Detecting child sexual abuse in child and adolescent psychiatry: a survey study of healthcare professionals' assessment practice.

Background: Research shows that only around half of all survivors of child sexual abuse (CSA) disclose the abuse during childhood and adolescence. This is worrying, as CSA is related to substantial suffering later in life. The proportion of children and adolescents who have been exposed to CSA is significantly higher in Child and Adolescent Psychiatry (CAP) than in the general population.

Medication-Free Treatment in Mental Health Care How Does It Differ from Traditional Treatment?

Background: Norwegian authorities have implemented treatment units devoted to medication-free mental health treatment nationwide to improve people's freedom of choice. This article examines how medication-free treatment differs from treatment as usual across central dimensions.

Methods: The design was mixed methods including questionnaire data on patients from a medication-free unit and two comparison units (n 59 + 124), as well as interviews with patients (n 5) and staff (n 8) in the medication-free unit.

Causality in psychotherapy research: Towards evidential pluralism.

Identifying causal relationships is at the heart of all scientific inquiry, and a means to evidence base practices and to guide policymaking. However, being aware of the complexities of interactions and relationships, scientists and academics are cautious about claiming causality. Researchers applying methods that deviate from the experimental design generally abstain from causal claims, reserving them for designs that adhere to the evidential ideals of empiricism (e.

Possible paths to increase detection of child sexual abuse in child and adolescent psychiatry: a meta-synthesis of survivors' and health professionals' experiences of addressing child sexual abuse.

Background: Efforts are directed both towards prevention and early detection of Child sexual abuse (CSA). Yet, only about 50% of CSA survivors disclose before adulthood, and health professionals rarely are the first disclosure recipients. Increasing the detection rate of CSA within the context of Child and Adolescent Psychiatry (CAP) therefore represents a significant secondary prevention strategy.

Why Service Users Choose Medication-Free Psychiatric Treatment: A Mixed-Method Study of User Accounts.

Purpose: Medication has been a central part of treatment for severe mental disorders in Western medicine since the 1950s. In 2015, Norwegian Health Authorities decided that Norwegian health regions must have treatment units devoted to medication-free mental health treatment to enhance service users' freedom of choice. The need for these units has been controversial.

What works for whom? Multidimensional individualized stuttering therapy (MIST).

Purpose: This study reports outcomes from a stuttering therapy approach that combines value and awareness-based elements from Acceptance and Commitment Therapy (ACT) with those of stuttering and speech modification interventions. The approach, entitled Multidimensional Individualized Stuttering Therapy (MIST), includes a combined clinician and client selection of factors across five areas: 1) general breathing patterns and body tension, 2) breathing patterns during speech production, 3) vocal features in speech production, 4) value and mindfulness-based strategies, and 5) general communication and/or presentation skills. The aims of this study were to evaluate whether the MIST a) reduces the impact of stuttering and stuttering severity, and b) has a positive impact on speaking ability, confidence in communication, avoidance-behavior, and quality of life.

What do people search for in stuttering therapy: Personal goal-setting as a gold standard?

Purpose: Stuttering affects people in individual ways, and there are multiple factors which may influence a person's goals when seeking therapy. Even though there is a common consensus that speech-language pathologists should discuss the individual's goals and expectations for stuttering therapy and outcomes, few studies have systematically investigated this issue. The aims of the present study were to investigate individual motivations and goal-setting related factors in stuttering therapy.

The working alliance in stuttering treatment: a neglected variable?

Background: Multiple factors can influence the working alliance and treatment outcome in speech and language therapy. The 'working alliance' is an important concept in treatment and can be described as the degree to which a treatment dyad is engaged in collaborative, purposive work. To date, relatively little attention has been paid to this concept within speech and language treatment in general, and within stuttering treatment research in particular.

Therapist strategies early in therapy associated with good or poor outcomes among clients with low proactive agency.

Objective: Within a mixed methods program of research the present study aimed at expanding knowledge about interactions in the initial therapeutic collaboration by combining focus on client interpersonal style and therapist contribution.

Method: The study involves in-depth analyses of therapist-client interactions in the initial two sessions of good and poor outcome therapies. Based on interpersonal theory and previous research, the Inventory of Interpersonal Problems (IIP-64-C) was used to define poor outcome cases, that is, low proactive agency cases.

Experienced psychotherapists' reports of their assessments, predictions, and decision making in the early phase of psychotherapy.

Thirteen highly experienced psychotherapists' retrospective accounts of their initial assessments, predictions, and decision making in recently completed psychotherapies were analyzed by the qualitative method of Grounded Theory. Three main categories were identified, reflecting conceptual, attitudinal, and procedural aspects of initial clinical judgments. These were category 1-"contextualized, individualized conceptualizations"; category 2-"attitude of openness to the unique other," and category 3-"feeling one's way.

The reliability of self-image change scores in psychotherapy research: An application of generalizability theory.

The aim of this study was to estimate the reliability of the pre- to posttreatment change scores for 3 different self-image aspects, Attack, Love, and Control. To measure self-image, we used the Norwegian version of the introject surface of Benjamin's (1974) structural analysis of social behavior. The article introduces Generalizability (G-) theory, combined with the recent concept of tolerance for error, as a framework for estimating the reliability and precision of change scores in 1- and 2-facet designs.