Making Cognitive-Behavioral Therapy Work: Clinical Process for New Practitioners Deborah Roth Ledley, Brian P. Marx and Richard G. Heimberg New York: The Guilford Press, 2005. pp. 254. $34.00US (€27.22) (hb). ISBN: 1-59385-142-1

Leedy, Melissa J.; Leffingwell, Thad R.

doi:10.1017/s1352465806213560

Cited by 4 publications

(6 citation statements)

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“…We suggest that these identified brain regions may be biomarkers for truth telling under asymmetric information, which can be applicable to practical settings. For instance, trust in a therapeutic relationship between a mental health practitioner and a patient, called therapeutic alliance, is critical to predict treatment success [ 8 , 9 , 29 – 33 ]. To assist building a therapeutic alliance, both practitioner and patient are required to tell the truth under asymmetric information.…”

Section: Discussionmentioning

confidence: 99%

“…Subjective trust is an internal state of cognitive and social processing of trust (e.g., a perception/evaluation of others as trustworthy or not), which results from a trust antecedent (a psychological precursor leading to trust) and in behavioral trust (an overt action reflecting trust). The interplay of these constructs directly or indirectly optimizes group performance [ 2 – 7 ] and helps accomplish social capital in practical settings, such as the treatment success in psychotherapy [ 8 , 9 ], therefore it is important to study subjective trust, behavioral trust, and trust antecedents.…”

Section: Introductionmentioning

confidence: 99%

“…For example, in a psychotherapeutic interaction, a mental health practitioner, who is knowledgeable of the diagnosis and treatment of mental health, communicates with a patient, who needs professional advice and help. If a patient realizes that the mental health practitioner tells the truth and is convinced of the appropriateness of the practitioner’s treatment, the patient would be willing to follow the practitioner’s advice and stay in the treatment for a sufficiently long time, which builds therapeutic alliance and promotes the efficiency of interpersonal therapeutic treatment [ 8 , 9 , 29 – 31 ] and medication treatment [ 32 , 33 ]. In this way, well informed participant’s truth telling under asymmetric information is crucial to precede trust (i.e., trust antecedent), and the current study aimed to examine neural biomarkers for truth telling.…”

Section: Introductionmentioning

confidence: 99%

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Neural Responses to Truth Telling and Risk Propensity under Asymmetric Information

2015

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Trust is multi-dimensional because it can be characterized by subjective trust, trust antecedent, and behavioral trust. Previous research has investigated functional brain responses to subjective trust (e.g., a judgment of trustworthiness) or behavioral trust (e.g., decisions to trust) in perfect information, where all relevant information is available to all participants. In contrast, we conducted a novel examination of the patterns of functional brain activity to a trust antecedent, specifically truth telling, in asymmetric information, where one individual has more information than others, with the effect of varying risk propensity. We used functional magnetic resonance imaging (fMRI) and recruited 13 adults, who played the Communication Game, where they served as the “Sender” and chose either truth telling (true advice) or lie telling (false advice) regarding the best payment allocation for their partner. Our behavioral results revealed that subjects with recreational high risk tended to choose true advice. Moreover, fMRI results yielded that the choices of true advice were associated with increased cortical activation in the anterior rostral medial and frontopolar prefrontal cortices, middle frontal cortex, temporoparietal junction, and precuneus. Furthermore, when we specifically evaluated a role of the bilateral amygdala as the region of interest (ROI), decreased amygdala response was associated with high risk propensity, regardless of truth telling or lying. In conclusion, our results have implications for how differential functions of the cortical areas may contribute to the neural processing of truth telling.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Neural Responses to Truth Telling and Risk Propensity under Asymmetric Information

2015

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“…However BA in a group therapy format can still remain flexible to each attendee and provide opportunities for group processes to enhance outcomes 40. Different clients will move at different paces and grasp key concepts at different points using differing styles of learning 42. For example, difficulties in identifying appropriate therapy goals can take several sessions 33.…”

Section: Resultsmentioning

confidence: 99%

Behavioural activation for the treatment of depression in military personnel

Whybrow

2013

J R Army Med Corps

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INTRODUCTION: Depression is a common mental health problem in both civilian and military populations. Access to evidence based psychological therapies for treating common mental health problems such as depression may not be adequate at present. Behavioural Activation (BA) represents a National Institute for Clinical Excellence recommended, evidence-based treatment for depression. The aim of this review was to review the literature to determine how BA could work as a therapeutic approach for military personnel with depression. METHOD: Five specialty-specific electronic databases were searched using the key words 'behavioural activation', 'activity scheduling' and 'depression'. Emerging themes were drawn out of the literature using a long table approach to thematic analysis. RESULTS: Seven themes were identified: Clinical Effectiveness, Cultural Competence, Co-morbidity, Cost Effectiveness, Alternatives to Face-to-Face Therapy, Training and Patient Experience. CONCLUSIONS: Group based BA is a cost effective option that may build upon service personnel's cultural affinity to teamwork and peer support. Brief training workshops and supervision could be provided to military mental health nurses to deliver group based BA. However service delivery may also be enhanced by enabling some nurses to specialise as Cognitive Behavioural Psychotherapists. More research is needed to understand whether this pragmatic, two pronged approach to training would result in the sustained dissemination of evidence based practice.

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“…Cognitive behavioral approaches have a longstanding and compelling history as highly effective interventions for improving healthy behaviors, dysfunctional emotional states, and unhelpful thinking patterns (Beck, 1976;Ledley et al, 2011). The intervention was developed in a way that applies MI to support participants' engagement, a foundational pillar of MI, in the process of learning and using CBT content.…”

Section: Cbt and MImentioning

confidence: 99%

Developing an integrated cognitive behavioral therapy and motivational interviewing intervention for African Americans with mild cognitive impairment: A pilot study.

Owen¹,

Brown²,

Deragon³

et al. 2022

Practice Innovations

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Mild cognitive impairment, a common precursor to Alzheimer's disease, disproportionately affects African American individuals compared with their European American peers. The prevalence of this condition among the African American population is magnified by health care disparities and unique cultural aspects. This article describes a culturally tailored intervention for African Americans with mild cognitive impairment (n = 17) based on the Africultural coping model and grounded in cognitive behavioral therapy and motivational interviewing theories. This six-month pilot study describes the rationale and process for creating this novel behavioral health intervention for an in-person and online group, as well as preliminary findings. Despite the small sample size, improved Montreal Cognitive Assessment scores were statistically significant (p , .05). On postsession questionnaires, 94-97% of responses indicated agreement that the group session, intervention, and communication were helpful, relevant, and clear. Participants responded with a slightly lower agreement rate to perceptions of relevance to culture (84%). Overall, results addressing efficacy in this cognitive behavioral therapy/motivational interviewing intervention moved in a positive direction but need further examination with a larger sample size. Additionally, in future research, it will be important to further develop culturally tailored interventions to address the complexities of the African American cultural identity so that interventions are both relevant and effective for African Americans. Clinical Impact StatementPositive findings from this culturally tailored pilot intervention combining cognitive behavioral therapy and motivational interviewing for African Americans with mild cognitive impairment suggest a need for further development of similar programs in primary care.

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Making Cognitive-Behavioral Therapy Work: Clinical Process for New Practitioners Deborah Roth Ledley, Brian P. Marx and Richard G. Heimberg New York: The Guilford Press, 2005. pp. 254. $34.00US (€27.22) (hb). ISBN: 1-59385-142-1

Cited by 4 publications

References 0 publications

Neural Responses to Truth Telling and Risk Propensity under Asymmetric Information

Neural Responses to Truth Telling and Risk Propensity under Asymmetric Information

Behavioural activation for the treatment of depression in military personnel

Developing an integrated cognitive behavioral therapy and motivational interviewing intervention for African Americans with mild cognitive impairment: A pilot study.

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