Telephone-Administered Cognitive Behavioral Therapy: A Case Study of Anxiety and Depression in Parkinson’s Disease

Parkinson’s disease (PD) is a chronic medical illness with a high incidence of psychiatric comorbidity, specifically depression and anxiety. Research on treatment of such psychiatric complications is scarce. Non-pharmaceutical treatment options are especially attractive. Cognitive behavioral therapy (CBT) is a psychotherapeutic treatment option that has been successful in other chronically medically ill populations with comorbid depression and anxiety. The current research had two aims. The first was to pilot the feasibility of screening and identifying PD patients with symptoms of anxiety and depression in a specialized outpatient clinic. The second aim was to pilot the feasibility of telephone-administered CBT for the treatment of depression and anxiety in persons with PD, which was done through a case series comparing telephone-administered CBT to a Support strategy. A fairly large portion (67.5%) of patients screened in the outpatient clinic were identified as having symptoms of anxiety and/or depression. Results also indicated that CBT delivered via the telephone is a useful approach for targeting psychiatric symptoms in this population. A case example is given to illustrate the clinical considerations associated with delivering therapy via telephone to persons with PD. This study was conducted at the Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX. The first author was previously affiliated with the Houston Center for Quality of Care and Utilization Studies.     

T. V. Moore’s (1939)Cognitive Psychology

Thomas Verner Moore published a book calledCognitive Psychology in 1939, almost 30 years before Neisser’s (1967) more familiar and far more influential work. Although it covers most of the standard topics found in current cognitive psychology textbooks, and even anticipated several current trends, Moore’s text is not cited by any of the major histories of the “cognitive revolution” or any current cognitive textbook. We provide a brief sketch of Moore’s academic life and summarize several of his papers that are still cited. After describing the psychologies prevalent in 1939, we compare Moore’s text with two contemporary works, Woodworth (1938) and McGeoch (1942). We conclude by comparing the older text with Neisser’s and by offering several reasons why the book is virtually unknown.     

Publishing a Master’s Thesis: A Guide for Novice Authors

Publication of original research, clinical experiences, and critical reviews of literature are vital to the growth of the genetic counseling field, delivery of genetic counseling services, and professional development of genetic counselors. Busy clinical schedules, lack of time and funding, and training that emphasizes clinical skills over research skills may make it difficult for new genetic counselors to turn their thesis projects into publications. This paper summarizes and elaborates upon a presentation aimed at de-mystifying the publishing process given at the 2008 National Society of Genetic Counselors Annual Education Conference. Specific topics include familiarizing prospective authors, particularly genetic counseling students, with the basics of the publication process and related ethical considerations. Former students’ experiences with publishing master’s theses also are described in hopes of encouraging new genetic counselors to submit for publication papers based on their thesis projects.     

Therapy Process: A Reflective Account from Therapist’s Perspective

A case report is presented providing an account of therapy process and describing the therapist’s reflection on the process of therapy. It draws attention to the course of building hypothesis and clinical formulation, the core nucleus of any therapy. The paper highlights the change in therapy goals in different phases of therapy with the introduction of new information. It also underlines the fact that hypotheses in the formulation need to be constantly updated and checked against the ever changing information as therapy progresses. The importance of single case design is invaluable in the presentation of therapy process as it is more closer to clinical practice then group experimental design. Although attention to therapy process issues is important and there is no dearth of clinical material in India but there are very few published studies reporting therapy process using single case design. In the present paper, an attempt has been made to provide the account of therapy process and to share the reflections on the process of building hypothesis & formulation.     

A Review of “Cognitive-Behavioral Therapy With Couples and Families: A Comprehensive Guide for Clinicians” by Frank M. Dattilio

Abstract

Grandparents in family therapy: a clinical research study, by berit ingersoll-dayton&;margaret b. neal, 1991, 40, 264-271.

Polyincestuous families,by Kathleen Coulborn Faller, 1991, 6(3), 310-322

Accessing children's perceptions of their family: Circular questioning revisited,by Mark 1. Benson, Toni Schindler-Zimmerman,&;Doris Martin, 1991,17(4), 363-372

What is transmitted in the intergenerational transmission of violence?by Sharon Moore Alexander&;Elmore R. Alexander 111, 1991, 53, 657-668

Trends in corporate family-supportive policies,by Ellerz Galinsky, Diane Hughes,&;Judy David, 1990, 15, 75-94     

A Review of: “Fairburn,C. G. (2008). Cognitive Behavior Therapy and Eating Disorders.”

Successful reports of behavioral treatment of encopresis describe interventions as unpleasant as the disorder: hospitalization, laxatives, prompted toileting, aversive consequences. The focus on soiling rather than on the constant constipation that precedes encopresis, on the reduction of soiling rather than on the acquisition of effective toilet use. Five normal chronically constipated children (four of whom were encopretic) were treated at home with combinations of: preparatory instructions, rewards for clean pants, reward for appropriate toileting (bowel movement in toilet). Once soiling was eliminated and appropriate bowel movements occured regularly, all families were taught to fade treatment contingencies. To determine the contribution of the toileting reward to treatment effectiveness, this reward was added to the other two treatment components in a multiple baseline across four cases; it provided a significant ingredient in short-term success. A fifth child achieved short-term success with only the instructions and the clean pants reward. Long-term results (11-20 months) revealed that the fifth child, who never received the toileting reward, was the only one who relapsed.     

Let’s Play: Using Systemic and Experiential Techniques in the Play Therapy Instruction of MFT Masters’ Students

Marriage and family therapists are uniquely poised to work with entire families, including children. It is surprising then, that so few MFTs affiliate with play therapy. Many COAMFTE accredited masters’ programs offer some form of play therapy training, but therapists often report feeling uncomfortable with play therapy (Gil, 2015). In this paper, we offer a condensed refresher course on play therapy for MFTs, including suggested readings, materials, and instructions to expand training from a 2-day seminar to a 14-week course. We discuss the strengths and weaknesses of offering play therapy instruction as a semester long required course for masters’ students.     

Cognitive Differences Between Patients with Left-sided and Right-sided Parkinson’s Disease. A Review

At disease onset, patients with Parkinson’s disease (PD) typically report one side of the body to be more affected than the other. Previous studies have reported that this motor symptom asymmetry is associated with asymmetric dopaminergic degeneration in the brain. Research on the cognitive repercussions of this asymmetric degeneration has yielded inconsistent results. Here, we review studies that reported on the cognitive performance of patients with left-sided (LPD) or right-sided (RPD) motor symptom predominance. We present evidence that patients with RPD typically experience problems with language-related tasks and verbal memory, whereas patients with LPD more often perform worse on tasks of spatial attention, visuospatial orienting and memory and mental imagery. In general, no differences were found between both groups on tasks measuring attention and executive function. The association between motor asymmetry and cognitive performance indicates that PD does not lead to one typical cognitive profile. The effect of symptom laterality on the cognitive complaints should be considered in the assessment and treatment of each individual patient.     

A Review of: “Woolfolk,R. L., & Allen,L. A. (2007). Treating Somatization: A Cognitive-Behavioral Approach.”

A 5-year old subject was treated for molestation-induced behavior problems consisting of excessive verbal ruminations and concamitant negative emotional responding. Treatment invovled utilization of a modified operant DRO procedure using the subject's mother as primary behavior change agent. Data based observations predicated on home-environment and generalization probe sources demonstrated dramatic reductions in problem behaviors targeted for intervention. Treatment gains remained stable over a 12-month period as indicated by extended follow-up assessment queries.