Basic behavioral principles (e.g., reinforcement) are compelling candidates for research isolating and evaluating psychotherapy mechanisms of change in contextual behavioral science. Functional Analytic Psychotherapy (FAP) is a contextual behavioral treatment approach that teaches therapists to employ behavioral principles, including the evocation of and contingent responding with reinforcement...

The serotonin 5-HT1A receptor system is implicated in the pathophysiology of major depressive disorder (MDD) (Stockmeier, 2003) and serotonergic medications are currently widely used in the treatment of MDD. Previous molecular imaging studies in patients with MDD have provided evidence of a widespread decrease in the density of serotonin 5-HT1A receptors in the disease (Drevets et al. 1999; Sar...

BACKGROUND Healthcare costs are skyrocketing, with mental health treatment amongst the most expensive, especially when hospitalization is involved. According to the Mental Health Commission of Canada, one in five Canadians is living with a mental disorder in any given year, at an annual cost of $50 billion. In light of this societal burden, alternative approaches are being evaluated, such as br...

BACKGROUND University students represent an important population in which to study access to mental health care. Understanding their unmet needs will enhance efforts to prevent and treat mental disorders during a pivotal period in life. OBJECTIVE To quantify mental health service use and estimate how various factors are associated with help-seeking and access in a university student populatio...

OBJECTIVE To conduct a formal economic evaluation of various dosages of psychotherapy for patients with avoidant, dependent, and obsessive-compulsive (ie, cluster C) personality disorders (Structured Interview for DSM-IV Personality criteria). METHOD We developed a decision-analytic model to assess the cost-effectiveness of 5 dosages of psychotherapy (ie, long-term outpatient psychotherapy, s...

BACKGROUND Despite limited effectiveness of short-term psychotherapy for chronic depression, there is a lack of trials of long-term psychotherapy. Our study is the first to determine the effectiveness of controlled long-term psychodynamic and cognitive-behavioral (CBT) treatments and to assess the effects of preferential vs. randomized assessment. METHODS/DESIGN Patients are assigned to treat...

OBJECTIVE We aimed to investigate the prevalence and psychosocial and neurophysiological correlates of depression in a large county-based cohort of Korean adults. METHODS We recruited 2355 adults from a rural county-based health promotion program. The following psychometric scales were used: the Center for Epidemiologic Studies Depression scale (CES-D) was used to assess depression, the Gener...

For Professor Tantam, clients seeking psychotherapy are demoralised and in existential crisis, vulnerable but with an opportunity to achieve a healthier adjustment. The therapist should facilitate her client’s self-healing by involving him in collaborative conversations relevant to his values, his preoccupying concerns and his life’s narrative. As factors promoting remoralisation are common to ...

The article considers the possibilities of applying phenomenological method in philosophy psychiatry. For this purpose, a brief analysis main stages development interaction and psychiatry modern times (20–21 centuries) was carried out: initial, syncretic, practical stages, formation an interdisciplinary project, which is presented as An attempt to determine how exactly should “phenomenological ...

In psychotherapy, therapists often formulate interpretations of clients' prior talk which are ‘unilateral’ in the sense that index they themselves author an interpretive inference may not be acceptable to client. Based on 100 German-language recordings brief psychodynamic psychotherapy (4 clients with 25 sessions each), we describe a multimodal practice constructing extended multi-unit turns de...