And the Winner is… Awards for the Integration of Science and Practice in Psychology

Psychotherapists from all fields perform difficult and challenging work, trying to help their clients gain insight into their problems and make lasting changes in their thoughts and behaviors. Unfortunately, too often the work of a psychotherapist is minimized, neglected, or disregarded. Where departmental or conference awards may be presented regularly, public recognition for evidence-based and clinically-relevant published work is lacking. The present paper aims to acknowledge the most valuable recent accomplishments in the field of mental health assessment and treatment. Nominations were accepted for works published during 2017, papers of enduring value, and most valuable psychologist, and votes were cast by a panel of judges. These valuable contributions are recommended for all psychotherapists who hope to improve their work with clients.     

Advancing the Field of Psychotherapy Through Innovation and Integration in Scholarly Works

Published articles on psychotherapy often incorporate a combination of integration and innovation, helping to advance the field through scholarly work. Many useful papers help to integrate the biological, psychological, and social or cultural factors that often play a role in the etiology and treatment of specific forms of mental illness. In addition, quality papers strive to integrate theory, science, and clinical applications throughout the text. Authors can encourage a series of minor innovations that could gradually shift the field over time. Useful papers often focus on a narrow topic that has a broad appeal to many members of the field. Authors can explore new ideas, expressing their opinions while supporting the ideas through various types of evidence. When submitting papers for publication, authors should expect it will require multiple revisions in order to sharpen the thinking and improve the writing.     

Assessment of Depression and Suicidal Actions: Agreement between Suicide Attempters and Informant Reports

Knowledgeable informants may be able to provide useful information about depressive symptoms and suicidal actions when a suicidal patient is uncooperative with a clinical interview or not available for a psychiatric evaluation. The present study was designed to examine information gathered from psychiatric inpatients who had attempted suicide as compared to similar information obtained from a close friend or family member. From a larger sample of adult psychiatric inpatients diagnosed with major depression, 25 suicide attempters were assessed and their reports were compared to similar information solicited from a close friend or family member. The assessment focused on depressive symptoms from the SCID and the presence of various suicidal actions. Moderate to high agreement was found on all measures. Psychiatric patients and their informants tended to agree on the presence of depressive symptoms, the presence of recent stressful life events, and specific actions taken during the suicidal crisis, suggesting that informants may be capable of providing useful information about the patient.     

Guided Discovery

Guided discovery involves a therapeutic dialogue that is designed to assist clients in finding their own solutions to their problems. An integration of problem-solving therapy and the Socratic method can help clients to develop their own coping skills. Problem-solving therapy provides a useful framework for helping clients to manage many of the problems they typically encounter. The Socratic method provides a useful therapeutic style to promote self-guided discovery and self-regulation. Strategies from the Socratic method can be used to guide the process of the therapeutic dialogue, while the stages of problem-solving serve as the structure for the content of therapy sessions. Therapy can be structured according to five main stages: (1) Help clients establish a realistic and adaptive attitude toward common life problems; (2) Define problems in terms of specific and realistic goals; (3) Help clients to generate a wide variety of coping options; (4) Guide clients through a process of rational decision-making in order to select the best coping options, and (5) Implement the plan and evaluate its effectiveness. A systematic series of questions can be used to facilitate the client’s self-evaluation of different problems, goals, and coping efforts. The process helps to promote client autonomy and self-guided action. When problem-solving therapy is integrated within the Socratic method, clients can learn to approach most problems in a logical, thoughtful, and self-directed manner.     

Panacea or Placebo: The Historical Quest for Medications to Treat Depression

Background: Over the years, there have been many advances in contemporary medicine and the ability to treat depression with medications. However, some innovative practices in medical treatments appear less than ideal when viewed from a historical perspective. Aims: It is important for health care professionals to appreciate the risks and limitations of a biological approach to an emotional disorder. Conclusions: If professionals can learn from past mistakes, they can better evaluate the merits of contemporary treatments.     

Fetal alcohol syndrome: A review of the disorder

The adverse effects of maternal alcohol consumption have been noted throughout history. When not resulting in the death of the fetus, Fetal Alcohol Syndrome (FAS) is characterized by growth deficiencies, facial abnormalities, and central nervous system dysfunctions. Both direct and indirect teratogenic effects of alcohol are discussed. Also, the type and severity of alcohol's impact on the fetus are viewed in relation to critical periods during the gestational process. Finally, the severity of maternal alcoholism is related to the severity of damage suffered by the fetus. FAS is seen as the consequence of persistent toxic levels of alcohol throughout the gestational period. Several preventative measures are briefly discussed.     

Retest reliability of the Millon Clinical Multiaxial Inventory

This article reports on two studies which examined the temporal stability of the personality disorder subscales from the Millon Clinical Multiaxial Inventory (MCMI). The scales demonstrated adequate stability in psychiatric inpatients (retested with an average of just over 1 year between testings). Furthermore, a separate sample of depressed inpatients assessed when depressed and 6 weeks later showed that the stability of MCMI personality scales was observed even after patients displayed an initial reduction in depression severity. Although stability is vital to the accurate assessment of personality disorders, both studies also found high retest correlations for the MCMI clinical syndrome subscales. In general, these results suggest that patients displayed similar symptom patterns over time, whether construed as personality traits or characteristic patterns of responding when symptomatic.     

Cognitive-Behavioral Treatment of Obsessive-Compulsive Disorder

Cognitive-behavioral therapy can be effective for many clients who have obsessive-compulsive disorder. Despite its effectiveness, many treatment guidelines fail to describe cognitive-behavioral therapy procedures in adequate detail. The present paper will review the literature on cognitive-behavioral therapy for OCD in an attempt to provide concise, meaningful guidelines for the psychological treatment of this disorder. Cognitive-behavioral therapy includes four general components: initial preparation for therapy, development of applied coping skills, exposure with ritual prevention, and relapse prevention. The four general treatment components are described, and clinical examples are provided.