SAGE Journal Articles

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Article 1: Mahoney, M.J. & Lyddon, W.J. (April 1988). Recent Devlopments in Cognitive Approaches to Counseling and Psychotherapy. The counseling psychologist, 16(2), 190-234.

Abstract: The “cognitive revolution” in psychology is reviewed from historical, philosophical, and theoretical perspectives. There has been substantial evolution and differentiation among cognitive psychotherapies, of which there are at least 20 distinct modern varieties. It is argued that these various cognitive approaches reflect two fundamental traditions in philosophy and psychological theory – rationalism and constructivism. Rationalist cognitive therapies are exemplified by Albert Ellis’s rational-emotive therapy and view counseling as technical consultation in rational thinking and “reality contact.” Rationalist counselors assume that explicit therapies challenge reductionistic accounts of the relationships among thought, feelings, and action. As reflected in George Kelly’s personal construct approach and the contemporary works of Guidano, Ivey, Joyce Moniz, and Mahoney, constructivist therapies emphasize proactive processes in adaptation. They also acknowledge the important of emotional attachments, affective cycles of disorganization, and self-organizing processes in individual psychological development. Key differences between rationalist and constructivist approaches are outlined at philosophical, theoretical, and practical levels. It is concluded that constructivist theories represent a major and promising emergence in late-twentieth-century psychology.

Article 2: Galante, J., Iribarren, S.J., & Pearce, P.F. (March 2013). Effects of mindfulness-based cognitive therapy on mental disorders: a systematic review and meta-analysis of randomised controlled trials. Journal of research in nursing, 18(2), 133-155.

Abstract:

Objective: Mindfulness-based cognitive therapy (MBCT) is a programme developed to prevent depression relapse, but has been applied for other disorders. Our objective was to systematically review and meta-analyse the evidence on the effectiveness and safety of MBCT for the treatment of mental disorders.

Methods: Searches were completed in CENTRAL, MEDLINE, EMBASE, LILACS, PsychINFO, and PsycEXTRA in March 2011 using a search strategy with the terms ‘mindfulness-based cognitive therapy’, ‘mindfulness’, and ‘randomised controlled trials’ without time restrictions. Selection criteria of having a randomised controlled trial design, including patients diagnosed with mental disorders, using MBCT according to the authors who developed MBCT and providing outcomes that included changes in mental health were used to assess 608 reports. Two reviewers applied the pre-determined selection criteria and extracted the data into structured tables. Meta-analyses and sensitivity analyses were completed.

Results: Eleven studies were included. Most of them evaluated depression and compared additive MBCT against usual treatment. After 1 year of follow-up MBCT reduced the rate of relapse in patients with three or more previous episodes of depression by 40% (5 studies, relative risk [95% confidence interval]: 0.61 [0.48, 0.79]). Other meta-analysed outcomes were depression and anxiety, both with significant results but unstable in sensitivity analyses. Methodological quality of the reports was moderate.