Research has documented the usefulness of virtual reality (VR) in treating a number of psychopathologies. Despite its recognized clinical utility, VR remains underutilized in clinical practice. For the purpose of this study, 262 therapists who reported that they did not currently use VR in psychotherapy were surveyed about their perceptions of the use of this technology in clinical practice. Results suggest that reluctance in using this technology stems from beliefs about the required training, equipment, and financial costs and from unfamiliarity with the various benefits and applications of VR. The significance of promoting greater use of this new technology is discussed.
Individuals with depression process information in an overly negative or biased way (e.g., Henriques & Leitenberg, 2002) and demonstrate significant interpersonal dysfunction (e.g., Zlotnick, Kohn, Keitner, & Della Grotta, 2000). This study examined the relationship between cognitive errors (CEs) and interpersonal interactions in early psychotherapy sessions of 25 female patients with major depression. Transcripts were rated for CEs using the Cognitive Error Rating Scale (Drapeau, Perry, & Dunkley, 2008). Interpersonal patterns were assessed using the Structural Analysis of Social Behavior (Benjamin, 1974). Significant associations were found between CEs and markers of interpersonal functioning in selected contexts. The implications of these findings in bridging the gap between research and practice, enhancing treatment outcome, and improving therapist training are discussed.
Research has extensively identified common factors and their contribution to successful psychotherapeutic outcomes. However, there are various inconsistencies in the literature and much debate regarding their importance and role in therapy. As such, in this study, we examined the extent to which different common factors are important in psychotherapy from the clinicians’ perspective. Sixteen common factors were identified from a previous literature synthesis and consensual process method. Participants were expert psychologists (N = 21; 13 females) with an average of 23 years of experience providing psychotherapy. Participants completed a Q-sort task focusing on the common factors, and grouped them into categories of importance in practice. The data was analyzed using a Q-methodology technique. While most participants believed most of the common factors were important for facilitating successful therapeutic outcomes, there were mixed preferences. On average the most important common factor was the therapeutic alliance, and the least was combatting client’s feelings of isolation. The Q-methodology analysis indicated two factors representing unique viewpoints. The study provides knowledge about the degrees of importance of the common factors as perceived by clinicians.
The present study sought to illuminate self-criticism and personal standards dimensions of perfectionism and dependency as specific cognitive-personality vulnerability factors that might contribute to a better understanding of numerous psychosocial problem areas that are relevant to coronary artery disease (CAD). One hundred and twenty-three patients diagnosed with clinically significant CAD completed self-report questionnaires. Zero-order correlations and factor analysis results revealed that self-criticism was primarily related to personality vulnerability (aggression/anger/hostility, Type D negative affectivity) and psychosocial maladjustment (depressive symptoms, worry, avoidant coping, support dissatisfaction), whereas personal standards was primarily related to adaptive coping (problem-focused coping, positive reinterpretation) and dependency was primarily related to worry. Hierarchical regression results demonstrated the incremental utility of self-criticism, personal standards, and dependency in relation to (mal)adjustment over and above aggression/anger/hostility, negative affectivity, and social inhibition. Continued efforts to understand the role of perfectionism dimensions and dependency in CAD appear warranted.
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