Hi Nick and his co-authors,

This article represents a major contribution to the literature on adolescents suffering from depression because it demonstrates that not all depressed adolescents respond the same way to treatment.  So congratulations to Nick and the others who worked on this project!  The Journal of Child Psychology and Psychiatry is one of the elite journals in our field.

To get some conversation going among the listserv, I'm wondering whether the two groups you identified--continued-improvers and halted-improvers--might be associated with characterolological or personality features.  Two theoretical frameworks immediately come to mind:  Sydney Blatt's distinction between anaclitic depression and introjective depression on the one hand, and preoccupied and dismissing attachment on the other hand.  I think there is some literature (perhaps by Mary Dozier at the University of Delaware) that suggests that dismissing individuals often don't benefit beyond the early part of treatment because they have difficulty forming a secure attachment to their therapists.  So I would guess that the halted-improvers might be overrepresented among the dismissing patients.  Similarly, I would guess that the halted-improvers might be overrepresented among those suffering from introjective depression.  I don't know whether the AAI or ORI was administered, though, to determine whether this is the case.  Do others want to comment?  Any students want to ask questions about this research?

Geoff
Chair, CAFTR

Geoff Goodman, Ph.D., ABPP, FIPA, CST, CSAT-S, CMAT-S, RPT-S
Associate Professor
Clinical Psychology Doctoral Program
Long Island University
720 Northern Blvd.
Brookville, NY 11548
(516) 299-4277
http://www.drgeoffgoodman.com
http://www.rurallibrariesresearchnetwork.net
________________________________________
From: caftr@psychotherapyresearch.org [caftr@psychotherapyresearch.org] on behalf of Nick Midgley [Nick.Midgley@annafreud.org]
Sent: Thursday, April 23, 2020 7:01 AM
To: caftr@psychotherapyresearch.org
Subject: CaFTR latest paper from IMPACT

WARNING: This email originated from outside of Long Island University. Do not click links or open attachments unless you recognize the sender and know the content is safe. - LIU Information Technology
Dear colleagues

Best wishes to you all from Lockdown London!

I'm sending a link (free download) to the latest article from the IMPACT study, on "Trajectories of depression symptom change during and following treatment in adolescents with unipolar major depression" - I think this raises some interesting issues about patterns of change in therapy.

To download the article for free, please go via this link: http://dx.doi.org/10.1111/jcpp.13145<https://urldefense.com/v3/__http://dx.doi.org/10.1111/jcpp.13145__;!!DeIc-uvKXH9G!sHBeTn6sTXAHOD3Upk1iBPTugWsODbYiKLhfQYna_jlvea0pC136aCQrDmpuYMgmIWKP8n8$>

Best wishes

Nick

________________________________
Nick Midgley
Associate Professor, UCL; co-director of ChAPTRe
Ext:    1114
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