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Research paper thumbnail of The Psychological Vital Signs of Incurable Cancer: Implications for Training and Practice

Academia Oncology, Jun 7, 2024

People are living longer lives with incurable cancer, and the number of people living with incur... more People are living longer lives with incurable cancer, and the number of people living with incurable/metastatic cancer is growing. Although people are surviving longer, the quality of their life has yet to receive adequate research attention. Psychological vital signs, evidence-based psychological factors that are critical to patient wellbeing, can be applied to the wellbeing of patients living with cancer. This fits with the current shift to integrative cancer treatment that incorporates multiple aspects of the patient and prioritizes patient-centered care. The current paper will provide a clinician-friendly review of the psychological vital signs that relate to patients’ wellbeing when they are living with cancer indefinitely, when they are diagnosed with cancer but are not actively dying. Implications for education, future research, and practical assessment will be addressed.

Research paper thumbnail of A New Model of Sex Therapy: Perils and PossibilitiesA New Model of Sex Therapy: Perils and Possibilities

Research paper thumbnail of Internalized shame: Does it mediate attachment and perceived counseling self-efficacy?

Research paper thumbnail of Changes in Symptoms and Changes in Internal Representations of Early Caregivers

Research paper thumbnail of Therapist-Facilitated Mentalization of Affect: Development of a New Measure

Research paper thumbnail of An overview of attachment theory and its application to group therapy

Research paper thumbnail of Applying Attachment-Based Group Therapy in Interpersonal Group Process

Research paper thumbnail of Summer meeting summaries: 114th annual APA convention, New Orleans, LA, August 2006, Psychoanalysis: A General Psychology (Internalizing psychoanalytically informed research: Anxieties, defenses, conflict, and growth)

Research paper thumbnail of Measuring group and dyadic adult attachment styles

Research paper thumbnail of Empirical research on attachment in group psychotherapy: Moving the field forward

Psychotherapy, Mar 1, 2014

Research paper thumbnail of Attachment in group psychotherapy

American Psychological Association eBooks, 2013

Research paper thumbnail of Relationships among client and counselor agreement about the working alliance, session evaluations, and change in client symptoms using response surface analysis

Journal of Counseling Psychology, 2012

Two studies explored how counselor and client agreement on the therapy alliance, at the beginning... more Two studies explored how counselor and client agreement on the therapy alliance, at the beginning of treatment, influenced early session evaluations and symptom change. Unlike prior studies that operationalized alliance convergence as either a profile similarity correlation or a difference score, the present study used polynomial regression and response surface analysis to examine agreement. Study 1 explored the impact of working alliance congruence on session depth and smoothness at the 3rd session of treatment with 36 client-counselor dyads. Results revealed that session smoothness was greater when clients' and therapists' perceptions of the working alliance were in agreement and high compared with when they were in agreement and low. In addition, clients rated sessions less smooth when their ratings of the alliance were lower than their therapists' ratings of the alliance, and they rated sessions as more smooth when their ratings of the alliance were higher than their therapists' ratings of the alliance. The authors did not find a significant relationship with session depth. In Study 2, the authors explored the impact of working alliance congruence, at the 3rd session of therapy, on symptom change for 63 client-counselor dyads. Results revealed that as the therapist and client have more positive agreement on the perceived alliance at the beginning of the treatment, there is greater symptom change. The authors also found that the consequences of alliance disagreement are the same regardless of who rated the alliance higher than the other. Implications and recommendations for future research are discussed.

Research paper thumbnail of Attachment in Group Therapy: Facilitating the Group Climate

PsycTHERAPY Dataset, May 29, 2023

Research paper thumbnail of Providing a secure base: Facilitating a secure attachment to God in psychotherapy

American Psychological Association eBooks, 2023

Research paper thumbnail of Attachment and special group populations: Eating disorders, substance abuse, and trauma

Research paper thumbnail of Alliance rupture and repair in group psychotherapy

American Psychological Association eBooks, 2023

Research paper thumbnail of Therapists’ perceptions of online group therapeutic relationships during the COVID-19 pandemic: A survey-based study

Group Dynamics: Theory, Research, and Practice, Jun 1, 2022

Research paper thumbnail of The Influence of Individual Attachment Styles on Group Members’ Experience of Therapist Transitions

International Journal of Group Psychotherapy, Oct 1, 2011

Attachment theory has recently been applied to clinical practice in an effort to improve understa... more Attachment theory has recently been applied to clinical practice in an effort to improve understanding and treatment of the maladaptive relational patterns clients bring to therapy. While most of this research has focused on individual therapy, interest in the application of attachment theory to group psychotherapy is growing. This paper will explore the impact of clients' attachment styles on their experiences of co-therapist transition in an ongoing psychodynamic therapy group. This discussion will elucidate how knowledge of attachment theory and an understanding of clients' individual attachment styles can be useful in predicting responses to therapist-initiated terminations and transitions. In recent decades, many researchers and clinicians (Johnson & Whiffen, 2003; Wallin, 2007) have explored the relevance of attachment theory to the therapeutic relationship and the therapy process. Clients' different attachment styles have been shown to impact the working alliance (

Research paper thumbnail of The insecure psychotherapy base: Using client and therapist attachment styles to understand the early alliance

Psychotherapy, Sep 1, 2014

Research paper thumbnail of Comparison of assessments of children's eating-disordered behaviors by interview and questionnaire

International Journal of Eating Disorders, Feb 25, 2003

In adults, interview methods may detect eating-disordered behaviors more accurately than self-rep... more In adults, interview methods may detect eating-disordered behaviors more accurately than self-report methods. However, no studies have investigated the relationships between interview and self-report assessments in children. We compared results from the Eating Disorder Examination adapted for Children (ChEDE) with the Adolescent version of the Questionnaire on Eating and Weight Patterns (QEWP-A) and with the Children's Eating Attitude Test (ChEAT) in a nontreatment sample of overweight and normal weight children. The ChEDE, QEWP-A, and ChEAT were administered to 46 overweight (body mass index [BMI] at or above the 85th percentile) and 42 normal weight (BMI at the 15th-85th percentile) children, 10 +/- 1.8 years, recruited from the community. The ChEDE and QEWP-A were not concordant for the number or type of eating episodes that occurred in the past month. Compared with the ChEDE, the QEWP-A was reasonably specific, but it was not sensitive for the presence of objective (17 % sensitivity, 91% specificity) or subjective bulimic episodes (0 % sensitivity, 89 % specificity) during the past month. ChEDE and ChEAT global scores were significantly related (Kendall's tau = 0.286, p <.001), but specific items assessing guilt in relation to eating and preoccupation with food were not. Although self-report methods of eating disorder assessment in children may provide some general information regarding eating psychopathology in non-treatment-seeking children, they do not accurately reflect the results of a structured interview.

Research paper thumbnail of The Psychological Vital Signs of Incurable Cancer: Implications for Training and Practice

Academia Oncology, Jun 7, 2024

People are living longer lives with incurable cancer, and the number of people living with incur... more People are living longer lives with incurable cancer, and the number of people living with incurable/metastatic cancer is growing. Although people are surviving longer, the quality of their life has yet to receive adequate research attention. Psychological vital signs, evidence-based psychological factors that are critical to patient wellbeing, can be applied to the wellbeing of patients living with cancer. This fits with the current shift to integrative cancer treatment that incorporates multiple aspects of the patient and prioritizes patient-centered care. The current paper will provide a clinician-friendly review of the psychological vital signs that relate to patients’ wellbeing when they are living with cancer indefinitely, when they are diagnosed with cancer but are not actively dying. Implications for education, future research, and practical assessment will be addressed.

Research paper thumbnail of A New Model of Sex Therapy: Perils and PossibilitiesA New Model of Sex Therapy: Perils and Possibilities

Research paper thumbnail of Internalized shame: Does it mediate attachment and perceived counseling self-efficacy?

Research paper thumbnail of Changes in Symptoms and Changes in Internal Representations of Early Caregivers

Research paper thumbnail of Therapist-Facilitated Mentalization of Affect: Development of a New Measure

Research paper thumbnail of An overview of attachment theory and its application to group therapy

Research paper thumbnail of Applying Attachment-Based Group Therapy in Interpersonal Group Process

Research paper thumbnail of Summer meeting summaries: 114th annual APA convention, New Orleans, LA, August 2006, Psychoanalysis: A General Psychology (Internalizing psychoanalytically informed research: Anxieties, defenses, conflict, and growth)

Research paper thumbnail of Measuring group and dyadic adult attachment styles

Research paper thumbnail of Empirical research on attachment in group psychotherapy: Moving the field forward

Psychotherapy, Mar 1, 2014

Research paper thumbnail of Attachment in group psychotherapy

American Psychological Association eBooks, 2013

Research paper thumbnail of Relationships among client and counselor agreement about the working alliance, session evaluations, and change in client symptoms using response surface analysis

Journal of Counseling Psychology, 2012

Two studies explored how counselor and client agreement on the therapy alliance, at the beginning... more Two studies explored how counselor and client agreement on the therapy alliance, at the beginning of treatment, influenced early session evaluations and symptom change. Unlike prior studies that operationalized alliance convergence as either a profile similarity correlation or a difference score, the present study used polynomial regression and response surface analysis to examine agreement. Study 1 explored the impact of working alliance congruence on session depth and smoothness at the 3rd session of treatment with 36 client-counselor dyads. Results revealed that session smoothness was greater when clients' and therapists' perceptions of the working alliance were in agreement and high compared with when they were in agreement and low. In addition, clients rated sessions less smooth when their ratings of the alliance were lower than their therapists' ratings of the alliance, and they rated sessions as more smooth when their ratings of the alliance were higher than their therapists' ratings of the alliance. The authors did not find a significant relationship with session depth. In Study 2, the authors explored the impact of working alliance congruence, at the 3rd session of therapy, on symptom change for 63 client-counselor dyads. Results revealed that as the therapist and client have more positive agreement on the perceived alliance at the beginning of the treatment, there is greater symptom change. The authors also found that the consequences of alliance disagreement are the same regardless of who rated the alliance higher than the other. Implications and recommendations for future research are discussed.

Research paper thumbnail of Attachment in Group Therapy: Facilitating the Group Climate

PsycTHERAPY Dataset, May 29, 2023

Research paper thumbnail of Providing a secure base: Facilitating a secure attachment to God in psychotherapy

American Psychological Association eBooks, 2023

Research paper thumbnail of Attachment and special group populations: Eating disorders, substance abuse, and trauma

Research paper thumbnail of Alliance rupture and repair in group psychotherapy

American Psychological Association eBooks, 2023

Research paper thumbnail of Therapists’ perceptions of online group therapeutic relationships during the COVID-19 pandemic: A survey-based study

Group Dynamics: Theory, Research, and Practice, Jun 1, 2022

Research paper thumbnail of The Influence of Individual Attachment Styles on Group Members’ Experience of Therapist Transitions

International Journal of Group Psychotherapy, Oct 1, 2011

Attachment theory has recently been applied to clinical practice in an effort to improve understa... more Attachment theory has recently been applied to clinical practice in an effort to improve understanding and treatment of the maladaptive relational patterns clients bring to therapy. While most of this research has focused on individual therapy, interest in the application of attachment theory to group psychotherapy is growing. This paper will explore the impact of clients' attachment styles on their experiences of co-therapist transition in an ongoing psychodynamic therapy group. This discussion will elucidate how knowledge of attachment theory and an understanding of clients' individual attachment styles can be useful in predicting responses to therapist-initiated terminations and transitions. In recent decades, many researchers and clinicians (Johnson & Whiffen, 2003; Wallin, 2007) have explored the relevance of attachment theory to the therapeutic relationship and the therapy process. Clients' different attachment styles have been shown to impact the working alliance (

Research paper thumbnail of The insecure psychotherapy base: Using client and therapist attachment styles to understand the early alliance

Psychotherapy, Sep 1, 2014

Research paper thumbnail of Comparison of assessments of children's eating-disordered behaviors by interview and questionnaire

International Journal of Eating Disorders, Feb 25, 2003

In adults, interview methods may detect eating-disordered behaviors more accurately than self-rep... more In adults, interview methods may detect eating-disordered behaviors more accurately than self-report methods. However, no studies have investigated the relationships between interview and self-report assessments in children. We compared results from the Eating Disorder Examination adapted for Children (ChEDE) with the Adolescent version of the Questionnaire on Eating and Weight Patterns (QEWP-A) and with the Children's Eating Attitude Test (ChEAT) in a nontreatment sample of overweight and normal weight children. The ChEDE, QEWP-A, and ChEAT were administered to 46 overweight (body mass index [BMI] at or above the 85th percentile) and 42 normal weight (BMI at the 15th-85th percentile) children, 10 +/- 1.8 years, recruited from the community. The ChEDE and QEWP-A were not concordant for the number or type of eating episodes that occurred in the past month. Compared with the ChEDE, the QEWP-A was reasonably specific, but it was not sensitive for the presence of objective (17 % sensitivity, 91% specificity) or subjective bulimic episodes (0 % sensitivity, 89 % specificity) during the past month. ChEDE and ChEAT global scores were significantly related (Kendall's tau = 0.286, p <.001), but specific items assessing guilt in relation to eating and preoccupation with food were not. Although self-report methods of eating disorder assessment in children may provide some general information regarding eating psychopathology in non-treatment-seeking children, they do not accurately reflect the results of a structured interview.