Cognitive-behavioral treatment for social phobia in Parkinson's disease: A single-case study

Individuals with Parkinson's disease often exhibit symptoms of social anxiety. However, they rarely meet criteria for social phobia due to the medical exclusion criteria of DSM-IV. The present study reports the case of a 60-year-old male with Parkinson's disease who also met criteria for social phobia. After receiving 12 weekly cognitive-behavioral group sessions for social phobia, clinician ratings and self-report measures at post-treatment and 6-month follow-up showed a significant short-term and long-term reduction of his social anxiety. These findings suggest that cognitive-behavior therapy may be an effective treatment for social anxiety, even if these symptoms are related to Parkinson's disease.     

Body Mass Index Is an Important Predictor for Suicide: Results from a Systematic Review and Meta‐Analysis

Public health concerns for the independent management of obesity and suicidal behavior are rising. Emerging evidence suggests body weight plays an important role in quantifying the risk of suicide. In light of these findings, we aimed to clarify the association between body mass index (BMI) and suicidal behavior by systematically reviewing and evaluating the literature. Studies were identified by searching MEDLINE, EMBASE, PsycINFO, and CINAHL from inception to January 2015, supplemented by hand and grey literature searches. Study screening, data extraction, and risk of bias assessment were conducted in duplicate. We included 38 observational studies. Meta‐analyses supported an inverse association between BMI and completed suicide. Pooled summary estimates demonstrated that underweight was significantly associated with an increased risk of completed suicide (HR = 1.21, 95% CI 1.07 to 1.36, p = .002), and obesity (HR = 0.71, 95% CI 0.56 to 0.89, p = .003) and overweight (HR = 0.78, 95% CI 0.75 to 0.82, p < .0001) were significantly associated with a decreased risk of completed suicide relative to normal weight. A qualitative summary of the literature demonstrated conflicting evidence regarding the association between BMI and attempted suicide and revealed no association between BMI and suicidal ideation. BMI may be used to aid the assessment of suicide risk, especially that of completed suicide. However, unmeasured confounders and systematic biases of individual studies limit the quality of evidence.     

PRIVATE THEORIES AND PSYCHOTHERAPEUTIC TECHNIQUE

That if real success is to attend the effort to bring a man to a definite position, one must first of all take pains to find him where he is and begin there. This is the secret of the art of helping others (Kierkegaard [] 1962, p.?27)

The aim of this study is to explore the importance, to the therapeutic process, of the relation between the patient's and the therapist's problem formulations and private theories of pathogenesis and cure. Four cases of young adults in psychoanalytic psychotherapy were compared, two with unequivocally positive and two with more ambiguous outcome at termination. The patients and therapists were interviewed about their private theories initially and at termination of therapy, and a qualitative comparison was made between the cases. In the two more successful cases the therapists had early in therapy perceived obstacles for the therapeutic work in the patients' ways of thinking, feeling, and relating, and made interpretative interventions focusing on these. This was not observed in the less successful cases. In the more successful cases the patient's and the therapist's private theories were more similar at termination than initially, whereas the opposite development was found in the less successful cases. One hypotheses generated is that the therapeutic process can be facilitated by a therapist listening to the patient's private theories, making interpretative interventions focusing on obstacles to the therapeutic work, including contradictions between their private theories, and monitoring the patient's reactions to these interventions.     

Structural Validity and Generalisability of a Referent Cognitions Model of Turnover Intentions

A model proposed and empirically tested by Aquino, Griffeth, Allen, and Hom (1997 ) using employees of a hospital in the northeastern United States was replicated in samples of Korean factory workers from two divisions of a large organisation. Results in both samples suggested that the relationships among model variables and relationships with withdrawal cognitions replicated quite closely. Results also suggested that the way people are treated in an organisation by their supervisors exerts a powerful effect on their turnover‐related responses. Most importantly, the results of this study in combination with the earlier results from Aquino et al. (1997 ) highlight the impact of employee expectations of future job advancement on turnover‐related responses. Employees who perceive that their present situation will improve are more satisfied with their present outcomes and their supervisors. They are also less likely to consider quitting even when being unsatisfied with their present situation. Un modèle proposé et testé empiriquement par Aquino, Griffeth, Allen, and Hom (1997 ) sur des employés d’un hôpital du nord des Etats‐Unis a été réutilisé auprès de plusieurs échantillons de travailleurs d’une usine coréenne appartenant à deux divisions d’une grande organisation. Les résultats sur les deux échantillons montrent que les relations entre les variables du modèle et les relations avec les cognitions défaillantes reproduisent de très près ceux du modèle original. Les résultats montrent aussi que la façon dont les salariés sont traités dans une organisation par leurs supérieurs a de fortes retombées sur leurs réponses concernant les démissions. Plus important encore, les résultats de cette étude en concordance avec ceux initiaux obtenus par Aquino et al. (1997 ), soulignent l’impact des attentes des employés à propos de leur avancement dans leur futur emploi sur leurs réponses concernant les démissions. Les employés qui perçoivent que leur situation présente va s’améliorer sont plus satisfaits de leur rémunération présente et de leurs supérieurs. Ils sont aussi moins enclins à envisager de démissionner même s’ils sont insatisfaits de leur situation présente.