Flexibility within Fidelity最新文献

Being Flexible While Maintaining Fidelity in Cognitive Behavioral Therapy of Depression 抑郁症认知行为治疗的灵活性与保真性

Flexibility within Fidelity Pub Date : 2021-08-01 DOI: 10.1093/med-psych/9780197552155.003.0005

Daniel R. Strunk, A. A. Mandel, Iony D. Ezawa

引用次数: 1

The Coping Power Program for Children with Aggressive Behavior Problems 有攻击行为问题儿童的应对能力计划

Flexibility within Fidelity Pub Date : 2021-08-01 DOI: 10.1093/med-psych/9780197552155.003.0012

J. Lochman, Nicole P. Powell, Shannon Jones

{"title":"The Coping Power Program for Children with Aggressive Behavior Problems","authors":"J. Lochman, Nicole P. Powell, Shannon Jones","doi":"10.1093/med-psych/9780197552155.003.0012","DOIUrl":"https://doi.org/10.1093/med-psych/9780197552155.003.0012","url":null,"abstract":"Flexible adaptations of the Coping Power Program have been made for the delivery of the program. Coping Power is a structured, manualized cognitive-behavioral program, with components for children and parents designed to alter targeted mechanisms that contribute to children’s aggressive behavior problems. The program originated as a targeted prevention program, delivered in school settings, but also has been applied and tested in clinical settings. The contextual social-cognitive model is described, followed by a brief description of program components, of fidelity assessment, and of results from several initial randomized controlled efficacy studies. The bulk of the chapter describes two types of adaptations of the program. The first adaptation is evident in a field trial study of real-world school counselors’ use of the program, and was affected by the intensity of training that counselors received and by their own characteristics and the characteristics of their work setting. Appropriate and inappropriate adaptions were observed, with appropriate adaptations illustrating the concept of flexibility within fidelity. The second type of adaptation involves efforts to optimize the program and to test planned changes. The chapter describes evaluations of planned adaptations to the length of the program (including Internet components), to program targets through inclusion of mindfulness training, to delivery of the program in group versus individual formats, and to a variety of changes made in the structure and cultural relevance of the program in international adaptations.","PeriodicalId":306433,"journal":{"name":"Flexibility within Fidelity","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122734330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Post-Traumatic Stress Disorder Treatment with Adults 成人创伤后应激障碍治疗

Flexibility within Fidelity Pub Date : 2021-08-01 DOI: 10.1093/med-psych/9780197552155.003.0004

C. Sloan, Scott D. Litwack, D. Sloan

引用次数: 0

Tourette and Trichotillomania 妥瑞症和拔毛症

Flexibility within Fidelity Pub Date : 2021-08-01 DOI: 10.1093/med-psych/9780197552155.003.0014

Jennifer R. Alexander, Jordan T. Stiede, D. Woods

引用次数: 0

How to Bend but Not Break an Empirically Supported Treatment for Anxiety in Youth 如何弯曲而不是打破经验支持的治疗青少年焦虑

Flexibility within Fidelity Pub Date : 2021-08-01 DOI: 10.1093/med-psych/9780197552155.003.0011

Lara S. Rifkin, Lindsay B. Myerberg, Elizabeth A. Gosch, Lesley A. Norris, Margaret E. Crane, P. Kendall

引用次数: 3

Delivering Treatment for Adolescent Panic Disorder with Flexibility and Fidelity 灵活而忠实地提供青少年惊恐障碍的治疗

Flexibility within Fidelity Pub Date : 2021-08-01 DOI: 10.1093/med-psych/9780197552155.003.0013

Donna B. Pincus, Laura Nelson Darling, Ovsanna Leyfer

{"title":"Delivering Treatment for Adolescent Panic Disorder with Flexibility and Fidelity","authors":"Donna B. Pincus, Laura Nelson Darling, Ovsanna Leyfer","doi":"10.1093/med-psych/9780197552155.003.0013","DOIUrl":"https://doi.org/10.1093/med-psych/9780197552155.003.0013","url":null,"abstract":"Panic disorder often is referred to as one of the most impairing psychological disorders to affect adolescents, and if left untreated, it can detrimentally impact an adolescent’s developmental trajectory and increase their risk for other mental health disorders. Treating panic disorder at its earliest stages is critical. Fortunately, the development and testing of psychological treatment protocols for panic disorder in adolescence has progressed meaningfully. For patients to receive maximum benefit from a manual-based therapy for adolescent panic, it is necessary for therapists not only to deliver its core therapeutic components, but also to recognize the importance of a flexible, patient-focused delivery. We provide a description of each of the core treatment components required to maintain fidelity when treating adolescent panic, as well as components or variations that are considered “optional” depending on the patient’s needs. We review data on important factors that should be considered as well as how information about these factors can inform the flexible implementation and improve outcome. Together, knowledge from empirical studies on panic disorder combined with careful consideration of how to be flexible provide guidance for delivering a treatment for adolescent panic.","PeriodicalId":306433,"journal":{"name":"Flexibility within Fidelity","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129572227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Being Flexible While Maintaining Fidelity for Medical Patients 在保持对患者忠诚的同时保持灵活性

Flexibility within Fidelity Pub Date : 2021-08-01 DOI: 10.1093/med-psych/9780197552155.003.0007

Mira Reichman, V. Grunberg, James D. Doorley, J. Bakhshaie, E. Lester, R. Mace, A. Vranceanu

引用次数: 0

Empirically Supported Treatment for Obsessive-Compulsive Disorder 经验支持的强迫症治疗

Flexibility within Fidelity Pub Date : 2021-08-01 DOI: 10.1093/med-psych/9780197552155.003.0006

M. Franklin, Sarah G. Turk Karan

引用次数: 0

Flexible Applications of Family-Based Therapy for Youth with Bipolar Spectrum Disorders 以家庭为基础的治疗对青少年双相情感障碍的灵活应用

Flexibility within Fidelity Pub Date : 2021-08-01 DOI: 10.1093/med-psych/9780197552155.003.0010

Haley M. Brickman, M. Fristad

{"title":"Flexible Applications of Family-Based Therapy for Youth with Bipolar Spectrum Disorders","authors":"Haley M. Brickman, M. Fristad","doi":"10.1093/med-psych/9780197552155.003.0010","DOIUrl":"https://doi.org/10.1093/med-psych/9780197552155.003.0010","url":null,"abstract":"Bipolar spectrum disorders (BPSD) affect approximately 3.9% of youth and are associated with meaningful impairments across social, academic, and family domains. Early psychosocial treatment, in conjunction with psychotropic intervention, can ameliorate the negative impact of symptoms by equipping youth and their families with knowledge and skills to promote understanding and management of the disorder, leading to improved short- and long-term outcomes. Family-focused treatment for adolescents (FFT-A), family-focused cognitive behavioral therapy (CFF-CBT), and psychoeducational psychotherapy (PEP) represent a well-established class of manual-based interventions that have been found to improve mood symptoms and family functioning through the use of family psychoeducation and skill building. We detail and discuss the core components of these interventions, with a specific focus on how treatment components can be successfully adapted and delivered to ensure an individualized approach for optimal care. Flexibility is further illustrated by a depiction of ways in which PEP has been adapted to meet practical needs of families and clinicians while maintaining fidelity to the intervention.","PeriodicalId":306433,"journal":{"name":"Flexibility within Fidelity","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127660248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Flexible Principles for the Treatment of Adult Worry 成人忧虑治疗的灵活原则

Flexibility within Fidelity Pub Date : 2021-08-01 DOI: 10.1093/med-psych/9780197552155.003.0003

Amy R. Sewart, M. Craske

{"title":"Flexible Principles for the Treatment of Adult Worry","authors":"Amy R. Sewart, M. Craske","doi":"10.1093/med-psych/9780197552155.003.0003","DOIUrl":"https://doi.org/10.1093/med-psych/9780197552155.003.0003","url":null,"abstract":"This chapter outlines various empirically supported cognitive-behavioral strategies driven by current understanding of worry-related mechanisms that may be implemented in the treatment of chronic worry. Excessive and uncontrollable worry is reliably observed across anxiety disorders, and it is most evident in generalized anxiety disorder (GAD), of which it is the cardinal symptom. At present, achieving treatment fidelity for cognitive behavioral therapy (CBT) for excessive worry requires cognitive restructuring—wherein targets can range from challenging overestimation of likelihood, severity of negative outcomes, or metacognitive beliefs about worry—and exposure, either in vivo or imaginal, as a means to provide extinction learning around feared outcomes involving uncertainty or aversive emotional experiences. It also requires behavioral experimentation through which worry-related cognitions are tested and challenged through “real-life” experiences, which may involve stimulus control/worry postponement; explicit removal of safety behaviors throughout all components of treatment; and incorporation of strategies to enhance problem orientation. Using a case formulation-driven approach, these elements can be flexibly applied in a systematic, responsive, and data-driven manner to target the deficits present in the individual.","PeriodicalId":306433,"journal":{"name":"Flexibility within Fidelity","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128566156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0