An Integrative Approach to Depression: Part 2—Assessment and Treatment

2003 ◽  
Vol 8 (2) ◽  
pp. 99-115 ◽  
Author(s):  
Jonathan Zuess

This article is the second of a two-part series presenting an integrative model for understanding and treating depression. In this part, the integrative model provides the basis for comprehensive assessment and treatment, guiding the application of a wide variety of treatments. Evidence-based complementary and conventional treatment modalities for depression are also reviewed.

2016 ◽  
Vol a4 (2) ◽  
pp. 112-128 ◽  
Author(s):  
Allison M. Waters ◽  
Richard T. LeBeau ◽  
Michelle G. Craske

Experimental psychopathology has elucidated mechanisms underlying various forms of psychopathology and has contributed to the continuous updating and generation of mechanistically-focused and evidence-based psychological treatments. Clinical psychology is an applied field of psychology concerned with the assessment and treatment of psychological disorders and behavioral problems. Despite the notable commonality in their focus upon psychological dysfunction, conceptual frameworks that guide their integration are surprisingly scarce. Clinical science and practice would benefit greatly from the combined strengths of each discipline. In this review, we begin by defining experimental psychopathology and clinical psychology, we present arguments for greater integration between them, and we propose a model to guide the integration of experimental psychopathology-informed science into clinical practice, illustrating the relevance of the model by drawing upon the seminal research on fear conditioning and extinction and other experimental paradigms.


Author(s):  
Andrew Mitton ◽  
Larissa J. Mooney

SUD remains a significant public health problem with limited evidence-based treatment options available for many individuals. This chapter provides a review of integrative treatment approaches for stimulant use disorder, including current literature on evidence-based behavioral interventions, pharmacotherapy, and complementary and alternative treatments (CAM) for both cocaine and amphetamine use. Current epidemiology, physical and mental health effects, and public health impacts, of these disorders is also discussed. The chapter provides an overview of current mainstream treatments for these disorders and challenges that have been faced in developing effective treatment modalities. With the relative paucity of available traditional treatments, the chapter seeks to explore the evidence for the use of such CAM treatments as acupuncture, exercise, yoga, transmagnetic cranial stimulation (TMS), meditation, and N-acetylcysteine (NAC).


Author(s):  
Matthew K. Nock ◽  
Christine B. Cha ◽  
Halina J. Dour

Disorders of impulse-control and self-harm are dangerous clinical problems that often present significant challenges for scientists and clinicians. In this chapter, we provide a comprehensive review of each disorder on the impulse-control spectrum. We begin by describing the clinical presentation and epidemiology of each disorder. Next, we discuss what is currently known about the etiology of these disorders, summarizing recent research on genetic/neurobiological factors, environmental factors, and psychological factors that appear to influence these disorders. The assessment and treatment of disorders of impulse-control and self-harm is complicated by the relatively low base-rate of these disorders, as well as by their dangerous and sensitive nature. Nevertheless, several evidence-based approaches to assessment and treatment have been developed and also are reviewed here. We conclude with recommendations for future scientific and clinical efforts aimed at better understanding, predicting, and preventing disorders of impulse-control and self-harm.


1997 ◽  
Vol 21 (3) ◽  
pp. 50-56 ◽  
Author(s):  
Alan Burnell ◽  
Adrian Briggs

In the autumn 1995 edition of Adoption & Fostering, Alan Burnell and Adrian Briggs described the origins and objectives of a novel complementary contract between East Sussex Social Services and the Post-Adoption Centre (PAC), aimed at providing post-adoption counselling and consultation services to all those involved in adoption in the county. The same authors now evaluate the operation of the contract, one year on. After filling in some background they assess its achievements so far, with particular regard to the extra support to service users and staff, and reducing the risk of disruption. The article concludes that the first year of the contract has demonstrated the need for comprehensive assessment and treatment services for adoptive families with children experiencing attachment difficulties.


2006 ◽  
Vol 134 (7-8) ◽  
pp. 267-272
Author(s):  
Milan Latas ◽  
Vladan Starcevic ◽  
Goran Trajkovic

Introduction. Besides numerous studies that examined various aspects of comorbidity in patients with panic disorder and agoraphobia and numerous studies that examined efficacy of different treatment modalities in these patients, there was no study that examined relationship of overall psychiatric comorbidity and treatment of patients with panic disorder and agoraphobia. Objective. The objective of the study was to establish the effect of psychiatric comorbidity on treatment efficiency of patients with panic disorder and agoraphobia. Method. The sample of the study consisted of 119 patients with primary diagnosis of panic disorder and agoraphobia. The therapy of patients was based on the use of individual integrative model of treatment, which incorporated psycho-pharmaceuticals (benzodiazepines and antidepressants) and cognitive- behavior therapy. Symptom severity was estimated by Panic and Agoraphobia Scale before and after the completion of treatment. Patients with comorbidity and patients without any comorbidity were compared by MANOVA and ANOVA with repeated measures. Results. The results of the study showed that 91% of patients met diagnostic criteria of comorbid psychiatric disorder and these patients had more severe clinical picture than patients without any comorbid disorder before the treatment. The results also showed that, after the completion of treatment, there was a significant reduction of all analyzed symptoms, that the effects of treatment were significantly better in patients with psychiatric comorbidity and that comorbid psychiatric disorders had no negative effect on the main goals of the treatment. Conclusion. Based on these results, it may be concluded that: in patients with panic disorder and agoraphobia and comorbid psychiatric disorders, the pharmacotherapy must be based on simultaneous use of antidepressants and benzodiazepines, while standard cognitive-behavior therapy of patients with panic disorder and agoraphobia must be modified in case of the existing comorbid psychiatric disorders.


2020 ◽  
Vol 9 (26) ◽  
pp. 486-497
Author(s):  
Larisa P. Konnova ◽  
Alexander A. Rylov ◽  
Irina K. Stepanyan

Introduction: A modern specialist in practically any field should not only possess professional expertise but also have a good command of modern computer technologies and main mathematical methods of data modeling and processing. It is employers’ requirements and, at the same time, students’ demands to receive this exact type of education. The study examines various ideas of educator-researchers striving to change the educational process to match the new goals. Meanwhile, the authors place the main emphasis on teaching mathematics. Drawing on the experience of teaching at the Financial University under the Government of the Russian Federation, the authors propose an integrative model of teaching mathematics that utilizes the contextual approach and content-based teaching. Materials and Methods: The main methods of the study are the analysis of scientific works and pedagogical modeling based on the following methodological approaches: competency-based, integrative, activity-based, as well as the concept of the zone of proximal development. The authors place special importance on the contextual approach and content-based teaching. Results: The analysis of works confirms the significance and relevance of interdisciplinary courses. The necessary modernization of the educational process and its contents is based on the integrative approach. The contextual approach is increasingly used in higher education to reinforce professional orientation. As for content-based education, it is currently used only in foreign language teaching. Within this study, the authors propose an integrative model of teaching mathematics at economics universities. To enforce the focus on the application in basic student training, the contextual approach is utilized which allows giving professional substance to the content of an educational course. The second part of the model is content-based teaching. The authors enhance its potential uses and believe that studying interconnected subjects together allows one to show common patterns and makes the educational process more efficient, intensive and mindful. Discussion and Conclusions: The relevance of having command of mathematical methods and computer technologies for multidisciplinary specialists makes it possible to generalize the creative model by adding various professional contexts.


2002 ◽  
Vol 3 (1) ◽  
pp. 105-122
Author(s):  
Hoon Park ◽  
Youngsun Paik ◽  
Cristina Suarez Duffy

This paper suggests an integrative model in which MNCs combine staffing policy with training requirements given the level of control over foreign operations. The main premise of the paper is that different levels of control need determine the type of personnel and the extent of training required for managing foreign operations. At the highest level of control need, expatriate managers are provided with extensive cultural training. Conversely, at the lowest level of control need, host country nationals are given minimal functional training. When the control needs are moderate, firms can select either expatriates or host country nationals. Since the costs incurred in extensive functional training for host country nationals are usually greater than those for expatriates who require only a minimal level of cultural training, MNCs tend to prefer expatriates to host country nationals.


2021 ◽  
pp. 470-478
Author(s):  
Santhosshi Narayanan ◽  
Gabriel Lopez ◽  
Jun J. Mao ◽  
Wenli Liu ◽  
Lorenzo Cohen

Patients with cancer often seek an integrative approach to their care in hope of a cure or symptom management. The integrative care plan requires a patient-centered approach that involves attention to their concerns and developing a comprehensive plan involving physical, mind-body, and social modalities in collaboration with the patient’s main oncology team and colleagues in palliative care, pain management, psychiatry, and rehabilitation. A personalized symptom management strategy utilizing an evidence-based application of conventional and nonconventional therapies can help improve quality of life and optimize treatment outcomes. Recommendation of modalities such as acupuncture, massage, and mind-body practices, as well as open communication and discussion on herbs and supplements, their safety, and interactions with cancer and chemotherapy, is critical to achieve optimal clinical outcomes.


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