Ana Rabasco, Sarah C Jessup, Amy Mariaskin, Dean McKay
{"title":"Client Attraction to Therapists - A Mixed Methods Study of Therapist Experiences.","authors":"Ana Rabasco, Sarah C Jessup, Amy Mariaskin, Dean McKay","doi":"10.1002/jclp.23795","DOIUrl":"https://doi.org/10.1002/jclp.23795","url":null,"abstract":"<p><strong>Objectives: </strong>There is a paucity of qualitative and quantitative work exploring characteristics of client attraction towards therapists (CATT) and strategies for handling those situations. The present study aimed to explore CATT using mixed methods, including providing updated rates of client attraction in the therapeutic relationship and examining characteristics of CATT.</p><p><strong>Methods: </strong>A sample of 204 therapists (74% female; M<sub>age</sub> = 36.74) completed an online survey with multiple-choice and open-ended questions on therapist demographics and experiences with clients endorsing attraction (including client disclosure, therapist emotional reaction, strategies for addressing, conceptualization, and supervision). 77% of respondents reported a cognitive-behavioral (CBT) theoretical orientation.</p><p><strong>Results: </strong>54% (n = 111) of respondents had a client express CATT, and anxiety was the most commonly reported emotional reaction. Qualitative results suggested that CATT was complex and multifaceted, that therapist and client identities played a key role in CATT, and that therapists often feel uncomfortable and/or unequipped to manage the situation. Therapist respondents reported using a variety of strategies to address the disclosure (e.g., normalization, setting boundaries). Supervision was reported to be useful, but at times insufficient.</p><p><strong>Conclusion: </strong>The present research showed that CATT was a common clinical experience; yet therapists often feel anxious or unequipped to manage the situation. This study highlights the importance of clinical training on managing client attraction, especially from a CBT perspective. Directions for future research include further exploration of the intersection of client and therapist cultural and identity factors in the development and characteristics of CATT.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rachel Schoor, Jared M Bruce, Vincent S Staggs, Andrew T Fox, Amanda Bruce, Sharon Lynch, Delwyn Catley
{"title":"Mechanisms of Action of Combination Motivational Interviewing-Cognitive Behavior Therapy for Reversing Medication Non-Adherence in Patients With Multiple Sclerosis.","authors":"Rachel Schoor, Jared M Bruce, Vincent S Staggs, Andrew T Fox, Amanda Bruce, Sharon Lynch, Delwyn Catley","doi":"10.1002/jclp.23796","DOIUrl":"https://doi.org/10.1002/jclp.23796","url":null,"abstract":"<p><strong>Objective: </strong>Despite disease modifying therapies' (DMT) demonstrated efficacy for treating relapsing MS, around 40% of patients discontinue use. This study aimed to understand the mechanism of action of Motivational Interviewing plus cognitive behavioral therapy (MI-CBT) in a previously conducted randomized controlled trial in which the MI-CBT intervention successfully promoted DMT re-initiation of participants compared to a treatment as usual (TAU) condition.</p><p><strong>Methods: </strong>This secondary analysis (N = 91) explored changes in motivation (a single item motivation \"ruler\" [Mot∆], and the Brief Motivation Scale [BMS∆]), autonomous motivation (AR∆), personal control (PC∆), treatment control (TC∆), and confidence to reinitiate (Con∆) as potential mediators of the treatment effect, using logistic regression.</p><p><strong>Results: </strong>Logistic regression analysis including all potential mediators as predictors of initiation indicated the BMS∆ was the only statistically significant predictor (OR = 1.61, p = 0.010). When BMS∆ was removed Mot∆ (OR = 1.22, p = 0.002) and PC∆ (OR = 1.67, p = 0.002) were statistically significant predictors of initiation.</p><p><strong>Conclusion: </strong>The MI-CBT intervention appeared to work primarily by increasing motivation to initiate DMT.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Test Anxiety and Trait Anxiety in Adolescence: Same or Different Structures?","authors":"Peibing Liu, Shuliang Bai, Ming Li, Renlai Zhou","doi":"10.1002/jclp.23794","DOIUrl":"https://doi.org/10.1002/jclp.23794","url":null,"abstract":"<p><strong>Objectives: </strong>Test anxiety is positively correlated with trait anxiety. However, the precise relationship between the two is not clear. Are they two independent constructs that share a high degree of comorbidity, or the same construct manifesting in different situations (e.g., test anxiety as a special type of trait anxiety)?</p><p><strong>Methods: </strong>The present study employed two advanced analysis tools (latent profile analysis and network analysis) to evaluate the connectivity pattern between test anxiety and trait anxiety in a sample of adolescent students (N = 475, Mean age = 13.49).</p><p><strong>Results: </strong>The latent profile analysis revealed that all participants could be classified into three groups (low-risk, moderate-risk, and high-risk) based on their scores on two scales measuring test anxiety and trait anxiety, indicating a high degree of comorbidity between test and trait anxiety. The network analysis found that test anxiety and trait anxiety formed two relatively distinct communities, suggesting that they are two independent structures.</p><p><strong>Conclusions: </strong>Together, this study provides a novel insight into the structural relationship between test anxiety and trait anxiety, indicating that while they are distinct constructs, they frequently coexist. The clinical implications for our understanding of the etiology, diagnosis and treatment of test and trait anxiety are discussed.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Internalized Stigma Is a Predictor of Mental Health Secrecy and Loneliness in Young People With Clinical Depression Symptoms: A Longitudinal Study.","authors":"Katie Prizeman, Ciara McCabe, Netta Weinstein","doi":"10.1002/jclp.23789","DOIUrl":"https://doi.org/10.1002/jclp.23789","url":null,"abstract":"<p><p>Young people with depression experience loneliness and internalized stigma. Stigma might make disclosing depression to others difficult, thus increasing loneliness and reducing the opportunity for treatment. Knowing whether internalized stigma predicts loneliness and secrecy reinforces the need for stigma reduction efforts. The aim of this research was to examine the independent effects of internalized stigma and clinical depression on loneliness and mental health secrecy in young people with a range of depressive symptoms (Mood and Feelings Questionnaire score ≥ 27). A total of 275 young people (M<sub>age</sub> = 20.53, SD = 2.17) were recruited and completed the Internalized Stigma of Mental Illness Inventory, the 5-Item Link's Secrecy Scale, and the UCLA Loneliness Scale at baseline and again at 1-month follow-up (N = 172, M<sub>age</sub> = 20.40, SD = 2.00). Results showed that internalized stigma was associated with baseline loneliness (β = 0.57, 95% CI: 7.87-11.75, p < 0.001), baseline secrecy (β = 0.40, 95% CI: 0.23-0.45, p < 0.001), and secrecy over time (β = 0.20, 95% CI: 0.04-0.30, p = 0.009). This work highlights the need to develop targeted interventions to reduce stigma and encourage mental health disclosure and help-seeking behaviors among young people with depression.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Unique Associations of Thin-Ideal Internalization and Internalized Weight Stigma With Body Dissatisfaction Across Body Sizes.","authors":"Emma R Harris, Samantha L Hahn, K Jean Forney","doi":"10.1002/jclp.23793","DOIUrl":"https://doi.org/10.1002/jclp.23793","url":null,"abstract":"<p><strong>Objectives: </strong>The internalization of socioculturally influenced body ideals, including thin-ideal internalization and internalized weight stigma, is consistently associated with body dissatisfaction. However, the independent contributions of thin-ideal internalization and internalized weight stigma to body dissatisfaction and the extent to which these two body ideals are distinct are unknown. The current study examined whether internalized weight stigma contributes to body dissatisfaction above and beyond the effects of thin-ideal internalization. To further investigate the independence of these two cultural processes, the current study also tested if body size moderates the association between thin-ideal internalization and internalized weight stigma.</p><p><strong>Methods: </strong>Data come from 430 university students (80.7% female, 87.7% white) who completed surveys for partial course credit.</p><p><strong>Results: </strong>Both thin-ideal internalization (β = 0.202, p < 0.001) and internalized weight stigma (β = 0.638, p < 0.001) were associated with body dissatisfaction in a mutually adjusted regression model. However, the association between thin-ideal internalization and internalized weight stigma did not differ by body size (β = 0.054, p = 0.79).</p><p><strong>Conclusions: </strong>Thin-ideal internalization and internalized weight stigma are independent correlates of body dissatisfaction, regardless of weight status. As distinct constructs, both thin-ideal internalization and internalized weight stigma should be targeted in the prevention and treatment of body dissatisfaction.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Brede, Brigitte Dippold, Stephan Bender, Christoph Kröger, Maya Krischer
{"title":"Identification of Borderline Personality Disorder in Adolescents: Psychometric Properties and Diagnostic Efficiency of a Juvenile Version of the Impulsivity and Emotion Dysregulation Scale (IES-27-J).","authors":"Maria Brede, Brigitte Dippold, Stephan Bender, Christoph Kröger, Maya Krischer","doi":"10.1002/jclp.23792","DOIUrl":"https://doi.org/10.1002/jclp.23792","url":null,"abstract":"<p><strong>Objective: </strong>The diagnostic efficiency of screening instruments for adolescents with Borderline Personality Disorder (BPD)-that are applicable to its new classification in DSM-5 and ICD-11-has not yet been sufficiently studied.</p><p><strong>Methods: </strong>We examined the reliability and diagnostic efficiency of the juvenile version of the Impulsivity and Emotion Dysregulation Scale (IES-27-J) in a German-speaking sample of inpatient 12-19-year-old adolescents (N = 220, including n = 88 with BPD and n = 132 with other mental disorders). Using a receiver operating characteristic (ROC) analysis, optimal cutoff values were determined for this self-report instrument. Analyses were conducted for two different diagnostic thresholds with at least four and five BPD diagnostic criteria, respectively, in accordance with the semi-structured clinical interview International Personality Disorder Examination (IPDE).</p><p><strong>Results: </strong>Results indicate that the IES-27-J is a reliable and valid instrument with moderate to high discriminative ability (areas under the curve [AUC] = 0.77 and 0.80, respectively). Using the preferred cutoff values, sensitivity (71% and 83%) and specificity (76% and 67%) turned out to be moderate.</p><p><strong>Conclusion: </strong>The application of the IES-27-J can be considered favorable in a two-stage approach, using a lower cutoff value in a first step to miss fewer patients with BPD, and conducting a clinical interview in a second step to confirm the diagnosis. More studies in different settings, including direct comparisons with other screening instruments, are necessary to further assess the clinical utility of the IES-27-J.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Intrinsic Association of Posttraumatic Stress Symptoms Among Chinese Police Officers During COVID-19: Evidence From Network Perspective.","authors":"Jialu Jin, Yuanyuan An, Xiaohui Li, Di An","doi":"10.1002/jclp.23787","DOIUrl":"https://doi.org/10.1002/jclp.23787","url":null,"abstract":"<p><strong>Background: </strong>The current study aimed to identify the core posttraumatic stress symptoms (PTSS) and to explore the longitudinal predictive relationships of these symptoms among Chinese police officers during COVID-19. Identifying the important symptoms of PTSS could help with informing future research to alleviate police officers' psychological problems.</p><p><strong>Methods: </strong>In this study, a two-wave on-line investigation (4 months interval; T1 and T2) was conducted with a sample of 891 Chinese police officers who completed the Chinese version of PTSD Checklist for DSM-5 (PCL-5). Cross-sectional network and cross-lagged panel network (CLPN) analyses were adopted.</p><p><strong>Results: </strong>The results showed that: (1) The most central nodes all belonged to the hyper-arousal and the negative cognition and emotion alteration clusters in both T1 and T2. (2) The strongest positive predictive paths were apparent from symptoms in hyper-arousal cluster to symptoms in negative cognition and emotion alteration cluster and intrusions cluster.</p><p><strong>Conclusions: </strong>Hyperarousal is the core symptom cluster among police officers during COVID-19, and it positively predict negative cognition and emotion alteration symptoms and intrusions symptoms over time. Future research could focus more on these symptoms and examine their role in the onset and development of PTSS in police officers following traumatic events.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Victor Navarro Moreno, Rocío Herrero, Ángel Zamora, Marta Miragall, Rosa M Baños
{"title":"Enhancing Body Image in Chronic Pain: A Case Study Utilizing Virtual Reality.","authors":"Victor Navarro Moreno, Rocío Herrero, Ángel Zamora, Marta Miragall, Rosa M Baños","doi":"10.1002/jclp.23784","DOIUrl":"https://doi.org/10.1002/jclp.23784","url":null,"abstract":"<p><strong>Objective: </strong>This case study aims to provide data regarding the acceptability of CLEVER, a positive body image-based intervention supported by the use of virtual reality to improve body image and other pain-related variables in people with chronic low back pain.</p><p><strong>Method: </strong>The intervention consists of four sessions: Psychoeducation about pain and its impact on the body, Body Awareness, Acceptance of the body with pain, and Appreciation and gratitude toward the body. A daily monitoring and an interview were conducted to assess the intervention.</p><p><strong>Results: </strong>John (fictitious name) is a 48-year-old man who has been suffering from low back pain for 5 years as a result of an accident at work. Before starting the intervention, the patient presented a considerable level of kinesiophobia, fear of pain, and emotional distress and he also reported body image problems due to pain. After the intervention, data showed a moderate effect on pain interference, kinesiophobia, a reduction of emotional distress and a questionable effect on pain catastrophizing and pain intensity. Regarding Positive Body Image variables, results showed a moderate improvement in Appreciation of Body Functionality and a questionable effect on Pain Acceptance and Body Awareness. The patient also showed good adherence to the treatment and good acceptability of the intervention and the virtual environments.</p><p><strong>Conclusions: </strong>CLEVER-BODY is the first positive body image-based intervention using Virtual Reality that has shown improvements in variables related to pain and body image. Nonetheless, further studies will be necessary to evaluate the effectiveness of the intervention in a larger sample.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jason Brand, Madeleine Miller-Bottome, Alexandre Vaz, Tony Rousmaniere
{"title":"Deliberate Practice Supervision in Action: The Sentio Supervision Model.","authors":"Jason Brand, Madeleine Miller-Bottome, Alexandre Vaz, Tony Rousmaniere","doi":"10.1002/jclp.23790","DOIUrl":"https://doi.org/10.1002/jclp.23790","url":null,"abstract":"<p><p>Deliberate Practice (DP) is gaining consensus by researchers as a potentially promising method to increase therapist's effectiveness. While many clinicians and trainers now support DP's potential benefits, there is still a lack of guidelines, research, and training on implementing DP in clinical supervision. Recently, Vaz and Rousmaniere have proposed the Sentio Supervision Model as a method to integrate three major supervision-enhancing contributions: the use of routine outcome monitoring, the use of therapy recordings, and the use of DP skills training. We present a case study focusing on one client's treatment progress and their therapist's engagement in weekly supervision following the Sentio Supervision Model. The client had been identified by the outcome measure as being at risk of deterioration, and after DP supervision showed recovery and became on track for a good treatment outcome. Annotated transcripts provide a closer look into the clinical and supervisory process and how the latter influenced the former. We highlight the potential benefits and challenges inherent to this novel Supervision Model.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ercan Ozdemir, Zhuoni Xiao, Helen Griffiths, Angus MacBeth
{"title":"Alexithymia in Schizophrenia and Psychosis Vulnerability: A Systematic Review and Meta-Analysis.","authors":"Ercan Ozdemir, Zhuoni Xiao, Helen Griffiths, Angus MacBeth","doi":"10.1002/jclp.23788","DOIUrl":"https://doi.org/10.1002/jclp.23788","url":null,"abstract":"<p><strong>Aims: </strong>Disturbances involving impairments in experience and expression of affect are frequently identified in schizophrenia samples. Alexithymia underlies cognitive impairments in identification and expression of affect, further implicated in affect dysregulation. The current review aimed to systematically review the literature and estimate the strength of associations between alexithymia and schizophrenia phenomenology.</p><p><strong>Method: </strong>A systematic review and meta-analysis identified 67 studies involving measures of alexithymia in psychosis. All studies were assessed for quality and publication bias. Overall, data from 47 studies were suitable for meta-analysis.</p><p><strong>Results: </strong>Alexithymia and schizophrenia were consistently positively associated with a large effect size (k = 11). Compared to control groups, a schizophrenia diagnosis was positively associated with large magnitude effects for difficulties in identifying feelings (k = 18) and moderate effect sizes for difficulties in describing feelings (k = 17) and externally oriented thinking (k = 11). Data from community samples indicated moderate associations between subclinical negative symptoms and difficulties in identifying and describing feelings (k = 4) and a small association between positive symptoms and difficulties in identifying feelings (k = 5).</p><p><strong>Conclusions: </strong>Alexithymia and schizophrenia are strongly associated. However, methodological issues limit the establishment of directionality in these associations. The majority of studies use cross-sectional designs reliant on self-report assessments which may result in over-estimation of the reported effect sizes. Future research could conceptualize alexithymia as a stress-reactive multidimensional construct, and modeling dynamic relationships between alexithymia, psychological distress, and schizophrenia phenomenology should incorporate confounders such as gender, age, and neurocognition.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}