A pilot study of two-day cognitive-behavioral therapy for panic disorder

The present study investigated the short-term efficacy of brief, intensive cognitive-behavioral therapy (CBT) for panic disorder (PD). The treatment involved 9h of therapist contact over two consecutive days and was developed for the purpose of delivering CBT for PD to a largely rural patient population that must travel long distances to find a treatment provider. Ten patients who elected to participate in brief, intensive CBT instead of weekly CBT were recruited from routine clinical practice in a hospital-based anxiety disorders clinic. Patients were not excluded based on the presence of agoraphobia, diagnostic comorbidity, concurrent use of PRN benzodiazepine medications, or previous nonresponse to psychotherapy for PD. Assessments conducted at pre-treatment and 1-month follow-up revealed large, clinically significant reductions in PD symptoms, anxiety sensitivity, body vigilance, and anxiety and depressive symptoms. Most patients (60%) were panic-free after treatment and evidenced normative levels of symptomatology at follow-up. The present study suggests that brief, intensive treatment may be an effective means of delivering CBT for PD.     

Emotional correlates of the different dimensions of schizotypal personality disorder

Two studies explored which different dimensions of schizotypal personality disorder (SPD) were associated with negative affect, attention to emotions, clarity of emotions, and emotional intensity/instability. Study 1 included 247 college students, and questionnaires were used to measure SPD. Study 2 included 225 community residents, oversampling for individuals with elevated levels of SPD, and semistructured diagnostic interviews were used to measure SPD. In both studies (a) higher levels of negative affect were associated with higher levels of both cognitive-perceptual and interpersonal symptoms, (b) cognitive-perceptual disturbances were associated with greater attention to emotion, whereas interpersonal disturbances were associated with less attention to emotion, and (c) lower levels of emotional clarity were associated with higher levels of suspiciousness.     

Is thought-action fusion specific to obsessive-compulsive disorder?: a mediating role of negative affect

Thought-action fusion (TAF) is a cognitive bias presumed to underlie the development of obsessional problems (i.e. obsessive-compulsive disorder; OCD). Previous studies have found that TAF is related to not only OCD, but also to other anxiety disorders. In the present study we compared levels of TAF in OCD patients and in patients with other anxiety disorders, depression, and healthy controls to examine whether TAF is characteristic of individuals with emotional distress in general, as opposed to anxiety disorders per se. We also examined whether negative affect (i.e. anxiety and depression) mediates the relationship between OCD and TAF. Results indicated that OCD patients were characterized by higher scores on likelihood-self and likelihood-other TAF, but that this difference was predominately due to differences in negative affect. These findings support a model in which negative affect mediates the relationship between OCD and TAF.     

Obsessional Thoughts in Postpartum Females and Their Partners: Content, Severity, and Relationship with Depression

Only a few studies have examined the development or exacerbation of obsessive–compulsive disorder (OCD) during pregnancy and the postpartum. Although the available literature suggests that OCD symptoms, particularly obsessional problems, develop at higher than expected rates among postpartum females, the overall prevalence of such symptoms in the postpartum remains unknown. Previous findings also suggest that intrusive distressing thoughts related to situational stressors are common in the general population. Therefore, the present study was designed to assess the presence and phenomenology of postpartum obsessive-like intrusive thoughts, images, and impulses in a large sample of parents with very young infants. Surveys were mailed to 300 childbearing women and their partners. Results were obtained from approximately one fifth of the sample; and 65% of respondents indicated the presence of obsessional intrusive thoughts. Intrusions were similar to normal obsessions as reported in previous research. Results are discussed in terms of the content of intrusive thoughts, their relationship to depression, and implications for etiological models of OCD and perinatal education.     

Professional Boundary Ethics Attitudes and Awareness Among Nurses and Physicians in a University Hospital in the Kingdom of Saudi Arabia

This study sought to gauge ethical attitudes about professional boundary issues of physicians and nurses in the Kingdom of Saudi Arabia. Respondents scored 10 relevant boundary vignettes as to their ethical acceptability. The group as a whole proved “aware/ ethically conservative,” but with the physicians' score falling on the “less ethically conservative” part of the spectrum compared to nurses. The degree of ethicality was more related to profession than to gender, with nurses being more “ethical” than physicians.     

The rehabilitation of the case-study method

The controversy surrounding the scientific nature of the case-study research method in psychotherapy is not new and can be traced to the time when Freud started publishing his works. Traditional, quantitative researchers have argued thatthe case-study method is anecdotal and non-scientific, dismissing the results and findings obtained by this method on the grounds that they lack validity and reliability.This article seeks to dispel the traditional misconceptions about case study.It conclusively argues that the case study,perceived from the postmodern perspective, is a completely legitimate research method and, moreover, better suited to a holistic, democratic psychotherapy as a discipline dealing with the understanding and change of interwoven complexities of intrapsychic and interpersonal processes that emerge and unfold within a wider socio-historical context.     

Relationship between creativity and right,left, and integrated thinking styles

ABSTRACT:

The purpose of the present study was to explore whether the so‐called “right thinking style” is related to creativity as measured by two types of creativity tests. The How Do You Think (HDYT) inventory evaluates personality and biographical information related to creativity, and the Sounds and Images is a type of divergent thinking test that assesses the originality of images elicited by abstract sounds. As a second purpose, this study permitted an analysis of the relationship between these two types of creativity measures. The two creativity measures and the Your Style of Learning and Thinking (SOLAT) test were administered to 109 undergraduates. Results indicated that the HDYT scores were positively correlated with right thinking scores on the SOLAT (r = .48) and negatively correlated with left thinking scores (r = ‐.70). Results from Sounds and Images were not as clear. Similar relationships were found when overlapping items were removed from the various measures.     

Predictors of needle-sharing behavior among IDUs entering treatment

Abstract

Public funded treatment intake data from 3905 injection drug users were analyzed to identify correlates of reported needle sharing. Respondents included all first admissions to treatment from July 1, 1988 to June 30, 1989 in the city and county of San Francisco. More previous experience in drug treatment predicted lower rates of needle sharing (OR = 0.85, 95% C.I.= 0.79 - 0.92). Young age, cocaine use and white or Hispanic ethnicity predicted higher rates of needle sharing. The finding that drug treatment reduces the frequency of needle sharing in this population has important policy implications; these data support the role of treatment availability in reducing the spread of HIV among injection drug users.     

Humanistic psychologists decline to be guests in the medical household

Abstract

It is theorized that affirmation of the self by another makes it possible for the self to know itself, be the author of its own discourse, genuinely listen to another, move toward another as in empathy, as well as experience having another person live within one's self. Affirmation, moreover, allows one to distinguish between the self and sources of self‐satisfaction, and take responsibility for another, thereby preventing premeditated violent acts, which it is argued, are the product of dis‐affirmations of the self. The birth of affirmation, it is postulated, derives from the gaze of the other, the domain, as Levinas stated, of concrete existence. It is here that a person is granted his or her right, simply, to be.