Clinical Psychology

Complete details: http://users.erols.com/ksciacca/MIannounce.htm
Registration is Open for the:
October 24, 25 & 26, 2016 Motivational Interviewing Training Seminar.
Contact: Kathleen Sciacca E-mail: ksciacca@pobox.com
The following includes Complete Details and Registration materials for October, 2016:
DATES: October 24, 25 & 26, 2016 - Three-Day Seminar.
PLACE: *Hotel Beacon, 2130 Broadway at W.75th Street, New York City.
FEE: * $598.00 prior to September 20, 2016; $698.00 after September 20, 2016.
Fee includes course materials, continental breakfast and refreshments daily.
Limited to Thirty Participants. 18 clock hours, NY State OASAS Certified; (NEW!) 18 CEU's NY State Social Work pre-approved; & Certificate of Course Completion awarded to all participants.
PRESENTER: Kathleen Sciacca, M.A.
Phone: 212-866-5935. FAX: 212-666-1942. E-mail: ksciacca@pobox.com
*Mail registration form and fee as per instructions or process credit card payment.

Theory, Practice and Skill Building in the Miller/Rollnick Model of Motivational Interviewing will be the focus of this three-day seminar. Includes New topics & MI3.

Motivational Interviewing provides effective strategies and skills for working with many forms of behavior change including: mental health, substance abuse, criminal justice-corrections, homeless services, domestic violence, veteran's administration, employee assistance programs, education, vocational rehabilitation, gambling, weight change and primary health care including HIV, Hepatitis C, Chronic care and more. It is effective for both adult and adolescent populations.

*Understand Motivational Interviewing (MI) theory, concepts, strategies, processes, techniques and spirit - MI3.
*Understand the contrasts between traditional interventions and Motivational Interviewing Strategies and Interventions.
*Learn the Correlates between Dual Diagnosis Treatment & MI.
*Learn the Stages of Change (Prochaska & DiClemente) and interventions.
*(New!) Learn to measure client' readiness and use worksheet to track progress.
* (New!) Learn the four processes of Motivational Interviewing including strategies and interventions - MI3.
*Learn the Key Elements of Motivational Interviewing: ^Change talk; ^Guiding; ^Providing information, advice and education; ^Expressing Empathy and more. Includes practice.
*Acquire Intervention and Communication Skills Utilizing Motivational Interviewing Five Strategies and Techniques "OARS." Includes empathic/reflective listening, change talk & practice in each strategy.
*Build Motivation for clients at various stages of readiness and motivation.
*Learn and Practice Strategies to Deal with Discord - Resistance.
*(New!) Understand how the Motivational Interviewing Treatment Integrity (MITI) scale and criteria are used to determine MI adherent interventions and competent MI practice. Includes MITI4
*Learn to Develop a Plan.
*(New!) Learn to administer and interpret an MI compatible Functional Analysis.
*(New!) Understand the elements of Cognitive Behavioral Therapy that are compatible with MI.
*Learn to use Motivational Interviewing Strategies in Groups.
*Learn Brief Intervention Strategies.

Course includes lecture, live demonstrations, experiential practice, video demonstrations, written exercises, question and answer segments and interactive discussion.

Kathleen Sciacca, M.A., is trained as a trainer of Motivational Interviewing; is a Member of the MINT since 1995. She is a forerunner in treatment interventions, program development and program materials for Dual Diagnosis; author of the MIDAA Service Manual; producer of the video Integrated Treatment/in Library of Congress. She has authored numerous articles/chapters/reports/documents and teaches in various media. She has thirty-six years of clinical experience in MH, SA, HIV, Corrections, Health Care, EAP, Homeless services, Veteran's administration. Thirty-one years as Dual Diagnosis consultant, trainer and program implementer includes numerous state-wide projects. Twenty years as educator/trainer, program developer, coach and supervisor of Motivational Interviewing.
Go to: Dual Diagnosis Website
New site: Motivational Interviewing Training

REGISTRATION

Recommended for service providers, administrators & educators for Mental Health, Substance Abuse, The Homeless, Criminal Justice-Corrections, Primary Health Care, The VA, HIV, Domestic Violence, Vocational Rehabilitation, EAP, Education, Gambling, Chronic Care and Residential Care. For adult and adolescent populations.

PLACE: Hotel Beacon, 2130 Broadway at W.75th St. New York, NY. Excellent Location, 3 blocks to Central Park, Museum of Natural History, Planetarium, near Lincoln Center, Columbus Circle, The East side, Times Square Theater district, & attractions.

HOTEL RESERVATIONS CALL: 212-787-1100 ext. 2, or 800-572-4969, Mon.- Fri.
*Specify "Motivational Interviewing Seminar."
Special rates per night honored until September 23, 2016: King studios and Double/Double $295.00 per night (single/double occupancy). King Suites: One bedroom w/one King bed and queen sofa bed, $345.00 per night; all rooms w/kitchenette, 32" Flat screen TV, wireless internet and full amenities. Limited number of rooms held, reserve early, liberal hotel cancellation policy until 24 hours prior.
Hotel Information Go To: Hotel Beacon http://www.beaconhotel.com/

Seminar Hours: Day One registration: 8:30 AM. Seminar daily: 9 AM -5:00 PM. Includes Continental Breakfast daily at 8:30 AM.

TO REGISTER:
Mail registration form with payment to: Kathleen Sciacca, 299 Riverside Drive, 3E, New York, N.Y. 10025. Make check payable to: Kathleen Sciacca, in US Dollars - Or pay by credit card "Buy Now" button ($15.00 fee for credit card payments):
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REGISTRATION FORM MOTIVATIONAL INTERVIEWING TRAINING SEMINAR, Theory, Practice and Skill Building. October 24, 25 & 26, 2016. Limit - first thirty registrants. Registration payable to: Kathleen Sciacca, 299 Riverside Drive, 3E, New York, N.Y., 10025.

NAME & Degree as you would like it to appear on your certificate:

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ADDRESS______________________________________________________________________________
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Telephone__________________________Cell phone______________________________

Email____________________________________Fax___________________________

Agency______________________________________________________________

Your Client Population -include Change Area (addiction, diabetes, etc.)___________________________________________________________

Enclosed is: $_____________ 0r Credit card payment: $_____________ For: #__________participant(s)
If Multiple participants please provide all names and information.
We reserve the right to cancel this seminar. No refunds after 9/20/16. Fees cannot be transferred to future training except if emergency necessitates rescheduling this course.
Kathleen Sciacca has certificate as trainer of Motivational Interviewing; is a Member of the MINT since 1995; Is a Certified NYS OASAS Training provider & Faculty. CASAC, CCP & CPS credits pre-approved; and 18 NY State SW CEU's pre-approved.
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There has been substantial interest in mindfulness as an approach to reduce cognitive vulnerability to stress and emotional distress in recent years. However, thus far mindfulness has not been defined operationally. This paper describes the results of recent meetings held to establish a consensus on mindfulness and to develop conjointly a testable operational definition. We propose a two-component model of mindfulness and specify each component in terms of specific behaviors, experiential manifestations, and implicated psychological processes.

The development of a multidimensional individual difference measure of empathy is described. The final version of the instrument consists of four seven-item subscales, each of which taps a separate aspect of the global concept "empathy." One scale, the perspective-taking scale, contains items which assess spontaneous attempts to adopt the perspectives of other people and see things from their point of view. Items on the fantasy scale measure the tendency to identify with characters in movies, novels, plays and other fictional situations. The other two subscales explicitly tap respondents' chronic emotional reactions to the negative experiences of others. The empathic concern scale inquires about respondents' feelings of warmth, compassion, and concern for others, while the personal distress scale measures the personal feelings of anxiety and discomfort that result from observing another's negative experience. The factor structure underlying these scales is the same for both sexes, and emerged in two independent samples.

Socioemotional selectivity theory claims that the perception of time plays a fundamental role in the selection and pursuit of social goals. According to the theory, social motives fall into 1 of 2 general categories-those related to the acquisition of knowledge and those related to the regulation of emotion. When time is perceived as open-ended, knowledge-related goals are prioritized. In contrast, when time is perceived as limited, emotional goals assume primacy. The inextricable association between time left in life and chronological age ensures age-related differences in social goals. Nonetheless, the authors show that the perception of time is malleable, and social goals change in both younger and older people when time constraints are imposed. The authors argue that time perception is integral to human motivation and suggest potential implications for multiple subdisciplines and research interests in social, developmental, cultural, cognitive, and clinical psychology.

For many years I have been engaged in psychotherapy with individuals in distress. In recent years I have found myself increasingly concerned with the process of abstracting from that experience the general principles which appear to be involved in it. I have endeavored to discover any orderliness, any unity which seems to inhere in the subtle, complex tissue of interpersonal relationship in which I have so constantly been immersed in therapeutic work. One of the current products of this concern is an attempt to state, in formal terms, a theory of psychotherapy, of personality, and of interpersonal relationships which will encompass and contain the phenomena of my experience.1 What I wish to do in this paper is to take one very small segment of that theory, spell it out more completely, and explore its meaning and usefulness.

In an attempt to eliminate similar item content as an alternative explanation for the relation between depression and rumination, a secondary analysis was conducted using the data from S. . After constructing a measure of rumination unconfounded with depression content, support for a two factor model of rumination was found. These analyses indicate that the 2 components, reflective pondering and brooding, differentially relate to depression in terms of predictive ability and gender difference mediation. The results presented here support the general premise of Nolen-Hoeksema's Response Styles Theory (S. Nolen-Hoeksema 1987) that rumination can contribute to more depressive symptoms and to the gender difference in depression, but suggest important refinements of the theory. Such refinements include the need to differentiate between the reflective pondering component of rumination and the brooding component in rumination research.

We present a set of evolving guidelines for reviewing qualitative research, to serve four functions: to contribute to the process of legitimizing qualitative research ; to ensure more appropriate and valid scienti®c reviews of qualitative manuscripts, theses, and dissertations ; to encourage better quality control in qualitative research through better self-and other-monitoring ; and to encourage further developments in approach and method. Building on a review of existing principles of good practice in qualitative research, we used an iterative process of revision and feedback from colleagues who engage in qualitative research, resulting in a set of seven guidelines common to both qualitative and quantitative research and seven guidelines especially pertinent to qualitative investigations in psychology and related social sciences. The Evolving Guidelines are subject to continuing revision and should not be used in a rigid manner, in order to avoid sti¯ing creativity in this rapidly evolving, rich research tradition.

Recently, the psychological construct mindfulness has received a great deal of attention. The majority of research has focused on clinical studies to evaluate the efficacy of mindfulness-based interventions. This line of research has led to promising data suggesting mindfulness-based interventions are effective for treatment of both psychological and physical symptoms. However, an equally important direction for future research is to investigate questions concerning mechanisms of action underlying mindfulness-based interventions. This theoretical paper proposes a model of mindfulness, in an effort to elucidate potential mechanisms to explain how mindfulness affects positive change. Potential implications and future directions for the empirical study of mechanisms involved in mindfulness are addressed.

Counseling psychologists often work with clients to increase their well-being as well as to decrease their distress. One important aspect of well-being, highlighted particularly in humanistic theories of the counseling process, is perceived meaning in life. However, poor measurement has hampered research on meaning in life. In 3 studies, evidence is provided for the internal consistency, temporal stability, factor structure, and validity of the Meaning in Life Questionnaire (MLQ), a new 10-item measure of the presence of, and the search for, meaning in life. A multitrait-multimethod matrix demonstrates the convergent and discriminant validity of the MLQ subscales across time and informants, in comparison with 2 other meaning scales. The MLQ offers several improvements over current meaning in life measures, including no item overlap with distress measures, a stable factor structure, better discriminant validity, a briefer format, and the ability to measure the search for meaning.

The effect of a grateful outlook on psychological and physical well-being was examined. In Studies 1 and 2, participants were randomly assigned to 1 of 3 experimental conditions (hassles, gratitude listing, and either neutral life events or social comparison); they then kept weekly (Study 1) or daily (Study 2) records of their moods, coping behaviors, health behaviors, physical symptoms, and overall life appraisals. In a 3rd study, persons with neuromuscular disease were randomly assigned to either the gratitude condition or to a control condition. The gratitude-outlook groups exhibited heightened well-being across several, though not all, of the outcome measures across the 3 studies, relative to the comparison groups. The effect on positive affect appeared to be the most robust finding. Results suggest that a conscious focus on blessings may have emotional and interpersonal benefits.

Do positive psychology interventions-that is, treatment methods or intentional activities aimed at cultivating positive feelings, positive behaviors, or positive cognitions-enhance well-being and ameliorate depressive symptoms? A meta-analysis of 51 such interventions with 4,266 individuals was conducted to address this question and to provide practical guidance to clinicians. The results revealed that positive psychology interventions do indeed significantly enhance well-being (mean r 5 .29) and decrease depressive symptoms (mean r 5 .31). In addition, several factors were found to impact the effectiveness of positive psychology interventions, including the depression status, self-selection, and age of participants, as well as the format and duration of the interventions. Accordingly, clinicians should be encouraged to incorporate positive psychology techniques into their clinical work, particularly for treating clients who are depressed, relatively older, or highly motivated to improve. Our findings also suggest that clinicians would do well to deliver positive psychology interventions as individual (versus group) therapy and for relatively longer periods of time.

In dit boek wordt getracht een brug te slaan tussen de cognitieve en de klinische psychologie. In de hedendaagse klinische praktijk zijn cognitieve therapieën zeer gangbaar. Een goed begrip hiervan vraagt om een uitgewerkte relatie tussen cognitieve en emotionele processen, zoals in dit boek wordt nagestreefd.

Common maxims about beauty suggest that attractiveness is not important in life. In contrast, both fitness-related evolutionary theory and socialization theory suggest that attractiveness influences development and interaction. In 11 meta-analyses, the authors evaluate these contradictory claims, demonstrating that (a) raters agree about who is and is not attractive, both within and across cultures; (b) attractive children and adults are judged more positively than unattractive children and adults, even by those who know them; (c) attractive children and adults are treated more positively than unattractive children and adults, even by those who know them; and (d) attractive children and adults exhibit more positive behaviors and traits than unattractive children and adults. Results are used to evaluate social and fitness-related evolutionary theories and the veracity of maxims about beauty.

Procrastination is a prevalent and pernicious form of self-regulatory failure that is not entirely understood. Hence, the relevant conceptual, theoretical, and empirical work is reviewed, drawing upon correlational, experimental, and qualitative findings. A meta-analysis of procrastination’s possible causes and effects, based on 691 correlations, reveals that neuroticism, rebelliousness, and sensation seeking show only a weak connection. Strong and consistent predictors of procrastination were task aversiveness, task delay, self efficacy, and impulsiveness, as well as conscientiousness and its facets of self-control, distractibility, organization, and achievement motivation. These effects prove consistent with temporal motivation theory, an integrative hybrid of expectancy theory and hyperbolic discounting. Continued research into procrastination should not be delayed, especially because its prevalence appears to be growing.

Cognitive theories of depression posit that people's thoughts, inferences, attitudes, and interpretations, and the way in which they attend to and recall information, can increase their risk for depression. Three mechanisms have been implicated in the relation between biased cognitive processing and the dysregulation of emotion in depression: inhibitory processes and deficits in working memory, ruminative responses to negative mood states and negative life events, and the inability to use positive and rewarding stimuli to regulate negative mood. In this review, we present a contemporary characterization of depressive cognition and discuss how different cognitive processes are related not only to each other, but also to emotion dysregulation, the hallmark feature of depression. We conclude that depression is characterized by increased elaboration of negative information, by difficulties disengaging from negative material, and by deficits in cognitive control when processing negative information. We discuss treatment implications of these conclusions and argue that the study of cognitive aspects of depression must be broadened by investigating neural and genetic factors that are related to cognitive dysfunction in this disorder. Such integrative investigations should help us gain a more comprehensive understanding of how cognitive and biological factors interact to affect the onset, maintenance, and course of depression.

A number of qualitative and meta-analytic reviews point to the efficacy of psychotherapeutic and pharmacological interventions for obsessive-compulsive disorder (OCD). In this article, we report a multidimensional meta-analysis of psychological and pharmacological treatment studies for OCD published between 1980 and 2001, examining a range of variables not previously meta-analyzed, including exclusion rates and exclusion criteria, percent of patients improved or recovered post-treatment, mean post-treatment symptomatology, and longterm outcome. These additional metrics provide a more nuanced view of the strengths and limitations of the existing data and their implications for clinical practice. Behavioral and cognitive-behavioral therapy, and a range of pharmacological interventions, lead to substantial improvement for the average patient, with individual psychotherapies and clomipramine and other Serotonin reuptake inhibitors faring best across multiple metrics. However, OCD symptoms persist at moderate levels even following adequate treatment course, and no replicable data are available on maintenance of gains for either form of treatment at 1 year or beyond. Future research should track recruitment and exclusion of study participants, include more comorbid patients, and focus on longer-term follow-up using multiple indices of outcome. More research on combined pharmacological and psychotherapeutic interventions is also indicated. D

There is growing interest in deficit symptoms in studies of the course and treatment response of schizophrenia. However, existing clinical assessment instruments focus primarily on productive symptoms. The authors describe the Quality of Life Scale (QLS), a 21-item scale based on a semistructured interview designed to assess deficit symptoms and thereby fill an important gap in the range of instruments now available. Data regarding reliability and training in the use of the QLS are presented. A factor analysis of the items yields results compatible with the conceptual model on which the scale is based. The factor analysis was also performed separately by sex and was fundamentally similar for men and women.

Traditionally, positive emotions and thoughts, strengths, and the satisfaction of basic psychological needs for belonging, competence, and autonomy have been seen as the cornerstones of psychological health. Without disputing their importance, these foci fail to capture many of the fluctuating, conflicting forces that are readily apparent when people navigate the environment and social world. In this paper, we review literature to offer evidence for the prominence of psychological flexibility in understanding psychological health. Thus far, the importance of psychological flexibility has been obscured by the isolation and disconnection of research conducted on this topic. Psychological flexibility spans a wide range of human abilities to: recognize and adapt to various situational demands; shift mindsets or behavioral repertoires when these strategies compromise personal or social functioning; maintain balance among important life domains; and be aware, open, and committed to behaviors that are congruent with deeply held values. In many forms of psychopathology, these flexibility processes are absent. In hopes of creating a more coherent understanding, we synthesize work in emotion regulation, mindfulness and acceptance, social and personality psychology, and neuropsychology. Basic research findings provide insight into the nature, correlates, and consequences of psychological flexibility and applied research provides details on promising interventions. Throughout, we emphasize dynamic approaches that might capture this fluid construct in the real-world.

Interpersonal forgiving was conceptualized in the context of a 2-factor motivational system that governs people's responses to interpersonal offenses. Four studies were conducted to examine the extent to which forgiving could be predicted with relationship-level variables such as satisfaction, commitment, and closeness; offense-level variables such as apology and impact of the offense; and social-cognitive variables such as offunder-focused empathy and rumination about the offense. Also described is the development of the transgression-related interpersonal motivations inventory--a self-report measure designed to assess the 2-component motivational system (Avoidance and Revenge) posited to underlie forgiving. The measure demonstrated a variety of desirable psychometric properties, commending its use for future research. As predicted, empathy, apology, rumination, and several indexes of relationship closeness were associated with self-reported forgiving.

Psychopathy is characterized by diverse indicators. Clinical accounts have emphasized 3 distinct facets: interpersonal, affective, and behavioral. Research using the Psychopathy Checklist-Revised (PCL-R), however, has emphasized a 2-factor model. A review of the literature on the PCL-R and related measures of psychopathy, together with confirmatory factor analysis of PCL-R data from North American participants, indicates that the 2-factor model cannot be sustained. A 3-factor hierarchical model was developed in which a coherent superordinate factor, Psychopathy, is underpinned by 3

A new questionnaire, named the Cognitive Emotion Regulation Questionnaire, has been constructed, measuring nine cognitive coping strategies people tend to use after having experienced negative life events. A test±retest design was used to study the psychometric properties and relationships with measures of depression and anxiety among 547 high school youngsters. Principal component analyses supported the allocation of items to subscales, while alphas of most subscales exceeded 0.80. Cognitive coping strategies were found to play an important role in the relationship between the experience of negative life events and the reporting of symptoms of depression and anxiety. The results suggest that cognitive coping strategies may be a valuable context of prevention and intervention #

Objectives: This study evaluated the effectiveness of Cognitive Behavioral Writing Therapy (CBWT) in 23 children (age 8-18 years) in the Netherlands, who experienced a range of single and recurrent traumatic experiences. CBWT uses exposure, cognitive restructuring and social sharing. Methods: At pre-test, post-test and follow-up, post-traumatic stress disorder (PTSD) symptoms, depressive symptoms, trauma-related cognitions and general behavioural problems were assessed. Results: At post-test there was a signifi cant reduction of all symptoms, and this effect was maintained at 6 months follow-up. The mean amount of treatment sessions needed was 5.5.

Background: The evaluation of interventions and policies designed to promote resilience, and research to understand the determinants and associations, require reliable and valid measures to ensure data quality. This paper systematically reviews the psychometric rigour of resilience measurement scales developed for use in general and clinical populations.

In summary, the strengths of this book are that it will teach you much about the use of creative psychotherapy; it will provide you with very good ideas on how to treat some of your difficult patients; and it will make you think hard about your patients and the techniques you are using with your different patients. The book also provides detailed accounts of therapeutic principles in need of further study. This book will appeal to a wide range of clinicians, researchers, trainees, scholars, and students who have any interest in examining their assumptions and thoughts about psychotherapy. One does not need to be a psychotherapy expert to read this book, and even experts will learn a lot.

Writing about important personal experiences in an emotional way for as little as 15 minutes over the course of three days brings about improvements in mental and physical health. This finding has been replicated across age, gender, culture, social class, and personality type. Using a text-analysis computer program, it was discovered that those who benefit maximally from writing tend to use a high number of positive-emotion words, a moderate amount of negative-emotion words, and increase their use of cognitive words over the days of writing. These findings suggest that the formation of a narrative is critical and is an indicator of good mental and physical health. Ongoing studies suggest that writing serves the function of organizing complex emotional experiences. Implications for these findings for psychotherapy are briefly discussed.

Until recently, claims for the psychological benefits of physical exercise have tended to precede supportive evidence. Acutely, emotional effects of exercise remain confusing, both positive and negative effects being reported. Results of cross-sectional and longitudinal studies are more consistent in indicating that aerobic exercise training has antidepressant and anxiolytic effects and protects against harmful consequences of stress. Details of each of these effects remain unclear. Antidepressant and anxiolytic effects have been demonstrated most clearly in subclinical disorder, and clinical applications remain to be exploited. Cross-sectional studies link exercise habits to protection from harmful effects of stress on physical and mental health, but causality is not clear. Nevertheless, the pattern of evidence suggests the theory that exercise training recruits a process which confers enduring resilience to stress. This view allows the effects of exercise to be understood in terms of existing psychobiological knowledge, and it can thereby provide the theoretical base that is needed to guide future research in this area. Clinically, exercise training continues to offer clinical psychologists a vehicle for nonspecific therapeutic social and psychological processes. It also offers a specific psychological treatment that may be particularly effective for patients for whom more conventional psychological interventions are less acceptable.

This meta-analytic review examines the findings of 22 studies evaluating treatment efficacy for domestically violent males. The outcome literature of controlled quasi-experimental and experimental studies was reviewed to test the relative impact of Duluth model, cognitive -behavioral therapy (CBT), and other types of treatment on subsequent recidivism of violence. Study design and type of treatment were tested as moderators. Treatment design tended to have a small influence on effect size. There were no differences in effect sizes in comparing Duluth model vs. CBT-type interventions. Overall, effects due to treatment were in the small range, meaning that the current interventions have a minimal impact on reducing recidivism beyond the effect of being arrested. Analogies to treatment for other populations are presented for comparison. Implications for policy decisions and future research are discussed. D

A growing body of literature suggests that people often turn to religion when coping with stressful events. However, studies on the efficacy of religious coping for people dealing with stressful situations have yielded mixed results. No published studies to date have attempted to quantitatively synthesize the research on religious coping and psychological adjustment to stress. The purpose of the current study was to synthesize the research on situation-specific religious coping methods and quantitatively determine their efficacy for people dealing with stressful situations. A meta-analysis of 49 relevant studies with a total of 105 effect sizes was conducted in order to quantitatively examine the relationship between religious coping and psychological adjustment to stress. Four types of relationships were investigated: positive religious coping with positive psychological adjustment, positive religious coping with negative psychological adjustment, negative religious coping with positive psychological adjustment, and negative religious coping with negative psychological adjustment. The results of the study generally supported the hypotheses that positive and negative forms of religious coping are related to positive and negative psychological adjustment to stress, respectively. Implications of the findings and their limitations are discussed.

Almost 30 years ago, Hamachek (1978) suggested that two forms of perfectionism be distinguished, a positive form labeled „normal perfectionism” and a negative form labeled „neurotic perfectionism.” Focusing on the positive, we present an overview of the different empirical conceptions of the two forms of perfectionism and present a common framework for the two basic approaches: the dimensional approach differentiating two dimensions of perfectionism (perfectionistic strivings and perfectionistic concerns) and the group-based approach differentiating two groups of perfectionists (healthy perfectionists and unhealthy perfectionists). Moreover, we review the evidence demonstrating that (a) perfectionistic strivings are associated with positive characteristics and (b) healthy perfectionists show higher levels of positive characteristics compared to unhealthy perfectionists and nonperfectionists. While questions on core facets, positive effects, and developmental antecedents of positive forms of perfectionism remain, our findings suggest that self-oriented perfectionistic strivings are positive, if perfectionists are not overly concerned about mistakes and negative evaluations by others.

This article reviews evidence of adolescent and young adult drinking motives and their relation to possible consequences over the last 15 years. To this end, a computer-assisted search of relevant articles was conducted. Results revealed that most young people reported drinking for social motives, some indicated enhancement motives, and only a few reported coping motives. Social motives appear to be associated with moderate alcohol use, enhancement with heavy drinking, and coping motives with alcohol-related problems. However, an enormous heterogeneity was found in terms of how motives were measured: 10 to 40 items were grouped into between 2 and 10 dimensions and sometimes the same items occurred under different dimensions. Future studies should therefore use well-defined, theoretically based, homogenous instruments to disentangle cultural from measurement differences across surveys. D

A conceptualization of racism-related stress and its impact on well-being is offered that integrates existing theory and research on racism, multicultural mental health, and the stress process. The conceptualization is relevant to diverse racial/ethnic groups, considers the larger social and historical context, and incorporates attention to culturebased variables that may mediate the relationship between racism and well-being. Implications for intervention are discussed.

This paper presents a new model of gratitude incorporating not only the gratitude that arises following help from others but also a habitual focusing on and appreciating the positive aspects of life", incorporating not only the gratitude that arises following help from others, but also a habitual focusing on and appreciating the positive aspects of life. Research into individual differences in gratitude and well-being is reviewed, including gratitude and psychopathology, personality, relationships, health, subjective and eudemonic wellbeing, and humanistically orientated functioning. Gratitude is strongly related to well-being, however defined, and this link may be unique and causal. Interventions to clinically increase gratitude are critically reviewed, and concluded to be promising, although the positive psychology literature may have neglected current limitations, and a distinct research strategy is suggested. Finally, mechanisms whereby gratitude may relate to well-being are discussed, including schematic biases, coping, positive affect, and broaden-and-build principles. Gratitude is relevant to clinical psychology due to (a) strong explanatory power in understanding well-being, and (b) the potential of improving well-being through fostering gratitude with simple exercises.

Gray [In H. J. Eysenck, A model for personality (pp. 246–276). New York: Springer; 1981; The neuropsychology of anxiety: an enquiry into the functions of the septo-hippocampal system. Oxford: Oxford University Press; 1982] has described two motivational systems, the Behavioural Inhibition System (BIS) and the Behavioural Activation System (BAS), that control aversive and appetitive behaviour, respectively. Research on Gray's model of personality has been hindered by the lack of specific self-report measures of the reactivity and responsivity of these systems. We describe a set of studies that illustrate the main psychometrical characteristics of the Sensitivity to Punishment and Sensitivity to Reward Questionnaire (SPSRQ). The two scales of the questionnaire were developed by writing items to assess BIS and BAS functioning, respectively. Results showed that both scales were independent, and presented satisfactory internal consistency and test-retest reliability. Studies 2–5 reported data related to convergent and discriminant validity of the scales. The Sensitivity to Punishment scale was: (1) positively related to Eysenck's neuroticism dimension; (2) negatively related to extraversion; (3) not related to psychoticism; (4) significantly related to the STAI-Trait scale of Spielberger; and (5) related to the somatic, behavioral, and cognitive anxiety scales of Lehrer and Woolfolk [Behavioral Assessment, 4, (1982) 167–177.]. The Sensitivity to Reward scale was: (1) positively related to Eysenck's extraversion and neuroticism; (2) moderately related to psychoticism; (3) positively related to the Eysenck's Impulsiveness scale [Psychological Reports, 43, (1978) 1247–1255] and the Zuckerman's Sensation Seeking Scales [Journal of Consulting and Clinical Psychology, 46, (1978) 139–149]. Although future construct validity studies are needed, discussion is focused on the importance of using specific designed measures to evaluate and develop Gray's model.

Throughout history, warriors have been confronted with moral and ethical challenges and modern unconventional and guerilla wars amplify these challenges. Potentially morally injurious events, such as perpetrating, failing to prevent, or bearing witness to acts that transgress deeply held moral beliefs and expectations may be deleterious in the long-term, emotionally, psychologically, behaviorally, spiritually, and socially (what we label as moral injury). Although there has been some research on the consequences of unnecessary acts of violence in war zones, the lasting impact of morally injurious experience in war remains chiefly unaddressed. To stimulate a critical examination of moral injury, we review the available literature, define terms, and offer a working conceptual framework and a set of intervention strategies designed to repair moral injury.

Neuroelectric and imaging studies of meditation are reviewed. Electroencephalographic measures indicate an overall slowing subsequent to meditation, with theta and alpha activation related to proficiency of practice. Sensory evoked potential assessment of concentrative meditation yields amplitude and latency changes for some components and practices. Cognitive event-related potential evaluation of meditation implies that practice changes attentional allocation. Neuroimaging studies indicate increased regional cerebral blood flow measures during meditation. Taken together, meditation appears to reflect changes in anterior cingulate cortex and dorsolateral prefrontal areas. Neurophysiological meditative state and trait effects are variable but are beginning to demonstrate consistent outcomes for research and clinical applications. Psychological and clinical effects of meditation are summarized, integrated, and discussed with respect to neuroimaging data.

The purpose of this research was to update the Pelham and Fabiano (2008) review of evidence-based practices for children and adolescents with attention-deficit=hyperactivity disorder. We completed a systematic review of the literature published between 2007 and 2013 to establish levels of evidence for psychosocial treatments for these youth. Our review included the identification of relevant articles using criteria established by the Society of Clinical Child and Adolescent Psychology (see Southam-Gerow & Prinstein, in press) using keyword searches and a review of tables of contents. We extend the conceptualization of treatment research by differentiating training interventions from behavior management and by reviewing the growing literature on training interventions. Consistent with the results of the previous review we conclude that behavioral parent training, behavioral classroom management, and behavioral peer interventions are well-established treatments. In addition, organization training met the criteria for a well-established treatment. Combined training programs met criteria for Level 2 (Probably Efficacious), neurofeedback training met criteria for Level 3 (Possibly Efficacious), and cognitive training met criteria for Level 4 (Experimental Treatments). The distinction between behavior management and training interventions provides a method for considering meaningful differences in the methods and possible mechanisms of action for treatments for these youth. Characteristics of treatments, participants, and measures, as well as the variability in methods for classifying levels of evidence for treatments, are reviewed in relation to their potential effect on outcomes and conclusions about treatments. Implications of these findings for future science and practice are discussed. 1 The terms treatment and intervention are used synonymously throughout the article.