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    Calling for More Case Studies of Exceptional and Efficient Psychotherapists

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    We respond to issues raised in the commentaries on early response and the exceptional psychotherapist, noting that our findings are consistent with those suggested by Laska and Federman (2015) as well as by Pereira and Barkham (2015). We call for prospective study of exceptional therapists that employ the variables and constructs noted in the commentaries in addition to retrospective recall of change events. &nbsp

    Rapid Recovery with an Effective Therapist: A Comment on Hansen, Lambert, and Vlass

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    The person of the therapist is a robust predictor of psychotherapy outcome (Wampold & Imel, 2015). Additionally, some clients make rapid improvements, or sudden gains, in therapy and little is known about the mechanisms underlying this process. In the target article Hansen, Lambert, and Vlass (2015) explore the interaction between these two facets of psychotherapy and discuss how one therapist was able to obtain sudden gains with a high percentage of her clinical caseload. In our comment, we discuss aspects of the therapist who was the focus of the Hansen et al. that we believe contributed to her status as an effective therapist. Furthermore, we discuss the sudden gains obtained by the therapist in Hansen et al., review these improvements within the context of the larger body of evidence and suggest that both case mix as well as therapist skills played a significant role in the exceptional outcomes. &nbsp

    Occult Collections and Mysterious Coincidences at Rutgers

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    Gorder’s article is based on her experience as the curator of the exhibition and as a articipant in the June 23, 2014 internationalcolloquium held in the Alexander Library, “The Soldier and theSeer: J. F. C. Fuller, Aleister Crowley, and the British Occult Revival" related to the occult collections at Rutgers. The conference wasappropriately held in the Alexander Library, the home of SpecialCollections and University Archives. Her article also reflectsher keen knowledge of the archives at Rutgers from which she unearthed information about Fairweather, J. F. C. Fuller, and John Hammond, who was an assistant dean at Rutgers, a contemporaryof Fairweather, and a notorious wild child of a famous occultcommune. Gorder speculates on a series of mysterious coincidences that has made Rutgers an inadvertent source for occult studies

    Preface to Volume 67: Editing The Journal of the Rutgers University Liraries for Twenty Years

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    Sewell discusses his his experiences editing the journal since 1995, taking if from an all print journal to an open access journal and a print journal

    Why the Civil War Still Matters

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    The author describes the origins of what became the key focus of his research, the American Civil War, in the 1960s, with the overlapping of the one-hundredth anniversary of the Civil War and the rise of the Civil Rights movement. He discovered that “for better or for worse, the flames of Civil War forged the framework of modern America.” The conflicting (positive and negative) views on the concept of Liberty grew out of the Civil War and is reflected in the Amendments to the Constitution since the Civil War. He points out that “the presidential election of 2012 pitted the concepts of positive and negative liberty against each other more clearly than in any other recent election. How this tension will play out, in the midst of our Sesquicentennial observations of the Civil War, remains to be seen. In any case, it is another example of ‘Why the Civil War still Matters.’

    Child-Parent Psychotherapy in the Context of the Developmental Disability and Medical Service Systems

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    Child-Parent Psychotherapy (CPP), an evidence-based dyadic treatment for young children who have experienced trauma, shows promise in intervening with children with developmental disabilities, as illustrated in the cases we described of 14-month-old "James" and 6-year-2-month-old "Juan" (Harley, Williams, Zamora, & Lakatos, 2014). In their thoughtful commentary on these cases, Ghosh Ippen, Noroña, & Lieberman (2014) discuss additional clinical considerations important to the use of CPP with this population.  In this response, we explore further implementation of CPP in the context of the developmental disability and medical service systems.  In particular, we highlight the importance of resilience in parents’ responses to their child’s developmental disability, contributions from pediatric psychology to understanding pediatric medical traumatic stress, infusing relationship-based approaches in collaboration with other service systems, and addressing barriers to service access in ethnic minority families. Finally, we provide recommendations for training and fidelity monitoring when applying CPP to children with developmental disabilities and their families

    Solving the complete-electrode direct model of ERT using the boundary element method and the method of fundamental solutions

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    This paper discusses solving the forward problem for electrical resistance tomography (ERT). The mathematical model is governed by Laplace's equation with the most general boundary conditions forming the so-called complete electrode model (CEM). We examine this problem in simply-connected and multiply - connected domains (rigid inclusion, cavity and composite bi-material). This direct problem is solved numerically using the boundary element method (BEM) and the method of fundamental solutions (MFS). The resulting BEM and MFS solutions are compared in terms of accuracy, convergence and stability. Anticipating the findings, we report that the BEM provides a convergent and stable solution, whilst the MFS places some restrictions on the number and location of the source points

    Clinical Considerations in Working with Clients in the Coming Out Process

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    Mandel (2014) describes the conceptualization, assessment, and treatment of "Adam," a hybrid client presenting with depression, cannabis abuse, perfectionism, and distress related to his sexual orientation, which appeared to be fueling these psychological problems. In this commentary, we examine theoretical and clinical issues raised by this case regarding clients’ experiences with coming out. Drawing on the case and pertinent research, we highlight clinical challenges involved in helping clients navigate issues of identity development and intersection, interpersonal disclosure, internalized homophobia, and community connectedness. We present specific strategies for tailoring interventions to the diverse experiences and needs of sexual minority clients. Throughout the commentary, we reflect on potential intrapersonal, interpersonal, and systemic processes that may impact clients’ identity integration and psychological well-being

    What Do We Know About the Correlates and Underlying Causes of Auditory Hallucinations in Nonpsychotic Children and Adolescents, and What Are the Implications for Diagnosis and Treatment?

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    The case study of “Kate” (Shapiro, Bussing, & Nguyen, 2014) provides us with further clinical information in an intriguing and evolving area in mental health; that of auditory hallucinations in nonpsychotic children and adolescents.  While there is increasing acceptance that such hallucinations are not an automatic diagnostic marker of psychosis, or that psychosis is an inevitable outcome, there is still much to be learned about this phenomenon.  This commentary will provide an overview of what is known about the correlates and possible underlying mechanisms generating auditory hallucinations in populations of nonpsychotic children and adolescents.  In addition, Kate's case study raises interesting implications for diagnosis and intervention strategies, not only for children/adolescents experiencing auditory hallucinations, but for the wider area of child and adolescent mental health.

    The Case of "Sonia": Psychotherapy With a Complex, Difficult Patient Grounded in the Integrated Psychotherapy Model of Hector Fernandez-Alvarez

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    Sonia was part of a clinical, naturalistic, and longitudinal research project I developed that began in 1998, with patients who consulted at the well-known AIGLE center in Buenos Aires, Argentina. In the project I selected patients with severe and complex psychological symptoms for whom previous treatments were reported by the patients to have been ineffective. The goal of the project was to employ Dr. Héctor Fernández-Álvarez's Integrative Psychotherapy Model to design a new treatment approach involving combined strategies that could successfully work with such individuals. At the time of intake, Sonia was a 44-year-old, divorced, morbidly obese woman living with her 18-year-old mildly retarded son in an apartment purchased for her by her affluent parents. When Sonia came for treatment, she could not manage her son or her own basic needs and finances and had frequent angry outbursts with her family members. She was diagnosed as having bipolar disorder or cyclothymia, trichotillomania, borderline personality disorder, borderline intellectual functioning, and was on medication for these conditions. This case study describes 10 years of treatment,including over 900 sessions, working on the development of Sonia's coping and interpersonal skills and on restructuring her most basic cognitions about herself and her relationships to others, particularly her family members. During the 10 years, the therapy was gradually reduced in intensity as Sonia made gradual but dramatic changes in her self-concept, her obesity, her relationship to her family, and her ability to work and independently manage her life. While because of her long history of previous treatments, Sonia did not consent to take any standardized assessment measures, she did agree to a collaboratively developed, individualized, 27-item List of Problems and Behaviors Questionnaire (LOPBQ). With a scoring range of 0 ("problem not solved at all") to 5 (problem "totally solved") on each item, Sonia went from an average item score of .33 to one of 4.19 over the course of the first 8 years; that is, from a score of 6.7% of a maximum score to 83.8% of a maximum score. The process by which this impressive change took place is detailed

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