Browsing by Subject "Psychotherapy"
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Item Identifying Barriers and Solutions to Psychotherapy in Adults with Depression(2019-07-12) Small, Hunter Boone; Greer, Tracy L.; McClintock, Shawn Michael; Fischer, Noelle M.; Carmody, Thomas; Trombello, Joseph M.Research has suggested that adults with depression face a variety of intrinsic and extrinsic barriers to psychotherapy, which results in low initiation rates for psychotherapy. These barriers have been characterized in some detail, but to our knowledge, there has been no previous examination of how adults with depression initiate psychotherapy after first encountering barriers. The primary goals of this study were to assess barriers to psychotherapy endorsed by adults with depression currently receiving psychotherapy and to design and implement a new questionnaire (Overcoming Barriers to Psychotherapy) to examine what solutions adults with depression perceive as helpful in overcoming barriers to initiating psychotherapy. This study also aimed to evaluate the respective impacts of 1) demographic variables (race, ethnicity, income), 2) depression symptom severity, and 3) psychosocial functioning on endorsement of intrinsic and extrinsic barriers. An online survey was administered to examine sociodemographic information, depression symptom severity, psychosocial functioning, barriers to psychotherapy, and solutions to barriers in 132 adults with depression currently receiving psychotherapy recruited from a variety of outpatient settings across the Dallas-Fort Worth metroplex. Results revealed that a higher percentage of extrinsic relative to intrinsic solutions were endorsed for intrinsic barriers, and a higher percentage of intrinsic relative to extrinsic solutions were endorsed for extrinsic barriers. Results indicated that barriers to psychotherapy are more frequently resolved by solutions of different types (e.g., intrinsic barriers resolved by extrinsic solutions). Resolution of barriers to psychotherapy may require adults with depression to rely on solutions that enable them to work around the core difficulty posed by barriers. Both depression symptom severity and psychosocial impairment were associated with overall higher endorsement of intrinsic and extrinsic barriers. A lack of racial and ethnic diversity in the recruited sample prevented examination of the impact of race and ethnicity on endorsement of extrinsic barriers. Future research is warranted to establish psychometrics of the novel study measure to assess solutions to barriers to psychotherapy, and to administer the measure in a more racially and ethnically diverse sample. The solutions to barriers to psychotherapy discussed in this study may help adults with depression to overcome barriers and initiate psychotherapy.Item [News](1982-02-05) Harrell, AnnItem Personal Psychotherapy and the Professional Development of Trainee Therapists(2015-08-31) Abrams, Ian Christopher; Casenave, Gerald W.; Davis, Carlos; Asay, TedThis paper aims to synthesize the literature on personal psychotherapy and graduate training in the helping professions to determine whether personal therapy should belong to the standard set of activities and competencies required of trainee psychotherapists. Though personal psychotherapy has a long history as a training tool, it is seldom formally required or recommended in programs today. Benefits to the clinician have been widely reported; whether clients benefit is a subject of ongoing debate. It appears that most psychotherapists eventually do enter therapy at some point in their career, but not necessarily in training. The paper attempts to determine what is of value to the trainee therapist and how it can be integrated with the goals of training programs.Item A Sense of Humor: Theories, Benefits, & Therapeutic Applications(2016-08-25) Solowiej, Kathryn Lee; Casenave, Gerald W.; Davis, Carlos; Vreeland, AllanThis paper aims to synthesize the literature on humor theory and its therapeutic application as is related to mental health. Though humor is a universally experienced phenomenon and it widely accepted that humor is a positive adaptive response to life's difficult moments, it is seldom formally taught in psychology programs today. Benefits of humor in therapy have been widely reported; whether clients benefit is a subject of ongoing debate. The paper attempts to define humor, present a discussion of the existing theories on humor, and then analyze the research findings regarding its effect on mental health and the therapeutic use of humor. It remains a largely unexplored psychotherapeutic technique and a potentially untapped resource.Item [Southwestern News](2000-05-18) Harrell, AnnItem [Southwestern News](1999-06-02) Harrell, AnnItem [Southwestern News](1999-05-24) Harrell, AnnThe date for this news release was not printed on the front page. The date can be located on the last page (2) of the news release just below the web site URL. The date is consistent with the original organization within the binders.Item University of Texas Southwestern Medical Center Group Therapy Outcomes: Social Skills Training for Adults with Mental Illness(2012-12-06) Russo, Amanda; Chiu, Chung-Yi; Casenave, Gerald W.; Rose, LindseyBACKGROUND: Group therapy is an effective method of treating people with various mental illnesses. Social skills training is often used in a group therapy setting to improve the social functioning of people with mental illness, many of whom have social skills deficits. Currently, there is very little literature on how social skills training reduces symptomology, most of which is limited to children or adolescents and people with autism spectrum disorders. The current study looks to determine what, if any, effect social skills training has on alleviating depression and anxiety symptoms in a mixed mental illness sample. SUBJECTS: 23 subjects were recruited from the University Rehabilitative Services to take part in the study. There were 11 males and 12 females divided into two treatment groups named Connections (CG) and Personal and Social Adjustment Treatment (PSATG). METHOD: A one-way paired samples t-test was used to determine improvement between pre and post BDI-II and BAI scores. RESULTS: BDI-II scores were significantly lowered, indicating improvement in depression symptoms. BAI scores were not statistically significant. DISCUSSION: Social skills training does alleviate depression symptoms in an adult mixed mental illness sample. Future studies need to focus on improving anxiety symptoms as well.