (the emotional bond between client and therapist) and effective collaboration (regarding the goals and tasks of therapy). Using a case study of experiential therapy for social anxiety, we illustrate how the development of collaboration can be both complex and pivotal for therapeutic success, and how it can involve client and therapist encountering one another through taking risks by openly and nonjudgementally disclosing difficult experiences in order to enrich and advance the work. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5631331 Fri, 27 Jan 2012 07:33:28 +0100 5631331 http://www.medworm.com/index.php?rid=5631330&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.21831 This article focuses on the development of a therapeutic relationship and implementation of collaborative empiricism along with the elements that lead to success in treatment. This method is used to uncover patients’ automatic thoughts and underlying beliefs in treating an array of emotional and behavioral disorders. The role of the therapist is discussed in developing, promoting, and maintaining therapeutic collaboration and what is constituted by the empirical process. A case study illustrates the use of collaborative empiricism with a patient suffering from panic disorder. The article concludes with a series of clinical practices that will enhance collaborative empiricism and collaboration in CBT, and thereby treatment outcomes. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5631330 Fri, 27 Jan 2012 07:33:26 +0100 5631330 http://www.medworm.com/index.php?rid=5631329&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.21834 The concept of the collaborative relationship between patient and therapist has its roots in the psychodynamic literature. We trace the concept of collaboration in psychodynamic psychotherapy from classical psychoanalysis to contemporary psychoanalysis and psychodynamic therapies. The active collaboration between the participants central to Bordin's pan‐theoretical perspective on the alliance is highlighted. Developments in alliance‐fostering techniques and in relational therapy offer the clinician innovative ways to enhance the collaboration and to repair strained or ruptured collaboration. A case study illustrates how the collaborative work in psychodynamic therapy serves as both a means of productive work and as an arena for exploring the evolving here‐and‐now matrix of the rela... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5631329 Fri, 27 Jan 2012 07:33:25 +0100 5631329 http://www.medworm.com/index.php?rid=5631328&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.21837 This article introduces an issue of the Journal of Clinical Psychology: In Session designed to describe and illustrate the role of the psychotherapist in facilitating collaboration. Expert practitioners present case examples of collaboration in psychodynamic psychotherapy, cognitive‐behavioral therapy, experiential therapy, family therapy, mindfulness‐based cognitive therapy, multicultural therapy, and in the context of pharmacotherapy. In the final article, a practitioner‐friendly review of empirical research on collaboration is offered. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5631328 Fri, 27 Jan 2012 07:33:23 +0100 5631328 http://www.medworm.com/index.php?rid=5479226&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20857 Conclusion: An 8‐week mindfulness training program might increase mindful awareness in daily life and have beneficial impact on clinically relevant emotion regulation processes. © 2011 Wiley Periodicals, Inc. J Clin Psychol 68:1–15, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5479226 Mon, 05 Dec 2011 05:00:00 +0100 5479226 http://www.medworm.com/index.php?rid=5479225&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20854 AbstractWhereas previous interpersonal research in depression has frequently used self‐reports, patients' impact on others is rarely analyzed. We analyzed impacts of 180 depressed psychotherapy outpatients out of 832 diagnostically heterogeneous patients as rated by their significant others. Depressed patients were perceived as more submissive, hostile‐submissive, and friendly‐submissive, and as less dominant and friendly‐dominant than patients with other principle disorders. After therapy, the 59 depressed patients whose significant others also provided data after treatment were perceived as less submissive (friendly‐submissive, submissive, hostile‐submissive) and more dominant and friendly‐dominant. Whereas a decrease in submissiveness and hostile‐submissiveness was assoc... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5479225 Thu, 01 Dec 2011 05:00:00 +0100 5479225 http://www.medworm.com/index.php?rid=5470767&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20859 Conclusions: Proper assessment of suicide risk should include a comprehensive evaluation of demographic characteristics, recent life stressors, and psychiatric diagnosis. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session 67:1–15, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5470767 Thu, 01 Dec 2011 05:00:00 +0100 5470767 http://www.medworm.com/index.php?rid=5460980&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20855 Conclusions: These findings suggest that between‐session practice and therapeutic alliance might be important factors in the initial increases in mindfulness after mindfulness‐based treatments, but factors supporting longer term mindfulness might shift over time. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–10, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5460980 Thu, 01 Dec 2011 05:00:00 +0100 5460980 http://www.medworm.com/index.php?rid=5460981&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20856 Conclusions: Given the proposed shift in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM‐5) to a dimensional conceptualization of psychological components of personality dysfunction, the PBQ is likely to remain relevant and useful for identifying such components in individuals with personality disorders. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session 68:1–13, 2012. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5460981 Wed, 30 Nov 2011 05:00:00 +0100 5460981 http://www.medworm.com/index.php?rid=5451179&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20852 AbstractThe current study examined the interaction of attachment orientation and acute social maladjustment as risk factors for death ideation in a sample of women with Major Depression and histories of childhood sexual abuse. Social maladjustment was associated with greater endorsement of death ideation. Avoidant and anxious attachment orientations moderated the social maladjustment and death ideation associations in some domains. Work‐related maladjustment was associated with greater odds of death ideation for those with higher attachment avoidance. Parent‐role maladjustment was associated with greater odds of death ideation for those with lower attachment anxiety. Findings demonstrate strong associations between death ideation and social maladjustment, and suggest that death ideatio... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5451179 Mon, 28 Nov 2011 20:05:18 +0100 5451179 http://www.medworm.com/index.php?rid=5451180&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20853 Conclusions: MBSR shows promise as an intervention for PTSD and warrants further study in randomized controlled trials. © 2011 Wiley Periodicals, Inc. J Clin Psychol 68:1–16, 2012. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5451180 Mon, 28 Nov 2011 05:00:00 +0100 5451180 http://www.medworm.com/index.php?rid=5433778&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20842 Conclusions: Results from this study indicate that older adults have very good self‐reported treatment outcomes. The modest influence of individual characteristics on treatment outcomes suggests the potential importance of contextual characteristics. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1197–1209, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5433778 Tue, 22 Nov 2011 19:42:02 +0100 5433778 http://www.medworm.com/index.php?rid=5433777&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20851 Conclusions: Behavioral markers of clean slate effects might result in identifying phenotypes associated with psychological concerns typified by compromised decision making. © 2011 Wiley Periodicals, Inc. J Clin Psychol 68:1–7, 2012. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5433777 Tue, 22 Nov 2011 19:41:49 +0100 5433777 http://www.medworm.com/index.php?rid=5391693&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20844 Conclusions: Both therapeutic interventions and case formulation might be strengthened by considering an individual's personality features and match to one of the identified subtypes. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session 67:1–24, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5391693 Wed, 09 Nov 2011 05:00:00 +0100 5391693 http://www.medworm.com/index.php?rid=5391694&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20841 Conclusions: The current findings are supportive of the MLQ's utility with individuals with SMI. Limitations and directions for research are offered. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–10, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5391694 Tue, 08 Nov 2011 05:00:00 +0100 5391694 http://www.medworm.com/index.php?rid=5391695&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20845 Conclusions: Results support the role of insomnia in the development of additional psychological problems and highlight the clinical implications for combat veterans, to include the importance of longitudinal assessment and monitoring of sleep disturbances, and the need for early intervention. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–19, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5391695 Mon, 07 Nov 2011 05:00:00 +0100 5391695 http://www.medworm.com/index.php?rid=5368022&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20846 Conclusions: The results supported rumination as a moderator and mediator in the association between IU and depression and anxiety symptoms. Future research and practical implications are discussed. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–20, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5368022 Thu, 03 Nov 2011 04:00:00 +0100 5368022 http://www.medworm.com/index.php?rid=5391692&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20838 Conclusions: Religious variables, including religious support and spiritual struggle, might affect recovery from severe mental illnesses. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–16, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5391692 Tue, 01 Nov 2011 04:00:00 +0100 5391692 http://www.medworm.com/index.php?rid=5368021&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20839 Conclusions: This study confirms the relative stability of alexithymia and that the lack of absolute stability of the construct is influenced by psychological intervention in cancer patients. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–11, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5368021 Tue, 01 Nov 2011 04:00:00 +0100 5368021 http://www.medworm.com/index.php?rid=5368024&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20837 Conclusions: This study quantified PTG resulting from deployment and demonstrated the degree to which combat experiences might result in PTG. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–10, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5368024 Mon, 31 Oct 2011 04:00:00 +0100 5368024 http://www.medworm.com/index.php?rid=5368023&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20843 Conclusions: Scrupulous individuals have unique treatment‐seeking preferences. Moreover, most scrupulous individuals perceive their symptoms as interfering with their religious experience. Focusing on the religious costs and benefits of scrupulous rituals might have clinical utility. Finally, scrupulous individuals with a more negative concept of God experienced more severe symptoms. Future research is necessary to evaluate whether addressing such concepts can improve treatment outcome. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–9, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5368023 Mon, 31 Oct 2011 04:00:00 +0100 5368023 http://www.medworm.com/index.php?rid=5307008&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20849 AbstractIn this article, treatment failure in humanistic experiential psychotherapy is defined and explored. I outline several markers that indicate when treatment is not going well. Factors that contribute to failure include client factors, for example, emotional processing capacities, shame, and impoverished narratives, as well as therapist factors including lack of empathic attunement and inflexibility. Treatment failure is illuminated with a case example drawn from humanistic/experiential psychotherapy, and clinical strategies for dealing with failures are recommended. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session, 67:1117–1128, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5307008 Wed, 12 Oct 2011 19:38:39 +0100 5307008 http://www.medworm.com/index.php?rid=5307007&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20831 Conclusions: Results are consistent with previous research demonstrating that patient‐focused warning systems can be reasonably accurate in identifying youth cases at risk for treatment failure. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–17, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5307007 Wed, 12 Oct 2011 19:38:27 +0100 5307007 http://www.medworm.com/index.php?rid=5277116&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20850 AbstractInterpersonal psychotherapy (IPT) is an effective treatment for depression across the lifespan and across cultures. However, even when delivered with fidelity, some patients drop out and others do not improve sufficiently. Attention to IPT treatment attrition, dropout, nonresponse, or failure can elucidate its limitations and the opportunities to improve its effectiveness. Studies of factors known to moderate and negatively predict IPT depression treatment response are reviewed along with recommended modifications to improve outcomes. Although the risk of treatment failure always exists, it is possible to enhance treatment effectiveness by attending to the therapeutic alliance, strategically addressing depression, and adapting IPT to patient characteristics. These include adding ph... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5277116 Sat, 01 Oct 2011 04:00:00 +0100 5277116 http://www.medworm.com/index.php?rid=5277117&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20858 This article introduces an issue of the Journal of Clinical Psychology:In Session devoted to treatment failures in psychotherapy. In contrast to recent attention from the research perspective and cognitive‐behavioral orientation, this issue focuses on clinical material from multiple theoretical perspectives. This article provides an overview of some of the empirical and definitional issues on treatment failure and then outlines the five subsequent articles, each of which offers an interesting case illustration. The article concludes with several transtheoretical recommendations for reducing the incidence of therapeutic failures. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session 67:1–3, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5277117 Fri, 30 Sep 2011 04:00:00 +0100 5277117 http://www.medworm.com/index.php?rid=5264118&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20848 This article discusses treatment failures in child therapy, specifically cognitive‐behavioral therapy (CBT) for anxiety and its disorders. The theoretical foundations and principles of CBT are discussed first, followed by a summary of the treatment outcome literature. Also discussed is how treatment failure is defined and gauged in CBT, as well as factors implicated in treatment failure. A case illustration highlights these factors, which resulted in the child not advancing positively in treatment. The article concludes with key practice recommendations. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session 67:1–11, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5264118 Thu, 29 Sep 2011 21:31:05 +0100 5264118 http://www.medworm.com/index.php?rid=5253779&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20828 AbstractThe purpose of the current article is to encourage discussion among stakeholders about the viability and benefits of predoctoral prescriptive authority (RxP) training. The existing APA model curriculum for RxP training requires that such training is postdoctoral. However, predoctoral models are potentially viable and offer several distinct advantages: reducing the time and financial costs of training, attracting more applicants with a biopsychosocial orientation, and, as more individuals complete this training, enlarging the constituency for state prescriptive authority initiatives. Several possible predoctoral model curricula including the incorporation of a postdoctoral master's degree in clinical psychopharmacology are described within existing APA PhD program requirements, with... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5253779 Mon, 26 Sep 2011 12:03:42 +0100 5253779 http://www.medworm.com/index.php?rid=5253780&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20840 AbstractBehavioral activation (BA) has come to be recognized as an empirically supported treatment for depression. Despite the general success of the approach, many patients experience treatment failure. Based on behavioral models of depression, we present several reasons for treatment failure in BA, including patient inability to understand and adopt the treatment rationale, lack of awareness or ability to articulate and behave according to life values, behavioral noncompliance, and ineffectiveness of contingency management to increase exposure to environmental rewards and reduce contact with both aversive environmental events and reinforcement of depressed behavior. A case study of treatment failure with a depressed breast cancer patient is presented, along with recommendations to reduce... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5253780 Fri, 23 Sep 2011 04:00:00 +0100 5253780 http://www.medworm.com/index.php?rid=5241485&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20835 Conclusions: Dysfunctional anger can be viewed by researchers and clinicians as an independent diagnostic entity. The implications of these results for the diagnosis and treatment of patients with anger symptoms is discussed. © 2011 Wiley Periodicals, Inc. J Clin Psychol: 67:1–11, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5241485 Thu, 22 Sep 2011 20:02:24 +0100 5241485 http://www.medworm.com/index.php?rid=5241486&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20847 This article addresses the issue of failures in psychodynamic psychotherapy. Drawing on the clinical and research literatures, and utilizing our clinical experiences, we first describe and define criteria for success and failure in treatment. We then review five factors that can lead to failure: client factors, therapist factors, technical factors, relationship factors, and environmental factors. We illustrate our presentation with a case example, and conclude by discussing ways in which the likelihood of failures in psychodynamic treatment can be lowered. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session 67:1–10, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5241486 Tue, 20 Sep 2011 04:00:00 +0100 5241486 http://www.medworm.com/index.php?rid=5229327&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20836 AbstractEmotion regulation is widely studied in many areas of psychology and the number of publications on emotion regulation has increased exponentially over the past few decades. Additionally, interest in the relationships between emotion dysregulation processes and psychopathology has drastically increased in recent years. The Emotion Regulation Questionnaire (ERQ) was developed to measure two specific constructs related to emotion control: reappraisal and suppression (Gross & John, 2003). In its initial validation study and subsequent analyses, the instrument was shown to possess sound psychometric properties, but, to date, inquiry regarding the measure's characteristics has been limited. Factor analytic examinations of commonly used instruments are recommended to validate the prop... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5229327 Mon, 19 Sep 2011 09:50:59 +0100 5229327 http://www.medworm.com/index.php?rid=5241489&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20830 Conclusion: Preliminary evidence suggests that MMT is a feasible and acceptable treatment that decreases dysregulated behaviors such as substance use and aggression, while also potentially increasing retention. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–17, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5241489 Mon, 19 Sep 2011 04:00:00 +0100 5241489 http://www.medworm.com/index.php?rid=5198855&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20832 AbstractTo identify barriers to the dissemination of empirically supported treatments (ESTs), a random sample of psychologists in independent practice (N=1291) was asked to complete measures of attitudes towards ESTs and willingness to attend a 3‐hour, 1‐day, or 3‐day workshop in an EST of their choice. The strongest predictor of unwillingness to obtain EST training was the amount of time and cost required for the workshop, followed by objections to the need for EST training. Psychodynamic (compared to cognitive‐behavioral) and more experienced practitioners agreed more strongly with the objections to ESTs overall, as did those whose graduate schools had not emphasized psychotherapy research. Results suggest that both practical and theoretical barriers are significant obstacles to ... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5198855 Wed, 31 Aug 2011 23:00:00 +0100 5198855 http://www.medworm.com/index.php?rid=5165306&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20833 We examined effects of stress, depression, and their interaction on sympathetic‐parasympathetic responses, including percentage heart rate (PHR), percentage skin conductance (PSC), percentage finger temperature (PTEMP), and percentage respiratory rate (PRESPR). Participants were categorized into normal, low‐risk, and high‐risk depression groups under stress or no‐stress by measuring psychophysiological responses. Stress increased PHR and PSC and decreased PTEMP. Depression negatively correlated with PHR and PTEMP. PSC and PTEMP were significantly dependent on and positively correlated with depression. PTEMP was significantly affected by the stress and depression interaction. Stress affects sympathetic, rather than parasympathetic, activity. Depression and the interaction between st... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5165306 Sat, 27 Aug 2011 20:51:17 +0100 5165306 http://www.medworm.com/index.php?rid=5099655&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20827 This article contrasts two case definitions for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). We compared the empiric CFS case definition (Reeves et al., 2005) and the Canadian ME/CFS clinical case definition (Carruthers et al., 2003) with a sample of individuals with CFS versus those without. Data mining with decision trees was used to identify the best items to identify patients with CFS. Data mining is a statistical technique that was used to help determine which of the survey questions were most effective for accurately classifying cases. The empiric criteria identified about 79% of patients with CFS and the Canadian criteria identified 87% of patients. Items identified by the Canadian criteria had more construct validity. The implications of these findings are discussed... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5099655 Sat, 06 Aug 2011 22:28:59 +0100 5099655 http://www.medworm.com/index.php?rid=5099656&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20829 This study examined changes in carer adjustment over 12 months and identified risk and protective factors using stress/coping theory. Eighty‐seven carers completed questionnaires at Time 1 and 12 months later (Time 2). The risk/protective factors were background variables, coping resources, appraisals, and coping strategies. Adjustment outcomes were stable over 12 months. Stress/coping variables were associated with one or more Time 2 adjustment outcomes when controlling for initial adjustment and the direction of these associations were consistent with predictions. Findings support the application of stress/coping theory to guide identification of modifiable risk and protective factors associated with caregiver adjustment. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–16, 2011. ... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5099656 Wed, 03 Aug 2011 23:00:00 +0100 5099656 http://www.medworm.com/index.php?rid=5072793&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20834 AbstractThe Journal of Clinical Psychology now features articles accepted by the new editorial team that will direct the journal over the next 5 years. Timothy R. Elliott serves as editor‐in‐chief and James Overholser is the senior associate editor. Associate editors are Linda Castillo, Kathleen Chwalisz, Stephanie Felgoise, and Bruce Rybarczyk. This editorial presents the editorial vision for the journal over the next 5 years, and presents changes in journal content. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–7, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5072793 Fri, 29 Jul 2011 17:38:06 +0100 5072793 http://www.medworm.com/index.php?rid=5072794&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20826 This study aims to compare the factor structure of the English and the German versions of the IEQ and to explore the relation of IE to the therapeutic alliance, as a key process variable usually associated with outcome. Factor analyses on a total of 7,550 IEQ reports from 769 patients in outpatient, day hospital, and inpatient treatment showed almost identical factor structures in both countries and across different therapy settings. Significant associations were found between certain IE factors and therapeutic alliance, varying in strength (0.27≤r2≤0.66) by treatment duration and country. Theoretical, clinical and research implications of the findings are discussed. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–20, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=5072794 Wed, 27 Jul 2011 23:00:00 +0100 5072794 http://www.medworm.com/index.php?rid=4979311&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20821 This article offers both a practice‐friendly review of research on therapists' personal therapy and a new study of personal psychotherapy among 3,995 psychologists, counselors, social workers, psychiatrists, and nurses in 6 English‐speaking countries. The prevalence of personal therapy as it relates to professional discipline, theoretical orientation, gender, and career level are studied. Findings showed that 87% of the overall sample embarked on personal therapy at least once: 94% of analytic/psychodynamic therapists, 91% of humanistic therapists, 73% of cognitive‐behavioral therapists, 82% of the novice therapists to 89% of senior therapists. Both the existing research and this new study demonstrate the extraordinary commonality of personal therapy among psychotherapists, and encou... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4979311 Wed, 29 Jun 2011 23:30:45 +0100 4979311 http://www.medworm.com/index.php?rid=4972306&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20818 This article traces the author's experiences in sensitivity, Tavistock, and psychotherapy groups, an experience in individual psychotherapy, and two experiences in psychoanalysis. Group work was very helpful in learning how the author came across to others in general and in improving the author's ways of being helpful to others. Although the experience was valuable, difficulties emerged in the first psychoanalysis, largely because of the psychoanalyst's belief that psychoanalysis was the best form of treatment for everyone. Desiring a variety of approaches, the author undertook a second analysis with more of an integrative and intuitive therapist, which worked better for her. Lasting lessons are shared from this series of personal therapy experiences. © 2011 Wiley Periodicals, Inc. J Clin... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4972306 Tue, 28 Jun 2011 03:14:55 +0100 4972306 http://www.medworm.com/index.php?rid=4941132&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20822 This article describes the author's experience in psychotherapy, beginning as a suicidal teenager with a dismal prognosis, through 5 years of hospitalization, including shock treatment that erased most memory before age 20, through an Ivy League education, and successful professional career. Retraumatization triggered by reading her hospital records 40 years later adds a unique perspective, as the author watched, but could not control, a process within herself that she regularly addressed as therapist with her own patients. Healing aspects of relationships with three psychodynamic psychotherapists (two psychiatrists and a social worker), credited with her survival and success, are examined. A dramatic interview with Harold Searles, her psychiatrist's supervisor, and its role in her recover... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4941132 Sun, 19 Jun 2011 00:31:58 +0100 4941132 http://www.medworm.com/index.php?rid=4941133&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20824 This article describes my 30+ years of psychoanalysis, the bulk of which has occurred on the telephone. I am publishing the article anonymously so that I can speak freely, without family or professional repercussions, about these vital topics. Of the myriad issues that have been addressed in the treatment, I have elected to focus in this article on separation‐individuation challenges, adult‐life trauma, career dynamics, silences in analysis, and the value of consultations and adjunctive treatments. The article focuses on the applicability of these themes to my personal life and their relevance to me as a clinician and clinical supervisor. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session 67:1–10, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4941133 Wed, 15 Jun 2011 23:00:00 +0100 4941133 http://www.medworm.com/index.php?rid=4925938&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20823 AbstractThe subjective experience of the psychologist‐author when addressing and undergoing a surgical procedure is described, including—consistent with his own theoretical and technical orientation‐—the use of various brief therapy and hypnotherapy methods. A narrative of events is presented with interspersed comments about internal processes and reflections. A discussion of “Lessons Learned and Offered,” including various comments about personal therapy (therapist as patient), then completes the article. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session 67:1–10, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4925938 Tue, 14 Jun 2011 16:01:07 +0100 4925938 http://www.medworm.com/index.php?rid=4916437&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20815 AbstractThis longitudinal study was undertaken to clarify the relationships among self‐esteem, interpersonal dependency, and depression, focusing on a trait and state component of interpersonal dependency and depression. In a sample of 466 working people, self‐esteem, interpersonal dependency, job stressor, and depression were assessed at 2 points of time. A structural equation model (SEM) was created to differentiate the trait component of interpersonal dependency, depression and the state component of interpersonal dependency, depression. The model revealed that self‐esteem influenced trait interpersonal dependency and trait depression but not state interpersonal dependency or depression. Setting a latent variable as a trait component to differentiate trait and state in interperson... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4916437 Fri, 10 Jun 2011 22:12:40 +0100 4916437 http://www.medworm.com/index.php?rid=4916438&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20819 This article traces my experiences with personal therapy and addresses how lessons learned can be used and passed on to succeeding generations comprised of one's children and, in my case, my patients and students for the past 45 years. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session 67:1–5, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4916438 Wed, 08 Jun 2011 23:00:00 +0100 4916438 http://www.medworm.com/index.php?rid=4907211&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20825 (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4907211 Wed, 08 Jun 2011 17:24:19 +0100 4907211 http://www.medworm.com/index.php?rid=4907207&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20810 AbstractRandomized, controlled studies have documented positive physical and psychological effects of writing about traumatic stress. Some of these studies have shown that individual differences play an important role, with participants responding differently to the intervention based on their personal characteristics. In the present expressive writing experiment, the trait of mindfulness was examined as a potential moderator. Seventy‐six undergraduates were randomly assigned to either expressive writing (n = 37) or a control group (n = 39). Main effects favoring expressive writing were found, and these were qualified by significant interactions with mindfulness. Specifically, individuals with higher mindfulness scores responded better to expressive writing, experiencing greater physical... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4907207 Wed, 08 Jun 2011 17:24:08 +0100 4907207 http://www.medworm.com/index.php?rid=4907210&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20820 This article describes my initial psychotherapy experience with a psychologist who combined a client‐centered/rational‐emotive approach, my existential analysis with Rollo May, and then concludes briefly portraying my current Jungian analysis. I explain how I came to each of these experiences, what I learned from them, and the limitations I have recognized in them. I elaborate on the existential analysis with Rollo May, as it marked a major turning point in my life and thinking. I have been able to describe that experience with the benefit of hindsight, which I do not have with the Jungian analysis. In closing, I offer some suggestions about the role of therapy/analysis in the training of the psychotherapist. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session 67:1–12, 2011. (... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4907210 Sun, 05 Jun 2011 23:00:00 +0100 4907210 http://www.medworm.com/index.php?rid=4907209&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20817 This article introduces a special issue of the Journal of Clinical Psychology: In Session that provides 6 psychologists' narrative accounts of their own personal therapies and a practice‐friendly research review on the characteristics of therapist‐patients and their own treatment experiences. In response to a standard set of questions, highly experienced psychotherapists hailing from diverse theoretical commitments wrote the accounts. Their accounts illuminate subtle nuances of the therapeutic relationship and treatment outcome, perhaps more fully than other sources of data. Much of value can be learned from these essays and the research findings about the linkages between receiving and conducting psychotherapy and about the technical and emotional challenges that arise when treating a... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4907209 Sun, 05 Jun 2011 23:00:00 +0100 4907209 http://www.medworm.com/index.php?rid=4907208&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20816 Conclusions: Emotions are integral to the conceptualization, assessment, and treatment of persistent pain. Research should clarify when to eliminate or attenuate negative emotions, and when to access, experience, and express them. Theory and practice should integrate emotion into cognitive‐behavioral models of persistent pain. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–27, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4907208 Sun, 05 Jun 2011 23:00:00 +0100 4907208 http://www.medworm.com/index.php?rid=4888144&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20812 AbstractDepression and suicide are significant public health concerns for college‐age young adults. Meaning‐based characteristics, such as forgiveness, a voluntary coping process involving offering, feeling, or seeking a change from negative to positive cognitions, behaviors, and affect toward a transgressor, may buffer such poor mental health outcomes. Utilizing mediation analyses, we examined cross‐sectional associations between forgiveness, depression, and suicidal behavior in a diverse student sample reporting mild to severe depressive symptoms. The effect of self‐forgiveness on suicidal behavior was fully mediated by depression; self‐forgiveness was associated with depression and, in turn, with suicidal behavior. Forgiveness of others was directly associated with suicidal be... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4888144 Tue, 31 May 2011 23:00:00 +0100 4888144 http://www.medworm.com/index.php?rid=4888143&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20811 This article reports a systematic review of engagement measures for psychosocial therapy. MEDLINE, EMBASE, and PsycINFO databases were searched to identify English‐language studies (published 1980 to February 2010) that reported on an instrument/rating scale to measure engagement in psychosocial treatment for mental health difficulties. Forty‐seven studies were identified, reporting information on 40 measures of treatment engagement. Although our findings suggest that therapeutic engagement appears to be considered an important construct to assess, they also reveal that there is little consensus in the definition of engagement employed. Few measures are generalizable across treatment settings and clinical populations, and limited information is reported on the indices of reliability an... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4888143 Tue, 31 May 2011 23:00:00 +0100 4888143 http://www.medworm.com/index.php?rid=4888142&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20814 AbstractConstruct drift (Nichols, 2006) describes the possibility that the MMPI‐2 Reconstructed Clinical (RC) scales are less accurate measures of the primary traits than the original Clinical scales. The authors review the development of RC scales RC4, RC7, and RC9 and provide further evidence that these scales measure traits and behaviors that are not necessarily equivalent to those assessed by the original scales. Further, the development of the original Clinical Scale 7 is reviewed and evidence is provided that suggests that construct drift is not a new phenomenon, but may have been present in the development of the original scales. Suggestions for future research as well as cautions with regard to the clinical interpretation of the RC scales are provided. © 2011 Wiley Periodicals, ... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4888142 Tue, 31 May 2011 23:00:00 +0100 4888142 http://www.medworm.com/index.php?rid=4835512&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20809 AbstractThe study examined dispositional optimism s role in buffering the effect of warzone stress on mental health symptoms and mental health symptoms on work impairment. A total of 2,439 soldiers from an active‐duty brigade combat team were surveyed following a 12‐month deployment to Iraq. Posttraumatic stress disorder (PTSD) symptoms, depression symptoms, combat exposure, deployment demands, and work impairment were measured. Soldiers higher in dispositional optimism showed weaker relationships between combat exposure and PTSD symptoms, and between deployment demands and PTSD and depression symptoms. Dispositional optimism also buffered mental health symptom effects on work impairment. Dispositional optimism may protect soldiers from warzone stress and mental health symptoms. Potent... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4835512 Thu, 19 May 2011 15:41:13 +0100 4835512 http://www.medworm.com/index.php?rid=4785032&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20813 AbstractWomen with a history of childhood sexual assault (CSA) are more likely to be revictimized; however, most existing programs aimed at reducing sexual victimization do not expressly address the issue of revictimization. The present study examined the efficacy of a brief mindfulness‐based program in reducing rates of sexual assault and revictimization in college women over the course of an academic semester. Although the results were not statistically significant, a large‐magnitude effect was noted, whereby women with a history of CSA who participated in the program were less likely to be sexually assaulted and raped at 2‐month follow‐up. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–12, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4785032 Thu, 05 May 2011 22:07:14 +0100 4785032 http://www.medworm.com/index.php?rid=4750291&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20807 AbstractSeveral decades of research have shown that people who experience parentification in childhood are at an increased risk of experiencing psychopathology in adulthood. A meta‐analysis was conducted to examine the magnitude of the relation between self‐reported parentification experienced in childhood and psychopathology evidenced in adulthood. Results from 12 nonoverlapping studies (N = 2,472), which were conducted between 1984 and 2010, revealed a small significant but reliable effect (r = .14; 95% confidence interval = .10 to .18). Moderator analyses were performed to explore possible explanations for the variance evidenced between parentification and psychopathology. Moderators that were examined include population factors, methodological factors, and type of psychopathology. ... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4750291 Tue, 26 Apr 2011 19:31:47 +0100 4750291 http://www.medworm.com/index.php?rid=4750292&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20806 AbstractMotive‐Oriented Therapeutic Relationship (MOTR, also called Complementary Therapeutic Relationship) has already shown itself to be related to therapeutic outcome in several studies. The present study aims to test MOTR in a 4‐session Brief Psychodynamic Intervention for patients presenting with major depressive disorder (MDD) and comorbid personality disorder (PD). In total, N = 20 patients were selected; n = 10 had MDD, n = 10 had MDD with comorbid PD. The first therapy session was videotaped and analyzed by means of Plan Analysis and the MOTR scale. Results suggest a differential effect on outcome: only the nonverbal component of MOTR is related to symptomatic change in patients presenting with MDD and comorbid PD; no such effect was found for patients with MDD alone. These re... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4750292 Sun, 24 Apr 2011 23:00:00 +0100 4750292 http://www.medworm.com/index.php?rid=4738173&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20808 AbstractRecent evidence suggests that military suicide rates now exceed those of the general public. Numerous recent efforts to address this growing concern have focused on the interpersonal psychological theory of suicidal behavior (IPTS). In the current study, we explored the relationships among reexperiencing symptoms of posttraumatic stress disorder and the three components of the IPTS in a sample of deployed military personnel examined for traumatic brain injury. Results indicated that reexperiencing symptoms were directly related to the acquired capability for suicide, but their relationships to perceived burdensomeness and thwarted belongingness were statistically explained by general mental health distress. Results indicate that mental rehearsal of painful and provocative experienc... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4738173 Fri, 22 Apr 2011 22:43:18 +0100 4738173 http://www.medworm.com/index.php?rid=4728489&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20805 AbstractUndergraduate students were administered the Test of Memory Malingering (TOMM) and the Structured Inventory of the Malingered Symptomatology (SIMS) and asked to respond honestly, or instructed to feign cognitive dysfunction due to head injury. Before both instruments were administered, symptom‐coached feigners were provided with some information about brain injury, while feigners who received a mix of symptom‐coaching and test‐coaching were given the same information plus advice on how to defeat symptom validity tests. Results show that, although the accuracy of both instruments appears to be somewhat reduced by a mix of symptom coaching and test coaching, the TOMM and SIMS are relatively resistant to different kinds of coaching. © 2011 Wiley Periodicals, Inc. J Clin Psychol... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4728489 Wed, 20 Apr 2011 07:14:15 +0100 4728489 http://www.medworm.com/index.php?rid=4728490&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20804 AbstractDespite growing support for the use of imagery rescripting to treat posttraumatic nightmares (PTNMs), its underlying mechanisms have not been examined. This secondary data analysis piloted the proposal that modification of posttraumatic cognitions is a mechanism of change when using a manualized PTNM imagery rescripting intervention. Significant linear reductions in posttraumatic cognitions were observed from baseline through 6‐month follow‐up evaluations. Change in total negative cognitions was significantly correlated with change in posttraumatic stress disorder symptoms. Initial amount of change in subscale scores also predicted the amount of distal change observed at the 6‐month follow‐up. These findings provide preliminary evidence that trauma‐related cognitions may ... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4728490 Sun, 17 Apr 2011 23:00:00 +0100 4728490 http://www.medworm.com/index.php?rid=4689217&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20803 AbstractChild maltreatment is a serious threat to children's physical and psychological well‐being; therefore, it is critically important to develop high‐quality educational programs to train psychologists in effectively addressing child abuse and neglect. Various health care disciplines and areas within the field of psychology have established competencies as a guide for student training curricula; however, none have been established for the area of child maltreatment. The present article presents training competencies for the field of child maltreatment that have been developed from a program designed to train psychology graduate students to practice and conduct research in child maltreatment. The competencies have been divided into eight core areas including assessment, treatment, m... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4689217 Fri, 08 Apr 2011 22:36:48 +0100 4689217 http://www.medworm.com/index.php?rid=4689218&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20786 This study examined associations between parental separation anxiety, controlling parenting, and difficulties in the separation‐individuation process, as manifested in separation‐individuation pathology. In a sample of emerging adults involved in the process of home leaving (N=232) and their parents, it was found that parental separation anxiety is positively related to separation‐individuation pathology in emerging adults. Dependency‐oriented controlling parenting served as an intervening variable in the relationship between parents' feelings of separation anxiety and pathology of the separation‐individuation process in emerging adults. These associations were not moderated by emerging adults' residential status (i.e., living with parents or (semi‐)independently), suggesting t... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4689218 Thu, 07 Apr 2011 23:00:00 +0100 4689218 http://www.medworm.com/index.php?rid=4689220&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20798 AbstractCognitive theory and research have traditionally highlighted the relevance of the core beliefs about oneself, the world, and the future to human emotions. For some individuals, however, core beliefs may also explicitly involve spiritual themes. In this article, we propose a cognitive model of worry, in which positive/negative beliefs about the Divine affect symptoms through the mechanism of intolerance of uncertainty. Using mediation analyses, we found support for our model across two studies, in particular, with regards to negative spiritual beliefs. These findings highlight the importance of assessing for spiritual alongside secular convictions when creating cognitive‐behavioral case formulations in the treatment of religious individuals. © 2011 Wiley Periodicals, Inc. J Clin ... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4689220 Wed, 06 Apr 2011 23:00:00 +0100 4689220 http://www.medworm.com/index.php?rid=4689219&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20800 AbstractThe purpose of this study was to test the impact of two predictor variables, one representing extratherapeutic factors and one representing relationship factors, on outcome at a university counseling training clinic. A naturalistic design was used to collect session‐by‐session outcomes on 135 clients seen by 88 counselors. Hierarchical linear modeling was used to test hypotheses about the effects of clients' pretreatment social support (extratherapeutic factor) and working alliance (relationship factor) at session 3 on change over time. Results showed that higher rated alliances predicted greater change over the first 8 sessions. When clients reported poorer social supports, the therapeutic alliance was even more important in predicting a positive outcome. Limitations of the de... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4689219 Wed, 06 Apr 2011 23:00:00 +0100 4689219 http://www.medworm.com/index.php?rid=4660833&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20801 This study examined posttraumatic stress (PTS) and posttraumatic growth (PTG) among 226 Tibetan refugees across two generations. Additional objectives were to (i) examine the sex and generation differences on the scores of trauma, PTS, and PTG, (ii) explore the relationship between traumatic experiences, PTS and PTG, and (iii) investigate the mediating effect of cognitive‐emotional regulation strategies between the traumatic experiences and PTS as well as PTG. Females scored higher on trauma, PTS, and PTG. The trauma, PTS, and PTG scores of the two generations were significantly different. Acceptance and putting into perspective partially mediated the relationship between traumatic experience and PTS. Positive refocusing, refocus on planning, putting into perspective, and catastrophisizi... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4660833 Thu, 31 Mar 2011 23:00:00 +0100 4660833 http://www.medworm.com/index.php?rid=4647666&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20799 AbstractPoor insight in psychosis has been described as a seeming lack of awareness of the deficits, consequences of the disorder, and of the need for treatment. The aim of this study is to investigate whether patients with auditory hallucinations have less insight than those without hallucinations, and to determine which hallucination characteristics are related to patient insight. Using the PANSS and PSYRATS, the authors have evaluated the lack of insight data corresponding to 168 psychotic patients divided into three groups: patients with a history of nonpersistent hallucinations, patients with persistent hallucinations, and patients without hallucinations. Patients with persistent hallucinations showed significantly less insight than patients without persistent hallucinations and patie... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4647666 Tue, 29 Mar 2011 22:04:33 +0100 4647666 http://www.medworm.com/index.php?rid=4647667&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20802 AbstractClinicians frequently encounter problem behaviors such as self‐harm, restrictive eating, binge eating, alcohol misuse, drug misuse, smoking, sexual promiscuity, internet addiction, excessive exercise, and aggression. Although these behaviors commonly co‐occur, no scale exists to measure them concurrently. Based on data from two opportunity samples (N = 691 and N = 53), this study designed and validated a composite measure of the problem behaviors noted above. The Composite Measure of Problem Behaviors, developed using exploratory factor analysis, demonstrated good psychometric properties. Subsequent confirmatory factor analysis, using both the first (N = 691) and a third sample (N = 740), identified a common higher order factor that accounted for covariance between behaviors. F... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4647667 Sun, 27 Mar 2011 23:00:00 +0100 4647667 http://www.medworm.com/index.php?rid=4628718&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20787 AbstractRecent evidence suggests a relationship between psychoform and somatoform dissociation both in clinical and non clinical samples. The aim of the study was to investigate the association between the two forms of dissociation among 947 university students who completed two self‐administered questionnaires, the Somatoform Dissociation Questionnaire (SDQ‐20) and the Dissociative Experience Scale (DES). The main result of the study was that the association between somatoform and psychoform dissociation was strong for individuals with moderate level of DES scores (O.R.=7.0), but much stronger for individuals with high level of DES scores (O.R.=18.9). © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–8, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4628718 Thu, 24 Mar 2011 21:47:28 +0100 4628718 http://www.medworm.com/index.php?rid=4618553&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20789 This study investigated the associations between measures of positive and negative forms of appraisals and rumination with vulnerability to hypomania, and also investigated the conceptual overlap between these measures in terms of the responses to emotional experiences captured. Hypomania vulnerability was predicted by measures of positive cognitive styles, whilst current depressive symptoms were explained by scores on measures of negative cognitive styles in an analogue sample of 353 participants. A principal components analysis conducted upon the rumination and appraisal measures yielded three components representing positive and negative cognitive styles, and a normalizing of symptoms component. The implications of these results are discussed. © 2011 Wiley Periodicals, Inc. J Clin Psyc... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4618553 Tue, 22 Mar 2011 21:48:17 +0100 4618553 http://www.medworm.com/index.php?rid=4602887&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20788 In this study, Department of Veterans Affairs Fiscal Year 2006 national workload data are analyzed to determine use and intensity of outpatient individual and group psychotherapy and, using multivariate analysis, to identify sociodemographic and diagnostic correlates. Results show that among veterans receiving specialty mental health services (n=934,832), average visits numbered 7.9, 64.7% received at least one psychotherapy visit, 94% received individual therapy, and 24.1% received group. Veterans with the most mental health specialty visits of any kind were most likely to receive psychotherapy. Veterans with affective disorders and post‐traumatic stress disorder diagnosis were more likely to receive psychotherapy than others. Veterans who are older, male, Black, or psychiatrically hosp... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4602887 Thu, 17 Mar 2011 21:35:09 +0100 4602887 http://www.medworm.com/index.php?rid=4585705&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20792 This article reviews studies of the effects of hoarding on response to serotonin reuptake inhibitor (SRI) medications in patients with obsessive‐compulsive disorder (OCD), as well as recent studies of pharmacotherapy specifically for patients with the compulsive hoarding syndrome. Taken together, the results of these studies indicate that the “conventional wisdom” that compulsive hoarding does not respond well to SRI treatment is wrong. SRIs appear to be as effective for compulsive hoarders as for nonhoarding OCD patients. A case is presented of a compulsive hoarding patient who responded well to pharmacotherapy with a novel agent. Symptom improvement from pharmacotherapy of compulsive hoarding appears to be at least as great as that resulting from cognitive‐behavioral therapy (CBT... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4585705 Tue, 15 Mar 2011 18:12:19 +0100 4585705 http://www.medworm.com/index.php?rid=4585706&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20783 AbstractPrevious findings suggested a unique role that depression symptoms might play in the comorbid relationship between obsessive‐compulsive disorder (OCD) and posttraumatic stress disorder (PTSD). However, the nature of this role remains unclear. Thus, the current study examined ways in which OCD and PTSD symptoms vary as a function of depression, as well as the mediating role of depression in the OCD‐PTSD relationship, in 104 individuals seeking treatment for refractory OCD. Findings revealed that depressed individuals in the treatment‐refractory OCD sample report higher levels of overall obsessing and greater severity of PTSD. In addition, depression appeared to mediate the relation between OCD and PTSD. Implications of findings are discussed. © 2011 Wiley Periodicals, Inc. J ... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4585706 Mon, 14 Mar 2011 00:00:00 +0100 4585706 http://www.medworm.com/index.php?rid=4546725&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20784 AbstractThe authors conducted three studies to construct and examine the psychometric properties of a 27‐item version of the Mood and Anxiety Symptom Questionnaire‐90 (MASQ‐90; Watson & Clark, 1991a). The Anxiety Depression Distress Inventory‐27 (ADDI‐27) contains three empirically derived scales: Positive Affect, Somatic Anxiety, and General Distress, which are relevant dimensions of the tripartite model of affect. Each scale is composed of nine items, and the estimate of scale reliability for each scale score was ≥.80 across the three studies. Results of exploratory and confirmatory factor analyses provided adequate support for a 3‐factor model. Additional estimates of concurrent validity documented the ADDI‐27 scales' convergent and discriminant validity. We also ide... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4546725 Fri, 04 Mar 2011 21:16:06 +0100 4546725 http://www.medworm.com/index.php?rid=4546727&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20781 AbstractThe Milwaukee Psychotherapy Expectations Questionnaire (MPEQ) was developed to measure clients' expectations about the components and effects of therapy. Items were generated rationally based upon the theoretical literature and existing expectancy measures. An exploratory factor analysis revealed a 2‐factor solution, comprised of Process Expectations and Outcome Expectations, which was supported by confirmatory factor analyses in three additional samples. The measure demonstrated good internal consistency and test‐retest reliability, along with support for convergent, discriminant, and predictive validity. These results present initial evidence for the utility of the MPEQ in assessing both process and outcome expectations in therapy. © 2011 Wiley Periodicals, Inc. J Clin Psych... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4546727 Fri, 04 Mar 2011 00:00:00 +0100 4546727 http://www.medworm.com/index.php?rid=4546726&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20794 This article discusses the nature and treatment of compulsive hoarding among children. We summarize the phenomenology of compulsive hoarding, including its clinical presentation, comorbidity with varied mental disorders, and associated impairment. The limited data on treatment outcome are presented along with a behavioral framework that we utilized to treat youth who hoard. Our approach is highlighted in the context of a case illustration of an 11‐year‐old girl suffering from compulsive hoarding and several comorbid mental health disorders. We conclude with recommendations for clinical work with this challenging and neglected population. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session 67:1–10, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4546726 Fri, 04 Mar 2011 00:00:00 +0100 4546726 http://www.medworm.com/index.php?rid=4542305&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20796 This article introduces an issue of the Journal of Clinical Psychology: In Session devoted to understanding, assessing, and treating hoarding disorder (HD). After a case example is presented, the proposed the Diagnostic and Statistical Manual, 5th Edition criteria for HD are discussed, and the problems associated with hoarding are discussed from a psychotherapeutic and public health perspective. The articles in this issue are then outlined and summarized. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session 67:1–5, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4542305 Thu, 03 Mar 2011 21:06:04 +0100 4542305 http://www.medworm.com/index.php?rid=4542306&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20782 This study analyzed the psychometric properties of the Interpersonal Needs Questionnaire‐12 (INQ‐12; Van Orden, Witte, Gordon, Bender, & Joiner, 2008a), designed to test Joiner's interpersonal‐psychological theory of suicide. Study participants included 785 U.S. undergraduates (58.6% female; 77.2% White; ages 18–25). Confirmatory bifactor analyses discerned a general factor for overall distress, while also supporting separate subfactors for perceived burdensomeness and thwarted belongingness. The scale's factor structure did not vary by gender, and internal consistency reliability was strong among the male and female samples. Correlational analyses supported the scale's content validity. Overall, the analyses preliminarily support continued use of the INQ‐12. © 2011 Wiley Pe... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4542306 Thu, 03 Mar 2011 00:00:00 +0100 4542306 http://www.medworm.com/index.php?rid=4534235&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20785 AbstractThe relation between patients' beliefs about the causes of their depression, treatment preferences, and demographic variables was studied in a sample of 156 patients in a randomized controlled trial for depression (supportive‐expressive psychotherapy vs. medication vs. placebo). No gender differences were found in beliefs or preferences. Racial differences were found for causes endorsed, but not preferences. Treatment experience predicted endorsement of characterological and biological causes. Psychotherapy experience predicted preference for medication. Finally, patients preferring psychotherapy endorsed childhood and complex causes more than those preferring medication, but the groups did not differ in other reasons endorsed. Implications of findings are discussed. © 2011 Wile... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4534235 Wed, 02 Mar 2011 04:00:43 +0100 4534235 http://www.medworm.com/index.php?rid=4534237&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20795 This article offers a practice‐friendly review of conceptualizing and treating hoarding based on biological and psychological research. Although hoarding has commonly been conceptualized as a variant of obsessive‐compulsive disorder, research suggests a more complex pattern of overlap with attention deficit‐hyperactivity disorder, organic brain disease, depression, anxiety, personality disorders, and impulsivity. The phenomenon of hoarding is discussed in terms of familial and environmental vulnerabilities, maladaptive cognitive process, maladaptive cognitive content, and maladaptive behavioral patterns. The article concludes with a summary of treatment efficacy and 10 promising clinical practices. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session 67:1–10, 2011. (Source: J... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4534237 Mon, 28 Feb 2011 00:00:00 +0100 4534237 http://www.medworm.com/index.php?rid=4534236&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20797 This article describes the manifold ways family members suffer because of their loved one's hoarding behavior, including the frustration and hopelessness many family members experience in the face of their loved one's steadfast refusal to accept help for their hoarding problem. The article presents harm reduction as a way for family members to help a loved one who is unwilling to accept treatment of the hoarding problem. The article then presents two clinical examples—a private hoarding situation and a public hoarding situation—to illustrate the application of harm reduction to hoarding. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session 67:1–10, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4534236 Mon, 28 Feb 2011 00:00:00 +0100 4534236 http://www.medworm.com/index.php?rid=4519341&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20780 This study tested the hypothesis that flight‐phobic patients experience change at different rates even when they are receiving identical treatment. Faster within‐session rates of change (WSRC) were expected for patients who required fewer exposure sessions. The study also tested the theoretical role of autonomic flexibility on WSRC. High flexibility should be associated with faster rates of change. Thirty‐seven flight‐phobic patients were successfully treated with a computer‐assisted fear of flying treatment. A significant negative correlation was found between total number of sessions and WSRC: The fewer sessions patients attended, the faster their rate of change was. The role of autonomic flexibility was partially supported: A significant correlation between heart rate variabil... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4519341 Fri, 25 Feb 2011 20:46:36 +0100 4519341 http://www.medworm.com/index.php?rid=4519342&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20779 AbstractTherapist adherence to a manualized cognitive‐behavioral anger management group treatment (AMT) was compared between therapy delivered via videoconference (VC) and the traditional in‐person modality, using data from a large, randomized controlled trial comparing the effectiveness of AMT for veterans with combat‐related posttraumatic stress disorder. Therapist adherence was rated for the presence or absence of process and content treatment elements. Secondary analyses were conducted using a repeated measures ANOVA. Overall adherence to the protocol was excellent (M = 96%, SD = 1%). Findings indicate that therapist adherence to AMT is similar across delivery modalities and VC is a viable service delivery strategy that does not compromise a therapist's ability to effectively str... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4519342 Fri, 25 Feb 2011 00:00:00 +0100 4519342 http://www.medworm.com/index.php?rid=4514637&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20793 AbstractDifficulty discarding and excessive acquiring can be treated using specialized cognitive‐behavioral treatment that includes motivational interviewing, skills training, practice sorting and discarding, and cognitive restructuring. Early psychotherapy efforts to treat hoarding have proved less effective than this combination of methods targeted at the characteristic features of hoarding. Treatment strategies are illustrated through a case example of a woman struggling with both hoarding and contamination concerns. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session 67:1–12, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4514637 Thu, 24 Feb 2011 21:08:20 +0100 4514637 http://www.medworm.com/index.php?rid=4509353&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20790 AbstractVarious questionnaires and interviews have been created over the years to assess compulsive hoarding. In this article, we summarize existing measures, offer practice‐friendly suggestions for assessment of hoarding, and address frequent problems in its clinical evaluation. Existing measures for hoarding can be divided into those that are subscales of general measures of obsessive‐compulsive disorder (e.g., Obsessive‐Compulsive Inventory and Yale‐Brown Obsessive‐Compulsive Scale) and those that were developed specifically for hoarding and related phenomena. The former were largely developed without the benefit of research identifying the nature of hoarding, while the latter capture the specific dimensions of hoarding and are recommended for clinical use. We provide a case i... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4509353 Wed, 23 Feb 2011 20:42:27 +0100 4509353 http://www.medworm.com/index.php?rid=4509354&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20791 This article reviews the neuropsychological and neuroimaging research on pathological hoarding. Most research in humans has been conducted in the context of individuals with brain damage, dementia, or OCD. Studies of well‐characterized samples of individuals with hoarding disorder are extremely rare. Although not possible to establish firm conclusions at this stage, we conclude with a series of observations and recommendations for clinical practice. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session 67:1–10, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4509354 Wed, 23 Feb 2011 00:00:00 +0100 4509354 http://www.medworm.com/index.php?rid=4447604&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20774 AbstractMindfulness strategies for managing cravings involve present‐moment, nonjudgmental awareness of cravings without acting on them, while suppression involves pushing cravings out of awareness. Few studies have investigated individual differences in responding to these strategies. The current study examined whether individual differences in anxiety sensitivity moderate responsiveness to mindfulness versus suppression for coping with smoking cravings. Participants (N=61) utilized a mindfulness or suppression strategy to manage cravings during cue exposure to cigarettes and were evaluated for self‐efficacy 7 days later. Greater anxiety sensitivity after cue exposure was associated with increased self‐efficacy in the suppression condition. This suggests that anxiety‐sensitive ind... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4447604 Tue, 08 Feb 2011 20:28:42 +0100 4447604 http://www.medworm.com/index.php?rid=4447605&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20771 This article looks at the influence of motivation on the ability to self‐protect and symptoms. Patients were randomized to receive a moderate level of transference interpretations or no transference interpretation. Assessments were made at pretreatment, midtreatment, posttreatment, and at two follow‐ups. The outcome measure, change in ability to self‐protect, was cluster 4 of the Structural Analysis of Social Behavior (SASB) Long Form Intrex Introject Questionnaire, a measure close to the SASB‐coded treatment process. Symptom change (SCL‐90) was also analyzed. Pretreatment motivation was a significant moderator of change in the ability to self‐protect and in symptom distress. Those with low motivation had a significant, positive, and long‐term treatment effect of transference... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4447605 Tue, 08 Feb 2011 00:00:00 +0100 4447605 http://www.medworm.com/index.php?rid=4430620&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20778 This study aimed at developing a short version of the German adaptation of the KIMS (KIMS‐Short). Confirmatory factor analyses were carried out with two samples (N = 469 and N = 602) to develop subscales with fewer items and to confirm the factor structure of the KIMS‐Short. Furthermore, the relations between the KIMS‐Short subscales and other scales were evaluated. The KIMS‐Short with its 20 items enable researchers to replicate the basic factor structure of four separate mindfulness skills. However, the analyses for the “observing” subscale revealed two different but strongly correlated factors depending on whether the observed stimuli were internal or external phenomena. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–7, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4430620 Thu, 03 Feb 2011 20:51:09 +0100 4430620 http://www.medworm.com/index.php?rid=4430622&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20767 AbstractIn the face of the rising number of doctoral recipients in professional psychology, many have voiced concerns about the quality of nontraditional training programs. Past research suggests that, on a variety of outcomes, graduates from clinical PhD programs outperform graduates from clinical PsyD and, to a lesser extent, counseling PhD programs. We examine an aggregate archival dataset to determine whether student or university characteristics account for the differences in outcomes among programs. The data show meaningful differences in the outcomes of clinical PhD, PsyD, and counseling PhD programs. Furthermore, graduates from research‐intensive universities perform better on the psychology licensure exam and are more likely to become American Board of Professional Psychology di... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4430622 Thu, 03 Feb 2011 00:00:00 +0100 4430622 http://www.medworm.com/index.php?rid=4430621&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20777 AbstractBuilding Spiritual Strength (BSS) is an 8‐session, spiritually integrated group intervention designed to address religious strain and enhance religious meaning making for military trauma survivors. It is based upon empirical research on the relationship between spirituality and adjustment to trauma. To assess the intervention's effectiveness, veterans with histories of trauma who volunteered for the study were randomly assigned to a BSS group (n = 26) or a wait‐list control group (n = 28). BSS participants showed statistically significant reductions in PTSD symptoms based on self‐report measures as compared with those in a wait‐list control condition. Further research on spiritually integrated interventions for trauma survivors is warranted. © 2011 Wiley Periodicals, Inc. ... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4430621 Thu, 03 Feb 2011 00:00:00 +0100 4430621 http://www.medworm.com/index.php?rid=4379696&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20765 We examined change in family support and depressive symptoms over the course of 23 years and included the potential moderators of gender and participation in treatment. A sample of 373 depressed individuals provided data in five waves, with baseline, 1‐year, 4‐year, 10‐year, and 23‐year follow‐ups. Multilevel modeling was used to evaluate longitudinal relationships between variables. Higher family support was associated with less depression at baseline and predicted a steeper trajectory of recovery from depression over 23 years. This relationship was moderated by gender, such that women with supportive families reported the most rapid recovery from depression. Evaluating family context may be clinically relevant when beginning treatment with a depressed patient, particularly for ... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4379696 Fri, 21 Jan 2011 19:50:33 +0100 4379696 http://www.medworm.com/index.php?rid=4374663&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20773 AbstractKnowledge of psychopharmacology is essential for a clinical psychologist to practice his/her profession, regardless of whether one desires to become licensed to prescribe psychoactive medications. This commentary reiterates a call made almost 20 years ago for all practitioners to gain and utilize this knowledge. Without psychopharmacology knowledge, one is extremely limited in the ability to interact with medical prescribers and to optimally serve their patients as a valued member of the health care team. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–4, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4374663 Thu, 20 Jan 2011 19:36:53 +0100 4374663 http://www.medworm.com/index.php?rid=4365865&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20772 This study extends a translational action research program by applying a theoretically based measure of risk in predicting incidents of restraint among children and adolescents in a secure psychiatric hospital. Youth inpatients (N = 149, aged 5–17 years) were assessed at intake for the presence of selected individual and contextual risk factors, and their involvement in critical incidents was tracked (i.e., number of episodes in which restraint was applied) for the remainder of their hospitalization. Models including history of aggression or history of previous placements as well as combined models including several individual and contextual factors significantly predicted the likelihood of a youth becoming involved in at least one restraint. Unique predictors of restraint involvement in... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4365865 Wed, 19 Jan 2011 19:37:33 +0100 4365865 http://www.medworm.com/index.php?rid=4365866&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20776 AbstractMindfulness‐based approaches are increasingly employed as interventions for treating a variety of psychological, psychiatric and physical problems. Such approaches include ancient Buddhist mindfulness meditations such as Vipassana and Zen meditations, modern group‐based standardized meditations, such as mindfulness‐based stress reduction and mindfulness‐based cognitive therapy, and further psychological interventions, such as dialectical behavioral therapy and acceptance and commitment therapy. We review commonalities and differences of these interventions regarding philosophical background, main techniques, aims, outcomes, neurobiology and psychological mechanisms. In sum, the currently applied mindfulness‐based interventions show large differences in the way mindfulness... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4365866 Wed, 19 Jan 2011 00:00:00 +0100 4365866 http://www.medworm.com/index.php?rid=4340167&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20775 AbstractEvidence‐based practice (EBP) requires that practitioners routinely access, appraise, and utilize the best available research. We surveyed a representative sample of the Society of Clinical Psychology; 549 psychologists (response rate = 46%) reported their frequency of engaging in EBP when offering psychological services, rated their current knowledge of 12 online research resources, and evaluated their current knowledge of 12 research methods and designs. These psychologists reported, on average, using EBP in 73.1% of their psychological services. With the exception of PsycINFO and MEDLINE, clinical psychologists related low to moderate knowledge of online research resources. By contrast, these psychologists reported considerable knowledge of most research methods and designs, e... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4340167 Thu, 13 Jan 2011 20:40:40 +0100 4340167 http://www.medworm.com/index.php?rid=4306918&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20770 AbstractWe studied the relation between intrusive and repetitive hair pulling, the defining feature of trichotillomania, and compulsive and impulsive features in 1,453 individuals with anorexia nervosa and bulimia nervosa. We conducted a series of regression models examining the relative influence of compulsive features associated with obsessive‐compulsive disorder, compulsive features associated with eating disorders, trait features related to harm avoidance, perfectionism, and novelty seeking, and self harm. A final model with a reduced sample (n = 928) examined the additional contribution of impulsive attributes. One of 20 individuals endorsed hair pulling. Evidence of a positive association with endorsement of compulsive behavior of the obsessive‐compulsive spectrum emerged. Hair p... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4306918 Mon, 03 Jan 2011 00:00:00 +0100 4306918 http://www.medworm.com/index.php?rid=4306917&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20766 We report on the 3‐year course and outcome of patients with bulimia nervosa (BN), initially treated in an inpatient or day clinic setting. Patients were assessed by structured interviews (Structured Clinical Interview for DSM Disorders I and II and Structured Interview for Anorexia and Bulimia Nervosa) and questionnaires (Eating Disorder Inventory‐2, Symptom Checklist‐90‐R, and Social Adjustment Scale) at time points of admission, discharge, and 3‐month, 12‐month and 36‐month follow‐ups. Data of 83.7% of the 43 patients were available. After 3 years, about one third of patients showed complete remission, one third showed partial remission, and one third still fulfilled all the criteria of BN. Most changes occurred during hospitalization. Remission status showed substantial ... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4306917 Sat, 01 Jan 2011 00:00:00 +0100 4306917 http://www.medworm.com/index.php?rid=4279431&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20769 AbstractThe Irrational Health Belief Scale (IHBS) assesses the tendency to appraise health‐related information in an irrational manner. Despite the central role that dysfunctional assumptions about health play in the cognitive‐behavioral model of hypochondriasis and health anxiety, researchers have not examined the relation between health anxiety and the types of irrational health beliefs assessed by the IHBS. Two samples (n = 198, n = 295) of students completed the IHBS and measures of anxiety and health anxiety. In both studies, the IHBS was correlated with health anxiety, and this association was mediated by anxiety. These findings suggest that the range of dysfunctional beliefs associated with health anxiety is greater than was initially described by the cognitive‐behavioral mode... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4279431 Wed, 22 Dec 2010 22:00:29 +0100 4279431 http://www.medworm.com/index.php?rid=4279433&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20761 AbstractMindfulness‐based stress reduction (MBSR) has shown effectiveness for a variety of mental health conditions. However, it is not known for whom the intervention is most effective. In a randomized controlled trial (N = 30), we explored whether individuals with higher levels of pretreatment trait mindfulness would benefit more from MBSR intervention. Results demonstrated that relative to a control condition (n = 15), MBSR treatment (n = 15) had significant effects on several outcomes, including increased trait mindfulness, subjective well‐being, and empathy measured at 2 and 12 months after treatment. However, relative to controls, MBSR participants with higher levels of pretreatment mindfulness showed a larger increase in mindfulness, subjective well‐being, empathy, and hope, a... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4279433 Wed, 22 Dec 2010 00:00:00 +0100 4279433 http://www.medworm.com/index.php?rid=4279432&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20768 This study established the psychometric properties of a child and adolescent version of the Horney‐Coolidge Tridimensional Inventory (HCTI), which assesses psychoanalyst Karen Horney's theory of neurotic types. Parents of 302 children (ages 5 to 17 years; median age = 12.0 years) completed the new 45‐item version of the HCTI and the Coolidge Personality and Neuropsychological Inventory (CPNI) about their children. The three main scales (Compliance, Aggression, and Detachment) had good internal scale reliability and excellent test‐retest reliability. Principal components analysis supported Horney's three dimensions and a six‐component substructure. There was also sufficient construct validity with personality disorder scales from the CPNI with the three HCTI dimensions and their six... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4279432 Wed, 22 Dec 2010 00:00:00 +0100 4279432 http://www.medworm.com/index.php?rid=4262049&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20758 We report an original meta‐analysis of 39 studies, encompassing 8,238 psychotherapy patients, to assess the ability of stages of change and related readiness measures to predict psychotherapy outcomes. Clinically significant effect sizes were found for the association between stage of change and psychotherapy outcomes (d = .46); the amount of progress clients make during treatment tends to be a function of their pretreatment stage of change. We examine potential moderators in effect size by study outcome, patient characteristics, treatment features, and diagnosis. We also review the large volume of behavioral health research, but scant psychotherapy research, that demonstrates the efficacy of matching treatment to the patient's stage of change. Limitations of the extant research are note... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4262049 Thu, 16 Dec 2010 09:43:47 +0100 4262049 http://www.medworm.com/index.php?rid=4240035&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20752 This article reviews the definitions, measures, and previous research surrounding this hypothesis. An original meta‐analysis of 12 carefully selected studies (N = 1,291 patients) resulted in a weighted, mean effect size (d) of .55 in favor of a fit between externalizing patients and symptom‐focused treatment or, alternatively, internalizing patients and insight‐focused treatment. This medium‐size effect indicates that nondiagnostic patient factors, like coping style, are important considerations in the selection of effective therapies. Clinical examples and clinical recommendations are provided. © 2010 Wiley Periodicals, Inc. J Clin Psychol: In Session 67(2): 1–8, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4240035 Wed, 08 Dec 2010 21:11:08 +0100 4240035 http://www.medworm.com/index.php?rid=4227478&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20749 AbstractPrevious research supports a positive association between weight stigmatization experiences and binge eating. However, the extent to which weight stigmatization accounts for binge eating in the context of other risk factors requires further investigation. Using a cumulative risk model, we examine previously studied risk factors (environmental stress, psychological functioning, negative coping, body dissatisfaction) as well as weight stigmatization as predictors of binge eating bariatric patients and undergraduate students. Results show a unique contribution of weight stigmatization. Analyses by sample indicated that this was only the case for the undergraduate student sample. Results support weight stigmatization as a meaningful predictor of binge eating and highlight the need for ... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4227478 Wed, 01 Dec 2010 00:00:00 +0100 4227478 http://www.medworm.com/index.php?rid=4222890&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20754 AbstractPatients' expectations have long been considered a contributory factor to successful psychotherapy. Expectations come in different guises, with outcome expectations centered on prognostic beliefs about the consequences of engaging in treatment. In this article, we define outcome expectations and present assessment methods and clinical examples of outcome expectations. Our research review includes a comprehensive meta‐analysis (N =8,016 patients across 46 independent samples) of the association between pretherapy or early‐therapy outcome expectations and posttreatment outcomes. The overall weighted effect size was d=.24, p<.001, indicating a small but significant positive effect of outcome expectations on adaptive treatment outcomes. We also provide a narrative review of medi... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4222890 Wed, 01 Dec 2010 00:00:00 +0100 4222890 http://www.medworm.com/index.php?rid=4210811&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20759 AbstractClient preferences are recognized as a key component to evidence‐based practice; however, research has yet to confirm the actual influence preferences have on treatment outcome. In this meta‐analysis, we summarize results from 35 studies that have examined the preference effect with adult clients. Overall, clients who were matched to their preferred therapy conditions were less likely to drop out of therapy prematurely (OR=.59, p<.001) and showed greater improvements in treatment outcomes (d=.31, p<.001). Type of preference (role, therapist, or treatment type) was not found to moderate the preference effect, but study design was found to be a significant moderator, with randomized controlled trials showing the largest differences between preference‐matched clients and n... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4210811 Tue, 30 Nov 2010 18:12:06 +0100 4210811 http://www.medworm.com/index.php?rid=4198739&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20763 AbstractThe categorical underpinnings of the current diagnostic nomenclature have been the subject of repeated criticism. Recently, researchers have proposed several alternatives to the current system, including hybrid models of combined diagnostic categories and symptom dimensions. In the present study, we investigated the symptoms associated with a hybrid model of social phobia. The study included (a) the development of the initial set of symptom dimensions, generation of an item pool, and review by an expert panel, and (b) data collection and component analysis of the item pool to determine the structure of the symptoms. Six separate theoretically relevant symptom dimensions were identified. Implications of these findings on the development of a new hybrid model of social phobia were di... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4198739 Thu, 25 Nov 2010 10:49:38 +0100 4198739 http://www.medworm.com/index.php?rid=4194294&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20747 AbstractThis prospective longitudinal study compared pretraumatic, peritraumatic, and post‐traumatic predictors of post‐traumatic growth (PTG) and post‐traumatic stress disorder (PTSD). A total of 103 Israeli former prisoners of the Yom Kippur War were followed over 30 years. Sociodemographic variables, trauma exposure, reactions in captivity, world assumptions, social support, and personality factors were assessed in 1991, and PTG and PTSD symptoms in 2003. Hierarchical regression modeling showed that although some predictors, namely, loss of control and active coping during captivity, predicted both PTG and PTSD, others predicted one outcome and not the other. Self‐controllability predicted PTG while sociodemographic factors predicted PTSD when controlling for PTSD and PTG, respe... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4194294 Wed, 24 Nov 2010 10:14:34 +0100 4194294 http://www.medworm.com/index.php?rid=4198743&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20764 This article introduces the issue of the Journal of Clinical Psychology: In Session devoted to evidence‐based means of adapting psychotherapy to the patient's (transdiagnostic) characteristics. Practitioners have long realized that treatment should be tailored to the individuality of the patient and the singularity of his or her context, but only recently has sufficient empirical research emerged to reliably guide practice. This article reviews the work of an interdivisional task force and its dual aims of identifying elements of effective therapy relationships (what works in general) and identifying effective methods of adapting treatment to the individual patient (what works in particular). The task force judged four patient characteristics (reactance/resistance, preferences, culture, ... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4198743 Wed, 24 Nov 2010 00:00:00 +0100 4198743 http://www.medworm.com/index.php?rid=4198742&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20760 AbstractMany clients highly value religious and spiritual (R/S) commitments, and many psychotherapists have accommodated secular treatments to R/S perspectives. We meta‐analyzed 51 samples from 46 studies (N = 3,290) that examined the outcomes of religious accommodative therapies and nonreligious spirituality therapies. Comparisons on psychological and spiritual outcomes were made to a control condition, an alternate treatment, or a subset of those studies that used a dismantling design (similar in theory and duration of treatment, but including religious contents). Patients in R/S psychotherapies showed greater improvement than those in alternate secular psychotherapies both on psychological (d =.26) and on spiritual (d = .41) outcomes. Religiously accommodated treatments outperformed d... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4198742 Wed, 24 Nov 2010 00:00:00 +0100 4198742 http://www.medworm.com/index.php?rid=4198741&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20753 This article provides definitions and examples of patient‐treatment matching applied to patient resistance or reactance. We report the results from an original meta‐analysis of 12 select studies (N = 1,102) on matching therapist directiveness to patient reactance. Our findings support the hypothesis that patients exhibiting low levels of trait‐like resistance respond better to directive types of treatment, while patients with high levels of resistance respond best to nondirective treatments (d = .82). Limitations of the research reviewed are noted, and practice recommendations are advanced. © 2010 Wiley Periodicals, Inc. J Clin Psychol: In Session 67(2):1–10, 2011. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4198741 Wed, 24 Nov 2010 00:00:00 +0100 4198741 http://www.medworm.com/index.php?rid=4198740&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20756 AbstractAttachment theory, developed by Bowlby to explain human bonding, has profound implications for conducting and adapting psychotherapy. We summarize the prevailing definitions and measures of attachment style. We review the results of three meta‐analyses examining the association between attachment anxiety, avoidance, and security and psychotherapy outcome. Fourteen studies were synthesized, which included 19 separate therapy cohorts with a combined sample size of 1,467. Attachment anxiety showed a d of −.46 with posttherapy outcome, while attachment security showed a d of.37 association with outcome. Attachment avoidance was uncorrelated with outcome. The age and gender composition of the samples moderated the relation between attachment security and outcome: samples with a high... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4198740 Wed, 24 Nov 2010 00:00:00 +0100 4198740 http://www.medworm.com/index.php?rid=4194296&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20757 This article summarizes the definitions, means, and research of adapting psychotherapy to clients' cultural backgrounds. We begin by reviewing the prevailing definitions of cultural adaptation and providing a clinical example. We present an original meta‐analysis of 65 experimental and quasi‐experimental studies involving 8,620 participants. The omnibus effect size of d = .46 indicates that treatments specifically adapted for clients of color were moderately more effective with that clientele than traditional treatments. The most effective treatments tended to be those with greater numbers of cultural adaptations. Mental health services targeted to a specific cultural group were several times more effective than those provided to clients from a variety of cultural backgrounds. We recom... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4194296 Tue, 23 Nov 2010 00:00:00 +0100 4194296 http://www.medworm.com/index.php?rid=4194295&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20762 This study investigated patient‐therapist agreement and therapist consensus of patients' interpersonal problems. The sample comprised 199 patients, who answered a questionnaire addressing interpersonal problems. At the same time, each patient was rated by two therapists on an observer version of the same questionnaire. The participants came from 10 different treatment units within the Norwegian Network of Personality‐Focused Treatment Programs. Interpersonal problems were measured by a short version of the Inventory of Interpersonal Problems—Circumplex (IIP‐C). The results of both patient‐therapist agreements and therapist consensus of patients' interpersonal problems was low to moderate. The therapists perceived the patients to have somewhat higher levels of interpersonal proble... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4194295 Tue, 23 Nov 2010 00:00:00 +0100 4194295 http://www.medworm.com/index.php?rid=4194297&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20750 AbstractResearch on emotional disclosure should test the effects of different disclosure methods and whether symptoms are affected differently than post‐traumatic growth. We randomized 214 participants with unresolved stressful experiences to four disclosure conditions (written, private spoken, talking to a passive listener, talking to an active facilitator) or two control conditions. All groups had one 30‐minute session. After 6 weeks, disclosure groups reported more post‐traumatic growth than controls, and disclosure conditions were similar in this effect. All groups decreased in stress symptoms (intrusions, avoidance, psychological and physical symptoms), but disclosure did not differ from control. We conclude that 30 minutes of disclosure leads to post‐traumatic growth but no... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4194297 Mon, 22 Nov 2010 00:00:00 +0100 4194297 http://www.medworm.com/index.php?rid=4177198&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20751 AbstractSeveral authors proposed that all elements of Beck's cognitive triad (1976) mediate the associations between inference style as described in the hopelessness model (Abramson, Alloy, & Metalsky, 1989) and depressive symptoms. Results of a 3‐wave longitudinal study indicate only a partial mediation model with all elements of the cognitive triad being associated with all inference styles, with depressive symptoms fitting the data best. Controlling for direct and indirect effects, no individual element of the cognitive triad mediates the association between inference styles and depressive symptoms. The partial mediation model is not stable across sex or clinical vs subclinical samples. In general, the data supports the integration of all three elements of the cognitive triad into... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4177198 Thu, 18 Nov 2010 12:18:50 +0100 4177198 http://www.medworm.com/index.php?rid=4157027&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20745 AbstractThe main purpose of this study was to investigate whether rehearsal, defined as the tendency to recurrently ruminate over upsetting aversive experiences, had an effect on pedometry reactivity. A total of 156 Hong Kong Chinese children aged 9–12 years were recruited. Participants completed the Rehearsal Scale for Children‐Chinese (RSC‐C; Ling, Maxwell, Masters, & McManus, 2010) and wore the pedometers for 3 consecutive weeks. The mean number of steps was significantly higher in Week 1 than in Week 3. High rehearsers showed a larger decrease in mean number of steps from Week 1 to Week 3 than low rehearsers. Future physical activity intervention studies should adjust for reactivity in their baseline measurements and should further examine the relationship between habitual PA... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4157027 Fri, 12 Nov 2010 10:09:09 +0100 4157027 http://www.medworm.com/index.php?rid=4137148&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20748 This study used the Outcome Questionnaire‐45 (OQ‐45; Lambert et al., 1996) to characterize sudden gains occurring in a cognitive‐behavioral therapy training clinic. Also, gradual gainers were identified and used as a comparison group. Sudden gains were identified in 23% of patients and in 29% of those who entered treatment in the clinical range on the OQ, within the range of prevalence established by previous sudden gain studies in the context of randomized controlled trials (RCT's). As in earlier research, sudden gains tended to occur early in therapy. However, sudden gains were more likely to be reversed than in RCT's. Gradual gains occurred for 54% of nonsudden gainers; they were of similar magnitude to sudden gains but occurred later in therapy. Sudden gainers showed significantl... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4137148 Fri, 05 Nov 2010 23:30:28 +0100 4137148 http://www.medworm.com/index.php?rid=4129588&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20740 This article considers one component of professional training, scientific knowledge, and argues that knowledge competence, measured by the Examination for Professional Practice in Psychology, should occur before a student is certified as internship ready. © 2010 Wiley Periodicals, Inc. J Clin Psychol 00:1–5, 2010. (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4129588 Thu, 04 Nov 2010 00:49:08 +0100 4129588 http://www.medworm.com/index.php?rid=4129589&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20746 This study evaluated the relative sensitivity to change of the Child Behavior Checklist/6–18 (CBCL), the Behavior Assessment System for Children‐2 (BASC‐2), and the Youth Outcome Questionnaire 2.01 (Y‐OQ). Participants were 134 parents and 44 adolescents receiving routine outpatient services in a community mental health system. Hierarchical linear modeling analyses were used to examine change trajectories for the 3 measures across 3 groups: parent informants, parent and adolescent dyads, and adolescent informants. Results indicated that for parent‐report measures, the Y‐OQ was most change sensitive; the BASC‐2 and CBCL were not statistically different from each other. Significant differences in change sensitivity were not observed for youth self‐report of symptoms. Results ... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4129589 Tue, 02 Nov 2010 00:00:00 +0100 4129589 http://www.medworm.com/index.php?rid=4102875&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20744 Abstract (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4102875 Tue, 26 Oct 2010 06:09:58 +0100 4102875 http://www.medworm.com/index.php?rid=4092654&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20742 Abstract (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4092654 Sun, 24 Oct 2010 07:59:17 +0100 4092654 http://www.medworm.com/index.php?rid=4058305&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20735 Abstract (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4058305 Thu, 30 Sep 2010 23:00:00 +0100 4058305 http://www.medworm.com/index.php?rid=4020741&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20733 Abstract (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=4020741 Thu, 30 Sep 2010 23:00:00 +0100 4020741 http://www.medworm.com/index.php?rid=3996457&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20732 Abstract (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=3996457 Fri, 24 Sep 2010 12:19:07 +0100 3996457 http://www.medworm.com/index.php?rid=3979043&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20737 Abstract (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=3979043 Sat, 18 Sep 2010 07:51:31 +0100 3979043 http://www.medworm.com/index.php?rid=3971307&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20734 Abstract (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=3971307 Thu, 16 Sep 2010 07:23:09 +0100 3971307 http://www.medworm.com/index.php?rid=3940902&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20719 Abstract (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=3940902 Wed, 08 Sep 2010 07:34:19 +0100 3940902 http://www.medworm.com/index.php?rid=3894033&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20721 (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=3894033 Tue, 24 Aug 2010 07:38:47 +0100 3894033 http://www.medworm.com/index.php?rid=3870950&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20724 (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=3870950 Tue, 17 Aug 2010 07:31:59 +0100 3870950 http://www.medworm.com/index.php?rid=3838981&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20710 Abstract (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=3838981 Sat, 31 Jul 2010 23:00:00 +0100 3838981 http://www.medworm.com/index.php?rid=3838980&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20706 Abstract (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=3838980 Sat, 31 Jul 2010 23:00:00 +0100 3838980 http://www.medworm.com/index.php?rid=3838979&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20707 Abstract (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=3838979 Sat, 31 Jul 2010 23:00:00 +0100 3838979 http://www.medworm.com/index.php?rid=3838978&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20709 Abstract (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=3838978 Sat, 31 Jul 2010 23:00:00 +0100 3838978 http://www.medworm.com/index.php?rid=3838977&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20712 Abstract (Source: Journal of Clinical Psychology) Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=3838977 Sat, 31 Jul 2010 23:00:00 +0100 3838977 http://www.medworm.com/index.php?rid=3774794&cid=s_33731_36_f&fid=33731&url=http%3A%2F%2Fdx.doi.org%2F10.1002%252Fjclp.20714 Schizophrenia is a mental disorder hardly investigated with regard to habitual disgust. We compared disgust propensity, trait anger, trait anxiety and disgust sensitivity in 69 patients with schizophrenia, 68 depressive patients and 70 mentally healthy controls. Patients with schizophrenia reported more pronounced overall disgust propensity than healthy individuals. Whereas food-related disgust was crucial for schizophrenia, depressed patients experienced elevated death-related disgust. Females reported greater disgust proneness than males. Both patient groups showed higher trait anxiety and trait anger than controls. Depressive patients additionally reported elevated anger expression and even higher anger suppression than the schizophrenia group. We found a positive relationship between d... Journal of Clinical Psychology journals http://www.medworm.com/rss/comments.php?id=3774794 Wed, 21 Jul 2010 23:00:00 +0100 3774794