Abstract:
:Incompleteness-the troubling and irremediable sense that one's actions or experiences are not "just right"--appears to underlie many of the symptoms of obsessive-compulsive disorder (OCD). Because incompleteness may reflect basic sensory-affective dysfunction, it presents a challenge to clinicians wishing to apply cognitive-behavioral treatments. In this article, I review ways of adapting well-demonstrated treatment principles to this condition. A case is presented and then used to discuss challenges in conducting cognitive-behavioral therapy with this population. Behavioral methods aimed at habituation (e.g., exposure and ritual prevention [ERP]) are probably more applicable than conventional cognitive techniques. However, even these may result in modest long-term gains; relapse is a probability if they are not actively practiced after treatment cessation.
journal_name
J Clin Psycholjournal_title
Journal of clinical psychologyauthors
Summerfeldt LJdoi
10.1002/jclp.20080keywords:
subject
Has Abstractpub_date
2004-11-01 00:00:00pages
1155-68issue
11eissn
0021-9762issn
1097-4679journal_volume
60pub_type
杂志文章abstract::Bowlby's attachment theory describes characteristic patterns of relating to close others and has important implications for psychotherapy. Attachment patterns have been characterized as secure (healthy interdependence with others), anxious (overdependence on others), and avoidant (difficulty relying on others). We upd...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,meta分析,评审
doi:10.1002/jclp.22685
更新日期:2018-11-01 00:00:00
abstract::Previous research indicates that many brain-damage screening tests lack the ability to separate organic from functional patients at a satisfactory level. However, the Smith Symbol-Digit Modalities Test, the Benton Visual Retention Test, the Background Interference Procedure variation of the Minnesota Percepto-Diagnost...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198104)37:2<347::aid-jclp2270370
更新日期:1981-04-01 00:00:00
abstract::Multiple regression analysis was used to examine the relation between temperament and psychological adjustment in a sample of female adult incest victims (N = 57). Several dimensions of temperament, including activity level, mood, approach/withdrawal, flexibility (adaptability), and rhythmicity were significant predic...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198903)45:2<330::aid-jclp2270450
更新日期:1989-03-01 00:00:00
abstract::The administration times for Wechsler Intelligence Scale for Children-IV (WISC-IV) subtests, indexes, and the Full Scale IQ were recorded for 57 school children. Also determined were administration times for eight short forms and the General Ability Index (GAI). All eight short forms reduced testing time by >50%, but ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20343
更新日期:2007-04-01 00:00:00
abstract::A questionnaire that pertains to sexual attitudes and behaviors, family relationships, and marihuana usage was administered to 358 undergraduates at Wichita State University. A factor analysis performed upon the results yielded 12 factors related to sexual behavior: (1) Liberal vs. Conservative Attitudes; (2) Age-Expe...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197507)31:3<568::aid-jclp2270310
更新日期:1975-07-01 00:00:00
abstract::The two articles discussed are integral ingredients of a greater whole Ken Howard envisioned. The first (Saunders, Howard, & Newman, 1988) refined our understanding of clinical significance, challenging researchers to clearly define the character and range of behaviors identified as normal or nonclinical for a specifi...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,评审
doi:10.1002/jclp.10168
更新日期:2003-07-01 00:00:00
abstract::This short article is a précis of the author's (2005a) abductive theory of scientific method. This theory of method assembles a complex of specific strategies and methods of relevance to psychology that are employed in the detection of empirical phenomena and the subsequent construction of explanatory theories. A char...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20506
更新日期:2008-09-01 00:00:00
abstract::Described a 50-item, self-administered neuropsychological screening test with test results correlating with three reference measures for three participant groupings--Normals (N = 22), Psychiatric patients (N = 21) and Neurological patients (N = 14). Results suggest that neuropsychological self-description can correlat...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198309)39:5<746::aid-jclp2270390
更新日期:1983-09-01 00:00:00
abstract::In this article, the authors outline methods of strengthening the therapist-patient bond with individuals who self-injure. Self-injuring patients present with a host of challenges that differ from other patient populations and therefore certain approaches may be more effective than others. Among the strategies describ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20414
更新日期:2007-11-01 00:00:00
abstract::Recent research has shown that perfectionism is an important psychological variable in explaining various disorders. This study evaluated (a) the factor structure and psychometric properties of the Chinese Frost Multidimensional Perfectionism Scale (CFMPS) and (b) the relative predictive power of its subscales for sel...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/(sici)1097-4679(199909)55:9<1051::aid-jclp
更新日期:1999-09-01 00:00:00
abstract:OBJECTIVES:Mindfulness-based stress reduction (MBSR) promotes numerous psychological benefits, but few studies have identified for whom MBSR is most effective. The current study tested the hypothesis that lower baseline mindfulness invites more "room to grow" and, thus, predicts greater improvement during MBSR. METHOD...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22521
更新日期:2018-04-01 00:00:00
abstract::Contrasted five aspects of psychiatric inpatient care in two psychometrically distinct inpatient samples. The experimental (N = 35) and control groups (N = 35) differed in that the former Ss all scored higher WAIS VIQs than their respective PIQs by at least 15 units. The controls had WAIS VIQs that were within 5 point...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198403)40:2<571::aid-jclp2270400
更新日期:1984-03-01 00:00:00
abstract::The relationships of high-point code types of the Diagnostic Inventory of Personality and Symptoms (DIPS) to the Diagnostic and statistical manual III-R (DSM-III-R; American Psychiatric Association, 1987) were explored for adolescent patients (N = 263). Twelve DIPS code types that relate code types to Axis I diagnoses...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(199011)46:6<839::aid-jclp2270460
更新日期:1990-11-01 00:00:00
abstract:OBJECTIVE:The goal of this study was to explore sleep quality as a potential mediator between depression symptoms and diabetes quality of life (DQOL), and anxiety symptoms and DQOL. METHOD:Participants were 83 male and 3 female veterans with type 2 diabetes (Mage = 62.4). Self-report measures were completed during the...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.21866
更新日期:2013-10-01 00:00:00
abstract::Accurately identifying another person's emotional state is an ability that may be necessary for a psychotherapist to empathize with a patient and that may be required for obtaining valid and reliable psychotherapy process ratings in research. Accuracy of identifying emotions and of rating emotional intensity expressed...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/(sici)1097-4679(199901)55:1<39::aid-jclp4>
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVES:The present study used a cultural and social cognitive conceptual framework to investigate whether alcohol expectancies and valuations would mediate the associations between specific acculturation orientations and alcohol-related risk behaviors. DESIGN:The sample comprised 1,527 Hispanic students attending ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.21859
更新日期:2013-04-01 00:00:00
abstract::Borderline personality disorder (BPD) is a severe, highly prevalent mental disorder. Effective psychological treatments for BPD are available. However, most patients do not receive evidence-based treatments partly because of high treatment delivery costs and lack of specialized therapists. By integrating specialized e...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22204
更新日期:2015-08-01 00:00:00
abstract::High- and low-sexual responders to a double-entendre word association test were found to differ in defensive preference on the Defense Mechanisms Inventory. Low responders preferred avoidant defenses (reversal and principalization), and high responders preferred approach defenses (turning against object and projection...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197601)32:1<79::aid-jclp22703201
更新日期:1976-01-01 00:00:00
abstract::A variety of conceptualizations of the relationship between therapist and client, as well as the impact the quality of this relationship has on the client, are reviewed. Different hypotheses about bow the alliance might influence therapeutic progress are also presented. The review pays attention to both the historical...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/(sici)1097-4679(200002)56:2<163::aid-jclp3
更新日期:2000-02-01 00:00:00
abstract::This pilot study compared the efficacy of two treatments for postraumatic stress disorder (PTSD): Eye Movement Desensitization and Reprocessing (EMDR) and Prolonged Exposure (PE). Data were analyzed for 22 patients from a university-based clinic serving the outside community (predominantly rape and crime victims) who ...
journal_title:Journal of clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1002/jclp.1132
更新日期:2002-01-01 00:00:00
abstract::Described the development of a standardized rating scale for scoring Kinetic Family Drawings of depressed patients. The Zung Self Rating Depression Scale (SDS) and a Kinetic Family Drawing (KFD) task were administered to hospitalized depressives who met the DSM-III criteria for Major Depression. Using the Family Drawi...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198210)38:4<853::aid-jclp2270380
更新日期:1982-10-01 00:00:00
abstract::The goal of this study was to assess suicidal behavior and risk factors among 1,616 predominantly middle-class adolescents who were seeking crisis services, either residential or nonresidential. Across recruitment sites, 22.1% reported a past suicide attempt; half reported suicidal ideation in the month prior to seeki...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/(SICI)1097-4679(199603)52:2<137::AID-JCLP3
更新日期:1996-03-01 00:00:00
abstract:OBJECTIVE:The present investigation examined (a) whether a clinical sample of individuals with social anxiety disorder (SAD) comprises two distinct groups based on attention bias for social threat (vigilant, avoidant), (b) the relation between attention bias and cognitive bias, specifically estimates of the probability...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.21875
更新日期:2012-07-01 00:00:00
abstract::In a recent preliminary report, a multidimensional model for bulimia nervosa was proposed with latent dimensions body dissatisfaction, restricting behaviors, bulimic behaviors, and affective and personality disorder. It was suggested that body dissatisfaction clearly represented a distinct dimension of the disorder. I...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(199503)51:2<181::aid-jclp2270510
更新日期:1995-03-01 00:00:00
abstract::There are very few less contentious issues than the role of attachment in psychotherapy. Concepts such as the therapeutic alliance speak directly to the importance of activating the attachment system, normally in relation to the therapist in individual therapy and in relation to other family members in family-based in...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,评审
doi:10.1002/jclp.20241
更新日期:2006-04-01 00:00:00
abstract::The psychoanalytic understanding of suicide has greatly expanded in the past 30 years, and the older therapeutic approach has been modified. Although the turning of murder on the self inferred by Freud 90 years ago remains a cornerstone, current practice concentrates on the identification of a precipitating event, the...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20225
更新日期:2006-02-01 00:00:00
abstract::This article reviews previous studies with the Coping Resources Inventory for Stress (CRIS) and reports the results of a recent convergent/divergent study on six CRIS scales. CRIS scales have high internal consistency and test-retest reliabilities and appear to be useful in predicting illness, emotional distress, pers...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:
更新日期:1993-11-01 00:00:00
abstract::This article introduces an issue of the Journal of Clinical Psychology:In Session devoted to treatment failures in psychotherapy. In contrast to recent attention from the research perspective and cognitive-behavioral orientation, this issue focuses on clinical material from multiple theoretical perspectives. This arti...
journal_title:Journal of clinical psychology
pub_type:
doi:10.1002/jclp.20858
更新日期:2011-11-01 00:00:00
abstract::When one is treating mother-infant dyads psychotherapeutically, the infant's inchoate language skills render the traditional use of metaphor ineffective. This paper discusses how a developmental principle, labeled previewing, may function like a metaphor and be used to address the therapeutic needs of the dyad. Previe...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(199303)49:2<261::aid-jclp2270490
更新日期:1993-03-01 00:00:00
abstract:OBJECTIVE:To assess the adequacy of global ratings of patients' psychosocial functioning, which are an integral part of the current system for obtaining multidimensional psychiatric diagnoses and are embodied by the Global Assessment of Functioning (GAF) Scale as AXIS V of the Diagnostic and Statistical Manual of Menta...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/(sici)1097-4679(200004)56:4<449::aid-jclp1
更新日期:2000-04-01 00:00:00