Abstract:
OBJECTIVE:We examined Veterans' perspectives on discussing moral injury in veterans affairs (VA) evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD) and other VA treatment. METHODS:Fourteen male warzone veterans (ages 25-74) who completed an EBP for PTSD within the past year participated in semistructured interviews related to discussing moral injury in VA treatment (e.g., EBPs for PTSD, chaplaincy). Qualitative interviews were evaluated using a thematic analysis. RESULTS:Four themes were identified; moral injury is often not identified or discussed during therapy, therapeutic relationships can promote or inhibit discussion of moral injury, treatment has limited impact on moral injury, and it is difficult to cope with moral injury even after treatment. CONCLUSION:The majority of Veterans interviewed identified moral injury persisting within a year of completing a PTSD EBP. These findings highlight the value of asking about, assessing, and treating moral injury in Veterans. Our results suggest the importance of developing specific moral injury interventions for warzone Veterans.
journal_name
J Clin Psycholjournal_title
Journal of clinical psychologyauthors
Borges LM,Bahraini NH,Holliman BD,Gissen MR,Lawson WC,Barnes SMdoi
10.1002/jclp.22887subject
Has Abstractpub_date
2020-03-01 00:00:00pages
377-391issue
3eissn
0021-9762issn
1097-4679journal_volume
76pub_type
杂志文章abstract::The Patient Perceptions of Corrective Experiences in Individual Therapy (PPCEIT; Constantino, Angus, Friedlander, Messer, & Moertl, 2011) posttreatment interview guide was developed to provide clinical researchers with an effective mode of inquiry to identify and further explore clients' firsthand accounts of correcti...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22432
更新日期:2017-02-01 00:00:00
abstract::This study examined cognitive distortions and coping styles as potential mediators for the effects of mindfulness meditation on anxiety, negative affect, positive affect, and hope in college students. Our pre- and postintervention design had four conditions: control, brief meditation focused on attention, brief medita...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20543
更新日期:2009-06-01 00:00:00
abstract::Sixty female Ss were assigned randomly to six conditions that involved self-administration of electrical shock. These were: (1) no model-one trial S response; (2) no model-graduated trial S response; (3) one trial model-one trial S response; (4) one trial model-graduated S response; (5) graduated model-one trial respo...
journal_title:Journal of clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1002/1097-4679(197604)32:2<412::aid-jclp2270320
更新日期:1976-04-01 00:00:00
abstract::Belief in a concerned God has been shown to be associated with lower depression through the mediation of hopelessness. This study hypothesized that this relationship would also be true longitudinally. Shortly after admission to treatment and 8 weeks later, 136 adults with clinical depression completed the Beck Depress...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20598
更新日期:2009-09-01 00:00:00
abstract::This study was designed to identify clinically meaningful differences between continuous and episodic drinkers who were entering inpatient treatment (N = 125) on the basis of information from intake administrations of the revised Alcohol Evaluation Instrument, the Million Clinical Multiaxial Inventory, and the Minneso...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(199101)47:1<148::aid-jclp2270470
更新日期:1991-01-01 00:00:00
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
更新日期:2000-06-01 00:00:00
abstract::A screening questionnaire for bulimic symptoms was completed by 244 college women. Approximately 79% reported binge eating (uncontrolled, excessive eating) occurrences. Twenty women (8.2% of the sample) reported self-induced vomiting after binge eating or "normal" meals. A subsample of 31 students were interviewed and...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198403)40:2<440::aid-jclp2270400
更新日期:1984-03-01 00:00:00
abstract::Previous reports on the use of the MMPI with chronic pain patients have produced a variety of results. No single configural feature or scale identifies the chronic pain patient, regardless of the origin or verifiability of the etiology of the pain. Elevations on the neurotic triad occur frequently, but do not have the...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198611)42:6<878::aid-jclp2270420
更新日期:1986-11-01 00:00:00
abstract:OBJECTIVE:Because the well-known relationship between autobiographical memory (AM) with social functioning and psychopathology can manifest itself in a different way for memories of different life periods, the current work assesses AM specificity deficits across different life stages in people with schizophrenia. METH...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22746
更新日期:2019-06-01 00:00:00
abstract::Determined whether individuals who adapted well or poorly to the loss of their vision could be differentiated on the basis of the Cattell 16PF. Well adjusted individuals were defined as those who displayed minimal depression and high social independence, while poorly adjusted individuals were highly depressed and soci...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197801)34:1<84::aid-jclp22703401
更新日期:1978-01-01 00:00:00
abstract::The factor structure of the WISC-R was examined with a large metropolitan pediatric clinic population of referred children. The robustness of the two-factor solution, which parallels the verbal-performance dichotomy, was supported for a group of non-LD children (n = 272) and, with the exception of the Coding subtest, ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198809)44:5<799::aid-jclp2270440
更新日期:1988-09-01 00:00:00
abstract:OBJECTIVE:Suicide is a leading and growing cause of death in the military during peacetime. This study sought to examine the psychological mechanisms relating to entrapment, stress, and psychological protective factors facilitating suicide ideation among military personnel. METHOD:The study population comprised 168 so...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22304
更新日期:2016-10-01 00:00:00
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journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198601)42:1<82::aid-jclp22704201
更新日期:1986-01-01 00:00:00
abstract::Dean's alienation scale was administered to comparable samples of alcoholic and normal males and females in groups of 10 to 12. Alcoholics not only evidenced significantly greater overall alienation than normals, but also demonstrated greater specific alienation, namely social isolation, powerlessness and normlessness...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197510)31:4<770::aid-jclp2270310
更新日期:1975-10-01 00:00:00
abstract::Used a brief deep muscle relaxation procedure to reduce patient (N = 39) anxiety during a dental appointment. State anxiety decreased significantly for a relaxed (treated) group from the waiting room period to the actual contact with the dentist. This reduction in state anxiety was maintained for the duration of the d...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198001)36:1<270::aid-jclp2270360
更新日期:1980-01-01 00:00:00
abstract:OBJECTIVES:The current study assessed associations between changes in 5 facets of mindfulness (Acting With Awareness, Observing, Describing, Non-Reactivity, and Nonjudgment) and changes in 4 posttraumatic stress disorder (PTSD) symptom clusters (Re-Experiencing, Avoidance, Emotional Numbing, and Hyperarousal symptoms) ...
journal_title:Journal of clinical psychology
pub_type: 临床试验,杂志文章
doi:10.1002/jclp.22323
更新日期:2017-03-01 00:00:00
abstract::There has been great interest in determining if mindfulness can be cultivated and if this cultivation leads to well-being. The current study offers preliminary evidence that at least one aspect of mindfulness, measured by the Mindful Attention and Awareness Scale (MAAS; K. W. Brown & R. M. Ryan, 2003), can be cultivat...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1002/jclp.20491
更新日期:2008-07-01 00:00:00
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journal_title:Journal of clinical psychology
pub_type: 杂志文章
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更新日期:2020-11-14 00:00:00
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pub_type: 杂志文章
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更新日期:2010-12-01 00:00:00
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journal_title:Journal of clinical psychology
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更新日期:1999-12-01 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(199712)53:8<791::aid-jclp2
更新日期:1997-12-01 00:00:00
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journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198401)40:1<351::aid-jclp2270400
更新日期:1984-01-01 00:00:00
abstract::This longitudinal study was undertaken to clarify the relationships among self-esteem, interpersonal dependency, and depression, focusing on a trait and state component of interpersonal dependency and depression. In a sample of 466 working people, self-esteem, interpersonal dependency, job stressor, and depression wer...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20815
更新日期:2011-09-01 00:00:00
abstract::Over the years, various clinicians diagnosed a school-aged child as mentally retarded, mentally retarded with autistic-like features, or autistic. A school district sought to place the child locally in a school for mentally retarded children, while the child's parents desired replacement in a residential school that s...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198505)41:3<440::aid-jclp2270410
更新日期:1985-05-01 00:00:00
abstract::Progress in implementing evidence-based behavioral practices has been slow. A qualitative study was performed to characterize the major facilitators and barriers to evidence-based practice (EBP) perceived by behavioral professionals. Members of professional e-mail listservs were queried and 84 barriers and 48 facilita...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20376
更新日期:2007-07-01 00:00:00
abstract::Examined the importance of therapist-client agreement for therapy outcome in group therapy. Fifty-five clients comprised 12 groups conducted by 6 therapists. The study considered data in two phases. In the first an attempt was made to reduce clients' ambiguity about relationship aspects of therapy via a preparation fo...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197907)35:3<637::aid-jclp2270350
更新日期:1979-07-01 00:00:00
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
pub_type: 杂志文章,评审
doi:10.1002/jclp.22532
更新日期:2017-11-01 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::Psychotherapy research has not received much attention among Latinos in the U.S. or in Latin America including Puerto Rico. The present study explores factors associated with the effectiveness of psychotherapy with a sample of Puerto Ricans. Seventy-nine persons who received psychotherapy participated in a study aimed...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/(sici)1097-4679(199804)54:3<329::aid-jclp4
更新日期:1998-04-01 00:00:00
abstract::Latent variable path analysis (LVPA) is undoubtedly one of "the" new statistical techniques being used increasingly often by clinical researchers. Although well suited for some types of clinical research, LVPA can be a somewhat intimidating technique for novices. This work is intended to provide a non-mathematical int...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,评审
doi:10.1002/1097-4679(199107)47:4<471::aid-jclp2270470
更新日期:1991-07-01 00:00:00