The choose-get-keep model of psychiatric rehabilitation: A synopsis of recent studies.

Objective: Comprehensive review of studies using the choose-get-keep (CGK) process model of psychiatric rehabilitation. Also, other studies are identified that have demonstrated methodologies useful in future research on the CGK model. Intervention Model: The CGK process is conceptualized as the phases through which people with psychiatric disabilities proceed as they engage in psychiatric rehabilitation. Conclusion: The CGK model is a potentially useful psychiatric rehabilitation intervention that can be implemented in a variety of service settings and that focuses on the activities of the practitioner and the service recipient. The CGK model warrants further empirical study to examine its effectiveness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The intergenerational cycle of teenage motherhood: An ecological approach.

Objective: Daughters of teenage mothers have increased risk for teenage childbearing, perpetuating intergenerational cycles. Using Ecological Systems Theory, this study prospectively examined risk factors for teenage childbearing among a national sample of adolescent girls. Design: Data came from the National Longitudinal Survey of Youth 1997. Participants (N = 1,430) were recruited in early adolescence and interviewed yearly for 6 years. Survival analysis was used to examine the rate of childbirth across the teenage years by maternal age at first birth. Hierarchical Cox regression was used to identify multivariate predictors of teenage childbearing and to test whether risk factors differed between daughters of teenage versus older mothers. Primary Outcome Measure: Age at first childbirth was based on cumulative information collected at yearly interviews. Results: Daughters of teenage mothers were 66% more likely to become teenage mothers, after accounting for other risks. Individual (school performance), family (maternal education, marital status, number of children), peer (dating history), and environmental (race, enrichment) factors predicted teenage childbearing. Risks unique to daughters of teenage mothers were deviant peer norms, low parental monitoring, Hispanic race, and poverty. Conclusion: Results support multidimensional approaches to pregnancy prevention, and targeted interventions addressing unique risk factors among daughters of teenage mothers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Emotional arousal, client perceptual processing, and the working alliance in experiential psychotherapy for depression.

Early-, middle-, and late-phase client emotional arousal, perceptual processing strategies, and working alliance were examined in relation to treatment outcome on 4 measures in 32 clients who previously underwent experiential therapy for depression. Hierarchical regression analyses relating these variables to outcome indicated that results varied depending on the therapeutic process, phase of treatment, and outcome measure involved in the analyses. Mid-therapy arousal predicted improvements in self-esteem, whereas mid- and late treatment perceptual processing predicted reductions in client interpersonal dysfunction. Emotional arousal in conjunction with perceptual processing during mid-therapy predicted reductions in depressive and psychopathological symptomatology better than either of these variables alone. The implications of these findings for psychotherapy research and practice are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Therapeutic experiencing: The process of change.

Reviews the book, Therapeutic experiencing: The process of change by Alvin R. Mahrer (1986). In one sense, Mahrer makes the reviewer's task easy by summarizing in his introduction such key points as the purpose of his book, its scope, and its intended readership. Mahrer has two stated purposes: one is "to show how to do experiential therapy" and the other is "to build upon the various members of the experiential family and to propose a single theory of experiential psychotherapy complete with its own methods of bringing about therapeutic change." There are three conditions, however, which must be met in order to enable the reader to do experiential therapy. The first is that the reader is familiar with and sympathetic to existential-humanistic thinking. It is to all such therapists, as well as to their patients, that this book is addressed. The other two conditions that must be fulfilled in order to undertake experiential therapy are that the reader understands how to start each experiential therapy session and knows how to listen experientially. These latter two conditions are the subject of an earlier book by Mahrer, Experiential Psychotherapy: Basic Practices, which is thus basic reading for anyone intending to apply the method described in the current volume, as these two conditions together comprise the essential first of five steps that constitute each experiential psychotherapy session. The current volume picks up the method only at step two, "carrying forward of potentials for experiencing," and covers the remaining steps as well: "experiencing the relationship with deeper potentials, experiential being of the deeper potentials, and being/ behavioral change." In Therapeutic Experiencing , Mahrer stipulates that the patient should have a minimum of three hundred sessions, distributed over a 3-year period, and return for therapeutic work every two years or so for about 10 to 15 sessions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Making contact: Uses of language in psychotherapy.

Reviews the book, Making contact: Uses of language in psychotherapy by Leston Havens (see record 1986-97288-000). Drawing on ideas from psychoanalytic, existential, and interpersonal theories, the author has provided a thought-provoking and practical book about how to reach, affect, and influence the distant or absent patient through language. This book is not only thought-provoking and practical but also a pleasure to read; Havens possesses a graceful literary style that is vivid, witty, and filled with fresh metaphors. Havens avoids traditional terminology for describing the more disturbed patient in favor of a personal and less objectifying way of speaking. Havens has provided a framework for conceptualizing how language can be used in a disciplined and powerful way to locate the lost selves of our patients. By calling attention to how we speak, he reminds us that language, used empathically and authentically, is the most powerful tool we have to bridge the often wide chasm between us and our patients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Epilogue: Psychological interventions in the changing health care systems.

Psychotherapy has utility for a wide variety of circumstances that have significant economic, personal, and social consequences. This special issue is a small attempt to address some of these problems. There are important omissions, such as the frequent use of psychotropic medications in psychotherapy, psychological rehabilitation of patients and families with chronic health problems, and hospice care. The need for establishment of a national policy on how psychotherapy can be used to create more effective and humane solutions to societal problems has been identified. The challenge is how to fund the study of health and other social problems responsive to psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Ericksonian monographs number 2: Central themes and principles of Ericksonian therapy.

Reviews the book, Ericksonian monographs number 2. Central themes and principles of Ericksonian therapy, edited by Stephen R. Lankton. This is a collection of nine articles and three book reviews that make up a second volume in what is intended to be an ongoing series. The selections will be of particular interest to those readers who have some familiarity with Ericksonian theory and technique, are convinced of the value of this approach, and would like to know still more about it and its founder. Six of the nine articles are primarily about technique, but there is not a clear organizational theme to the book. There is an uneven quality to the book, due both to the way it is organized and the fact that the articles are written by different people. The chapters attempting first to link Erickson with Carl Rogers and then with self theory and Kohut are strained and unconvincing. Also, while Erickson is certainly a fascinating person, the repetitive adulation of him creates an uncritical cultish context that could alienate readers attempting an objective appraisal. The tone of the monograph is such that Ericksonian methods may seem applicable to anything and everything, and always seem to work. The theory is certainly evolving and has some strong and convincing adherents, but a more balanced approach including dealing with difficult and unsuccessful patients would help its further development. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Developmental factors in the treatment on adolescents.

Most empirically supported interventions for adolescent mental health problems are either downward adaptations of adult treatments or upward adaptations of child treatments. Although these treatments show respectable effects with teens, a review of the outcome research reveals significant gaps, both in coverage of adolescent conditions and problems (e.g., eating disorders, suicidality) and in attention to the biological, psychological, and social dimensions of adolescent development. The authors critique the field, propose a biopsychosocial framework for the development of dysfunction and intervention, and discuss ways the developmental literature can and cannot inform intervention and research. A long-term goal is an array of developmentally tailored treatments that are effective with clinically referred teens and an enriched understanding of when, how, and why the treatments work. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychoneuroimmunology: Psychological influences on immune function and health.

This review focuses on human psychoneuroimmunology studies published in the past decade. Issues discussed include the routes through which psychological factors influence immune function, how a stressor's duration may influence the changes observed, individual difference variables, the ability of interventions to modulate immune function, and the health consequences of psychosocially mediated immune dysregulation. The importance of negative affect and supportive personal relationships are highlighted. Recent data suggest that immune dysregulation may be one core mechanism for a spectrum of conditions associated with aging, including cardiovascular disease, osteoporosis, arthritis, Type 2 diabetes, certain cancers, and frailty and functional decline; production of proinflammatory cytokines that influence these and other conditions can be stimulated directly by negative emotions and indirectly by prolonged infection. (PsycINFO Database Record (c) 2010 APA, all rights reserved)