David Kealy



Dr. David Kealy is an Associate Professor with the Psychotherapy Program and the Institute of Mental Health.  His program of research encompasses the process and outcome of psychotherapy, along with many of the issues that bring people to seek psychotherapy.  Such issues include concerns in areas of identity and self-concept, emotion regulation, and interpersonal relatedness.  His psychotherapy research is focused on factors that influence therapy process and outcome, particularly in the treatment of individuals with personality disorders, multiple clinical or social difficulties, and histories of traumatic experience.  The ultimate aim of such work is to support integrative and personalized approaches to treatment, as well as preventive and accessible interventions.  Dr. Kealy has a background in social work and public mental health service, previously holding a clinical leadership position at one of the largest community outpatient psychotherapy programs in British Columbia.  He provides teaching and clinical supervision in the Psychotherapy Program, and maintains an active consultation and psychotherapy practice.


Selected Publications

Kealy, D., Joyce, A. S., Ogrodniczuk, J. S. Ehrenthal, J. C., & Weber, R. (2018) Reactance and engagement in integrative group psychotherapy for personality dysfunction. Journal of Psychotherapy Integration. http://dx.doi.org/10.1037/int0000129

Kealy, D., Rice, S. M., Ogrodniczuk, J. S., & Spidel, A. (2018). Childhood trauma and somatic symptoms among psychiatric outpatients: Investigating the role of shame and guilt. Psychiatry Research, 268, 169-174.

Kealy, D., Joyce, A. S., Weber, R., Ehrenthal, J. C., & Ogrodniczuk, J. S. (2018). What the patient wants: Addressing patients’ treatment targets in an integrative group psychotherapy program. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12174

Hewitt, P. L., Flett, G. L., Mikail, S. F., Kealy, D., & Zhang, L. (2018). Perfectionism in the therapeutic context: The Perfectionism Social Disconnection Model and clinical process and outcome. In J. Stoeber (Ed.) The Psychology of Perfectionism: Theory, Research, Applications. New York, NY: Routledge.

Kapusta, N. D., Jankowski, K. S., Wolf, V., Cheron-Le Guludec, M., Lopatka, M., Hammerer, C., Schnieder, A., Kealy, D., Ogrodniczuk, J. S., Bluml, V. (2018). Measuring the capacity to love: Development of the CTL-inventory. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2018.01115

Spidel, A., & Lecomte, T., Daigneault, I., & Kealy, D. (2018). Acceptance and Commitment Therapy for psychosis and trauma: Investigating links between trauma severity, attachment, and outcome. Behavioural and Cognitive Psychotherapy. https://doi.org/10.1017/S1352465818000413

Rice, S. M., Kealy, D., Oliffe, J. L., & Ogrodniczuk, J. S. (in press). Externalizing depression symptoms among Canadian males with recent suicidal ideation: A focus on young men. Early Intervention in Psychiatry. https://doi.org/10.1111/eip.12667

Rice, S. M., Ogrodniczuk, J. S., Kealy, D. Seidler, Z. E., Dhillon, H. M., & Oliffe, J. L. (in press). Validity of the Male Depression Risk Scale in a representative Canadian sample: Sensitivity and specificity in identifying men with recent suicide attempt. Journal of Mental Health. https://doi.org/10.1080/09638237.2017.1417565

Kealy, D., Ogrodniczuk, J. S., Rice, S. M. & Oliffe, J. L. (2018). Alexithymia, suicidal ideation, and health-risk behaviours: A survey of Canadian men. International Journal of Psychiatry in Clinical Practice, 22, 77-79.

Rice, S. M., Oliffe, J. L., Kealy, D., & Ogrodniczuk, J. S. (2018). Male depression subtypes and suicidality: Latent profile analysis of internalising and externalising symptoms in a representative Canadian sample. Journal of Nervous and Mental Disease, 206, 169-172.

Ogrodniczuk, J. S., Kealy, D., Joyce, A. S., & Abbass, A. A. (2018). Body talk: Sex differences in the influence of alexithymia on physical complaints among psychiatric outpatients. Psychiatry Research, 261, 168-172.

Spidel, A., Lecomte, T., Kealy, D., & Daigneault, I. (2017). Acceptance and Commitment Therapy for psychosis and trauma: Improvement in psychiatric symptoms, emotion regulation, and treatment compliance following a brief group intervention. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12159

Kealy, D., Sandhu, S., & Ogrodniczuk, J. S. (2017). Looking ahead through a fragile lens: Vulnerable narcissism and future outlook. Personality and Mental Health, 11, 290-298.

Kealy, D., Spidel, A., & Ogrodniczuk, J. S. (2017). Self-conscious emotions and suicidal ideation among women with and without history of childhood sexual abuse. Counselling and Psychotherapy Research, 17, 269-275.

Kealy, D., Ogrodniczuk, J. S., Rice, S. & Oliffe, J. L. (2017). Pathological narcissism and maladaptive self-regulatory behaviours in a nationally representative sample of Canadian men. Psychiatry Research, 256, 156-161.

Giannone, Z. A., Haney, C. J., Kealy, D., & Ogrodniczuk, J. S. (2017). Athletic identity and psychiatric symptoms following retirement from varsity sports. International Journal of Social Psychiatry, 63, 598-601.

 Kealy, D., Sierra-Hernandez, C. A., Piper, W. E., Joyce, A. S., Weideman, R., & Ogrodniczuk, J. S. (2017). Psychological mindedness and psychotherapy process in short term group therapy. Psychodynamic Psychiatry, 45, 343-361.  

Kealy, D., Goodman, G., & Ogrodniczuk, J. S. (2017). Psychotherapists’ ideals in the treatment of panic disorder: An exploratory study. Counselling and Psychotherapy Research, 17, 201-208.

Joyce, A. S., Ogrodniczuk, J. S., Kealy, D. (2017). Intensive evening outpatient treatment for patients with personality dysfunction: Early group process, change in interpersonal distress, and longer-term social functioning. Psychiatry: Interpersonal and Biological Processes, 80, 184-195.

Kealy, D., Tsai, M., & Ogrodniczuk, J. S. (2017). Attachment style and readiness for psychotherapy among psychiatric outpatients. Psychology and Psychotherapy: Theory, Research, and Practice, 90, 229-234.

Kealy, D., Goodman, G., Rasmussen, B., Weideman, R., & Ogrodniczuk, J. S. (2017). Therapists’ perspectives on optimal treatment for pathological narcissism. Personality Disorders: Theory, Research, and Treatment, 8, 35-45.

Kealy, D., Halli, P., Ogrodniczuk, J. S., & Hadjipavlou, G. (2016). Burnout among Canadian psychiatry residents: A national survey. Canadian Journal of Psychiatry, 61, 732-736.

Kealy, D., Ogrodniczuk, J. S., Piper, W. E., & Sierra-Hernandez, C. A. (2016). When it is not a good fit: Clinical errors in patient selection and group composition in group psychotherapy. Psychotherapy, 53, 308-313.

Kealy, D., Sierra-Hernandez, C. A., & Ogrodniczuk, J. S. (2016). Childhood emotional support and borderline personality features in a sample of Canadian psychiatric outpatients. International Journal of Social Psychiatry, 62, 452-454.

Kealy, D., Tsai, M., & Ogrodniczuk, J. S. (2016). Pathological narcissism and somatic symptoms among men and women attending an outpatient mental health clinic. International Journal of Psychiatry in Clinical Practice, 20, 175-178.

Kealy, D., Ogrodniczuk, J. S., Joyce, A. S., Steinberg, P. I., & Piper, W. E.  (2015).  Narcissism and relational representations among psychiatric outpatients.  Journal of Personality Disorders, 29, 303-407. 

Kealy, D., Steinberg, P. I., & Ogrodniczuk, J. S.  (2014).  “Difficult” patient?  Or does he have a personality disorder.  Journal of Family Practice, 63, 697-703. 

Lee, E. & Kealy, D. (2014). Revisiting Balint’s innovation: enhancing capacity in collaborative mental health care. Journal of Interprofessional Care, 28, 466-470. 

Kealy, D. & Ogrodniczuk, J. S.  (2014).  Pathological narcissism and the obstruction of love.  Psychodynamic Psychiatry, 42, 101-120.

Kealy, D. & Lee, E. (2014). Reflections on the holding environment in health-care counselling. Patient Education and Counselling, 97, 299-300.

Kealy, D. (2013). The containing selfobject: Reflections about relational process in clinical practice. Journal of Social Work Practice, 27, 319-327.

Ogrodniczuk, J. S. & Kealy, D. (2013). Interpersonal problems of narcissistic patients. In J. S. Ogrodniczuk (ed.) Understanding and treating pathological narcissism. Washington, DC: American Psychological Association.

Kealy, D., Tsai, M., & Ogrodniczuk, J. S.  (2012).  Depressive tendencies and pathological narcissism among psychiatric outpatients.  Psychiatry Research, 196, 157-159.

Kealy, D. & Ogrodniczuk, J. S. (2012). Pathological narcissism: a frontline guide. Practice: Social Work in Action, 24, 161-174.

Kealy, D., & Ogrodniczuk, J. S. (2011).  Narcissistic interpersonal problems in clinical practice. Harvard Review of Psychiatry, 19, 290-301.

Kealy, D., Ogrodniczuk, J. S., & Howell-Jones, G. (2011). Object relations and emotional processing deficits among psychiatric outpatients. Journal of Nervous and Mental Disease, 199, 132-135.

Kealy, D., Ogrodniczuk, J. S. (2010). Marginalization of borderline personality disorder. Journal of Psychiatric Practice, 16, 145-154.

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