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The Behavior Therapist ASSOCIATION for BEHAVIORAL and ISSN 0278-8403 ABCT COGNITIVE THERAPIES ▲ VOLUME 41, NO. 2•FEBRUARY 2018 the Behavior Therapist Contents SCIENCE Science Risk Factors for Early Miguelina Germán, Vincent P. Corcoran, Lorey Wheeler, and Late Dropout From Jeana L. DeMairo, Olivia M. Peros, Tanvi Bahuguna, Alec L. Miller Risk Factors for Early and Late Dropout From Dialectical Dialectical Behavior Behavior Therapy for Suicidal Adolescents • 69 Therapy for Suicidal Clinical Forum Adolescents Joanna J. Arch A Conversation With Steve Hayes and Stefan Hofmann Miguelina Germán, Montefiore About Process-Based CBT • 81 Medical Center/Albert Einstein College of Medicine Research-Practice Jacqueline B. Persons and Alexandra S. Jensen Vincent P. Corcoran, Publishing a Single-Case Study • 83 Fordham University Te chnology Lorey Wheeler, University of Julianne Wilner, Keara Russell, Shannon Sauer-Zavala Nebraska—Lincoln emotions101: Development of an Online Prevention Course for College Students Based on the Unified Protocol • 89 Jeana L. DeMairo, The New School for Social Research Clinical Dialogues Olivia M. Peros, Hofstra University Melissa L. Miller and Gabriela A. Nagy He/She/I Said What?! Reflections on Addressing Tanvi Bahuguna, Teachers College, Microaggressions in Supervision • 95 Columbia University News Alec L. Miller, Cognitive & Behav- Katherine Baucom ioral Consultants of Westchester and 2017 ABCT Featured Student Award Recipients • 99 Manhattan and Montefiore Medical Center/Albert Einstein College of At ABCT Medicine Minutes of the Annual Meeting of Members • 100 52nd Annual Convention PREVIOUS STUDIES REVEAL that a number of variables contribute to treatment dropout Preparing to Submit an Abstract • 104 among suicidal adolescents. Adolescents with a Call for Papers • 105 history of suicide attempts were more likely to Understanding the ABCT Convention • 106 drop out of treatment than their nonsuicidal counterparts (15% vs. 3%; Barbe, Bridge, Birmaher, Kolko, & Brent, 2004). Adolescents [Contents continued on p. 70] [continued on p. 71] February • 2018 69 the Behavior Therapist Published by the Association for In an effort to embrace one aspect of ABCT’s strategic Behavioral and Cognitive Therapies 305 Seventh Avenue - 16th Floor initiative—commitment to globalization—the Board New York, NY 10001 | www.abct.org of Directors is recommending a change to our mission (212) 647-1890 | Fax: (212) 647-1865 statement and purposes: Editor: Kate Wolitzky-Taylor Article II Editorial Assistant: Bita Mesri Mission Statement The Association for Behavioral and Cognitive Therapies is a multidisciplinary Associate Editors organization committed to the enhancement of health and well-being by RaeAnn Anderson advancing the scientific understanding, assessment, prevention, and treatment Katherine Baucom of human problems through the global application of behavioral, cognitive, and biological evidence-based principles. Sarah Kate Bearman Shannon Blakey Purposes Angela Cathey The purposes of the Association are to globally: Trent Codd 1. Encourage innovations that advance scientific approaches to behavioral, cognitive, and biological evidence-based approaches David DiLillo to behavioral health; Lisa Elwood 2. Promote the utilization and dissemination of behavioral, cognitive, Clark Goldstein and biological evidence-based approaches to behavioral health; David Hansen 3. Facilitate professional development, interaction, and networking among members; Katharina Kircanski 4. Promote ethical delivery of science-based interventions; Richard LeBeau 5. Promote health and well-being through a commitment to diversity Angela Moreland and inclusion at all levels. Stephanie Mullins-Sweatt Amy Murell We appreciate your feedback by March 1 Alyssa Ward association for ([email protected]). behavioral and ABCT cognitive therapies Tony Wells s Stephen Whiteside Monnica Williams INSTRUCTIONS Ñçê AUTHORS ABCT President: Sabine Wilhelm Executive Director: Mary Jane Eimer The Association for Behavioral and Cog- Submissions must be accompanied by a Director of Communications: David Teisler nitive Therapies publishes the Behavior Copyright Transfer Form (which can be Therapist as a service to its membership. downloaded on our website: http://www. Director of Outreach & Partnerships: Eight issues are published annually. The abct.org/Journals/?m=mJournal&fa=TB Tammy Schuler purpose is to provide a vehicle for the T): submissions will not be reviewed with- Managing Editor: Stephanie Schwartz rapid dissemination of news, recent out a copyright transfer form. Prior to publication authors will be asked to Copyright © 2018 by the Association for Behavioral and advances, and innovative applications Cognitive Therapies. All rights reserved. No part of this in behavior therapy. submit a final electronic version of their publication may be reproduced or transmitted in any Feature articles that are approxi- manuscript. Authors submitting materi- form, or by any means, electronic or mechanical, includ- als to tBT do so with the understanding ing photocopy, recording, or any information storage and mately 16 double-spaced manuscript retrieval system, without permission in writing from the pages may be submitted. that the copyright of the published mate- copyright owner. rials shall be assigned exclusively to Brief articles, approximately 6 to 12 Subscription information: tBT is published in 8 issues ABCT. Electronic submissions are pre- per year. It is provided free to ABCT members. Nonmem- double-spaced manuscript pages, are ferred and should be directed to the ber subscriptions are available at $40.00 per year (+$32.00 preferred. airmail postage outside North America). Change of ad- editor, Kate Wolitzky-Taylor, Ph.D., at dress: 6 to 8 weeks are required for address changes. Send Feature articles and brief articles [email protected]. Please both old and new addresses to the ABCT office. should be accompanied by a 75- to include the phrase tBT submission and ABCT is committed to a policy of equal opportunity 100-word abstract. in all of its activities, including employment. ABCT does the author’s last name (e.g., tBT Submis- not discriminate on the basis of race, color, creed, religion, Letters to the Editor may be used to sion - Smith et al.) in the subject line of national or ethnic origin, sex, sexual orientation, gender respond to articles published in the your e-mail. Include the corresponding identity or expression, age, disability, or veteran status. All items published in the Behavior Therapist, including Behavior Therapist or to voice a pro- author’s e-mail address on the cover page advertisements, are for the information of our readers, fessional opinion. Letters should be of the manuscript attachment. Please and publication does not imply endorsement by the As- limited to approximately 3 double- also include, as an attachment, the com- sociation. spaced manuscript pages. pleted copyright transfer document. 70 DROPOUT FROM DBT who reported current suicidal ideation cally brought to therapy by parents or care- Method were also more likely to drop out of treat- givers. Parental involvement and participa- ment than their nonsuicidal counterparts tion are viewed as an essential component Participants (28.6% vs. 4.3%; Barbe et al., 2004). Adoles- for successful treatment of adolescent The study consisted of patients admit- cents who reported both lifetime and cur- mental health problems in many treatment ted to a 20-week DBT outpatient therapy rent suicidality were associated with approaches (Erhardt & Baker, 1990; Mend- program (N = 98) from 2005–2014. The greater impairment at intake and also with lowitz et al., 1999). However, parental program was affiliated with a university dropout from treatment (Barbe et al.). dropout has been shown to be as high as hospital training clinic located within the Dropout rates were higher when suicidal 60% (Armbruster & Fallon, 1994; Pekarik New York metropolitan area. The sample adolescents were in nondirective support- & Stephenson, 1988), and is associated with was predominately female (84.5%) with an ive therapy than in cognitive behavioral higher child dropout (Kazdin & Mazurick, average age of 15.07 years (SD = 1.50). therapy or in systemic behavioral family 1994). DBT also strongly encourages Additionally, the majority of the sample therapy (Barbe et al.). Studying dropout parental participation in treatment. How- consisted of ethnic minority adolescents, among this high-risk population is the first ever, to our knowledge, there are no studies with Hispanic (65.1%) and African-Amer- step toward developing targeted strategies that have reported dropout rates from DBT ican adolescents (20.9%) representing the for prevention. Studies on evidence-based in a community clinic outside of a random- two largest groups. interventions have shown 11 to 13 sessions ized controlled trial. The standard DBT protocol of the clinic are needed for a majority of patients to Research has shown that another entailed a pretreatment phase in which achieve clinically significant symptom important relationship for the patient is the adolescents met with their individual ther- remission (Hansen, Lambert, & Forman, therapeutic relationship, in that the apist once per week, and an active compre- 2002; Lambert, 2007). strength of the therapeutic alliance can hensive treatment phase that incorporated Given the limited amount of research affect treatment outcome (Martin, Garske, weekly group work. During active treat- on suicidal adolescents who drop out from
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