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  Subjects -> SOCIAL SCIENCES (Total: 1304 journals)
    - BIRTH CONTROL (20 journals)
    - CHILDREN AND YOUTH (239 journals)
    - FOLKLORE (29 journals)
    - MATRIMONY (16 journals)
    - MEN'S INTERESTS (17 journals)
    - MEN'S STUDIES (87 journals)
    - SEXUALITY (49 journals)
    - SOCIAL SCIENCES (649 journals)
    - WOMEN'S INTERESTS (42 journals)
    - WOMEN'S STUDIES (156 journals)

SOCIAL SCIENCES (649 journals)                  1 2 3 4     

Showing 1 - 136 of 136 Journals sorted alphabetically
3C Empresa     Open Access  
A contrario     Full-text available via subscription   (Followers: 2)
Abant İzzet Baysal Üniversitesi Sosyal Bilimler Enstitüsü Dergisi     Open Access  
Abordajes : Revista de Ciencias Sociales y Humanas     Open Access  
Aboriginal and Islander Health Worker Journal     Full-text available via subscription   (Followers: 10)
About Performance     Full-text available via subscription   (Followers: 9)
Academicus International Scientific Journal     Open Access   (Followers: 2)
Access     Full-text available via subscription   (Followers: 22)
ACCESS: Critical Perspectives on Communication, Cultural & Policy Studies     Full-text available via subscription   (Followers: 8)
ACCORD Occasional Paper     Open Access   (Followers: 1)
Accountability in Research: Policies and Quality Assurance     Hybrid Journal   (Followers: 15)
Acta Academica     Full-text available via subscription   (Followers: 5)
Acta Scientiarum. Human and Social Sciences     Open Access   (Followers: 4)
Acta Universitatis Sapientiae, Philologica     Open Access   (Followers: 1)
Adıyaman Üniversitesi Sosyal Bilimler Enstitüsü Dergisi     Open Access  
Administrative Science Quarterly     Full-text available via subscription   (Followers: 133)
Administrative Theory & Praxis     Full-text available via subscription   (Followers: 6)
Adultspan Journal     Hybrid Journal  
Advances in Appreciative Inquiry     Hybrid Journal  
Advocate: Newsletter of the National Tertiary Education Union     Full-text available via subscription   (Followers: 2)
África     Open Access  
Africa Spectrum     Open Access   (Followers: 11)
African Affairs     Hybrid Journal   (Followers: 57)
African Renaissance     Full-text available via subscription   (Followers: 1)
African Research Review     Open Access   (Followers: 4)
African Social Science Review     Open Access   (Followers: 10)
Afyon Kocatepe Üniversitesi Sosyal Bilimler Dergisi     Open Access  
Ágora : revista de divulgação científica     Open Access  
Akademik İncelemeler Dergisi     Open Access   (Followers: 1)
Akademika : Journal of Southeast Asia Social Sciences and Humanities     Open Access   (Followers: 4)
Al-Mabsut : Jurnal Studi Islam dan Sosial     Open Access   (Followers: 1)
Alliage     Free  
Alteridade     Open Access  
American Communist History     Hybrid Journal   (Followers: 18)
ANALES de la Universidad Central del Ecuador     Open Access   (Followers: 1)
Analysis     Full-text available via subscription   (Followers: 4)
Andamios. Revista de Investigacion Social     Open Access  
Anemon Muş Alparslan Üniversitesi Sosyal Bilimler Dergisi     Open Access  
Annals of Humanities and Development Studies     Open Access   (Followers: 4)
Annals of the American Academy of Political and Social Science     Hybrid Journal   (Followers: 32)
Annuaire de l’EHESS     Open Access  
Anthropocene Review     Hybrid Journal   (Followers: 4)
Anthurium : A Caribbean Studies Journal     Open Access   (Followers: 5)
Approches inductives : Travail intellectuel et construction des connaissances     Full-text available via subscription  
Apuntes : Revista de Ciencias Sociales     Open Access  
Apuntes de Investigación del CECYP     Open Access  
Arbor     Open Access  
Argomenti. Rivista di economia, cultura e ricerca sociale     Open Access   (Followers: 2)
Argumentos. Revista de crítica social     Open Access  
Around the Globe     Full-text available via subscription   (Followers: 1)
Articulo - Journal of Urban Research     Open Access   (Followers: 4)
Asia Pacific Journal of Sport and Social Science     Hybrid Journal   (Followers: 5)
Asian Journal of Social Science     Hybrid Journal   (Followers: 11)
Asian Journal of Social Sciences and Management Studies     Open Access   (Followers: 6)
Asian Social Science     Open Access   (Followers: 5)
Astrolabio     Open Access  
Atatürk Dergisi     Open Access  
Australasian Review of African Studies, The     Full-text available via subscription   (Followers: 2)
Australian Aboriginal Studies     Full-text available via subscription   (Followers: 9)
Australian and Aotearoa New Zealand Psychodrama Association Journal     Full-text available via subscription  
Australian Journal of Emergency Management     Full-text available via subscription   (Followers: 4)
Australian Journal on Volunteering     Full-text available via subscription   (Followers: 1)
BARATARIA. Revista Castellano-Manchega de Ciencias sociales     Open Access  
Basic and Applied Social Psychology     Hybrid Journal   (Followers: 30)
Basic Income Studies     Hybrid Journal   (Followers: 9)
Bayero Journal of Pure and Applied Sciences     Open Access  
Berkeley Undergraduate Journal     Full-text available via subscription   (Followers: 1)
Big Data & Society     Open Access   (Followers: 26)
Bildhaan : An International Journal of Somali Studies     Open Access   (Followers: 2)
BMC Medical Ethics     Open Access   (Followers: 15)
Bodhi : An Interdisciplinary Journal     Open Access   (Followers: 1)
Body Image     Hybrid Journal   (Followers: 12)
BOGA : Basque Studies Consortium Journal     Open Access   (Followers: 2)
Boletín Cultural y Bibliográfico     Open Access   (Followers: 2)
Border Crossing : Transnational Working Papers     Open Access   (Followers: 2)
Brain and Cognition     Hybrid Journal   (Followers: 29)
Brasiliana - Journal for Brazilian Studies     Open Access   (Followers: 1)
British Review of New Zealand Studies     Full-text available via subscription   (Followers: 2)
Bulletin de l’Institut Français d’Études Andines     Open Access   (Followers: 1)
Caderno CRH     Open Access  
California Italian Studies Journal     Full-text available via subscription   (Followers: 5)
California Journal of Politics and Policy     Hybrid Journal   (Followers: 1)
Caminho Aberto : Revista de Extensão do IFSC     Open Access  
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 1)
Caribbean Studies     Full-text available via subscription   (Followers: 11)
Carl Beck Papers in Russian and East European Studies     Full-text available via subscription   (Followers: 5)
Catalan Social Sciences Review     Open Access  
Catalyst : A Social Justice Forum     Open Access   (Followers: 10)
Catholic Social Science Review     Open Access   (Followers: 3)
CBU International Conference Proceedings     Open Access   (Followers: 1)
Cemoti, Cahiers d'études sur la méditerranée orientale et le monde turco-iranien     Open Access   (Followers: 2)
Challenges     Open Access   (Followers: 1)
China Journal of Social Work     Hybrid Journal   (Followers: 1)
Chinese Studies     Open Access   (Followers: 5)
Ciencia e Interculturalidad     Open Access  
Ciencia y Sociedad     Open Access   (Followers: 1)
Ciencia, Cultura y Sociedad     Open Access  
Ciencias Holguin     Open Access   (Followers: 1)
Ciências Sociais Unisinos     Open Access   (Followers: 3)
Ciencias Sociales y Educación     Open Access   (Followers: 2)
Ciencias Sociales y Humanidades     Open Access   (Followers: 1)
CienciaUAT     Open Access  
Citizen Science : Theory and Practice     Open Access  
Citizenship Teaching & Learning     Hybrid Journal   (Followers: 5)
Ciudad Paz-ando     Open Access  
Civilizar Ciencias Sociales y Humanas     Open Access   (Followers: 1)
Civitas - Revista de Ciências Sociais     Open Access   (Followers: 1)
Claroscuro     Open Access   (Followers: 1)
CLIO América     Open Access   (Followers: 1)
Cogent Social Sciences     Open Access  
Cognitive and Behavioral Practice     Hybrid Journal   (Followers: 9)
Colonial Academic Alliance Undergraduate Research Journal     Open Access   (Followers: 2)
Communication, Politics & Culture     Open Access   (Followers: 12)
Communities, Children and Families Australia     Full-text available via subscription   (Followers: 1)
Compendium     Open Access   (Followers: 1)
Comprehensive Therapy     Hybrid Journal   (Followers: 3)
Comuni@cción     Open Access  
Comunitania : Revista Internacional de Trabajo Social y Ciencias Sociales     Open Access   (Followers: 1)
Confluenze Rivista di Studi Iberoamericani     Open Access  
Contemporary Journal of African Studies     Full-text available via subscription   (Followers: 3)
Contemporary Social Science     Hybrid Journal   (Followers: 12)
Contribuciones desde Coatepec     Open Access  
Convergencia     Open Access  
Corporate Reputation Review     Hybrid Journal   (Followers: 5)
CRDCN Research Highlight / RCCDR en évidence     Open Access  
Creative and Knowledge Society     Open Access   (Followers: 10)
Creative Approaches to Research     Full-text available via subscription   (Followers: 11)
Critical Psychology     Hybrid Journal   (Followers: 5)
Critical Studies     Full-text available via subscription   (Followers: 7)
Critical Studies on Terrorism     Hybrid Journal   (Followers: 27)
Crossing the Border : International Journal of Interdisciplinary Studies     Open Access   (Followers: 4)
CTheory     Open Access  
Cuadernos de la Facultad de Humanidades y Ciencias Sociales - Universidad Nacional de Jujuy     Open Access   (Followers: 1)
Cuadernos Interculturales     Open Access  
Cultural Studies Review     Full-text available via subscription   (Followers: 13)
Cultural Trends     Hybrid Journal   (Followers: 14)
Culturales     Open Access   (Followers: 2)
Culturas. Revista de Gestión Cultural     Open Access  
Culture Mandala : The Bulletin of the Centre for East-West Cultural and Economic Studies     Open Access  
Culture Scope     Full-text available via subscription   (Followers: 2)
De Prácticas y Discursos. Cuadernos de Ciencias Sociales     Open Access  
Demographic Research     Open Access   (Followers: 11)
Derecho y Ciencias Sociales     Open Access   (Followers: 1)
Desacatos     Open Access   (Followers: 1)
Desenvolvimento em Questão     Open Access  
Developing Practice : The Child, Youth and Family Work Journal     Full-text available via subscription   (Followers: 19)
Development     Hybrid Journal   (Followers: 16)
Diálogo     Open Access   (Followers: 1)
DIFI Family Research and Proceedings     Open Access   (Followers: 1)
Discourse & Society     Hybrid Journal   (Followers: 61)
Distinktion : Scandinavian Journal of Social Theory     Hybrid Journal   (Followers: 5)
Doct-Us Journal     Open Access  
Drustvena istrazivanja     Open Access   (Followers: 2)
Dynamics of Asymmetric Conflict: Pathways toward terrorism and genocide     Hybrid Journal   (Followers: 12)
e-Gnosis     Open Access  
e-Hum : Revista das Áreas de Humanidade do Centro Universitário de Belo Horizonte     Open Access   (Followers: 1)
Eastern Africa Social Science Research Review     Full-text available via subscription   (Followers: 5)
Économie et Solidarités     Full-text available via subscription   (Followers: 1)
Education, Business and Society : Contemporary Middle Eastern Issues     Hybrid Journal  
Égypte - Monde arabe     Open Access   (Followers: 4)
Éire-Ireland     Full-text available via subscription   (Followers: 8)
Electoral Studies     Hybrid Journal   (Followers: 28)
Electronic Journal of Radical Organisation Theory     Full-text available via subscription   (Followers: 2)
Empiria. Revista de metodología de ciencias sociales     Open Access   (Followers: 1)
Encuentros Multidisciplinares     Open Access  
Enseñanza de las Ciencias Sociales     Open Access   (Followers: 1)
Entramado     Open Access  
Equality, Diversity and Inclusion : An International Journal     Hybrid Journal   (Followers: 13)
Equidad y Desarrollo     Open Access  
Espace populations sociétés     Open Access   (Followers: 1)
EspacesTemps.net     Open Access  
Estudios Avanzados     Open Access  
Estudios Fronterizos     Open Access   (Followers: 1)
Estudios Sociales     Open Access   (Followers: 2)
Estudios Sociales     Open Access  
Ethics and Social Welfare     Hybrid Journal   (Followers: 20)
Ethiopian Journal of the Social Sciences and Humanities     Full-text available via subscription   (Followers: 6)
Ethnic and Racial Studies     Hybrid Journal   (Followers: 37)
Ethnobotany Research & Applications : a journal of plants, people and applied research     Open Access   (Followers: 6)
Études canadiennes / Canadian Studies     Open Access   (Followers: 1)
Études rurales     Open Access   (Followers: 2)
Eureka Street     Full-text available via subscription   (Followers: 4)
European Journal of Futures Research     Open Access   (Followers: 1)
European Journal of Social Psychology     Hybrid Journal   (Followers: 30)
European Online Journal of Natural and Social Sciences     Open Access   (Followers: 10)
European Review of Latin American and Caribbean Studies - Revista Europea de Estudios Latinoamericanos y del Caribe     Open Access   (Followers: 6)
European Review of Social Psychology     Hybrid Journal   (Followers: 10)
European View     Hybrid Journal   (Followers: 1)
European Yearbook of Minority Issues Online     Hybrid Journal   (Followers: 2)
Exchanges : the Warwick Research Journal     Open Access   (Followers: 1)
ExT : Revista de Extensión de la UNC     Open Access  
Families, Relationships and Societies     Full-text available via subscription   (Followers: 7)
Family Matters     Full-text available via subscription   (Followers: 13)
Family Process     Partially Free   (Followers: 7)
Family Relations     Partially Free   (Followers: 11)
Family Science     Hybrid Journal   (Followers: 2)
Fijian Studies: A Journal of Contemporary Fiji     Full-text available via subscription  
FIVE : The Claremont Colleges Journal of Undergraduate Academic Writing     Open Access   (Followers: 1)
Flaubert     Open Access   (Followers: 1)
Formation emploi     Open Access  

        1 2 3 4     

Journal Cover Cognitive and Behavioral Practice
  [SJR: 0.859]   [H-I: 41]   [9 followers]  Follow
    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 1077-7229
   Published by Elsevier Homepage  [3043 journals]
  • A Couple-Based Psychological Treatment for Chronic Pain and Relationship
           Distress
    • Abstract: Publication date: Available online 21 March 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Annmarie Cano, Angelia M. Corley, Shannon M. Clark, Sarah C. Martinez
      Chronic pain impacts individuals with pain as well as their loved ones. Yet, there has been little attention to the social context in individual psychological treatment approaches to chronic pain management. With this need in mind, we developed a couple-based treatment, “Mindful Living and Relating,” aimed at alleviating pain and suffering by promoting couples’ psychological and relational flexibility skills. Currently, there is no integrative treatment that fully harnesses the power of the couple, treating both the individual with chronic pain and the spouse as two individuals who are each in need of developing greater psychological and relational flexibility to improve their own and their partners’ health. Mindfulness, acceptance, and values-based action exercises were used to promote psychological flexibility. The intervention also targets relational flexibility, which we define as the ability to interact with one’s partner, fully attending to the present moment, and responding empathically in a way that serves one’s own and one’s partner’s values. To this end, the intervention also included exercises aimed at applying psychological flexibility skills to social interactions as well as emotional disclosure and empathic responding exercises to enhance relational flexibility. The case presented demonstrates that healthy coping with pain and stress may be most successful and sustainable when one is involved in a supportive relationship with someone who also practices psychological flexibility skills and when both partners use relational flexibility skills during their interactions.

      PubDate: 2017-03-26T15:33:08Z
       
  • Delivering Acceptance and Commitment Therapy for Weight Self-Stigma
           Through Guided Self-Help: Results From an Open Pilot Trial
    • Abstract: Publication date: Available online 9 March 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Michael E. Levin, Sarah Potts, Jack Haeger, Jason Lillis
      Weight self-stigma is a promising target for innovative interventions seeking to improve outcomes among overweight/obese individuals. Preliminary research suggests acceptance and commitment therapy (ACT) may be an effective approach for reducing weight self-stigma, but a guided self-help version of this intervention may improve broad dissemination. This pilot open trial sought to evaluate the potential acceptability and efficacy of a guided self-help ACT intervention, included coaching and a self-help book, with a sample of 13 overweight/obese individuals high in weight self-stigma. Results indicated a high degree of program engagement (77% completed the intervention) and satisfaction. Participants improved on outcomes over time including weight self-stigma, emotional eating, weight management behaviors, health-related quality of life, and depression. Although not a directly targeted outcome, participants improved on objectively measured weight, with an average of 4.18 pounds lost over 7 weeks, but did not improve on self-reported weight at 3-month follow-up. Processes of change improved over time, including psychological inflexibility, valued action and reasons to lose weight. Coaching effects indicated greater retention and improvements over time with one coach vs. the other, suggesting characteristics of coaching can affect outcomes. Overall, these results provide preliminary support for the acceptability and efficacy of a guided self-help ACT program for weight self-stigma. Implications of these results and how to address clinical challenges with guided self-help are discussed.

      PubDate: 2017-03-15T15:15:17Z
       
  • Stopping the Nonadherence Cycle: The Clinical and Theoretical Basis for
           Dialectical Behavior Therapy Adapted for Adolescents With Chronic Medical
           Illness (DBT-CMI)
    • Abstract: Publication date: Available online 6 March 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Becky H. Lois, Alec L. Miller
      Most adolescents with chronic illness do not adhere to their regimen. A novel transdiagnostic adaptation of dialectical behavior therapy (dialectical behavior therapy for chronic medical conditions; DBT-CMI) is presented to improve medical adherence in adolescents. The authors describe the approach of DBT-CMI and the model's conceptualization of nonadherence, with specific focus on the core concepts of non-adherence across illness in adolescence. DBT-CMI has been piloted in two disease groups with preliminary benefit. DBT-CMI lends itself theoretically as a transdiagnostic approach due to specific skills that target core concepts of nonadherence in adolescence. Future research is warranted on the applicability of DBT-CMI across other pediatric medical conditions to replicate findings and examine long-term outcomes.

      PubDate: 2017-03-08T15:06:14Z
       
  • Adapting Parent–Child Interaction Therapy for Deaf Families That
           Communicate via American Sign Language: A Formal Adaptation Approach
    • Abstract: Publication date: Available online 6 March 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Lori A. Day, Elizabeth Adams Costa, Danielle Previ, Colleen Caverly
      While our field has made positive strides in adapting psychotherapeutic interventions for diverse groups of people, considerable work is still needed in this area. We present our formal adaptation procedure for parent–child interaction therapy (PCIT) with Deaf persons. This includes a review of the cultural adaptation process for psychological interventions, including PCIT, as well as an introduction to Deaf culture. Details regarding the specific adaptation of PCIT for Deaf persons are outlined. We found that the utilization of a clear framework to guide the cultural adaptation process facilitated careful consideration of the numerous linguistic and cultural variables involved, while maintaining integrity of the treatment model. While the current focus was on adapting PCIT for Deaf families who communicate via American Sign Language, this framework can also be applied to other populations and/or interventions.

      PubDate: 2017-03-08T15:06:14Z
       
  • Intensive Outpatient Comprehensive Behavioral Intervention for Tics: A
           Clinical Replication Series
    • Abstract: Publication date: Available online 2 March 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Tabatha H. Blount, Jeslina J. Raj, Alan L. Peterson
      Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious behavioral treatment for Tourette’s disorder. In its standard format, CBIT is completed in 8 sessions over a 10-week period. Unfortunately, significant obstacles (e.g., not having a provider nearby; inability to attend weekly sessions) prevent many individuals from participating in standard outpatient CBIT. An intensive outpatient program that compresses CBIT into a week may help overcome many of these barriers. The present clinical replication series examines treatment outcomes in 5 individuals with Tourette's disorder. Importantly, 4 out of the 5 participants reported clinically meaningful tic reductions on the Yale Global Tic Severity Scale (YGTSS) at the posttreatment assessment, with an average decrease of 11.5 points across those 4 participants. This represents a 28% decrease in the average posttreatment YGTSS score from the average baseline YGTSS score. Of the 3 participants who completed the 1-month follow-up assessment, 2 participants continued to endorse reductions in their baseline tic severity on the YGTSS and were rated as having a positive response on the Clinician Global Impressions–Improvement subscale. Clinical implications are discussed.

      PubDate: 2017-03-02T20:30:07Z
       
  • A Novel Integrated Cognitive-Behavioral Therapy for Anxiety and Medication
           Adherence Among Persons Living With HIV/AIDS
    • Abstract: Publication date: Available online 2 March 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Charles P. Brandt, Daniel J. Paulus, Monica Garza, Chad Lemaire, Peter J. Norton, Michael J. Zvolensky
      Persons living with HIV/AIDS (PLHIV) are able to live full lifespans after infection, however, rates of anxiety disorders among this population are elevated compared to national samples. Importantly, these anxiety symptoms and disorders have a negative effect on medication adherence, quality of life and other psychological disorders, such as depression. In order to reduce the impact of anxiety among PLHIV, a six-session transdiagnostic CBT-based treatment manual for anxiety among PLHIV named the HIV/Anxiety Management-Reduction Treatment (HAMRT) was developed and implemented. The current manuscript discusses the content of this manual as well as results from three cases examining the impact of HAMRT. Results indicated that HAMRT was effective in reducing symptoms of anxiety, anxiety sensitivity, depression, and negative affect among our sample. Additionally, results indicated that HAMRT was effective in increasing HIV medication adherence as well as quality of life. Results are discussed in terms of the potential utility of an anxiety-reduction therapy program aimed at increasing medication adherence among PLHIV.

      PubDate: 2017-03-02T20:30:07Z
       
  • Use of Internet Resources to Support Prolonged Exposure for Combat-Related
           PTSD
    • Abstract: Publication date: Available online 9 February 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Peter D. Yeomans
      In vivo exposure as part of Prolonged Exposure (PE) requires the patient and therapist to generate a list of cues that are reminiscent of the trauma and generative of distress. In contrast to civilian trauma, it can be more challenging to build a robust in vivo hierarchy for a combat-related index trauma. Internet resources such as databases that list casualties from different wars, memorial pages of those who died in theater, and lists of unit association memberships and reunions are useful sources for in vivo hierarchies. These materials can provide opportunities for exposure to additional cues reminiscent of the traumatic event, provide information about the traumatic event that the veteran had been unable to recall, and create opportunities for veterans to reestablish relationships with veteran peers. Case illustrations are provided and reasons for caution are discussed.

      PubDate: 2017-02-10T10:18:00Z
       
  • A Cultural Adaptation of Dialectical Behavior Therapy in Nepal
    • Abstract: Publication date: Available online 9 February 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Megan K. Ramaiya, Devika Fiorillo, Upasana Regmi, Clive J. Robins, Brandon A. Kohrt
      Growing evidence exists on the potential for adapting evidence-based interventions for low- and-middle-income countries (LMIC). One opportunity that has received limited attention is the adaptation of psychotherapies developed in high-income countries (HIC) based on principles from LMIC cultural groups. Dialectical behavior therapy (DBT) is one such treatment with significant potential for acceptability in South Asian settings with high suicide rates. We describe a tri-phasic approach to adapt DBT in Nepal that consists of qualitative interviews with major Nepali mental health stakeholders (Study 1), an adaptation workshop with 15 Nepali counselors (Study 2), and a small-scale treatment pilot with eligible clients in one rural district (Study 3). Due to low literacy levels, distinct conceptualizations of mind and body, and program adherence barriers, numerous adaptations were required. DBT concepts attributable to Asian belief systems were least comprehensible to clients. However, the 82% program completion rate suggests utility of a structured, skills-based treatment. This adaptation process informs future research regarding the effectiveness of culturally adapted DBT in South Asia.

      PubDate: 2017-02-10T10:18:00Z
       
  • Culturally Adapted Psychosocial Interventions for Schizophrenia: A Review
    • Abstract: Publication date: Available online 8 February 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Jessica Maura, Amy Weisman de Mamani
      Recent research examining the potential efficacy of culturally adapted interventions for various mental disorders illustrates increasing interest in the integration of cultural perspectives into mental health systems. Despite recent evidence demonstrating that culturally adapted interventions may be more effective than a one-size-fits-all approach, few psychosocial treatments for schizophrenia consider cultural factors that may enhance their efficacy with diverse populations. The aim of this review is to discuss the empirical evidence examining the potential utility of culturally adapted group interventions for schizophrenia, as a means to encourage further work and expansion in this area. Specifically, this article provides an in-depth review of the empirical literature on culturally adapted psychosocial interventions for individuals with schizophrenia and their family members, with a focus on group-based interventions. This review is followed by a discussion of a few cultural constructs that may impact patient and family member functioning, and therefore may be important to address in psychosocial treatments for schizophrenia. Finally, we end this review with a broad discussion of research limitations and potential areas for additional research, clinical implications for adapting EBTs to better address cultural concerns, and a case vignette to illustrate how cultural considerations can be integrated into a traditional multifamily group therapy approach.

      PubDate: 2017-02-10T10:18:00Z
       
  • Multi-Media Field Test: Tic Treatment Goes Tech: A Review of TicHelper.com
    • Abstract: Publication date: Available online 8 February 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Christine A. Conelea, Brianna C.M. Wellen
      TicHelper.com (“TicHelper”) is an interactive online treatment program for youth with chronic tic disorders (CTDs) or Tourette Syndrome (TS) and their parents. It is based on Comprehensive Behavioral Intervention for Tics (CBIT), an individual, outpatient therapy protocol shown to effectively reduce tics in randomized controlled trials. The TicHelper website offers a user-friendly dashboard that is effective in making it easy to navigate through different treatment modules. Modules parallel core CBIT procedures and consist of interactive exercises, informational videos, and self-report ratings. TicHelper has some weaknesses (e.g., no outcomes research specific to the program has been published to date); however, its strengths (easily navigable, clear instructions, appropriate content) outweigh its weaknesses, making it a potentially useful dissemination tool to make CBIT more accessible to families and youth with tics.

      PubDate: 2017-02-10T10:18:00Z
       
  • The Impact of Cumulative Minority Stress on Cognitive Behavioral Treatment
           
    • Abstract: Publication date: Available online 3 February 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Nicholas S. Perry, Shannon D. Chaplo, Katherine J.W. Baucom
      For sexual minority individuals (i.e., lesbian, gay, and bisexual [LGB] persons), minority stress includes experiences of discrimination, expectations of rejection, internalized negativity, and concealment of identity. Sexual minority stress has been linked to various negative mental health outcomes (e.g., depression, anxiety), and levels of psychiatric comorbidity are high among LGB people. However, little is known about the extension of minority stress models to gender minority individuals (i.e., transgender and gender nonconforming persons) and its impact on mental health in this particular group. Further, the influence of gender minority stress on the delivery and outcome of traditional cognitive behavioral therapy (CBT) approaches is unclear. A case study of CBT for chronic depression with a young, transgender individual is presented. This case study highlights potential barriers that may arise with gender minority clients when implementing evidence-based clinical interventions in the context of an individual’s minority stress history. Implications for cognitive-behavioral treatments with gender minority individuals and recommendations for clinicians and researchers are discussed.

      PubDate: 2017-02-05T10:14:41Z
       
  • Interoceptive Exposure: An Overlooked Modality in the Cognitive-Behavioral
           Treatment of OCD
    • Abstract: Publication date: Available online 3 February 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Shannon M. Blakey, Jonathan S. Abramowitz
      Accumulated research implicates anxiety sensitivity (AS) as a transdiagnostic construct important to the maintenance of OCD. Yet despite the clinical implications of targeting fears of body-related sensations during treatment, interoceptive exposure (IE) is an often-overlooked therapeutic procedure in the cognitive-behavioral treatment of OCD. In this article, we discuss the rationale for—and procedures of—addressing AS during treatment for OCD. We provide two case examples, illustrating how a clinician might approach clinical assessment, case formulation, and treatment planning with each of these patients. We conclude by discussing future research directions to better understand if (and how) targeting AS during therapy might enhance OCD treatment outcome.

      PubDate: 2017-02-05T10:14:41Z
       
  • Developing an Acceptance-Based Behavioral Treatment for Binge Eating
           Disorder: Rationale and Challenges
    • Abstract: Publication date: February 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 1
      Author(s): Adrienne S. Juarascio, Stephanie M. Manasse, Leah Schumacher, Hallie Espel, Evan M. Forman
      Binge eating disorder (BED), characterized by recurrent eating episodes in which individuals eat an objectively large amount of food within a short time period accompanied by a sense of loss of control, is the most common eating disorder. While existing treatments, such as cognitive behavioral therapy (CBT), produce remission in a large percentage of individuals with BED, room for improvement in outcomes remains. Two reasons some patients may continue to experience binge eating after a course of treatment are: (a) Difficulty complying with the prescribed behavioral components of CBT due to the discomfort of implementing such strategies; and (b) a lack of focus in current treatments on strategies for coping with high levels of negative affect that often drive binge eating. To optimize treatment outcomes, it is therefore crucial to provide patients with strategies to overcome these issues. A small but growing body of research suggests that acceptance-based treatment approaches may be effective for the treatment of binge eating. The goal of the current paper is to describe the development of an acceptance-based group treatment for BED, discuss the structure of the manual and the rationale and challenges associated with integrating acceptance-based strategies into a CBT protocol, and to discuss clinical strategies for successfully implementing the intervention.

      PubDate: 2017-02-05T10:14:41Z
       
  • Concurrent Treatment of Depression in Parents and Adolescents: A Case
           Example
    • Abstract: Publication date: February 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 1
      Author(s): Jennifer C. Wolff, Barbara Jandasek, Bethany D. Michel, Sara J. Becker, Anthony Spirito
      The detrimental influence of parent psychopathology—and depression, in particular—on adolescent mental health has been well documented. Routes of transmission include both direct and indirect factors, such as poor parent–adolescent communication, ineffective parenting practices, modeling ineffective coping skills, increased family discord and stress, inadvertent reinforcement of adolescent depressed mood and suicidal ideation and behavior, and decreased treatment adherence. This paper introduces a novel treatment to concurrently treat both a depressed adolescent as well as a depressed parent. This approach improves upon traditional cognitive-behavioral therapy by targeting relational factors of each adolescent–parent dyad while simultaneously addressing each individual’s depression. Principles of case conceptualization and treatment planning using this novel approach are illustrated using a case example.

      PubDate: 2017-02-05T10:14:41Z
       
  • An Open Trial of Web-Based Mindfulness-Based Cognitive Therapy for
           Perinatal Women at Risk for Depressive Relapse
    • Abstract: Publication date: February 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 1
      Author(s): Jennifer N. Felder, Zindel Segal, Arne Beck, Nancy E. Sherwood, Sherryl H. Goodman, Jennifer Boggs, Elizabeth Lemon, Sona Dimidjian
      Depression occurring during pregnancy and postpartum (i.e., the perinatal period) is common and associated with adverse outcomes for women and their offspring. Mindfulness-based cognitive therapy (MBCT) has been shown to reduce risk for depressive relapse among at-risk individuals generally, and recent adaptations document the efficacy of MBCT among perinatal women specifically. In addition, MBCT, when delivered using a web-based format (Mindful Mood Balance [MMB] program), has demonstrated acceptability and feasibility for at-risk individuals generally. The aim of the present open trial study was to examine the feasibility, acceptability, and preliminary outcomes of MMB for use with pregnant women at risk for depressive relapse (N =37). We predicted that MMB would be feasible and acceptable as assessed by session completion and participation in phone coaching calls, home practice completion, and self-reported satisfaction via questionnaire and interview. We also predicted that women would not demonstrate significant worsening of depression symptom severity during MMB, consistent with our focus on prevention. A brief case example based on a composite of participants is presented to illustrate the MMB structure and content and the phone coaching protocol. Participants demonstrated engagement with the program, reported perceiving benefits in the intended depression prevention targets of MMB, and sustained minimal to mild depressive symptom severity over the course of the program. Given these promising results and the potential benefits of averting depression for women and their families, further development and rigorous testing of MMB among at-risk pregnant women is warranted.

      PubDate: 2017-02-05T10:14:41Z
       
  • “Life-Steps” for PrEP Adherence: Demonstration of a CBT-Based
           Intervention to Increase Adherence to Preexposure Prophylaxis (PrEP)
           Medication Among Sexual-Minority Men at High Risk for HIV Acquisition
    • Abstract: Publication date: February 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 1
      Author(s): S. Wade Taylor, Christina Psaros, David W. Pantalone, Jake Tinsley, Steven A. Elsesser, Kenneth H. Mayer, Steven A. Safren
      One dramatic advance in human immunodeficiency virus (HIV) prevention efforts has been the prescription of medications typically used for HIV treatment as prophylaxis against acquiring HIV. As a preventative agent, this practice is referred to as “preexposure prophylaxis” (PrEP). The U.S. Federal Drug Administration approved daily PrEP for adults at risk for HIV who do not consistently use condoms during sex with HIV-infected or unknown-status partners. In this paper, we describe a cognitive-behavioral therapy (CBT) PrEP adherence intervention developed for use in high-risk sexual-minority men in the United States, adapted from “Life-Steps,” an evidence-based CBT intervention to promote adherence to HIV treatment. Modules include creating a PrEP dosing schedule, adhering to daily PrEP, problem solving barriers to adherence, and sexual risk-reduction techniques. Supplemented with practical video vignettes, this novel intervention may help to enhance the clinical practice of health care providers in outpatient settings to increase PrEP adherence in sexual-minority men.

      PubDate: 2017-02-05T10:14:41Z
       
  • “It’s Worth It in the End”: Veterans’ Experiences in Prolonged
           Exposure and Cognitive Processing Therapy
    • Abstract: Publication date: February 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 1
      Author(s): Natalie E. Hundt, Terri L. Barrera, Jennifer Arney, Melinda A. Stanley
      Despite the efficacy of evidence-based psychotherapies (EBP) for posttraumatic stress disorder (PTSD) and efforts to disseminate them, only 6–13% of veterans seeking care through the Veterans Affairs health care system receive these treatments. EBPs such as prolonged exposure (PE) and cognitive processing therapy (CPT) are exposure-based treatments. Provider and patient fears regarding the tolerability of exposure-based treatments likely impede their delivery and completion. The present study utilized qualitative interviews with 23 veterans who completed at least eight sessions of either PE or CPT to elicit firsthand accounts of veterans’ experiences in these EBPs. Results suggest that while a minority of veterans reported initial symptom worsening, the majority of veterans reported positive experiences and felt that, despite being stressful, these EBPs were “worth it.” Most veterans discussed thoughts of discontinuing treatment prematurely, but stated that adherence was encouraged by their commitment to finishing, desperation for relief, therapist/group support, and family support. Veterans believed exposure made an important contribution to symptom improvement, as did greater self-understanding and changing negative or unhelpful beliefs. These findings indicate veteran satisfaction with PE and CPT, and may assist providers to develop strategies to increase adherence and treatment completion.

      PubDate: 2017-02-05T10:14:41Z
       
  • Adaptation of CBT for Traumatized Egyptians: Examples from Culturally
           Adapted CBT (CA-CBT)
    • Abstract: Publication date: February 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 1
      Author(s): Baland Jalal, Sherine W. Samir, Devon E. Hinton
      In this article we illustrate how CBT can be adapted to a traumatized Egyptian population with Islamic beliefs, giving examples from our adaptation of Culturally Adapted–CBT (CA-CBT) for this cultural group. We discuss a culturally sensitive assessment measure of local somatic complaints and cultural syndromes that was devised based on clinical experience with traumatized Egyptians. We also demonstrate how to normalize symptoms, create positive expectancy about the treatment, and educate about trauma. We give examples of how mindfulness can be adapted for an Egyptian Islamic population, and we describe local religious strategies, such as dhikr (religious chanting), salah (ritualistic prayer), and dua (supplication), that may be used to promote attentional shift from rumination topics and to teach attentional control. We describe how “loving kindness” can be adapted for this group. We outline how to modify culturally generated catastrophic cognitions and how to conduct interoceptive exposure and to create positive re-associations in a culturally sensitive manner. We describe how worry themes are explored and addressed based on a heuristic panic attack–PTSD model; how to teach anger management in a culturally sensitive way; and how to address sleep-related problems in this population. We suggest using cultural transitional “rituals” at the end of the treatment to give patients a sense of closure and a positive feeling of transformation. A case example is presented to illustrate cultural challenges associated with delivering CA-CBT to an Egyptian population. We introduce certain concepts such as cultural grounding and explanatory model bridging, both therapeutic techniques that increase adherence, positive expectancy, and cultural consonance.

      PubDate: 2017-02-05T10:14:41Z
       
  • A Cognitive-Behavioral Model of Persistent Postural-Perceptual Dizziness
    • Abstract: Publication date: February 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 1
      Author(s): Matthew G. Whalley, Debbie A. Cane
      Persistent postural-perceptual dizziness (PPPD; previously termed “chronic subjective dizziness”) is a frequently observed disorder in patients who present with dizziness to audiology; ear, nose, and throat; or neurology clinics. The primary symptoms are persistent nonvertiginous dizziness, and hypersensitivity to motion and visual stimuli. These occur either in the absence of any active neuro-otologic illness or, where an episodic vestibular disorder exists, symptoms cannot be fully explained by the disorder alone. Diagnosis is necessarily multidisciplinary and proceeds by identification of primary symptoms and exclusion of other neurological or active medical disorders requiring treatment. Psychological processes are implicated in the development and maintenance of PPPD, with similarities to cognitive models of health anxiety and panic disorder, and there is evidence that cognitive-behavioral therapy is an effective treatment. A cognitive-behavioral model of PPPD is presented along with a case example. It is suggested that dizziness becomes persistent when it is processed as a threat, and that it is maintained by (a) unhelpful appraisals, (b) avoidance and safety behaviors, and (c) attentional strategies including selective attention to body sensations associated with dizziness. Once PPPD is identified techniques for its effective treatment fall within the skills mix of qualified cognitive-behavioral therapists or vestibular clinical scientists who have received additional training in cognitive and behavioral treatment.

      PubDate: 2017-02-05T10:14:41Z
       
  • Incorporating Imagery Into Thought Records: Increasing Engagement in
           Balanced Thoughts
    • Abstract: Publication date: February 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 1
      Author(s): Nina Josefowitz
      Thought records are one of the most effective CBT interventions. However, clients can find them overly intellectual. While clients may logically understand that their balanced thought is accurate, they may not be emotionally convinced, thus reducing the thought record’s effectiveness. In the present paper we describe how imagery can be used throughout the thought record process to enhance clients’ emotional engagement. We describe how imagery can be used to identify negative automatic thoughts, to increase the believability of evidence against negative automatic thoughts, and to increase emotional engagement with balanced thoughts.

      PubDate: 2017-02-05T10:14:41Z
       
  • Development of a Behavioral Activation–Based Intervention for
           Cigarette-Smoking Young Adults
    • Abstract: Publication date: February 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 1
      Author(s): Laura MacPherson, Anahi Collado, Andrew Ninnemann, Elana Hoffman
      Quitting smoking during young adulthood can substantially reduce tobacco-related morbidity and mortality later in life. Depressive symptomatology is prevalent among smokers and increases risk for poor smoking cessation outcomes. However, few integrated behavioral interventions simultaneously target smoking and depressive symptoms and rarely have young smokers been included in the development of these interventions. In this paper we describe an 8-session behavioral activation–based treatment for smoking (BATS; MacPherson et al., 2010) adapted for youth. We conducted a series of focus groups with young adult smokers with depressive symptoms in order to modify treatment manuals to be developmentally appropriate. Subsequently, we completed a small pilot group (n =5) of the intervention to provide preliminary data on feasibility, acceptability, and outcomes. We provide a case series of the participants in order to provide clinical illustrations of how the modified BATS treatment was implemented among young adults. Most pilot study participants exhibited smoking abstinence and smoking reductions at the end of treatment, as well as improvement in depressive symptoms and maintenance of levels of activation and environmental reward. Participants provided positive qualitative constructive feedback regarding the intervention.

      PubDate: 2017-02-05T10:14:41Z
       
  • Acknowledgment to 2016 Reviewers
    • Abstract: Publication date: February 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 1


      PubDate: 2017-02-05T10:14:41Z
       
  • Culturally Sensitive Adaptations to Evidence-Based Cognitive Behavioral
           Treatment for Social Anxiety Disorder: A Case Paper
    • Abstract: Publication date: Available online 12 January 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Jessica R. Graham-LoPresti, Speshal Walker Gautier, Shannon Sorenson, Sarah A. Hayes-Skelton
      Cognitive Behavioral Group Therapy (CBGT), which involves restructuring maladaptive thoughts and exposures in social contexts in a group format, is an empirically supported treatment for social anxiety disorder (SAD). However, research on applying these skills to experiences of discrimination that may contribute to social anxiety in marginalized populations is limited. A case description is presented to demonstrate the ways in which culturally sensitive adaptations of CBGT were applied to treat social anxiety related to issues of discrimination. The case example includes outcome data from one individual diagnosed with SAD who experienced clinical improvement in symptoms of SAD after receiving CBGT as a part of a larger treatment trial for SAD. Specifically, this paper focuses on the way in which SAD manifested for a Latina woman based on a history, and current context of race-based and gender-based discrimination. We present strategies to address SAD related to experiences of discrimination within the context of CBGT as well as clinical implications related to the integration of multicultural principles and traditional cognitive behavioral therapies for SAD more generally.

      PubDate: 2017-01-15T14:44:44Z
       
  • Usability of a Smartphone Application to Support the Prevention and Early
           Intervention of Anxiety in Youth
    • Abstract: Publication date: Available online 12 January 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Ryan D. Stoll, Armando A. Pina, Kevin Gary, Ashish Amresh
      Mental, emotional, and behavioral disorders are common in youth with anxiety problems being among the most prevalent, typically failing to spontaneously remit, and placing some youth at risk for additional difficulties. Mobile health (mHealth) might be a novel avenue to strengthen prevention efforts for child anxiety, since program effects are generally small. However, although a significant number of mHealth tools have been developed, few have been evaluated in terms of usability (or even clinical effectiveness). Usability testing is the first level of evaluation in responsible mHealth efforts as it is one of the main barriers to usage and adoption. As such, the objective of this research was to evaluate the usability of a smartphone application (app) corresponding to an indicated prevention and early intervention targeting youth anxiety. To accomplish this, 132 children (M age = 9.65, 63% girls) and 45 service providers (M age = 29.13, 87% female) rated our app along five established dimensions of usability (ease of use, ease of learning, quality of support information, satisfaction, and stigma). Findings showed that the app was highly and positively rated by youth and providers, with some variations (lower ratings when errors occurred). Path analyses also showed that system understanding was significantly related to greater system satisfaction, but that such relation occurred through the quality of support information offered by the app. Together, this has research and clinical implications as it highlights avenues for advancing youth care via mHealth usability evaluation, including prior to establishing effectiveness.

      PubDate: 2017-01-15T14:44:44Z
       
  • Development and Refinement of a Targeted Sexual Risk Reduction
           Intervention for Women With a History of Childhood Sexual Abuse
    • Abstract: Publication date: Available online 12 January 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Theresa E. Senn, Amy Braksmajer, Heidi Hutchins, Michael P. Carey
      Childhood sexual abuse (CSA) is associated with sexual risk behavior in adulthood. Traditional sexual risk reduction interventions do not meet the unique needs of women who have been sexually abused. In the current paper, we describe the four-stage process we followed to develop and refine a targeted sexual risk reduction intervention for this population. First, initial quantitative work revealed that the intervention should address how maladaptive thoughts related to traumatic sexualization, trust, powerlessness, and guilt/shame (traumagenic dynamics constructs) influence current sexual behavior. Second, qualitative interviews with 10 women who reported a history of CSA (M age=34years; 90% African American) as well as current sexual risk behavior provided support for targeting maladaptive thoughts associated with these traumagenic dynamics constructs. Third, based on the qualitative and quantitative results, we developed a 5-session, group-delivered intervention to address the maladaptive thoughts that occurred as a result of CSA, as well as the cognitive-behavioral determinants of sexual risk behavior. This intervention drew heavily on cognitive behavioral techniques to address cognitions associated with CSA and the links between these cognitions and current sexual risk behavior. Techniques from trauma-based therapies, as well as motivational techniques, were also incorporated into the intervention. Finally, we refined the intervention with 24 women (M age=33years; 79% African American), and assessed feasibility and acceptability. These women reported high levels of satisfaction with the intervention. The resultant intervention is currently being evaluated in a small, randomized controlled trial.

      PubDate: 2017-01-15T14:44:44Z
       
  • Treating Depression Among Adolescent Perinatal Women With a Dialectical
           Behavior Therapy–Informed Skills Group
    • Abstract: Publication date: Available online 12 January 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Blair Vinson Kleiber, Jennifer N. Felder, Bethany Ashby, Stephen Scott, Janet Dean, Sona Dimidjian
      Depression is a prevalent and impairing problem affecting both women and offspring during the perinatal (pregnancy and the postpartum) period. Despite this, few studies have examined treatments for perinatal adolescents with depressive symptoms. The present study examined the feasibility and preliminary outcomes of a Dialectical Behavioral Therapy (DBT) informed skills group among depressed adolescent perinatal women (N = 25) recruited from both a public health parent education program and an adolescent obstetric clinic. A brief composite case example is included to illustrate how DBT skills were taught, practiced, and applied. Findings suggest the intervention was credible, acceptable, and associated with improvement in depression. Challenges with feasibility of enrolling and retaining adolescent perinatal women were evident, as approximately half of the enrolled participants did not complete the study. This study provides preliminary evidence that a DBT-informed skills group may be a promising intervention for depressed adolescent perinatal women and points to important directions for clinical practice and research, including treatment engagement and retention.

      PubDate: 2017-01-15T14:44:44Z
       
  • Introduction to ABCT's 50th Anniversary Special Series of Commentaries by
           Selected Past Presidents of the Association
    • Authors: Steven A. Safren; Katharina Kircanski; Michelle G. Craske
      Pages: 413 - 414
      Abstract: Publication date: Available online 3 August 2016
      Source:Cognitive and Behavioral Practice
      Author(s): Steven A. Safren, Katharina Kircanski, Michelle G. Craske
      Welcome to a special series in Cognitive and Behavioral Practice, brought to you by the Committee for the 50th Anniversary of the Association for Behavioral and Cognitive Therapies (ABCT). Comprised of commentary articles, a subset of luminary past presidents present their views of the history of cognitive and behavioral therapies and their ideas on where the field will go next, using the backdrop of their own careers as a point of departure.

      PubDate: 2016-08-07T18:31:06Z
      DOI: 10.1016/j.cbpra.2016.07.001
       
  • Paradigm Clashes and Progress: A Personal Reflection on a 50-Year
           Association With ABCT
    • Authors: David H. Barlow
      Pages: 415 - 419
      Abstract: Publication date: Available online 16 June 2016
      Source:Cognitive and Behavioral Practice
      Author(s): David H. Barlow
      Why is ABCT a successful, vibrant, and growing association when most other professional associations are withering on the vine' Since the first annual meeting of the organization, which I was privileged to attend, I have witnessed repeated changes in direction as new paradigms were introduced and debated. The clashing of ideas in these debates in our Association over the years centered on such things as classical versus operant learning principles, cognitive versus behavioral modes of intervention, the introduction of a focus on modifying affect and emotion, and “third wave” approaches. Indeed the very founding of the organization was based on a fundamental paradigm clash with the prevailing psychoanalytic approaches in the 1960s. The fact that through it all the organization continues to thrive reflects the secret to our success and our fundamental strength, a reliance on the slow but inexorable progress of science.

      PubDate: 2016-06-18T20:19:42Z
      DOI: 10.1016/j.cbpra.2016.05.006
       
  • A Commentary on Cognitive Behavior Therapy: Where We Have Been, Where We
           Are, and Where We Need to Go From Here
    • Authors: Thomas H. Ollendick
      Pages: 436 - 440
      Abstract: Publication date: Available online 3 August 2016
      Source:Cognitive and Behavioral Practice
      Author(s): Thomas H. Ollendick
      In this commentary, I use my own career and contributions to cognitive behavior therapy (CBT) as a point of departure and reflect upon where the field was when I obtained my graduate training in the late 60s, how it has changed over the past 50 years, and where it needs to go to remain alive and vibrant in the years ahead. Early on CBT was firmly and almost exclusively grounded in learning theory. Although learning theory remains our foundational core to this day, our primary allegiance these days is to broader evidence-based principles of change and the scientific pursuit of evidence-based interventions. Still, although we have accomplished much, we must do more in the years ahead of us. First we need to become more expansive in our attempts to understand the many and diverse problems we treat and, second, we must become more rigorous in the ways in which we assess and treat these problems. I conclude by indicating that although we are 50 years of age this year, and we have much reason to celebrate, we are really only in the adolescent period of our development. Growth is ahead of us.

      PubDate: 2016-08-07T18:31:06Z
      DOI: 10.1016/j.cbpra.2016.06.005
       
  • Multimedia Field Test Thinking About Exposures? There’s an App
           for That!
    • Abstract: Publication date: Available online 23 December 2016
      Source:Cognitive and Behavioral Practice
      Author(s): Matthew M. Carper
      Anxiety Coach is a smartphone application (“app”) for iOS devices that is billed as a self-help program for anxiety in youth and adults. The app is currently available in the iTunes store for a one-time fee of $4.99. Anxiety Coach is organized around three related content areas: (a) self-monitoring of anxiety symptoms, (b) learning about anxiety and its treatment, and (c) guiding users through the development of a fear hierarchy and completion of exposure tasks. Although the app includes psychoeducation about anxiety as well as information regarding specific skills individuals can use to cope with anxiety (e.g., cognitive restructuring), the primary focus of the app is on exposure tasks. As such, the app includes a large library of potential exposure tasks that are relevant to treating common fears and worries, making Anxiety Coach useful to clients and clinicians alike. Additionally, Anxiety Coach prompts users to provide fear ratings while they are carrying out an exposure task and displays a message instructing users to stop the exposure once fear ratings drop by half. These features work together to create an app that has the potential to greatly increase the reach of exposure-based cognitive behavioral therapy for anxiety.

      PubDate: 2016-12-29T16:41:02Z
       
  • Multimedia Field Test: Evaluating the Creative Ambitions of SuperBetter
           and Its Quest to Gamify Mental Health
    • Abstract: Publication date: Available online 18 December 2016
      Source:Cognitive and Behavioral Practice
      Author(s): Tommy Chou, Laura J. Bry, Jonathan S. Comer
      SuperBetter is a family of interfaces including a browser-based game, an online forum, and a companion mobile application that collectively seek to “gamify” resilience, wellness, motivation, and mental health. Players register and use “gamified” components and content to address mental and physical health challenges and to pursue identified goals. The primary strength of the SuperBetter ecosystem is its innovative approach, drawing on gaming metaphors and the use of evidence-based strategies in both its design and provided content. Efforts in creating an engaging, playable system incentivizing users’ incremental steps towards larger goals are constrained by SuperBetter’s relative lack of structure and direction, limits to meaningful progress monitoring, its largely static content regardless of varied user goals, and broad concerns regarding the utility of the overall system. The program presents a potential model for the application of gaming techniques and design to the dissemination of clinically effective concepts to a larger consumer market, but presently lacks sufficient empirical support for claims of evidence-based effectiveness.

      PubDate: 2016-12-22T16:12:37Z
       
  • Some Reflections on the Evolution of Behavior Therapy During ABCT’s
           First 50 Years
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Gerald C. Davison
      In this retrospective on behavior therapy on the occasion of ABCT’s 50th anniversary, I describe my role in several developments that I believe have been important for the field. First, behavior therapy has moved from advancing a predetermined set of theories and techniques (“the conditioning therapies”) to a more general and stronger focus on studying the most scientifically sound and useful conceptions of psychopathology, assessment, and intervention, with less emphasis on preconceived ideas about where the best answers would lie. In other words, I have tried throughout my career to promote a conceptualization of behavior therapy in terms more of an epistemology than an accepted corpus of techniques, theories, and data. Next, I review the brouhaha about behavior therapy during the U.S. Senate hearings in the mid-1970s on extreme behavior control measures at the federal prison in Springfield, MO, where reasonable, important, but misdirected criticisms were being made against measures such as ECT and lobotomy in the name of behavior therapy. Next I review the formal introduction of cognitive factors into the mainstream of behavior therapy, leading to a broader and more sophisticated conceptualization that came to be known as cognitive behavior therapy. These developments have begun to bring our scientific study of the human condition more in line with contemporary theory and research in cognitive psychology and have expanded the applicability and effectiveness of our science-based assessment and intervention. Next, I discuss the intricate and mutually enriching interplay between science and application, with special attention to the underappreciated role of clinical observation and innovation in setting a worthwhile scientific agenda for understanding and alleviating human distress and enhancing human potential. Further, I explore the sometimes controversial effort to look to nonbehavioral theory, data, and clinical observations for ideas to enhance our effectiveness as clinicians. Clinically nuanced and hard-headed analysis of psychological problems need not be inconsistent with a consideration of other paradigms such as the many variants of psychoanalysis and humanistic-existential theories. Finally I recount the events surrounding my 1974 AABT presidential address, in which I argued on ethical and political grounds against sexual reorientation treatment for homosexuality. My original argument has been expanded to the proposition that clinical assessment is inherently constructive and that therapy goals are determined primarily by clinicians in a manner that reflects both their theoretical and moral biases.

      PubDate: 2016-12-22T16:12:37Z
       
  • Some Reflections on the Evolution of Behavior Therapy During ABCT’s
           First 50 Years
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Gerald C. Davison
      In this retrospective on behavior therapy on the occasion of ABCT’s 50th anniversary, I describe my role in several developments that I believe have been important for the field. First, behavior therapy has moved from advancing a predetermined set of theories and techniques (“the conditioning therapies”) to a more general and stronger focus on studying the most scientifically sound and useful conceptions of psychopathology, assessment, and intervention, with less emphasis on preconceived ideas about where the best answers would lie. In other words, I have tried throughout my career to promote a conceptualization of behavior therapy in terms more of an epistemology than an accepted corpus of techniques, theories, and data. Next, I review the brouhaha about behavior therapy during the U.S. Senate hearings in the mid-1970s on extreme behavior control measures at the federal prison in Springfield, MO, where reasonable, important, but misdirected criticisms were being made against measures such as ECT and lobotomy in the name of behavior therapy. Next I review the formal introduction of cognitive factors into the mainstream of behavior therapy, leading to a broader and more sophisticated conceptualization that came to be known as cognitive behavior therapy. These developments have begun to bring our scientific study of the human condition more in line with contemporary theory and research in cognitive psychology and have expanded the applicability and effectiveness of our science-based assessment and intervention. Next, I discuss the intricate and mutually enriching interplay between science and application, with special attention to the underappreciated role of clinical observation and innovation in setting a worthwhile scientific agenda for understanding and alleviating human distress and enhancing human potential. Further, I explore the sometimes controversial effort to look to nonbehavioral theory, data, and clinical observations for ideas to enhance our effectiveness as clinicians. Clinically nuanced and hard-headed analysis of psychological problems need not be inconsistent with a consideration of other paradigms such as the many variants of psychoanalysis and humanistic-existential theories. Finally I recount the events surrounding my 1974 AABT presidential address, in which I argued on ethical and political grounds against sexual reorientation treatment for homosexuality. My original argument has been expanded to the proposition that clinical assessment is inherently constructive and that therapy goals are determined primarily by clinicians in a manner that reflects both their theoretical and moral biases.

      PubDate: 2016-12-22T16:12:37Z
       
  • Some Reflections on the Evolution of Behavior Therapy During ABCT’s
           First 50 Years
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Gerald C. Davison
      In this retrospective on behavior therapy on the occasion of ABCT’s 50th anniversary, I describe my role in several developments that I believe have been important for the field. First, behavior therapy has moved from advancing a predetermined set of theories and techniques (“the conditioning therapies”) to a more general and stronger focus on studying the most scientifically sound and useful conceptions of psychopathology, assessment, and intervention, with less emphasis on preconceived ideas about where the best answers would lie. In other words, I have tried throughout my career to promote a conceptualization of behavior therapy in terms more of an epistemology than an accepted corpus of techniques, theories, and data. Next, I review the brouhaha about behavior therapy during the U.S. Senate hearings in the mid-1970s on extreme behavior control measures at the federal prison in Springfield, MO, where reasonable, important, but misdirected criticisms were being made against measures such as ECT and lobotomy in the name of behavior therapy. Next I review the formal introduction of cognitive factors into the mainstream of behavior therapy, leading to a broader and more sophisticated conceptualization that came to be known as cognitive behavior therapy. These developments have begun to bring our scientific study of the human condition more in line with contemporary theory and research in cognitive psychology and have expanded the applicability and effectiveness of our science-based assessment and intervention. Next, I discuss the intricate and mutually enriching interplay between science and application, with special attention to the underappreciated role of clinical observation and innovation in setting a worthwhile scientific agenda for understanding and alleviating human distress and enhancing human potential. Further, I explore the sometimes controversial effort to look to nonbehavioral theory, data, and clinical observations for ideas to enhance our effectiveness as clinicians. Clinically nuanced and hard-headed analysis of psychological problems need not be inconsistent with a consideration of other paradigms such as the many variants of psychoanalysis and humanistic-existential theories. Finally I recount the events surrounding my 1974 AABT presidential address, in which I argued on ethical and political grounds against sexual reorientation treatment for homosexuality. My original argument has been expanded to the proposition that clinical assessment is inherently constructive and that therapy goals are determined primarily by clinicians in a manner that reflects both their theoretical and moral biases.

      PubDate: 2016-12-22T16:12:37Z
       
  • Evidence-Based Psychosocial Treatment: Advances, Surprises, and Needed
           Shifts in Foci
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Alan E. Kazdin
      In the past 50years, ABCT and its members have contributed enormously to the development and evaluation of psychosocial treatments. Advances are evident in the quantity and quality of research, expansion of conceptual models, the development of treatments that can span many different clinical problems, the use of technology and social media to deliver treatments, and greater attention to ethnic and cultural issues. Certainly the development of evidence-based psychosocial treatments is a highlight although some surprises have emerged as those treatment multiply. Salient challenges are discussed including disseminating treatment, evaluating moderators in a way that can help clinical practice, understanding precisely how treatments work, and expanding our models of delivery so that we can reach the large numbers of unserved individuals in need of services. Our first 50years provides a sound base for qualitative changes to go beyond generating more techniques and demonstrating that they are effective.

      PubDate: 2016-12-22T16:12:37Z
       
  • Evidence-Based Psychosocial Treatment: Advances, Surprises, and Needed
           Shifts in Foci
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Alan E. Kazdin
      In the past 50years, ABCT and its members have contributed enormously to the development and evaluation of psychosocial treatments. Advances are evident in the quantity and quality of research, expansion of conceptual models, the development of treatments that can span many different clinical problems, the use of technology and social media to deliver treatments, and greater attention to ethnic and cultural issues. Certainly the development of evidence-based psychosocial treatments is a highlight although some surprises have emerged as those treatment multiply. Salient challenges are discussed including disseminating treatment, evaluating moderators in a way that can help clinical practice, understanding precisely how treatments work, and expanding our models of delivery so that we can reach the large numbers of unserved individuals in need of services. Our first 50years provides a sound base for qualitative changes to go beyond generating more techniques and demonstrating that they are effective.

      PubDate: 2016-12-22T16:12:37Z
       
  • ABCT at 50 Years: Reflections, Changes, and Future
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): W. Edward Craighead
      The Association for Behavioral and Cognitive Therapies (ABCT) celebrates its 50th year in 2016. Personal and historical anecdotes illustrating the growth of the organization, and the parallel evolution of its affiliated therapies, are presented. From the author’s perspective, the integration of behavioral and cognitive therapies marked the first few decades of ABCT; the incorporation of mindfulness represents the most significant change in cognitive and behavioral interventions in the last 20 years. Recent developments in therapy’s relationship with technology (including computer-based intervention, neuroimaging, and genetic analysis) are explored. Potential future impacts of these developments are discussed in regards to the dissemination of interventions and the prevention and diagnosis of disorders, the contributions of neuroscience findings and methodologies, and the personalization of treatment.

      PubDate: 2016-12-22T16:12:37Z
       
  • Cognitive Behavioral Therapy as an Integral Component of Interprofessional
           Care
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Antonette M. Zeiss
      Integrated care, using an interprofessional team model of care, is emerging as the standard for health care in the United States. Even though this is the standard for care, this is not always the care actually delivered. There are major opportunities for cognitive behavioral therapists (CBT) to deliver care in this model and to help advance the integrated, interprofessional delivery of care. These opportunities, and the challenges to developing a highly functioning interprofessional team are explored. ABCT members are encouraged to explore how their practice can be more aligned with interprofessional practice.

      PubDate: 2016-12-22T16:12:37Z
       
  • Cognitive Behavioral Therapy as an Integral Component of Interprofessional
           Care
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Antonette M. Zeiss
      Integrated care, using an interprofessional team model of care, is emerging as the standard for health care in the United States. Even though this is the standard for care, this is not always the care actually delivered. There are major opportunities for cognitive behavioral therapists (CBT) to deliver care in this model and to help advance the integrated, interprofessional delivery of care. These opportunities, and the challenges to developing a highly functioning interprofessional team are explored. ABCT members are encouraged to explore how their practice can be more aligned with interprofessional practice.

      PubDate: 2016-12-22T16:12:37Z
       
  • Cognitive Behavioral Therapy as an Integral Component of Interprofessional
           Care
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Antonette M. Zeiss
      Integrated care, using an interprofessional team model of care, is emerging as the standard for health care in the United States. Even though this is the standard for care, this is not always the care actually delivered. There are major opportunities for cognitive behavioral therapists (CBT) to deliver care in this model and to help advance the integrated, interprofessional delivery of care. These opportunities, and the challenges to developing a highly functioning interprofessional team are explored. ABCT members are encouraged to explore how their practice can be more aligned with interprofessional practice.

      PubDate: 2016-12-22T16:12:37Z
       
  • The Situation Has Clearly Changed: So What Are We Going to Do About
           It'
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Steven C. Hayes
      Although cognitive behavior therapy (CBT) has been an enormous empirical and practical success over its 50+ year history, the situational factors that led to its success are changing. In this paper I briefly summarize the history of CBT, and list a number of current challenges that could be dangerous to the future health of CBT if they are ignored or mishandled. I make six recommendations that I believe will be of help going forward: focusing on theory and basic principles; embracing transdiagnostic thinking even more strongly; abandoning syndromal classification once and for all; creating a functional diagnostic system with treatment utility; integrating biology into behavioral science by aligning with modern multidimensional, multilevel evolution science; and becoming more serious about delivery systems. The future of CBT could be exciting if we are able to adjust to changing conditions in a flexible way.

      PubDate: 2016-12-22T16:12:37Z
       
  • The Situation Has Clearly Changed: So What Are We Going to Do About
           It'
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Steven C. Hayes
      Although cognitive behavior therapy (CBT) has been an enormous empirical and practical success over its 50+ year history, the situational factors that led to its success are changing. In this paper I briefly summarize the history of CBT, and list a number of current challenges that could be dangerous to the future health of CBT if they are ignored or mishandled. I make six recommendations that I believe will be of help going forward: focusing on theory and basic principles; embracing transdiagnostic thinking even more strongly; abandoning syndromal classification once and for all; creating a functional diagnostic system with treatment utility; integrating biology into behavioral science by aligning with modern multidimensional, multilevel evolution science; and becoming more serious about delivery systems. The future of CBT could be exciting if we are able to adjust to changing conditions in a flexible way.

      PubDate: 2016-12-22T16:12:37Z
       
  • The Situation Has Clearly Changed: So What Are We Going to Do About
           It'
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Steven C. Hayes
      Although cognitive behavior therapy (CBT) has been an enormous empirical and practical success over its 50+ year history, the situational factors that led to its success are changing. In this paper I briefly summarize the history of CBT, and list a number of current challenges that could be dangerous to the future health of CBT if they are ignored or mishandled. I make six recommendations that I believe will be of help going forward: focusing on theory and basic principles; embracing transdiagnostic thinking even more strongly; abandoning syndromal classification once and for all; creating a functional diagnostic system with treatment utility; integrating biology into behavioral science by aligning with modern multidimensional, multilevel evolution science; and becoming more serious about delivery systems. The future of CBT could be exciting if we are able to adjust to changing conditions in a flexible way.

      PubDate: 2016-12-22T16:12:37Z
       
  • Behavior Therapy: Where We Were, Where We Are and Where We Need to Be
           Going
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Marsha M. Linehan
      In this overview of behavior therapy both in the early days, as it is now and where I believe it needs to go, I start with identifying those who had such an enormous effect on my own growth as a behavior therapist, starting from my days as a believer in Freudian psychology to my present passion in developing computerized behavioral treatments. I begin by describing the huge impact of Walter Mischel, Arthur Staats, and Al Bandura in providing theoretical underpinnings of this new practice and the Stony Brook Postdoctoral Program in Behavior Modification for highlighting and encouraging the importance of the interplay between science and clinical application. Experimentation, evidence, and data anchored the philosophy that underpinned behavior therapy. In discussing where we are now in behavior therapy I highlight our success and the need for thoughtfulness in subsequent behavior therapy research. Next I comment on where I think we need to go, including the need to attend to effective implementation, the importance of training clinicians in clinical assessment, and training our graduate students without fragilizing them. I then highlight the need for certification of behavior therapists to protect the public, the need to eliminate “talk therapy” as a definition of behavior therapy, and finally I comment on the importance of harnessing technology to develop computerized behavior therapies.

      PubDate: 2016-12-22T16:12:37Z
       
  • Behavior Therapy: Where We Were, Where We Are and Where We Need to Be
           Going
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Marsha M. Linehan
      In this overview of behavior therapy both in the early days, as it is now and where I believe it needs to go, I start with identifying those who had such an enormous effect on my own growth as a behavior therapist, starting from my days as a believer in Freudian psychology to my present passion in developing computerized behavioral treatments. I begin by describing the huge impact of Walter Mischel, Arthur Staats, and Al Bandura in providing theoretical underpinnings of this new practice and the Stony Brook Postdoctoral Program in Behavior Modification for highlighting and encouraging the importance of the interplay between science and clinical application. Experimentation, evidence, and data anchored the philosophy that underpinned behavior therapy. In discussing where we are now in behavior therapy I highlight our success and the need for thoughtfulness in subsequent behavior therapy research. Next I comment on where I think we need to go, including the need to attend to effective implementation, the importance of training clinicians in clinical assessment, and training our graduate students without fragilizing them. I then highlight the need for certification of behavior therapists to protect the public, the need to eliminate “talk therapy” as a definition of behavior therapy, and finally I comment on the importance of harnessing technology to develop computerized behavior therapies.

      PubDate: 2016-12-22T16:12:37Z
       
  • Science in Practice in Cognitive Behavior Therapy
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Jacqueline B. Persons
      In honor of the ABCT’s 50th anniversary, I offer observations about the consumption and production of science in the clinical practice setting from the vantage point of my own professional development and the development of cognitive behavior therapy (CBT) more generally. I describe advances in the field that will promote clinicians’ consumption and production of science. Two recent developments that promote practitioners’ consumption of science are the field’s shift from the study of disorders to the study of transdiagnostic mechanisms, and the advent of flexible modular protocols. Two advances that support practitioners’ production of science include the overlapping interests of practitioners and scientists in understanding the mechanisms of action of our effective treatments, and the emergence of software and online tools that make it easy for clinicians to collect and organize the data they obtain during the course of their clinical work. Innovations that can strengthen the role of science in practice include the publication of more single-case studies and increased access to evidence-based assessment tools; I describe ways the ABCT might contribute to both these initiatives.

      PubDate: 2016-12-22T16:12:37Z
       
  • Introduction to Using Structured Evocative Activities in Functional
           Analytic Psychotherapy
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Kimberly M. Nelson, Joyce P. Yang, Ashley C. Maliken, Mavis Tsai, Robert J. Kohlenberg
      Functional Analytic Psychotherapy (FAP) focuses on what happens in session between clients and therapists in order to create more intense and curative therapeutic relationships. FAP may be used as a stand-alone treatment or as an adjunct to other therapies in order to maximize therapeutic gains through strengthened alliance and differential reinforcement. When it fits within a client’s case conceptualization, FAP clinicians often choose to use structured, evocative activities to progress therapy at a faster pace. This article provides a rationale for using structured evocative activities in FAP with concrete examples to facilitate clinicians’ implementation of the exercises.

      PubDate: 2016-12-22T16:12:37Z
       
  • Introduction to Using Structured Evocative Activities in Functional
           Analytic Psychotherapy
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Kimberly M. Nelson, Joyce P. Yang, Ashley C. Maliken, Mavis Tsai, Robert J. Kohlenberg
      Functional Analytic Psychotherapy (FAP) focuses on what happens in session between clients and therapists in order to create more intense and curative therapeutic relationships. FAP may be used as a stand-alone treatment or as an adjunct to other therapies in order to maximize therapeutic gains through strengthened alliance and differential reinforcement. When it fits within a client’s case conceptualization, FAP clinicians often choose to use structured, evocative activities to progress therapy at a faster pace. This article provides a rationale for using structured evocative activities in FAP with concrete examples to facilitate clinicians’ implementation of the exercises.

      PubDate: 2016-12-22T16:12:37Z
       
  • A Logical Framework for Functional Analytic Group Therapy
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Luc Vandenberghe
      Functional analytic group therapy (FAGT) is based on the idea that, in effective group therapy, the problems clients seek treatment for actually happen in the interaction with other group members, which allows the therapist to assess the problems and do therapeutic work on them in vivo. This paper proposes a logical framework that describes interpersonal sequences in which functional analytic principles help harness natural exchanges among group members for effective therapy. The sequences typically start when group interaction poses difficulties to which the client responds with clinically relevant behavior, either his or her usual problem behavior or improved target behavior. Effective exchanges in the group naturally weaken the problem behavior and reinforce target behavior. The group is an ineffective agent when it reinforces problem behavior or weakens target behavior. The FAGT therapist continuously assesses and, when needed, improves group interaction patterns by weakening ineffective group patterns and shaping effective exchanges in the group. The article provides examples of these logical sequences and offers recommendations about making groups more therapeutically effective.

      PubDate: 2016-12-22T16:12:37Z
       
  • A Logical Framework for Functional Analytic Group Therapy
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Luc Vandenberghe
      Functional analytic group therapy (FAGT) is based on the idea that, in effective group therapy, the problems clients seek treatment for actually happen in the interaction with other group members, which allows the therapist to assess the problems and do therapeutic work on them in vivo. This paper proposes a logical framework that describes interpersonal sequences in which functional analytic principles help harness natural exchanges among group members for effective therapy. The sequences typically start when group interaction poses difficulties to which the client responds with clinically relevant behavior, either his or her usual problem behavior or improved target behavior. Effective exchanges in the group naturally weaken the problem behavior and reinforce target behavior. The group is an ineffective agent when it reinforces problem behavior or weakens target behavior. The FAGT therapist continuously assesses and, when needed, improves group interaction patterns by weakening ineffective group patterns and shaping effective exchanges in the group. The article provides examples of these logical sequences and offers recommendations about making groups more therapeutically effective.

      PubDate: 2016-12-22T16:12:37Z
       
  • Reactions to an Acceptance-Based Behavior Therapy for GAD: Giving Voice to
           the Experiences of Clients From Marginalized Backgrounds
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Cara H. Fuchs, Lindsey M. West, Jessica R. Graham, Kathleen Sullivan Kalill, Lucas P.K. Morgan, Sarah A. Hayes-Skelton, Susan M. Orsillo, Lizabeth Roemer
      There is emerging evidence supporting the acceptability of mindfulness and acceptance-based therapies with individuals from marginalized backgrounds. The current phenomenological study aimed to understand the extent to which clients from marginalized backgrounds who had completed an acceptance-based behavioral therapy (ABBT) for GAD felt that their identities affected their experience of the treatment and the therapist. Purposeful sampling methods were used to identify seven clients from a larger RCT who identified with one or more marginalized identities. Nine themes related to the treatment components, treatment focus and/or delivery, and the therapist emerged. Themes reflected aspects of treatment that clients were satisfied with and areas where they experienced some discord with treatment. Clinical implications for working with marginalized individuals include the importance of inviting conversations about barriers to valued actions, balancing the need to maintain treatment fidelity with the need to be responsive to clients’ concerns, the utility of assessing responses to mindfulness exercises as they are presented, and making client-centered adjustments to either the content or delivery of mindfulness practice to help make connections between exercises and clients’ lives.

      PubDate: 2016-12-22T16:12:37Z
       
  • Reactions to an Acceptance-Based Behavior Therapy for GAD: Giving Voice to
           the Experiences of Clients From Marginalized Backgrounds
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Cara H. Fuchs, Lindsey M. West, Jessica R. Graham, Kathleen Sullivan Kalill, Lucas P.K. Morgan, Sarah A. Hayes-Skelton, Susan M. Orsillo, Lizabeth Roemer
      There is emerging evidence supporting the acceptability of mindfulness and acceptance-based therapies with individuals from marginalized backgrounds. The current phenomenological study aimed to understand the extent to which clients from marginalized backgrounds who had completed an acceptance-based behavioral therapy (ABBT) for GAD felt that their identities affected their experience of the treatment and the therapist. Purposeful sampling methods were used to identify seven clients from a larger RCT who identified with one or more marginalized identities. Nine themes related to the treatment components, treatment focus and/or delivery, and the therapist emerged. Themes reflected aspects of treatment that clients were satisfied with and areas where they experienced some discord with treatment. Clinical implications for working with marginalized individuals include the importance of inviting conversations about barriers to valued actions, balancing the need to maintain treatment fidelity with the need to be responsive to clients’ concerns, the utility of assessing responses to mindfulness exercises as they are presented, and making client-centered adjustments to either the content or delivery of mindfulness practice to help make connections between exercises and clients’ lives.

      PubDate: 2016-12-22T16:12:37Z
       
  • Cognitive Behavioral Suicide Prevention for Male Prisoners: Case Examples
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Daniel Pratt, Patricia Gooding, Yvonne Awenat, Steve Eccles, Nicholas Tarrier
      Suicide is a serious public health problem but a problem that is preventable. This complex and challenging problem is particularly prevalent among prisoners, who are associated with a five-fold increase in risk compared to the general community. Being in prison can lead people to experience fear, distrust, lack of control, isolation, and shame, which is often experienced as overwhelming and intolerable, with some choosing suicide as a way to escape. Few effective psychological interventions exist to prevent suicide, although cognitive behavior therapies appear to offer some promise. Offering cognitive behavior suicide prevention (CBSP) therapy to high-risk prisoners may help to reduce the likelihood of self-inflicted deaths. In this paper we present three cases drawn from a randomized controlled trial designed to investigate the feasibility of CBSP for male prisoners. Implications of the current findings for future research and clinical practice are considered.

      PubDate: 2016-12-22T16:12:37Z
       
  • Cognitive Behavioral Suicide Prevention for Male Prisoners: Case Examples
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Daniel Pratt, Patricia Gooding, Yvonne Awenat, Steve Eccles, Nicholas Tarrier
      Suicide is a serious public health problem but a problem that is preventable. This complex and challenging problem is particularly prevalent among prisoners, who are associated with a five-fold increase in risk compared to the general community. Being in prison can lead people to experience fear, distrust, lack of control, isolation, and shame, which is often experienced as overwhelming and intolerable, with some choosing suicide as a way to escape. Few effective psychological interventions exist to prevent suicide, although cognitive behavior therapies appear to offer some promise. Offering cognitive behavior suicide prevention (CBSP) therapy to high-risk prisoners may help to reduce the likelihood of self-inflicted deaths. In this paper we present three cases drawn from a randomized controlled trial designed to investigate the feasibility of CBSP for male prisoners. Implications of the current findings for future research and clinical practice are considered.

      PubDate: 2016-12-22T16:12:37Z
       
  • The Attention Training Technique: A Review of a Neurobehavioral Therapy
           for Emotional Disorders
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Thomas A. Fergus, Joseph R. Bardeen
      Wells’s (1990) attention training technique (ATT) is a neurobehavioral therapy for emotional disorders that purportedly can improve upon existing treatment efforts for these disorders. Yet, ATT remains underutilized in the treatment of emotional disorders. One tenable reason for the underutilization of ATT is that researchers and clinicians alike may generally be unfamiliar with ATT and studies supporting its use. We sought to: (a) outline the setup and potential barriers to implementing ATT, (b) describe the distinctiveness of ATT from related interventions, (c) update readers on studies that have examined ATT since an earlier review, (d) discuss limitations surrounding extant ATT studies that preclude us from fully understanding the therapeutic benefits of ATT and describe how future studies can address these limitations, and (e) extend prior discussions of potential mechanisms of change underlying ATT. Our review of empirical evidence for ATT suggests that ATT could be considered a possibly efficacious treatment for emotional disorders, with a great need existing for future efficacy studies that evaluate ATT as a standalone intervention. We offer recommendations for future research interested in shedding further light onto the therapeutic benefits of ATT.

      PubDate: 2016-12-22T16:12:37Z
       
  • The Attention Training Technique: A Review of a Neurobehavioral Therapy
           for Emotional Disorders
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Thomas A. Fergus, Joseph R. Bardeen
      Wells’s (1990) attention training technique (ATT) is a neurobehavioral therapy for emotional disorders that purportedly can improve upon existing treatment efforts for these disorders. Yet, ATT remains underutilized in the treatment of emotional disorders. One tenable reason for the underutilization of ATT is that researchers and clinicians alike may generally be unfamiliar with ATT and studies supporting its use. We sought to: (a) outline the setup and potential barriers to implementing ATT, (b) describe the distinctiveness of ATT from related interventions, (c) update readers on studies that have examined ATT since an earlier review, (d) discuss limitations surrounding extant ATT studies that preclude us from fully understanding the therapeutic benefits of ATT and describe how future studies can address these limitations, and (e) extend prior discussions of potential mechanisms of change underlying ATT. Our review of empirical evidence for ATT suggests that ATT could be considered a possibly efficacious treatment for emotional disorders, with a great need existing for future efficacy studies that evaluate ATT as a standalone intervention. We offer recommendations for future research interested in shedding further light onto the therapeutic benefits of ATT.

      PubDate: 2016-12-22T16:12:37Z
       
  • Gay Poz Sex: A Sexual Health Promotion Intervention for HIV-Positive Gay
           and Bisexual Men
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Trevor A. Hart, Amy C. Willis, Scott H. Simpson, Rick E. Julien, David Hoe, Bob Leahy, John Maxwell, Barry D. Adam
      Despite the widespread use of cognitive-behavioral therapy and motivational interviewing techniques among behavioral clinicians, most mental health clinicians do not know how to use these techniques for HIV prevention and sexual health promotion. Even less information is available to clinicians on how to work with HIV-positive gay and bisexual men who are at risk for transmitting HIV due to condomless anal sex. The purpose of the present paper is to assist behavioral therapists who are treating HIV-positive gay and bisexual men who engage in sexual behavior that may place them at risk for transmitting HIV or for other sexually transmitted infections. Gay Poz Sex is a form of small group counseling that uses the Information-Motivation-Behavioral Skills model (e.g., Fisher & Fisher, 2000) as the theoretical basis, and a combination of psychoeducation, motivational interviewing, and cognitive-behavioral skills such as stimulus control and role-play exercises. The treatment has the goal of promoting a positive sense of sexual well-being and reducing sexual behavior associated with the transmission of HIV, such as condomless anal sex. This paper illustrates, using three case examples, the application of empirically supported therapy techniques to reduce condomless anal sex for HIV-positive gay and bisexual men.

      PubDate: 2016-12-22T16:12:37Z
       
  • Gay Poz Sex: A Sexual Health Promotion Intervention for HIV-Positive Gay
           and Bisexual Men
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Trevor A. Hart, Amy C. Willis, Scott H. Simpson, Rick E. Julien, David Hoe, Bob Leahy, John Maxwell, Barry D. Adam
      Despite the widespread use of cognitive-behavioral therapy and motivational interviewing techniques among behavioral clinicians, most mental health clinicians do not know how to use these techniques for HIV prevention and sexual health promotion. Even less information is available to clinicians on how to work with HIV-positive gay and bisexual men who are at risk for transmitting HIV due to condomless anal sex. The purpose of the present paper is to assist behavioral therapists who are treating HIV-positive gay and bisexual men who engage in sexual behavior that may place them at risk for transmitting HIV or for other sexually transmitted infections. Gay Poz Sex is a form of small group counseling that uses the Information-Motivation-Behavioral Skills model (e.g., Fisher & Fisher, 2000) as the theoretical basis, and a combination of psychoeducation, motivational interviewing, and cognitive-behavioral skills such as stimulus control and role-play exercises. The treatment has the goal of promoting a positive sense of sexual well-being and reducing sexual behavior associated with the transmission of HIV, such as condomless anal sex. This paper illustrates, using three case examples, the application of empirically supported therapy techniques to reduce condomless anal sex for HIV-positive gay and bisexual men.

      PubDate: 2016-12-22T16:12:37Z
       
  • The Differential Diagnosis of Anxiety Disorders in Cognitively-Able Youth
           With Autism
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Connor M. Kerns, Keiran Rump, Julie Worley, Hilary Kratz, Alana McVey, John Herrington, Judith Miller
      Anxiety disorders are common in children and adolescents with autism spectrum disorder (ASD), yet difficult to disentangle from features of ASD itself. Challenges to assessment include symptom overlap, the varied manifestation of some anxiety symptoms, and the limitations of self-report. Nonetheless, a growing body of research suggests that it is both possible and important to reliably differentiate anxiety and ASD pathology. Anxiety disorders are associated with a number of additive difficulties in youth with ASD. Emerging evidence also suggests that these difficulties—when identified—can be effectively treated in cognitively-able youth with cognitive-behavioral methods. The present article will provide a clinical framework for diagnosing anxiety disorders in cognitively-able youth on the autism spectrum, with a particular emphasis on differentiating anxiety and ASD symptoms. We will review recent research on the presentation, measurement, and predictors of anxiety in ASD, provide an overview of the pros and cons of available measures and illustrate approaches for differential diagnosis via vignettes of actual clinical assessments.

      PubDate: 2016-12-22T16:12:37Z
       
  • The Differential Diagnosis of Anxiety Disorders in Cognitively-Able Youth
           With Autism
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Connor M. Kerns, Keiran Rump, Julie Worley, Hilary Kratz, Alana McVey, John Herrington, Judith Miller
      Anxiety disorders are common in children and adolescents with autism spectrum disorder (ASD), yet difficult to disentangle from features of ASD itself. Challenges to assessment include symptom overlap, the varied manifestation of some anxiety symptoms, and the limitations of self-report. Nonetheless, a growing body of research suggests that it is both possible and important to reliably differentiate anxiety and ASD pathology. Anxiety disorders are associated with a number of additive difficulties in youth with ASD. Emerging evidence also suggests that these difficulties—when identified—can be effectively treated in cognitively-able youth with cognitive-behavioral methods. The present article will provide a clinical framework for diagnosing anxiety disorders in cognitively-able youth on the autism spectrum, with a particular emphasis on differentiating anxiety and ASD symptoms. We will review recent research on the presentation, measurement, and predictors of anxiety in ASD, provide an overview of the pros and cons of available measures and illustrate approaches for differential diagnosis via vignettes of actual clinical assessments.

      PubDate: 2016-12-22T16:12:37Z
       
  • Early Adherence Targeted Therapy (EATT) for Postbariatric Maladaptive
           Eating Behaviors
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Athena H. Robinson, Sarah Adler, Alison M. Darcy, Lilya Osipov, Debra L. Safer
      Current bariatric literature on postoperative interventions that prevent or remediate suboptimal weight loss outcomes is limited. In response, Early Adherence Targeted Therapy (EATT), an efficient early postoperative intervention to target patients at high risk for suboptimal postoperative weight loss outcomes was developed. The rationale for and a detailed description of EATT is provided, including sample session transcripts. Preliminary findings from a pilot designed to explore EATT’s feasibility and acceptability are reported. EATT is a principle driven, skills-based intervention that addresses psychological skill deficits that underlie poor dietary adherence and maladaptive eating behaviors associated with suboptimal weight loss outcomes. Of 22 postoperative patients who consented to participate, 13 screened positive for poor dietary adherence and thus received EATT (77% female, 69% White, 23% Hispanic; mean age=42.9years; mean BMI=45.4±12.8kg/m2). The majority had undergone gastric bypass surgery (54%) and 76.9% had a psychiatric diagnosis, with 61% on psychotropic medications. Patient retention was high, with 11/13 (85%) completing treatment. Treatment was delivered efficiently, with an average of only 4.5 sessions (out of a possible 12) required to significantly increase dietary adherence (p <.001). At 12months postoperative, 62% (8/13) of this at-risk group experienced successful weight losses, with a mean %EWL=70.9% ±17.9. Acceptability of delivery formats was high, with 92% preferring telephone or video conferencing. EATT, a new intervention for postoperative patients at risk of poor weight loss outcomes, targets poor dietary adherence and associated maladaptive eating behaviors in a flexible format. EATT shows preliminary positive outcomes but longer-term efficacy needs to be examined in a longer, larger-scale randomized controlled trial.

      PubDate: 2016-12-22T16:12:37Z
       
  • Early Adherence Targeted Therapy (EATT) for Postbariatric Maladaptive
           Eating Behaviors
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Athena H. Robinson, Sarah Adler, Alison M. Darcy, Lilya Osipov, Debra L. Safer
      Current bariatric literature on postoperative interventions that prevent or remediate suboptimal weight loss outcomes is limited. In response, Early Adherence Targeted Therapy (EATT), an efficient early postoperative intervention to target patients at high risk for suboptimal postoperative weight loss outcomes was developed. The rationale for and a detailed description of EATT is provided, including sample session transcripts. Preliminary findings from a pilot designed to explore EATT’s feasibility and acceptability are reported. EATT is a principle driven, skills-based intervention that addresses psychological skill deficits that underlie poor dietary adherence and maladaptive eating behaviors associated with suboptimal weight loss outcomes. Of 22 postoperative patients who consented to participate, 13 screened positive for poor dietary adherence and thus received EATT (77% female, 69% White, 23% Hispanic; mean age=42.9years; mean BMI=45.4±12.8kg/m2). The majority had undergone gastric bypass surgery (54%) and 76.9% had a psychiatric diagnosis, with 61% on psychotropic medications. Patient retention was high, with 11/13 (85%) completing treatment. Treatment was delivered efficiently, with an average of only 4.5 sessions (out of a possible 12) required to significantly increase dietary adherence (p <.001). At 12months postoperative, 62% (8/13) of this at-risk group experienced successful weight losses, with a mean %EWL=70.9% ±17.9. Acceptability of delivery formats was high, with 92% preferring telephone or video conferencing. EATT, a new intervention for postoperative patients at risk of poor weight loss outcomes, targets poor dietary adherence and associated maladaptive eating behaviors in a flexible format. EATT shows preliminary positive outcomes but longer-term efficacy needs to be examined in a longer, larger-scale randomized controlled trial.

      PubDate: 2016-12-22T16:12:37Z
       
  • Early Adherence Targeted Therapy (EATT) for Postbariatric Maladaptive
           Eating Behaviors
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Athena H. Robinson, Sarah Adler, Alison M. Darcy, Lilya Osipov, Debra L. Safer
      Current bariatric literature on postoperative interventions that prevent or remediate suboptimal weight loss outcomes is limited. In response, Early Adherence Targeted Therapy (EATT), an efficient early postoperative intervention to target patients at high risk for suboptimal postoperative weight loss outcomes was developed. The rationale for and a detailed description of EATT is provided, including sample session transcripts. Preliminary findings from a pilot designed to explore EATT’s feasibility and acceptability are reported. EATT is a principle driven, skills-based intervention that addresses psychological skill deficits that underlie poor dietary adherence and maladaptive eating behaviors associated with suboptimal weight loss outcomes. Of 22 postoperative patients who consented to participate, 13 screened positive for poor dietary adherence and thus received EATT (77% female, 69% White, 23% Hispanic; mean age=42.9years; mean BMI=45.4±12.8kg/m2). The majority had undergone gastric bypass surgery (54%) and 76.9% had a psychiatric diagnosis, with 61% on psychotropic medications. Patient retention was high, with 11/13 (85%) completing treatment. Treatment was delivered efficiently, with an average of only 4.5 sessions (out of a possible 12) required to significantly increase dietary adherence (p <.001). At 12months postoperative, 62% (8/13) of this at-risk group experienced successful weight losses, with a mean %EWL=70.9% ±17.9. Acceptability of delivery formats was high, with 92% preferring telephone or video conferencing. EATT, a new intervention for postoperative patients at risk of poor weight loss outcomes, targets poor dietary adherence and associated maladaptive eating behaviors in a flexible format. EATT shows preliminary positive outcomes but longer-term efficacy needs to be examined in a longer, larger-scale randomized controlled trial.

      PubDate: 2016-12-22T16:12:37Z
       
  • The Marriage Checkup: Adapting and Implementing a Brief Relationship
           Intervention for Military Couples
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Jeffrey A. Cigrang, James V. Cordova, Tatiana D. Gray, Elizabeth Najera, Matt Hawrilenko, Crystal Pinkley, Matthew Nielsen, JoLyn Tatum, Kristen Redd
      Given the significant negative impact of relationship distress on the health and well being of members of the military, preventative and accessible care is needed in order to provide crucial relationship support to service members and their families. This paper presents the rationale, key considerations, and feasibility for adapting the Marriage Checkup (MC), a brief intervention for enhancing marital resiliency, for use by internal behavioral health consultants (IBHCs) working in an integrated primary care clinic serving an active duty military population. We detail the adapted MC protocol, which was revised to contain military-centric content and fit into the fast-paced environment of primary care (e.g., streamlined to fit within three 30-minute appointments). IBHCs working in primary care were trained to offer the intervention at two air force bases. Twenty couples and 1 individual have completed the MC and a 1-month follow-up assessment. The MC intervention appeared to be well-received by both couples and IBHCs. In this paper, we provide specific guidance for clinicians and providers who are interested in integrating the Marriage Checkup into their practice.

      PubDate: 2016-12-22T16:12:37Z
       
  • The Marriage Checkup: Adapting and Implementing a Brief Relationship
           Intervention for Military Couples
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Jeffrey A. Cigrang, James V. Cordova, Tatiana D. Gray, Elizabeth Najera, Matt Hawrilenko, Crystal Pinkley, Matthew Nielsen, JoLyn Tatum, Kristen Redd
      Given the significant negative impact of relationship distress on the health and well being of members of the military, preventative and accessible care is needed in order to provide crucial relationship support to service members and their families. This paper presents the rationale, key considerations, and feasibility for adapting the Marriage Checkup (MC), a brief intervention for enhancing marital resiliency, for use by internal behavioral health consultants (IBHCs) working in an integrated primary care clinic serving an active duty military population. We detail the adapted MC protocol, which was revised to contain military-centric content and fit into the fast-paced environment of primary care (e.g., streamlined to fit within three 30-minute appointments). IBHCs working in primary care were trained to offer the intervention at two air force bases. Twenty couples and 1 individual have completed the MC and a 1-month follow-up assessment. The MC intervention appeared to be well-received by both couples and IBHCs. In this paper, we provide specific guidance for clinicians and providers who are interested in integrating the Marriage Checkup into their practice.

      PubDate: 2016-12-22T16:12:37Z
       
  • The Marriage Checkup: Adapting and Implementing a Brief Relationship
           Intervention for Military Couples
    • Abstract: Publication date: November 2016
      Source:Cognitive and Behavioral Practice, Volume 23, Issue 4
      Author(s): Jeffrey A. Cigrang, James V. Cordova, Tatiana D. Gray, Elizabeth Najera, Matt Hawrilenko, Crystal Pinkley, Matthew Nielsen, JoLyn Tatum, Kristen Redd
      Given the significant negative impact of relationship distress on the health and well being of members of the military, preventative and accessible care is needed in order to provide crucial relationship support to service members and their families. This paper presents the rationale, key considerations, and feasibility for adapting the Marriage Checkup (MC), a brief intervention for enhancing marital resiliency, for use by internal behavioral health consultants (IBHCs) working in an integrated primary care clinic serving an active duty military population. We detail the adapted MC protocol, which was revised to contain military-centric content and fit into the fast-paced environment of primary care (e.g., streamlined to fit within three 30-minute appointments). IBHCs working in primary care were trained to offer the intervention at two air force bases. Twenty couples and 1 individual have completed the MC and a 1-month follow-up assessment. The MC intervention appeared to be well-received by both couples and IBHCs. In this paper, we provide specific guidance for clinicians and providers who are interested in integrating the Marriage Checkup into their practice.

      PubDate: 2016-12-22T16:12:37Z
       
  • A Case Study of Individually Delivered Mindfulness-Based Cognitive
           Behavioral Therapy for Severe Health Anxiety
    • Abstract: Publication date: Available online 29 October 2016
      Source:Cognitive and Behavioral Practice
      Author(s): Christina M. Luberto, Jessica F. Magidson, Aaron J. Blashill
      Health anxiety involves persistent worry about one's physical health, despite medical reassurance. Cognitive-behavioral therapy (CBT) is currently the most widely used, evidence-based treatment for health anxiety. Mindfulness-based cognitive therapy (MBCT) is an evidence-based cognitive-behavioral treatment approach that may be useful for health anxiety due to its focus on nonjudgmental awareness and acceptance of physical and emotional events. MBCT has largely been evaluated in a group format; however, the majority of outpatient CBT providers rely also on individual treatments. No research to date has examined the utility of MBCT delivered as an individual therapy for patients with health anxiety. The purpose of the current case study is to describe the delivery, acceptability, and effects of an individually delivered mindfulness-based cognitive-behavioral intervention on health anxiety symptoms for a young woman with severe health anxiety referred to outpatient behavioral medicine by her primary care provider. The treatment was a 16-session, patient-centered intervention largely delivered using MBCT techniques, supplemented by traditional cognitive-behavioral techniques. The patient completed a validated self-report measure of health anxiety symptoms (SHAI) at the beginning of each session. The treatment was found to be acceptable, as evidenced by high treatment attendance and patient feedback. The patient reported significant cognitive, affective, and behavioral improvements, including a 67% reduction in medial visits. Health anxiety scores on the SHAI showed a 52% decrease from the first to last session, reliable change index score of 12.11, and fell below the clinical cutoff at the final session, demonstrating clinical significance. These results suggest that it is feasible to adapt MBCT for the individual treatment of health anxiety, and that controlled trials of individual MBCT are warranted.

      PubDate: 2016-12-22T16:12:37Z
       
  • A Case Study of Individually Delivered Mindfulness-Based Cognitive
           Behavioral Therapy for Severe Health Anxiety
    • Abstract: Publication date: Available online 29 October 2016
      Source:Cognitive and Behavioral Practice
      Author(s): Christina M. Luberto, Jessica F. Magidson, Aaron J. Blashill
      Health anxiety involves persistent worry about one's physical health, despite medical reassurance. Cognitive-behavioral therapy (CBT) is currently the most widely used, evidence-based treatment for health anxiety. Mindfulness-based cognitive therapy (MBCT) is an evidence-based cognitive-behavioral treatment approach that may be useful for health anxiety due to its focus on nonjudgmental awareness and acceptance of physical and emotional events. MBCT has largely been evaluated in a group format; however, the majority of outpatient CBT providers rely also on individual treatments. No research to date has examined the utility of MBCT delivered as an individual therapy for patients with health anxiety. The purpose of the current case study is to describe the delivery, acceptability, and effects of an individually delivered mindfulness-based cognitive-behavioral intervention on health anxiety symptoms for a young woman with severe health anxiety referred to outpatient behavioral medicine by her primary care provider. The treatment was a 16-session, patient-centered intervention largely delivered using MBCT techniques, supplemented by traditional cognitive-behavioral techniques. The patient completed a validated self-report measure of health anxiety symptoms (SHAI) at the beginning of each session. The treatment was found to be acceptable, as evidenced by high treatment attendance and patient feedback. The patient reported significant cognitive, affective, and behavioral improvements, including a 67% reduction in medial visits. Health anxiety scores on the SHAI showed a 52% decrease from the first to last session, reliable change index score of 12.11, and fell below the clinical cutoff at the final session, demonstrating clinical significance. These results suggest that it is feasible to adapt MBCT for the individual treatment of health anxiety, and that controlled trials of individual MBCT are warranted.

      PubDate: 2016-12-22T16:12:37Z
       
  • A Case Study of Individually Delivered Mindfulness-Based Cognitive
           Behavioral Therapy for Severe Health Anxiety
    • Abstract: Publication date: Available online 29 October 2016
      Source:Cognitive and Behavioral Practice
      Author(s): Christina M. Luberto, Jessica F. Magidson, Aaron J. Blashill
      Health anxiety involves persistent worry about one's physical health, despite medical reassurance. Cognitive-behavioral therapy (CBT) is currently the most widely used, evidence-based treatment for health anxiety. Mindfulness-based cognitive therapy (MBCT) is an evidence-based cognitive-behavioral treatment approach that may be useful for health anxiety due to its focus on nonjudgmental awareness and acceptance of physical and emotional events. MBCT has largely been evaluated in a group format; however, the majority of outpatient CBT providers rely also on individual treatments. No research to date has examined the utility of MBCT delivered as an individual therapy for patients with health anxiety. The purpose of the current case study is to describe the delivery, acceptability, and effects of an individually delivered mindfulness-based cognitive-behavioral intervention on health anxiety symptoms for a young woman with severe health anxiety referred to outpatient behavioral medicine by her primary care provider. The treatment was a 16-session, patient-centered intervention largely delivered using MBCT techniques, supplemented by traditional cognitive-behavioral techniques. The patient completed a validated self-report measure of health anxiety symptoms (SHAI) at the beginning of each session. The treatment was found to be acceptable, as evidenced by high treatment attendance and patient feedback. The patient reported significant cognitive, affective, and behavioral improvements, including a 67% reduction in medial visits. Health anxiety scores on the SHAI showed a 52% decrease from the first to last session, reliable change index score of 12.11, and fell below the clinical cutoff at the final session, demonstrating clinical significance. These results suggest that it is feasible to adapt MBCT for the individual treatment of health anxiety, and that controlled trials of individual MBCT are warranted.

      PubDate: 2016-12-22T16:12:37Z
       
 
 
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