社会快感缺失认知过程的跨诊断研究进展

社会快感缺失具有广泛的跨诊断和亚临床特征,包括孤独感、内向性、社交焦虑和社会功能受损等。传统医学模型聚焦于社会快感缺失相关疾病的诊断和神经生理机制,促进了社会快感缺失药物和神经靶向治疗。然而社会快感缺失广泛地存在于健康人群和亚临床人群中,只有寻找有效的心理咨询和治疗方案,才会对亚临床人群社会快感缺失的缓解和社会功能的提升提供帮助。认知过程模型聚焦于积极效价系统,强调对积极奖赏刺激注意、记忆、心理意象等认知过程的提升,该模型将是社会快感缺失心理咨询与治疗的有效途径。     

Effects of Cognitive Behavioral Therapy and Vocational Rehabilitation on Metacognition and Coping in Schizophrenia

The Indianapolis Vocational Intervention Program (IVIP) is a cognitive behaviorally based program of group and individual interventions that seeks to help persons with schizophrenia improve vocational function and sustain hope. In this study we compared baseline and follow-up assessments of coping and metacognition among 50 participants with schizophrenia spectrum disorders offered a six-month job placement and randomized to receive IVIP (n = 25) or standard services (n = 25). ANCOVA controlling for baseline suggest that the IVIP group gained greater ability to think about their own thinking and to cope by seeing what were previously perceived as negative stressors in more positive light. An erratum to this article can be found at     

Doing Psychotherapy with Patients with Genital Herpes: Issues and Interventions

Abstract

This article presents issues that the psychotherapist is likely to have to deal with in treating patients with genital herpes. A review of medical issues, clinical manifestations and pharmacotherapy of herpes infections is presented. Common psychological reactions and psychopathology related to herpes simplex virus infection, a discussion of the patient's dilemma of disclosing his or her herpes simplex positive status to others and a list of cognitive-logical distortions often encountered in, and negatively affecting, patients with genital herpes are presented in detailed examples. A practical model (SANE) conceptualizing psychotherapy for patients with genital herpes in 4 intervention stages (Stabilization-crisis intervention, Acceptance, Normalization and social-personal Empowerment-evolution) is suggested for use. The use of cognitive-behavioral therapeutic strategies in facilitating the patient's assumption of a healthier psychosocial perspective in each stage is comprehensively detailed. Ethical and legal concerns in working with herpes simplex positive patients are also discussed.     

Is the Impact of Psychotherapy Processes on Outcomes Already Quacking and Waddling? Comment “A Primer on Psychotherapy Process Research (Pfeifer & Strunk, 2015)”

The article by Pfeifer and Strunk on psychotherapy process research offers a highly thoughtful review on the state of psychotherapy process research in cognitive therapy for depression, and the inherent challenges in establishing causal relationships between process and outcomes. In this commentary, I argue that the goal of internal validity in psychotherapy process research may be unattainable, and possibly unnecessary. Finally, I suggest that psychotherapy process research should shift from “does it affect change?” to “how does it affect change?”, “when does it affect change?”, and “for whom does it affect change?”     

希望理论与认知心理治疗的整合

作为传统心理学与积极心理学之间的重要桥梁,希望可以被整合进入认知心理治疗中。咨询实践也证明,将希望理论与先前基于症状减少策略的认知疗法整合,心理治疗不仅可以减少患者的症状,而且能帮助其建立力量感并增加长期的生活满意度。通过界定希望的概念;将希望模型与相关模型进行比较,最后,提出在认知疗法的不同阶段运用希望理论的策略。     

An Overview of Directions in Psychotherapy Integration Research

In general, empirical research in psychotherapy integration has lagged behind the growing theoretical and clinical interest in the field. Even though many of the theoretically integrative treatment models currently available are based on empirical findings and clinical observations, the models themselves remain, for the most part, untested. Rigorous examination of integrative psychological theories and therapeutic programs is a necessary and useful way to increase our understanding of the process of psychotherapy and establish the efficacy and effectiveness of integrative therapies. The present article explores five different research areas in the field of psychotherapy integration, discussing several published studies in each area. The utility of this research for practicing clinicians is also discussed. Additional investigations in these areas and others are encouraged, with the goals of greater understanding of psychotherapy, as well as the further development and acceptance of integrative approaches.     

Preferred Prayer Styles and Anxiety Control

To date, the literature on prayer and anxiety has yielded mixed results. Recent development of a new instrument has improved our ability to measure individuals’ prayer activities, which may be a promising means of clarifying this literature. This correlational study examined preferred prayer styles and associated scores on measures of anxiety control and trait anxiety in a sample of 85 college students. Results suggested that individuals whose prayer styles were characterized by active rather than avoidant coping were likely to evidence greater perceived control of anxiety and lower levels of trait anxiety. Dr. Harris is a rehabilitation psychologist at the VA Medical Center in Minneapolis, MN. Dr. Schoneman is a clinical psychologist at Casa Pacifica and in private practice. Dr. Carrera is a counseling psychologist at the Psychological Services Center at the University of Cincinatti. Correspondence to J. Irene Harris, Staff Psychologist, VA Medical Center, One Veterans Drive, Minneapolis, MN 55417; e-mail: jeanette.harris2@med.va.gov.     

A Participant-Observer's Perspective on Psychotherapy Integration

Jacobson has raised a number of issues about the usefulness of psychotherapy integration. Some of his concerns stem from his doubt that people are capable of change, and some that appear to be the result of a misinterpretation of what constitutes psychotherapy integration. This article attempts to clarify some of these misunderstandings, which seem to be the result of equating psychotherapy integration with the integration of theories. Comments are also made about the research underpinings related to work in this area.     

Rational-Emotive Behavior Therapy: An Interview with Albert Ellis

Over the past 50~years, Rational-Emotive Behavior Therapy (REBT) has been developed and refined by Albert Ellis. REBT provides a framework for therapy that appears useful for many therapists and most clients. This paper includes a recent interview with Dr. Ellis, examining issues related to the development, application, and ongoing refinement of REBT as a useful and effective approach to psychotherapy.     

A Study of Volunteer Clients Who Experienced Live Sessions of Rational Emotive Behavior Therapy in Front of a Public Audience

This is a study of the responses of 100 selected subjects who gave their reactions to experiencing a live session of Rational Emotive Behavior Therapy (REBT) with Albert Ellis in front of a public audience. Ninety-seven of the respondents found their session helpful; only 13 felt uncomfortable discussing their problems in public; 99 of them felt that Dr. Ellis focused on their main problem; 94 of them reported that they somewhat or very much used Dr. Ellis's suggestions; 90 of them felt that the members of the audience suggestions were helpful; and 93 of them said that they would like to work with Dr. Ellis again at a public therapy session. Limitations of this study are discussed.     

Spiritual Psychology and Psychotherapy: Is There Theoretical and Empirical Support?

This paper provides a meta-theoretical context for a spiritually oriented psychotherapy, namely Constructivism. It also presents some empirical and theoretical support for this Constructivist position which is consistent with cognitive psychology and concepts from both Western and Eastern traditions. It summarizes the work of Mahoney on Constructivism and integrates it with Personal Construct Psychology. It then provides the perceptual, theoretical, and empirical underpinnings for an integrative, holistically oriented clinical model that focuses on how clients construct their realities. The paper concludes with a discussion of the levels of therapeutic work that clients contract for, placing them in charge of their lives. The goal, for clients who chose the deepest path, is the philosophical understanding that they create the relative realities to which they respond, causing both their suffering and potential liberation. The ultimate choice is theirs, and not the therapist's.