Browsing by Author "Jackson, Jeffrey B."
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- Brief Strategic Therapy for Bulimia Nervosa and Binge Eating Disorder: A Clinical and Research ProtocolPietrabissa, Giada; Castelnuovo, Gianluca; Jackson, Jeffrey B.; Rossi, Alessandro; Manzoni, Gian Mauro; Gibson, Padraic (Frontiers, 2019-03-08)Background: Although cognitive behavioral therapy is the gold standard treatments for bulimia nervosa (BN) and binge eating disorder (BED), evidence for its long-term efficacy is weak. Empirical research support the efficacy of brief strategic therapy (BST) in treating BN and BED symptoms, but its statistical significance still need to be investigated. Objective: To statistically test the long-term efficacy of the BST treatment protocols for BN and BED through one-year post-treatment. Methods: A two-group longitudinal study will be conducted. Participants will be sequentially recruited for inclusion in a state-funded community psychotherapy clinic. Multilevel growth curve modeling will be used to estimate the average growth trajectories from baseline to one year after treatment termination for the severity of the BN and BED features as measured by the Eating Disorder Examination Questionnaire. Discussion: Findings from this study will clarify the impact of BST in treating BN and BED symptoms. Conclusion: Translating research into practice may inform how to ensure highquality patient care.
- The Experience of Being Partnered With a Couples Therapist: A Qualitative InquiryMiller, Christine Marie (Virginia Tech, 2018-06-21)This qualitative phenomenological study explored the experience of being in a romantic relationship with a couples therapist. Fourteen spouses participated in semi-structured interviews. Data were analyzed using descriptive phenomenology and themes were identified through meaning units. A majority of spouses experienced ambiguity on whether aspects of their couple relationship were influenced by their therapist partner’s profession or their therapist partner’s personality. Aspects of the therapist partner’s career did spillover into the couple’s relationship, such as limited time spent together, finances, confidentiality, and their therapist partner’s relationship expertise. Spouses talked about the benefits of their therapist partner’s expertise to their couple relationship, such as their therapist partner’s advice and relational skills. At the same time that spouses wanted their therapist partner’s expertise to be present in the couple relationship, spouses also did not want their therapist partner to be their therapist. Nevertheless, spouses felt pride and protectiveness of their therapist partner’s profession. Spouses helped their therapist partner by supporting, listening, and encouraging their partner’s profession. Clinical implications and directions of future research were addressed.
- Exploring the Impact of Work-Related Traumatic Stress on Law Enforcement CouplesCampbell, Avery Renee (Virginia Tech, 2020-07-23)Studies exploring the impact of work-related traumatic stress on law enforcement couples are limited. Such studies suggest that when work-related traumatic stress impacts law enforcement professionals, their spouses may experience secondary traumatic stress and serve in a supportive role following trauma exposure. Grounded in secondary traumatic stress theory, this study explored the impact of work-related traumatic stress on law enforcement couples. Semi-structured dyadic interviews were conducted with law enforcement couples (N = 7) using transcendental phenomenology. Three themes emerged within the data that captured the essence of law enforcement couple experiences of work-related traumatic stress: (1) the stressful nature of the law enforcement profession, (2) the impact of work-related traumatic stress on the couple relationship, and (3) resilient couple characteristics. The impact of work-related traumatic stress manifested in couple's communication, role responsibilities and parenting, and commitment to the relationship and the profession. Whereas the impact of work-related traumatic events differed for the law enforcement professional and their spouse based on the type of traumatic event, overall work-related traumatic stress led couples to engage in a meaning making process and activation of resilient couple coping characteristics. Given the significant impact that work-related traumatic stress has on the law enforcement couple dyad, couples therapy interventions are needed for law enforcement professionals and their spouses.
- I Lost My Family: Grief, Loss, and Identity Formation of Adopted and Fostered American Indian IndividualsSimpson, Jessica Erin (Virginia Tech, 2020-06-19)American Indian individuals, families, and communities have experienced historical waves of separation from relocation to boarding schools to systematic child removal. Fostered and adopted American Indian individuals experience numerous losses that can lead to poor mental and physical health outcomes. Studies addressing American Indian experiences of grief, loss, and identity development are scarce and are limited to small samples utilizing qualitative methods. Grounded in identity theory and ambiguous loss theory, this mixed method study addressed a gap in the literature by exploring experiences of grief, loss, and identity formation following foster care and adoption of American Indian individuals. Secondary data from the Experiences of Adopted and Fostered Individuals Project were used to compare the experiences of grief and the impact of adoption on identity for American Indian (n = 129) and White individuals (n = 166). A chi-square test revealed the relationship between race and grief was statistically significant, X^2(1, n = 295) = 6.23, p < .01, with American Indian participants more likely to report experiencing grief. The extent to which participants who were adopted perceived adoption affected their identity was also significantly higher for American Indian participants (M = 4.31, SD = .99) than their White peers (M = 3.82, SD = 1.23), t(268) = -3.48, p ≤ 001.Thematic analysis was used to examine open-ended survey data, which revealed four themes: (1) loss, which describes the types of losses American Indian fostered and adopted individuals reported experiencing, (2) identity, which describes challenges and meaning making associated with identity formation (3) risk factors, which describes factors that may create challenges to processing grief, loss, and identity formation, and (4) protective factors, which describes factors that may be helpful in managing challenges associated with grief, loss, and identity formation. The findings suggest an explicit connection between loss, grief, and identity formation for adopted and fostered American Indian individuals, as well as specific outcomes and resiliency factors.
- The transition to teletherapy in marriage and family therapy training settings during COVID-19: What do the data tell us?Morgan, Amy A.; Landers, Ashley L.; Simpson, Jessica E.; Russon, Jody M.; Case Pease, Jenene; Dolbin-MacNab, Megan L.; Bland, Krista N.; Jackson, Jeffrey B. (Wiley, 2021-03-20)In the wake of the COVID-19 pandemic, little is known about how university training programs transitioned to teletherapy. This study describes the transition of two university marriage and family therapy (i.e., master's and doctoral) training clinics to teletherapy and presents preliminary analyses of the types of clients and cases that converted to teletherapy. A series of chi-square analyses, a t-test, a logistic regression model, and a multiple linear regression model were employed. Four key findings emerged: (1) most cases converted to teletherapy; (2) Hispanic ethnicity was the only demographic characteristic to significantly predict conversion to teletherapy; (3) individual cases were significantly more likely to convert to teletherapy than relational cases; and (4) the number of prior in-person sessions attended significantly predicted conversion to teletherapy. Teletherapy conversion implications are discussed across four systemic levels: client, student trainee, supervision, and larger systems.
- What Is the Role of the Placebo Effect for Pain Relief in Neurorehabilitation? Clinical Implications From the Italian Consensus Conference on Pain in NeurorehabilitationCastelnuovo, Gianluca; Giusti, Emanuele Maria; Manzoni, Gian Mauro; Saviola, Donatella; Gabrielli, Samantha; Lacerenza, Marco; Pietrabissa, Giada; Cattivelli, Roberto; Spatola, Chiara Anna Maria; Rossi, Alessandro; Varallo, Giorgia; Novelli, Margherita; Villa, Valentina; Luzzati, Francesca; Cottini, Andrea; Lai, Carlo; Volpato, Eleonora; Cavalera, Cesare; Pagnini, Francesco; Tesio, Valentina; Castelli, Lorys; Tavola, Mario; Torta, Riccardo; Arreghini, Marco; Zanini, Loredana; Brunani, Amelia; Seitanidis, Ionathan; Ventura, Giuseppe; Capodaglio, Paolo; D'Aniello, Guido Edoardo; Scarpina, Federica; Brioschi, Andrea; Bigoni, Matteo; Priano, Lorenzo; Mauro, Alessandro; Riva, Giuseppe; Di Lernia, Daniele; Repetto, Claudia; Regalia, Camillo; Molinari, Enrico; Notaro, Paolo; Paolucci, Stefano; Sandrini, Giorgio; Simpson, Susan; Wiederhold, Brenda Kay; Gaudio, Santino; Jackson, Jeffrey B.; Tamburin, Stefano; Benedetti, Fabrizio (Frontiers, 2018-05-18)Background: It is increasingly acknowledged that the outcomes of medical treatments are influenced by the context of the clinical encounter through the mechanisms of the placebo effect. The phenomenon of placebo analgesia might be exploited to maximize the efficacy of neurorehabilitation treatments. Since its intensity varies across neurological disorders, the Italian Consensus Conference on Pain in Neurorehabilitation (ICCP) summarized the studies on this field to provide guidance on its use. Methods: A review of the existing reviews and meta-analyses was performed to assess the magnitude of the placebo effect in disorders that may undergo neurorehabilitation treatment. The search was performed on Pubmed using placebo, pain, and the names of neurological disorders as keywords. Methodological quality was assessed using a pre-existing checklist. Data about the magnitude of the placebo effect were extracted from the included reviews and were commented in a narrative form. Results: 11 articles were included in this review. Placebo treatments showed weak effects in central neuropathic pain (pain reduction from 0.44 to 0.66 on a 0-10 scale) and moderate effects in postherpetic neuralgia (1.16), in diabetic peripheral neuropathy (1.45), and in pain associated to HIV (1.82). Moderate effects were also found on pain due to fibromyalgia and migraine; only weak short-term effects were found in complex regional pain syndrome. Confounding variables might have influenced these results. Clinical implications: These estimates should be interpreted with caution, but underscore that the placebo effect can be exploited in neurorehabilitation programs. It is not necessary to conceal its use from the patient. Knowledge of placebo mechanisms can be used to shape the doctor-patient relationship, to reduce the use of analgesic drugs and to train the patient to become an active agent of the therapy.