Journal of clinical psychology
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We examined perceptions of institutional betrayal among Veterans exposed to military sexual trauma (MST) and whether perceptions of institutional betrayal are associated with symptoms of posttraumatic stress disorder (PTSD), depression, and suicidal ideation and attempt after MST. ⋯ Perceptions regarding institutional betrayal appear to be highly relevant to MST and its sequelae. These findings underscore the importance of Veterans' perceptions of the military institution's efforts to prevent and respond to MST to individual recovery from sexual trauma. Additional research regarding the association between institutional betrayal and health-related outcomes is needed.
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Hopelessness is a proximal risk factor of suicide. Meaning in life has been found to be a protective factor against suicidal ideation; however, the majority of studies that have explored the role of meaning in life in the context of suicidality have been conducted in nonclinical populations. The aim of this study was to investigate whether meaning in life can moderate and buffer the association between suicide risk factors and hopelessness in a clinical sample with a heightened risk of suicide. ⋯ Meaning in life is an important variable in the prevention and treatment of people at risk of suicide.
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Randomized Controlled Trial
Mechanistic Pathways of Mindfulness Meditation in Combat Veterans With Posttraumatic Stress Disorder.
This study's objective was to evaluate the effect of two common components of meditation (mindfulness and slow breathing) on potential mechanistic pathways. ⋯ Treatment effects were mostly specific to self-report rather than physiological measures. Continued research is needed to further evaluate mindfulness meditation's mechanism in people with PTSD.
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This case report is a shared, compassion-focused therapy account between a therapist and someone with a 20-year history of schizophrenia. It shows the usefulness of compassion in facilitating the courage to address the worst symptoms of psychosis. It does this by promoting a mindfulness of mind and emotional regulation. This approach helped create an alternative position from which to ground and anchor the self so psychotic fears were less able to dominate.
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This introduction to this issue of JCLP: In Session ("Reflections of Senior Therapists") focuses on the multifaceted ways in which adult development influences what it means to be a psychotherapist and to do the work of psychotherapy. This issue brings together first person narratives written by a group of eminent psychotherapists as well as an empirical report, based on a major international survey, on the challenges, demands, and rewards experienced by senior therapists. ⋯ Learning to do psychotherapy, like adult development itself, is not a process that at some point comes to an end, but one that is resumed again and again in every decade. These essays provide a rich array of information, insight, and guidance regarding the personal and professional experience of practicing therapy during every era of adulthood, including one's senior years.