Positive psychotherapy

Positive psychotherapy (PPT) contrasts with standard interventions for depression by increasing positive emotion, engagement, and meaning rather than directly targeting depressive symptoms. The authors have tested the effects of these interventions in a variety of settings. In informal student and clinical settings, people not uncommonly reported them to be "life-changing." Delivered on the Web, positive psychology exercises relieved depressive symptoms for at least 6 months compared with placebo interventions, the effects of which lasted less than a week. In severe depression, the effects of these Web exercises were particularly striking. This address reports two preliminary studies: In the first, PPT delivered to groups significantly decreased levels of mild-to-moderate depression through 1-year follow-up. In the second, PPT delivered to individuals produced higher remission rates than did treatment as usual and treatment as usual plus medication among outpatients with major depressive disorder. Together, these studies suggest that treatments for depression may usefully be supplemented by exercises that explicitly increase positive emotion, engagement, and meaning. ((c) 2006 APA, all rights reserved).     

Prevention that works for children and youth. An introduction

The widespread implementation of effective prevention programs for children and youth is a sound investment in society's future. The most beneficial preventive interventions for young people involve coordinated, systemic efforts to enhance their social-emotional competence and health. The articles in this special issue propose standards for empirically supported programming worthy of dissemination and steps to integrate prevention science with practice. They highlight key research findings and common principles for effective programming across family, school, community, health care, and policy interventions and discuss their implications for practice. Recent advances in prevention research and growing support for evidence-based practice are encouraging developments that will increase the number of children and youth who succeed and contribute in school and life.     

Explanatory style and health

Explanatory style, the habitual way an individual explains the causes of bad and good events, is reliably associated with future health. In this article, we review evidence from three studies which demonstrate a significant relationship between pessimism (the belief that bad events are caused by internal, stable, and global factors and good events are caused by external, unstable, and specific factors) and an increased risk for infectious disease, poor health, and early mortality. We suggest two possible mechanisms which might mediate the link between pessimism and poor health. Finally, we propose that interventions aimed at changing a pessimistic outlook might lower the probability of future illness. Supported by a National Science Foundation Graduate Fellowship to Leslie P. Kamen; U.S. Public Health Service Grant MH-19064 and National Institute of Aging Grant AG05590 to Martin E. P. Seligman; U.S. Public Health Service Grant MH40142-01A1 to Martin E.P. Seligman, Joan S. Girgus, and Susan Nolen-Hoeksema. Supported in part by the MacArthur Foundation Research Network on Determinants and Consequences of Health-Promoting and Health-Damaging Behavior.     

Explanatory style and health

Explanatory style, the habitual way an individual explains the causes of bad and good events, is reliably associated with future health. In this article, we review evidence from three studies which demonstrate a significant relationship between pessimism (the belief that bad events are caused by internal, stable, and global factors and good events are caused by external, unstable, and specific factors) and an increased risk for infectious disease, poor health, and early mortality. We suggest two possible mechanisms which might mediate the link between pessimism and poor health. Finally, we propose that interventions aimed at changing a pessimistic outlook might lower the probability of future illness.     

Pessimistic explanatory style is a risk factor for physical illness: a thirty-five-year longitudinal study

Explanatory style, the habitual ways in which individuals explain bad events, was extracted from open-ended questionnaires filled out by 99 graduates of the Harvard University classes of 1942-1944 at age 25. Physical health from ages 30 to 60 as measured by physician examination was related to earlier explanatory style. Pessimistic explanatory style (the belief that bad events are caused by stable, global, and internal factors) predicted poor health at ages 45 through 60, even when physical and mental health at age 25 were controlled. Pessimism in early adulthood appears to be a risk factor for poor health in middle and late adulthood.     

Prepared phobias and obsessions: Therapeutic outcome

Sixty-nine phobic and eighty-two obsessional patients, treated at the Maudsley Hospital, were rated for ‘preparedness’, the evolutionary significance of the content and behaviour of the disorder. Reliable ratings (r = 0.78 and 0.90) of the dangerousness of the object or situation to pretechnological man indicated that the content of the large majority of the phobias and obsessions are judged as evolutionarily significant. Degree of preparedness, however, did not predict outcome of therapy, suddenness of onset of the disorder, severity of impairment, intensiveness of the treatment received, or age of onset. Nor was there any significant relationship between preparedness and certain other variables in the obsessional sample: stimulus generalization, effect on life style, impaired reproductive capacity and abnormal personality. The implications of these findings for the hypothesis that human phobias and obsessions are prepared, and for the clinical usefulness of the concept of preparedness, are discussed.