Group-Based Cognitive–Behavioral Therapies with Sexual Minority Clients

Author(s):  
Jeffrey M. Cohen ◽  
Michelle G. Newman

Sexual minorities face unique threats to psychological well-being that are primarily social in nature. These minority stressors include negative social exchanges at both the structural and interpersonal levels. Minority stress results in psychiatric distress; however, sexual minorities display increased self-esteem and decreased anxiety and depression when in proximity to other sexual minorities. This suggests group-based psychotherapy may be a uniquely effective treatment for the mental health of sexual minority clients. Group-based cognitive–behavioral therapies (CBTs), inclusive of traditional and third-wave modalities, enjoy a robust evidence base. This chapter reviews the evidence for group-based CBTs with sexual minorities, and it offers recommendations for the adaptation of group-based CBTs for work with sexual minorities. An illustrative example of a CBT group that was delivered to sexual minority adolescents is provided.

Psychotherapy ◽  
2020 ◽  
Vol 57 (3) ◽  
pp. 379-390
Author(s):  
Matthew W. Gallagher ◽  
Colleen A. Phillips ◽  
Johann D'Souza ◽  
Angela Richardson ◽  
Laura J. Long ◽  
...  

Author(s):  
Mansour Dehghan Manshadi ◽  
Sara Dibazar ◽  
Yaser Heydari ◽  
Fahimeh Kalantarzadeh

Introduction;Mindfulness and acceptance-based therapies are known as third-wave cognitive-behavioral therapies. This therapy combines the presence of the mind as a goal of therapy with exercises such as stopping conscious thinking and non-judgmental observation of one's own thoughts. It was present to determine the effectiveness of mindfulness-based cognitive therapy on perfectionism and stress of female students in public model schools in the second year of high school in Yazd Introduction: Mindfulness- and acceptance-based therapies are known as the third wave of cognitive-behavioral therapies. The aim of this study was to determine the effectiveness of mindfulness-based cognitive therapy on perfectionism and stress in female students studying in state model high schools in Yazd. Methods: The total number of this population was 784 in the academic year 2016- 2017, of which 30 people were selected using Multistage Cluster Sampling. Later, they were assigned to two groups (control and experiment) randomly. Ahvaz perfectionist scale (APS) as well as Depression, Anxiety and Stress Scales (DASS) were the research tools used in this study. The intervention included eight sessions of intervention in the experiment group. Mancova (analysis of covariance) was applied to analyze the data obtained. Results: The finding showed that Mindfulness-based Cognitive Therapy was effective in reducing Perfectionism and Stress among the experiment group members (P<0/001). Conclusion: The findings show that Mindfulness-based Cognitive Therapy can be applied to Perfectionism and Stress among female students, paving the way for better adjustment and achievement for these important social group.


Author(s):  
Angeliki Argyriou ◽  
Kimberley A. Goldsmith ◽  
Katharine A. Rimes

AbstractEvidence suggests that sexual minorities (e.g., those identifying as lesbian, gay, or bisexual) experience increased rates of depression compared to heterosexual individuals. Minority stress theory suggests that this disparity is due to stigma experienced by sexual minorities. Stigma processes are proposed to contribute to reduced coping/support resources and increased vulnerability processes for mental health problems. This review provided a systematic examination of research assessing the evidence for mediating factors that help explain such disparities. A literature search was conducted using the databases PubMed, PsycINFO, and Web of Science. The review included 40 identified studies that examined mediators of sexual minority status and depressive outcomes using a between-group design (i.e., heterosexual versus sexual minority participants). Studies of adolescents and adult samples were both included. The most common findings were consistent with the suggestion that stressors such as victimization, harassment, abuse, and increased stress, as well as lower social and family support, may contribute to differing depression rates in sexual minority compared to heterosexual individuals. Differences in psychological processes such as self-esteem and rumination may also play a role but have had insufficient research attention so far. However, caution is needed because many papers had important methodological shortcomings such as the use of cross-sectional designs, inferior statistical analyses for mediation, or measures that had not been properly validated. Although firm conclusions cannot be drawn, the current evidence base highlights many factors potentially suitable for further exploration in high-quality longitudinal research or randomized studies intervening with the potential mediators.


Assessment ◽  
2020 ◽  
pp. 107319112098006
Author(s):  
Joel N. Fishbein ◽  
Ruth A. Baer ◽  
Joshua Correll ◽  
Joanna J. Arch

Self-transcendence is thought to increase well-being and is implicitly promoted in contextual cognitive behavioral therapies (CCBTs). This study conceptualizes, develops, and validates the first comprehensive CCBT-informed self-transcendence questionnaire. Using a CCBT-informed theory, we propose four self-transcendence facets: distancing oneself from mental content, distinguishing an observer of mental experience that is separate from the content of experience, experiencing innate connectedness with other beings, and noticing the constantly changing nature of experience. We measured these facets with items from existing relevant questionnaires and novel, expert-informed items. Exploratory factor analyses and bifactor exploratory structural equation models supported the first three of these facets. Those factors evidenced convergent validity with decentering, defusion, experiential avoidance, and mindfulness, and criterion and incremental validity in predicting psychological well-being. Our findings support a CCBT-informed model of self-transcendence, introduce the first instrument to comprehensively measure the self-transcendence facets we identified, indicate links with well-being, and suggest future intervention targets.


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