Journal of Clinical Psychology

article

Concerns about substandard training for prescription privileges for psychologists

Elaine M. Heiby

Journal of Clinical Psychology > 66 > 1 > 104 - 111

This Commentary on the Muse and McGrath study (this issue, pp. XXX–XXX) refutes its conclusion that the amount of training for prescription privileges for psychologists (R×P) is equal to or greater than that for psychiatric nurse practitioners and physicians. First, the sample failed to include only training programs for nurses and psychologists that lead to independent prescribing. Second, training...

article

Psychological mindedness in relation to personality and coping in a sample of young adult psychiatric patients

Ivan Nyklíček, Joëla C. Poot, Jan van Opstal

Journal of Clinical Psychology > 66 > 1 > 34 - 45

Psychological mindedness (PM) is a relevant but rarely studied construct in clinical psychology. The aim was to examine the relationships among PM, personality, and coping in young adults with psychological difficulties. Sixty‐three young women and 32 young men who were admitted for intake at a Dutch mental health institute completed relevant questionnaires. PM showed positive associations with the...

article

Room for a new standard? response to comments by Heiby

Robert E. McGrath, Mark Muse

Journal of Clinical Psychology > 66 > 1 > 112 - 115

Heiby's (this issue, pp. XXX–XXX) claim that psychologists' training in psychopharmacology is substandard is predicated on the assumption that existing training models offer the only acceptable approach to achieving competence. This assumption both prohibits innovation and is demonstrably false. Our comparison of training models must be judged from the perspective of a reasoned analysis of the competencies...

article

Empirically supported religious and spiritual therapies

Joshua N. Hook, Everett L. Worthington, Don E. Davis, David J. Jennings, more

Journal of Clinical Psychology > 66 > 1 > 46 - 72

This article evaluated the efficacy status of religious and spiritual (R/S) therapies for mental health problems, including treatments for depression, anxiety, unforgiveness, eating disorders, schizophrenia, alcoholism, anger, and marital issues. Religions represented included Christianity, Islam, Taoism, and Buddhism. Some studies incorporated a generic spirituality. Several R/S therapies were found...

article

Training comparison among three professions prescribing psychoactive medications: psychiatric nurse practitioners, physicians, and pharmacologically trained psychologists

Mark Muse, Robert E. McGrath

Journal of Clinical Psychology > 66 > 1 > 96 - 103

Academic training leading to prescriptive authority is compared among psychiatric nurse practitioners, physicians, and pharmacologically trained psychologists. Statistics are presented on the relative emphasis that programs serving each discipline place on the preparation of their respective students in academic and clinical content areas that are relevant to the prescribing of psychoactive medication...

article

An examination of applicant characteristics of successfully matched interns: Is the Glass Half Full or Half Empty and Leaking Miserably?

Jennifer L. Callahan, Frank L. Collins, Elizabeth A. Klonoff

Journal of Clinical Psychology > 66 > 1 > 1 - 16

Although the “balance” between the number of potential interns and the number of internship slots needs be addressed, it is imperative that more attention be devoted to examining applicant and program characteristics that result in a successful match. To that end, the current study included pre‐ and post‐match data provided by 330 applicants of the 2009 Association of Psychology Postdoctoral and Internship...

article

Interesting practitioners in training in empirically supported treatments: research reviews versus case studies

Rebecca E. Stewart, Dianne L. Chambless

Journal of Clinical Psychology > 66 > 1 > 73 - 95

It has been repeatedly demonstrated that clinicians rely more on clinical judgment than on research findings. We hypothesized that psychologists in practice might be more open to adopting empirically supported treatments (ESTs) if outcome results were presented with a case study. Psychologists in private practice (N=742) were randomly assigned to receive a research review of data from randomized controlled...

article

Mindfulness intervention for child abuse survivors

Elizabeth Kimbrough, Trish Magyari, Patricia Langenberg, Margaret Chesney, more

Journal of Clinical Psychology > 66 > 1 > 17 - 33

Twenty‐seven adult survivors of childhood sexual abuse participated in a pilot study comprising an 8‐week mindfulness meditation‐based stress reduction (MBSR) program and daily home practice of mindfulness skills. Three refresher classes were provided through final follow‐up at 24 weeks. Assessments of depressive symptoms, post‐traumatic stress disorder (PTSD), anxiety, and mindfulness, were conducted...

article

Partners in treatment: relational psychoanalysis and harm reduction therapy

Debra Rothschild

Journal of Clinical Psychology > 66 > 2 > 136 - 149

A relational psychoanalytic harm reduction orientation to the treatment of substance misusers is presented and illustrated with a clinical example. Both harm reduction therapy and relational psychoanalysis rely on a two‐person model in which the therapist and client are collaborators in the treatment. In both, substance use is seen in the context of the user's internal psychodynamics and external...

article

Harm reduction therapy with families and friends of people with drug problems

Patt Denning

Journal of Clinical Psychology > 66 > 2 > 164 - 174

This article describes and illustrates the ongoing development of a treatment for working with families and friends of drug users using harm reduction principles. The author was instrumental in applying harm reduction principles to substance abuse and has used these same principles to help families deal with the pessimism, pain, and grief that accompany their relationship to a person with an active...

article

So glad you came! Harm reduction therapy in community settings

Jeannie Little, Perri Franskoviak

Journal of Clinical Psychology > 66 > 2 > 175 - 188

Harm reduction therapy was originally developed as a nonabstinence‐based method of treating people with drug and alcohol problems. In this article, we describe and apply the principles and practices of harm reduction therapy in community settings, places where people congregate for nontherapeutic reasons—street corners, community drop‐in centers, needle exchanges, and primary care clinics. Low‐threshold...

article

State of the art in harm reduction psychotherapy: an emerging treatment for substance misuse

Andrew Tatarsky, G. Alan Marlatt

Journal of Clinical Psychology > 66 > 2 > 117 - 122

Harm reduction psychotherapy is an exciting and emerging treatment for a broad spectrum of substance use problems. This article introduces an issue of the Journal of Clinical Psychology: In Session devoted to the state of the art of harm reduction psychotherapy. We describe the harm reduction paradigm, the context for and history of the development of harm reduction psychotherapy, and its clinical...

article

Brief motivational feedback for college students and adolescents: a harm reduction approach

Ursula Whiteside, Jessica M. Cronce, Eric R. Pedersen, Mary E. Larimer

Journal of Clinical Psychology > 66 > 2 > 150 - 163

Alcohol consumption and its attendant problems are prevalent among adolescents and young adult college students. Harm reduction has been found efficacious with heavy drinking adolescents and college students. These harm reduction approaches do not demand abstinence and are designed to meet the individual where he or she is in the change process. The authors present a case illustration of a harm reduction...

article

Integrative harm reduction psychotherapy: a case of substance use, multiple trauma, and suicidality

Andrew Tatarsky, Scott Kellogg

Journal of Clinical Psychology > 66 > 2 > 123 - 135

Harm reduction is a new paradigm that seeks to reduce the harmful consequences of substance use and other risky behaviors without requiring abstinence. This article discusses integrative harm reduction psychotherapy, one application of harm reduction principles to psychotherapy. Seven therapeutic tasks are described with attention to clinical process, skills, and strategies. A case is presented that...

article

Harm reduction therapy: a practice‐friendly review of research

Diane E. Logan, G. Alan Marlatt

Journal of Clinical Psychology > 66 > 2 > 201 - 214

Harm reduction is an umbrella term for interventions aiming to reduce the problematic effects of behaviors. Although harm reduction was originally and most frequently associated with substance use, it is increasingly being applied to a multitude of other behavioral disorders. This article reviews the state of empirical research on harm reduction practices including alcohol interventions for youth,...

article

Empowering the disempowered: harm reduction with racial/ethnic minority clients

Arthur W. Blume, Laura V. Lovato

Journal of Clinical Psychology > 66 > 2 > 189 - 200

Harm‐reduction principles, such as empowerment of clients and goals for moderation, align well with the cultural worldviews of many clients of color. Empirically supported harm‐reduction strategies often work well with ethnic minority clients. However, clients of color require special clinical considerations. A case study illustrates the use of the community participatory model, which combines harm...

article

Cognitive and psychodynamic mechanisms of change in treated and untreated depression

Daniel Coleman, Diane Cole, Leslie Wuest

Journal of Clinical Psychology > 66 > 3 > 215 - 228

Two patient‐level mechanisms of change, defenses, and cognition were tested over 3 time points in 65 depressed adults, approximately half receiving treatment. Early changes in automatic thoughts and immature defenses were associated with symptom change from time‐one to time‐three. The directionality of early automatic thought change predicting symptom change was partially supported, but immature defense...

article

Rumination fosters indecision in dysphoria

Annette van Randenborgh, Renate de Jong‐Meyer, Joachim Hüffmeier

Journal of Clinical Psychology > 66 > 3 > 229 - 248

This study investigated the effects of rumination on indecision, assessed as high levels of perceived decision difficulty, low confidence in a decision, and decision latency. Dysphoric and nondysphoric participants were assigned to either a rumination or a distraction induction. Subsequently, they made four decisions with alleged real‐life consequences. As predicted, rumination exhibited a negative...

article

Asian Americans' lay beliefs about depression and professional help seeking

Y. Joel Wong, Kimberly K. Tran, Seong‐Hyeon Kim, Valerie Van Horn Kerne, more

Journal of Clinical Psychology > 66 > 3 > 317 - 332

Guided by a culturally informed illness representation self‐regulation model (CIRSRM), this study analyzed the relations among 223 Asian Americans' lay beliefs about depression, enculturation to Asian values, and their likelihood of seeking professional help for depression. Participants' lay beliefs were assessed through an analysis of written responses to open‐ended questions about depression. Enculturation...

article

Provision of social support to individuals with chronic fatigue syndrome

Leonard A. Jason, Nicole Roesner, Nicole Porter, Brittany Parenti, more

Journal of Clinical Psychology > 66 > 3 > 249 - 258

The present study evaluated a buddy program designed to provide support for individuals with chronic fatigue syndrome (CFS). The intervention involved weekly visits by a student paraprofessional, who helped out with tasks that needed to be done in an effort to reduce some of the taxing demands and responsibilities that participants regularly encountered. This model of rehabilitation focused on avoiding...

INFONA - science communication portal

Journal of Clinical Psychology

Concerns about substandard training for prescription privileges for psychologists

Psychological mindedness in relation to personality and coping in a sample of young adult psychiatric patients

Room for a new standard? response to comments by Heiby

Empirically supported religious and spiritual therapies

Training comparison among three professions prescribing psychoactive medications: psychiatric nurse practitioners, physicians, and pharmacologically trained psychologists

An examination of applicant characteristics of successfully matched interns: Is the Glass Half Full or Half Empty and Leaking Miserably?

Interesting practitioners in training in empirically supported treatments: research reviews versus case studies

Mindfulness intervention for child abuse survivors

Partners in treatment: relational psychoanalysis and harm reduction therapy

Harm reduction therapy with families and friends of people with drug problems

So glad you came! Harm reduction therapy in community settings

State of the art in harm reduction psychotherapy: an emerging treatment for substance misuse

Brief motivational feedback for college students and adolescents: a harm reduction approach

Integrative harm reduction psychotherapy: a case of substance use, multiple trauma, and suicidality

Harm reduction therapy: a practice‐friendly review of research

Empowering the disempowered: harm reduction with racial/ethnic minority clients

Cognitive and psychodynamic mechanisms of change in treated and untreated depression

Rumination fosters indecision in dysphoria

Asian Americans' lay beliefs about depression and professional help seeking

Provision of social support to individuals with chronic fatigue syndrome

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