Applied & preventive psychology : journal of the American Association of Applied and Preventive Psychology最新文献

Over the past 30 years, the topic of psychotherapy integration has moved from a latent theme to a clear movement, and the commentaries made in this issue of Applied and Preventive Psychology document these changes. More than ever before, the field of psychotherapy has become increasingly interested in achieving a consensus. The question is becoming what, not who is correct. We are now better able to identify stages of change that cut across different orientations, as well as underlying principles of change. Still, we are not “there yet,” and need to confront the limitations stemming from an overvaluation of what is “new,” and to develop a common language with which to communicate what we know. It is also suggested that a two-way bridge between research and practice can represent the future of psychotherapy integration.

Non-suicidal self-injury (NSSI) among adolescents is a serious and prevalent problem. This article reviews the epidemiological data as well as the existing treatments for adolescents who engage in NSSI. The authors also present the unique features of dialectical behavior therapy, the gold-standard evidence-based treatment for adults who engage in NSSI, and discuss its promise as an effective treatment for adolescents who engage in NSSI. Finally, the authors present a clinical vignette of an adolescent engaging in NSSI and how DBT works to target this maladaptive behavior.

This article reviews first the epidemiological data and then the existing treatments for adolescents engaging in non-suicidal self-injurious behavior (NSSI). Next, the authors present the unique features of one particular therapy, called dialectical behavior therapy, for adolescents who engage in NSSI. Finally, the article concludes with a clinical vignette in which dialectical behavior therapy is applied to an adolescent engaging in NSSI.

With some prominent exceptions, much of the research designed to elucidate the nature, prevalence, and correlates of suicidal behavior has been conducted from an atheoretical perspective. Conversely, psychological theories to explain suicidal behavior are largely untested by rigorous experimental designs. We propose a cognitive model of suicidal behavior that is grounded in the empirical literature on cognitive and behavioral correlates of and risk factors for suicidal behavior. In addition, we demonstrate the manner in which the theoretical components are targeted in cognitive therapy for suicidal patients. We highlight aspects of the model with less empirical support, and we propose ways those constructs can be tested in future research.

Suicide and non-suicidal self-injury (NSSI) lie along a continuum of self-harming behaviors. Highly prevalent, NSSI is a serious public health concern. It also increases risk for suicide. The present article reviews recent research on NSSI and provides an introduction to the articles in this special edition of the journal.

The question of why some people do things that are intentionally harmful to themselves continues to puzzle scientists, clinicians, and the public. Prior studies have demonstrated that one fairly extreme, direct form of self-harm, non-suicidal self-injury (NSSI), is maintained by both automatic (i.e., intrapersonal) as well as social (i.e., interpersonal) reinforcement. However, the majority of theoretical and empirical papers on this topic focus almost exclusively on the automatic functions. The purpose of this paper is to provide a more comprehensive analysis of the social functions of NSSI. Evidence is presented supporting the notion that NSSI is maintained by social reinforcement in at least a substantial minority of instances. Moreover, an elaborated theoretical model of the social functions of NSSI is outlined that proposes that this behavior represents a high intensity social signal used when less intense communication strategies fail (e.g., speaking, yelling, crying). The model further proposes that NSSI can serve not only as a signal of distress that is reinforced primarily by the caregiving behavior it elicits from others, but that it can also serve as a signal of strength and fitness that is reinforced by warding off potential threats (e.g., peer victimization), and in some cases can strengthen affiliation with others. Support for this theoretical model is drawn from diverse literatures including psychology, evolutionary biology, and cultural anthropology. The paper concludes with specific recommendations for empirical tests of the proposed model of the social functions of NSSI, as well as other harmful behaviors such as alcohol and drug use.

Nonsuicidal self-injury (NSSI) is an increasingly prevalent health risk behavior among adolescents and represents a significant public health concern. Although researchers have identified numerous antecedents or risk factors that precede engagement in NSSI behaviors, few studies have examined the role of peer influence processes. Yet, recent research suggests that adolescents may be more likely to engage in NSSI when close friends or other peers engage in similar behaviors. The following paper reviews past research on peer influence effects, including potential mechanisms and moderating variables. Methodological considerations for future research on peer influence and NSSI are discussed.

Studies examining negative priming in dissociative identity disorder (DID) using the flanker task have reported emotional context effects. Significant negative priming is evident when individuals with DID are assessed in a context deemed emotionally neutral, while in contexts designed to elevate anxiety, DID samples display reduced negative priming. Limitations and considerations are discussed around statistical power, generalizability and reliability, and the use of diagnostic groups over specific clinical symptoms. The negative priming findings in this growing body of work have been interpreted with reference to the functioning of cognitive inhibitory mechanisms. Explored is how the episodic retrieval account of negative priming, with its reliance on memory mechanisms, could account for the DID findings. Encoding and retrieval possibilities are discussed and it is concluded that a failure to encode the prime trial distractor stimulus, in contexts of heightened anxiety, could explain the experimental findings from an episodic retrieval perspective.