Self-reported interpersonal problems and impact messages as perceived by significant others are differentially associated with the process and outcome of depression therapy.

David Altenstein-Yamanaka; Johannes Zimmermann; Tobias Krieger; Nadja Dörig; Martin grosse Holtforth

doi:10.1037/cou0000221

Self-reported interpersonal problems and impact messages as perceived by significant others are differentially associated with the process and outcome of depression therapy.

Journal of Counseling Psychology ◽

10.1037/cou0000221 ◽

2017 ◽

Vol 64 (4) ◽

pp. 410-423 ◽

Cited By ~ 5

Author(s):

David Altenstein-Yamanaka ◽

Johannes Zimmermann ◽

Tobias Krieger ◽

Nadja Dörig ◽

Martin grosse Holtforth

Keyword(s):

Interpersonal Problems ◽

Significant Others ◽

Process And Outcome

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Supplemental Material for Self-Reported Interpersonal Problems and Impact Messages as Perceived by Significant Others Are Differentially Associated With the Process and Outcome of Depression Therapy

Journal of Counseling Psychology ◽

10.1037/cou0000221.supp ◽

2017 ◽

Keyword(s):

Interpersonal Problems ◽

Significant Others ◽

Process And Outcome

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You really are too kind: implications regarding friendly submissiveness in trainee therapists

Research in Psychotherapy Psychopathology Process and Outcome ◽

10.4081/ripppo.2018.312 ◽

2018 ◽

Vol 21 (2) ◽

Author(s):

Lylli Cain ◽

Hana Perkey ◽

Sabina Widner ◽

J. Aaron Johnson ◽

Zachary Hoffman ◽

...

Keyword(s):

Clinical Training ◽

Interpersonal Problems ◽

Outcome Data ◽

Session Impact ◽

Inventory Of Interpersonal Problems ◽

Competing Demands ◽

Process And Outcome ◽

Student Volunteer ◽

Therapy Sessions ◽

Training Case

To facilitate patient growth, therapists must immerse themselves in the patient’s world while also being able to see what is needed for change. This process requires finding a delicate balance between supporting and pushing patients. Therapists in training are additionally tasked with incorporating supervisors’ suggestions with their own views on what is needed to help their patients. Beginning therapists with tendencies to be overly accommodating may struggle to reconcile these competing demands. Thus, the aim of the present work is to explore how trainee friendly submissiveness (FS) interfaces with psychotherapy. Prior to training, clinical graduate trainee (n = 35) FS was assessed using the Inventory of Interpersonal Problems-32. Process and outcome data were then collected from each therapist’s first training case. Specifically, each trainee was assigned an undergraduate student volunteer with whom they had four non-manualized therapy sessions over the academic semester. After the third session, patients and trainees completed questionnaires assessing session impact and the working alliance, and two expert raters coded third session videotapes for techniques. Following termination, patients rated the overall helpfulness of the therapy. Trainee FS was significantly negatively associated with patient-rated depth, alliance, and overall helpfulness with moderate effects. Findings from a mediation analysis further suggested that trainees with higher FS struggled to focus the therapy in a way that felt productive to patients. Implications for clinical training are discussed.

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Holistic Communication Assessment for Young Children With Cleft Palate Using the International Classification of Functioning, Disability and Health:Children and Youth

Language Speech and Hearing Services in Schools ◽

10.1044/2020_lshss-19-00122 ◽

2020 ◽

Vol 51 (4) ◽

pp. 914-938

Author(s):

Anna Cronin ◽

Sharynne McLeod ◽

Sarah Verdon

Keyword(s):

Young Children ◽

Cleft Palate ◽

Case History ◽

Significant Others ◽

International Classification ◽

Assessment Tools ◽

International Classification Of Functioning ◽

Speech Language Pathologists ◽

Holistic Assessment

Purpose Children with a cleft palate (± cleft lip; CP±L) can have difficulties communicating and participating in daily life, yet speech-language pathologists typically focus on speech production during routine assessments. The International Classification of Functioning, Disability and Health: Children and Youth Version (ICF-CY; World Health Organization, 2007 ) provides a framework for holistic assessment. This tutorial describes holistic assessment of children with CP±L illustrated by data collected from a nonclinical sample of seven 2- to 3-year-old children, 13 parents, and 12 significant others (e.g., educators and grandparents). Method Data were collected during visits to participants' homes and early childhood education and care centers. Assessment tools applicable to domains of the ICF-CY were used to collect and analyze data. Child participants' Body Functions including speech, language, and cognitive development were assessed using screening and standardized assessments. Participants' Body Structures were assessed via oral motor examination, case history questionnaires, and observation. Participants' Activities and Participation as well as Environmental and Personal Factors were examined through case history questionnaires, interviews with significant others, parent report measures, and observations. Results Valuable insights can be gained from undertaking holistic speech-language pathology assessments with children with CP±L. Using multiple tools allowed for triangulation of data and privileging different viewpoints, to better understand the children and their contexts. Several children demonstrated speech error patterns outside of what are considered cleft speech characteristics, which underscores the importance of a broader assessment. Conclusion Speech-language pathologists can consider incorporating evaluation of all components and contextual factors of the ICF-CY when assessing and working with young children with CP±L to inform intervention and management practices.

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Types of Stressors on Nonprofessional Against-Suicide and Pro-Suicide Message Boards

Crisis ◽

10.1027/0227-5910/a000562 ◽

2019 ◽

Vol 40 (4) ◽

pp. 257-264 ◽

Cited By ~ 1

Author(s):

Thomas Niederkrotenthaler ◽

Benedikt Till

Keyword(s):

Content Analysis ◽

Interpersonal Problems ◽

Suicide Method ◽

Presenting Problems ◽

Message Boards ◽

Safe Method ◽

Different Types ◽

Psychiatric Problems

Abstract. Background: Little is known about presenting problems of primary posters (i.e., posters opening the thread) and their responders in nonprofessional against-suicide and pro-suicide message boards. Aims: We aimed to compare problems described in suicide message boards between different types of users (primary posters and respondents) and between against-suicide, neutral, and pro-suicide message boards. Method: In all, 1,182 archival threads with 20,499 individual postings from seven nonprofessional suicide message boards supporting an against-suicide, neutral, or pro-suicide attitude were randomly selected. Problems mentioned by primary posters and their respondents were coded with content analysis. Differences between pro-suicide, neutral, and against suicide boards, as well as correlations between primary posters and respondents, were calculated. Results: Interpersonal problems were most frequently mentioned by primary posters in against-suicide threads (40.9%) and less frequently in pro-suicide threads (11.8%; p < .001). In pro-suicide boards, the most frequent stressors were suicide method-related (e.g., how to identify a safe method: 26.2% vs. 2.5% in against-suicide boards, p < .001). Primary posters resembled respondents in terms of presenting problems in pro-suicide boards, but not in against-suicide boards. Limitations: Only self-reported problems were assessed. Conclusion: The results confirm a stronger focus on death than on life among users in pro-suicide message boards, and posters with similar problems meet in pro-suicide boards. The posters appear to clearly emphasize social strains over psychiatric problems compared with some professional settings.

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