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Investigating Habituation To Premonitory Urges In Behavior Therapy For Tic Disorders, David C. Houghton, Matthew R. Capriotti, Lawrence Scahill, Sabine Wilhelm, Alan L. Peterson, John T. Walkup, John Piacentini, Douglas W. Woods
Investigating Habituation To Premonitory Urges In Behavior Therapy For Tic Disorders, David C. Houghton, Matthew R. Capriotti, Lawrence Scahill, Sabine Wilhelm, Alan L. Peterson, John T. Walkup, John Piacentini, Douglas W. Woods
Psychology Faculty Research and Publications
Behavior therapy is effective for Persistent Tic Disorders (PTDs), but behavioral processes facilitating tic reduction are not well understood. One process, habituation, is thought to create tic reduction through decreases in premonitory urge severity. The current study tested whether premonitory urges decreased in youth with PTDs (N = 126) and adults with PTDs (N = 122) who participated in parallel randomized clinical trials comparing behavior therapy to psychoeducation and supportive therapy (PST). Trends in premonitory urges, tic severity, and treatment outcome were analyzed according to the predictions of a habituation model, whereby urge severity would be expected to …
Defining Treatment Response In Trichotillomania: A Signal Detection Analysis, David C. Houghton, Matthew R. Capriotti, Alessandro S. De Nadai, Scott N. Compton, Michael P. Twohig, Angela M. Neal-Barnett, Stephen M. Saunders, Martin E. Franklin, Douglas W. Woods
Defining Treatment Response In Trichotillomania: A Signal Detection Analysis, David C. Houghton, Matthew R. Capriotti, Alessandro S. De Nadai, Scott N. Compton, Michael P. Twohig, Angela M. Neal-Barnett, Stephen M. Saunders, Martin E. Franklin, Douglas W. Woods
Psychology Faculty Research and Publications
The Massachusetts General Hospital Hairpulling Scale (MGH-HPS) and the NIMH Trichotillomania Severity Scale (NIMH-TSS) are two widely used measures of trichotillomania severity. Despite their popular use, currently no empirically-supported guidelines exist to determine the degrees of change on these scales that best indicate treatment response. Determination of such criteria could aid in clinical decision-making by defining clinically significant treatment response/recovery and producing accurate power analyses for use in clinical trials research. Adults with trichotillomania (N = 69) participated in a randomized controlled trial of psychotherapy and were assessed before and after treatment. Response status was measured via the Clinical …
Dose-Effect Relationship In Routine Outpatient Psychotherapy: Does Treatment Duration Matter?, Niklaus Stulz, Wolfgang Lutz, Stephen Mark Kopta, Takuya Minami, Stephen M. Saunders
Dose-Effect Relationship In Routine Outpatient Psychotherapy: Does Treatment Duration Matter?, Niklaus Stulz, Wolfgang Lutz, Stephen Mark Kopta, Takuya Minami, Stephen M. Saunders
Psychology Faculty Research and Publications
Objective: There is an ongoing debate concerning how outcome variables change during the course of psychotherapy. We compared the dose–effect model, which posits diminishing effects of additional sessions in later treatment phases, against a model that assumes a linear and steady treatment progress through termination. Method: Session-by-session outcome data of 6,375 outpatients were analyzed, and participants were categorized according to treatment length. Linear and log-linear (i.e., negatively accelerating) latent growth curve models (LGCMs) were estimated and compared for different treatment length categories. Results: When comparing the fit of the various models, the log-linear LGCMs assuming negatively accelerating treatment progress consistently …
A Naturalistic Study Of The Associations Between Changes In Alcohol Problems, Spiritual Functioning And Psychiatric Symptoms, Melissa L. Miller, Stephen M. Saunders
A Naturalistic Study Of The Associations Between Changes In Alcohol Problems, Spiritual Functioning And Psychiatric Symptoms, Melissa L. Miller, Stephen M. Saunders
Psychology Faculty Research and Publications
The study evaluated how spiritual and religious functioning (SRF), alcohol-related problems, and psychiatric symptoms change over the course of treatment and follow-up. Problem drinkers (n = 55, including 39 males and 16 females) in outpatient treatment were administered questionnaires at pretreatment, posttreatment, and follow up, which assessed two aspects of SRF (religious well-being and existential well-being), two aspects of alcohol misuse (severity and consequences), and two aspects of psychiatric symptoms (depression and anxiety). Significant improvements in SRF, psychiatric symptoms and alcohol misuse were observed from pretreatment to follow-up. Although SRF scores were significantly correlated with psychiatric symptoms at all three …
Processing The Therapeutic Relationship, Clara E. Hill, Sarah Knox
Processing The Therapeutic Relationship, Clara E. Hill, Sarah Knox
College of Education Faculty Research and Publications
The authors propose that if therapists and clients process their therapeutic relationship (i.e., directly address in the here and now feelings about each other and about the inevitable problems that emerge in the therapy relationship), feelings will be expressed and accepted, problems will be resolved, the relationship will be enhanced, and clients will transfer their learning to other relationships outside of therapy. The authors review theories supporting the idea of processing the therapeutic relationship, discuss the relevant empirical literature in this area, and provide their conceptualization of the construct of processing the therapeutic relationship based on the theory and empirical …
Gifts In Psychotherapy: Practice Review And Recommendations, Sarah Knox
Gifts In Psychotherapy: Practice Review And Recommendations, Sarah Knox
College of Education Faculty Research and Publications
The presentation of gifts in psychotherapy, whether to or from the therapist, does not happen frequently, but its occurrence may nevertheless be quite provocative. This practice review summarizes theoretical and clinical perspectives regarding gifts in therapy, reviews the minimal extant literature on this topic, and offers recommendations for practice and research.
Case Studies Of The Attainment Of Insight In Dream Sessions: Replication And Extension, Sarah Knox, Clara E. Hill, Shirley A. Hess, Rachel E. Crook-Lyon
Case Studies Of The Attainment Of Insight In Dream Sessions: Replication And Extension, Sarah Knox, Clara E. Hill, Shirley A. Hess, Rachel E. Crook-Lyon
College of Education Faculty Research and Publications
To replicate and extend the Hill, Knox, et al. (2007) case study of a client who attained insight in one session of dream work, the authors examined two additional single-session cases: one in which a client gained insight and another in which a client did not. The observations across all three cases suggest that the two clients who acquired insight had positive attitudes toward dreams; were motivated and involved in session; and were nonresistant, trusting, and affectively present but not overwhelmed. The client who did not gain insight questioned the value of dreams and was resistant, untrusting, and emotionally overwhelmed. …
Introduction To The Special Issue On Spirituality And Psychotherapy, Kenneth I. Pargament, Stephen M. Saunders
Introduction To The Special Issue On Spirituality And Psychotherapy, Kenneth I. Pargament, Stephen M. Saunders
Psychology Faculty Research and Publications
Religion and spirituality have been topics of interest to psychologists since the inception of the field, and this special issue devoted to spirituality and psychotherapy reflects the maturation of decades of research. Psychotherapy clients would like to discuss religious or spiritual issues with therapists, but therapists feel poorly prepared to do so. This special issue hopefully represents a step towards bridging the needs of clients and the expertise of providers. The seven articles in this issue reflect the progress psychologists have made toward understanding religion and spirituality, and they represent state‐of‐the‐art attempts at integrating these dimensions into treatment.
Empirically And Clinically Useful Decision Making In Psychotherapy: Differential Predictions With Treatment Response Models, Wolfgang Lutz, Stephen M. Saunders, Scott C. Leon, Zoran Martinovich, Joachim Kosfelder, Dietmar Schulte, Klaus Grawe, Sven Tholen
Empirically And Clinically Useful Decision Making In Psychotherapy: Differential Predictions With Treatment Response Models, Wolfgang Lutz, Stephen M. Saunders, Scott C. Leon, Zoran Martinovich, Joachim Kosfelder, Dietmar Schulte, Klaus Grawe, Sven Tholen
Psychology Faculty Research and Publications
In the delivery of clinical services, outcomes monitoring (i.e., repeated assessments of a patient's response to treatment) can be used to support clinical decision making (i.e., recurrent revisions of outcome expectations on the basis of that response). Outcomes monitoring can be particularly useful in the context of established practice research networks. This article presents a strategy to disaggregate patients into homogeneous subgroups to generate optimal expected treatment response profiles, which can be used to predict and track the progress of patients in different treatment modalities. The study was based on data from 618 diagnostically diverse patients treated with either a …
Teaching Graduate Trainees How To Manage Client Anger: A Comparison Of Three Types Of Training, Shirley A. Hess, Sarah Knox, Clara E. Hill
Teaching Graduate Trainees How To Manage Client Anger: A Comparison Of Three Types Of Training, Shirley A. Hess, Sarah Knox, Clara E. Hill
College of Education Faculty Research and Publications
The authors examined the effects of three types of training (supervisor-facilitated training, self-training, biblio-training) on 62 graduate student therapists' state anxiety, self-efficacy for dealing with anger, and helping skills (i.e., reflections and immediacy) in response to videotaped vignettes of angry clients. Training overall was rated as very helpful, and trainees increased in self-efficacy for working with client anger. Supervisor-facilitated training was rated as more helpful than, and was preferred to, self-training and biblio-training; it also led to more reflection of feelings in response to clients. Results suggest that vignettes such as these might be a helpful adjunct to training once …
Addressing Religion And Spirituality In Psychotherapy: Clients' Perspectives, Sarah Knox, Lynn A. Catlin, Margaret Casper, Lewis Z. Schlosser
Addressing Religion And Spirituality In Psychotherapy: Clients' Perspectives, Sarah Knox, Lynn A. Catlin, Margaret Casper, Lewis Z. Schlosser
College of Education Faculty Research and Publications
Twelve adult clients described the role of religion and spirituality in their lives and in therapy as a whole, as well as their specific experiences of discussing religious-spiritual topics in individual outpatient psychotherapy with nonreligiously affiliated therapists. Data were analyzed using Consensual Qualitative Research (CQR; Hill, Thompson, & Williams, 1997). Results indicated that clients were regularly involved in religious-spiritual activities, usually did not know the religious-spiritual orientation of their therapists, but often found them open to such discussions. Specific helpful discussions of religion-spirituality were often begun by clients in the 1st year of therapy, were related to clients' presenting concerns, …