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Psychotherapy
Kinds of Psychotherapy Terms modified by Psychotherapy Selected AbstractsEDITORIAL: PSYCHOANALYTIC PSYCHOTHERAPY IN THIS JOURNALTHE INTERNATIONAL JOURNAL OF PSYCHOANALYSIS, Issue 3 2001Article first published online: 28 JUN 200 No abstract is available for this article. [source] INFORMATION ABOUT THE BRITISH JOURNAL OF PSYCHOTHERAPYBRITISH JOURNAL OF PSYCHOTHERAPY, Issue 1 2005Article first published online: 17 NOV 200 No abstract is available for this article. [source] THE RELEVANCE OF EVOLUTIONARY PSYCHOLOGY FOR PSYCHOTHERAPYBRITISH JOURNAL OF PSYCHOTHERAPY, Issue 3 2005Anthony Ryle ABSTRACT The claims made for the contribution of Evolutionary Psychology to psychotherapy are questioned. The relevance of human evolutionary history is not disputed, but it is argued that insufficient account is taken of the unique features of human beings, that the polemical attacks made on the social and human sciences are irrational, that the hypothetical reconstructions of human evolution are frequently arbitrary and biased, and that the extent to which evolved innate,mentalities'are said to determine social roles ignores the evidence for the plasticity of human brains and for social influences in individual development. In its consistent bias in favour of innate rather than learned and culturally formed processes and in its language and assumptions EP underestimates the inherited and acquired capacities of human societies and individuals to change. It fails to take adequate account of the key evolutionary development whereby humans became symbol-making and symbol-using social animals whose individual psychological development involves processes, the understanding of which requires a new theoretical perspective. These features, combined with the absence of a clear model of practice, seriously limit the contribution of EP to psychotherapy. [source] INFORMATION ABOUT THE BRITISH JOURNAL OF PSYCHOTHERAPYBRITISH JOURNAL OF PSYCHOTHERAPY, Issue 3 2005Article first published online: 17 NOV 200 No abstract is available for this article. [source] INFORMATION ABOUT THE BRITISH JOURNAL OF PSYCHOTHERAPYBRITISH JOURNAL OF PSYCHOTHERAPY, Issue 2 2004Article first published online: 17 NOV 200 No abstract is available for this article. [source] INFORMATION ABOUT THE BRITISH JOURNAL OF PSYCHOTHERAPYBRITISH JOURNAL OF PSYCHOTHERAPY, Issue 1 2004Article first published online: 17 NOV 200 No abstract is available for this article. [source] BRIEF PSYCHOANALYTIC PSYCHOTHERAPY: THE IMPACT OF ITS FUNDAMENTALS ON THE THERAPEUTIC PROCESSBRITISH JOURNAL OF PSYCHOTHERAPY, Issue 2 2001Ilana Laor ABSTRACT By identifying the three fundamentals of brief psychoanalytic psychotherapy , (1) time limit, (2) therapeutic focus, (3) therapist's activity , this type of therapy is established as a distinct therapeutic modality with distinct ,active containing'. The way this ,custom-tailored structure' may be adapted to the patient and used to reflect and intensify dynamic aspects of the treatment's focus is demonstrated through clinical material. [source] MINDS IN THE MAKING: ATTACHMENT, THE SELF-ORGANIZING BRAIN, AND DEVELOPMENTALLY-ORIENTED PSYCHOANALYTIC PSYCHOTHERAPYBRITISH JOURNAL OF PSYCHOTHERAPY, Issue 3 2001Allan N. Schore First page of article [source] INTEGRATION IN PSYCHOTHERAPY: AN EVOLVING REALITY IN PERSONALITY DISORDERBRITISH JOURNAL OF PSYCHOTHERAPY, Issue 2 2000Anthony W Bateman ABSTRACT Psychotherapy continues to be bedevilled by ideological schisms with practitioners apparently ignoring alternative conceptualizations and potentially superior interventions. However, I argue here that there is evidence of a rapprochement, both in theory and in practice, between cognitive therapy and psychoanalytic therapy, especially within the domain of personality disorder, which may lead to the development of integrative psychotherapy. Cognitive therapy has begun to encompass an interpersonal approach within its theoretical base. Similarly, psychoanalytic therapy increasingly uses an interpersonal formulation of the process of therapy. The therapeutic alliance is emphasized equally and process research suggests that interventions, when given by experienced practitioners, are not as dissimilar as,brand-named' therapies imply. Continued refinement of process psychotherapy research could lead to true integration of efficacious therapeutic interventions. But translating research findings into practice will necessitate psychotherapists opening themselves up to each others' ideas. [source] INFORMATION ABOUT THE BRITISH JOURNAL OF PSYCHOTHERAPYBRITISH JOURNAL OF PSYCHOTHERAPY, Issue 2 2000Article first published online: 17 NOV 200 No abstract is available for this article. [source] MODES OF THERAPEUTIC RELATIONSHIP IN KLEINIAN PSYCHOTHERAPYBRITISH JOURNAL OF PSYCHOTHERAPY, Issue 1 2000John Nuttall ABSTRACT ,Klein seems to take us to the limits of what is imaginable about psychic life'(Stonebridge & Phillips 1998, p. 3) and brought new techniques to child psychoanalysis. She probably brought very little new to the technique of adult psychoanalysis. It was left to her followers to develop a distinctly Kleinian approach to psychotherapy, which today emphasizes the emotional immediacy of the patient-therapist relationship. This paper explores the multi-faceted nature of the therapeutic relationship in contemporary Kleinian practice by using as a template the five modes of psychotherapeutic relationship Clarkson identified from her researches, and published in this journal in 1990. Following a review of Kleinian metapsychology, the five modes are discussed individually to show in what way each is manifested in the Kleinian approach. The conclusion is that Kleinian psychotherapy contains, as part of its ontology, the five modes of therapeutic relationship elaborated by Clarkson, and as a corollary offers a postmodern perspective on psychoanalytic psychotherapy. [source] ASPECTS OF NARCISSISM IN A ONCE-WEEKLY PSYCHOTHERAPYBRITISH JOURNAL OF PSYCHOTHERAPY, Issue 1 2000Dick A Gass ABSTRACT The author explores the clinical problem of narcissism by discussing a patient who was seen privately for once-weekly therapy for a period of two years. The emphasis is on trying to understand the nature of this pathology and the difficulties it presents to the therapist, especially in the transference and countertransference. The clinical material is examined in the light of theoretical concepts relating mainly to pathological organizations of the personality and perversion. The viability of working once weekly with such patients within a psychoanalytic framework is also considered. [source] Self-injury: A research review for the practitionerJOURNAL OF CLINICAL PSYCHOLOGY, Issue 11 2007E. David Klonsky Non-suicidal self-injury is the intentional destruction of body tissue without suicidal intent and for purposes not socially sanctioned. In this practice-friendly review, the authors summarize the empirical research on who self-injures, why people self-injure, and what treatments have demonstrated effectiveness. Self-injury is more common in adolescents and young adults as compared to adults. Common forms include cutting, severe scratching, burning, and banging or hitting; most individuals who self-injure have used more than one method. Although diagnostically heterogeneous, self-injurers typically exhibit two prominent characteristics: negative emotionality and self-derogation. Self-injury is most often performed to temporarily alleviate intense negative emotions, but may also serve to express self-directed anger or disgust, influence or seek help from others, end periods of dissociation or depersonalization, and help resist suicidal thoughts. Psychotherapies that emphasize emotion regulation, functional assessment, and problem solving appear to be most effective in treating self-injury. © 2007 Wiley Periodicals, Inc. J Clin Psychol: In Session 63: 1045,1056, 2007. [source] A survey of influences on the practice of psychotherapists and clinical psychologists in training in the UKCLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 2 2006Mike P. Lucock A questionnaire survey of 95 qualified psychotherapists of various therapeutic orientations and 69 psychologists in clinical training was carried out to investigate the main influences on their clinical practice, using the Questionnaire of Influencing Factors on Clinical Practice in Psychotherapies (QuIF-CliPP). For the qualified group the most highly rated factors were current supervision, client characteristics, client feedback, psychological formulation, intuition/judgement, professional training and post-qualification training. For the trainees, those rated highest were current supervision, past supervision, client characteristics, client feedback, psychological formulation and professional training. Evidence based factors such as treatment manuals and evidence based guidelines were rated relatively low for both groups, although the cognitive behaviour therapists rated them significantly higher than the other groups. Personal therapy was rated highly by the psychodynamic, psychoanalytic, person centred and eclectic therapists but not by CB therapists. The implications of these findings for the application of evidence based practice and the need to evaluated supervision, personal therapy and training are discussed.,Copyright © 2006 John Wiley & Sons, Ltd. [source] Global advances in interpersonal psychotherapy research: highlights from the biennial meeting of the International Society for Interpersonal PsychotherapyDEPRESSION AND ANXIETY, Issue 10 2009Meredith L. Gunlicks-Stoessel Ph.D. No abstract is available for this article. [source] Psychotherapy of borderline personality disorderACTA PSYCHIATRICA SCANDINAVICA, Issue 5 2009M. C. ZanariniArticle first published online: 6 OCT 200 Objective:, Psychotherapy is considered the primary treatment for borderline personality disorder (BPD). Currently, there are four comprehensive psychosocial treatments for BPD. Two of these treatments are considered psychodynamic in nature: mentalization-based treatment and transference-focused psychotherapy. The other two are considered to be cognitive-behavioral in nature: dialectical behavioral therapy and schema-focused therapy. Method:, A review of the relevant literature was conducted. Results:, Each of these lengthy and complex psychotherapies significantly reduces the severity of borderline psychopathology or at least some aspects of it, particularly physically self-destructive acts. Conclusion:, Comprehensive, long-term psychotherapy can be a useful form of treatment for those with BPD. However, less intensive and less costly forms of treatment need to be developed. [source] Psychotherapy for depression among children and adolescents: a systematic reviewACTA PSYCHIATRICA SCANDINAVICA, Issue 2 2007N. Watanabe Objective:, To examine the clinical benefit, the harm and the cost-effectiveness of psychotherapies in comparison with no treatment, waiting-list controls, attention-placebos, and treatment as usual in depressed youths. Method:, Meta-analyses were undertaken by using data from all relevant randomized-controlled trials identified by a comprehensive literature search. The primary outcome was relative risk (RR) of response. Results:, We identified 27 studies containing 35 comparisons and 1744 participants. At post-treatment, psychotherapy was significantly superior (RR = 1.39, 95% CI 1.18,1.65, P = 0.0001, number-needed to treat 4.3). There was an evidence of the existence of small study effects, including a publication bias (P < 0.001). The superiority of psychotherapy was no longer statistically significant (1.18 [0.94,1.47], P = 0.15) at 6-month follow-up. None of the studies reported adverse effects or cost-effectiveness outcomes. Conclusion:, Although the findings were biased by some small positive trials, psychotherapies appear to help depressed youths for the short term, but are no longer significantly favourable at 6-month follow-up. [source] Psychotherapy as a Rite of PassageFAMILY PROCESS, Issue 4 2007C. CHRISTIAN BEELS M.D. Some psychotherapies may work because they resemble rites of passage. To explore this idea, this article describes an "individual" case of depression in which drug, cognitive, and narrative approaches fell short of effectiveness, and change occurred in a series of experiences that resemble a rite of passage. This resemblance is illuminated by examining two apparently quite different healing processes,Alcoholics Anonymous and multifamily group therapy in schizophrenia,to explore the elements they have in common with the case described: the acceptance of what Victor Turner called a liminal experience, and the importance of witnesses to the ritual support for that acceptance. The discussion contributes to a loosening of the distinctions between the processes of individual, family, group, and other social therapies and leads to questions about the expert knowledge the therapist provides. [source] Political therapy: an encounter with Dr John Alderdice, psychotherapist, political leader and peer of the realmINTERNATIONAL JOURNAL OF APPLIED PSYCHOANALYTIC STUDIES, Issue 2 2009Graham Little Abstract This paper comprises an encounter by the author in 1992 with the distinguished Northern Ireland psychotherapist and political leader, The Lord Alderdice of Knock. Born in Northern Ireland in 1955, John Alderdice graduated in Medicine in 1978, and qualified as a member of the Royal College of Psychiatrists in 1983, followed by higher specialist training in Psychoanalytic Psychotherapy. Alderdice joined the Northern Ireland Alliance Party in 1978, and in 1987 was elected Party Leader. Raised to the peerage as Baron Alderdice in 1996, he was one of the key negotiators of the Good Friday Agreement signed in 1998. This 1997 paper includes the author's interview with Alderdice, together with his observations on Alderdice's two-handed psychoanalytic and political practice, his "political therapy". Drawing upon the author's roots as a Belfast-born Australian, the paper reflects on the possibilities of Alderdice's applied psychoanalysis , of politics "off the couch". Copyright © 2009 John Wiley & Sons, Ltd. [source] Meta-analysis of the effectiveness of psychological and pharmacological treatments for binge eating disorderINTERNATIONAL JOURNAL OF EATING DISORDERS, Issue 3 2010Silja Vocks PhD Abstract Objective: The aim of this study was to compute and compare mean effects of various treatments for binge eating disorder. Method: A total of 38 studies with 1973 participants fulfilled the defined inclusion criteria. Effect sizes, odds ratios, and simple rates were integrated in fixed and random (mixed) effects categorical models. Results: From randomized controlled trials, psychotherapy and structured self-help, both based on cognitive behavioral interventions, were found to have large effects on the reduction of binge eating. Regarding pharmacotherapy, mainly comprising antidepressants, randomized controlled trials revealed medium effects for the reduction of binge eating. Uncontrolled studies on weight-loss treatments demonstrated moderate reductions of binge eating. Combination treatments did not result in higher effects compared with single-treatment regimens. Except for weight-loss treatment, none of the interventions resulted in a considerable weight reduction. Discussion: Psychotherapy and structured self-help, both based on cognitive-behavioral interventions, should be recommended as the first-line treatments. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010 [source] A controlled evaluation of monthly maintenance interpersonal psychotherapy in late-life depression with varying levels of cognitive functionINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 11 2008Kristen Carreira Abstract Objective To evaluate the effect of maintenance Interpersonal Psychotherapy (IPT) on recurrence rates and time to recurrence of major depression in elderly patients with varying levels of cognitive function. Methods/Design Two-year maintenance study of monthly maintenance IPT vs supportive clinical management (CM) in remitted depressed elderly who were participants in a previously reported placebo-controlled study of maintenance paroxetine and IPT (Reynolds et al., 2006). We used Cox regression analysis to test interactions between cognitive status (Dementia Rating Scale score) and treatment (IPT, CM) with respect to recurrence of major depression. Results We observed a significant interaction between cognitive status and treatment: lower cognitive performance was associated with longer time to recurrence in IPT than in CM (58 weeks vs 17 weeks) (HR,=,1.41 [95% CI,=,1.04, 1.91], p,=,0.03). Subjects with average cognitive performance showed no effect of maintenance IPT vs CM on time to recurrence (38 vs 32 weeks, respectively). Conclusion Monthly maintenance IPT confers protection against recurrence of major depression in elders with lower cognitive functioning. Copyright © 2008 John Wiley & Sons, Ltd. [source] Expanding the usefulness of Interpersonal Psychotherapy (IPT) for depressed elders with co-morbid cognitive impairmentINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 2 2007Mark D. Miller Abstract Background The utility of Interpersonal Psychotherapy (IPT) has been documented as a maintenance treatment for late life depression as mono-therapy or in combination with antidepressant medication. Late life depression, however, is frequently co-morbid with declining memory or other cognitive abilities such that the usefulness of one-to-one psychotherapies is called into question for this subgroup. Additionally, concerned caregivers often accompany these patients to request help and their role in the presenting symptoms and in their potential resolution must also be addressed by any successful psychotherapy in this population. Objectives To explore ways in which IPT could be modified to better serve the particular presentation and needs of depressed elders with cognitive decline along with their caregivers. Methods Various modifications of traditional IPT techniques were experimented with and refined in our collaborative late life research center using regular group supervision and feedback from patients and their caregivers. Results A key component of these modifications involves the integration of the caregiver into the treatment process in flexible ways that recognize their own role transition that is taking place simultaneously with that of the patient's role transition from a greater to a lesser functional state. Other techniques for resolving role conflicts, particularly those directly involving care issues for the patient, are also delineated. These modifications are collectively referred to as IPT-CI for cognitive impairment. A brief case vignette is presented. Conclusion The modifications outlined in this communication reflect an evolving work-in-progress and serve as a framework for the future development of a manual of guidelines to assist healthcare personnel to optimally treat this population and their caregivers. Copyright © 2006 John Wiley & Sons, Ltd. [source] Spiritual Seeking, Narcissism, and Psychotherapy: How Are They Related?JOURNAL FOR THE SCIENTIFIC STUDY OF RELIGION, Issue 2 2005PAUL WINK This study used data from a long-term longitudinal study of men and women to examine the relations among spirituality, narcissism, and psychotherapy. The findings indicated that in late adulthood (age late 60s/mid 70s) spirituality was related to autonomous or healthy narcissism but was unrelated to willful (overt) or hypersensitive (covert) narcissism, two pathological forms of the construct. Autonomy in early adulthood (age 30s) was a significant predictor of spirituality in late adulthood (a time interval of close to 40 years) and this relation was mediated by involvement in psychotherapy in midlife. Autonomy was related positively, and hypersensitivity was related negatively, to concern for the welfare of future generations. These findings are discussed in light of current concerns about the social implications of the therapeutic culture. [source] Maintenance Treatment for Old-Age Depression Preserves Health-Related Quality of Life: A Randomized, Controlled Trial of Paroxetine and Interpersonal PsychotherapyJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 9 2007Alexandre Y. Dombrovski MD OBJECTIVES: To determine whether maintenance antidepressant pharmacotherapy and interpersonal psychotherapy sustain gains in health-related quality of life (HR-QOL) achieved during short-term treatment in older patients with depression. DESIGN: After open combined treatment with paroxetine and interpersonal psychotherapy, responders were randomly assigned to a two (paroxetine vs placebo) by two (monthly interpersonal psychotherapy vs clinical management) double-blind, placebo-controlled maintenance trial. HR-QOL outcomes were assessed over 1 year. SETTING: University-based clinic. PATIENTS: Of the referred sample of 363 persons aged 70 and older with major depression, 210 gave consent, and 195 started acute treatment; 116 met criteria for recovery, entered maintenance treatment, and were included in this analysis. INTERVENTIONS: Paroxetine; monthly manual-based interpersonal psychotherapy. MEASUREMENTS: Overall HR-QOL as measured using the Quality of Well-Being Scale (QWB) and six specific HR-QOL domains derived from the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) subscales. RESULTS: All domains of HR-QOL except physical functioning improved with successful acute and continuation treatment. After controlling for any effects of psychotherapy, pharmacotherapy was superior to placebo in preserving overall well-being (P=.04, effect size (r)=0.23), social functioning (P=.02, r=0.27), and role limitations due to emotional problems (P=.007, r=0.30). Interpersonal psychotherapy (controlling for the effects of pharmacotherapy) did not preserve HR-QOL better than supportive clinical management. CONCLUSION: Maintenance antidepressant pharmacotherapy is superior to placebo in preserving improvements in overall well-being achieved with treatment response in late-life depression. No such benefit was seen with interpersonal psychotherapy. [source] Group Psychotherapy with Children on an Inpatient Unit: The MEGA Group ModelJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 1 2006Jay Reeve PhD TOPIC:,Psychotherapy group intervention with children based on the use of community meeting. PURPOSE:,To describe a model group intervention that is based on developmental level and applicable across a broad spectrum of behavioral and psychiatric disorders. The purpose of this paper is to discuss the development of this model on one inpatient unit, the benefits of the model and implication for future research, including a simple model of the stages of group development. SOURCES:,A review of the literature and the author's experience in the development of a model group intervention. CONCLUSION:,The model is a flexible and broadly applicable one, which may be utilized by a variety of staff, including relatively inexperienced line workers. [source] Accessing Self-development through Narrative Approaches in Child and Adolescent PsychotherapyJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 2 2005Janiece E. DeSocio PhD, PMHNP TOPIC:,Narrative psychotherapy with children and adolescents. PURPOSE:,To demonstrate the integration of developmental theory with narrative approaches to psychotherapy as a means of accessing self-development during childhood and adolescence. SOURCES:,Published literature and the author's experience in using narrative therapy with an 8-year-old and his foster mother. CONCLUSIONS:,When informed by developmental theory, narrative approaches can be used effectively with children and adolescents to assist them in constructing positive life stories that can influence their identity formation. [source] Treating the aged in rural communities: the application of cognitive-behavioral therapy for depressionJOURNAL OF CLINICAL PSYCHOLOGY, Issue 5 2010Martha R. Crowther Abstract Many rural communities are experiencing an increase in their older adult population. Older adults who live in rural areas typically have fewer resources and poorer mental and physical health status than do their urban counterparts. Depression is the most prevalent mental health problem among older adults, and 80% of the cases are treatable. Unfortunately, for many rural elders, depressive disorders are widely under-recognized and often untreated or undertreated. Psychotherapy is illustrated with the case of a 65-year-old rural married man whose presenting complaint was depressive symptoms after a myocardial infarction and loss of ability to work. The case illustrates that respect for rural elderly clients' deeply held beliefs about gender and therapy, coupled with an understanding of their limited resources, can be combined with psychoeducational and therapeutic interventions to offer new options. © 2010 Wiley Periodicals, Inc. J Clin Psychol: In Session 66:1,11, 2010. [source] Postpartum depression: what we knowJOURNAL OF CLINICAL PSYCHOLOGY, Issue 12 2009Michael W. O'Hara Abstract Postpartum depression (PPD) is a serious mental health problem. It is prevalent, and offspring are at risk for disturbances in development. Major risk factors include past depression, stressful life events, poor marital relationship, and social support. Public health efforts to detect PPD have been increasing. Standard treatments (e.g., Interpersonal Psychotherapy) and more tailored treatments have been found effective for PPD. Prevention efforts have been less consistently successful. Future research should include studies of epidemiological risk factors and prevalence, interventions aimed at the parenting of PPD mothers, specific diathesis for a subset of PPD, effectiveness trials of psychological interventions, and prevention interventions aimed at addressing mental health issues in pregnant women. © 2009 Wiley Periodicals, Inc. J Clin Psychol 65:1,12, 2009. [source] Psychotherapy in Argentina: A clinical case from an integrative perspectiveJOURNAL OF CLINICAL PSYCHOLOGY, Issue 8 2007Beatriz GómezArticle first published online: 29 JUN 200 The article describes psychotherapy practice in Argentina. It outlines the main features of training and regulation of clinical psychologists. A brief description of the main treatment approaches and the major current challenges is presented. Subsequently it delineates the probable treatment locations and options for a 30-year-old woman, Mrs. A, seeking psychological help in Argentina. The case is then considered from an integrative perspective starting with the intake process, which includes a comprehensive pretreatment assessment followed by the treatment plan. Its course is described as composed of four stages: (1) psychoeducational initial intervention, (2) psychotherapy for symptom alleviation, (3) marital treatment, and (4) psychoeducational final intervention. Posttreatment evaluation and possible outcome and prognosis are presented, as well as factors that might prevent improvment. The article ends with a hopeful view of the future role of psychotherapy in Argentina. © 2007 Wiley Periodicals, Inc. J Clin Psychol: In Session 63: 713,723, 2007. [source] Psychotherapy in Australia: Clinical psychology and its approach to depressionJOURNAL OF CLINICAL PSYCHOLOGY, Issue 8 2007David J. Kavanagh In Australia, clinical psychology training is dominated by cognitive and behavioral treatments (CBTs), although there is exposure to other theoretical orientations. Since 2001, over 20% of general medical practitioners (GPs) have received training in CBT, and psychiatry training increasingly incorporates CBT elements. Psychotherapy by medical practitioners is financially supported by universal health care funding with supplementation by patients and their private health insurance. Federally funded health benefits for up to 12 psychology consultations per year are provided on referral from GPs and psychiatrists, and initial takeup has been very strong. Mrs. A would be a typical patient for such a referral. However, she would not fulfill criteria for priority access from state-funded mental health services. Mrs. A would probably consult a GP and receive antidepressants, although she may also access a range of other community support programs. Access to and acceptance of psychotherapy would be greater in urban areas, and if she were of Anglo-Saxon and nonindigenous origin. © 2007 Wiley Periodicals, Inc. J Clin Psychol: In Session 63: 725,733, 2007. [source] | |||||||||||||||||||||||||||||||||||||