To what ends? Psychotherapy goals and outcomes, the good life, and the principle of beneficence.

Psychotherapists aim to benefit others, especially clients. The corresponding ethical principle, beneficence, is found in the aspirational, not enforceable, section of the American Psychological Association (2002) ethics code, is central to the idea of a professional, and is a crucial component of ethical excellence. Beneficence and related controversies (e.g., varying ideas about what it means to benefit others) are described, then linked to psychotherapy's goals and outcomes (which are, in part, the ethical ends toward which therapy aims and by which it is evaluated), especially through ideas about the good life. I conclude by discussing ways in which therapists can--through careful reflection and action aimed at benefiting others--move toward ethical excellence regarding beneficence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Shame and resilience in adulthood: A grounded theory study.

Although shame plays a vital role in psychosocial functioning and development, it has also been implicated in several mental health problems, such as depression, suicidal behavior, and posttraumatic stress disorder. Given the potentially debilitating impact of shame on adjustment, an understanding of resilience in the face of this emotion is essential. The purpose of this study was to explore how adults bounce back from significant shame experiences, based on the subjective perspectives of participants. Interviews were conducted with 13 adults who recalled events or situations that elicited intense feelings of shame. Grounded theory was used in the collection and analysis of the data. In the findings, shame is conceptualized as an assault on the self, where the individual's self-concept, social connection, and sense of power and control come under attack. Individuals bounce back from this adversity through a process of self-reconstruction. This process is represented by the core category rebuilding of the self and by 5 interrelated subcategories, including connecting, refocusing, accepting, understanding, and resisting. Implications for counseling and directions for further research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Knowing the self: Building a bridge from basic research to clinical practice.

The articles under discussion give promise that basic research information about the self can be translated into useful information for the clinical practitioner. Several issues were delineated that require more careful attention and research: (a) The self needs to be more clearly defined in both basic and clinical literatures; (b) the process of self-experiencing must be studied in conjunction with the study of the acquisition, functions, and developmental trajectories of self-concepts; and (c) the complexities of identity formation in multicultural societies must be factored into future research designs. Psychotherapists need to be aware that many patients have internalized self-related ideas from several different cultures and subcultures, and puzzling out these culture-based conflicts may become a significant focus of psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychotherapy, professional relationships, and ethical considerations in the myspace generation.

The pervasive use of Internet technologies has created new ethical dilemmas for psychology trainees and professionals. In particular, Web sites that allow users to post personal information have sparked controversy regarding the amount of freedom psychologists should have in placing personal information online and how discovering such information may impact professional relationships, including the therapeutic relationship. Results from a graduate student survey (N = 302) address the prevalence of the use of online social networking sites, security measure efforts that limit public access, incidents of client access to psychotherapists’ personal Web sites and Internet use by psychotherapists to obtain client information, and their subsequent effect on the therapeutic relationship. Using applicable ethical principles and standards, we provide recommendations for the field in an effort to decrease potential harm and maximize areas of opportunity for psychologists and constructive professional relationships. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Team resilience for young restaurant workers: Research-to-practice adaptation and assessment.

This paper describes a method for taking a known prevention intervention and modifying it to suit young restaurant workers. Such workers are at high risk for alcohol and other drug (AOD) abuse according to national surveys. While evidence-based programs for AOD prevention exist, they have not been delivered to restaurants. Accordingly, an adaptation methodology was developed by integrating curricula from a previous evidence-based program with research on resilience and input from stakeholders, such as young restaurant workers, their managers, trainers, and subject matter experts. A new curriculum (Team Resilience) maintained fidelity to the original program while incorporating stakeholder insights. At the end of each of three training sessions, participants (n = 124) rated their awareness of AOD risks, help-seeking orientation, and personal resilience. Ratings tended to increase across sessions, showing participants perceived benefits from Team Resilience. Discussion highlights the need for research-to-practice protocols in occupational health psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Decision making and psychotherapy integration: Theoretical considerations, preliminary data, and implications for future research.

In recent years, a number of publications have called for investigation of how psychotherapists make treatment decisions in clinical practice. This recommendation is particularly salient for psychotherapy integration, as studies have consistently shown that a plurality of American clinicians consider themselves to be either "eclectic" or "integrative" in theoretical orientation. Yet, the research on clinician decision making in psychotherapy is in its infancy. This article examines the need for decision-making research in psychotherapy integration, as well as aspects of psychotherapy integration that are targets for research and possible theoretical frameworks for understanding decision-making processes of integrative psychotherapists. A preliminary study provides data from practicing psychotherapists to illustrate these points. Finally, implications and directions for future research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Between conviction and uncertainty: Philosophical guidelines for practicing psychotherapists.

Reviews the book, Between conviction and uncertainty: Philosophical guidelines for practicing psychotherapists by Jerry N. Downing (see record 2000-08722-000). In this book, the author aims to provide a meta-analysis of the array of theories available to the practicing psychotherapist: that is, to provide a "theory about theories" in the hope of giving the psychotherapist a guide for better understanding what it is that goes on in therapy. Downing begins by working through several basic questions. First, he considers what therapists actually know about therapy. Downing concludes that theories of psychotherapy are likely to continue to evade scientific proof, mainly because they do not easily lend themselves to disproof. This bleak view of what we actually know about what we do in psychotherapy leads Downing to reflect on what it is that we could possibly discover or know about therapy, and here his inquiry turns epistemological. Downing suggests that therapists are guided by a kind of epistemology in action. That is, therapists may best be described as loosely following an organizing scheme throughout a therapy. Downing refers to these six schemes as lived modes of knowing. Downing then discusses each of the six, providing illustrations of what they might mean in practice. Downing presents a plausible account of what may occur in therapy and of how many therapists may work. However, his argument seems to be unnecessarily drawn out. Unfortunately, rather than lend support and inform, the breadth of topics and issues obscures his project. And, beneath it all, we are left wondering what we actually know about psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The psychotherapist's own psychotherapy: Patient and clinician perspectives.

Reviews the book, The psychotherapist's own psychotherapy: Patient and clinician perspectives by Jesse D. Geller, John C. Norcross, and David E. Orlinsky (2005). The editors of this book have two aims: 1) "to synthesize and explicate the accumulated knowledge on psychotherapy with psychotherapists," and 2) "to provide clinically tested and empirically grounded assistance to psychotherapists treating fellow therapists, as well as to those clinicians who seek personal treatment themselves." The editors seem to be walking a fine line between asserting their own integrative conclusions and setting the conditions for readers to arrive at conclusions on their own. The tendency is toward the latter. With this propensity in mind, readers might approach the book as a truly encyclopedic collection- best approached in piecemeal (nonintegrative) fashion, focusing on fascinating morsels that can stand alone. In contrast, for those readers who are drawn toward integration, the book may elicit contrasting experiences of deep familiarity and understanding, and disorienting befuddlement about what was just read. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Psychotherapy tradecraft: The technique and style of doing therapy.

Reviews the book, Psychotherapy tradecraft: The technique and style of doing therapy by Theodore H. Blau (see record 1988-97142-000). This book begins with an introduction by Blau which defines the concept of "tradecraft" and is followed by eleven chapters divided into three sections. The first section is made up of four chapters concerned with becoming a psychotherapist. The second section of the book includes six chapters about actually conducting therapy. The third section of the book consists of one chapter about the stress of psychotherapy practice and includes a very helpful list of the signs of stress and burnout as well as specific suggestions designed to prevent or reduce stress. The book is certainly well written and well organized. The copies of various office forms, psychotherapy vignettes used to explain various treatment techniques, and specific examples of therapist responses, all provide helpful information for novice therapists. It is very likely that the book is most appropriate for graduate students and inexperienced practitioners. It will probably be of greatest interest to those professionals entering private practice or, who as teachers and supervisors, want to train others to do so. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Leading researchers' consensus on psychotherapy research findings: Implications for the teaching and conduct of psychotherapy.

We examined leading international psychotherapy researchers' views on psychotherapy outcome research. Participants completed a questionnaire on which they rated level of research evidence for or against various assertions about psychotherapy processes and outcomes. Participants rated how confident they were that the assertions were supported by psychotherapy research. Strong, or relatively strong, consensus was achieved on several of the questionnaire items. Areas for which relative uniformity of opinion does or does not exist have potential implications for the teaching and conduct of psychotherapy and for the science-practice interface in psychotherapy. Additionally, consensus about psychotherapy findings can be used as a yardstick by which to measure practicing clinicians' knowledge of the research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Processes and outcomes of psychotherapists' personal therapy: Replication and extension 20 years later.

In this replication and extension of a national survey of psychotherapists conducted in 1987, American psychologists (n = 219), counselors (n = 191), and social workers (n = 192) reported in 2007 on the processes and outcomes of their personal therapy experiences. Of the 85% who sought therapy at least once, women, men, and members of all three professions were equally as likely to have received personal treatment. Their top reasons for seeking therapy were marital–couple distress (20%), depression (13%), need for self-understanding (12%), and anxiety–stress (10%). Approximately 24% used psychotropic medication in combination with personal therapy. More than 90% of therapists reported positive outcomes across multiple domains. The modal lasting lessons from personal treatment related to therapist reliability, skill, and empathy. The results are tentatively compared with those obtained in 1987, thus chronicling the evolution of personal therapy among psychologists and social workers during the past 20 years. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Youth gambling behaviors: An examination of the role of resilience.

The study of resilient children has overturned many deficit-focused models concerning the ontogenesis of children raised in adversity. This study explored the relationship between risk and protective factors, resilience, and youth gambling behavior. More specifically, this study examined the relative contribution of various risk and protective domains in relation to problem gambling behavior and examined whether youth identified as resilient (high risk exposure- high internalized protection) were as likely as those identified as vulnerable (high risk exposure-low internalized protection) to engage in excessive gambling behavior. The sample consisted of 1,273 students ages 12 to 19. The findings demonstrated that risk and protective factors each provide a unique contribution to the prediction model of gambling problems. Resilient and vulnerable youth differed significantly in their self-reported gambling severity. As well, resilient youth were not statistically distinguishable from low-risk exposure groups in terms of their gambling severity. Findings are interpreted with respect to resilience and prevention research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comprehensive soldier fitness: A vision for psychological resilience in the U.S. Army.

The stress and strain on the U.S. Army's community due to nearly a decade of protracted war is well documented in the press and in scientific literature. In response, the Army's Comprehensive Soldier Fitness (CSF) program is a preventive program that seeks to enhance psychological resilience among all members of the Army community, which includes soldiers, family members, and Department of the Army civilians. CSF is not a medical treatment program. Rather, CSF helps those community members who are psychologically healthy face life's adversities—including combat and prolonged separation from loved ones—by providing evidence-based training. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychotherapy in Argentina: Theoretical orientation and clinical practice.

This article focuses on the relationship between theoretical orientation and clinical practice in Argentina. Five hundred twenty-five psychotherapists were surveyed in the city of Buenos Aires and the provinces of Buenos Aires, Santa Fe, La Pampa, Neuquén, Chubut, and Rio Negro. Psychoanalysis was chosen by 53.1% of the psychotherapists as the main theory used in their clinical practice. Integrationists made up 39.8% of the sample and represented the 2nd most important group. Within the integrationist group, psychoanalysis was mentioned by 63.2% as the main or base theory, followed by 12.9% mentioning cognitive theory. A longitudinal analysis shows how the trend toward integration of the different theories has grown over the years. These results reveal the importance of psychoanalysis and the trend toward integration within clinical practice in Argentina. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Introduction to special series on men’s roles and psychotherapy.

This special series of articles puts the focus on an aspect of psychotherapy that is seldom examined—namely, the effects of the male role socialization process on such variables as the nature of men's mental health problems, men's utilization of psychotherapy and other health services, and the functioning of men as psychotherapists. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Influential psychotherapy figures, authors, and books: An Internet survey of over 2,000 psychotherapists.

In a partial replication and extension of a survey conducted 25 years ago (Smith, 1982), over 2,400 North American psychotherapists completed a Web-based survey in which they identified prominent figures in the psychotherapy field who have most influenced their practice and the best psychotherapy books they had read in the past 3 years. There is a continued prominence to leaders of the field from 25 years ago but who are now deceased, notably the top-ranked Carl Rogers. Three books on the top-10 list represent empirically supported therapies (ESTs); two are treatment manuals for an EST, and one is a self-help book derived from an EST that has itself been shown to be efficacious bibliotherapy. Differences between psychologist and nonpsychologist therapists in the choice of influential figures, authors, and books are negligible. Implications are discussed in terms of the contemporary context into which therapeutic innovations are disseminated, as well as the conditions that may be necessary for successful dissemination. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social resilience: The value of social fitness with an application to the military.

Resilience has been regarded narrowly as a quintessential individual property by most investigators. Social resilience, however, is inherently a multilevel construct, revealed by capacities of individuals, but also groups, to foster, engage in, and sustain positive social relationships and to endure and recover from stressors and social isolation. Emergent levels of organization, ranging from dyads, families, and groups to cities, civilizations, and international alliances have long been apparent in human existence, but identifying the features of individuals, relationships, and group structures and norms that promote social resilience—and determining effective interventions to build social resilience—represent some of the most important challenges facing the military as well as contemporary behavioral science. We identify nine personal resources that foster social resilience, and we describe an educational, computer-based program that builds on these resources in an effort to improve the social resilience among troops in the U.S. Army. Data from this program should provide valuable evidence regarding the challenge of building social resilience. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychotherapy research with ethnic minorities: Empirical, ethical, and conceptual issues.

There is an increasing demand for psychotherapy among ethnic minority populations. Yet, there is not adequate evidence that empirically supported therapies (ESTs) are effective with ethnic minorities. Ethical guidelines suggest that psychotherapies be modified to become culturally appropriate for ethnic minority persons. Conceptual approaches have identified interdependence, spirituality, and discrimination as considerations for culturally sensitive therapy (CST). However, there is no more empirical support for the efficacy of CSTs than there is for the efficacy of ESTs with ethnic minority populations. The chasm between EST and CST research is a function of differences between methods and researchers in these 2 traditions. Specific recommendations for research collaboration between CST and EST researchers are offered. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Incredible Years Parent Training Program: Promoting resilience through evidence-based prevention groups.

This article describes an evidence-based preventive group intervention, Incredible Years Parent Training Program (IY). Decades of research have shown that IY strengthens parent and child competencies and in turn reduces child risks for developing conduct problems and other negative life outcomes. The purpose of this article is to examine IY through a resilience lens and highlight how it capitalizes on group process mechanisms to serve as a model preventive group intervention. Future directions and implications for research, practice, and training are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)