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Empirically supported religious and spiritual therapiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article evaluated the efficacy status of religious and spiritual (R/S) therapies for mental health problems, including treatments for depression, anxiety, unforgiveness, eating disorders, schizophrenia, alcoholism, anger, and marital issues. Religions represented included Christianity, Islam, Taoism, and Buddhism. Some studies incorporated a generic spirituality. Several R/S therapies were found to be helpful for clients, supporting the further use and research on these therapies. There was limited evidence that R/S therapies outperformed established secular therapies, thus the decision to use an R/S therapy may be an...
Source: Journal of Clinical Psychology - November 12, 2009 Category: Psychiatry & Psychology Authors: Joshua N. Hook, Everett L. Worthington Jr., Don E. Davis, David J. Jennings II, Aubrey L. Gartner, Jan P. Hook Source Type: journals

Concerns about substandard training for prescription privileges for psychologistsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This Commentary on the Muse and McGrath study (this issue, pp. XXX-XXX) refutes its conclusion that the amount of training for prescription privileges for psychologists (R×P) is equal to or greater than that for psychiatric nurse practitioners and physicians. First, the sample failed to include only training programs for nurses and psychologists that lead to independent prescribing. Second, training was defined by an arbitrary, nonvalidated list of "key content areas" that excluded much of the standard medical curricula for nurses and physicians to prescribe. Third, the levels of training for which the "key content areas"...
Source: Journal of Clinical Psychology - November 10, 2009 Category: Psychiatry & Psychology Authors: Elaine M. Heiby Source Type: journals

Rumination fosters indecision in dysphoriaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study investigated the effects of rumination on indecision, assessed as high levels of perceived decision difficulty, low confidence in a decision, and decision latency. Dysphoric and nondysphoric participants were assigned to either a rumination or a distraction induction. Subsequently, they made four decisions with alleged real-life consequences. As predicted, rumination exhibited a negative effect on dysphoric participants' decision-making process. They experienced the decisions as more difficult and had less confidence in their choices. No effects emerged on the measure of decision time. Mediation analyses reveale...
Source: Journal of Clinical Psychology - November 10, 2009 Category: Psychiatry & Psychology Authors: Annette van Randenborgh, Renate de Jong-Meyer, Joachim Hüffmeier Source Type: journals

Cognitive and psychodynamic mechanisms of change in treated and untreated depressionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Two patient-level mechanisms of change, defenses, and cognition were tested over 3 time points in 65 depressed adults, approximately half receiving treatment. Early changes in automatic thoughts and immature defenses were associated with symptom change from time-one to time-three. The directionality of early automatic thought change predicting symptom change was partially supported, but immature defense change occurs simultaneously with, or after, symptom change. Given the convergent evidence of cognitive change as a mediator of depression reduction, all depression therapies should consider how they address depressive cogn...
Source: Journal of Clinical Psychology - November 10, 2009 Category: Psychiatry & Psychology Authors: Daniel Coleman, Diane Cole, Leslie Wuest Source Type: journals

Provision of social support to individuals with chronic fatigue syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The present study evaluated a buddy program designed to provide support for individuals with chronic fatigue syndrome (CFS). The intervention involved weekly visits by a student paraprofessional, who helped out with tasks that needed to be done in an effort to reduce some of the taxing demands and responsibilities that participants regularly encountered. This model of rehabilitation focused on avoiding overexertion in persons with CFS, aiming to avoid setbacks and relapses while increasing their tolerance for activity. Participants with CFS were randomly assigned to either a 4-month buddy intervention or a control conditio...
Source: Journal of Clinical Psychology - November 9, 2009 Category: Psychiatry & Psychology Authors: Leonard A. Jason, Nicole Roesner, Nicole Porter, Brittany Parenti, Jennifer Mortensen, Lindsay Till Source Type: journals

Training comparison among three professions prescribing psychoactive medications: psychiatric nurse practitioners, physicians, and pharmacologically trained psychologistsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Academic training leading to prescriptive authority is compared among psychiatric nurse practitioners, physicians, and pharmacologically trained psychologists. Statistics are presented on the relative emphasis that programs serving each discipline place on the preparation of their respective students in academic and clinical content areas that are relevant to the prescribing of psychoactive medication for the mental health population. An analysis of these statistics substantiates the assertion that pharmacologically trained psychologists are well prepared academically to incorporate prescriptive authority within their comp...
Source: Journal of Clinical Psychology - November 7, 2009 Category: Psychiatry & Psychology Authors: Mark Muse, Robert E. McGrath Source Type: journals

Room for a new standard? response to comments by HeibyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Heiby's (this issue, pp. XXX-XXX) claim that psychologists' training in psychopharmacology is substandard is predicated on the assumption that existing training models offer the only acceptable approach to achieving competence. This assumption both prohibits innovation and is demonstrably false. Our comparison of training models must be judged from the perspective of a reasoned analysis of the competencies most important to prescribing, not the claims of other professions. © 2009 Wiley Periodicals, Inc. J Clin Psychol 66:1-4, 2010. (Source: Journal of Clinical Psychology)
Source: Journal of Clinical Psychology - November 6, 2009 Category: Psychiatry & Psychology Authors: Robert E. McGrath, Mark Muse Source Type: journals

Interesting practitioners in training in empirically supported treatments: research reviews versus case studiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
It has been repeatedly demonstrated that clinicians rely more on clinical judgment than on research findings. We hypothesized that psychologists in practice might be more open to adopting empirically supported treatments (ESTs) if outcome results were presented with a case study. Psychologists in private practice (N=742) were randomly assigned to receive a research review of data from randomized controlled trials of cognitive-behavioral treatment (CBT) and medication for bulimia, a case study of CBT for a fictional patient with bulimia, or both. Results indicated that the inclusion of case examples renders ESTs more compel...
Source: Journal of Clinical Psychology - November 6, 2009 Category: Psychiatry & Psychology Authors: Rebecca E. Stewart, Dianne L. Chambless Source Type: journals

Psychological mindedness in relation to personality and coping in a sample of young adult psychiatric patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Psychological mindedness (PM) is a relevant but rarely studied construct in clinical psychology. The aim was to examine the relationships among PM, personality, and coping in young adults with psychological difficulties. Sixty-three young women and 32 young men who were admitted for intake at a Dutch mental health institute completed relevant questionnaires. PM showed positive associations with the putatively adaptive personality characteristics of extraversion, openness, agreeableness, and conscientiousness and a negative correlation with neuroticism. In addition, PM was associated with problem-focused coping independentl...
Source: Journal of Clinical Psychology - November 6, 2009 Category: Psychiatry & Psychology Authors: Ivan Nyklí[ccaron]ek, Joëla C. Poot, Jan van Opstal Source Type: journals

Festschrift in honor of Lynn P. Rehm, PhD, ABPPEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
No Abstract (Source: Journal of Clinical Psychology)
Source: Journal of Clinical Psychology - October 19, 2009 Category: Psychiatry & Psychology Authors: Nadine J. Kaslow, Jeremy W. Pettit Source Type: journals

Social difficulties influence group psychotherapy adherence in abused, suicidal african american womenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The social brain model emphasizes improving our understanding of the relational factors that influence treatment adherence. Consistent with this framework, which has been applied to medical adherence, it was hypothesized that insecure attachment styles, interpersonal hassles, and low levels of social support would explain group psychotherapy attendance. Results from 51 abused and suicidal low-income, African American women who attended at least 1 session of an empowerment group psychotherapy indicated that lower attendance was related to (a) insecure attachment styles (fearful) and (b) interpersonal hassles (perceived soci...
Source: Journal of Clinical Psychology - October 13, 2009 Category: Psychiatry & Psychology Authors: Dawn L. Ilardi, Nadine J. Kaslow Source Type: journals

Developmental origins of cognitive vulnerabilities to depression: review of processes contributing to stability and change across timeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article focuses on potential developmental origins of the main cognitive vulnerabilities, including dysfunctional attitudes, negative cognitive style, and rumination. We selectively review processes and factors that have been hypothesized to contribute to the emergence and stabilization of these cognitive risk factors. This review focuses on genetic factors, temperament, parents and peers as salient interpersonal influences, and stressful life events. We end with suggestions for future theory development and research. In particular, we emphasize the need for additional conceptual and empirical work integrating these d...
Source: Journal of Clinical Psychology - October 12, 2009 Category: Psychiatry & Psychology Authors: Benjamin L. Hankin, Caroline Oppenheimer, Jessica Jenness, Andreas Barrocas, Benjamin G. Shapero, Jessica Goldband Source Type: journals

The interpersonal-psychological theory of suicidal behavior: current status and future directionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The interpersonal-psychological theory of suicidal behavior (Joiner, 2005) holds that an individual will die by suicide if he or she has both the desire for suicide and capability to act on that desire. According to the theory, suicidal desire results from the convergence of two interpersonal states: perceived burdensomeness and thwarted belongingness. However, desire alone is not sufficient to result in death by suicide - a third component must be present: the acquired capability for suicide, which develops from repeated exposure and habituation to painful and provocative events. The purpose of this article is to discuss ...
Source: Journal of Clinical Psychology - October 12, 2009 Category: Psychiatry & Psychology Authors: Jessica D. Ribeiro, Thomas E. Joiner Source Type: journals

Major and minor depression in female adolescents: onset, course, symptom presentation, and demographic associationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined the epidemiology and phenomenology of major depressive disorder (MDD) and minor depression among a community sample of 496 female adolescents. Diagnostic interviews were conducted annually for 7 years, allowing us to examine onset, course, and symptom presentation among participants 12 through 20 years old. Approximately 1 of 6 girls experienced MDD. MDD episodes had a mean duration of 5.3 months (SD=4.2). One-year prevalence for MDD peaked at age 16 (5.3%). White racial status and younger age were associated with greater worthlessness and suicidality during an MDD episode. One of 5 girls met criteria for minor...
Source: Journal of Clinical Psychology - October 12, 2009 Category: Psychiatry & Psychology Authors: Paul Rohde, Christopher G. Beevers, Eric Stice, Kelly O'Neil Source Type: journals

Cancer survivor adaptation model: conceptualizing cancer as a chronic illnessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A model of cancer as a chronic illness is proposed as a new direction for quality of life research. In the cancer survivor adaptation (CSA) model, adjustment to cancer survivorship is a life-long process involving three interacting components. Personal context incorporates cancer survivorship and personal characteristics across biological, psychological, and social domains. The adaptation process involves a specific cognitive mechanism of change, where the ongoing appraisal of goals and world assumptions occur in the context of the cancer survivor's personal memories and sense of self. Finally, quality of life outcomes are...
Source: Journal of Clinical Psychology - October 12, 2009 Category: Psychiatry & Psychology Authors: Mary J. Naus, Marilyn D. Ishler, Charlotte E. Parrott,, Stephanie A. Kovacs Source Type: journals

Postpartum depression: what we knowEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Postpartum depression (PPD) is a serious mental health problem. It is prevalent, and offspring are at risk for disturbances in development. Major risk factors include past depression, stressful life events, poor marital relationship, and social support. Public health efforts to detect PPD have been increasing. Standard treatments (e.g., Interpersonal Psychotherapy) and more tailored treatments have been found effective for PPD. Prevention efforts have been less consistently successful. Future research should include studies of epidemiological risk factors and prevalence, interventions aimed at the parenting of PPD mothers,...
Source: Journal of Clinical Psychology - October 12, 2009 Category: Psychiatry & Psychology Authors: Michael W. O'Hara Source Type: journals

Problem solving moderates the effects of life event stress and chronic stress on suicidal behaviors in adolescenceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The present study examined the unique and interactive effects of stress and problem-solving skills on suicidal behaviors among 102 inpatient adolescents. As expected, life event stress and chronic stress each significantly predicted suicidal ideation and suicide attempt. Problem solving significantly predicted suicidal ideation, but not suicide attempt. Problem solving moderated the associations between life event stress and suicidal behaviors, as well as between chronic stress and suicidal ideation, but not chronic stress and suicide attempt. At high levels of stress, adolescents with poor problem-solving skills experienc...
Source: Journal of Clinical Psychology - October 12, 2009 Category: Psychiatry & Psychology Authors: Kelly E. Grover, Kelly L. Green, Jeremy W. Pettit, Lindsey L. Monteith, Monica J. Garza, Amanda Venta Source Type: journals

Gender differences in the longitudinal structure of cognitive diatheses for depression in children and adolescentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In a school-based, four-wave, longitudinal study, children (grades 4-7) and young adolescents (grades 6-9) completed questionnaires measuring depressive symptoms and depressive cognitions, including positive and negative cognitions on the Cognitive Triad Inventory for Children (CTI-C; Kaslow, Stark, Printz, Livingston, & Tsai, 1992) and self-perceived competence on the Self-Perception Profile for Children (SPPC; Harter, 1985). Application of the Trait-State-Occasion model (Cole, Martin, & Steiger, 2005) revealed the existence of a time-invariant trait factor and a set of time-varying occasion factors. Gender differences em...
Source: Journal of Clinical Psychology - October 12, 2009 Category: Psychiatry & Psychology Authors: David A. Cole, Farrah M. Jacquez, Alanna E. Truss, Ashley Q. Pineda, Amy S. Folmer, Carlos E. Tilghman-Osborne, Julia W. Felton, Melissa A. Maxwell Source Type: journals

Stability and individual change in depressive symptoms among mothers raising young children with ASD: maternal and child correlatesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Mothers raising children with Autism Spectrum Disorders (ASD) evidence elevated depressive symptoms, but symptom stability has not been examined. Mothers (N=143) of toddlers with ASD (77% boys) were enrolled and assessed when their children were 18 to 33 months old and followed annually for 2 years. Multilevel modeling revealed no significant change in group depressive symptom level, which was in the moderately elevated range (Intercept=13.67; SE=.96). In contrast, there was significant individual variation in change over time. Child problem behaviors and delayed competence, maternal anxiety symptoms and angry/hostile mood...
Source: Journal of Clinical Psychology - October 8, 2009 Category: Psychiatry & Psychology Authors: Alice S. Carter, Frances de L. Martínez-Pedraza, Sarah A. O. Gray Source Type: journals

Introduction to the special series on motivational interviewing and psychotherapyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Clinical and research applications of motivational interviewing (MI) have grown at a remarkable pace over the past 25 years. Most of this work has targeted the addictions and health-related behaviors. The series of articles in this issue highlight a rapidly accelerating recent trend: the application of MI to other problems typically seen in clinical practice. This introductory article describes MI, its core principles, treatment methods, and the variety of ways in which it has been employed. The 6 case reports in this issue are then described. They illustrate how MI can be employed with generalized anxiety, adolescent depr...
Source: Journal of Clinical Psychology - September 25, 2009 Category: Psychiatry & Psychology Authors: Hal Arkowitz, Henny A. Westra Source Type: journals

Motivational interviewing with perpetrators of intimate partner abuseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Recent controlled trials have shown promising benefits of motivational interviewing (MI) as a pretreatment intervention for perpetrators of intimate partner violence (IPV). A 2-session intake, containing motivational interviewing and structured assessment feedback, was developed for this predominantly court-mandated clientele. The goals were to reduce initial hostility toward treatment, facilitate verbalization of motivation to change, resolve ambivalence, and increase receptivity to structured group therapy for IPV. An extended case report illustrates the value of MI spirit and techniques, including empathic reflection, e...
Source: Journal of Clinical Psychology - September 24, 2009 Category: Psychiatry & Psychology Authors: Peter H. Musser, Christopher M. Murphy Source Type: journals

Motivational interviewing with a depressed adolescentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Motivational interviewing (MI) is a potentially useful tool for clinicians who are exploring ways to improve treatment outcomes with depressed clients. MI techniques may be particularly appropriate with depressed adolescents, for whom motivation to engage in therapy is often a problem and who often experience ambivalence about life choices. The present article presents a case description of MI with a depressed adolescent who was ambivalent about what life change to pursue. MI was used to help the client identify conflicts between her values, learn how they were contributing to her distress, and move toward resolving them. ...
Source: Journal of Clinical Psychology - September 24, 2009 Category: Psychiatry & Psychology Authors: Amanda E. Brody Source Type: journals

Therapist empathy and client anxiety reduction in motivational interviewing: "She carries with me, the experience"Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this article, we examine the use of motivational interviewing (MI) to treat generalized anxiety disorder (GAD) by means of case illustration that focuses on four categories drawn from the client's experience of the key ingredients in MI therapy. The case illustration, drawn from the York study on combining MI and cognitive behavior therapy in the treatment of GAD (uses the client's pre- and post-therapy narrative interviews) to arrive at categories representative of the client's experience of MI therapy. The results of the qualitative analysis highlight the key contributions to positive client outcomes and readiness for...
Source: Journal of Clinical Psychology - September 16, 2009 Category: Psychiatry & Psychology Authors: Lynne E. Angus, Fern Kagan Source Type: journals

Motivational interviewing in the assessment and management of suicidalityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Motivational Interviewing (MI) can be effectively applied to clinical crises and suicidal patients. A case example of a suicidal patient demonstrates traditional management combined with two evidence-based practices: MI and Collaborative Assessment and Management of Suicidality. The case example illustrates some benefits and limitations of the application of these innovative approaches in a difficult area of clinical practice. A rationale for further clinical use is advanced. © 2009 Wiley Periodicals, Inc. J Clin Psychol: In Session 65:1-11, 2009. (Source: Journal of Clinical Psychology)
Source: Journal of Clinical Psychology - September 15, 2009 Category: Psychiatry & Psychology Authors: Harry Zerler Source Type: journals

Beyond behavior: eliciting broader change with motivational interviewingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Descriptions of Motivational interviewing (MI) usually focus on helping clients change a single problematic behavior. In contrast, the current case study shows that MI can serve as a more comprehensive psychotherapy, focused not only on multiple problem behaviors but also on broader change consistent with its roots in client-centered therapy. In this case, the therapist interwove a focus on several discrete behaviors with a focus on broader lifestyle change as well as increased clarity of client cognitions, values, and choices, resulting in several lasting changes. © 2009 Wiley Periodicals, Inc. J Clin Psychol: In Session...
Source: Journal of Clinical Psychology - September 15, 2009 Category: Psychiatry & Psychology Authors: Christopher C. Wagner, Karen S. Ingersoll Source Type: journals

Motivation enhancement therapy can increase utilization of cognitive-behavioral therapy: the case of social anxiety disorderEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Despite the documented efficacy of cognitive-behavioral therapy (CBT) for many psychological disorders, the vast majority of suffering people do not receive treatment. Treatment underutilization may prove at least partially due to ambivalence about seeking treatment. Ambivalence could result if, for example, people with social anxiety disorder (SAD) want to decrease their anxiety symptoms but are worried they will be judged negatively should they seek treatment. Motivation enhancement therapy (MET) can be a useful tool to help non-treatment seekers explore and resolve ambivalence regarding seeking treatment. A case study i...
Source: Journal of Clinical Psychology - September 8, 2009 Category: Psychiatry & Psychology Authors: Julia D. Buckner Source Type: journals

Motivational interviewing: a bellwether for context-responsive psychotherapy integrationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We comment on 6 clinical cases involving the application of one or more elements of Motivational interviewing (MI). First, we share our general reactions to MI and the case material. Second, we reflect briefly and specifically on each case illustration, highlighting the compelling flexibility and clinical utility of the MI spirit and its principles. Third, we offer several reflective themes across the cases, including convergences between MI and other psychotherapies, and unanswered clinical questions related to MI, its effectiveness, and its change mechanisms. Finally, we advance a context-responsive psychotherapy integra...
Source: Journal of Clinical Psychology - September 7, 2009 Category: Psychiatry & Psychology Authors: Michael J. Constantino, Joan DeGeorge, Mamta B. Dadlani, Christopher E. Overtree Source Type: journals

The effectiveness and applicability of motivational interviewing: a practice-friendly review of four meta-analysesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the research support for Motivational interviewing (MI) so that practitioners can make informed decisions about the value and applicability of MI in their clinical work. We highlight the evidence from the three published meta-analyses of MI and a recent meta-analysis that we completed. MI is significantly (10%-20%) more effective than no treatment and generally equal to other viable treatments for a wide variety of problems ranging from substance use (alcohol, marijuana, tobacco, and other drugs) to reducing risky behaviors and increasing client engagement in treatment. Although most client-related var...
Source: Journal of Clinical Psychology - September 7, 2009 Category: Psychiatry & Psychology Authors: Brad Lundahl, Brian L. Burke Source Type: journals

Characterization of patients discharged from inpatient treatment for burnout: use of psychological characteristics to identify aftercare needsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
With increasing severity, burnout corresponds to a state of significant suffering with impaired social functioning, decreased quality of life, and psychosomatic complaints. The present study investigates (a) how former patients of an inpatient clinic for burnout therapy can be grouped on the basis of their psychological characteristics and (b) whether these groups correspond to different levels of residual symptoms (depression and burnout) and general mental health. Cluster analysis of psychological characteristics was used to form groups. Four specific groups could be identified (functionals, dysfunctionals, straightforwa...
Source: Journal of Clinical Psychology - August 27, 2009 Category: Psychiatry & Psychology Authors: Annina K. Haberthür, Florina M. Elkuch, Martin Grosse Holtforth, Barbara Hochstrasser, Michael Soyka Source Type: journals

Clinical psychology students' perceptions of diversity training: a study of exposure and satisfactionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examined clinical psychology graduate students' definitions of diversity and their perceptions of their exposure to and satisfaction regarding their level of diversity training. Four hundred and ninety-one students from Counsel of University Directors of Clinical Psychology (CUDCP) member programs completed an online survey. Overall, students perceived that their programs considered diversity narrowly, concentrating primarily on ethnicity, race, and culture to the neglect of sexual orientation, religion, language, and physical disability. Likewise, students expressed greater satisfaction with training regarding ...
Source: Journal of Clinical Psychology - August 23, 2009 Category: Psychiatry & Psychology Authors: Debbie Green, Tamora A. Callands, Alison M. Radcliffe, Aaron M. Luebbe, Elizabeth A. Klonoff Source Type: journals

Reliability and validity of the youth outcome questionnaire self-reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The psychometric properties of an adolescent mental health outcome instrument (Youth Outcome Questionnaire Self-Report version [Y-OQ-SR]) were examined. Participants were 206 adolescents (ages 12-18; mean age=15). The Y-OQ-SR was evaluated in terms of its internal consistency, test-retest reliability, and concurrent validity. Criterion measures included the Behavior Assessment System for Children, Self-Report of Personality - Adolescent Version (SRP), and the Child Behavior Checklist Youth Self Report (YSR). Analyses revealed very good internal consistency and test-retest reliability of the Y-OQ-SR total score and subscale...
Source: Journal of Clinical Psychology - August 19, 2009 Category: Psychiatry & Psychology Authors: Nathanael W. Ridge, Jared S. Warren, Gary M. Burlingame, M. Gawain Wells, Katherine M. Tumblin Source Type: journals

Commentary on Berger, Hohl, and Caspar's (2009) Internet-based treatment for social phobia: a randomized controlled trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this commentary, we discuss the implications of the findings by Berger, Hohl, and Casper (this issue) together with the emerging database on the effects of Internet treatment for social anxiety disorder (social phobia). Their article is the third independent replication of guided Internet treatment of social anxiety disorder, and in this article, we comment on future research challenges and if Internet treatment now can be regarded as ready for dissemination into regular clinical settings. © 2009 Wiley Periodicals, Inc. J Clin Psychol 65:1-3, 2009. (Source: Journal of Clinical Psychology)
Source: Journal of Clinical Psychology - August 17, 2009 Category: Psychiatry & Psychology Authors: Gerhard Andersson, Per Carlbring Source Type: journals

Mindfulness and attention deficit hyperactivity disorderEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study tests whether individuals with ADHD have lower mindfulness scores than controls and, if true, whether personality contributes to these differences. One hundred and five adults (half with ADHD) were assessed for mindfulness, using the Kentucky Inventory of Mindfulness Skills, and personality, using the Tridimensional Character Inventory. Individuals with ADHD report themselves as less mindful than non-ADHD controls and more novelty-seeking, less self-directed, and more self-transcendent. Mindfulness is negatively associated with ADHD and positively associated with self-directedness and self-transcendence. Analyse...
Source: Journal of Clinical Psychology - August 13, 2009 Category: Psychiatry & Psychology Authors: Susan L. Smalley, Sandra K. Loo, T. Sigi Hale, Anshu Shrestha, James McGough, Lisa Flook, Steven Reise Source Type: journals

Anger, aggression, and self-harm in PTSD and complex PTSDEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examined the contribution of complex posttraumatic stress disorder (PTSD) diagnosis and symptomatology to the difficulties of anger, aggression, and self-harm in a Northern Ireland clinical community sample. A "current complex PTSD" (CCPTSD) group (n=11) was compared with a "current PTSD" group (n=31) on self-report measures of these variables. The CCPTSD group demonstrated significantly higher levels of physical aggression and self-harm than the PTSD group. The complex PTSD symptom of 'alterations in self-perception' was a significant predictor of aggression and history of self-harm, suggesting the potential ro...
Source: Journal of Clinical Psychology - August 12, 2009 Category: Psychiatry & Psychology Authors: Kevin F. W. Dyer, Martin J. Dorahy, Geraldine Hamilton, Mary Corry, Maria Shannon, Anne MacSherry, Geordie McRobert, Rhonda Elder, Bridie McElhill Source Type: journals

Understanding empowerment, meaning, and perceived coercion in individuals with serious mental illnessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study investigated the relationship among the variables of perceived coercion, psychiatric symptoms, empowerment, and meaning in an inpatient sample of individuals with serious mental illness (N=94). It was hypothesized that empowerment would be strongly related to the level of psychiatric symptoms and meaning, but not significantly related to coercion. Participants were recruited from inpatient facilities and completed the MacArthur Perceived Coercion Scale, the Empowerment Scale, the Brief Symptom Inventory, and the Life Purpose Questionnaire. The results suggested that empowerment is significantly associated with t...
Source: Journal of Clinical Psychology - August 10, 2009 Category: Psychiatry & Psychology Authors: Kristen M. Strack, Stefan E. Schulenberg Source Type: journals

Future directions in clinical child and adolescent psychology: a delphi surveyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study sought to identify the future directions in three domains: clinical practice, research, and training of clinical child and adolescent psychologists in the upcoming decade. Doctoral-level active members in the field were surveyed via a two-round Delphi survey (45 in round 1; 35 in round 2). Evidence-based practice received the greatest consensus by the participants and highest rank in each of the three domains. Other highly ranked clinical practice directions included prevention and early diagnosis and treatment, and clinical services for specific psychological problems. Research directions focused on biological ...
Source: Journal of Clinical Psychology - August 9, 2009 Category: Psychiatry & Psychology Authors: Rochelle L. James, Michael C. Roberts Source Type: journals

Objective assessment of circadian activity and sleep patterns in individuals at behavioural risk of hypomaniaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although sleep and circadian rhythm disturbances are significant features of bipolar disorder and are associated with illness severity and recurrence, less is known about their significance prior to illness onset. Therefore, this study investigated these variables using objective assessment methods within a sample at high-risk of bipolar spectrum disorders. Thirty-one high-risk and 24 age- and gender-matched control participants wore an actigraph for 7 days to obtain sleep and circadian activity data. Self-report measures of mood, bed and get-up times, and cognitive style were also obtained. High-risk participants exhibite...
Source: Journal of Clinical Psychology - August 9, 2009 Category: Psychiatry & Psychology Authors: David Ankers, Steven H. Jones Source Type: journals

Cognitive behavioral therapy of negative symptomsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article outlines recent innovations in tailoring CBT for negative symptoms and functioning, including the use of a strong goal-oriented recovery approach, in-session exercises designed to disconfirm dysfunctional beliefs, and adaptations to circumvent neurocognitive and engagement difficulties. A case illustration is provided. © 2009 Wiley Periodicals, Inc. J Clin Psychol: In Session 65:1-16, 2009. (Source: Journal of Clinical Psychology)
Source: Journal of Clinical Psychology - July 4, 2009 Category: Psychiatry & Psychology Authors: Dimitri Perivoliotis, Corinne Cather Source Type: journals

Mentalization-based psychodynamic psychotherapy for psychosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses and illustrates the use of mentalization-based psychodynamic psychotherapy for disturbances of awareness of the self and others in patients with psychotic-spectrum disorders. The literature on impairments of mental processes involved in self-awareness and awareness of others occurring in psychotic illnesses and the relationship between childhood trauma and the emergence of psychotic symptoms is reviewed. A case illustrates how mentalization-based treatment can facilitate treatment engagement and be used to manage enactments in the psychotherapy with a patient with a psychotic disorder. Mentalization-...
Source: Journal of Clinical Psychology - June 30, 2009 Category: Psychiatry & Psychology Authors: Benjamin Brent Source Type: journals

Cognitive-behavioral therapy of delusions: mental imagery within a goal-directed frameworkEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case illustrating a cognitive-behavioral approach to delusions with an emphasis on mental imagery techniques. A 25-year-old male diagnosed with paranoid schizophrenia whose clinical presentation was dominated by paranoid delusions received 6 months of treatment. At the end of the follow-up period, the patient's delusions were minimal and his negative symptoms had significantly improved. Mental imagery may be an important treatment tool for delusions. © 2009 Wiley Periodicals, Inc. J Clin Psychol: In Session 65:1-12, 2009. (Source: Journal of Clinical Psychology)
Source: Journal of Clinical Psychology - June 30, 2009 Category: Psychiatry & Psychology Authors: Gail Serruya, Paul Grant Source Type: journals

Behavioral treatment of substance abuse in schizophreniaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Co-occurring substance use disorders are highly prevalent among individuals with schizophrenia and other serious and persistent mental illnesses (SPMI) and are associated with clinically significant consequences. A multifaceted behavioral treatment called Behavioral Treatment for Substance Abuse in Serious and Persistent Mental Illness (BTSAS) can reduce substance abuse in persons with SPMI. The key treatment strategies in BTSAS include a urinalysis contingency, short-term goal setting, training in drug refusal skills, psychoeducation about the impact of drug use, and relapse prevention training. A case example illustratin...
Source: Journal of Clinical Psychology - June 24, 2009 Category: Psychiatry & Psychology Authors: Wendy N. Tenhula, Melanie E. Bennett, Joanna E. Strong Kinnaman Source Type: journals

Partnering with families: multiple family group psychoeducation for schizophreniaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Family psychoeducation (FPE) is one of six evidence-based practices endorsed by the Center for Mental Health Services for individuals suffering from chronic mental illnesses. Multiple family group psychoeducation (MFG) has been shown to be an effective component of FPE in reducing symptom relapses and rehospitalizations for individuals with schizophrenia. It is especially effective when family members participate on a consistent basis, which allows them to increase their understanding of the biology of the disorder, learn ways to be supportive, reduce stress in the environment and in their own lives, and develop a broader ...
Source: Journal of Clinical Psychology - June 17, 2009 Category: Psychiatry & Psychology Authors: Thomas C. Jewell, Donna Downing, William R. McFarlane Source Type: journals

Family-directed cognitive adaptation for schizophreniaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cognitive impairment is pervasive in schizophrenia and is a major cause of poor functioning and caregiver burden. However, there are few treatments specifically aimed at helping families cope with a relative's cognitive difficulties and reducing the effects of cognitive impairments on the client's daily functioning. Family-directed cognitive adaptation (FCA) is a 16-session treatment developed to address this need. In this article, we provide a rationale for the development of FCA, describe the program itself, and summarize a pilot study aimed at evaluating the acceptability and feasibility of the treatment. We conclude wi...
Source: Journal of Clinical Psychology - June 16, 2009 Category: Psychiatry & Psychology Authors: Michelle S. Friedman-Yakoobian, Kim T. Mueser, Anthony Giuliano, Donald C. Goff, Larry J. Seidman Source Type: journals

Cognitive-behavioral therapy for individuals at high risk of developing psychosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Early intervention for psychosis has become an established clinical practice. Research is now focusing on identifying individuals in the pre-psychotic period when they appear to be putatively prodromal for psychosis. Criteria have been established for identifying these young people who are at clinical high risk, and there have been some early studies testing both pharmacological and psychological treatments. Cognitive behavioral therapy (CBT) has been tested as a potentially effective intervention in this group. Here, we describe two cases that were treated with CBT. © 2009 Wiley Periodicals, Inc. J Clin Psychol: In Sessi...
Source: Journal of Clinical Psychology - June 16, 2009 Category: Psychiatry & Psychology Authors: Jean Addington, Enza Mancuso Source Type: journals

Cognitive adaptation training for outpatients with schizophreniaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Schizophrenia is a complex neurodevelopmental disorder characterized by cognitive deficits. These deficits in cognitive functioning have been shown to relate to a variety of functional and treatment outcomes. Cognitive adaptation training (CAT) is a home-based, manual-driven treatment that utilizes environmental supports and compensatory strategies to bypass cognitive deficits and improve target behaviors and functional outcomes in individuals with schizophrenia. Unlike traditional case management, CAT provides environmental supports and compensatory strategies tailored to meet the behavioral style and neurocognitive defic...
Source: Journal of Clinical Psychology - June 11, 2009 Category: Psychiatry & Psychology Authors: Meredith L. Draper, Donna S. Stutes, Natalie J. Maples, Dawn I. Velligan Source Type: journals

Affective reactivity in response to criticism in remitted bipolar disorder: a laboratory analog of expressed emotionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Potential mechanisms to explain the relationship between Expressed Emotion (EE) and poor outcome within bipolar disorder are poorly understood. One possibility is that people with bipolar disorder have difficulty regulating their affect in response to criticism. The present study examined whether participants with bipolar disorder were more affectively dysregulated than control participants when presented with a criticism by a confederate. There was a trend for people with bipolar disorder to react more negatively to the criticism, but there was also evidence that they recovered as quickly as controls. Exploratory analyses...
Source: Journal of Clinical Psychology - May 24, 2009 Category: Psychiatry & Psychology Authors: Amy K. Cuellar, Sheri L. Johnson, Camilo J. Ruggero Source Type: journals

Examining motivational interviewing from a client agency perspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although empirical investigations strongly support the use of motivational interviewing (MI), there is no theory to clearly explain how or why MI works. The authors propose that MI is efficacious because it mobilizes clients' inherent resources for motivation, learning, creativity, problem solving, and goal-driven activity. Examining MI from a client agency perspective reveals new ways of conceptualizing several critical issues, including MI's fundamental "spirit," the function of resolving ambivalence, the importance of change talk, MI's ability to combine well with other approaches, and the success of brief MI interventi...
Source: Journal of Clinical Psychology - May 20, 2009 Category: Psychiatry & Psychology Authors: Alexander S. Faris, Timothy A. Cavell, John W. Fishburne, Peter C. Britton Source Type: journals

Temperament and character associated with depressive symptoms in women: analysis of two genetically informative samplesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study investigated how temperament and character were associated with depressive symptoms in 131 pairs of twin and sibling women in early adulthood, as well as 326 pairs of twin women in middle adulthood. Results indicated that genetic influences accounted for a moderate to substantial percentage of the association between these personality features and depressive symptoms, emphasizing the role of genetic influences. Nonshared environmental influences made important contributions to the association between character and depressive symptoms, particularly in the sample of middle-aged twin women. These findings suggest t...
Source: Journal of Clinical Psychology - May 19, 2009 Category: Psychiatry & Psychology Authors: Jongil Yuh, Jenae M. Neiderhiser, Paul Lichtenstein, Kjell Hansson, Marianne Cederblad,, Olle Elthammer, David Reiss Source Type: journals

Cognitive correlates of mania risk: are responses to success, positive moods, and manic symptoms distinct or overlapping?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Several measures of cognitive style have been shown to be elevated among persons diagnosed with bipolar disorder and those at risk for bipolar disorder. Several of these scales capture responses to positive affect, success, and hypomanic symptoms. We had two goals: (a) to use factor analyses to assess whether the constructs within these scales were statistically independent and (b) to examine whether the factors identified uniquely related to mania risk. A cross-national sample of 638 participants completed measures of cognitive style, including the Responses to Positive Affect scale, the Positive Overgeneralization Scale,...
Source: Journal of Clinical Psychology - May 19, 2009 Category: Psychiatry & Psychology Authors: Sheri L. Johnson, Steven Jones Source Type: journals

Belief in a concerned god predicts response to treatment for adults with clinical depressionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study hypothesized that this relationship would also be true longitudinally. Shortly after admission to treatment and 8 weeks later, 136 adults with clinical depression completed the Beck Depression Inventory, the Beck Hopelessness Scale, and the Religious Well-Being Scale (RWB). Logistic regression models supported an association of baseline RWB, but not baseline hopelessness, with a 50% reduction in symptoms after 8 weeks. Persons in the upper third of RWB at admission were 75% more likely to have a response to treatment than persons in the lower third. Clinicians need to be aware of the role of religion for their c...
Source: Journal of Clinical Psychology - May 19, 2009 Category: Psychiatry & Psychology Authors: Patricia E. Murphy, George Fitchett Source Type: journals