Patients with bulimia nervosa were treated with either cognitive behavioral, behavioral, or a form of interpersonal psychotherapy for 19 sessions in an 18-week period. Assessments were made at pretreatment; posttreatment; and 4-, 8-, and 12-month follow-up. The nature of the relationship between attitudinal disturbance and outcome was complex and…

Describes the sweat lodge ceremony used at a residential treatment center located on the Navajo Nation and compares the ceremony to modern group work identifying Yalom's (1995) 11 therapeutic factors of group therapy within the ceremony. Considers widespread use of the ceremony with Native Americans and nonnative Americans as well as…

Reviews two general classes of strategies designed to reduce premature attrition and enhance treatment. Research on psychotherapy preparatory techniques indicates that these educational techniques are effective in reducing early-treatment attrition and may be especially effective with populations at high risk for dropout. (Author/GCP)

Describes a cognitive-behavioral model for treating couples' negative reactions to infertility. After a discussion of why the cognitive-behavioral approach can competently address the goals of couples coping with infertility, three phases of treatment are outlined: assessment, therapy, and closure. Areas for assessment include spouses, marital…

Methods are proposed and described for estimating the degree to which relations among variables vary at the individual level. As an example, M. Fishbein and I. Ajzen's theory of reasoned action is examined. This article illustrates the use of empirical Bayes methods based on a random-effects regression model to estimate individual influences…

A rupture in the therapeutic alliance is a deterioration in the quality of the relationship between patient and therapist; it is an interpersonal marker that indicates an opportunity for exploring and understanding the processes that maintain a maladaptive interpersonal schema. Outlines features of a research program on ruptures in the therapeutic…

Discusses how the genetic aspects of schizophrenia must be described within the interactive context of psychosocial stress. Suggests that the mental health profession must consider the environmental and social components of this condition, including the clients' relationships, families, and communities. States that psychotherapeutic interventions…

Incidence of posttraumatic stress disorder is widespread among refugees who have been exposed to violence. This paper describes a short-term therapy that aimed to restore functioning of a 30-year-old man from Central America prior to his trauma. It describes a four-stage treatment process, which combines different therapeutic approaches with…

This study examined the outcome effects of cognitive match between Asian and White outpatient clients and their therapists. Many clinicians believe that one hindrance to the treatment of ethnic minority clients is that therapists and clients may not share common assumptions and attitudes about therapy and about the problems that are presented in…

Little is known about the usefulness of psychotherapeutic approaches for traumatized refugees who continue to live in dangerous conditions. Narrative exposure therapy (NET) is a short-term approach based on cognitive-behavioral therapy and testimony therapy. The efficacy of narrative exposure therapy was evaluated in a randomized controlled trial.…

The concurrent and predictive validity of 2 different methods of Millon Clinical Multiaxial Inventory-III subtyping (protocol sorting, cluster analysis) was evaluated in 125 recently detoxified opioid-dependent outpatients in a 12-week randomized clinical trial. Participants received naltrexone and relapse prevention group counseling and were…

Suicidal youth tend to doubt the effectiveness of professional mental health treatment. This study examined whether exposure to films about suicidal and mentally disturbed persons supports this lack of belief. Exposure to three popular films featuring suicides or the mentally ill was compared to films that featured a heroic suicide unrelated to…

I review the Common Factors Model, the Empirically Validated Therapy Model, and the Recovery Model of therapeutic change and effectiveness. In general, psychotherapy appears to be effective and common factors account for more of the variance than do specific techniques. However, in some areas, particularly in the treatment of anxiety disorders,…

This paper suggests that some neuroscience concepts particularly concerned with brain pathways in trauma and fear, as well as the neurobiology of emotion, provide an additional vertex to the psychoanalytic understanding of patients' material. The role of the body has been neglected in psychoanalytic thought and formulations in favour of purely…

Objective: To examine the durability of improvement in child and maternal symptoms 6 months after termination of child-parent psychotherapy (CPP). Method: Seventy-five multiethnic preschool-age child-mother dyads from diverse socioeconomic backgrounds were randomly assigned to (1) CPP or (2) case management plus community referral for individual…