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Experiences of antidepressant medication and cognitive–behavioural therapy for depression: A grounded theory study
ConclusionsAntidepressant medication and CBT are perceived and experienced differently, with CBT often being seen as an alternative to medication, or even as a means to discontinue medication. Service users’ experiences and beliefs about medication may thus affect their engagement and goals in CBT, and it may be important for therapists to consider this. Practitioner points Practitioners who prescribe medication should ensure that they also provide information on the availability and appropriateness of CBT, and engage in an open dialogue about treatment options. CBT practitioners should explore aspects of clients’ ex...
Source: Psychology and Psychotherapy: Theory, Research and Practice - August 27, 2014 Category: Psychiatry & Psychology Authors: Paul Bayliss, Sue Holttum Tags: Original Article Source Type: research

Pathways into psychopathology: Modeling the effects of trait emotional intelligence, mindfulness, and irrational beliefs in a clinical sample.
Authors: Petrides KV, Gómez MG, Pérez-González JC Abstract We investigated possible pathways into mental illness via the combined effects of trait emotional intelligence (trait EI), mindfulness, and irrational beliefs. The sample comprised 121 psychiatric outpatients (64.5% males, mean age = 38.8 years) with a variety of formal clinical diagnoses. Psychopathology was operationalized by means of 3 distinct indicators from the Millon Clinical Multi-Axial Inventory (mild pathology, severe pathology, and clinical symptomatology). A structural equation model confirmed significant direct trait EI and mindfulness ef...
Source: Clinical Psychology and Psychotherapy - February 24, 2017 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Adult mental health practitioner beliefs about psychosis, parenting, and the role of the practitioner: A Q methodological investigation
ConclusionUsing parenting interventions as part of their clinical work was acceptable to most practitioners; however, some lacked confidence in their ability to work in a family ‐focused way. Efforts now need to focus on enhancing practitioners’ skill, knowledge, and confidence in family‐focused approaches to provide increased and improved support to families which include a parent experiencing psychosis or other SMI.Practitioner points Parenting interventions need to be made more available and accessible to parents experiencing serious mental illness (SMI), such as psychosis. Adult mental health practitioners are...
Source: Psychology and Psychotherapy: Theory, Research and Practice - August 25, 2019 Category: Psychiatry & Psychology Authors: Hope Adderley, Anja Wittkowski, Rachel Calam, Lynsey Gregg Tags: Original Article Source Type: research

The beliefs of non ‐psychiatric doctors about the causes, treatments, and prognosis of schizophrenia
ConclusionsThese findings suggest the need to provide some doctors with training on the multiple, interacting causes of schizophrenia and the efficacy of the broad range of available treatments. The education of health professionals regarding stigma and its effects on clinical practice is also needed.Practitioner pointsViewing schizophrenia as mainly due to a biological cause is associated with greater confidence in the usefulness of drugs, higher belief in the need for lifelong pharmacological treatments, and greater prognostic pessimism.Belief in a biologically oriented model of schizophrenia may lead doctors to underest...
Source: Psychology and Psychotherapy: Theory, Research and Practice - September 8, 2019 Category: Psychiatry & Psychology Authors: Lorenza Magliano, Giulia Citarelli, John Read Tags: Original Article Source Type: research

Adult mental health practitioner beliefs about psychosis, parenting, and the role of the practitioner: A Q methodological investigation
ConclusionUsing parenting interventions as part of their clinical work was acceptable to most practitioners; however, some lacked confidence in their ability to work in a family ‐focused way. Efforts now need to focus on enhancing practitioners’ skill, knowledge, and confidence in family‐focused approaches to provide increased and improved support to families which include a parent experiencing psychosis or other SMI.Practitioner points Parenting interventions need to be made more available and accessible to parents experiencing serious mental illness (SMI), such as psychosis. Adult mental health practitioners are...
Source: Psychology and Psychotherapy: Theory, Research and Practice - August 25, 2019 Category: Psychiatry & Psychology Authors: Hope Adderley, Anja Wittkowski, Rachel Calam, Lynsey Gregg Tags: Original Article Source Type: research

The beliefs of non ‐psychiatric doctors about the causes, treatments, and prognosis of schizophrenia
ConclusionsThese findings suggest the need to provide some doctors with training on the multiple, interacting causes of schizophrenia and the efficacy of the broad range of available treatments. The education of health professionals regarding stigma and its effects on clinical practice is also needed.Practitioner pointsViewing schizophrenia as mainly due to a biological cause is associated with greater confidence in the usefulness of drugs, higher belief in the need for lifelong pharmacological treatments, and greater prognostic pessimism.Belief in a biologically oriented model of schizophrenia may lead doctors to underest...
Source: Psychology and Psychotherapy: Theory, Research and Practice - September 9, 2019 Category: Psychiatry & Psychology Authors: Lorenza Magliano, Giulia Citarelli, John Read Tags: Original Article Source Type: research

Adult mental health practitioner beliefs about psychosis, parenting, and the role of the practitioner: A Q methodological investigation
ConclusionUsing parenting interventions as part of their clinical work was acceptable to most practitioners; however, some lacked confidence in their ability to work in a family ‐focused way. Efforts now need to focus on enhancing practitioners’ skill, knowledge, and confidence in family‐focused approaches to provide increased and improved support to families which include a parent experiencing psychosis or other SMI.Practitioner points Parenting interventions need to be made more available and accessible to parents experiencing serious mental illness (SMI), such as psychosis. Adult mental health practitioners are...
Source: Psychology and Psychotherapy: Theory, Research and Practice - August 26, 2019 Category: Psychiatry & Psychology Authors: Hope Adderley, Anja Wittkowski, Rachel Calam, Lynsey Gregg Tags: Original Article Source Type: research

Mistrust and negative self ‐esteem: Two paths from attachment styles to paranoia
ConclusionsWe find that a bias towards mistrust is associated with greater paranoia. We also find indirect effects through bias towards mistrust between attachment styles and paranoia. Finally, we reaffirm the strong indirect effect through negative self ‐esteem between attachment anxiety and paranoia. Limitations of the study are discussed.Practitioner points When working with individuals suffering from paranoia, clinicians should consider not only explicit, deliberative cognitive processes of the kind addressed in cognitive behaviour therapy (e.g. cognitive restructuring) but also the way in which their patients make...
Source: Psychology and Psychotherapy: Theory, Research and Practice - December 13, 2020 Category: Psychiatry & Psychology Authors: Anton P. Martinez, Maximilian Agostini, Azzam Al ‐Suhibani, Richard P. Bentall Tags: Research Paper Source Type: research

Cognitive and Guided Mastery Therapies for Panic Disorder with Agoraphobia: 18-Year Long-Term Outcome and Predictors of Long-Term Change.
In this study, we wished to compare the long-term outcome of (medication-free) panic disorder with agoraphobia patients randomized to cognitive or guided mastery therapy. Thirty-one (67.4%) of 46 patients who had completed treatment were followed up about 18 years after end of treatment. In the combined sample and using intent-to-follow-up analyses, there were large within-group effect sizes of -1.79 and -1.63 on the primary interview-based and self-report outcome measures of avoidance of situations when alone, and 56.5% no longer had a panic disorder and/or agoraphobia diagnosis. No outcome differences between the two t...
Source: Clinical Psychology and Psychotherapy - December 6, 2014 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research