Given the enormous individual, familial, and societal costs associated with early disruptive behavior disorders, transformative efforts are needed to develop innovative options for overcoming traditional barriers to effective care and for broadening the availability of supported interventions. This paper presents the rationale and key considerations for a promising innovation in the treatment of early-onset disruptive behavior disorders—that is, the development of an Internet-based format for the delivery of Parent-Child Interaction Therapy (PCIT) directly to families in their own homes. Specifically, we consider traditional barriers to effective care, and discuss how technological innovations can overcome problems of treatment availability, accessibility, and acceptability. We then detail our current Internet-delivered PCIT treatment program (I-PCIT), which is currently being evaluated across multiple randomized clinical trials relative to waitlist comparison, and to traditional in-office PCIT. Embedded video clips of children treated with I-PCIT are used to illustrate novel aspects of the treatment.

Transdiagnostic mechanisms such as emotion dysregulation have been found to influence the relationships among minority stressors and poor mental health outcomes in sexual and gender minority (SGM) people. However, research has yet to describe why or how exactly minority stressors may impact SGM individuals' abilities to effectively access and utilize their own emotions. Because SGM people are at risk for universal forms of invalidation as well as identity-specific forms (i.e., minority stressors), understanding minority stress through the lens of chronic and traumatic invalidation may help to illuminate the core emotional processes underlying their disproportionate rates of emotional and behavioral disorders. This article aims to (a) introduce an emotion-focused conceptualization of minority stress in SGM people through the lens of traumatic invalidation, and (b) discuss relevant treatment implications and future research directions. Public Health Significance StatementSexual and gender minority (SGM) people are at particularly high risk for poor psychosocial outcomes. Identity-related minority stressors may function as group-specific forms of invalidation, disrupting SGM individuals' ability to identify, understand, and effectively utilize their emotions. Mental health treatments for SGM people with emotional disorders must prioritize helping them regain their ability to trust and use their emotions in the service of their values and goals.

No abstract

No abstract

Aim This exploratory study reports on borderline symptomatology within a sample of individuals at clinical high risk for psychosis (CHR‐P) through a validated, self‐report instrument, the short version of the Borderline Symptom List (BSL‐23). Methods The sample consisted of 44 help‐seeking CHR‐P youth (ages 14–29 years) who completed an initial evaluation at a specialized clinic for psychosis‐risk. Results The mean BSL‐23 score was 1.5 (SD = 1.0, range 0.1–4.0). Higher scores were strongly associated with greater reported depressive symptoms (r = 0.84, p < 0.001). Additionally, borderline symptoms associated with attenuated positive symptoms (r = 0.32, p = 0.034) and social anxiety (r = 0.34, p = 0.027). Borderline symptomatology was not associated with role or social functioning. Conclusions This study is one of the first examinations of borderline symptomatology within a CHR‐P sample through a validated self‐report measure. Future research replicating these results is required to determine their robustness.