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Presenting Problems (presenting + problem)
Selected AbstractsPresenting problems among treatment-seeking gay, lesbian, and bisexual youthJOURNAL OF CLINICAL PSYCHOLOGY, Issue 5 2001Trevor A. Hart Gay, lesbian, and bisexual youth are at risk for a variety of clinical problems amenable to psychotherapeutic intervention. However, many psychotherapists may be unaware of the difficulties faced by this population. The purpose of this article is to familiarize therapists with presenting complaints common to psychotherapy-seeking gay, lesbian, and bisexual youth. Some of these problems include homophobia among family, peers, and authority figures (often expressed at school or at work), depression, suicidality, social anxiety, and body image disturbance. We illustrate these important issues via four case examples. © 2001 John Wiley & Sons, Inc. J Clin Psychol/In Session 57: 615,627, 2001. [source] GAY AND LESBIAN COUPLES IN THERAPY: PERSPECTIVES FOR THE CONTEMPORARY FAMILY THERAPISTJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 4 2000Claudia Bepko This paper outlines the major concerns of gay and lesbian couples who seek therapy. Presenting problems are classified as either internal to the relationship or as external (contextual) ones that reflect the influence of oppressive cultural and gender biases. Throughout the article, distinctive therapy methods are described that address the unique concerns of lesbian and gay couples, with special sensitivity to heterosexist and homophobic bias. [source] Epidemiology of low back pain in the United Arab EmiratesINTERNATIONAL JOURNAL OF RHEUMATIC DISEASES, Issue 3 2004Abdulbari BENER Abstract Aims:, Low back pain (LBP), a common presenting problem in general practice in the United Arab Emirates (UAE), has received increasing attention in recent decades. We seek to investigate the prevalence of LBP and associated risk factors among people living in the typically hot, humid desert environment of the UAE. Methods:, A cross-sectional questionnaire survey was conducted. The setting was the Primary Health Care (PHC) Clinics in Al-Ain, UAE. The subjects were a multistage stratified sample of 1304 UAE nationals, 15,70 years of age, who attended PHC clinics for any reason. All subjects were invited to participate. The questionnaire used in the survey is a modified version of the Roland-Morris scale for evaluating low back pain. The questionnaires were administered during face-to-face interviews conducted in Arabic by qualified nurses. Results:, Of the total 1304 subject, 1103 (84.5%) living in both urban and rural areas agreed to participate and responded to the study; 586 (53.1%) were men and 517 (46.9%) women. The mean ages and SD of the subjects were 34.9 ± 13.4 years for the men and 33.5 ± 11.8 years for the women. The prevalence of LBP in the present study was 64.6% (95% CI = 60.7,68.5). The results revealed that there were statistically significant differences between men and women with respect to LBP and body mass index (BMI) (P < 0.001), marital status (P < 0.001), occupational status (P < 0.001), housing condition (P < 0.001), and smoking habits (P < 0.001). Back pain had a greater influence on the lifestyle habits of the women than men. Stepwise multiple regression analysis showed that only BMI (OR = 2.54, 95% CI = 2.30,281; P < 0.001), prolonged standing (OR = 6.22, 95% CI = 4.01,9.67; P < 0.0001), weakness in leg (OR = 2.11, 95% CI = 1.16,3.85; P = 0.0142), lifting heavy weights (OR = 6.34, 95% CI = 4.09,9.84; P = 0.019) regular exercise (OR = 12.47, 95% CI = 7.50,20.71; P < 0.001) and smoking habits (OR = 1.61, 95% CI = 1.08,2.38; P < 0.05) had a significant effect on the presence of LBP in these patients. Conclusions:, The study showed that the prevalence of back-related disability was higher among women than men in the UAE. Also, low socio-economic status and adverse lifestyle habits may constitute risk factors and predictors of LBP. [source] Beyond ethnic match: Effects of client,therapist cognitive match in problem perception, coping orientation, and therapy goals on treatment outcomesJOURNAL OF COMMUNITY PSYCHOLOGY, Issue 5 2005Nolan Zane This study examined the outcome effects of cognitive match between Asian and White outpatient clients and their therapists. Many clinicians believe that one hindrance to the treatment of ethnic minority clients is that therapists and clients may not share common assumptions and attitudes about therapy and about the problems that are presented in treatment. The study investigated client,therapist similarity in their perceptions of the presenting problem, coping orientation, and expectations about treatment goals. This study constituted a more rigorous test of the cognitive match hypotheses in that it was prospective in nature, used separate and independent sources for the cognitive predictors, employed multiple outcome measures, and focused on specific attitudes and perceptions that are quite salient and relevant to treatment. Cognitive match on treatment goals was predictive of session impact. Moreover, cognitive matches in avoidant coping orientation and in perceived distress associated with interpersonal problems were predictive of certain treatment outcomes. The findings may help explain why clients matched on ethnicity with their therapists tend to stay longer in treatment and do better in psychotherapy. © 2005 Wiley Periodicals, Inc. J Comm Psychol 33: 569,585, 2005. [source] Multisystemic Therapy (MST) for Youth Offending, Psychiatric Disorder and Substance Abuse: Case Examples from a UK MST TeamCHILD AND ADOLESCENT MENTAL HEALTH, Issue 3 2010Charles Wells Background:, The paper illustrates the MST treatment model with three types of presenting problem in young people aged 14,15. Method:, The MST model is described and then illustrated with detailed case material from a violent young person convicted of robbery, a young person with a history of serious self-harming behaviour and hospitalisation, and a young person persistently smoking cannabis. Results:, All three cases improved after the MST intervention despite disparate presenting problems that included re-offending, the elimination of self-harming behaviour and a significant reduction in the use of cannabis. The three young people were re-integrated into the education system. Conclusion:, This case series illustrates the potential uses of the MST model in CAMHS although RCT data are needed to replicate the effectiveness of MST in the British context. [source] Effectiveness of Falls Clinics: An Evaluation of Outcomes and Client Adherence to Recommended InterventionsJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 4 2008Keith D. Hill PhD OBJECTIVES: To evaluate outcomes associated with falls clinic programs. DESIGN: Longitudinal. SETTING: Thirteen outpatient falls clinics in Victoria, Australia. PARTICIPANTS: Four hundred fifty-four people referred for clinic assessment (mean age±standard deviation 77.9±8.8; 73% female). INTERVENTION: After assessment, multifactorial interventions were organized to address identified risk factors. MEASUREMENTS: A Minimum Data Set was developed and used across all clinics to derive common data on falls, falls injuries, and secondary measures associated with falls risk, including balance, falls efficacy, gait, leg strength, function, and activity. All measures were repeated 6 months later. RESULTS: Clients had a high risk of falls, with 78% having had falls in the preceding 6 months (63% multiple fallers, 10% experiencing fractures from the falls). An average of 7.6±2.8 falls risk factors were identified per client. The clinic team organized an average of 5.7±2.3 new or additional interventions per client. Sixty-one percent of eligible clients returned for the 6-month assessment. At this time, there was more than a 50% reduction in falls, multiple falls, and fall injuries (P,.004) and small but significant improvements evident on secondary measures of balance, leg strength, gait speed, and confidence outcomes (P<.006). Average adherence to recommendations was 74.3%. Factors associated with higher adherence included being male, younger than 65, living with others, and having a caregiver (P<.05). CONCLUSION: This large multicenter study identified high falls risk of older people referred to falls clinics, the multifactorial nature of their presenting problems and provides preliminary evidence of positive outcomes after falls clinic management. [source] Principles for psychosocial treatment of personality disorder: Summary of the APA Division 12 Task Force/NASPR reviewJOURNAL OF CLINICAL PSYCHOLOGY, Issue 6 2006Kenneth L. Critchfield A wide variety of clinical problems and relational styles are collected under the diagnostic heading of personality disorder (PD). These disorders involve maladaptive, persistent ways of thinking, feeling, and behaving that are associated with both functional impairment and disturbed interpersonal relationships. Personality disorders are difficult to treat, and challenge a therapist's ability to intervene helpfully, in part because the maladaptive patterns can impact the therapy relationship itself. Therapeutic principles were derived by Task Force review from the small body of research conducted to date with this family of disorders and include characteristics of clients and therapists, their relationship together, and essential elements of technique. The importance of a collaborative relationship as well as a treatment that is comprehensive, empathic, patiently applied, and flexibly tailored to presenting problems are dominant themes across principles. Treatment research with PD is in its early stages and many important areas remain uncharted. The Task Force principles are here summarized in hopes of providing general guidance to clinicians working with PD, as well as to outline research needs for the area. © 2006 Wiley Periodicals, Inc. J Clin Psychol 62: 661,674, 2006. [source] Cognitive,behavioral therapy with gay, lesbian, and bisexual clientsJOURNAL OF CLINICAL PSYCHOLOGY, Issue 5 2001Steven A. Safren Cognitive,behavioral therapy (CBT) can be adapted to a wide range of clinical difficulties and presenting problems that face lesbians, gay men, and bisexual persons. The following article presents general guidelines for and two case examples of the use of CBT. The first case is a gay male struggling with social phobia. This case is an example of how to adapt a structured, empirically supported cognitive,behavioral treatment focusing on social phobia to situations that are associated with his sexual orientation. The second is a woman struggling with multiple issues including coming out. This case provides an example of how to add specific cognitive,behavioral techniques to coming-out issues within the context of a more eclectic, longer-term therapy. © 2001 John Wiley & Sons, Inc. J Clin Psychol/In Session 57: 629,643, 2001. [source] Multisystemic Therapy (MST) for Youth Offending, Psychiatric Disorder and Substance Abuse: Case Examples from a UK MST TeamCHILD AND ADOLESCENT MENTAL HEALTH, Issue 3 2010Charles Wells Background:, The paper illustrates the MST treatment model with three types of presenting problem in young people aged 14,15. Method:, The MST model is described and then illustrated with detailed case material from a violent young person convicted of robbery, a young person with a history of serious self-harming behaviour and hospitalisation, and a young person persistently smoking cannabis. Results:, All three cases improved after the MST intervention despite disparate presenting problems that included re-offending, the elimination of self-harming behaviour and a significant reduction in the use of cannabis. The three young people were re-integrated into the education system. Conclusion:, This case series illustrates the potential uses of the MST model in CAMHS although RCT data are needed to replicate the effectiveness of MST in the British context. [source] | |||||||||||||