Review of Interpersonal psychotherapy of depression.

Reviews the book, Interpersonal psychotherapy of depression by Gerald L. Klerman, Myrna M. Weissman, Bruce J. Rounsaville, and Eve S. Chevron (1984). The authors state their intention to "describe the theoretical and empirical basis for interpersonal psychotherapy of depression," and also "offer a guide to the planning and conduct of the therapy." They do both, and waste no words. The book is organized into three parts. In the first part, the authors present an overview of the theory of the interpersonal approach of the use of interpersonal psychotherapy for depression, objectively offer both favorable and unfavorable findings from completed studies, and outline several studies in progress. The chapters in Part Two clarify how one conducts interpersonal therapy of depression. Part Three addresses the combination of psychotherapy with pharmacotherapy and the professional requirements of the therapist. This book is clearly written, well referenced, and easily understood by beginners who might not have the perspective, as well as by busy veterans who want to learn something new without plowing through mountains of theory and data. It would be useful for students in training, and extremely valuable to the legions of relatively inexperienced front-line mental health center therapists who are required to use time-limited approaches with depressed patients, often without having much structure for what they are doing. More experienced therapists who treat ambulatory depressed patients will add to their clinical skills and enjoy the process. The authors have turned their manual into a useful book that competes most favorably with other texts on short-term approaches to therapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social problem solving and depressive symptoms over time: A randomized clinical trial of cognitive-behavioral analysis system of psychotherapy, brief supportive psychotherapy, and pharmacotherapy.

Objective: Depression is associated with poor social problem solving, and psychotherapies that focus on problem-solving skills are efficacious in treating depression. We examined the associations between treatment, social problem solving, and depression in a randomized clinical trial testing the efficacy of psychotherapy augmentation for chronically depressed patients who failed to fully respond to an initial trial of pharmacotherapy (Kocsis et al., 2009). Method: Participants with chronic depression (n = 491) received cognitive-behavioral analysis system of psychotherapy (CBASP; McCullough, 2000), which emphasizes interpersonal problem solving, plus medication; brief supportive psychotherapy (BSP) plus medication; or medication alone for 12 weeks. Results: CBASP plus pharmacotherapy was associated with significantly greater improvement in social problem solving than BSP plus pharmacotherapy, and a trend for greater improvement in problem solving than pharmacotherapy alone. In addition, change in social problem solving predicted subsequent change in depressive symptoms over time. However, the magnitude of the associations between changes in social problem solving and subsequent depressive symptoms did not differ across treatment conditions. Conclusions: It does not appear that improved social problem solving is a mechanism that uniquely distinguishes CBASP from other treatment approaches. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Review of The behavioral management of anxiety, depression and pain.

Reviews the book, The Behavioral Management of Anxiety, Depression and Pain edited by Park O. Davidson (1976). Every year since 1969 the Banff Conference has assembled outstanding behavioral scientists who discuss and present their data about a topic of major current importance. In addition, the major presenters prepare a chapter for an annual publication hi which relevant literature is reviewed, concepts are developed and each contributor reports on his own current applied programme. The present book, which grew out of the 1975 conference, is about the behavioral assessment and treatment of anxiety, depression, and pain. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Faster remission of chronic depression with combined psychotherapy and medication than with each therapy alone.

The main aim of the present novel reanalysis of archival data was to compare the time to remission during 12 weeks of treatment of chronic depression following antidepressant medication (n = 218), psychotherapy (n = 216), and their combination (n = 222). Cox regression survival analyses revealed that the combination of medication and psychotherapy produced full remission from chronic depression more rapidly than either of the single modality treatments, which did not differ from each other. Receiver operating characteristic curve analysis was used to explore predictors (treatment group, demographic, clinical, and psychosocial) of remission. For those receiving the combination treatment, the most likely to succeed were those with low baseline depression (24-item Hamilton Rating Scale for Depression [HRSD; M. Hamilton, 1967] score     

Review of The Mind in Therapy: Cognitive Science for Practice.

Reviews the book, The Mind in Therapy: Cognitive Science for Practice by Katherine D. Arbuthnott, Dennis W. Arbuthnott and Valerie A. Thompson (see record 2005-13477-000). In this text, the authors apply the conceptual underpinnings of cognitive science, and its empirical findings, to particular practical issues. In 16 chapters, the authors review different areas of cognitive research and emphasize findings relevant to the theoretical and applied aspects of psychotherapy. Each chapter begins with general definitions of key terms and explains how various cognitive constructs, and the research literature surrounding them, are important to psychotherapy. Many chapters also include case illustrations to translate these concepts into application. The goal of the book--to increase clinicians' understanding of the cognitive processes and mechanisms involved in therapy and to encourage practitioners to integrate this knowledge within the treatments that they provide--is certainly achieved. Practitioners who read this text will be more cognizant of the cognitive processes that influence treatment and may be more deliberate in their use of cognitive mechanisms in therapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Resistance: Psychodynamic and Behavioral Approaches.

[Correction Notice: An erratum for this article was reported in Vol 7(1) of Psychoanalytic Psychology (see record 2007-10573-001). In this review, the phrase "in his inimical style" (p.238) should read "in his inimitable style.] This three-part edited collection of chapters considers the problem of resistance in psychotherapy. The term is defined and considered from several radically difference psychological perspectives. The psychoanalytic approach in Part I consists of four chapters written by authorities in the field. The four chapters of Part II concern both cognitive and pure behavioral approaches. Part III contains eight brief chapters in which the authors were invited to comment on one author's contributions. In the main the authors remain focused and concise, but it is very obvious that resistance has a remarkably broad variety of definitions, and that some of these definitions are so different that the authors do not appear to be speaking of similar phenomena. What is also clear from this complicated edited collection is that the clinician needs to be much more flexible in his theoretical positions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive-Behavioral Analysis System of Psychotherapy as a Maintenance Treatment for Chronic Depression.

Although the efficacy of maintenance pharmacotherapy for the prevention of recurrence in major depressive disorder (MDD) is well documented, few studies have tested the efficacy of psychotherapy as a maintenance treatment. The authors examined the efficacy of the cognitive-behavioral analysis system of psychotherapy (CBASP) as a maintenance treatment for chronic forms of MDD. Eighty-two patients who had responded to acute and continuation phase CBASP were randomized to monthly CBASP or assessment only for 1 year. Significantly fewer patients in the CBASP than assessment only condition experienced a recurrence. The 2 conditions also differed significantly on change in depressive symptoms over time. These findings support the use of CBASP as a maintenance treatment for chronic forms of MDD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Cognitive-behavioral therapies for trauma (2nd Edition).

Reviews the book, Cognitive-behavioral therapies for trauma (2nd edition) by Victoria M. Follette and Josef I. Ruzek (see record 2006-02767-000). This humbly titled text actually provides exhaustive coverage of several important trauma-related areas. As suggested by the book cover, this second edition seems to go beyond updated references and leading-edge changes. The book does indeed appear to be a radical revision without departing from the core intent, which was to provide a one-stop shop for practitioners working with trauma survivors. Functioning more as a compendium than a standard text, this book acts as a single resource for post-traumatic stress disorder (PTSD). In appropriate fashion, a historical review serves to contextualize the subsequent sections and associated chapters. The majority of the book is then divided into three sections: Assessment, Interventions, and Specialized Populations and Delivery Considerations. The final chapter serves as direction for the future of applied cognitive behavioural therapy (CBT) in several diverse settings. Overall, the text is a comprehensive desk reference for many practitioners treating PTSD. As noted in this review, some chapters are presented in a manner that is accessible to a broad readership, whereas others are geared more towards the experienced practitioner. Notwithstanding, the sound empirical foundations provided for the assessments, interventions, and tangential issues related to PTSD make this volume a valuable compendium resource for clinicians. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Review of Resistance: Psychodynamic and behavioral approaches": Correction.

Reports an error in "Review of Resistance: Psychodynamic and Behavioral Approaches" by Stuart W. Twemlow (Psychoanalytic Psychology, 1989[Spr], Vol 6[2], 237-240). In this review, the phrase "in his inimical style" (p. 238) should read "in his inimitable style." (The following abstract of the original article appeared in record 2003-05429-011.) This three-part edited collection of chapters considers the problem of resistance in psychotherapy. The term is defined and considered from several radically difference psychological perspectives. The psychoanalytic approach in Part I consists of four chapters written by authorities in the field. The four chapters of Part II concern both cognitive and pure behavioral approaches. Part III contains eight brief chapters in which the authors were invited to comment on one author's contributions. In the main the authors remain focused and concise, but it is very obvious that resistance has a remarkably broad variety of definitions, and that some of these definitions are so different that the authors do not appear to be speaking of similar phenomena. What is also clear from this complicated edited collection is that the clinician needs to be much more flexible in his theoretical positions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differential effects of treatments for chronic depression: A latent growth model reanalysis.

Objective: Psychotherapy–pharmacotherapy combinations are frequently recommended for the treatment of chronic depressive disorders. Our aim in this novel reanalysis of archival data was to identify patient subgroups on the basis of symptom trajectories and examine the clinical significance of the resultant classification on basis of differential treatment effects to psychotherapy (cognitive behavioral analysis system of psychotherapy), pharmacotherapy (nefazodone), and their combination. Method: We selected data for 504 patients diagnosed with chronic depression from archival data of a clinical trial (N = 681) and analyzed treatment courses (as assessed by the Hamilton Rating Scale for Depression) using growth mixture models, a contemporary exploratory analysis technique. Results: Three patient subgroups were identified from the typical patterns of change of depression severity during 12-week acute-phase treatment. Within these patient subgroups, differential treatment effects were evident: combination treatment clearly outperformed the 2 monotherapies in the largest patient subgroup, characterized by moderate depression severity, but not in the remaining 2 subgroups, characterized by low and severe depression at baseline. Patient characteristics prior to initiation of treatment enabled allocation of 61% of patients to these subgroups. Conclusions: Research on patient subgroups with different change patterns may support classifications of patients that indicate which treatment is most effective for which type of patient. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Cognitive therapy for depressed adolescents.

Reviews the book, Cognitive therapy for depressed adolescents by T. C. R. Wilkes, Gayle Belsher, A. John Rush, and Ellen Frank (see record 1994-98433-000). This book offers chapters on adaption of cognitive therapy for depressed adolescents, ten key principles of adolescent cognitive therapy, diagnosis and assessment, developmental considerations, the therapeutic relationship, family involvement, the initial phase, the middle phase, the final phase, three comorbidity chapters (substance abuse, sexual victimization, suicidal adolescents), hospitalized adolescents, psychopharmacological treatment, and treatment failures. The sequence of chapters makes perfect sense, and despite four senior authors and five co-authors, it is as if one master hand prevails. The writing never wavers—crisp, flowing, and superbly readable. Whenever possible, adolescent and adult therapy of depression are contrasted, and at times, techniques effective or ineffective for early and late adolescents are cited. One might say the current work is a downward extension of the 1979 Beck book, with developmental considerations and family therapy included. This manual motivates me to reread Beck, Burns, Piaget, Bowlby, and the Socratic method series of papers in this Journal (Overholser). Manuals such as this should result in improved supervision. Finally, Drs. Wilkes, Belsher, Rush, Frank, and their associates (Drs. David A. Brent, Graham J. Emslie, Miriam S. Lerner, Anthony Nowels, Warren A. Weinberg) provide this reviewer with one more humility and awe inducing experience. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The mindful way through depression: Freeing yourself from chronic unhappiness.

Reviews the book The mindful way through depression: Freeing yourself from chronic unhappiness by J. Mark G. Williams, John D. Teasdale, Zindel V. Segal and Jon Kabat-Zinn (see record 2007-10791-000). This book is written as a lay companion piece to the therapist manual Mindfulness-Based Cognitive Therapy for Depression: A New Approach to Preventing Relapse by Zindel Segal, Mark Williams, and John Teasdale (2002). Part 1 begins with a discussion of mind, body, and emotion. In chapter 1, the authors present their theory on the recurrence of depression, illustrating patterns of thought and behaviour that will be very familiar to readers with a history of depression. Part 2 of the book explores specific techniques to begin cultivating the mindful "being mode" and incorporating it into everyday life and formal practice. Traditional practices such as mindfulness of taste, breathing, and bodily sensations, are introduced with detailed instructions that parallel the instructions on the accompanying CD. Part 3 explores the more difficult areas of mindfulness of feelings and thoughts. Finally, the "3-min breathing space" is introduced as a technique to help bring the formal practice into the everyday realm. This involves three steps and can be used at any time; most helpful may be during a crisis situation or shortly thereafter. The book ends with a detailed week-by-week schedule of chapter readings, practices to engage in and CD tracks for daily guided meditations. Overall, the reader is left feeling hopeful and excited about the possibility of being truly free from chronic unhappiness and fully alive. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The Core Program: A cognitive behavioural guide to depression.

Reviews the book, The Core Program: A cognitive behavioural guide to depression by Randy J. Paterson, Lynn E. Alden, and William J. Koch (Narrated by Randy J. Paterson). Depression is one of the most common mental health concerns, and efforts to alleviate its burden are truly commendable. Emerging from the Changeways Clinic in Vancouver, this book is one of such recent efforts. This program, developed by Paterson and his colleagues, is delivered in both audio and text formats, with the audio portion narrated by Paterson. The program guides the reader to listen to the audio segment then read through its complementary section in the manual, but it emphasises the importance of working through the examples and completion of the provided worksheets. Overall, the Core Program is a well-developed manual for the treatment of depression. It uses the knowledge derived from cutting-edge research in the field of cognitive science, as well as sound evidence-based practise methods, to provide a valuable tool in the fight against depression. It is replete with pertinent examples and homework assignments, and clearly reflects the authors’ collective expertise in the field of clinical psychology. This program is recommended for use by depressed and/or anxious clients during the course of formal therapy and under the supervision of a licensed practitioner. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Applications of personal construct theory.

Reviews the book, Applications of personal construct theory edited by J. Adams-Webber and J. C. Mancuso (1983). The 24 chapters of this volume are a selection from papers presented at the Fourth International Congress on Personal Construct Psychology (PCP) held in 1981. The title of the volume is perhaps misleading, as there are three discernible motifs in this varied assortment of offerings. These can be identified as those papers dealing primarily with theoretical issues, those concerned with the history of the theory and the man who developed it (George Kelly), and those that focus on applications of the theory. It is clear that ten chapters are theoretical, including the first nine and Bannister's concluding chapter on the self. If I were to assume that these efforts are representative of the development of PCP, my judgment would be that little important change in Kelly's ideas has occurred over the years. It is not easy to say why this is so, although the fact that Kelly died before he might have revised aspects of his theory has to be considered. Overall, however, the conceptual advances have a pallid quality and the occasional adulatory echoing of the master is disconcerting. Of the 11 or so empirical and applied chapters, a number point in useful and interesting directions. Several papers deal with PCP in relation to schizophrenic thought disorder, depression, chronic illness, anorexia nervosa, and obsessive neurosis. Neimeyer's chapter on sociohistorical influences in the development of PCP affords an opportunity to reflect upon the past, present, and future of Kelly's ideas--including the trend toward integration with other schools of thought despite Kelly's well-known resistance to direct comparison with other kindred theories. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Countertransference in psychotherapy with children and adolescents.

Reviews the book, Countertransference in psychotherapy with children and adolescents edited by Jerrold R. Brandell (see record 1992-97833-000). Books on child analytic work are rare, and books on countertransference in child treatment are basically nonexistent, despite the proliferation of writing on countertransference in work with adults. Thus, Jerrold Brandell's edited volume is a welcome and long-overdue addition to the literature. Although the book is not strictly about analysis, it is analytically informed. Brandell's stated goal is to advance the principle that "countertransference is a ubiquitous factor in child and adolescent treatment, and that its recognition, understanding, and management are essential to effective psychotherapy." This is indeed a worthy if not essential undertaking, and the collection of articles in Brandell's book advances this goal. Brandell prefaced the chapters with his own thorough historical literature review of countertransference in both adult and child work. He then subdivided the book into two sections, with the first containing two classic articles an countertransference and the bulk of the book devoted to the following "scientific situations" in child psychotherapy: racial and cultural issues, depressed and suicidal children and adolescents, infant-family treatment, severely disturbed adolescents, eating disorders, abused children and adolescents, parent loss and divorce, borderline children and adolescents, life-threatening illness, and substance-abusing adolescents. This book is a very good resource for child analysts and therapists, especially those who espouse a more relational or intersubjective point of view. It is suitable both for inexperienced analysts and as a reminder to more seasoned ones of the importance and pervasiveness of countertransference issues in our work. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of A perilous calling: The hazards of psychotherapy practice.

Reviews the book, A perilous calling: The hazards of psychotherapy practice by Michael B. Sussman (1994). In this book, the author presents chapters by therapists from various disciplines (e.g., psychology, social work, psychiatry) that examine the "hazards" that lay hidden in the practice of psychotherapy. The author contends that doing psychotherapy "poses significant dangers to clinicians" (p. 1). He believes that there are forces both internal and external to the therapist that may take their toll on the therapist's well-being. Sussman makes the point that while other overtly dangerous professions (e.g., firefighter) warn prospective candidates of the perils of their field, novice psychotherapists are not prepared for what awaits them. Psychotherapists, then, enter the profession unprepared for, if not blind to, possibilities that not only make them less effective in their work, but might actually harm themselves and their families. Sussman sees a real human cost to not preparing clinicians to be aware of, and deal with, these hazards. The book is divided into six parts that range from the therapist's personal development to renewal. Along the way the reader encounters professional, ethical and legal issues, clinical dilemmas, the emotional impact of the work, and the ailments of the therapist. Within each particular area are rather personal, and at times idiosyncratic, chapters from a variety of psychotherapists. There are chapters that deal with AIDS, the Holocaust, body shame, and being a female therapist. Most of the chapters have a distinctly clinical orientation, while a few come across as philosophical discourses. There is one chapter by an expert witness in the Margaret Bean-Bayog case who warns of the dangers of the press on one's career. The wide scope of the chapter topics, at times, gives the book a disjointed feel and the sense that it is trying to tackle too many issues at once. Overall, this book provides a new slant on what is involved in the practice of psychotherapy. It raises some important questions about the field and how we prepare for its impact on our lives, for the practice of psychotherapy surely does affect the practitioner. Sussman and some of the chapter authors make a good case for increasing communication about potential hazards and developing strategies and training methods that will minimize their effects. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Symptom analysis: A method of brief therapy.

Reviews the book, Symptom analysis: A method of brief therapy by M. Gerald Edelstien (see record 1990-97543-000). This book compares different methods of psychotherapy to find their common thread of effectiveness. According to the reviewer, the author has presented a bold, elegantly simple and quite useful theory. After a discussion of various theories about the origin of psychiatric symptoms and showing how the trauma theory may be seen to underlie various seemingly disparate therapeutic approaches, the author goes on to discuss the general values of brief therapy. Symptom Analysis is a bright book that is full of the author's clinical observations and sometimes challenges so-called "conventional wisdom" without having scientific "hard data" to support its suggestions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Critical issues in psychotherapy: Translating new ideas into practice.

Reviews the book, Critical issues in psychotherapy: Translating new ideas into practice edited by Brent D. Slife, Richard N. Williams, and Sally H. Barlow (see record 2001-05779-000). Bridging the often enormous gap between theory and practice in psychotherapy, this volume seeks to examine a variety of models of psychotherapy in the light of recent advances in theoretical psychology, philosophy of science, and critical thinking. The book is organized around numerous issues of fundamental importance to contemporary psychotherapy, including chapters addressing the problems of empirically validated therapies, individualism, spirituality, multiculturalism, biological reductionism, managed care, freewill/determinism, eclecticism, feminism, and diagnostics. (PsycINFO Database Record (c) 2010 APA, all rights reserved)