Journal of Clinical Psychology最新文献

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Teletherapy Post-COVID-19: Comparisons With In-Person Client Characteristics and Service Utilization in Routine Practice. covid -19后远程治疗:与日常实践中面对面客户特征和服务利用的比较
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2025-08-26 DOI: 10.1002/jclp.70039
Wilson T Trusty, Brett E Scofield, Stewart E Cooper, Louis G Castonguay, Jeffrey A Hayes, Rebecca A Janis
{"title":"Teletherapy Post-COVID-19: Comparisons With In-Person Client Characteristics and Service Utilization in Routine Practice.","authors":"Wilson T Trusty, Brett E Scofield, Stewart E Cooper, Louis G Castonguay, Jeffrey A Hayes, Rebecca A Janis","doi":"10.1002/jclp.70039","DOIUrl":"https://doi.org/10.1002/jclp.70039","url":null,"abstract":"<p><strong>Objective: </strong>Telehealth psychotherapy (TH) has become widespread since the COVID-19 pandemic and has generally proven to be equally effective and acceptable as in-person (IP) treatment. However, it is unclear how TH and IP client characteristics and service utilization compare in routine practice post-pandemic.</p><p><strong>Methods: </strong>Individual psychotherapy clients (N = 22,710) receiving routine treatment at 72 university counseling centers from 2021 to 2023 reported on their demographic and clinical characteristics, while service utilization was determined through chart review.</p><p><strong>Results: </strong>Compared to IP clients, TH clients were more likely to identify as cisgender women, Hispanic/Latinx, and bisexual and were less likely to live with roommates. TH and IP clients reported roughly equivalent symptom severity at the beginning of treatment, but TH clients were less likely to report recent suicidal ideation and more likely to have a history of past psychotherapy and psychiatric medication use. Regarding service utilization, TH clients scheduled slightly more psychotherapy appointments yet attended a lower percentage of appointments, but these differences were small. Exploratory analyses on matched samples of TH and IP clients did not detect differences in pre- to posttreatment symptom reduction.</p><p><strong>Conclusion: </strong>In routine practice, TH and IP psychotherapy appear to facilitate access to care for slightly different client populations, are associated with similar utilization patterns, and produce similar outcomes in university counseling post-COVID-19. Clinical systems may best serve a diverse public by offering both TH and IP services. Policy-level (e.g., equitable reimbursement for TH) and administrative support are needed to facilitate continued access to both modalities.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955836","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}
引用次数: 0
"A Lot of Gray": Ambiguity, Beliefs, and Discretion in Veterans Benefits Administration Military Sexual Trauma-Related Posttraumatic Stress Disorder Disability Claims. “许多灰色”:退伍军人福利管理局的模糊性、信念和裁量权军性创伤相关的创伤后应激障碍残疾索赔。
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2025-08-24 DOI: 10.1002/jclp.70042
Aliya R Webermann, Stephanie M Bonnes, Sonia Rupcic, Ryan Holliday, Lindsey L Monteith, Marc I Rosen, Galina A Portnoy, Maureen Murdoch
{"title":"\"A Lot of Gray\": Ambiguity, Beliefs, and Discretion in Veterans Benefits Administration Military Sexual Trauma-Related Posttraumatic Stress Disorder Disability Claims.","authors":"Aliya R Webermann, Stephanie M Bonnes, Sonia Rupcic, Ryan Holliday, Lindsey L Monteith, Marc I Rosen, Galina A Portnoy, Maureen Murdoch","doi":"10.1002/jclp.70042","DOIUrl":"https://doi.org/10.1002/jclp.70042","url":null,"abstract":"<p><strong>Objectives: </strong>Thousands of Veterans file claims for military sexual trauma (MST)-related posttraumatic stress disorder (PTSD) disability through the Department of Veterans Affairs' (VA) Veterans Benefits Administration (VBA) annually to receive covered healthcare benefits and monthly nontaxable compensation for MST-related conditions. Although 72% of MST claims in 2021 were granted, prior reporting found other claims had been erroneously denied due to issues around VA staff not ordering disability exams for claims and not gathering necessary evidence on behalf of claimants. The present study explores decision-making processes around evidence-gathering for MST-related disability claims through interviews with VA staff who develop, rate, and evaluate MST disability claims (n = 21).</p><p><strong>Methods: </strong>Interviews occurred from October 2021 to January 2024 and were analyzed using rapid qualitative methods and inductive coding, revealing themes of ambiguity, beliefs, and discretion. Participants described MST \"markers\" (e.g., behavioral events or patterns indicating effects of MST) as difficult to reliably identify and demonstrated disagreements about what constituted a marker. Within this ambiguity, factors that shaped participants' decision-making included beliefs about the MST and its impacts, the veracity of Veteran PTSD and/or MST claims, and the role of VA staff. Participants' judgments appeared to depend in part on their beliefs about sexual assault myths and the trustworthiness of Veterans: those who endorsed sexual assault myths or believed Veterans often lie were more likely to approach MST claims with skepticism.</p><p><strong>Conclusion: </strong>Future policy and programming around MST claims processing should focus on reducing ambiguity and impacts of beliefs on discretion and objectivity.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955782","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}
引用次数: 0
Usability and Acceptance by Therapists and Users of an Internet-Based Intervention Based on the Unified Protocol in Argentina. 阿根廷基于统一协议的网络干预的可用性和接受程度
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2025-08-20 DOI: 10.1002/jclp.70037
Milagros Celleri, Florencia Klajner, F Camila Cremades, Cristian Javier Garay, Martin Etchevers, Jorge Osma
{"title":"Usability and Acceptance by Therapists and Users of an Internet-Based Intervention Based on the Unified Protocol in Argentina.","authors":"Milagros Celleri, Florencia Klajner, F Camila Cremades, Cristian Javier Garay, Martin Etchevers, Jorge Osma","doi":"10.1002/jclp.70037","DOIUrl":"10.1002/jclp.70037","url":null,"abstract":"<p><p>Latin American countries face a significant mental health gap, characterized by an increasing prevalence of mental disorders and limited access to evidence-based treatments. Internet-based interventions hold promise for bridging this gap. In Argentina, there are currently no locally developed internet-based interventions. To address this gap, our research team recently developed an Internet-Based Unified Protocol Intervention (IUPI), a transdiagnostic intervention adapted from the Unified Protocol. This study aimed to evaluate its usability and acceptability in the local population, a necessary step for its subsequent implementation.</p><p><strong>Methodology: </strong>A mixed-methods study was conducted with 20 professionals and 10 users who tested IUPI for 2 weeks. The System Usability Scale, an ad-hoc questionnaire, and focus groups were conducted.</p><p><strong>Results: </strong>Usability scores indicated good usability for both professionals (M = 71.37 SD = 19.61) and users (M = 73.75 SD = 2.60). Both groups expressed willingness to use and recommend the platform. Thematic analysis revealed the perception that these interventions can enhance access to treatment. On the other hand, barriers such as connectivity issues, limited resources, and perceived lack of warmth and support were described.</p><p><strong>Discussion: </strong>This is the first usability study of an internet-based intervention in Argentina. Findings are promising for cultural adaptation and broader implementation, potentially increasing access to psychotherapeutic treatments.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144882952","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}
引用次数: 0
Measuring Misophonia: Assessing the Psychometric Properties of the MisoQuest and Its Ability to Predict Cognitive Impacts of Triggering Sounds. 恐音症的测量:评估MisoQuest的心理测量特性及其预测触发声音的认知影响的能力。
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2025-08-18 DOI: 10.1002/jclp.70033
Kate E Raymond, Blake E Butler
{"title":"Measuring Misophonia: Assessing the Psychometric Properties of the MisoQuest and Its Ability to Predict Cognitive Impacts of Triggering Sounds.","authors":"Kate E Raymond, Blake E Butler","doi":"10.1002/jclp.70033","DOIUrl":"https://doi.org/10.1002/jclp.70033","url":null,"abstract":"<p><strong>Objectives: </strong>Misophonia is characterized by an aversion to specific sounds, such as chewing and breathing. These \"trigger\" sounds can elicit negative emotional reactions, physiological stress, and cognitive impairments in people with misophonia. Despite its impact, misophonia lacks formal diagnostic classification, largely due to challenges in conceptualization and assessment. One of the few psychometrically robust self-report measures for misophonia (the MisoQuest) was originally developed and evaluated in Polish. The current study evaluated the utility of the English language version of the MisoQuest, including assessment of its criterion validity using cognitive performance as an outcome.</p><p><strong>Methods: </strong>A total of 139 participants (44 people with misophonia and 95 controls) completed the MisoQuest, the Selective Sound Sensitivity Syndrome Scale (S-Five), the Generalized Anxiety Disorders Scale, and the Sensory Hypersensitivity Scale. Participants then completed either a Stroop task or reading comprehension task in the presence/absence of triggering sounds. A subset of participants retook the MisoQuest after 5 weeks.</p><p><strong>Results: </strong>The MisoQuest showed excellent internal consistency and strong test-retest reliability. Additionally, MisoQuest scores strongly correlated with S-Five scores, supporting convergent validity, and moderately correlated with measures of generalized anxiety and sensory hypersensitivity, indicating some overlap while supporting discriminant validity. Higher MisoQuest scores predicted poorer reading comprehension performance when trigger sounds were present, supporting criterion validity. However, MisoQuest scores showed no significant relationship with Stroop task performance.</p><p><strong>Conclusion: </strong>These findings support the MisoQuest as a reliable and useful measure of misophonia in English-speaking individuals and suggest its scores may relate to clinically relevant outcomes.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873427","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}
引用次数: 0
Post-9/11 Veterans Military-to-Civilian Transitions: Predictors of Mental Health Symptoms Over the First 3 Years. 9/11后退伍军人军民过渡:前3年心理健康症状的预测因子
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2025-08-18 DOI: 10.1002/jclp.70038
Mary M Mitchell, Keith R Aronson, Daniel F Perkins
{"title":"Post-9/11 Veterans Military-to-Civilian Transitions: Predictors of Mental Health Symptoms Over the First 3 Years.","authors":"Mary M Mitchell, Keith R Aronson, Daniel F Perkins","doi":"10.1002/jclp.70038","DOIUrl":"https://doi.org/10.1002/jclp.70038","url":null,"abstract":"<p><strong>Objective: </strong>Many post-9/11 veterans struggle with psychological symptoms as they transition to civilian life. Adverse childhood experiences, combat exposure, and deployment characteristics are factors associated with symptoms. This study examined changes in the predictive power of these factors over the first 3 years of the military-to-civilian transition among post-9/11 veterans.</p><p><strong>Methods: </strong>This was a longitudinal survey study in which six waves of data were collected over 3 years.</p><p><strong>Results: </strong>The associations between combat, ACEs, deployment characteristics, and psychological symptoms were complex, not static, not always linear, and differed between male and female veterans. The number of deployments was associated with fewer psychological symptoms at baseline for both genders. For males, longer deployments at baseline predicted worse mental health, while more deployments were associated with improving mental health over time.</p><p><strong>Conclusion: </strong>Temporal explorations of veteran mental health are needed to gain insights into how and when psychological problems develop and change over time. Veterans need a robust support network to prevent mental health problems as they transition to civilian life.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873428","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}
引用次数: 0
The Outside of Psychotherapy-The Socioecological Approach to Treating Severe Personality Pathology in a Young Patient. 心理治疗的外部——治疗一位年轻患者严重人格病理的社会生态学方法。
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2025-08-14 DOI: 10.1002/jclp.70031
Sune Bo, Majse Lind, Peter Fonagy
{"title":"The Outside of Psychotherapy-The Socioecological Approach to Treating Severe Personality Pathology in a Young Patient.","authors":"Sune Bo, Majse Lind, Peter Fonagy","doi":"10.1002/jclp.70031","DOIUrl":"https://doi.org/10.1002/jclp.70031","url":null,"abstract":"<p><p>The socioecological treatment approach is rooted in fundamental principles of mentalization-based therapy (MBT) and evolutionary theory. Rather than focusing solely on the individual, this approach broadens the perspective to include the patient's wider social network in understanding and treating mental health disorders such as personality pathology. A core premise of this approach is that problems and their solutions should not be viewed in isolation but identified in close collaboration with the patient's environment. The socioecological approach integrates treatment network meetings, involving individuals who are directly engaged in and significant to the patient's life. These meetings facilitate the development of a system case-formulation and a system attachment map. A self-report instrument, NETWORK-AIM (NET-AIM), is used throughout the process to assess interventions and evaluate meetings, with input from all key members of the patient's network. This approach is illustrated through the case of Olivia, a young girl suffering from personality pathology. Her treatment exemplifies how multiple individuals within her environment collaborated to support her reintegration into the social world (communication system 3) alongside individual therapy. Olivia's 13-month treatment process led to substantial improvements, including enhanced social engagement, increased trust in others, fewer mood swings, reduced self-harm, and greater involvement with friends and work. The findings underscore the need to move beyond individual treatment models towards systemic, proactive interventions that integrate broader social relationships into therapeutic processes when treating adolescents with personality pathology.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855367","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}
引用次数: 0
Impact of Switching to an Inhibitory Learning Approach to Exposure Therapy on Outcomes of an Intensive Outpatient Program. 转换到抑制学习方法暴露治疗对强化门诊项目结果的影响。
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2025-08-14 DOI: 10.1002/jclp.70032
Molly H Nadel, Kate Rogers, Sandra Hadlock, Eric R Schuler, David A F Haaga
{"title":"Impact of Switching to an Inhibitory Learning Approach to Exposure Therapy on Outcomes of an Intensive Outpatient Program.","authors":"Molly H Nadel, Kate Rogers, Sandra Hadlock, Eric R Schuler, David A F Haaga","doi":"10.1002/jclp.70032","DOIUrl":"https://doi.org/10.1002/jclp.70032","url":null,"abstract":"<p><strong>Objective: </strong>Exposure therapy is a commonly used, efficacious treatment for reducing symptoms of obsessive-compulsive disorder and anxiety disorders. Though exposure therapy has primarily been conducted using principles derived from emotional processing theory, many researchers are now suggesting that it would be more successful if it was conducted in accordance with learning research (i.e., the inhibitory learning approach). There is a strong conceptual rationale for conducting exposure therapy in accordance with the inhibitory learning approach but a paucity of direct empirical comparisons of the two methods, particularly in a naturalistic setting.</p><p><strong>Methods: </strong>The current study includes 1968 participants seeking treatment for OCD and anxiety disorders. An interrupted time series analysis was used to compare treatment outcomes after participation in an intensive outpatient program for individuals who received exposure therapy based on emotional processing versus inhibitory learning.</p><p><strong>Results: </strong>Symptom reduction following exposure therapy using the inhibitory learning approach was not significantly different than exposure therapy using emotional processing.</p><p><strong>Conclusion: </strong>One possible interpretation for these findings is that in practice, the exposure approaches share significant overlap and therefore lead to comparable outcomes. Future research should assess the comparative efficacy of these treatment approaches using randomized controlled trials with standardized outcome measures to increase internal validity.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855366","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}
引用次数: 0
Adapt-Life on Remand: A Pilot Randomized Trial With Individuals in Pretrial Detention. 适应还押生活:审前羁押个体的随机试验。
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2025-08-14 DOI: 10.1002/jclp.70035
Joana Andrade, Rui Abrunhosa Gonçalves, Andreia de Castro Rodrigues
{"title":"Adapt-Life on Remand: A Pilot Randomized Trial With Individuals in Pretrial Detention.","authors":"Joana Andrade, Rui Abrunhosa Gonçalves, Andreia de Castro Rodrigues","doi":"10.1002/jclp.70035","DOIUrl":"https://doi.org/10.1002/jclp.70035","url":null,"abstract":"<p><p>Remand prisoners (RP) are in a precarious situation marked by uncertainty and vulnerability, facing significant challenges from the moment they are admitted. Despite numerous efforts to provide treatment in correctional settings, most interventions have been designed primarily for sentenced prisoners. The ADAPT program, however, is a structured intervention specifically tailored for RP. It aims to enhance emotion and behavior regulation, address cognitive distortions, improve problem-solving skills, and offer strategies for suicide prevention. The primary objective of this pilot study was to assess the effectiveness of the ADAPT in improving emotional literacy and emotional regulation, while reducing cognitive distortions and suicide risk. Our findings indicated that, at the Posttreatment phase, there were statistically significant improvements across all measured outcomes in the treatment group compared to the control group. Specifically, participants in the ADAPT exhibited lower levels of anxiety, somatization, and depression. Additionally, there was a notable decrease in suicide concerns, negative affect, and difficulties in emotional regulation. Conversely, there was an increase in positive affect among those who underwent the program. These results provide preliminary evidence supporting the effectiveness of the ADAPT as a valuable intervention for RP, a population often overlooked in treatment efforts.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855364","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}
引用次数: 0
From Thought to Action: An Exploratory Study of Underappreciated Suicidal Rehearsal. 从思想到行动:被低估的自杀预演的探索性研究。
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2025-08-14 DOI: 10.1002/jclp.70036
Xiangqing Hou, Guanmin Liu, Deqin Tan, Li Yang
{"title":"From Thought to Action: An Exploratory Study of Underappreciated Suicidal Rehearsal.","authors":"Xiangqing Hou, Guanmin Liu, Deqin Tan, Li Yang","doi":"10.1002/jclp.70036","DOIUrl":"https://doi.org/10.1002/jclp.70036","url":null,"abstract":"<p><strong>Background: </strong>Suicidal rehearsal is a crucial intermediate type between suicidal thoughts and suicidal attempts, yet it has received limited attention due to insufficient empirical research. This study aimed to investigate its clinical characteristics.</p><p><strong>Methods: </strong>Participants were recruited from a pool of 11,390 college students. A total of 244 students (mean age = 18.47, 52.05% male) with a lifetime history of suicidality consented to participate and completed self-report measures assessing the acquired capability for suicide, current symptoms, suicide risk, and demographic characteristics.</p><p><strong>Results: </strong>A total of 15.57% of participants with a lifetime history of suicidal ideation and/or attempts reported engaging in suicidal rehearsal. Suicidal ideators who had suicidal rehearsals reported higher acquired capability for suicide and higher suicide risk and lower anxiety scores than those without such rehearsals. Suicidal rehearsal was associated with greater odds of several factors, including anxiety, fearlessness about death, suicidal planning, and suicidal preparation. In addition, individuals who reported rehearsal had higher odds of reporting aborted, interrupted, and actual suicidal attempts.</p><p><strong>Conclusions: </strong>Suicidal rehearsal is relatively common among individuals with suicidality and may represent a more action-oriented form of suicidal behavior. Clinically, it is important to screen for suicidal rehearsal, especially in individuals reporting suicidal ideation or planning. Future research should focus on developing standardized tools to assess suicidal rehearsal and integrating these measures into routine suicide risk assessments.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855365","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}
引用次数: 0
The Invisible Connection: A Qualitative Analysis of the Experience of Support-Seeking Siblings of Individuals With Borderline Personality Disorder Traits. 隐形联系:边缘型人格障碍个体兄弟姐妹寻求支持体验的定性分析。
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2025-08-13 DOI: 10.1002/jclp.70030
Sarah E Huffman, Marie-Paule de Valdivia, Larry Davidson, Emily Cooney, Joanna L Watson
{"title":"The Invisible Connection: A Qualitative Analysis of the Experience of Support-Seeking Siblings of Individuals With Borderline Personality Disorder Traits.","authors":"Sarah E Huffman, Marie-Paule de Valdivia, Larry Davidson, Emily Cooney, Joanna L Watson","doi":"10.1002/jclp.70030","DOIUrl":"https://doi.org/10.1002/jclp.70030","url":null,"abstract":"<p><p>Nearly 80% of children within the U.S. live with a sibling, and siblings exert a unique and typically lifelong influence on one another. Past research supports an influence between psychopathology of one individual and the psychological functioning of their siblings. Recently this relationship has been examined in the context of borderline personality disorder (BPD), with findings suggesting that siblings of individuals with BPD are at heightened risk of developing psychiatric disorders and engaging in maladaptive behaviors. Beyond the influence siblings have on one another, there is growing work demonstrating that many siblings of individuals with mental health difficulties face unique challenges in terms of balancing care for themselves and care for their siblings, and yet do not have resources available for these specific challenges. The current study analyzes the text from 456 written statements from applications submitted by self-identified siblings to a therapeutic program designed for family members of people with borderline traits. A qualitative analysis is utilized to examine statements, and three themes are identified: sibling relationship dynamics, concern for family members, and overall tone and emotionality. Through discussion of themes and related subthemes, we describe the experiences of sibling dyads and make a case for increased opportunities for these siblings to access care and support, to improve their outcomes.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144835245","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}
引用次数: 0
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