Abstract:
OBJECTIVE:The current study used multilevel growth mixture modeling to ascertain groups of patients who had similar trajectories in their psychological functioning over the course of short-term treatment. METHOD:A total of 10,854 clients completed a measure of psychological functioning before each session. Psychological functioning was measured by the Behavioral Health Measure, which is an index of well-being, symptoms, and life-functioning. Clients who attended 5 to 25 sessions at 46 different university/college counseling centers and one community mental health center were included in this study. Client diagnoses and the specific treatment approaches were not known. RESULTS:A 3-class solution was a good fit to the data. Clients in classes 1 and 3 had moderate severity in their initial psychological functioning scores, and clients in class 2 had more distressed psychological functioning scores. The trajectory for clients in class 1 was typified by early initial change, followed by a plateau, and then another gain in psychological functioning later in treatment. The trajectory for clients in class 2 demonstrated an initial decrease in functioning, followed by a rapid increase, and then a plateau. Last, the clients in class 3 had a steady increase of psychological functioning, in a more linear manner. CONCLUSION:The trajectories of change for clients are diverse, and they can ebb and flow more than traditional dose-effect and good-enough level models may suggest.
journal_name
J Clin Psycholjournal_title
Journal of clinical psychologyauthors
Owen J,Adelson J,Budge S,Wampold B,Kopta M,Minami T,Miller Sdoi
10.1002/jclp.22191subject
Has Abstractpub_date
2015-09-01 00:00:00pages
817-27issue
9eissn
0021-9762issn
1097-4679journal_volume
71pub_type
杂志文章abstract::Because little information exists on examinees' perceptions of the Wechsler Adult Intelligence Scale-Revised (WAIS-R), this study was designed to assess such perceptions in two groups: young adults (n = 50, age 18-25 years) and elderly adults (n = 46, age 65-96 years). Each participant completed the WAIS-R followed by...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/(sici)1097-4679(200006)56:6<821::aid-jclp1
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abstract::This article reports findings of a study on self-injury, childhood abuse, and self capacities that supports a theory for understanding and assisting self-injuring individuals in crisis. In the study, 233 adults from partial hospital settings and an outpatient clinic answered questions concerning self-injury, abuse his...
journal_title:Journal of clinical psychology
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doi:10.1002/1097-4679(200009)56:9<1173::AID-JCLP5>3.0.
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journal_title:Journal of clinical psychology
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abstract::This article attempts to revitalize the scientist-practitioner model of psychotherapy by focusing on the research component of the model. Specifically, it takes a realistic look at the types of research that can be conducted by clinicians in an effort to motivate them to engage regularly in clinical research. Towards ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.10109
更新日期:2002-10-01 00:00:00
abstract::Although considerable research has been conducted on the efficacy of psychotherapy for depression, with and without medication, relatively few studies have focused on chronic forms of depression. Approximately 20% of individuals with depression experience episodes that last for two years or longer. We review the contr...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,评审
doi:10.1002/jclp.10181
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abstract::Recent decades have seen a significant increase in the number of studies exploring client perspectives on, and experiences of, psychotherapy. The present article provides a practice friendly overview of this research, identifying common domains of inquiry, and providing examples of findings relevant to practitioners. ...
journal_title:Journal of clinical psychology
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journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(199203)48:2<207::aid-jclp2270480
更新日期:1992-03-01 00:00:00
abstract::Investigated the effects of unilateral left (UL), unilateral right (UR), and bilateral (B) ECT on the performance of right-handed male patients on the Wechsler Memory Scale and two tests of the Williams battery, which provided eight independent measures of verbal memory and two of visual-spatial memory. Patients were ...
journal_title:Journal of clinical psychology
pub_type: 临床试验,杂志文章
doi:10.1002/1097-4679(197801)34:1<4::aid-jclp227034010
更新日期:1978-01-01 00:00:00
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journal_title:Journal of clinical psychology
pub_type: 杂志文章
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journal_title:Journal of clinical psychology
pub_type: 传,历史文章,杂志文章
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更新日期:2005-10-01 00:00:00
abstract::Student veterans are arriving at university and college campuses and many counselors may not be prepared. Multiple and intersecting identities complicate the student's integration and matriculation into higher education. We review literature on first-generation college students and issues pertinent to student veterans...
journal_title:Journal of clinical psychology
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更新日期:2013-02-01 00:00:00
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journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/(sici)1097-4679(200005)56:5<633::aid-jclp5
更新日期:2000-05-01 00:00:00
abstract::The present study investigated 261 Mexican-American college students' performance on the Psychological Screening Inventory (PSI), a brief personality instrument designed to detect persons who might benefit from more extensive evaluations in mental health settings. In addition to providing PSI results against which oth...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(199205)48:3<315::aid-jclp2270480
更新日期:1992-05-01 00:00:00
abstract:OBJECTIVE:Despite the high rates of suicidality in body dysmorphic disorder and eating disorders (EDs), research on suicidality in a related disorder, muscle dysmorphia (MD), is essentially nonexistent. Thus, this study tested relations between suicidal thoughts and behaviors and MD and ED symptoms in an online male co...
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更新日期:2020-12-30 00:00:00
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journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20686
更新日期:2010-06-01 00:00:00
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journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198311)39:6<859::aid-jclp2270390
更新日期:1983-11-01 00:00:00
abstract::This article is an effort to integrate contemporary psychoanalytic and existential perspectives on intentional therapist self-disclosure. It offers a two-stage decision-making model that considers self-disclosure from the vantage points of style and internalization. Clinical and research findings are presented to supp...
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pub_type: 杂志文章
doi:10.1002/jclp.10158
更新日期:2003-05-01 00:00:00
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journal_title:Journal of clinical psychology
pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Journal of clinical psychology
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journal_title:Journal of clinical psychology
pub_type:
doi:10.1002/jclp.22201
更新日期:2015-08-01 00:00:00
abstract::There is a very high prevalence of psychosis in U.K. prisons; moreover, a significant number of prisoners meet risk criteria for psychosis. We provide a report of psychological therapy with a client who met risk criteria for psychosis that took place in a prison setting. We applied a self-reflectivity framework when f...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
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更新日期:2016-02-01 00:00:00
abstract::The authors applied cognitive-behavioral therapy (CBT) for depression using the Healthy Management of Reality treatment manual. This 16-week group treatment comprised four 4-week modules: thoughts (cognitive restructuring), activities (behavioral activation), people (interpersonal skills training), and health (address...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20706
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:The aim of the present study is to examine the heterogeneity of attenuated psychotic symptoms (PS) and related personality factors using a cluster analytic approach. METHOD:A large sample of participants from the general population was evaluated in terms of attenuated symptomatology (psychotic and affective)...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22658
更新日期:2018-12-01 00:00:00
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journal_title:Journal of clinical psychology
pub_type: 评论,杂志文章
doi:10.1002/jclp.20148
更新日期:2005-09-01 00:00:00
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journal_title:Journal of clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
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abstract::Adult males (N = 56) who differed in sexual orientation and preference were administered a self-report inventory that concerned their memory of the adolescent period of life. Six factors were assessed: Body self-concept, body weight problems, sports activities, parental relationships, interpersonal self-concept, and g...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197907)35:3<567::aid-jclp2270350
更新日期:1979-07-01 00:00:00