This article presents an in-depth single case study of 8 sessions of spiritually integrated
psychotherapy with a 20-year-old woman recovering from an Eating Disorder. The
inclusion and utility of session-to-session outcome data as well as systematic follow up
data in conjunction with in-depth qualitative interviews are shown. Dr. H and client’s
perspectives are highlighted over the course of treatment. Clinical areas of focus were
extracted from the the qualitative interviews and the therapeutic process is described.
Single-case study statistical analyses were conducted to highlight clinical gains and
maintenance.

This study examined the relationships and interactions between legalism, scrupulosity, family
perfectionism, guilt, and shame among 421 Latter-Day Saints (LDS or Mormons). The results
showed that scrupulosity fully mediated the links between legalism and guilt, as well as
legalism and shame. A moderated-mediation effect was found, in which family discrepancy
(maladaptive perfectionism) intensified the scrupulosity–shame association in the mediation
model of legalism and shame by scrupulosity. Family discrepancy was not a significant
moderator for the mediation model of legalism and guilt by scrupulosity. Additional results
are provided and implications of these findings are outlined.

There is a paucity of research on the mental health of Pacific Islanders living in the United States, including those of Polynesian descent. This study examined coping strategies, attitudes toward seeking mental health counseling, public and self-stigma toward seeking mental health services, and
psychological adjustment among 638 Polynesian Americans. On average, participants held neither favorable nor unfavorable attitudes toward seeking professional psychological help, but men endorsed moderate self-stigma
about mental illness and women endorsed high levels of public stigma about mental illness. Women showed relatively more favorable attitudes than men about seeking help from professional mental health providers. Participants
reported benefitting more from culturally congruent practices for coping with distress (accepting, reframing, striving, family support, and religiosity/spirituality) than from seeking assistance from private emotional outlets
(e.g., therapy) or avoidance and detachment. Mental health professionals need to build cross-cultural bridges and culturally adapt services to address concerns among Polynesian Americans.