Journal of clinical psychology
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Randomized Controlled Trial Comparative Study
Cultivating mindfulness: effects on well-being.
There has been great interest in determining if mindfulness can be cultivated and if this cultivation leads to well-being. The current study offers preliminary evidence that at least one aspect of mindfulness, measured by the Mindful Attention and Awareness Scale (MAAS; K. W. ⋯ Further, increases in mindfulness mediated reductions in perceived stress and rumination. These results suggest that distinct meditation-based practices can increase mindfulness as measured by the MAAS, which may partly mediate benefits. Implications and future directions are discussed.
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Well-implemented informed consent procedures demonstrate psychotherapists' respect for clients' right to self-determination and can initiate meaningful contributions to treatment through enhancing mutual trust, building rapport, and facilitating a sense of ownership. This article details key components of informed consent to psychotherapy by placing them within real-world psychotherapy scenarios. We provide information on client-therapist discussions of the nature and course of therapy, fees and payment policies, the involvement of third parties, confidentiality policies, and new and untested treatments. In addition, this article addresses informed consent procedures for individuals with impaired cognitive capacities and under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) regulations.
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Nonsexual boundary crossings can enrich psychotherapy, serve the treatment plan, and strengthen the therapist-client working relationship. They also can undermine the therapy, disrupt the therapist-patient alliance, and cause harm to clients. Building on T. ⋯ O. Gabbard's (1993) conceptualization of boundary crossings and boundary violations, this article discusses and illustrates grounding boundary decisions in a sound approach to ethics. We provides nine useful steps in deciding whether to cross a boundary, describe common cognitive errors in boundary decision making, and offer nine helpful steps to take when a boundary crossing has negative effects.
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Progress in implementing evidence-based behavioral practices has been slow. A qualitative study was performed to characterize the major facilitators and barriers to evidence-based practice (EBP) perceived by behavioral professionals. Members of professional e-mail listservs were queried and 84 barriers and 48 facilitators were nominated by 37 respondents. ⋯ Barriers also reflected confusion between EBP and the products of EBP (i.e., empirically supported treatments [ESTs]). Main facilitators included a growing evidence base. Results suggest that uptake of EBP may be facilitated by education and training.
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The present study investigated forgiveness in a traditional cognitive model of stress appraisal and coping and in a more recent model that includes the construct of low control stressors. One-hundred sixty six men and 168 women completed measures of forgiveness, primary stress appraisals, and coping strategies. For men, forgiveness was found to be positively associated with the use of challenge appraisals, and negatively associated with the use of loss appraisals and emotion-focused coping. ⋯ The results for women indicate that when forgiveness situations are conceptualized as low-control stressors, we are able to explain the relationships between forgiveness, appraisal, and coping. The results for men are broadly in line with a more traditional model of coping, which does not consider the construct of low control. Crucial differences in the ways that men and women appraise and cope with situations involving forgiveness are discussed.