Background: Acceptance and Commitment Therapy (ACT) is one of the third wave therapies that came as a response to certain limitations of cognitive-behavioral therapies, and other existent psychotherapeutic models, which emphasizes changing the context of cognition rather than the content. ACT has a fast-growing evidence base, and its literature among the adolescent population is in its infancy. Objective: The authors attempted to consolidate findings of ACT’s effectiveness for clinical problems among the adolescent population. Methods: Electronic databases of PubMed, PsycArticles, PsycINFO, Sage, and ProQuest were searched for published studies and unpublished doctoral dissertations until April 2021. After adopting a two-staged screening process, 19 studies were selected, which included randomized controlled trials, case reports, and other quasi-experimental studies reporting results from ACT or ACT-based intervention given to a population of adolescents for any clinical conditions, or concern. The authors present a narrative systematic review of these 19 studies, including a methodological assessment. Results: Results showed ACT to be effective in reducing objectively measured clinical symptoms, and interference caused by them. Subjective accounts by adolescents and caregivers also corroborated that. More, rigorous RCTs and comparisons with other active treatments are needed to improve the evidence base as such studies were few, and had some methodological flaws. The authors also discuss certain limitations in assessing the effectiveness of ACT in such studies. Conclusion: The ACT model could serve as a promising alternative approach to be used with adolescents across many concerns, with an emphasis on improving the quality of life, and their engagement with valued goals.
Obsessive thoughts and compulsive urges are part of the normal feedback and control loop between our thoughts and our actions. It is only when these obsessive thoughts become so intense and frequent and these compulsive rituals become so extensive that they interfere with an individual’s functioning that the diagnosis of Obsessive Compulsive Disorder (OCD) is made. The mainstays of treatment of OCD includes Serotoninergic antidepressant medications, particular forms of Behavior Therapy (Exposure and Response Prevention and some forms of CBT), education and family interventions. Because they are aware of how irrational their behavior is, many sufferers are ashamed of their actions and go to great lengths to hide their symptoms. It is extremely important that as a therapist, one is able to build a safe and accepting therapeutic environment and also structures therapy based on the unique presentation of illness where sometimes symptoms themselves may cause non compliance to therapy process. The author presents and discusses a case where Cognitive Behavior Therapy was used.
Introduction: The relation between the occurrence of criminal behaviour and brain dysfunction were studied extensively and available literature was reviewed. Aim: To study the neuropsychological profile of juvenile delinquents. Method: 15 cases who have committed repeated offences, between age group 10 to 14 of the male gender with minimum primary education were selected using Purposive sampling technique. Tools: They were screened through the Diagnostic Test of Learning Disability, Coloured Progressive Matrices/ Standard progressive Matrices and Brief Psychiatric Rating Scale for Children. Samples with IQ below sub-average, learning disability or any kind of psychopathology were excluded from the study. AIIMS neuropsychological battery was administered as the main tool to assess the neuropsychological functioning of the delinquents. Result: Findings suggest that the organicity was found in 12 cases with specific areas. Implication: The results of the current research are helpful in planning intervention and rehabilitation program for juvenile delinquents.
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