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Clinical Psychology

Science and Practice

Impact factor: 4.4 5-Year impact factor: 4.22 Print ISSN: 0969-5893 Online ISSN: 1468-2850 Publisher: Wiley Blackwell (Blackwell Publishing)

Subject: Clinical Psychology

Most recent papers:

  • From the Cradle to the Grave: The Effect of Adverse Caregiving Environments on Attachment and Relationships Throughout the Lifespan.
    Colleen Doyle, Dante Cicchetti.
    Clinical Psychology. April 11, 2017
    This article reviews research examining the effects of adverse early caregiving on relationships throughout the lifespan. Central attachment constructs are summarized and integrated into a review of research on the long‐term effects of institutional rearing and child maltreatment. Findings are interpreted within the organizational perspective on development, which conceptualizes attachment as a stage‐salient task of infancy that influences the reorganization of adaptive/maladaptive functioning around subsequent stage‐salient tasks. Children who experience adverse early caregiving are more likely to exhibit aberrant attachment behaviors, deficits in social‐emotional competencies, and persisting difficulties in social functioning and relationship outcomes. Disorganized attachment behavior stemming from adverse early caregiving has been a major focus of this work. Intervention efforts that target mental representations related to attachment relationships can facilitate improved social functioning. Clinical implications of this work are discussed.
    April 11, 2017   doi: 10.1111/cpsp.12192   open full text
  • Behavioral Activation for Major Depression in Adolescents: Results From a Pilot Study.
    Lorie A. Ritschel, Cynthia L. Ramirez, John L. Cooley, W. Edward Craighead.
    Clinical Psychology. March 24, 2016
    This study evaluated the treatment effects of Behavioral Activation (BA) on adolescents with major depressive disorder (MDD). A total of 28 adolescents (M age = 15.43) participated in this 18‐week study. Semi‐structured diagnostic interviews were used to determine depression status. Multiple informant methods (participants, parents, therapists, independent assessors) evaluated clinical change. Assessments were conducted at baseline, midpoint, end of treatment, and 3‐ and 6‐month follow‐ups. Results suggested that BA was an effective treatment for depressed adolescents. At the end of treatment, 90.9% of completers no longer met criteria for MDD, with 54.5% classified as fully remitted, 36.4% classified as responders, and only 9.1% classified as nonresponders. Follow‐up assessments indicated that treatment effects were sustained. Conclusions and future directions are discussed.
    March 24, 2016   doi: 10.1111/cpsp.12140   open full text
  • Assessing Adolescent Personality Disorders With the Shedler–Westen Assessment Procedure for Adolescents.
    Jared A. DeFife, Johanna C. Malone, John DiLallo, Drew Westen.
    Clinical Psychology. December 07, 2013
    This two‐part study describes the development and validation of a method for quantifying adolescent personality pathology using the latest edition of the Shedler–Westen Assessment Procedure for Adolescents (SWAP‐II‐A), an instrument designed to be used by clinically experienced observers. In Study 1, experienced psychologists and psychiatrists described a normative clinical sample of 950 North American patients. Study 2 applied the SWAP‐II‐A in a day treatment setting. Results indicated that SWAP‐II‐A personality disorder (PD) scales evidenced high internal consistency, construct validity with Diagnostic and Statistical Manual of Mental Disorders (5th ed.) symptoms and diagnoses, and concurrent validity with Child Behavior Checklist (CBCL) ratings. Independent observers saw patients similarly, and PD assessments were significantly associated with CBCL scale scores and ward behavior.
    December 07, 2013   doi: 10.1111/cpsp.12049   open full text
  • Centrality of Shame Memories and Psychopathology: The Mediator Effect of Self‐Criticism.
    José Pinto‐Gouveia, Paula Castilho, Marcela Matos, Ana Xavier.
    Clinical Psychology. September 16, 2013
    Research has shown that the centrality of shame memories is related to psychopathological symptoms. However, little is known about the role of self‐criticism on this association. The current study explored a mediator model in which self‐criticism was hypothesized to mediate the relationship between centrality of shame memories and depressive symptoms, and between centrality of shame memories and paranoid beliefs. A battery of self‐report instruments measuring centrality of shame memory (CES), forms (FSCRS) and functions (FSCS) of self‐criticism, depressive symptoms (DASS‐42), and paranoid beliefs (GPS) was administered to 204 participants from the general community population. Results showed did centrality of shame memories played an important role in depressive symptoms and paranoid beliefs. Only in depression did measures of self‐criticism act as a mediator between centrality of shame and depressive symptomatology. These findings point to the distinct role that self‐criticism plays on the relationship between shame memories and depressive and paranoid symptoms, adding to current evolutionary approaches on these two psychopathological features.
    September 16, 2013   doi: 10.1111/cpsp.12044   open full text