Adaptation Phase Goal 3

Author(s):  
Kari M. Eddington ◽  
Timothy J. Strauman ◽  
Angela Z. Vieth ◽  
Gregory G. Kolden

Chapter 9, which addresses the module 3 goal of the adaptation phase of self-system therapy, focuses on managing perfectionism. Many people with depression have standards that are unrealistically high, and they become very self-critical and fear rejection when extreme standards cannot be met. Perfectionists often are willing to cut others some slack but may be reluctant to lower their own standards. The therapist works with clients to take a realistic view of perfectionistic goals and standards and explore more moderate alternatives. Because perfectionism can be compartmentalized, the first step is to identify the areas in clients’ lives that are affected. Worksheets are provided to encourage careful consideration of the costs and benefits of holding on to personal standards that may be too high.

Author(s):  
Kari M. Eddington ◽  
Timothy J. Strauman ◽  
Angela Z. Vieth ◽  
Gregory G. Kolden

Chapter 8, which addresses module the 2 goal of the adaptation phase of self-system therapy, takes a step-by-step approach to evaluating the extent to which certain personal goals are realistic and to identifying obstacles to progress in goal pursuit. The importance of balancing promotion- and prevention-type goals is emphasized. Two strategies can improve clients’ pursuit of goals: assessing how goals are set and pursued and looking at the tendency to focus on promotion or prevention goals. Adjustments can be made in how clients define goals and in the methods they use to pursue them. Clients can also work to balance their promotion and prevention goals to increase opportunities for positive emotional experiences. Worksheets are included to encourage effective goal pursuit and make sure that expectations are reasonable and achievable.


Author(s):  
Kari M. Eddington ◽  
Timothy J. Strauman ◽  
Angela Z. Vieth ◽  
Gregory G. Kolden

Chapter 7 provides a session-by-session guide to the adaptation phase of self-system therapy, which focuses on reducing chronic, distressing self-discrepancies and modifying unsuccessful patterns of self-regulation. The approaches and tactics used by therapists can be broadly categorized as altering one or more of the maladaptive aspects of self-regulation or as compensating for aspects of self-regulation that are not optimal targets for change. To address various clients’ therapy goals, the therapist can use three freestanding modules, each of which has a broad goal for the final phase of treatment, and they can be completed in any order. The Module 1 goal is to reduce self-discrepancy and increase self-congruency; the Module 2 goal is to modify the client’s regulatory style; and the Module 3 goal is to manage perfectionistic tendencies. The therapist uses the adaptation phase of therapy to help the client reduce self-discrepancies, modify regulatory style, and manage perfectionistic tendencies.


Author(s):  
Kari M. Eddington ◽  
Timothy J. Strauman ◽  
Angela Z. Vieth ◽  
Gregory G. Kolden

Chapter 7 addresses the module 1 goal of the adaptation phase of self-system therapy. It describes strategies aimed at reducing self-discrepancies, including modifying standards and enhancing the importance of positive qualities or characteristics. Depression typically involves self-discrepancies, and most people with depression can benefit from reducing or eliminating self-discrepancies and bringing self-guides and self-beliefs more in line with each other. One approach is to lower standards (i.e., ought or ideal self-guides) by identifying and modifying unrealistic expectations. Another method is to find a new way to approach the preferred goal rather than lowering the standard. Evaluation of self-discrepancies sometimes shows that the expectations are invalid and that the focus should shift from perceived deficits to strengths.


2015 ◽  
Vol 26 (4) ◽  
pp. 472-483 ◽  
Author(s):  
Sandra J. Waters ◽  
Timothy J. Strauman ◽  
Daphne C. McKee ◽  
Lisa C. Campbell ◽  
Rebecca A. Shelby ◽  
...  

Author(s):  
Kari M. Eddington ◽  
Timothy J. Strauman ◽  
Angela Z. Vieth ◽  
Gregory G. Kolden

Self-system therapy (SST) is an appropriate treatment for clients with a primary diagnosis of major depressive disorder (MDD) or persistent depressive disorder, with symptom severity ranging from mild to severe using standardized measures. SST was developed for individuals with depression characterized by problematic self-regulation, but it can also be used for treating comorbidities such as anxiety. Clients should receive a thorough diagnostic evaluation and medical examination to rule out nonpsychological causes of mood disturbance. Diagnostic assessment also includes a determination of whether the client meets the criteria for MDD, identification of contraindicated comorbidities, and a comprehensive evaluation of the client’s current problems and strengths. Chapter 3 discusses the recommendations for determining whether a client can benefit from SST and includes guidelines for diagnostic assessment.


2015 ◽  
Vol 83 (3) ◽  
pp. 602-616 ◽  
Author(s):  
Kari M. Eddington ◽  
Paul J. Silvia ◽  
Tamara E. Foxworth ◽  
Ariana Hoet ◽  
Thomas R. Kwapil

Author(s):  
Mokal et

This concluding chapter argues that an effective framework will encompass the full range of the Modular Approach’s tools, and that modules should only rarely be eliminated by lawmakers, and then only after careful consideration. However, lawmakers may decide that local conditions justify particular adaptations. Countries considering reform should design their MSME regime in a way that respects their constitutional requirements, and with full consideration of the policy choices involved and their respective costs and benefits. Legal systems should provide a regime capable of being unpacked, and should allow the flexible distribution of not only insolvency tools but also process functions. Specifically, countries should identify the main category of function for each step in the insolvency process. Countries should then make critical policy choices as to who is allowed or required to perform these various functions, including a consideration of the necessary level of involvement of insolvency practitioners, government agencies, court officials, and judges.


Author(s):  
Philip Altbach

The Harvard Faculty of Arts and Sciences recently joined the “open access” movement, urging its professors to post their research on an open access Harvard Web site. This movement may well ensure that scholars prominent in the world of knowledge remain a dominant force, while recognition of the work of others may prove to be more difficult. Traditional scholarly journal uses a means of selection, the peer-review system, which has served as the quality control, though this system also is imperfect. Open access, while it seems like an easy panacea, has problems that deserve careful consideration.


Author(s):  
Kari M. Eddington ◽  
Timothy J. Strauman ◽  
Angela Z. Vieth ◽  
Gregory G. Kolden

Chapter 4 introduces the core strategies in self-system therapy (SST) and discusses how SST is similar to and different from other short-term, structured therapies, such as cognitive-behavioral therapy, interpersonal psychotherapy, behavioral activation therapy, and acceptance and commitment therapy. SST focuses on self-regulation as a motivational process and targets how clients go about setting, pursuing, and monitoring important personal goals that are defined in part by discrepancies between self-beliefs and self-guides. SST is a structured clinical intervention based on a self-regulation model of depression and involves three phases of treatment: orientation, exploration, and adaptation. Flexibility within this structure allows therapists to tailor strategies, tactics, and assignments to fit the unique needs of each client.


Author(s):  
Kari M. Eddington ◽  
Timothy J. Strauman ◽  
Angela Z. Vieth ◽  
Gregory G. Kolden

Chapter 10 focuses on end-of-treatment issues, such as maintaining gains, continuing to monitor depressive symptoms, addressing fears about relapse, and identifying long-term goals for continued growth and self-improvement. As clients approach the end of the self-system therapy program, it is important to recognize the progress they have made and to make plans to keep their progress going. Self-regulation is a lifelong process. Worksheets are provided to help set realistic goals for continued work after therapy and to develop a plan for maintaining progress, including work on daily goals and challenging situations. Clients often experience anxiety and uncertainty about finishing therapy. One goal of this skills-based treatment program is to provide the tools for continuing to make progress independently.


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