Journal of clinical psychology
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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.
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Randomized controlled trials of psychological treatment, principally cognitive therapy, for bipolar disorder have yielded inconsistent results. Given the status of this evidentiary base, we provide a more fine-grained analysis of the cognitive profiles associated with bipolar disorder to inform clinical practice. ⋯ Cross-sectional and prospective evidence suggest that negative cognitive styles are related to depression within bipolar disorder, but there also is evidence that bipolar disorder is related to an elevated focus on goals as well as to increases in confidence during manic states. With such findings as backdrop, we consider the outcomes of psychological treatments for bipolar disorder and advance several suggestions for clinical practice.
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This study examined the relationship between therapists' grief related to the death of a loved one and clients' perceptions of the process of bereavement therapy. Mail survey data were obtained from 69 client-therapist dyads. ⋯ Therapist acceptance of the death of a loved one was unrelated to any of the dependent measures. Results are discussed in terms of countertransference and its management.
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B. E. Wampold, T. ⋯ Thus, B. E. Wampold et al.'s conclusion was not substantiated by their data, and is best characterized as powerful spin. .
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Case Reports
Reaching the covert, fragile side of patients: the case of narcissistic personality disorder.
A multifaceted self allows selection of those sides that are most suited to a situation and an interpersonal context, thus improving adaptation. Patients suffering from personality disorders display a limited range of self-aspects, and their relationships are stereotyped and maladaptive. ⋯ We present a case of a psychotherapist working with a woman suffering from NPD by facilitating the emergence of the fragile part of her self, hidden by angry and scornful characters. We demonstrate, moreover, how reaching such a self-part is associated with an improvement in the patient's interpersonal relationships outside the consulting room.