journal article
LitStream Collection
doi: 10.1007/BF02307702pmid: N/A
It is widely accepted that a discontinuity or gap exists between clinical research and practice: research findings are not often reflected in the work which clinicians do. This is considered unsatisfactory and many suggestions have been made to bridge this gap. This paper is aimed to show that perception of such a discontinuity between research and practice flows from a way of thinking, an epistemology of realism or objectivity. From the perspective of a different epistemology, namely constructivism, no such gap exists. These two ways of thinking are contrasted in the paper and it is shown how adoption of a constructivist epistimology in research can circumvent some of the problems traditionally ascribed to the supposed research/practice gap.
doi: 10.1007/BF02307703pmid: N/A
This paper examines the phenomenon of False Memory Syndrome (FMS). In the last decade there has been an increase in the number of adult individuals who report childhood sexual abuse only to recant their allegations. Recanters and the falsely accused are specifying that therapeutic interventions by trusted and, at times, well intentioned therapists facilitated their false memories. The theory of repression, reliability of memory, recovery techniques, and characteristics of therapist and clients are explored. This paper also discusses a number of cases that have been filed, and some guidelines for therapists who work or plan to work in the recovery of repressed memories.
doi: 10.1007/BF02307704pmid: N/A
Cognitive-behavioral treatment of depression has been found effective for helping a wide range of clients. However, current approaches to treatment emphasize the integration of a variety of treatment elements. The present manuscript describes the use of problem-solving therapy as incorporated into a broader cognitive-behavioral treatment model. Problem-solving approaches to therapy typically involve helping clients develop skill in five interrelated areas: (1) Develop an adaptive orientation to life's problems, (2) Define problems in terms of specific and realistic goals, (3) Generate a variety of response alternatives, (4) Help clients make rational decisions, and (5) Implement the plan and evaluate its effectiveness. These strategies can help many clients cope with the stressful life events that occur, and therefore can help reduce the intensity or prevent the onset of depressive symptoms. Furthermore, these strategies can be incorporated into a broader treatment plan that includes elements for monitoring depression severity, improving social functioning, and reducing cognitive biases.
doi: 10.1007/BF02307706pmid: N/A
Couples in which the husband is passive and the wife aggressive are a common sight in today's therapy clinics. Such couples are difficult to work with because they have become addicted to their ritual of hate, which offers each a secondary gratification. To work with them, therapists often need to be creative and utilize eclectic approaches. In this instance, I have used a paradoxical behavioral approach combined with psychoanalysis.
Miller, Thomas; Leukefeld, Carl; Jefferson, Barbara
doi: 10.1007/BF02307707pmid: N/A
Co-morbidity of alcohol and substance with the spectrum of other psychiatric diagnoses is examined with specific emphasis on diagnostic indicators for anxiety and mood disorders. Diagnostic issues for the chemically dependent person are examined with the context of borderline personality disorder, schizophrenia and other psychiatric disorders. Clinical research related to the dually-diagnosed patient is explored
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