Concluding Treatment and Preventing Relapse

2017 ◽  
pp. 81-96
Author(s):  
Kari M. Eddington ◽  
Timothy J. Strauman ◽  
Angela Z. Vieth ◽  
Gregory G. Kolden
Keyword(s):  
Depressive Symptoms ◽  
Treatment Program ◽  
Self Regulation ◽  
The Self ◽  
Therapy Program ◽  
System Therapy ◽  
End Of Treatment ◽  
Self System

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.

scholarly journals The correlation of sociopsychological characteristics and self-stigmatization of patients with mental disorders (Result of original study)

2019 ◽  
pp. 46-54
Author(s):  
N. B. Lutova ◽  
O. V. Makarevich ◽  
K. E. Novikova
Keyword(s):  
Mental Disorders ◽  
Affective Disorders ◽  
Self Regulation ◽  
Personal Characteristics ◽  
Original Study ◽  
The Self ◽  
Regulation System ◽  
System Functioning ◽  
The Relationship ◽  
Self System

The investigation studies the relationship between narcissistic self-regulation with the features and expression of self-stigmatization in patients with endogenous mental disorders. The study involved 131 people, including patients with schizophrenia — 66.8% and individuals with affective disorders — 33.2%. The survey was conducted by using the following methods: «Index of Self-system functioning» and questionnaire of self-stigmatization by Mikhailova-Yastrebov. Data on correlation of strength personality reducing with selfstigmatization, the specifics of Self-regulation structure in various inner stigma forms, and the absence of IFSS significant differences in patient’s groups with different nosological forms of mental disorders, disease’s duration and number of hospitalizations — were obtained. The specific personal characteristics underlying premorbid changes in the Self-regulation system that determine the vulnerability of patients to the formation of stigma are discussed.

Termination and Relapse Prevention (Session 16)

2017 ◽  
pp. 126-138
Author(s):  
Kari M. Eddington ◽  
Timothy J. Strauman ◽  
Angela Z. Vieth ◽  
Gregory G. Kolden
Keyword(s):  
Relapse Prevention ◽  
Self Regulation ◽  
Change Processes ◽  
Treatment Termination ◽  
Symptoms Of Depression ◽  
Term Change ◽  
System Therapy ◽  
End Of Treatment ◽  
Continued Use ◽  
External Causes

Chapter 8 addresses common issues associated with treatment termination and recommends strategies and tactics for addressing end-of-treatment issues, including relapse prevention and maintenance of longer-term change processes that were started during therapy. Short-term, structured therapies such as self-system therapy (SST) help clients develop the necessary skills to continue the work of therapy after termination. SST aims to reduce the symptoms of depression and comorbid anxiety through improved self-regulation. Because depressed clients often fail to recognize their progress or may attribute gains to external causes, the therapist should underscore clients’ central role in the progress that has been made and encourage them to acknowledge their efforts. Continued use of the described strategies and tactics can equip clients to pursue their goals, evaluate themselves in a realistic way, and get closer to being who they want to be.

Is Self-System Therapy Right for Your Client?

2017 ◽  
pp. 25-30
Author(s):  
Kari M. Eddington ◽  
Timothy J. Strauman ◽  
Angela Z. Vieth ◽  
Gregory G. Kolden
Keyword(s):  
Depressive Disorder ◽  
Comprehensive Evaluation ◽  
Self Regulation ◽  
Primary Diagnosis ◽  
Diagnostic Assessment ◽  
Standardized Measures ◽  
Appropriate Treatment ◽  
System Therapy ◽  
Self System

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.

Development and testing of a self-regulation model for recurrent depression

2018 ◽  
Vol 25 (10-11) ◽  
pp. 1732-1742
Author(s):  
Bonnie M Hagerty ◽  
Melissa A Bathish ◽  
Emily Kuchman
Keyword(s):  
Depressive Symptoms ◽  
Standard Deviation ◽  
Self Regulation ◽  
The Self ◽  
Self Management ◽  
Illness Management ◽  
Recurrent Depression ◽  
Post Intervention ◽  
Regulation Model ◽  
Depression Intervention

Self-regulation is a strategy for self-management of depression. Study aims were to (1) describe development of an intervention based on metacognition and self-regulation, (2) test intervention feasibility and utility, and (3) determine its effectiveness in reducing depressive symptoms. The Self-Regulated Illness Management of Depression intervention was developed and taught to 22 participants with recurrent depression. There was no attrition 6 months post intervention. At 6 months, there was a significant decrease in depressive symptoms ( M = 10.21, standard deviation = 8.0), t(18) = 5.60, p < .001, and 73 percent of participants used Self-Regulated Illness Management of Depression frequently. Results indicated that Self-Regulated Illness Management of Depression was feasible and useful.

scholarly journals COMPONENTS OF STUDENTS’ SELF-SYSTEM AND EXPERIENCE OF COGNITIVE STATES DURING EXAMINATIONS

2020 ◽  
Vol 30 (2) ◽  
pp. 143-155
Author(s):  
M.E. Valiullina ◽  
M.I. Kartasheva
Keyword(s):  
High School Students ◽  
Self Regulation ◽  
Cognitive Activity ◽  
High Stress ◽  
Educational Process ◽  
The Self ◽  
Psychological Characteristics ◽  
Affective States ◽  
School Students ◽  
Self System

Exploring the issue of various individual psychological parameters self-regulation in the context of secondary and higher education is undoubtedly relevant. The role of the self-system in the process of setting and stabilization of person’s psychological comfort remains undeniable as well. One of the psychological and pedagogical problems of verifying students' knowledge in the current educational process, and especially during the examination tests, is the high stress caused by information and psychological overload. In particular, examination stress affects the student’s cognitive activity, and this in turn can have a significant impact on the test result. This article describes the study of influence of self-esteem of psychological characteristics directly related to the perception, understanding, remembering of new information in the context of the educational process and factors of self-attitude, as the structures of person’s self-system, on students' memories of cognitive and affective states experience during the examination tests. The research methods were testing and questioning followed by analysis of statistical connections and differences. The results of the research indicate the existence of certain general psychological mechanisms of influence of the self-system’s structures on cognitive and affective states regulation of students in situation of examinations. In practical terms, the data obtained can be useful for the development of psychological and pedagogical technologies for working with secondary and high school students in order to improve the quality of examination answers, taking into account the context of situations and individual psychological characteristics of students.

Overview of Self-System Therapy Strategies

2017 ◽  
pp. 31-46
Author(s):  
Kari M. Eddington ◽  
Timothy J. Strauman ◽  
Angela Z. Vieth ◽  
Gregory G. Kolden
Keyword(s):  
Behavioral Activation ◽  
Behavioral Therapy ◽  
Self Regulation ◽  
Clinical Intervention ◽  
Acceptance And Commitment ◽  
System Therapy ◽  
Motivational Process ◽  
Activation Therapy ◽  
Regulation Model ◽  
Self System

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.

Social Support and Success at Stopping Smoking

2007 ◽  
Vol 2 (2) ◽  
pp. 47-53 ◽  
Author(s):  
Sylvia May ◽  
Robert West ◽  
Peter Hajek ◽  
Andy McEwen ◽  
Hayden McRobbie
Keyword(s):  
Social Support ◽  
Treatment Program ◽  
Odds Ratio ◽  
Short Term ◽  
Large Sample ◽  
End Of Treatment ◽  
The Social ◽  
The Relationship

AbstractThis article characterises the social support received by a large sample of smokers attempting to stop and the relationship between this and the outcome of their attempt. A survey was conducted of 928 smokers attending a group-based program. Smoking among colleagues and a perception of having someone to turn to predicted outcome at the end of treatment, 4 weeks from the quit date (Odds ratio [OR] = 0.81, p = .008 and OR = 1.31, p = .003 respectively) Among those who abstained for the first week, smoking among colleagues and the frequency with which they had been offered cigarettes predicted outcome at the end of treatment (OR = 0.81, p = .04 and OR = 0.73, p = .01 respectively). There were no significant social support correlates of cessation for 26 weeks. Social support has a role to play in the short-term, but in the context of a group-based treatment program appears not to be related to long-term success.

Adaptation Phase (Sessions 9–15)

2017 ◽  
pp. 96-126
Author(s):  
Kari M. Eddington ◽  
Timothy J. Strauman ◽  
Angela Z. Vieth ◽  
Gregory G. Kolden
Keyword(s):  
Self Regulation ◽  
Final Phase ◽  
Therapy Goals ◽  
System Therapy ◽  
Self Discrepancy ◽  
Adaptation Phase ◽  
Self System

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.

Exploration Phase (Sessions 5–8)

2017 ◽  
pp. 68-96
Author(s):  
Kari M. Eddington ◽  
Timothy J. Strauman ◽  
Angela Z. Vieth ◽  
Gregory G. Kolden
Keyword(s):  
Self Regulation ◽  
Problem Formulation ◽  
Situation Analysis ◽  
System Therapy ◽  
Self Knowledge ◽  
Exploration Phase ◽  
Self System

Chapter 6 provides a session-by-session guide to the exploration phase of self-system therapy (SST). This phase involves assessing important aspects of the client’s self-regulation, including self-knowledge and regulatory style. The therapist applies two tactics specific to SST. Self-belief analysis is used to examine the content, function, origins, and adaptiveness of the client’s beliefs about herself or himself in relation to others, with an emphasis on goals and standards. Psychological situation analysis is applied to evaluation of the client’s goals and standards in everyday situations to determine his or her typical patterns of self-regulation. The therapist and client then construct a revised problem formulation and a set of specific targets for reducing self-discrepancies and improving the effectiveness of self-regulation.

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