Cognitive-Behavioural Therapy applied to Misophonia, a scoping review.

Migrant members of racially marginalized groups pursue their political struggle in places outside their land of origin. How would they resist racialized collective violence in the diaspora by engaging in solidarity as they acculturate to a new societal order? Combining traditional social psychological approaches of intragroup relationships with anticolonial and antiracist combative praxis, the current research examined (post)migrant Kurds' narratives of solidarity as resistance as they shared their experiences of Turkish racialized colonial violence in Belgium. We conducted a mixed methods study combining in-depth interviews with researcher participatory truth-witnessing. We interviewed 24 Kurds (2 sexual and gender minorities, 10 cisheterosexual women, 12 cisheterosexual men) about their intragroup relations and Kurdish resistance against collective violence. Reflexive thematic analysis centring around intragroup solidarity showed that participants understood and practiced solidarity as resistance and existence in several ways. In the diaspora, they navigated resistance against Turkish collective violence, transnational repression and the structural challenges of migrational acculturation through diverse, multi-sited, multi-layered and liminal intragroup solidarity despite some intragroup exclusions, with a desire for intragroup unity. Participatory truth-witnessing revealed that political organization and critical consciousness are central to intragroup solidarity beyond ethnocultural cohesion.

This article presents a multidimensional study of underground shrines and caves located within the sacred landscape of the Turkestan region. The aim of the article is to provide a comprehensive analysis of the historical, cultural, psychological, and phenomenological nature of cave cults associated with such sacred sites of the Turkestan region as Akmeshit Ata, Zhylagan Ata, Ukasha Ata, and Kyluet. The caves are examined as archetypal space, with particular attention given to revealing its symbolic meaning as a primordial home a “maternal womb,” and a space of transformation, In addition, the article explores the semiotic structure and religious-ideological content of legends and rituals connected with these sacrеed sites, and offers a comparative analysis with similar cave cults within the worldview system of the Turkic peoples. The research is aimed at scholarly interpretation of the origins and evolution of cave cults their functioning within Shamanic-Tengrian worldviews in the pre-Islamic period and within Islamic tradition, as well as at determining their role in contemporary cultural memory. Alongside general phenomenological, psychological, and hermeneutical approaches, the study employs the method of historical and cultural reconstruction. The results lead to conclude that the sacredness of caves represents not only an element of a religious belief system but also an archetypal manifestation of national and spiritual identity that is a cultural-philosophical phenomenon reflecting the holistic unity of human existence with nature. Key finding: from a psychological perspective, being inside a cave contributes to stress reduction induces a meditative state, and enhances connection with the unconscious. Sacred places especially cave-related sacred sites, may contribute to restoring an individual’s inner spiritual balance, while reflective practices conducted in such spaces can facilitate the renewal of personal value orientations. This determines the practical significance of the study. Keywords: Turkestan region, sacred space, cave symbolism, speleological heritage, pilgrimage culture

User perceptions of affordability of methadone maintenance treatment in Kenya: A mixed methods analysis.

Adjustment disorders are amongst the most prevalent diagnoses in youth but there is currently limited empirically-supported guidance in treating this disorder. There are a couple approaches for determining effective treatments for youth with adjustment disorders based on theoretical models and empirical research. From the approach of clinical psychology and research on the treatment of psychological disorders, evidence-based interventions (EBIs) for related disorders can be matched to the particular symptoms of adjustment disorder that the youth experiences. From the approach of developmental psychopathology and prevention science, research on resilience as well as the mechanisms through which psychopathology develops following stress exposure provide insight into appropriate strategies for coping with stress. This paper reviews and synthesizes findings on the prevention and treatment of psychopathology in order to outline a recommended, empirically-supported approach for treating adjustment disorders in youth. Overall, components of cognitive and behavioral therapies have the most research support and can equip youth with multiple strategies for coping with stress. Additional evidence-based practices and treatment approaches to serve this population are discussed.

This study aims to analyze the personality of the main character and various factors that influence it in the novel Rumah by J.S. Khairen. This study uses a literary psychology approach with Gerardus Heymans' personality theory. Using qualitative descriptive methods, and data collection techniques that include reading techniques and note-taking techniques. This study uses data sources from the novel Rumah by J.S. Khairen, published in January 2026 with the first printing. Data analysis was carried out through intensive reading, data collection, data grouping, data analysis, and drawing conclusions. The results of the study produced the personality of the main character consisting of fourteen personality traits; empathy, patience, never giving up, responsibility, emotionality, expressiveness, calm, vengeful, caring, compassionate, independent, assertive, confident, and arrogant. The most dominant personality forms are emotionality with 19 data and caring with 14 data. Various factors that influence the personality of the main character include psychological experience factors in the family and psychological experience factors in work. The most dominant factor is the psychological experience factor in the family consisting of 54 data, while the psychological experience factor in work consists of 8 data. Based on the research results, it was concluded that the personality of the main character in the novel Rumah is complex, dynamic, and more influenced by psychological experiences within the family environment. Gerardus Heymans' theory is relevant for revealing the form of character personality in literary works.

Purpose Psychological flexibility, the capacity to remain open to difficult internal experiences while engaging in values-based action, has been linked to better mental health after spinal cord injury (SCI). Yet how these processes are enacted in daily life is underexplored. This study qualitatively examined lived experiences of psychological flexibility and its processes among adults with SCI. Materials and Methods Sixteen adults with SCI were purposively sampled from a larger U.S. survey to maximize variation in psychological flexibility and mental health outcomes. Semi-structured videoconference interviews addressed acceptance, defusion, present-moment awareness, self-as-context, values, committed action, and perceived barriers/supports. Data were analyzed using interpretative phenomenological analysis. Results Four themes emerged: (1) navigating emotional pain and complexity; (2) strategies for emotional regulation and mindful coping; (3) reconstructing identity and reconnecting with values; and (4) barriers and systemic constraints (inaccessibility, fragmented care, financial/insurance burdens). Psychological flexibility was described as active, effortful, and context-dependent rather than a fixed trait. Conclusions Adults with SCI recognize, cultivate, and apply psychological flexibility while navigating persistent physical, relational, and structural demands. Findings support integrating psychological flexibility-based approaches (e.g., acceptance and commitment therapy) across the rehabilitation continuum, paired with system-level changes to improve accessibility, continuity of psychosocial care, and insurance processes.

Open science practices-such as preregistration, data and material sharing, and open-access dissemination-are increasingly promoted across psychology, yet their specific value for clinical psychology has often been overlooked. This commentary argues that open science is particularly crucial for clinical psychology, where studies rely on small, hard-to-recruit patient samples, ethically sensitive data, and complex psychotherapeutic interventions. However, applying open science practices in one's research can be challenging. And yet, it is becoming increasingly necessary to take a stance on this. To support our colleagues in clinical psychology to take a stance on open science practices and to motivate them to apply these practices in their research, we describe here how the use of open science practices benefits or can benefit clinical psychology science and practice and provide some perspective on why we believe that the increasing use of open science practices is consistent with good scientific practice and the ethical standards of our profession. In addition, we discuss how calls for increased implementation of open science practices in psychological research can be reconciled with some of the challenges, concerns, and conflicts that can arise around open science practices, especially in clinical psychology. Finally, we extend open science's inclusive and collaborative stance to include "experts by experience" in the research process. Including our research topics in the research process is a specific facet of the open science approach in clinical psychology that has been overlooked.

Ko and Neuberg's affordance-management framework represents an important top-down approach to understanding how distal environments shape human psychology through evolutionarily recurrent problems. We contrast this evolutionary approach with the bottom-up socio-ecological approach, which focuses on current environmental arrangements, highlighting their complementary research strategies for understanding ecology-mind interactions.

Our objective is twofold: (1) to advise the authors to engage more fully with the tenets of ecological psychology, from which the term "affordance" originates, and (2) to note that the article's framing aligns with traditional evolutionary psychology, rebranding modular, information-processing, and gene-centric assumptions in ecological language. This does not deny that affordances are central to explaining behavioral change across life stages.

Sickle cell disease (SCD) is a hemoglobin disorder impacting red blood cell and resulting in difficult-to-control pain, which significantly impacts quality of life and psychological wellbeing. There are barriers preventing patients living with SCD from receiving psychological care, and limited work demonstrating best psychological pain care practices. We describe two innovative approaches for incorporating psychological care in two clinics (i.e., pediatric and adult) serving patients living with SCD in a Southeastern United States health system. The first is psychological screening and referral to psychotherapy program. The second is a mindfulness program offering bedside interventions, retreats, and individual sessions. These innovative treatment approaches emphasize adapting psychological care to address care barriers (e.g., access to care, cultural stigma). Adaptable, patient-centered psychological approaches may positively impact pain and decrease healthcare utilization in clinics serving patients managing SCD. Case studies highlight the importance of flexibility and adaptation in service delivery. Both programs are feasible in demonstrating uptake, coordinating across programs, and working with medical providers. Future research and clinical efforts should continue developing adaptable, culturally sensitive psychological approaches to target pain in patients living with SCD, improve quality of life and psychological wellbeing in patients managing SCD, and positively impact health systems.

ABSTRACT Chronic pain among people of color is influenced by biological, structural, and social forces. While network models have been applied to chronic pain symptoms, research on resource disparities often isolates factors such as income, failing to account for how these systemic resources interact as a dynamic system. Integrating Conservation of Resources theory with psychological network analysis, this study examined how interconnected patterns of resource loss and gain shape chronic pain experiences among a sample of 622 adults identifying as Black, Asian, or Latinx with chronic pain. Network models revealed that Family & Social Support, Work & Career, and Self-Agency were highly central in both loss and gain networks. Network Comparison Tests revealed structural invariance across racial groups, though the Asian subsample demonstrated higher global strength in the gain network. While networks differed by pain intensity, driven primarily by the connectivity of Material & Living Resources, the role of Personal Health & Well-Being remained invariant. Findings highlight the importance of moving beyond individual-level interventions to address resource systems as a whole. Targeting central resources, especially social support and employment, may help interrupt loss and foster recovery, offering more equitable strategies to improve well-being among people of color living with chronic pain.

This study investigated the feasibility of a novel multidisciplinary residential rehabilitation programme for managing fatigue and psychological consequences in patients with SCAD. A prospective single-arm feasibility study was conducted as the "SCAD, Fatigue, and Everyday Life" programme, a four-day residential intervention, at the Danish Knowledge Centre for Rehabilitation and Palliative Care (REHPA). Fatigue management was addressed through individual and group-based sessions, including energy conservation strategies, nervous system regulating techniques and psychological approaches incorporating value-based, goal-oriented approaches. Feasibility was evaluated using Bowen's framework focusing on demand, acceptability and practicality. Demand was assessed through adherence and attendance rates, acceptability through satisfaction rates and practicality through available resources. Fatigue and psychological associations were assessed using patient reported outcome measures (PROMs): the Modified Fatigue Impact Scale (MFIS), Brief Fatigue Inventory (BFI), Insomnia Severity Index (ISI), the General Anxiety Disorder (GAD-7), Patient Health Questionnaire (PHQ-9) and EQ-5D-5L. Data were collected at baseline and 8 weeks post-intervention. Participant satisfaction was high (median 4.5/5), and completion rate was 78.5%, exceeding the defined threshold of 70%. Modest improvements were observed across PROMs, with small effect sizes and statistically significant changes limited to selected outcomes. The rehabilitation programme was found feasible in terms of high participant satisfaction, satisfying attendance and adherence rates. Intervention elements show potential in reducing fatigue and other psychological consequences following SCAD, taking the small sample size and the single-armed design into account.

This study aims to describe the emotional expressions of the main character in the novel Laut Bercerita by Leila S. Chudori using a literary psychology approach. This research uses a qualitative descriptive method with content analysis techniques. The data source is the novel Laut Bercerita, while the data are in the form of text excerpts that reflect the emotional expressions of the main character, Biru Laut. The analysis is based on David Krech’s theory of emotional classification, which includes basic emotions, sensory-related emotions, and self-evaluative emotions. The results show that the main character experiences various emotional expressions such as happiness, sadness, fear, and anger, which are influenced by internal factors and external pressures, particularly political oppression and traumatic experiences. These emotions are expressed through narrative, dialogue, and actions, reflecting the complex psychological condition of the character. This study highlights that literary works serve as a medium to represent human psychological dynamics in a socio-political context.

Stuttering has traditionally been conceptualized as a motor speech disorder; however, accumulating evidence suggests that auditory processing differences and emotional factors may also contribute to its clinical presentation. Despite increasing interest in these domains, the interplay between auditory cortical processing, stuttering severity, and anxiety in adults remains incompletely understood. This study aimed to examine auditory evoked cortical responses (P1, N1, P2, and mismatch negativity [MMN]) in adults who stutter compared with fluent-speaking controls, and to explore how neurophysiological measures vary in relation to stuttering severity and state-trait anxiety levels. Auditory event-related potentials were recorded using pure-tone stimuli in adults who stutter and age-matched control participants. Latency and amplitude measures of the P1, N1, P2, and MMN components were analyzed. Anxiety was assessed using the State-Trait Anxiety Inventory (STAI). Group comparisons and correlational analyses were performed to characterize neurophysiological, clinical, and psychological patterns. Compared with controls, adults who stutter exhibited significant alterations in both early (P1, N1) and later (P2, MMN) stages of auditory cortical processing. Increasing stuttering severity appeared to be associated with a pattern of variation in ERP latencies and amplitudes, accompanied by parallel changes in state, trait, and total anxiety scores. These findings suggest that stuttering in adulthood is associated with widespread differences in auditory cortical processing that co-vary with both anxiety levels and clinical severity. The results support a multidimensional framework in which sensory, emotional, and speech-related processes interact, highlighting the importance of integrated neurophysiological and psychological assessment approaches in stuttering research and clinical practice.

Next-step treatment for schizophrenia non-responsive to antipsychotics: a systematic review and network meta-analysis

Leadership in educational management has a strategic role in determining the success of educational implementation. This study aims to examine the integrative paradigm between psychology and leadership in educational management, focusing on the psychological dimensions of educational leadership. This research employs a qualitative approach using a systematic literature review method. Data were collected from scientific articles published between 2020 and 2026 through Google Scholar using Publish or Perish. The findings indicate that the integration of psychological perspectives into leadership significantly enhances organizational effectiveness, particularly in fostering work motivation, strengthening interpersonal communication, and improving adaptive decision-making. Furthermore, psychological approaches contribute to conflict management and the development of a positive organizational climate. The study also highlights that leadership effectiveness is strongly influenced by psychological characteristics such as personality, emotional intelligence, and empathy. Therefore, integrating psychology into leadership serves as a strategic foundation for advancing educational management and improving human resource performance sustainably.

Cancer-associated pain affects the majority of patients with advanced disease, involves complex nociceptive, neuropathic, and psychosocial mechanisms, and remains inadequately controlled despite available pharmacological options. Circadian rhythms regulate sleep-wake patterns, hormone secretion, immune function, and nociceptive signaling. Their disruption, common in cancer patients due to disease burden, treatment side effects, and psychological distress, may influence both pain perception and analgesic response. This narrative review examines the interplay between chronobiology and cancer-associated pain, evaluating the biological plausibility and clinical readiness of chronotherapy, the role of non-pharmacological circadian-supportive interventions, and the exploratory contribution of medical cannabis within this framework. Circadian patterns in cancer pain and breakthrough cancer pain are inconsistent at the population level, with discrepancies between clinical reports of late-morning peaks and experimental evidence of nocturnal pain sensitivity, suggesting that observed patterns are largely driven by pharmacokinetic, activity-related, and tumor-specific factors. Opioid pharmacokinetics and pharmacodynamics are influenced by circadian variation, and aligning dosing with individual pain and metabolic patterns may theoretically enhance analgesic efficacy, though prospective evidence remains limited. Opioid therapy itself disrupts circadian organization, reinforcing the value of strategies that simultaneously time drug administration and support circadian stability. Non-pharmacological interventions including sleep hygiene, light therapy, structured exercise, and psychological approaches carry established safety profiles and consistent benefits on quality of life, though their direct analgesic contribution within a chronotherapy framework remains to be established. The endocannabinoid system exhibits circadian rhythmicity, but robust trial data supporting medical cannabis for cancer pain and sleep regulation are absent, and current guidelines maintain a cautious stance. The identification of objective circadian biomarkers is a critical prerequisite before chronotherapy can be evaluated in phase III trials. Circadian biology offers a biologically plausible but insufficiently validated framework for optimizing cancer pain management. Clinicians can already incorporate sleep hygiene measures, morning light exposure, and structured physical activity into existing cancer pain management plans while awaiting higher-level evidence. Future research must prioritize biomarker validation, large-scale RCTs of timed opioid administration, and implementation science to translate chronotherapy from hypothesis to guideline-level practice.

ObjectiveTo map existing research on adjunctive psychological approaches in exercise-based randomized controlled trials (RCTs) involving children with chronic musculoskeletal diseases (CMD).Data SourcesWe conducted a scoping review, following Joanna Briggs Institute methodology and a prospectively registered protocol. Medline, Embase, PsycInfo, CINAHL, Cochrane CENTRAL and Scopus databases were searched in February 2024 and September 2025.MethodsRCTs involving children with CMD, exploring therapeutic exercises with psychological approaches, were included. Four independent reviewers screened the studies; data were extracted by one reviewer and verified by another using standardized previously piloted forms. Covidence was used for all review steps. PRISMA extension for Scoping Reviews recommendations was followed for synthesis and reporting.ResultsOf 6793 screened studies, 21 were assessed for full-text eligibility, and five RCTs (223 children, 80% female, mean age 14.2 years) were included from two countries (USA [n = 4], Sweden). Conditions included chronic musculoskeletal pain (n = 2), complex regional pain syndrome, patellofemoral pain syndrome, and juvenile fibromyalgia. Outcomes focused on pain, psychological, and clinical findings. Psychological approaches (motivational interviewing, behavior modification, pain psychoeducation) were delivered by psychologists and physiotherapists. Exercise interventions included neuromuscular exercises (n = 3), usual physiotherapy (n = 1), and tailored physiotherapy (n = 1).ConclusionsManaging children with CMD is complex requiring multidisciplinary care, with psychological approaches potentially enhancing exercise-based rehabilitation. Although this integration appears promising, progress is limited by the lack of standardized protocols, scarce long-term evidence, and barriers such as accessibility, caregiver engagement, and therapist training.

Due to an increase in media and news attention on anti-Black racism in 2020, the APA declared racism a pandemic as the CDC highlighted the challenges related to the COVID-19 pandemic. Thus, the work described in the current manuscript took place during what is referred to as a double pandemic for Black people in the United States. This paper discusses the impact of this period on a department and its students, the training students advocated for in response to the urgent need for more support for Black communities, and the approaches they used to address racial stress and trauma during this unprecedented time. We outline how one Clinical Psychology program designed and disseminated resources, including a racial trauma guide, public health messaging campaign, podcast, and social media content to increase access to translational research, culturally relevant resources, and psychoeducation to combat racism and discrimination. Analytics and trends demonstrate the impact of the Task Force's initiatives. We summarize the process and recommend clinical-community approaches for healing racial stress and trauma among Black youth, families, and communities.