Seventy outpatients at a community mental health center completed the Self‐Rating Depression scale, additional questions about their symptoms, and the Restraint Scale which measures attitudes about eating and dieting. The data indicated that some patients gained (not lost) weight during depression and this appears related to their being restrained eaters. The results also suggested that some patients sleep or nap more (not less) during depression while some use drinking as a coping mechanism for depression. Arguments were presented for the bidirectional nature of depressive symptomatology to include deviations from a personal norm. It was suggested that a checklist of symptom categories including symptom direction, magnitude, and desirability would be a better instrument for assessing clinical depression.
Twenty‐four underassertive individuals from the community were assigned randomly to two treatment orders that included covert modeling and behavior rehearsal in a crossover design. Dependent measures included two self‐report inventories and a behavioral assertiveness test. This test included a self‐rating scale, two nonverbal measures, and eight measures of speech content. No measurable differences between treatments were found, and both significantly improved assertive skills on 10 of the 13 measures. However, Ss had greater expectations of improvement from behavior rehearsal both during and after treatment. Generalization of assertive skills from trained to untrained situations occurred on 8 of the 11 behavioral measures. Suggestions were made for exploring the use of covert modeling as a personal coping procedure capable of enhancing generalization and maintenance.
A balanced approach t o the detection of malingering and defensiveness in the neuropsychological 8ssess-ment of mild traumatic brain injury (MTBI) is suggested, while genuine neurobehavloral and psychopathological sequelae are documented. The absence of neuroradiologlcai evidence and heavy reliance on patient report and neuropsychological test data make malingethg and defensiveness issues that are d c d in forensic contexts and for the credibility of neuropzychoiogy. Deficiencies in inteniew data collection and the relative strengths and weaknesses of the MMPI (Minnesota Multiphasic Perronality Inventory) am reviewed. The potentid independence of malingering and dofenilveness and of MMPI and nouropzychological dat8 are noted. The equivocal research on malingering is reviewed, with parCicular emphasis on assessment of memory deficits as one of the most common complaints in MTBI. Arguably, mallngedng is more similar to than different from other diagnoses, but it has not boen so treated in clinical practice. The need for developing sophisticated malingering probes is acltnowledgod, but the quest for a single malingering test is criticized and preference given to approaches that rely on ovaluatlng data patterns indiuting malingering.
Imago relationship therapy (IRT) developed from a synthesis of clinical therapeutic approaches and theoretical schools as an operational means of intervening in troubled, committed relationships. IRT is based on a premise of mate selection, loss of romantic love, power struggle, and the conscious evolution of passionate friendship. The effective use of IRT by therapists with couples necessitates the acquisition of specific skills sensitively applied in an effort to help the couple heal each partner. Brief, theoretical comparisons with other relationship therapy paradigms are made to aid the reader in discerning differences between competing schools of thought. The complexities of the differential treatment response of various diagnostic entities to IRT are discussed, as well as factors complicating treatment processes. The pitfalls and rewards of manualization efforts are noted, and outcomes measurement needs are explored.This document is copyrighted by the American Psychological Association or one of its allied publishers.This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
SummaryA test battery consisting of the Beck Depression Inventory, Zung Self‐Rating Depression Scale, Rathus Assertiveness Schedule, and Minnesota Multiphasic Personality Inventory was administered to newly admitted alcoholic patients receiving pharmacological aversion treatment at a private facility. The results found 42 per cent of these patients to be clinically depressed. This depressed group was also significantly more depressed than relapsed patients readmitted for further treatment. The depressed group appeared qualitatively different in being younger and in reporting significantly more psycho‐pathology on the MMPI. In addition, significant sex differences appeared in that women reported more psychopathology and less overall social skill than their male counterparts. Arguments were presented for both assessing and treating depression and social skill deficits in multifaceted treatment programmes for alcoholics.
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