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Kristen G. Benito Jennifer Herren Jennifer B. Freeman Abbe M. Garcia Paul Block Elizabeth Cantor Bruce F. Chorpita Brianna Wellen Elyse Stewart Christopher Georgiadis Hannah Frank Jason Machan 《Behavior Therapy》2021,52(4):806-820
This study tested whether a new training tool, the Exposure Guide (EG), improved in-session therapist behaviors (i.e., indicators of quality) that have been associated with youth outcomes in prior clinical trials of exposure therapy. Six therapists at a community mental health agency (CMHA) provided exposure therapy for 8 youth with obsessive–compulsive disorder (OCD). Using a nonconcurrent multiple baseline design with random assignment to baseline lengths of 6 to 16 weeks, therapists received gold-standard exposure therapy training with weekly consultation (baseline phase) followed by addition of EG training and feedback (intervention phase). The primary outcome was therapist behavior during in-session exposures, observed weekly using a validated coding system. Therapist behavior was evaluated in relation to a priori benchmarks derived from clinical trials. Additional outcomes included training feasibility/acceptability, therapist response to case vignettes and beliefs about exposure, and independent evaluator-rated clinical outcomes. Three therapists reached behavior benchmarks only during the EG (intervention) phase. Two therapists met benchmarks during the baseline phase; one of these subsequently moved away from benchmarks but met them again after starting the EG phase. Across all therapists, the percentage of weeks meeting benchmarks was significantly higher during the EG phase (86.4%) vs. the baseline phase (53.2%). Youth participants experienced significant improvement in OCD symptoms and global illness severity from pre- to posttreatment. Results provide initial evidence that adding the EG to gold-standard training can change in-session therapist behaviors in a CMHA setting. 相似文献
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Radez Jerica Waite Polly Chorpita Bruce Creswell Cathy Orchard Faith Percy Ray Spence Susan H. Reardon Tessa 《Journal of abnormal child psychology》2021,49(9):1241-1257
Research on Child and Adolescent Psychopathology - The purpose of this study was to identify items from the Revised Children’s Anxiety and Depression Scale – RCADS-C/P that provided a... 相似文献
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In this article, we explore potential benefits of yoga, an ancient Indian tradition for spiritual growth and development, for counselors. Counselors use themselves as instruments to support clients and are constantly exposed to the traumatic experiences of clients, which may leave them susceptible to secondary traumatic stress or compassion fatigue (Shallcross, 2011). Yoga can help counselors not only in achieving holistic wellness but also in developing a way of being consistent with the characteristics of an effective counselor. Furthermore, yoga, as a spiritual practice, can empower counselors to embark on a spiritual journey driven by their own personal experiences. 相似文献
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Bruce R. Reichenbach 《Zygon》2021,56(1):96-117
The alleged conflict between religion and science most pointedly focuses on what it is to be human. Western philosophical thought regarding this has progressed through three broad stages: mind/body dualism, Neo‐Darwinism, and most recently strong artificial intelligence (AI). I trace these views with respect to their relation to Christian views of humans, suggesting that while the first two might be compatible with Christian thought, strong AI presents serious challenges to a Christian understanding of personhood, including our freedom to choose, moral choice itself, self‐consciousness, and the relevance of God to our beginning, being, and ending. 相似文献
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Robert P. Boger Richard Richter Ruben Kurnetz Bruce Haas 《Infant mental health journal》1986,7(2):132-145
In an earlier article (Boger, Richter, & Weatherston, 1983) the Perinatal Positive Parenting Program (PPP) was outlined. The basic tenets of the PPP program were discussed, and an overview of the in-hospital, at-home, and parents' support group components was provided. This article presents the results of a 15-month follow-up evaluation of treatment and control participants in the initial PPP demonstration. 相似文献