Insights from a deradicalization program in Indonesian prisons: The potential benefits of psychological intervention prior to ideological discussion

Discussions that are based on religious understanding and aimed at reducing terrorists' hostility have been used as a central part of terrorist deradicalization programs in many countries where acts of Islamic terrorism are prevalent. Currently, various psychological approaches such as presenting social support and providing counseling sessions are being applied alongside religious discussions. Observers of these programs have reported benefits and positive responses to the psychological approaches, but there is still a lack of empirical evidence confirming this. In the current study, we examine the effects of two psychological interventions—emotional expression training and cognitive flexibility training—in predicting detainees’ acceptance of the idea of democratic life. We investigated the observational records taken during the psychological interventions and religious discussions. Results showed no main effect of emotional expression and cognitive flexibility in predicting one’s acceptance of democratic civil life, but there was a significant interaction between the two predictors. Among those who scored high in cognitive flexibility, detainees who scored also high in emotional expression were significantly more agreeable towards the state’s sovereignty over belief in an Islamic caliphate during religious discussions. Our findings suggest that psychological interventions do indeed offer benefits for detainees’ deradicalization programs.     

Mindfulness-Based Approaches with Children and Adolescents: A Preliminary Review of Current Research in an Emergent Field

Interest in applications of mindfulness-based approaches with adults has grown rapidly in recent times, and there is an expanding research base that suggests these are efficacious approaches to promoting psychological health and well-being. Interest has spread to applications of mindfulness-based approaches with children and adolescents, yet the research is still in its infancy. I aim to provide a preliminary review of the current research base of mindfulness-based approaches with children and adolescents, focusing on MBSR/MBCT models, which place the regular practice of mindfulness meditation at the core of the intervention. Overall, the current research base provides support for the feasibility of mindfulness-based interventions with children and adolescents, however there is no generalized empirical evidence of the efficacy of these interventions. For the field to advance, I suggest that research needs to shift away from feasibility studies towards large, well-designed studies with robust methodologies, and adopt standardized formats for interventions, allowing for replication and comparison studies, to develop a firm research evidence base.     

Towards happiness interventions: construct clarification and intervention methodologies

The aim of this study was to investigate the main streams of research on happiness, the approaches/models flowing from these philosophies and the methodology of happiness interventions. A systematic review was performed outlining the authors, the purpose of the research, the nature of the sample/setting, the method utilised and the key findings. Peer-reviewed articles published between 1950 and 2013, written in English/Afrikaans, and which examined the concepts of happiness were analysed. The results showed three causes for failing interventions: (a) unidimensional models/ approaches towards happiness, (b) targeting the concept of happiness instead of mediating factors; and (c) fragmented methodological interventions. The results support the need for a multidimensional model of happiness. Interventions focusing on psychological processes and utilising multi-facet methodologies should be developed and implemented to promote happiness. This study contributes to the existing literature by providing an integrative framework for positive psychological interventions directed at happiness.     

Contemporary Perspectives on Stress Management: Medication,Meditation or Mitigation

Stressful life events can increase the risk for developing a variety of physical disorders and emotional problems. A biopsychosocial approach can help mental health professions to better understand and more effectively treat disorders that are related to severe negative life events. Biological approaches focus on suppressing emotional reactions, usually through a reliance on psychopharmacological interventions. Psychological approaches usually focus on the cognitive processes that translate stress into distress. Psychological interventions focus on changing the negative attitudes and maladaptive behaviors that aggravate most stressful situations. Social interventions focus on improving social support and involvement with agencies to confront limited finances, unemployment, and housing problems. In these times of economic crisis and severe financial hardship, psychological and social intervention strategies appear more useful than biological treatments.     

The modification of attentional bias to emotional information: A review of the techniques,mechanisms, and relevance to emotional disorders

A negative bias in the deployment of attention to emotional stimuli is commonly found in both anxiety and depression. Recent work has highlighted that such biases are causally related to emotional vulnerability, suggesting that interventions that ameliorate them may be therapeutic. Here, we review the evidence that attentional bias can be modified using both pharmacological and psychological interventions. We highlight the behavioral and neuroimaging studies that suggest that these interventions impact upon attention via alteration of distinct neural mechanisms. Specifically, pharmacological interventions appear to influence the initial deployment of attention via an effect on the amygdala-based stimulus appraisal system, whereas psychological interventions influence attention at later time points and may alter activity in the lateral prefrontal cortex. Finally, we suggest a conceptual framework that embraces both pharmacological and psychological approaches and consider the possible implications of this work for future research and treatment development.     

A meta-analysis of psychological and pharmacological treatments for Body Dysmorphic Disorder

Although psychological and pharmacological treatment approaches for Body Dysmorphic Disorder have been evaluated, the relative effectiveness of these two types of interventions has not been examined. We conducted a meta-analysis of randomized clinical trials and case series studies involving psychological (i.e., behavioural, cognitive-behavioural, cognitive) or medication therapies. Our findings support the effectiveness of both types of therapy, but suggest that cognitive-behavioural treatment may be the most useful. These findings require cross-validation through large-scale clinical trials.     

Character Strengths Interventions: Building on What We Know for Improved Outcomes

For this review strengths intervention studies were located using online searches and collegial networks and included if they explicitly sought to teach or use a strengths classification to enhance well-being, and used pre- and post-intervention measures and a comparison group. Eight studies met the criteria and have been summarised by this review. To date, the effect sizes achieved by character strengths interventions have been small to moderate. An understanding of how these interventions work may facilitate development of more effective interventions, while expanding the field of character strengths interventions to include a broader range of activities and approaches may also offer benefits. Research examining individual factors, such as strengths use, psychological need satisfaction, goal-setting and goal-striving provides promising leads to explain how strengths interventions work. However, the effect on intervention efficacy of relational or contextual factors, such as intervention environment or facilitator attitude to strengths, has not yet been explored. Implications for interventions in school settings are considered.     

Psychological aspects of scuba diving injuries: Suggestions for short-term treatment from a psychodynamic perspective

Dive medicine is described as an area of practice in which psychologists may choose to expand their clinical service and research activities. The author argues that most research studying risk behavior and sports take into account biological, behavioral or cognitive approaches, while ignoring unconscious conflict in risk-taking and injury management. The present paper uses a psychodynamically-oriented, interview-based approach to studying psychological reactions to decompression sickness in three experienced scuba divers. Brief interventions and their outcomes are described.     

Childhood trauma and psychosis: Review of the evidence and directions for psychological interventions

There is controversy over whether childhood trauma (CT) is a causal risk factor for psychosis. The aim of this study was to provide psychologists with a brief overview of the research into relationship between childhood trauma and psychosis and directions for psychological interventions. It details six of the highest quality studies in the area and tentatively concludes from these that there is evidence for a relationship between CT and psychosis. Hallucinations and delusions have been implicated as important factors in the relationship between CT and psychotic disorder and these are discussed, along with post‐traumatic intrusions and schemas, which have been conceptualised as part of the psychological mechanisms whereby CT confers a risk for psychosis. The development of psychological interventions for people with psychosis who have experienced CT is in its infancy but has been based on evidence‐based cognitive behavioural interventions in psychosis and post‐traumatic stress disorder. A formulation‐based approach is described in this paper, along with a case study.     

Assessment and Treatment of Insomnia in Adults: A Guide for Clinicians

Insomnia leads to disrupted sleep and daytime fatigue. Many people who have this disorder look to the medical profession for treatment; however, it has been demonstrated that psychological approaches are usually more efficacious over the long term. Furthermore, such interventions are safe, cost effective, brief, and do not require extensive expertise. The authors provide an overview of the current best practices in assessment and treatment to encourage counselors to use these techniques when treating clients with insomnia.     

Cancer-related fatigue: a systematic and meta-analytic review of non-pharmacological therapies for cancer patients

Cancer-related fatigue (CRF) is a significant clinical problem for more than 10 million adults diagnosed with cancer each year worldwide. No "gold standard" treatment presently exists for CRF. To provide a guide for future research to improve the treatment of CRF, the authors conducted the most comprehensive combined systematic and meta-analytic review of the literature to date on non-pharmacological (psychosocial and exercise) interventions to ameliorate CRF and associated symptoms (vigor/vitality) in adults with cancer, based on 119 randomized controlled trials (RCTs) and non-RCT studies. Meta-analyses conducted on 57 RCTs indicated that exercise and psychological interventions provided reductions in CRF, with no significant differences between these 2 major types of interventions considered as a whole. Specifically, multimodal exercise and walking programs, restorative approaches, supportive-expressive, and cognitive-behavioral psychosocial interventions show promising potential for ameliorating CRF. The results also suggest that vigor and vitality are distinct phenomena from CRF with regard to responsiveness to intervention. With improved methodological approaches, further research in this area may soon provide clinicians with effective strategies for reducing CRF and enhancing the lives of millions of cancer patients and survivors.     

Psychological treatments

Psychology has recently identified itself as a health care profession and codified this change in the bylaws of the American Psychological Association. Although psychologists make a number of contributions to the nation's health--and mental health--the most identifiable activity focuses on treating physical or psychological pathology with psychological interventions. Recently, health care policymakers have established that evidence supporting the efficacy of these interventions is more than sufficient for their inclusion in health care systems around the world. To promote faster and more widespread dissemination of these interventions specifically targeting problems severe enough to be included in health care systems and to solidify the identification of psychology as a health care profession, perhaps it is time for a change in terminology. It is proposed that psychologists label these procedures psychological treatments so as to differentiate them from more generic psychotherapy, which is often used outside of the scope of health care systems.     

The value of stress-management interventions in life-threatening medical conditions

Emotional stress has been associated with the development and progression of several chronic medical conditions. Recently, researchers have assessed the impact of stress-management interventions on patients' psychological functioning, quality of life, and various disease outcomes, including survival. This review summarizes the value of stress-management techniques in the treatment of two important, life-threatening conditions: coronary heart disease and cancer. Results from randomized clinical trials indicate that psychological interventions can improve patients' psychological functioning and quality of life. However, there is limited evidence to suggest that these interventions significantly reduce morbidity and mortality.     

Psychological underpinnings of akrasia: A new integrative framework based on self-regulation vulnerabilities and failures

Akrasia is intentional behavior against one's better judgment. This concept has a rich history in Western philosophy, but it does not feature prominently in the psychological literature. After a brief conceptual review, I propose here a new integrative theoretical framework that draws on motivation science to explicate its psychological underpinnings. Leveraging cybernetic big five and regulatory mode theories, I argue that the self-regulation processes underlying key personality structures can explain why regulatory vulnerabilities can lead to various kinds of akratic failures. For example, I elucidate how maladjusted extraversion associated with a chronic malfunctioning of the assessment and locomotion modes could lead to hedonic dysregulations typical of a specific form of akratic behavior characterized by excessive self-indulgence. This new framework marries multiple disciplines and recomposes the fragmentation of the philosophical speculation on akrasia, suggesting pathways towards potential psychological interventions to mitigate its maladaptive consequences.     

A complex dynamic systems approach to lasting positive change: The Synergistic Change Model

This paper argues that psychological and social functioning is fundamentally complex, and that this complexity is critical to understanding how lasting positive changes can be achieved. Principles from complex systems theory are integrated into an empirical positive psychological framework to propose a domain-based systems model of positive change called the Synergistic Change Model. This model proposes that enduring positive change depends on the formation of mutually supportive interactions across multiple domains of psychological and social functioning. The paper uses the model to explore three types of response to intervention – relapse, spill-over, and synergy – which have been supported in the existing positive psychology literature. Three practical intervention strategies arising from the model are outlined to inform the design of future positive interventions. The model challenges reductionistic approaches to positive change and offers several approaches to embrace the complexities of lasting positive change in future theory and research.     

Psychological interventions for infertile patients: a review of existing research and A new comprehensive approach

The usefulness of psychological support for infertile patients has been highlighted in the literature over the past number of years. This article provides a review of existing research on psychological interventions for infertile patients, and presents the Fertility Group Intervention as an example of the application of existing research. There is clear empirical evidence of high levels of depressive symptoms, anxiety, and distress among infertile patients undergoing assisted reproductive treatment (ART). Infertile patients need and require increased psychological support. Various studies indicate the efficacy of psychological interventions for infertile patients with respect to their mental health and, in part, pregnancy rates. However, many such studies exhibit methodological problems. Therefore, in future research, additional studies of high‐quality design are needed to achieve more definitive answers on the efficacy and indication of psychological interventions for infertile patients. Currently, the Fertility Group Intervention represents a comprehensive therapeutic approach integrating established empirical and theoretical approaches with the aim of helping infertile patients – particularly those undergoing ART – cope with distress related to their infertility and medical treatment. This article further outlines the therapeutic background and structures, treatment goals, practical implications, and feasibility of the Fertility Group Intervention.     

Meta-analysis of psychological interventions for chronic low back pain.

The purpose of this meta-analysis of randomized controlled trials was to evaluate the efficacy of psychological interventions for adults with noncancerous chronic low back pain (CLBP). The authors updated and expanded upon prior meta-analyses by using broad definitions of CLBP and psychological intervention, a broad data search strategy, and state-of-the-art data analysis techniques. All relevant controlled clinical trials meeting the inclusion criteria were identified primarily through a computer-aided literature search. Two independent reviewers screened abstracts and articles for inclusion criteria and extracted relevant data. Cohen's d effect sizes were calculated by using a random effects model. Outcomes included pain intensity, emotional functioning, physical functioning (pain interference or pain-specific disability, health-related quality of life), participant ratings of global improvement, health care utilization, health care provider visits, pain medications, and employment/disability compensation status. A total of 205 effect sizes from 22 studies were pooled in 34 analyses. Positive effects of psychological interventions, contrasted with various control groups, were noted for pain intensity, pain-related interference, health-related quality of life, and depression. Cognitive-behavioral and self-regulatory treatments were specifically found to be efficacious. Multidisciplinary approaches that included a psychological component, when compared with active control conditions, were also noted to have positive short-term effects on pain interference and positive long-term effects on return to work. The results demonstrated positive effects of psychological interventions for CLBP. The rigor of the methods used, as well as the results that reflect mild to moderate heterogeneity and minimal publication bias, suggest confidence in the conclusions of this review.     

Psychological Distress Reported by Patients Undergoing Limb Reconstruction Surgery: Implications for Psychological Interventions

Limb reconstruction is an orthopaedic surgical technique designed to restore or improve functioning and appearance. The aims of the present study were to investigate levels of psychological distress in adults undergoing limb reconstruction as a result of traumatic injury, to examine which variables could account for any variations in distress during and after treatment, and to ascertain the potential relevance of psychological interventions. A cross-sectional sample of patients completed measures of psychological distress, posttraumatic symptomatology, coping, social support, pain, and disability. Self-reported levels of psychological distress and posttraumatic symptoms were high but did not tend to vary across stage of treatment, suggesting that distress is not solely attributable to limb reconstruction treatment per se but to other factors. Both medical variables (pain and mobility) and psychological variables (symptoms of trauma and coping strategies) accounted for a significant percentage of the variance in HAD scores. These results suggest that both medical and psychological interventions have potential for reducing distress and increasing well-being in an orthopaedic population who are experiencing high levels of emotional distress.