Tomi salkovski biography sampler
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Abstract
Background and Aims
Recent studies have challenged the anxiety-avoidance model of obsessive–compulsive disorder (OCD), linking OCD to impulsivity, risky-decision-making and reward-system dysfunction, which can also be found in addiction and might support the conceptualization of OCD as a behavioral addiction. Here, we conducted an exploratory investigation of the behavioral addiction model of OCD by assessing whether OCD patients are more impulsive, have impaired decision-making, and biased probabilistic reasoning, three core dimensions of addiction, in a sample of OCD patients and healthy controls.
Methods
We assessed these dimensions on 38 OCD patients and 39 healthy controls with the Barratt Impulsiveness Scale (BIS-11), the Iowa Gambling Task (IGT) and the Beads Task.
Results
OCD patients had significantly higher BIS-11 scores than controls, in particular on the cognitive subscales. They performed significantly worse than controls on the IGT preferring immedi
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- Section 1 introduces counselling and psychotherapy and the history of these professions, considering how current understandings of 'mental health problems' have been influenced by psychiatric diagnosis, biomedical approaches and psychoanalysis.
- Section 2 covers four key therapeutic approaches - humanistic, existential, cognitive-behavioural and mindfulness - exploring how they work with problems relating to fear and sadness.
- Section 3 focuses on therapeutic perspectives that specifica
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Abstract
Objectives
To examine a self-referral psychological service provided to young adults with regard to effects on anxiety, depression and psychological distress and to explore client factors predicting non-adherence and non-response.
Design
Observational study over a 2-year period.
Setting
Young Adults Centre providing psychological services by self-referral (preprimary care) to Linköping, Åtvidaberg, and Kinda municipalities (combined population 145 000) in Östergötland county, Sweden.
Participants
607 young adults (16–25 years of age); 71% females (n=429).
Intervention
Individually scheduled cognitive behavioural therapy delivered in up to six 45 min sessions structured according to an assessment of the client's mental health problems: anxiety, depression, anxiety and nedstämdhet combined, or decreased distress without specific anxiety or depression.
Primary outcome measures
Pre–post intervention changes in psychological distress (General Health Questionnaire-12,