Clinical psychology review
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Virtual reality technology enables people to become immersed in a computer-simulated, three-dimensional environment. This article provides a comprehensive review of controlled research on the effectiveness of virtual reality (VR) distraction for reducing pain. To be included in the review, studies were required to use a between-subjects or mixed model design in which VR distraction was compared with a control condition or an alternative intervention in relieving pain. ⋯ Studies of needle-related pain provided less consistent findings. Use of more sophisticated virtual reality technology capable of fully immersing the individual in a virtual environment was associated with greater relief. Overall, controlled research suggests that VR distraction may be a useful tool for clinicians who work with a variety of pain problems.
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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 well-being, and humanistically orientated functioning. ⋯ 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.
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Two decades of research demonstrate the efficacy of exposure therapy for posttraumatic stress disorder (PTSD). The efficacy of prolonged exposure (PE), a specific exposure therapy program for PTSD that has been disseminated throughout the world, has been established in many controlled studies using different trauma populations. However, a meta-analysis of the effectiveness of PE for PTSD has not been conducted to date. ⋯ Effect sizes were not moderated by time since trauma, publication year, dose, study quality, or type of trauma. The average PE-treated patient fared better than 86% of patients in control conditions at post-treatment on PTSD measures. PE is a highly effective treatment for PTSD, resulting in substantial treatment gains that are maintained over time.
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Although autism is defined by deficits in three areas of functioning (social, communicative, and behavioral), impairments in social interest and restricted behavioral repertoires are central to the disorder. As a result, a detailed understanding of the neurobiological systems subserving social behavior may have implications for prevention, early identification, and intervention for affected families. In this paper, we review a number of potential neurobiological mechanisms--across several levels of analysis--that subserve normative social functioning. ⋯ After describing the typical functioning of each system, we review available empirical findings specific to autism. Among the most promising potential mechanisms of social behavioral deficits in autism are those involving neural networks including the amygdala, the mesocorticolimbic dopamine system, and the oxytocin system. Particularly compelling are explanatory models that integrate mechanisms across biological systems, such as those linking dopamine and oxytocin with brain regions critical to reward processing.
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The psychological literature on how fathers' behaviors may be related to children's psychopathology has grown substantially in the last three decades. This growth is the result of research asking the following three overarching questions: (1) what is the association between family structure, and particularly biological fathers' non-residence, and children's psychopathology, (2) what is the association between fathers' parenting and children's psychopathology, and (3) what is the association between fathers' psychopathology and children's psychopathology. ⋯ However, research needs to compare appropriately all theoretical perspectives. The paper discusses this, and also points to the importance of considering theory-driven specificity in modeling effects.