Displacement and adolescent suicide: introduction to a special section

Empirical findings from previous studies indicate that the risk factors for adolescent suicide are multifaceted and likely the result of the interaction between individual and contextual risk factors. In this special section, we focus on one subdomain of risk factors for adolescent suicide, namely, displacement. During adolescence, experiences of displacement due to changes in family or peer relationships may be particularly important because these relationships play a key role in meeting developmental tasks. This special section brings together new findings from four empirical studies investigating how displacement affects risk for suicide across individuals in different contexts and across various domains of displacement. The findings suggest that (a) these risk factors are multifaceted and (b) they often represent an interaction between individual and contextual risk factors. At the same time, the articles in this special section indicate that the role of displacement is complex, and it may sometimes serve a protective role when combined with other factors (e.g., mental health treatment).     

Introduction to the special section: growth following highly stressful life events--current status and future directions

Interest in the phenomenon of perceived growth following highly stressful experiences continues to proliferate. Already there is abundant evidence that perceptions of growth are commonly reported, often by the majority of people experiencing even the most traumatic of events. However, much remains to be learned about perceptions of growth. In this article, the authors pose 7 major theoretical and empirical questions regarding perceived growth, including issues of measurement, validity, mechanisms, links with well-being, and clinical implications. The authors summarize the current status of psychologists' knowledge, including articles in the present special section, and conclude that there is much to learn about perceived growth. The authors end with suggestions for future research.     

Introduction to the special section on "Hormones and cognition: perspectives, controversies, and challenges for future research"

The research of the past two decades has firmly established that hormones modulate numerous aspects of cognitive function, including memory, attention, decision-making, and sensory processing. That such a wide variety of hormones influence cognition mediated by multiple nonhypothalamic brain regions illustrates the critical importance of hormones to neural and cognitive function. The diversity of hormonal effects on cognition is evident in the collection of reviews and original research articles assembled for this special section. Together, these articles provide an overview of recent research on varied topics in hormones and cognition, address controversial issues in the field, and discuss challenges that must be overcome in future research to gain a better understanding of the mechanisms through which hormones modulate cognitive function.     

Introduction to the special section on cognitive processes and psychotherapy

Theoretical models featuring cognitive processes have played a fundamental role in advancing knowledge of psychopathology and its treatment and have emphasized the importance of cognition in psychotherapy. Recognition of the importance of cognition in psychotherapy has led to a number of questions that are addressed by the articles in this special section of the Journal of Consulting and Clinical Psychology. Cognitive therapy is well represented in the articles in this special section, but therapeutic procedures that do not represent typical cognitive therapy are also examined. The articles in this special section focus on homework in the modification of cognition, cognition in the treatment of anxiety in adults and in children, change in depressive cognitions in children, cognition and rapid change in the treatment of depression, and the role of cognition in the treatment and prevention of depression that is recurrent. Examination of these types of questions holds the possibility of advances in existing treatments and the possibility of innovations in new treatments.     

Examining the link between nonsuicidal self-injury and suicidal behavior: A review of the literature and an integrated model

Self-injurious behaviors (SIB) refer to behaviors that cause direct and deliberate harm to oneself, including nonsuicidal self-injury (NSSI), suicidal behaviors, and suicide. Although in recent research, NSSI and suicidal behavior have been differentiated by intention, frequency, and lethality of behavior, researchers have also shown that these two types of self-injurious behavior often co-occur. Despite the co-occurrence of NSSI and suicidal behavior, however, little attention has been given as to why these self-injurious behaviors may be linked. Several authors have suggested that NSSI is a risk factor for suicidal behavior, but no comprehensive review of the literature on NSSI and suicidal behavior has been provided. To address this gap in the literature, we conducted an extensive review of the research on NSSI and suicidal behavior among adolescents and adults. First, we summarize several studies that specifically examined the association between NSSI and suicidal behavior. Next, three theories that have been proposed to account for the link between NSSI and suicidal behavior are described, and the empirical support for each theory is critically examined. Finally, an integrated model is introduced and several recommendations for future research are provided to extend theory development.     

Introduction to the special section on attachment theory and psychotherapy

In this introduction to the special section on attachment theory and psychotherapy, the editors briefly describe the key points of attachment theory (J. Bowlby, 1969, 1973, 1980) and its relevance to psychotherapy. They then outline their criteria for the selection of papers and briefly describe their emphasis. The aim of this section is to present novel and thought-provoking research that highlights the ways attachment theory principles contribute to understanding psychotherapy practice and outcome. It was the editors' goal to ensure breadth of coverage in terms of specific problems, range of populations, and types of treatments represented and to emphasize attachment-based treatments and outcomes. ((c) 2006 APA, all rights reserved).     

Introduction to the special issue on medically unexplained symptoms: background and future directions

This special issue is devoted to the topic of medically unexplained symptoms (MUS), a heterogeneous group of conditions characterized by persistent physical symptoms that cannot be explained by medical illness or injury. Although psychological factors have long been regarded as central to these problems, patients with MUS have typically been managed within medical settings and referrals to mental health services have been relatively rare. In recent years, however, interest in the psychological nature and treatment of MUS has expanded, culminating in the development of tailored psychological interventions for these conditions. This, coupled with the increasing willingness of practitioners to diagnose conditions such as chronic fatigue syndrome, fibromyalgia and irritable bowel syndrome, has led to an increase in the number of patients who are referred for psychological treatment. At present, however, many psychological therapists are unfamiliar with the literature on MUS. With this in mind, this special issue presents a series of papers that provide an overview of what is known about the nature, aetiology and treatment of medically unexplained illness. This introductory paper provides general information about the clinical presentation, diagnosis, classification, terminology and epidemiology of MUS in adults, and concludes with an examination of important areas for future development in the field. Subsequent papers address the psychological mechanisms [Deary, V., Chalder, T., & Sharpe, M. (2007-this issue). The cognitive behavioural model of medically unexplained symptoms: A theoretical and empirical review. Clinical Psychology Review; Iverson, A., Chalder, T., & Wessely, S. (2007-this issue). Gulf war illness: Lessons from medically unexplained illness. Clinical Psychology Review; Rief, W., & Broadbent, E. (2007-this issue). Explaining medically unexplained symptoms: Models and mechanisms. Clinical Psychology Review; Roelofs, K., & Spinhoven, P. (2007-this issue). Trauma and medically unexplained symptoms: Towards an integration of cognitive and neuro-biological accounts. Clinical Psychology Review] and management [Deary, V., Chalder, T., & Sharpe, M. (2007-this issue). The cognitive behavioural model of medically unexplained symptoms: A theoretical and empirical review. Clinical Psychology Review] of these conditions. A separate overview of the literature on MUS in children and adolescents is provided by Eminson [Eminson, J. (2007-this issue). Medically unexplained symptoms in children and adolescents. Clinical Psychology Review].     

Introduction to special section: comorbidity and treatment implications.

This article initiates the special section on comorbidity and treatment implications. The presence of comorbidity is recognized, the multiple meanings of comorbidity are mentioned, and an invitation for much-needed research on comorbidity and related treatment is extended.     

Introduction to special section on theories of sexual aggression

Sexual aggression is a serious societal problem, yet treatments for sexual aggressors have generally been ineffective in part because of the lack of unified theories to guide treatment. This brief article introduces the Special Section, which includes five theories of sexual aggression.     

Introduction to the special section on clinical adolescent psychology: developmental psychopathology and treatment

This article addresses implications of the interface between developmental psychology and clinical psychology for research on adolescence and describes the importance of considering developmental level when designing treatments for adolescent patients. In addition, the articles that constitute the special section, "Clinical Adolescent Psychology: Developmental Psychopathology and Treatment," are introduced.     

Introduction to the special section on psychological and behavioral approaches to occupational health

The history of the International Commission on Occupational Health is deeply bound to that of the 20th century. First and only international scientific society of such an importance, it was founded in 1906 to bring solutions to the problems caused by a great number of occupational injuries and diseases due to the developing of industry. With the passing years, from a small medical group it has become a multidisciplinary society, present in 90 countries, where researchers, government authorities, and practitioners are coexisting in a permanent exchange between practice and research. It is composed of international scientific committees, which organize regular conferences and meet every 3 years on the occasion of the great International Congress in Occupational Health. Owing to the changes due to the new technologies of work and to the globalization of economy, the orientation of its activities is in progress: larger opening toward developing countries and the phenomenon of development in general, emphasis on prevention in occupational health, and opening of a new field of research on the psychosocial factors and work organization. At the first conference on this theme, held in Copenhagen in August 1998, occupational health and occupational psychology specialists met. Indeed, new approaches are needed, like the setting up of adapted tools to face the consequences of these factors on health and the construction of a new paradigm of occupational health. Today, both the transcultural approach of the problems of occupational health and the ethical thought on fundamental values are necessary.     

Introduction to the special section on seeking new clinical research methods

This Special Section introduces a new section of the Journal of Consulting and Clinical Psychology that will be periodically offered in future issues under the title "Clinical Research Methods." This introduction describes (a) the section's goals, (b) a conceptual framework and potential areas of methodological development, (c) a summary of the articles in the current Special Section and their evaluation in terms of the conceptual framework, and (d) editorial policies and procedures used to foster innovative development of clinical research methods.     

Introduction to the special section on stepped care models in psychotherapy

Not all patients need the same type and intensity of intervention. Some may be helped greatly by reading a self-help book, watching an instructional video, or using a computer program. Others could benefit from a brief psychoeducational group conducted by a paraprofessional, and still others may require long-term individual treatment from a highly trained professional therapist with specialized expertise. In an environment of limited resources, it makes sense to provide all the time, expertise, and individual attention a patient needs, but not more. Stepped care models represent attempts to maximize the effectiveness and efficiency of decisions about allocation of resources in therapy. This article introduces a special section addressing these resource allocation issues in the context of prevalent disorders (e.g., generalized anxiety disorder, panic disorder, eating disorders, and alcohol dependence) for which empirically supported psychosocial treatments are available.     

Introduction to the special section on adolescent romantic competence: development and adjustment implications.

Romantic relationships are a normative developmental experience in adolescence. Although many prominent developmental theories recognize their importance in helping to form the foundations for future healthy adult relationships, empirical research has not progressed at an expected pace, and there remain many gaps in our knowledge base. Existing research suggests that, regardless of their duration, adolescent romances are salient emotional experiences with significant adjustment implications, both positive and negative. With contributions from both developmental and clinical researchers, the five articles in this special section introduce the romantic competence construct and describe some different avenues of investigation into its definition, measurement, and adjustment implications. It is our hope that these articles add to the existing knowledge base and stimulate interest in the romantic competence construct among clinical child and adolescent researchers.     

Introduction to the special section on multicultural and community psychology: clinical psychology in context

Human behavior occurs in the contexts of culture and community. Yet, clinical psychology has traditionally focused on the individual, neglecting the individual's context. The purpose of this Special Section is to address the underlying conceptual issues in integrating multicultural and community psychology within a common framework. The integration of etic and emic approaches distinguishes the research programs in these articles from others that have solely focused on universal or culture-specific approaches. Issues facing ethnic minority populations are addressed, including identification of risk and protective factors, obstacles to mental health service use, and optimal treatment effectiveness. The integration of culture and community contexts into clinical psychology is necessary for it to remain relevant in an increasingly diverse 21st century.     

Introduction to the special section on the emotional concomitants of brain damage.

The purpose of this introduction is to emphasize the theoretical and clinical implications of studying emotion after brain damage. Theoretically, it is one way of elucidating critical neural substrates of emotion and the interaction of cognitive and noncognitive determinants. Clinically, the cognitive and other behavioral changes associated with certain types of brain damage may make traditional methods of assessing emotion inaccurate. This special section is designed to review current knowledge regarding these issues and to emphasize their theoretical and clinical importance.