Quasi‐Experimental Single‐Subject Design: Comparing Seeking Safety and Canine‐Assisted Therapy Interventions Among Mentally Ill Female Inmates

This repeated measures quasi‐experimental study evaluated the effectiveness of 2 interventions, Seeking Safety and canine‐assisted therapy, with female prisoners with trauma histories on a mental health unit. Results indicate both are effective at reducing anxiety, depression, and posttraumatic stress disorder.     

An exploration of the benefits of animal‐assisted activities in undergraduate students in Singapore

The rise in psychological problems, attrition, and suicide rates of university students has been linked to the stressful challenges faced during university life. To buffer this, animal assisted activities (AAA) may assist in improving psychological and physiological well‐being in students, however, to date, there is little empirical evidence for their effectiveness. Consequently, this study explored the psychological and physiological benefits of AAA in a sample of undergraduate students. Sixty‐two students from two local universities participated in an hour‐long AAA session delivered by Therapy Dogs Singapore. Measures of perceived stress, anxiety, state self‐esteem, and blood pressure (BP) were taken before and after the sessions. The results indicated that students experienced significant decreases in state anxiety, systolic, and diastolic BP post AAA, and when compared to a quiet reading comparison session. State self‐esteem increased post AAA and, further, was found to moderate the change in anxiety in addition to perceived stress, whereby perceived anxiety reduced more in those with low state self‐esteem and high perceived stress. These results suggest that AAA can be an effective intervention for stress among undergraduate students, which utilizes a novel, easy to implement and enjoyable approach for Singaporean students.     

A Meta‐Analytic Review of Child‐Centered Play Therapy Approaches

The authors explored the overall effectiveness of child‐centered play therapy (CCPT) approaches through a meta‐analytic review of 52 controlled outcome studies between 1995 and 2010. Hierarchical linear modeling techniques estimated a statistically significant moderate treatment effect size (.47) for CCPT, as well as statistically significant relationships between effect size and study characteristics, including child's age, child's ethnicity, caregiver involvement, treatment integrity, publication status, and presenting issue.     

Drug‐assisted rape and sexual assault: definitional,conceptual and methodological developments

This paper reviews the limited literature on drug‐assisted rape (DAR) and develops definitions and constructs. A novel data gathering method, the multiple sorting task, was adopted to explore lay understanding of DAR. Participants (N = 8) were drawn from the general public. Each of the 21 stimulus cards used had the name of one sexual or romantic encounter printed on it. Participants completed one fixed sort in terms of the motivation of the male involved in the encounter. Data were analysed by means of multiple scalogram analysis (MSA). Findings show that the key factors for distinguishing sexual and romantic encounters are whether the behaviour is: consensual, contracted or forced; planned or impulsive; motivated primarily by the desire for sex or for a relationship. When motivation of the offender is considered, drug‐assisted rape and sexual assault is distinguishable from other consensual sexual behaviours but not from other types of rape. Findings are discussed in terms of the limitations of the present study, the need for further research and practical applications for assisting police enquiries. Copyright © 2005 John Wiley & Sons, Ltd.     

Individual and Group Child‐Centered Play Therapy: Impact on Social‐Emotional Competencies

The authors conducted a randomized controlled trial study with 56 elementary school children to test the effectiveness of 16 sessions of individual and group child‐centered play therapy (CCPT) in improving social‐emotional assets, including self‐regulation/responsibility, social competence, and empathy. Parent reports indicated that treatment in both CCPT conditions was correlated with substantial gains in overall social‐emotional assets and in the constructs of self‐regulation/responsibility and social competence.     

Relationship between self‐worrying and self‐critical messages in clients with generalised anxiety engaging in emotion‐focused worry dialogues

Emotion‐focused therapy (EFT) has recently been adapted as a treatment for generalised anxiety disorder (GAD). One intervention used in this adaptation is a worry dialogue, in which the client enacts worry in one chair (“worrier”) and is facilitated to experience the impact of this worry in another chair (“experiencer”). Although not formally studied, anecdotal observations from therapists in the EFT for GAD treatment development study suggested that within worry dialogues there might be a link between client's self‐worrying and self‐critical messages. This study used data from 47 worry dialogues from fourteen study clients who received EFT for GAD. An observation based qualitative analysis of clients' self‐directed messages as present in in‐session worry dialogues was conducted using video/audio recordings of relevant sessions. Results indicate a relationship between self‐worrying and self‐critical messages. A total of 90 paired self‐worry and self‐critic messages across the 47 worry dialogues were logged. Six recurring clusters of themes/relationships were observed: (a) I need to be prepared for future negative events because… I'm weak and a failure; (b) I need to stop worrying… I'm flawed for being a worrier; (c) People will negatively judge me if I engage with them… because I'm not good enough; (d) If I don't worry, there will be negative consequences… and I will be responsible and will be unable to bear it; (e) I worry/ruminate that I cause(d) some damage… because I'm incompetent; and, (f) I must always be prepared against others taking advantage of me… because I'm weak. Given the observed close link between self‐critical and worry processes, it is important that therapists differentiate between these processes and remember to address both in therapy for GAD.     

“A definite feel‐it moment”: Embodiment,externalisation and emotion during chair‐work in compassion‐focused therapy

Chair‐work is an experiential method used within compassion‐focused therapy (CFT) to apply compassion to various aspects of the self. This is the first study of CFT chair‐work and is focused on clients' lived experiences of a chair‐work intervention for self‐criticism. Twelve participants with depression were interviewed following the chair‐work intervention and the resulting data were examined using interpretative phenomenological analysis. Three superordinate themes were identified: “embodiment and enactment,” “externalising the self in physical form” and “emotional intensity.” The findings suggest the importance of accessing and expressing various emotions connected with self‐criticism, whilst highlighting the potential for client distress and avoidance during the intervention. The role of embodying, enacting and physically situating aspects of the self in different chairs is also suggested to be an important mechanism of change in CFT chair‐work. The findings are discussed in terms of clinical implications, emphasising how core CFT concepts and practices are facilitated by the chair‐work process.     

Benchmarking Treatment Effectiveness of Community‐Delivered Trauma‐Focused Cognitive Behavioral Therapy

It is critical for urban youth with post‐traumatic stress disorder (PTSD) living in poverty to have access to evidence‐based interventions for their traumatic stress. However, there is limited research on the effectiveness of these interventions when provided in urban, community settings. The objectives of the current study are to (a) evaluate the effectiveness of trauma‐focused cognitive behavioral therapy delivered from 2013 to 2016 in 15 behavioral health agencies on youth (N = 114) PTSD as well as  general mental health symptoms and  functioning, and (b) benchmark these clinical outcomes against other published efficacy and effectiveness trials. Effectiveness data are from the Philadelphia County Community Behavioral Health System, a system that has invested significantly in the training and ongoing support of clinicians providing high‐quality trauma services to youth since 2012. From baseline to last assessment, youth PTSD symptom severity (d = 0.34), PTSD functional impairment (d = 0.38), and overall mental health problem severity (d = 0.29) improved. The effect sizes of  improvements were smaller than effect sizes observed in efficacy and effectiveness studies. This study is the first benchmarking study of TF‐CBT and provides preliminary findings with regard to the effectiveness, and transportability, of TF‐CBT to urban community settings that serve youth in poverty.     

Child‐Centered Play Therapy: Aggression,Empathy, and Self‐Regulation

The authors conducted a randomized controlled trial to investigate differences among 36 elementary school age children who received 16 sessions of child‐centered play therapy and 35 children who were assigned to a waitlist control group. Pre‐ and postassessments were used to measure children's levels of aggression, self‐regulation, and empathy per parent and teacher report. Results revealed statistically significant positive results for parents and nonstatistically significant results for teachers. Implications and future research are examined.     

Pilot Testing of an Online Training for Criminal Justice Professionals on Medication‐Assisted Treatment

There is widespread misunderstanding about medication‐assisted treatment (MAT) for opioid addiction. Although most MAT trainings target providers, criminal justice program staff and treatment referrers often determine offender placement. This article supports the efficacy of an online MAT training for criminal justice stakeholders.     

Mindfulness‐Based Interventions in Counseling

Mindfulness is a relatively new construct in counseling that is rapidly gaining interest as it is applied to people struggling with a myriad of problems. Research has consistently demonstrated that counseling interventions using mindfulness improve well‐being and reduce psychopathology. This article provides a detailed definition of mindfulness, including a discussion of the mechanisms underlying mindfulness practice; explores the implementation of mindfulness as a counseling intervention; and examines literature supporting its effectiveness.     

A randomized pilot study of mindfulness‐based cognitive therapy and group cognitive‐behavioral therapy for young adults with social phobia

Piet, J., Hougaard, E., Hecksher, M. S., & Rosenberg, N. K. (2010). A randomized pilot study of mindfulness‐based cognitive therapy and group cognitive‐behavioral therapy for young adults with social phobia. Scandinavian Journal of Psychology, 51, 403–410. Twenty‐six young participants, 18–25 years, with social phobia (SP) were randomly assigned to eight 2‐hour sessions of group mindfulness‐based cognitive therapy (MBCT) and twelve 2‐hour sessions of group cognitive‐behavioral therapy (CBT) in a crossover design with participants receiving treatments in reversed order. Outcome was assessed after treatments, and at 6‐ and 12‐month follow‐ups. MBCT achieved moderate‐high pre‐post effect sizes (d = 0.78 on a composite SP measure), not significantly different from, although numerical lower than those of CBT (d = 1.15). Participants in both groups further improved in the periods following their first and second treatment until 6‐months follow‐up (pre‐follow‐up ds = 1.42 and 1.62). Thus, MBCT might be a useful, low cost treatment for SP, although, probably, less efficacious than CBT.     

Mindfulness as a way to cope with COVID‐19‐related stress and anxiety

COVID‐19 brought significant challenges to college students in Spring 2020. Mindfulness‐based interventions might help students cope with COVID‐19‐related stressors in at least three ways: by cultivating attention that is self‐directed rather than reactive to a rapidly changing situation; by teaching the acceptance and regulation of negative thoughts and feelings; and by encouraging individuals to view adverse events non‐judgementally and as opportunities for growth. The purpose of our study was to determine whether Koru Mindfulness (KM), a four‐week, mindfulness‐based group therapy designed for emerging adults, could help students cope with COVID‐19‐related stress and anxiety. Students were assigned to either KM or waitlist at the beginning of the 2020 Spring semester. Assessment of students’ functioning occurred at baseline before the onset of COVID‐19, mid‐semester at the height of the COVID‐19 crisis on campus, and the end of the semester after students had returned home and transitioned to remote learning. After treatment, KM participants reported greater mindfulness and self‐compassion and less stress, anxiety and sleep problems than controls. KM participants also showed superior functioning on performance‐based measures of attention. Most gains were maintained over time. Increased mindfulness mediated the relationship between KM and reductions in stress and anxiety. KM can help students cope with academic and COVID‐19‐related stressors by improving mindfulness.     

Humanistic‐experiential therapies in the treatment of generalised anxiety: A perspective

This study discusses the current status of evidence‐based psychological therapies for generalised anxiety disorder (GAD). It points to the dominance of cognitive‐behavioural therapies (CBTs) and compares this dominance with the position of humanistic‐experiential therapies (HEPs) in this area. The paper hypothesises several reasons for this situation, including historical developments as well as HEPs’ ambivalence around embracing mainstream mental health classification systems, and corresponding types of research. The paper then highlights some recent developments in HEPs for anxiety disorders (particularly emotion‐focused therapy; EFT); developments that are breaking new conceptual grounds while also generating new outcome research.     

Time‐of‐day variation of visuo‐spatial attention

Time‐of‐day variation of visuo‐spatial attention in relation to body temperature and subjective arousal was assessed. At five different times of day, alertness, covert, and overt orienting of attention were assessed in fifteen healthy subjects. Based on previous studies reporting a tight coupling of alerting and orienting the present study investigates potential attentional asymmetries induced by diurnal variations of arousal. Both covert and overt orienting of attention improved in the course of the day. However, no asymmetries between left and right visual hemifields could be detected. Covert orienting additionally covaried with body temperature, indicating a quite close relation between the attentional arousal and orienting system. Conversely, overt orienting only improved due to repeated testing but did not correlate with body temperature suggesting a partial independence of both modes of attentional orienting. It can be assumed that due to limited diurnal variations of arousal in the participants and practice effects caused by repeated testing, no attentional asymmetries could be provoked.     

The effect of counselling programmes involving expressive activities with semi‐structured groups on self‐concealment levels of adolescents

The aim of this study was to investigate the effects of counselling programmes based on expressive activities with semi‐structured groups, on the self‐concealment levels of adolescents. The research was carried out using a pretest–posttest control group design. The dependent variable of the present research, is the psychological counselling programme conducted with a semi‐structured group based on expressive activities. The research was carried out with 18 6th and 7th grade secondary school students (10 female and 8 male). The Self‐Concealment Scale was used as data collection tool. In this research, the use of nonparametric tests was preferred, as the sample was smaller than 30. Therefore, it was determined whether there is a statistically significant difference between the arithmetic means of the experimental and control groups’ pretest, posttest and trail test scores by use of Wilcoxon signed‐rank test, to determine the effects of a psychological counselling programme with semi‐structured group based on expressive activities. Also, it was determined whether there was a statistically significant relationship between the pretest, posttest and trail intervention scores received by the intervention and control group students from the Self‐Concealment Scale, using Mann–Whitney U test. The research results revealed that the “psychological counselling programme based on expressive activities with semi‐structured groups” was significantly effective in alleviation of self‐concealment levels, and this effect was also maintained in follow‐up evaluations. The obtained results are discussed in the light of related literature findings and recommendations are proposed accordingly.     

Elucidating the psychosocial context of ‘post‐concussion syndrome’ (PCS): a case study from post‐Milan systemic family therapy

The literature on post‐concussion syndrome (PCS) following mild head injury includes biopsychosocial formulations. However, it is contended that the complexities of the psychosocial remain conceptually underdeveloped. An engagement with this complexity is presented via a case study from post‐Milan systemic family therapy. The work described is with grandparents, a mother and daughter. The latter two both initially experienced PCS following a road traffic accident, yet demonstrated contrasting outcomes in the year post‐injury. Implications for family therapy services and the wider literature are discussed.