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Full-Text Articles in Social and Behavioral Sciences

Four Potential Criteria For Deciding When To Use Antidepressants Or Psychotherapy For Unipolar Depression: A Literature Review, Christopher Sharpley, Vicki Bitsika Sep 2012

Four Potential Criteria For Deciding When To Use Antidepressants Or Psychotherapy For Unipolar Depression: A Literature Review, Christopher Sharpley, Vicki Bitsika

Vicki Bitsika

Objective: To evaluate the literature supporting four potential criteria for deciding whether to use psychotherapy or pharmacology when treating depression.

Method: Literature review of the evidence from the last 10 years on presenting patient’s demographics, aetiology, comorbidity, and genetic factors, as predictors of treatment outcome efficacy.

Results: Demographic information has little support as a potential criteria for decision-making; aetiology (melancholic vs. non-melancholic) has significant support; presence of personality disorder comorbidity is unproven as a criterion but may have some value; genetic predisposition has the strongest evidence supporting it as a criteria for treatment decision-making.

Conclusion: Although some presenting cases will …


The Narrative Reconstruction Of Psychotherapy, Jonathan Adler, Dan Mcadams Apr 2012

The Narrative Reconstruction Of Psychotherapy, Jonathan Adler, Dan Mcadams

Jonathan M. Adler

Going to psychotherapy represents an atypical, usually unanticipated, and often emotionally significant experience in the life course. As with many such events, people construct stories about therapy experiences in order to make sense out of them and to provide their lives with a sense of unity and purpose. Yet beyond these purposes, the storying of psychotherapy is also central to the maintenance of the therapeutic gains achieved during the course of treatment (e.g., Frank, 1961; Spence, 1982). In the present study, the psychotherapy stories of 76 community adults are assessed using grounded theory methodology to determine narrative patterns that distinguish …


Living Into The Story: Agency And Coherence In A Longitudinal Study Of Narrative Identity Development And Mental Health Over The Course Of Psychotherapy, Jonathan M. Adler Jan 2012

Living Into The Story: Agency And Coherence In A Longitudinal Study Of Narrative Identity Development And Mental Health Over The Course Of Psychotherapy, Jonathan M. Adler

Jonathan M. Adler

Narrative identity is the internalized, evolving story of the self that each person crafts to provide his or her life with a sense of purpose and unity. A proliferation of empirical research studies focused on narrative identity have explored its relationship with psychological well-being. The present study is the first prospective, multiwave longitudinal investigation to examine short-term personality change via an emphasis on narrative identity as it relates to mental health. Forty-seven adults wrote rich personal narratives prior to beginning psychotherapy and after every session over 12 assessment points while concurrently completing a measure of mental health. Narratives were coded …


Developing A Taxonomy Of Helpful And Harmful Practices For Clinical Work With Boys And Men, Ronald Levant, James Mahalik, David Tager, Christopher Mackowiak, Glenn Good Dec 2011

Developing A Taxonomy Of Helpful And Harmful Practices For Clinical Work With Boys And Men, Ronald Levant, James Mahalik, David Tager, Christopher Mackowiak, Glenn Good

Ronald F Levant

This study drew upon the knowledge base of APA-member practitioners to develop a taxonomy of helpful and harmful practices for treatment with boys and men. Four-hundred seventy five APA-member practitioners solicited from practice-related divisions provided responses to four open-ended questions about helpful and harmful practices in working with boys and men. Qualitative analyses revealed 10 themes that emerged from the analyses. Beneficial and sensitive practices included addressing gender socialization and gender sensitive issues as they apply to boys and men in psychological practice. Harmful practices included biased practices, stereotypes, and a lack of awareness and training around gender and diversity …


Trauma Exposure, Psychosocial Functioning, And Treatment Needs Of Youth In Residential Care: Preliminary Findings From The Nctsn Core Data Set, Ernestine C. Briggs, Johanna K.P. Greeson, Christopher M. Layne, John A. Fairbank, Angel M. Knoverek, Robert S. Pynoos Dec 2011

Trauma Exposure, Psychosocial Functioning, And Treatment Needs Of Youth In Residential Care: Preliminary Findings From The Nctsn Core Data Set, Ernestine C. Briggs, Johanna K.P. Greeson, Christopher M. Layne, John A. Fairbank, Angel M. Knoverek, Robert S. Pynoos

Christopher M Layne Ph.D.

Given the high prevalence rates of trauma exposure in youth in residential treatment, evidence-based guidelines are needed to identify youth most likely to benefit from this setting. We examined trauma exposure, functional impairments, and treatment outcomes in a large clinical dataset. When compared to youth in nonresidential settings (n=9,942), youth in residential settings (n=525) reported both higher rates of trauma exposure across types and higher rates of impairments. Moreover, as the number of trauma types increased among youth in residential care, so did the rates of impairment. Pretreatment and post-treatment rates of impairment significantly decreased in both groups; however, nearly …


Trauma Exposure, Psychosocial Functioning, And Treatment Needs Of Youth In Residential Care: Preliminary Findings From The Nctsn Core Data Set, Ernestine C. Briggs, Johanna K.P. Greeson, Christopher M. Layne, John A. Fairbank, Angel M. Knoverek, Robert S. Pynoos Dec 2011

Trauma Exposure, Psychosocial Functioning, And Treatment Needs Of Youth In Residential Care: Preliminary Findings From The Nctsn Core Data Set, Ernestine C. Briggs, Johanna K.P. Greeson, Christopher M. Layne, John A. Fairbank, Angel M. Knoverek, Robert S. Pynoos

Johanna K.P. Greeson, PhD, MSS, MLSP

Given the high prevalence rates of trauma exposure in youth in residential treatment, evidence-based guidelines are needed to identify youth most likely to benefit from this setting. We examined trauma exposure, functional impairments, and treatment outcomes in a large clinical dataset. When compared to youth in nonresidential settings (n=9,942), youth in residential settings (n=525) reported both higher rates of trauma exposure across types and higher rates of impairments. Moreover, as the number of trauma types increased among youth in residential care, so did the rates of impairment. Pretreatment and post-treatment rates of impairment significantly decreased in both groups; however, nearly …