M. Hakan TÜRKÇAPAR; A. Emre Sargın
Cognitive behavioral therapies are one of the most leading theories between current psychotherapies. As a psychotherapy school, besides sharing the common points reached collectively by the humanity throughout the history, it also achieved in integrating scientific and ampirical experiences into the psychotherapy practice. Having included mainstreams like Stoicism, Kantian philosopy in its historical roots, this approach has similarities with eastern philosophies, budism and s...
Knight, Bob G.; Satre, Derek
Cognitive behavioral psychotherapy is readily adaptable to use with older adults. This review integrates discussion of cognitive and behavioral intervention techniques with recent research and clinical observations in the field of gerontology. Cognitive changes with aging, personality and emotional development, cohort effects, and the social environment of older adults are discussed in relation to psychotherapy. Applications of cognitive behaivor therapy to specific late life problems such as...
This paper is an adaptation of Kohlenberg and Tsai's work, Functional Analytical Psychotherapy (1991), or FAP, to group psychotherapy. This author applied a behavioral rationale for interpersonal process groups by illustrating key points with a hypothetical client. Suggestions are also provided for starting groups, identifying goals, educating…
Arnow, Bruce A.
Cognitive Behavioral Analysis System of Psychotherapy (CBASP) was developed specifically for the chronically depressed patient. CBASP has been shown to be as efficacious as medication singly, and in combination with antidepressant medication is associated with notably high response rates in chronic depression. CBASP's core procedure, "situational…
Mangabeira, Victor; Kanter, Jonathan; Del Prette, Giovana
Functional Analytic Psychotherapy (FAP), a therapy based on radical behaviorism, establishes the priority of the therapeutic interaction as a mechanism of change in psychotherapy. Since the first book on FAP appeared in 1991, it has been the focus of many papers and has been incorporated by the community of behavior therapists. This paper is a…
Klein, Daniel N.; Santiago, Neil J.; Vivian, Dina; Blalock, Janice A.; Kocsis, James H.; Markowitz, John C.; McCullough, James P., Jr.; Rush, John A.; Trivedi, Madhukar H.; Arnow, Bruce A.; Dunner, David L.; Manber, Rachel; Rothbaum, Barbara; Thase, Michael E.; Keitner, Gabor I.; Miller, Ivan W.; Keller, Martin B.
Although the efficacy of maintenance pharmacotherapy for the prevention of recurrence in major depressive disorder (MDD) is well documented, few studies have tested the efficacy of psychotherapy as a maintenance treatment. The authors examined the efficacy of the cognitive-behavioral analysis system of psychotherapy (CBASP) as a maintenance…
Chiang, Y L; Yeh, S S; Hsiao, C C; Ree, S C
Transvestic fetishism is a paraphilia marked by recurrent, intense sexually arousing fantasies, sexual urges, or behavior involving cross-dressing, in a heterosexual male. There are many explanations of the pathogenesis, but none are conclusive. Different treatments have been applied, but they generally remain obscure and disappointing. Transvestic fetishists rarely seek psychotherapy, because of their dynamic balance between perversion and intrapsychic disintegration. There are few studies, either qualitative or quantitative, associated with transvestic fetishism in Taiwan. This case report describes an adolescent transvestic fetishist who underwent a brief course of psychotherapy in the outpatient department of a psychiatric center in Taipei. After consultation for one year, he still maintained his deviant sexual behavior but also developed more severe moral anxiety. He was then referred for psychotherapy. Cognitive-behavioral and psychodynamic theories associated with transvestic fetishism were reviewed and applied in both understanding and treating this client. Some temporal effectiveness was achieved with combined cognitive-behavioral and dynamic-oriented supportive psychotherapy. After 18 sessions of psychotherapy over more than 4 months, the client was able to stop his perverse behavior and have fewer sexually arousing fantasies. The prognosis of transvestic fetishism is generally supposed to be pessimistic and have a high rate of recurrence. Some propose that adolescents have a better outcome after treatment. This case report reveals the possibility of change for a transvestic fetishist. However, the long-term effects of the brief course of psychotherapy require further evaluation in the future. PMID:10493039
A summary of the literature on the goals, content, and techniques of psychotherapy with the elderly client is presented, and supports the conclusion that this therapy is different from similar work with the younger adult, only in terms of a focus on different content areas. (Author)
Jager, Margot; De Winter, Andrea F.; Metselaar, Janneke; Knorth, Erik J.; Reijneveld, Sijmen A.; Huiskes, Mike
Based on conversation analysis (CA) of video-recorded therapy sessions, the article explicates a particular interactional project of positively evaluating client-reported behavior in psychotherapy. The analysis focuses on the therapist's actions that convey a positive evaluation of client-reported b
S.M. Bögels; P. Wijts; F.J. Oort; S.J.M. Sallaerts
Objectives: Comparing the overall and differential effects of psychodynamic psychotherapy (PDT) versus cognitive behavior therapy (CBT) for social anxiety disorder (SAD). Design: Patients with a primary SAD (N = 47) were randomly assigned to PDT (N = 22) or CBT (N = 27). Both PDT and CBT consisted o
Hilbert, Anja; Saelens, Brian E.; Stein, Richard I.; Mockus, Danyte S.; Welch, R. Robinson; Matt, Georg E.; Wilfley, Denise E.
The present study examined pretreatment and process predictors of individual nonresponse to psychological group treatment of binge eating disorder (BED). In a randomized trial, 162 overweight patients with BED were treated with either group cognitive-behavioral therapy or group interpersonal psychotherapy. Treatment nonresponse, which was defined…
Gallagher-Thompson, Dolores; Steffen, Ann M.
Randomly assigned depressed family caregivers (n=66) of frail elderly relatives to 20 sessions of cognitive-behavioral (CB) or brief psychodynamic (PD) individual psychotherapy. At posttreatment, 71% of caregivers were no longer clinically depressed, with no differences found between two treatments. Found interaction between treatment modality and…
Zoffness, Rachel; Garland, Ann; Brookman-Frazee, Lauren; Roesch, Scott
Youth with disruptive behavior problems (DBPs) represent the majority of youth served in usual care (UC) psychotherapy, and are at high risk for maladaptive outcomes. Little is known about UC psychotherapeutic strategies utilized with this population. Researchers and clinicians suggest that case management (CM) is a major activity occurring in…
Attachment theory provides a useful conceptual framework for understanding trauma and the treatment of abuse in children. This article examines attachment theory and traditional models of family therapy from the perspective of behavior analysis, and provides a rationale for a behavioral treatment approach for abused children and their foster or…
ALPERT, MICHAEL C.
The use of videotapes of psychotherapy sessions by patients, therapists, and supervisors is discussed. The review of videotape helps patients see themselves and their therapists more realistically. As patients become familiar with their behavior and expressions, they begin to see how behavior is linked to underlying feelings. Therapists similarly learn about their own behaviors and defenses as well as those of their patients through the review of tapes. Session videotapes pr...
Comparative efficacy of the Cognitive Behavioral Analysis System of Psychotherapy versus Supportive Psychotherapy for early onset chronic depression: design and rationale of a multisite randomized controlled trial
Full Text Available Abstract Background Effective treatment strategies for chronic depression are urgently needed since it is not only a common and particularly disabling disorder, but is also considered treatment resistant by most clinicians. There are only a few studies on chronic depression indicating that traditional psycho- and pharmacological interventions are not as effective as in acute, episodic depression. Current medications are no more effective than those introduced 50 years ago whereas the only psychotherapy developed specifically for the subgroup of chronic depression, the Cognitive Behavioral Analysis System of Psychotherapy (CBASP, faired well in one large trial. However, CBASP has never been directly compared to a non-specific control treatment. Methods/Design The present article describes the study protocol of a multisite parallel-group randomized controlled trial in Germany. The purpose of the study is to estimate the efficacy of CBASP compared to supportive psychotherapy in 268 non-medicated early-onset chronically depressed outpatients. The intervention includes 20 weeks of acute treatment with 24 individual sessions followed by 28 weeks of continuation treatment with another 8 sessions. Depressive symptoms are evaluated 20 weeks after randomisation by means of the 24-item Hamilton Rating Scale of Depression (HRSD. Secondary endpoints are depressive symptoms after 12 and 48 weeks, and remission after 12, 20, and 48 weeks. Primary outcome will be analysed using analysis of covariance (ANCOVA controlled for pre-treatment scores and site. Analyses of continuous secondary variables will be performed using linear mixed models. For remission rates, chi-squared tests and logistic regression will be applied. Discussion The study evaluates the comparative effects of a disorder-specific psychotherapy and a well designed non-specific psychological approach in the acute and continuation treatment phase in a large sample of early-onset chronically
To date, the effectiveness of psychotherapy for the treatment of most mental disorders is empirically well documented. From an "evidence-based medicine" viewpoint, psychotherapy, as compared to other treatments in medicine, can be regarded as one of the most effective therapeutic approaches. The superiority of psychotherapy over pharmacotherapy is particularly pronounced in long-term treatment outcome studies. It is especially cognitive behavioral approaches, such as exposure response managem...
McBride, Carolina; Atkinson, Leslie; Quilty, Lena C.; Bagby, R. Michael
Anxiety and avoidance dimensions of adult attachment insecurity were tested as moderators of treatment outcome for interpersonal psychotherapy (IPT) and cognitive-behavioral therapy (CBT). Fifty-six participants with major depression were randomly assigned to these treatment conditions. Beck Depression Inventory-II, Six-Item Hamilton Rating Scale…
Wilfrey, Denise E.; And Others
Evaluated effectiveness of group cognitive-behavioral treatment (CBT) and group interpersonal psychotherapy (IPT) for binge eating among 56 women with nonpurging bulimia. At posttreatment, both CBT and IPT conditions showed significant improvement in reducing binge eating, compared to waiting-list condition. Binge eating remained significantly…
Full Text Available ... treatment options exist. Transference-Focused Psychotherapy (TFP) Dialectical Behavior Therapy (DBT) Other forms of therapy for BPD ... STEPPS can help reduce symptoms and problem BPD behaviors, relieve symptoms of depression, and improve quality of ...
Feldstein Ewing, Sarah W.; Chung, Tammy
Research on mechanisms of behavior change provides an innovative method to improve treatment for addictive behaviors. An important extension of mechanisms of change research involves the use of translational approaches, which examine how basic biological (i.e., brain-based mechanisms) and behavioral factors interact in initiating and sustaining positive behavior change as a result of psychotherapy. Articles in this special issue include integrative conceptual reviews and innovative empirical ...
Haman, Kirsten L.; Hollon, Steven D.
Psychotherapy research studies, which balance the pursuit of knowledge with the provision of treatment, can place unique demands on clinicians, patients, and research staff. However, the literature on ethical considerations in psychotherapy trials is minimal. The current paper depicts CBT community standards of practice in the context of two…
Full Text Available ... therapy appears to be dialectical behavior therapy (DBT). This type of therapy focuses on the concept of ... therapy for BPD include: Transference-Focused Psychotherapy (TFP) This form of therapy is rooted in the patient’s ...
Full Text Available ... options exist. Transference-Focused Psychotherapy (TFP) Dialectical Behavior Therapy (DBT) Other forms of therapy for BPD include: ... than acting out these emotions impulsively. Schema-Focused Therapy (SFT) This type of therapy focuses on reframing “ ...
Feinstein, Robert E.; Yager, Joel
Background/Objective: Guided by ACGME's requirements, psychiatric residency training in psychotherapy currently focuses on teaching school-specific forms of psychotherapy (i.e., cognitive-behavioral, supportive, and psychodynamic psychotherapy). On the basis of a literature review of common factors affecting psychotherapy outcomes and…
Rounsaville, Bruce J.; And Others
Examined relation between general dimensions of psychotherapy process, rated with the Vanderbilt Psychotherapy Process Scale (VPPS), and a manual-guided psychotherapy, Short-Term Interpersonal Psychotherapy of Depression (IPT). VPPS-rated dimensions of patients and therapist behaviors were significantly correlated with IPT competence ratings.…
Klein, Daniel N.; Leon, Andrew C.; Li, Chunshan; D'Zurilla, Thomas J.; Black, Sarah R.; Vivian, Dina; Dowling, Frank; Arnow, Bruce A.; Manber, Rachel; Markowitz, John C.; Kocsis, James H.
Objective: Depression is associated with poor social problem solving, and psychotherapies that focus on problem-solving skills are efficacious in treating depression. We examined the associations between treatment, social problem solving, and depression in a randomized clinical trial testing the efficacy of psychotherapy augmentation for…
Haman, Kirsten L.; Hollon, Steven D
Psychotherapy research studies can place particular demands on clinicians, patients, and research staff due to the need to balance the pursuit of knowledge with the offer of treatment. However, the literature with regard to ethical considerations in psychotherapy trials is minimal. The current paper aims to depict CBT community standards of practice in the context of two NIMH-funded treatment trials of major depression, both involving CBT and medication. We describe issues that arose; discuss...
刘贺亮; 余斌; 康福霞
Objective To investigate efficacy of psychotherapy and behavioral therapy in the treatment of chronic prostatitis(CP).Method Psychotherapy and regulation of vegetative nerves were employed for various CP.Result Total effective rate of study group was 91.4% ,which was significantly higher than that of control group(78.4% ,P< 0.05).Conclusion Psychotherapy and behavioral therapy besides pathogenesis treatment can improve efficacy.
Changes in neurotic personality profile associated with reduction of suicidal ideation in patients who underwent psychotherapy in the day hospital for the treatment of neurotic and behavioral disorders
The results confirm effectiveness of intensive psychotherapy as a treatment method that leads to comprehensive improvement encompassing reduction of neurotic personality disorders (neuroticism and of majority of neurotic personality traits, as well as SI reduction. The revealed associations weigh in favor of hypothesis on neuroticism as SI predisposing factor in patients with neurotic, behavioral and personality disorders.
Moseley, Sullivan; Briggs, Wanda P.; Magnus, Virginia
The authors review the literature on the prevalence of sex offenders; multiple treatment modalities; and implications of the use of hypnotic psychotherapy, coupled with cognitive behavioral treatment programs, for treating sex offenders. (Contains 2 tables.)
The Comparison of Effectiveness of Cognitive-Behavioral Group Therapy Based on Coping Skills and Methadone Maintenance Treatment in Improvement of Emotional Regulation Strategies and Relapse Prevention
Full Text Available Purpose: This study compared the effectiveness of group cognitive-behavioral therapy based on coping skills (CBT and methadone maintenance therapy (MMT in improvement of emotional regulation strategies and prevention of relapse. Method: The method of the present study was semi-experimental research design (pre-test-post-test with witness group. For sampling 45 substance abuse people who had referred to addiction treatment centers were selected and assigned to three groups of cognitive behavior therapy, methadone maintenance treatment and witness group randomly. The participants in all three groups completed the emotional intelligence questionnaire before and after the intervention. Data were analyzed by covariance method. Results: The results showed that cognitive-behavior therapy in comparison to methadone maintenance therapy and witness group led to significant improvement of emotional regulation in substance abusers, but there was no significant difference between the methadone maintenance treatment group and control group. Also, the rate of relapse in individuals who assigned to cognitive-behavior therapy group in comparison to methadone maintenance therapy and the witness group was significantly lower, but there was no significant difference between methadone therapy and witness. Conclusion: Cognitive-behavior therapy was an effective treatment that can change the cognitive and behavioral variables related to substance abuse, such as emotional regulation strategies. Thus, results suggested that drug abuse treatment programs must target these mediator variables.
Zoffness, Rachel Jentry
Children with disruptive behavior problems (DBPs) represent the majority of youth patients in community- based, usual care (UC) psychotherapy, and are at high risk for maladaptive adolescent and adult outcomes (Copeland et al., 2007; Earls, 1994a). Improved knowledge about effective treatments for this population is essential. Although there is movement towards implementing evidence- based practices (EBPs) into UC, there are numerous barriers. Among these is a lack of knowledge regarding psyc...
Maitland, Daniel W. M.; Gaynor, Scott T.
Functional Analytic Psychotherapy (FAP) is a form of therapy grounded in behavioral principles that utilizes therapist reactions to shape target behavior. Despite a growing literature base, there is a paucity of research to establish the efficacy of FAP. As a general approach to psychotherapy, and how the therapeutic relationship produces change,…
The review of ethnocultural determinants of psychotherapy is based on the analysis of international and Russian studies. The role of psychotherapist in multicultural practice, basics of cultural analysis and problems of crosscultural efficiency of psychotherapy are brought up. The use of psychoanalysis, cognitive-behavioral therapy and group therapy in cultural context is discussed. Special attention is drawn to specificity of western and eastern approaches in psychotherapy, opportunity of th...
Seligman, Martin E. P.; Rashid, Tayyab; Parks, Acacia C.
Positive psychotherapy (PPT) contrasts with standard interventions for depression by increasing positive emotion, engagement, and meaning rather than directly targeting depressive symptoms. The authors have tested the effects of these interventions in a variety of settings. In informal student and clinical settings, people not uncommonly reported…
Meinlschmidt, G; Bolt, O.
Biological, psychological and social processes are of relevance in the development and treatment of dental disorders. However, knowledge about interactions among these factors has only few implications for clinical practice. Hence, the goal of this article is to provide an overview of the links between behavioral medicine, psychotherapy and dentistry. The biobehavioral implications of different dental illnesses and disorders (caries, gingivitis, periodontitis, burning-mouth syndrome, and hali...
The articles that appeared in Indian Journal of Psychiatry were related to different areas of psychotherapy. Case reports dealt with a wide variety of cases. The review papers focused on the suitability of psychotherapy in the Indian context, different approaches in psychotherapy, psychotherapy training and supervision. Psychotherapy has been viewed very close to faith orientation. There were attempts to identify the indigenous concepts that are applicable to psychotherapy. Empirical studies ...
Presents field of brief individual psychotherapy as coherent set of conventions, despite its diverse origins in schools of dynamic, behavioral, interpersonal or cognitive, and strategic psychotherapy. Proposes advantages and drawbacks of shared conventions and discusses how neighboring field could help field of family therapy reduce its errors.…
Masi, Gabriele; Milone, Annarita; Manfredi, Azzurra; Brovedani, Paola; Pisano, Simone; Muratori, Pietro
Although multi-component psychotherapeutic interventions are first-line treatments for Disruptive Behavior Disorders (DBD), pharmacotherapy is often associated for more severe patients. Our aim was to explore effectiveness of an associated pharmacotherapy in referred children with DBD receiving a one-year psychotherapeutic intervention. Aggression, callous unemotional (CU) traits and emotional dysregulation were outcome measures. The sample included 144 children, aged 8-12 years, 41 (29%) with an ADHD comorbidity. Fifty-five (38%) patients received an additional pharmacotherapy with one medication, methylphenidate, a second generation antipsychotic, or a mood stabilizer. Data were collected before and after the one-year treatment. According to the Child Behavior Checklist (CBCL), aggressive behaviors, rule-breaking behaviors and emotional dysregulation improved in the whole group, as well as parent- and child-reported CU traits. The hierarchical regression model showed that additional pharmacotherapy significantly predicted lower scores at the CBCL aggressive behaviors and emotional dysregulation, but not CU traits at the end of the treatment. The interaction between methylphenidate and ADHD comorbidity predicted lower aggressive behaviors after the treatment. In summary, this naturalistic investigation suggest that an additional pharmacotherapy significantly improved aggression and emotional dysregulation, but not CU traits. When ADHD was comorbid, methylphenidate was more effective than antipsychotics or mood stabilizers in reducing aggression. PMID:27086204
The paper presents an overview of the national developments of group psychotherapy (GPS) in Sweden during the period from World War II until the present time. Methods and concepts, imported primarily from England and the United States, inspired trainings and widespread psychodynamic and group analytic applications in schools, health treatment, and social care. Education in psychotherapy and GPS at universities opened new therapeutic and vocational areas during the period 1970-2005. Increasing criticism of psychodynamics, as in other Western societies, but more radical in Sweden, has in the last decades made group analytic GPS diminish in favor of cognitive behavioral therapy models. Prospects for GPS further development may presently look bleak but, in a longer perspective, are promising. PMID:26401795
Allison, David B.; Faith, Myles S.
A meta-analysis for six weight-loss studies comparing the efficacy of cognitive-behavior therapy (CBT) alone to CBT plus hypnotherapy. Notes that "the addition of hypnosis substantially enhanced treatment outcome." Concludes that the addition of hypnosis to CBT for weight loss results in, at most, a small enhancement of treatment outcome. (KW)
Kirsch, Irving; And Others
Performed a meta-analysis on 18 studies in which a cognitive-behavioral therapy was compared with the same therapy supplemented by hypnosis. Results indicated that hypnosis substantially enhanced treatment outcome, even though there were few procedural differences between the hypnotic and nonhypnotic treatments. Effects seemed particularly…
Peabody, Shelley Ann
Discusses three alternative life styles to monogamous marriage: swinging, open marriage, and group marriage. Includes brief reviews of both the critique of monogamous marriage as not fulfilling intimacy needs, and research on individuals in alternative life styles as displaying potentially normal behavior. (Author)
Cordova, James V.; Koerner, Kelly
Psychotherapy research should ultimately benefit the psychotherapy client. Unfortunately, traditional psychotherapy research continues to have little influence on practicing clinicians and, therefore, does not benefit psychotherapy clients. As behavior analysts begin to show interest in this area of research, they may be in a position to improve its quality. We argue that traditional psychotherapy researchers have become prematurely wedded to a methodology that does not address the concerns o...
Picardi, Angelo; Gaetano, Paola
In the last decades, psychotherapy has gained increasing acceptance as a major treatment option for mood disorders. Empirically supported treatments for major depression include cognitive behavioural therapy (CBT), interpersonal psychotherapy (IPT), behavioural therapy and, to a lesser extent, short-term psychodynamic psychotherapy. Meta-analytic evidence suggests that psychotherapy has a significant and clinically relevant, though not large, effect on chronic forms of depression. Psychothera...
Seligman, Martin E P; Rashid, Tayyab; Parks, Acacia C
Positive psychotherapy (PPT) contrasts with standard interventions for depression by increasing positive emotion, engagement, and meaning rather than directly targeting depressive symptoms. The authors have tested the effects of these interventions in a variety of settings. In informal student and clinical settings, people not uncommonly reported them to be "life-changing." Delivered on the Web, positive psychology exercises relieved depressive symptoms for at least 6 months compared with placebo interventions, the effects of which lasted less than a week. In severe depression, the effects of these Web exercises were particularly striking. This address reports two preliminary studies: In the first, PPT delivered to groups significantly decreased levels of mild-to-moderate depression through 1-year follow-up. In the second, PPT delivered to individuals produced higher remission rates than did treatment as usual and treatment as usual plus medication among outpatients with major depressive disorder. Together, these studies suggest that treatments for depression may usefully be supplemented by exercises that explicitly increase positive emotion, engagement, and meaning. ((c) 2006 APA, all rights reserved). PMID:17115810
Vyskocilová, Jana; Hruby, Radovan; Slepecky, Milos; Latalova, Klara; Prasko, Jan
Justice is one of the fundamental concepts of right ordering of human relationships. Justice is a regulative idea for the arrangement of society preceding the law and already seen in animals; the sense of justice is observed as early as in young children. The ability to altruistic behavior, sense of fairness, reciprocity and mutual help are probably genetically determined as a disposition, which may further develop or be deformed by education. Although justice issues are common in psychotherapy, they may not be reflected and processed in the course of therapy. In psychotherapy, justice issues appear directly in what the client says (mostly about injustice), but more frequently the issues are implicitly contained in complaints and stories against a background of conflicts and problems. They may be related to the client's story, his or her problems with other people, and the therapeutic process itself, including client´s selection of therapy, therapeutic relationship, and therapeutic change strategies. By increasing receptiveness to the issue of justice, the therapist may help improve the therapeutic process. Problems with justice between the therapist and the client may be revealed by honest therapist self-reflection or high-quality supervision. PMID:26812291
Lindner, R; Schneider, B
Psychotherapy is an important therapeutic option in the treatment of suicidality. Irrespective of the different treatment settings the psychotherapeutic attitudes, strategies and techniques are presented as they were developed on the basis of cognitive behavioral therapy and psychoanalysis. Starting from the common basic attitude of an active, approachable and for the patient recognizable therapist, the cognitive behavioral attitude is defined by the concept of a "team" involving patient and therapist, which fights against suicidality. The problems that led to suicidal ideation have to be exactly defined and specific behavioral strategies should aim at a modification of the behavioral repertoire and of cognitive strategies. A psychodynamic strategy starting from the analysis of the therapist's inner reaction, the countertransference comes from a primary involvement of both patient and therapist, which the therapist has to recognize and interpret to the patient in a "digestible" way. The experience of an approachable therapist who unexpectedly behaves differently than usual or feared, enables the patient to come to insights and new relational patterns which make suicidal destruction unnecessary. Finally, empirical evidence for the effectiveness of cognitive behavioral and psychodynamic treatment of suicidality is presented. PMID:27056189
Andri Steinþór Björnsson
There are two major shortcomings in current psychotherapy outcome research: The standards that are used to evaluate psychotherapy (especially the way control conditions are set up in outcome research) are often not acceptable, and non-specific factors have been largely neglected, in part because of the “psychological placebo” metaphor. I argue that theories of psychotherapy need to specify further the role of non-specific factors in the development and maintenance of different disorders, and ...
Regina H. Powers; Kniesner, Thomas J.; Thomas J. Croghan
December 2002 (Revised from October 2002). Depression is a condition with various modes of treatment, including pharmacotherapy, psychotherapy, and some combination of each. The role of psychotherapy in the treatment of depression relative to the role of pharmacotherapy is not well understood, and guidelines for psychotherapy in the primary care setting differ from guidelines for specialty care. There is little evidence about the circumstances in actual practice that affect the use of psychot...
Background The scientific recognition of psychotherapy by the German Advisory Board for Psychotherapy is mainly based on the evaluation of the empirical evidence of psychotherapeutic treatments. The aim of the scientific recognition of psychotherapy is to examine to which extend efficacy and effectiveness studies are based on scientific methods and research strategies. For this purpose, the German Advisory Board published the new guidelines for scientific evaluation and scientific recognit...
Hughes, Tammy L.; Theodore, Lea A.
Psychotherapy is a service-delivery that is provided for both general and special education students. This manuscript examines a conceptual framework for determining when to employ psychotherapy within the school-based setting. Decisions are informed by the relationship between problem behavior, therapeutic techniques, short-term outcomes, and…
The role of psychological factors in the pathogenesis of irritable bowel syndrome (IBS) has attracted more and more attention in clinical practice. With the increasing of the social pressure, symptoms in IBS patients could not be completely ameliorated by drug treatment only, and behavioral psychotherapy has some efficacy for the treatment of IBS. The aim of behavioral psychotherapy is not for complete cure of disease but to alleviate clinical symptoms of IBS patients, save medical expenditure and improve the quality of life. This article reviewed the advances in study on behavioral psychotherapy for IBS.%精神心理因素在肠易激综合征(IBS)发病机制中的作用越来越引起广大临床医师的重视.随着社会竞争压力的增大,仅靠药物治疗已无法完全改善IBS患者的临床症状,行为心理学疗法的疗效目前已得到认可.行为心理学疗法的目的并不是为了完全治愈疾病,而是为了缓解临床症状,节省医疗开支,提高患者生活质量.本文就行为心理学疗法治疗IBS的研究进展作一综述.
Weeks, Cristal E.; Kanter, Jonathan W.; Bonow, Jordan T.; Landes, Sara J.; Busch, Andrew M.
Functional analytic psychotherapy (FAP) provides a behavioral analysis of the psychotherapy relationship that directly applies basic research findings to outpatient psychotherapy settings. Specifically, FAP suggests that a therapist's in vivo (i.e., in-session) contingent responding to targeted client behaviors, particularly positive reinforcement…
The author reviews the role of play within psychotherapy. She does not discuss the formal play therapy especially popular for young children, nor play from the Jungian perspective that encourages the use of the sand tray with adults. Instead, she focuses on the informal use of play during psychotherapy as it is orchestrated intuitively. Because…
Buckley, Peter F.; LYS, CHRISTINE
Psychotherapy for patients with schizophrenia, although almost universally practiced in some form with clinical management of schizophrenia, has not been the present focus of such rigorous scientific inquiry as has been afforded to other current treatment modalities. This review highlights areas of potential progress and opportunities for clearer definition of psychotherapies for schizophrenia.
Brief psychotherapy has demonstrated its effectiveness in treating emotional disorders and helping with problems that typically present to primary care physicians. Because practitioners receive little instruction about this treatment option and often have erroneous preconceived ideas about it, psychotherapy remains underprescribed. Effective brief therapy enables the patient to problem-solve, facilitates the relationship with the provider, and ultimately clarifies the patient's situation. Ref...
Daniel, Sarah Ingrid Franksdatter; Poulsen, Stig; Lunn, Susanne
In the context of a randomized clinical trial of psychoanalytic psychotherapy (PPT) versus cognitive behavior therapy (CBT) for bulimia nervosa (BN), this study performed secondary analyses of (a) the relation between attachment and pretreatment symptom levels, (b) whether client pretreatment attachment moderated treatment outcome, (c) whether change in client attachment was associated with symptomatic change, and (d) whether client attachment changed differently in the 2 treatments. Sixty-nine women and 1 man of a mean age of 25.8 years diagnosed with BN were randomly assigned to either 2 years of weekly PPT or 5 months of CBT. Assessments at intake, after 5 months, and after 2 years included the Eating Disorder Examination to assess eating disorder symptoms, the Adult Attachment Interview to assess client attachment, and the Symptom Checklist 90-R to assess general psychiatric distress. Repeated measures were analyzed using multilevel analysis. Higher scores on attachment insecurity and attachment preoccupation were associated with more frequent binging pretreatment. Pretreatment attachment did not predict treatment outcome. In PPT, but not in CBT, reduction of binging was associated with an increase in attachment security. The 2 treatment types were not associated with significantly different patterns of attachment-related change. Degree and type of attachment insecurity is related to the frequency of binging in BN. Increase in attachment security may be a treatment-specific mechanism of change in PPT for BN. (PsycINFO Database Record PMID:26950692
Fisch, J M
This paper presents Kohut's position regarding the use of introspection and empathy as the predominant tools of observation for any approach to be called psychological. This translates into the need to maintain a consistent focus on the patient's self experience, and for interpretations to be "experience near." The concept of selfobject and the specific selfobject transferences are reviewed, and the model of Muslin and Val is used to differentiate supportive psychotherapy, psychoanalytic psychotherapy and psychoanalysis. A case illustration is presented demonstrating psychoanalytic psychotherapy where the therapeutic work focused on the patient's relationship outside the treatment, the "extra-transference object." The indications for and therapeutic value of this approach are discussed. PMID:7928295
Based on different theoretical concepts, psychotherapeutic methods in the treatment of schizophrenia reach from clinical pragmatism, psychoanalysis, learning theory, cognition and communication psychology to concepts of systems-theory. Both the German (DGPPN) and the American (APA) practice guidelines for the treatment of schizophrenic patients don't separate psychotherapy, social and rehabilitation measures strictly. So a specific psychotherapy for psychotic patients seems to be missing. A better relationship between patient and expert is fundamental for building up a ??? therapeutic liaison. For that purpose, the disease concepts of both sides must be carefully explained and integrated ("Basic psychotherapy"). PMID:11533865
王建平; 王晓菁; 唐苏勤
Whether the outcome of psychological counseling and psychotherapy can be evaluated or not has always been a controversial debate among psychological scholars. Being able to evaluate the outcome is also the aim of different psychotherapy schools. In all schools of psychological counseling and therapy, cognitive behavioral therapy (CBT) is considered to be the only evidence-based psychotherapy. The author, being a CBT therapist herself, combined with her many years of practical experience of psychotherapy, as well as a lot of literature review, put forward her opinions on the origin, development and characteristics of CBT. The author believed that CBT follows the real " scientist-practitioner" model, and the effect of CBT can be evaluated with evidence support.%心理咨询与治疗的效果能否评估以及如何评估一直是学者们争议的话题,也是各心理咨询治疗流派努力的方向.在心理咨询与治疗各流派中,认知行为治疗(CBT)被认为是唯一循证的心理咨询治疗方法.本文作者是CBT治疗师,结合自己多年心理咨询治疗的实践经验和回顾相关文献,从CBT的起源、发展和特点,提出了自己的观点和看法,认为CBT是真正遵循和体现了“科学家-实践家”的模式,其效果是可以评价的,是有证据支持的.
Thompson, Larry W.; And Others
Treated 91 elders with a major depressive disorder (MDD) using behavioral, cognitive, or brief psychodynamic psychotherapy. By the end of six weeks patients in all three treatment conditions showed improvement equally, whereas controls did not. Overall, 52 percent of the treatment sample attained remission by termination. The remainder still met…
Tonkin-Crine, Sarah; Bishop, Felicity L; Ellis, Matthew; Moss-Morris, Rona; Everitt, Hazel
Background Cognitive behavioral therapy (CBT) has been shown to have positive effects on the management of irritable bowel syndrome (IBS) symptoms. A factorial pilot randomized placebo-controlled trial (called MIBS) tested the potential effectiveness of a self-management CBT-based website alongside two medications: methylcellulose and mebeverine, and a placebo. The results showed no significant differences in quality of life or symptom severity measures, but enablement and participant’s globa...
Hirvikoski, T.; Waaler, E.; Lindström, T.; Bölte, S; Jokinen, J
The aim of this pilot study was to investigate the feasibility and effectiveness of a new psychoeducative intervention program (PEGASUS) for adults with ADHD and their significant others in a psychiatric outpatient context. At three outpatient psychiatric clinics, adults with ADHD and their significant others took part in PEGASUS, a psychoeducational program based on theories from cognitive behavioral therapy, neuropsychology, and cross-disciplinary evidence regarding ADHD. In total, 108 adul...
Full Text Available Introduction: The aim of this study was to determine the demographic and clinical characteristics of Bosnian and Herzegovinian patients involved in psychotherapeutic treatments in order to explore the current situation of psychotherapy in Bosnia and Herzegovina.Methods: The study included 213 patients (154 women and 47 men undergoing diverse psychotherapeutic treatments. Data about demographic and clinical characteristics were collected by questionnaire. Following characteristics were documented: age, sex, education, employment status, marital status, specific problem that got the client involved in psychotherapy, type of psychotherapy, and use of psychopharmacology.Results: Majority of the patients undergoing psychotherapy are age up to 40 and female. They are by vast majority holding a university degree and are employed. Nearly equal number of patients is living in partnership or marriage compared to single or never been married. Most frequent reasons for getting involved in the psychotherapy treatment are of the intrapersonal nature (depression, anxiety and panic attacks. Majority of the patients were involved in gestalt and cognitive behavioral psychotherapy, and at the same time majority of those were not prescribed medicaments.Conclusions: We point out and overview some of the most prominent socio-demographic traits of patients undergoing psychotherapy, the ones that could be important in the future research with the higher degree of control. In the terms of personal initiative, psychotherapy stops being a taboo in Bosnia and Herzegovina. However, there is still a long path until it reaches integration in daily life of the people.
Jacob, K.S.; Krishna, Gopala S.
Techniques of psychotherapy commonly used in the west may be difficult to employ in their purest form for Indian patients, especially in those who are not educated and those who are not westernized. Anecdotes from the Ramayana can be used in psychotherapy to show the similarity of the issues facing the patient with the aim of increasing insight. They are powerful examples and can be used to suggest alternate modes of coping. This article discusses anecdotes, themes and possible situations for...
McKenzie, Karen; Murray, George
We present the hypothesis that the laws of thermodynamics can be usefully applied to psychotherapy. In this model psychotherapy is presented as a means of entropy management, whereby the patient trades entropy (in this case the expressed symptoms of mental disorder) with the therapist. The therapist serves to increase the capacity of the patient, both through developing a shared understanding of the challenges the patient faces and through generating shared solutions. This process can be unde...
Schizophrenia is a disease that causes varying descriptions. The symptoms of schizophrenia are divided into two groups, the primary and secondary symptoms. Treatment should be done as soon as possible, because a state of psychotic periods raises the possibility to suffer mental decline. The treatment is carried out must be comprehensive, multimodal, empirically and can be applied to the patient. One therapy that is given is psychotherapy. Psychotherapy is usually combined with pharmacologica...
Fournier, Jay C.; Price, Rebecca B.
Technological advances in neuroimaging have enabled researchers to examine, in vivo, the relationship between psychotherapeutic interventions and markers of brain activity. This review focuses on two kinds of neuroimaging studies in psychotherapy: those that examine the patterns of brain activity associated with response to treatments and those that examine the changes that occur in brain activity during treatment. A general, hypothetical neural model of psychotherapy is presented, and suppor...
In this paper, I will review why psychotherapy is relevant to the question of how consciousness relates to brain plasticity. A great deal of the research and theorizing on consciousness and the brain, including my own on hallucinations for example (Collerton and Perry, 2011) has focused upon specific changes in conscious content which can be related to temporal changes in restricted brain systems. I will argue that psychotherapy, in contrast, allows only a focus on holistic aspects of conscio...
Folke, Sofie; Daniel, Sarah Ingrid Franksdatter; Poulsen, Stig Bernt;
Objective: This study investigated the relation between clients’ attachment patterns and the therapeutic alliance in two psychotherapies for bulimia nervosa. Method: Data derive from a randomized clinical trial comparing cognitive-behavioral therapy and psychoanalytic psychotherapy for bulimia...... interaction whereby dismissing clients would develop weaker alliances in psychoanalytic psychotherapy and preoccupied clients would develop weaker alliances in cognitive-behavioral therapy. Conclusions: As the first study to examine client attachment and therapeutic alliance using observer-based instruments...
Nichols, Michael P.
This comparison (with University Health Service patients) between emotive psychotherapy and insight oriented analytic therapy confirmed effectiveness of emotive psychotherapy in producing catharsis leading to therapeutic improvement. (Author/EK)
Picardi, Angelo; Gaetano, Paola
In the last decades, psychotherapy has gained increasing acceptance as a major treatment option for mood disorders. Empirically supported treatments for major depression include cognitive behavioural therapy (CBT), interpersonal psychotherapy (IPT), behavioural therapy and, to a lesser extent, short-term psychodynamic psychotherapy. Meta-analytic evidence suggests that psychotherapy has a significant and clinically relevant, though not large, effect on chronic forms of depression. Psychotherapy with chronic patients should take into account several important differences between patients with chronic and acute depression (identification with their depressive illness, more severe social skill deficits, persistent sense of hopelessness, need of more time to adapt to better circumstances). Regarding adolescent depression, the effectiveness of IPT and CBT is empirically supported. Adolescents require appropriate modifications of treatment (developmental approach to psychotherapy, involvement of parents in therapy). The combination of psychotherapy and medication has recently attracted substantial interest; the available evidence suggests that combined treatment has small but significant advantages over each treatment modality alone, and may have a protective effect against depression relapse or recurrence. Psychobiological models overcoming a rigid brain-mind dichotomy may help the clinician give patients a clear rationale for the combination of psychological and pharmacological treatment. In recent years, evidence has accumulated regarding the effectiveness of psychological therapies (CBT, family-focused therapy, interpersonal and social rhythm therapy, psychoeducation) as an adjunct to medication in bipolar disorder. These therapies share several common elements and there is considerable overlap in their actual targets. Psychological interventions were found to be useful not only in the treatment of bipolar depressive episodes, but in all phases of the disorder. PMID
Paxman, Jenny R; Hall, Anna C; Harden, Charlotte J; O'Keeffe, Jean; Simper, Trevor N
The aim of this study was to investigate the effects of a group behavior change intervention involving self-selected, contextualized, and mediated goal setting on anthropometric, affective, and dietary markers of health. It was hypothesized that the intervention would elicit changes consistent with accepted health recommendations for obese individuals. A rolling program of 12-week "Small Changes" interventions during 24 months recruited 71 participants; each program accommodated 10 to 13 adults (body mass index [BMI] ≥ 30 kg/m²). Fifty-eight participants completed Small Changes. Repeated measures were made at baseline, 6 and 12 weeks. Anthropometric measures included height and weight (to calculate BMI), body composition, waist circumference, and blood pressure. Affective state was monitored using relevant validated questionnaires. Dietary assessment used 3-day household measures food diaries with Schofield equations to monitor underreporting. Relevant blood measures were recorded throughout. Across the measurement period, Small Changes elicited a significant reduction in body weight (baseline, 102.95 ± 15.47 vs 12 weeks 100.09 ± 16.01 kg, P affective state including general well-being (baseline, 58.92 ± 21.22 vs 12 weeks 78.04 ± 14.60, P < .0005) and total mood disturbance (baseline, 31.19 ± 34.03 vs 12 weeks 2.67 ± 24.96, P < .0005). Dietary changes that occurred were largely consistent with evidenced-based recommendations for weight management and included significant reductions in total energy intake and in fat and saturated fat as a proportion of energy. The Small Changes approach can elicit a range of health-orientated benefits for obese participants, and although further work is needed to ascertain the longevity of such effects, the outcomes from Small Changes are likely to help inform health professionals when framing the future of weight management. Long-term follow-up of Small Changes is warranted. PMID:21636010
Darrow, Sabrina M.; Dalto, Georgia; Follette, William C.
Functional Analytic Psychotherapy (FAP) is an interpersonal behavior therapy that relies on a therapist's ability to contingently respond to in-session client behavior. Valued behavior change in clients results from the therapist shaping more effective client interpersonal behaviors by providing effective social reinforcement when these behaviors…
Giannone, Francesca; Giordano, Cecilia; Di Blasi, Maria
This article describes the history and the prevailing orientations of group psychotherapy in Italy (psychoanalytically oriented, psychodrama, CBT groups) and particularly group analysis. Provided free of charge by the Italian health system, group psychotherapy is growing, but its expansion is patchy. The main pathways of Italian training in the different group psychotherapy orientations are also presented. Clinical-theoretical elaboration on self development, psychopathology related to group experiences, and the methodological attention paid to objectives and methods in different clinical groups are issues related to group therapy in Italy. Difficulties in the relationship between research and clinical practice are discussed, as well as the empirical research network that tries to bridge the gap between research and clinical work in group psychotherapy. The economic crisis in Italy has led to massive cuts in health care and to an increasing demand for some forms of psychological treatment. For these reasons, and because of its positive cost-benefit ratio, group psychotherapy is now considered an important tool in the national health care system to expand the clinical response to different forms of psychological distress. PMID:26401793
Tschacher, Wolfgang; Haken, Hermann; Kyselo, Miriam
There is broad consensus that the therapeutic alliance constitutes a core common factor for all modalities of psychotherapy. Meta-analyses corroborated that alliance, as it emerges from therapeutic process, is a significant predictor of therapy outcome. Psychotherapy process is traditionally described and explored using two categorically different approaches, the experiential (first-person) perspective and the behavioral (third-person) perspective. We propose to add to this duality a third, s...
Wolfgang eTschacher; Hermann eHaken; Miriam eKyselo
There is broad consensus that the therapeutic alliance constitutes a core common factor for all modalities of psychotherapy. Meta-analyses corroborated that alliance, as it emerges from therapeutic process, is a significant predictor of therapy outcome. Psychotherapy process is traditionally described and explored using two categorially different approaches, the experiential (first-person) perspective and the behavioral (third-person) perspective. We propose to add to this duality a third, st...
Wojciech Mateusz Rachel; Agnieszka Turkot
Summary: Psychotherapy of the elderly appears to be a very important part of comprehensive treatment, and its character should be based on a holistic vision of the patient. The effectiveness of the individual Cognitive-Behavioral Psychotherapy (CBT) and Problem Solving Therapy (PST) is well establish in clinical trial. In treating patients at the psycho geriatric ward, on account of the described clinical state placed in the article, we apply Supportive Therapy (ST) and existential approa...
HOLMES, WILLIAM D.; Wagner, Karen Dineen
The authors review the literature on psychotherapy for the treatment of depression in children and adolescents, describing outcome studies in psychodynamic therapy, family therapy, group therapy, interpersonal therapy, and behavior therapy. The review revealed many limitations in study design; suggestions are made about the design of psychotherapy studies for the treatment of childhood depression. The current trend in the treatment of childhood depression is to modify treatment...
Hadjipavlou, George; Hernandez, Carlos A Sierra; Ogrodniczuk, John S
Objective: American data suggest a declining trend in the provision of psychotherapy by psychiatrists. Nevertheless, the extent to which such findings generalize to psychiatric practice in other countries is unclear. We surveyed psychiatrists in British Columbia to examine whether the reported decline in psychotherapy provision extends to the landscape of Canadian psychiatric practice. Method: A survey was mailed to the entire population of fully licensed psychiatrists registered in British Columbia (n = 623). The survey consisted of 30 items. Descriptive statistics were used to characterize the sample and psychotherapy practice patterns. Associations between variables were evaluated using nonparametric tests. Results: A total of 423 psychiatrists returned the survey, yielding a response rate of 68%. Overall, 80.9% of psychiatrists (n = 342) reported practicing psychotherapy. A decline in the provision of psychotherapy was not observed; in fact, there was an increase in psychotherapy provision among psychiatrists entering practice in the last 10 years. Individual therapy was the predominant format used by psychiatrists. The most common primary theoretical orientation was psychodynamic (29.9%). Regarding actual practice, supportive psychotherapy was practiced most frequently. Professional time constraints were perceived as the most significant barrier to providing psychotherapy. The majority (85%) of clinicians did not view remuneration as a significant barrier to treating patients with psychotherapy. Conclusions: Our findings challenge the prevailing view that psychotherapy is in decline among psychiatrists. Psychiatrists in British Columbia continue to integrate psychotherapy and pharmacotherapy in clinical practice, thus preserving their unique place in the spectrum of mental health services. PMID:26175328
Gentile, Julie P.; Jackson, Carroll S.
Psychiatrists and other mental health professionals can offer much in the care of patients with intellectual disabilities, including state-of-the-art medication regimens, psychotherapy, and other behavior therapies. Individuals with intellectual disabilities experience the full range of mental illnesses, but are often thought to be incapable of participating in or responding to psychotherapy. The following composite cases illustrate some of the psychotherapy techniques employed in a community...
MAHONEY, MICHAEL J.; GRANVOLD, DONALD K.
Constructivism is a metatheoretical perspective that embraces diverse traditions in medicine, philosophy, psychology, and spiritual wisdom. Constructive psychotherapy emphasizes complex cycles in the natural ordering and reorganizing processes that characterize all development in living systems. Individuals are encouraged to view themselves as active participants in their lives. Within rich contexts of human relationship and symbol systems, people make new meanings as they d...
GABBARD, GLEN O.
Although personality disorders are often regarded as “untreatable” by third-party payers, there is actually a growing empirical literature suggesting that Axis II conditions may be eminently treatable by psychotherapy. This literature is critically reviewed, the implications for length of treatment are discussed, and cost-effectiveness issues are examined.
Keats, C. J.; McGlashan, T. H.
The literature on strategies of investigative psychotherapy of schizophrenia is selectively reviewed, and a case history is presented. The format is modelled on the authors' research technique of contrasting theory with practice. While long-term observation of single cases does not address cause and effect, descriptions of cases with a variety of known outcomes can help to build a typology of treatment processes.
Del Giacco, Maureen
The purpose of my paper is to identify the difference between psychotherapy and art therapy. Then to introduce a technique within the field of art therapy that is relevant to neuro-plasticity Del Giacco Neuro Art Therapy. The paper identifies the importance of the amygdala and the hippocampus within the role of art therapy. Supporting…
Porter, J; Wilson, C; Frisch, G R
Scores of 82 distressed university students receiving psychotherapy were compared on the SCL-90-R with those of 21 distressed students waiting for treatment and those of 126 nondistressed normative students. The Posttreatment group showed significant reductions in scores indicating distress, with 36 Posttreatment men reporting lower scores on hostility and suspiciousness than their 60 normative peers. PMID:7892397
Clark, Frances Vaughan
Emerging paradigms in transpersonal psychotherapy are discussed in relation to values and attitudes of the therapist and the place of transpersonal experience in the growth process, which goes beyond self-actualization to self-transcendence. Transpersonal therapy is not identified with specific techniques, but three distinct stages of therapy are…
The "sexual revolution" has produced both tangible gains and new contexts in which susceptible people can get into trouble. Increasing separation of "sexuality" from reproduction is a gain. Psychotherapy itself can profit, both by the need to deal with new problems and by the opportunity which new social behaviors afford for rethinking theory on a basis of observation. We are no longer likely to be overzealous in categorizing sexual deviance. The potential separation of sex from parenthood makes possible a better-aimed directive psychotherapy. The fact that we no longer moralize irrationally about sexual preferences makes us free to moralize rationally about parenting and about responsible behavior--the area which an antidote to "anything goes" is most evidentially defensible on psychiatric grounds. PMID:7291375
Bonder, B R
Individuals with Alzheimer disease often experience depression, anger, and other psychological symptoms. Various forms of psychotherapy have been attempted with these individuals, including insight oriented therapy and less verbal therapies such as music therapy and art therapy. Although there are few data-based outcome studies that support the effectiveness of these interventions, case studies and descriptive information suggest that they can be helpful in alleviating negative emotions and minimizing problematic behaviors. PMID:7999349
MacDonald, Peter J.; Brown, Alan
A large number of patients with psychosocial or psychiatric disorders present to family physicians, and the family physician needs a model of psychotherapy with which to cope with their problems. A model of brief psychotherapy is presented which is time limited, goal directed and easy to learn. It consists of four facets drawn from established areas of psychotherapy: characteristics of the therapist; characteristics of the patient; Eriksonian developmental stages; and the process of therapy a...
I. Volkan Gulum
Any treatment that has the potential to be useful could also have harmful effects on patients. All psychotherapy approaches should take this issue into consideration. Although there is no direct intervention to the physical integrity of the patient, this does not mean that the psychotherapy techniques, psychotherapists or psychotherapy itself, do not have enough power to be harmful to the patient. Because of that, psychotherapists should be aware of “do not harm” principle. There are many stu...
Gülüm, İ. Volkan
Any treatment that has the potential to be useful could also have harmful effects on patients. All psychotherapy approaches should take this issue into consideration. Although there is no direct intervention to the physical integrity of the patient, this does not mean that the psychotherapy techniques, psychotherapists or psychotherapy itself, do not have enough power to be harmful to the patient. Because of that, psychotherapists should be aware of "do not harm" principle. ...
LI, MING-GAO; DUAN, CHANGMING; DING, BAO - KUENG; Yue, Dong-mei; BEITMAN, BERNARD D.
Since the end of the cultural revolution (1966-78), China has opened itself to Western influence and ideas, including those of Western psychotherapy theory and practice. The faster pace of life under the new market economies has been associated with increased psychological problems and a greater need for psychotherapy. Psychotherapy integration, which fits well both with basic Chinese beliefs and the collectivist orientation, is likely to continue to grow in influen...
Wright, Jesse H.; Wright, Andrew S.
The rationale for using computers in psychotherapy includes the possibility that therapeutic software could improve the efficiency of treatment and provide access for greater numbers of patients. Computers have not been able to reliably duplicate the type of dialogue typically used in clinician-administered therapy. However, computers have significant strengths that can be used to advantage in designing treatment programs. Software developed for computer-assisted therapy gen...
Craven, Nancy H.; Covvey, H. Dominic
Health care computing consultants are often brought in to assist institutions in solving their computing problems. Not unlike the disturbed client seeking psychotherapy, the problems the institution has with the introduction of computers are symptoms of deeper problems. Consultants and institutions must learn to identify and address underlying disorders first, before attacking the computing problems, or the outcome will more likely be failure - if not in the short term, then certainly in the ...
Natalia C. Moyano
Gratitude is a cognitive-affective state caused by the recognition that one has received a benefit from an external agent, due to the good intentions of this agent. Despite the evidence that associate gratitude with subjective well being, psychological well being, physical health and copping with stressful events, it is not enough taken in consideration in an academic level and in its interaction with psychotherapy instruments as well. In this article, the central concepts and information pro...
PLAKUN, ERIC M.
Patients with borderline personality disorder often exhibit lethal or nonlethal self-destructive behavior. The author offers seven principles for establishing and maintaining a therapeutic alliance in the insight-oriented psychodynamic psychotherapy of borderline personality disorder patients with self-destructive behavior serious enough to threaten the continuity of the therapy.
李金娜; 高晓敏; 王明旭; 王亮琪; 张茹
目的 探讨积极心理治疗对银屑病患者心理状况及社交回避、苦恼行为的效果。方法 将59例银屑病惠者,采用简单随机抽样方法分为干预组30例和对照组29例。干预组进行积极心理治疗;对照组按常规护理及健康教育;干预前后采用症状自评量表(SCL-90)、社交回避及苦恼量表,对两组患者心理状况和行为状态进行评定。结果 干预后,两组在躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、精神病性因子等方面差异有统计学意义(P＜0.05),干预后两组患者社交回避及苦恼情绪得分差异有统计学意义(P＜0.05)。结论 积极心理疗法对提高银屑病患者的心理健康水平、增加其社交行为有积极的作用。%Objective To evaluate the effect of positive psychotherapy on the mental health,behaviors of social avoidance and distress in psoriasis patients. Methods Fifty-nine patients with psoriasis were randomly assigned to two groups. The patint in the experiment group received positive psychotherapy while the patients in the control group receiving routine nursing care. The patients were investigated with Symptom Checklist-90(SCL-90) and Social Avoidance and Distress Scale before and after intervention. Results After the intervention,there were significant differences between the two groups in the factor scores of somatization, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, hostility, terrorism, and psychiatric symptoms (P<0.05). Conclusion Positive psychotherapy can improve the mental health and increase social behaviors of patients with psoriasis.
Full Text Available People with developmental disabilities can experience any psychological abnormalitiy and psychiatric illness as do people without developmental disabilities. Due to different diagnostic criteria, assessment procedures and instruments, we lack definite prevalence rates for people with developmental disabilities, also suffering from mental health problems, eventhough most studies place the rate at 20 to 40%. One of the possible treatment alternatives for augmenting psychological well-being is psychotherapy, but is extremely rarely used for people with severe and profound disabilities, where speech cannot be the main therapeutic medium. So, those that are included in the psychotherapuetic process are predominantly clients with mild developmental disabilities, and they are mostly in cognitive-behavioral therapy. Recently, two models of (psychotherapy for persons with severe and profound developmental disabilities were developed: developmental-dynamic relationship therapy and attachment-based behaviour therapy for children. Conceptually, they both originate form developmental psychoanalytic theories.
Shapiro, David A.
Wilkinson's (1) critique of psychoanalysis and psychoanalytically oriented psychotherapy is weakened by inconsistent use of crucial terms, a systematically biased selectivity in reviewing empirical evidence and prior debates, and a failure to address issues crucial for a scientific understanding of psychotherapy.
Markowitz, John C.
This article briefly reviews the past and present and speculates on the future of interpersonal psychotherapy (IPT), a time-limited, empirically supported treatment for depression and other psychiatric syndromes. IPT and other psychotherapies face a role transition in adjusting to an economically and otherwise turbulent future. The author speculates on the outcome in clinical, research, and other domains.
Patterson, C. H.
Considers various ways that values enter into counseling or psychotherapy, with particular attention to goals of the process and methods or procedures by which counselor or therapist implements process. Suggests approach to counseling and psychotherapy that recognizes and incorporates values basic to democratic philosophy and the goal of…
Dye, Carol J.
Psychotherapy with older dying patients can lead to problems of countertransference for the clinician. Working with dying patients requires flexibility to adapt basic therapeutics to the institutional setting. Goals of psychotherapy must be reconceptualized for dying clients. The problems of countertransference arise because clinicians themselves…
Purely psychological treatments for emotional distress produce lasting, measureable, and reproducible changes in cognitive and emotional consciousness and brain function. How these changes come about illustrates the interplay between brain and consciousness. Studies of the effects of psychotherapy highlight the holistic nature of consciousness. Pre and post treatment functional Magnetic Resonance Imaging localises the brain changes following psychotherapy to frontal, cingulate, and limbic cir...
Wampold, Bruce E.
Although it is well established that psychotherapy is remarkably effective, the change process in psychotherapy is not well understood. Psychotherapy is compared with medicine and cultural healing practices to argue that critical aspects of psychotherapy involve human processes that are used in religious, spiritual, and cultural healing practices.…
Fleury, Heloisa J; Marra, Marlene M; Knobel, Anna M
This paper describes the practice of sociodrama, a method created by J. L. Moreno in the 1930s, and the Brazilian contemporary socio-psychodrama. In 1970, after the Fifth International Congress of Psychodrama was held in Brazil, group psychotherapy began to flourish both in private practice and hospital clinical settings. Twenty years later, the Brazilian health care system added group work as a reimbursable mental health procedure to improve social health policies. In this context, socio-psychodrama became a key resource for social health promotion within groups. Some specific conceptual contributions by Brazilians on sociodrama are also noteworthy. PMID:26401805
Jørgensen, Lars Bo; Thygesen, Bente; Aagaard, Søren
This is a short article on the history and training standards in the Institute of Group Analysis in Copenhagen (IGA-CPH). We describe theoretical orientations and influences in the long-term training program and new initiatives, like courses in mentalization-based group treatment and a dynamic short-term group therapy course, as well as research in group psychotherapy in Denmark. Some group analytic initiatives in relation to social issues and social welfare are presented, as well as initiatives concerning the school system and unemployment. PMID:26401798
Jerzy A. Sobański
The Neurotic Personality Inventory KON-2006 appears to be an adequate tool to assess the results of intensive, comprehensive psychotherapy, conducted in the day hospital for neurotic and behavioral disorders.
Hepner, Kimberly A.; Azocar, Francisca; Greenwood, Gregory L.; Miranda, Jeanne; Burnam, M. Audrey
Although mental health policy initiatives have called for quality improvement in depression care, practical tools to describe the quality of psychotherapy for depression are not available. We developed a clinician-report measure of adherence to three types of psychotherapy for depression—cognitive behavioral therapy, interpersonal therapy, and psychodynamic therapy. A total of 727 clinicians from a large, national managed behavioral health care organization responded to a mail survey. The mea...
Miranda, Jeanne; Hepner, Kimberly A.; Azocar, Francisca; Greenwood, Greg; Ngo, Victoria; Burnam, M. Audrey
Despite clear indications of need to improve depression treatment, practical tools that efficiently measure psychotherapy are not available. We developed a patient-report measure of psychotherapy for depression that assesses Cognitive Behavioral (CBT), Interpersonal (IPT), and Psychodynamic therapies. 420 patients with depression from a large managed behavioral health care organization completed the measure. The three subscales measuring CBT, IPT, and Psychodynamic Therapy showed good interna...
Javier Martín Camacho
In the current article principal theories on humor are analyzed, relating them to different conceptions of creativity. Finally, some indications for the use of humor in psychotherapy are introduced, highlighting their positive and negative aspects.
Javier Martín Camacho
Full Text Available In the current article principal theories on humor are analyzed, relating them to different conceptions of creativity. Finally, some indications for the use of humor in psychotherapy are introduced, highlighting their positive and negative aspects.
Perinatal depression is prevalent and has a great impact on both mother and infant. There are empirically validated treatments for both postpartum depression and depression during pregnancy. Primary among these is interpersonal psychotherapy, which has been shown to be effective for postpartum women across the spectrum from mild to severe depression. At present, interpersonal psychotherapy is the best validated treatment for postpartum depression and should be considered first-line treatment,...
Personality functioning and psychotherapy outcome Personality dysfunction is manifested in interpersonal interactions and self-concept. It generates vulnerability to psychopathology and increases the risk of recurring symptoms and impaired work ability. Change in personality functioning is considered a major goal of psychotherapy, but published studies comparing different psychotherapeutic treatments on the subject are scarce. Likewise, the suitability of short-term and long-term therapy...
Full Text Available The treatment for Body Dysmorphic Disorder (or dysmorphophobia includes antidepressant medication, cognitive-behavioral psychotherapy, psychoanalytical psychotherapy, hypnosis and others .Cognitive-behavioral psychotherapy was used for a patient with Body Dysmorphic Disorder, without any remarkable results, because even if the patient could bring himself to imagine the anxiogenic scenes, he could not manage to confront his fears. The psychotherapist called upon the services of physical therapy and over the course of three months, the patient's phobia regressed almost completely from his daily life. In conclusion, physical therapy can be considered, in Body Dysmorphic Disorder cases that are hard to manage through behavioral and cognitive therapies, as a support for psychotherapy.
Oshiro, Claudia Kami Bastos; Kanter, Jonathan; Meyer, Sonia Beatriz
Functional Analytic Psychotherapy (FAP) is emerging as an effective psychotherapy for psychiatric clinical cases. However, there is little research demonstrating the process of change of FAP. The present study evaluated the introduction and withdrawal of FAP interventions on therapy-interfering verbal behaviors of two participants who were in…
Deakin, Elisabeth; Gastaud, Marina; Nunes, Maria Lucia Tiellet
This study aims to discuss the most recent data about child psychotherapy dropout, especially child psychoanalytical psychotherapy. The authors also try to offer some possible alternatives to prevent such a phenomenon. The definition of "child psychotherapy dropout" is extensively discussed. The goal has been to attempt to create a standardised…
Riches, Simon James; Schrank, Beate; Rashid, Tayyab; Slade, Mike Dominic
Positive psychotherapy (PPT) is an established psychological intervention initially validated with people experiencing symptoms of depression. PPT is a positive psychology intervention, an academic discipline which has developed somewhat separately from psychotherapy and focuses on amplifying wellbeing rather than ameliorating deficit. The processes targeted in PPT (e.g. strengths, forgiveness, gratitude, savouring) are not emphasised in traditional psychotherapy approaches to psychosis. The ...
Clark, Carlton F. "Perk"
Transpersonal group psychotherapy is a carpet of theory, technique, and experiences woven from threads of contemporary psychology, mysticism, and a perennial philosophy many centuries old. Introduces the basic concepts of transpersonal group psychotherapy, proposes a model of transpersonal group psychotherapy, discusses the training of…
Full Text Available ... changing beliefs and behaviors by teaching skills to: Control intense emotions Reduce self-destructive behaviors Improve relationships ... BPD behaviors, relieve symptoms of depression, and improve quality of life. Dynamic Deconstructive Therapy (DDT) DDT aims ...
Gorman, Jack M
Many patients with depression, anxiety disorders, and other psychiatric disorders are treated with combinations of psychodynamic psychotherapy and medication. Whether this is better than monotherapy is an empirical question that requires much more extensive research than is currently available. When medications were first introduced to treat psychiatric illnesses, some psychopharmacologists insisted that it heralded a new area of "biological psychiatry" that would ultimately render psychotherapy obsolete. Psychodynamic theorists and practitioners, on the other hand, argued that psychopharmacology offered only a superficial approach to treatment. Fortunately, these battles are now largely supplanted by the belief that whatever treatment offers the patient the best outcome should be employed, regardless of the therapist's theoretical outlook. This should motivate more extensive study of the value of combination treatment. So far, the few studies that have been done suggest that the combination of psychodynamic psychotherapy and medication may be superior for the treatment of mood and anxiety disorders, but most of these studies have small sample sizes and involve only short-term psychotherapy. An examination of the neuroscience of mood and anxiety disorders and of the mechanism of action of psychodynamic psychotherapy and of antidepressant medication suggests several routes by which the two treatment modalities could be synergistic: stimulation of hippocampal neurogenesis; epigenetic regulation of gene expression; dendritic remodeling; enhanced prefrontal cortical control of limbic system activity; and action at specific neurohormonal and neurotransmitter targets. The evidence for each of these mechanisms is reviewed with an eye toward potential experiments that might be relevant to them. PMID:27200462
Whilst pastoral work is aimed at the consciousness of men, the duty of the psychotherapist is to turn the subconscious into the conscious. After clarifying the situation in his inner world the patient should be able to take free decisions. The psychotherapist is not responsible for the decision made by the person, which means that the conscious area is the responsibility of the individual. The psychotherapist must not manipulate the conscious parts just as the clergy must not manipulate the subconscious. So whilst there is a difference in both areas that must be maintained, that difference is less than the two have in common. The common aim or goal is: 1. The basis of both areas is a 'Socratic optimism' rooted in the fact that pastoral work and psychotherapy want the person to discover his or her own truth which cannot be told to him or her. However, it can be found by the person with assistance. 2. Both are characterised by a pragmatic individualism that says that it is worth listening to a single person for days, weeks, months or years until it is ascertained what the soul suffers from. 3. Both are convinced that the truth of a person cannot be described in moral categories. Social and ethical standards don't help but they may reflect the symptoms and the distress of the person. 4. Taking into consideration the dimension of the subconscious in pastoral duty as well, human decisions and activity can be understood much better. PMID:10544459
Nuwan Dominic Leitan; Greg eMurray
As a discipline, psychology is defined by its location in the ambiguous space between mind and body, but theories underpinning the application of psychology in psychotherapy are largely silent on this fundamental metaphysical issue. This is a remarkable state of affairs, given that psychotherapy is typically a real-time meeting between two embodied agents, with the goal of facilitating behavior change in one party. The overarching aim of this paper is to problematize the mind–body relationshi...
Accurso, Erin C.; Garland, Ann F
This study examined the temporal stability and cross-informant agreement on multiple perspectives of child and caregiver alliance with therapists in usual care psychotherapy. Baseline predictors of alliance were also examined. Children with disruptive behavior problems (n=209) and their caregivers were followed for up to 16 months after initiating psychotherapy at a community-based clinic. Alliance was rated by children, caregivers, and therapists every four months for as long as families par...
Howard, K; Marinovitch, Z
Cost-benefit analyses to translate treatment costs and effects into monetary units. For a cost-benefit analyses of psychotherapy data, direct costs can be most easily and reliably estimated; but indirect costs of treatment and the effects of treatment are difficult to estimate. Among these are such considerations as lost pay, disruption of relationships, embarrassment and anxiety. There are also costs associated with not having treatment--e.g., compromise of personal and familial immunologic systems, lost productivity. But, for the sake of simplicity, we focus on the direct monetary costs of treatment. We have developed theoretical frameworks--the dosage and phase models--within which to approach a cost-benefit analysis of psychotherapy. The dosage model specifies a lawful relationship between number of sessions and therapeutic benefit. The phase model utilizes a three-component conception of psychotherapy--remoralization, remediation, and rehabilitation--and allows for differential cost-benefit analyses for specific therapeutic benefits. PMID:8766362
Andreoli, A; Burnand, Y; Cochennec, M-F; Ohlendorf, P; Frambati, L; Gaudry-Maire, D; Di Clemente, Th; Hourton, G; Lorillard, S; Canuto, A; Frances, A
To determine whether ambulatory psychotherapy targeted to abandonment experiences and fears can reduce suicidality and improve outcome in borderline patients referred to the emergency room with major depressive disorder and self-destructive behavior severe enough to require medical/surgical treatment and a brief psychiatric hospitalization. A total of 170 subjects were randomized at hospital discharge into three treatment groups: treatment as usual (TAU), abandonment psychotherapy delivered by certified psychotherapists, and abandonment psychotherapy delivered by nurses. Assessments were performed before randomization and at 3-month follow-up. Continued suicidality and other outcome measures were significantly worse in the treatment-as-usual as compared to both abandonment psychotherapy groups, but there were no differences between the two psychotherapy groups. These results suggest the efficacy of manualized psychotherapy that specifically targets the abandonment fears and experiences that are so common as precipitants to suicidal and self-destructive acts in borderline patients. It does not appear that formal psychotherapy training is associated with better outcomes. PMID:26111250
Full Text Available Purely psychological treatments for emotional distress produce lasting, measureable, and reproducible changes in cognitive and emotional consciousness and brain function. How these changes come about illustrates the interplay between brain and consciousness. Studies of the effects of psychotherapy highlight the holistic nature of consciousness. Pre and post treatment functional Magnetic Resonance Imaging localises the brain changes following psychotherapy to frontal, cingulate, and limbic circuits, but emphasise that these areas support a wide range of conscious experiences. Multivoxel Pattern Analysis of distributed changes in function across these brain areas may be able to provide the ability to distinguish between different states of consciousness.
Existential issues in group psychotherapy derive from existential thought both as a philosophy and as a value system. Its origins derive from the weakening of traditional values and the growing alienation of man from himself. The unique features of existentialism can be applied to all forms of therapy. These features are universal to humankind. They are finiteness, aloneness, guilt, responsibility, and freedom. In including existential concerns as part of group psychotherapy, therapist and patients move more closely to bilateral relationships and subjective interactions. PMID:11928200
Full Text Available Antoine Yrondi,1 Julie Rieu,1 Claire Massip,1 Vanina Bongard,2 Laurent Schmitt1 1Department of Psychiatry and Medical Psychology, 2Public Health Service, CHU Toulouse, Toulouse, France Background: The treatment recommendations for depressed patients by the American Psychiatric Association encourage a focus on the patient’s preferences. The focus of this study was the preference of depressed inpatients for the type of psychotherapy. Methods: Twenty-nine subjects of both sexes who were hospitalized with a major depressive episode were interviewed at 5-day intervals with the same questions after the depressive episode resolved, as indicated by a score less than 7 on the Hamilton Depression Rating Scale (HDRS. The selection of items was performed by expert consensus. Results: The supportive psychotherapy scores were the highest, followed by psychodynamic psychotherapy and cognitive behavioral therapy. The two sessions conducted at 5-day intervals showed no significant difference, which reflected the stability of choices and preferences of patients. Conclusion: In this study, the patients preferred supportive psychotherapy as first-line therapy compared to psychodynamic psychotherapy and cognitive behavioral therapy. Keywords: depression, depressive disorder, psychodynamic psychotherap, supportive psychotherapy, cognitive behavioral therapy
Thomas, Katherine M; Hopwood, Christopher J; Woody, Erik; Ethier, Nicole; Sadler, Pamela
To demonstrate how a novel computer joystick coding method can illuminate the study of interpersonal processes in psychotherapy sessions, we applied it to Shostrom's (1966) well-known films in which a client, Gloria, had sessions with 3 prominent psychotherapists. The joystick method, which records interpersonal behavior as nearly continuous flows on the plane defined by the interpersonal dimensions of control and affiliation, provides an excellent sampling of variability in each person's interpersonal behavior across the session. More important, it yields extensive information about the temporal dynamics that interrelate clients' and therapists' behaviors. Gloria's 3 psychotherapy sessions were characterized using time-series statistical indices and graphical representations. Results demonstrated that patterns of within-person variability tended to be markedly asymmetric, with a predominant, set-point-like interpersonal style from which deviations mostly occurred in just 1 direction (e.g., occasional submissive departures from a modal dominant style). In addition, across each session, the therapist and client showed strongly cyclical variations in both control and affiliation, and these oscillations were entrained to different extents depending on the therapist. We interpreted different patterns of moment-to-moment complementarity of interpersonal behavior in terms of different therapeutic goals, such as fostering a positive alliance versus disconfirming the client's interpersonal expectations. We also showed how this method can be used to provide a more detailed analysis of specific shorter segments from each of the sessions. Finally, we compared our approach to alternative techniques, such as act-to-act lagged relations and dynamic systems and pointed to a variety of possible research and training applications. (PsycINFO Database Record (c) 2014 APA, all rights reserved). PMID:24001123
The author had developed the anaclitic pharmaco-psychotherapy as an integrated treatment of levomepromazine (a phenothiazine derivate), psychoanalytic interviewing and intensive nursing care for severe cases. Nevertheless the author had good results by the new therapy, some severe cases were still non-responded. The author found some differences of personality pattern between responder and non-responder. Responders had hyperkinetic pattern with good verbal expression and dependent behavior. Non-responders had hypersensory pattern with holding their tongue and keeping tension. The author had tried psychotherapy under using LSD for hypersensory pattern cases and gotten good results by it. But using LSD was prohibited by legal reason, now. The author could get significant development of three areas of psychiatric treatment through our development of the pharmacopsychotherapy as follows. 1) Significance of some biological factors for personality The author has clarified that two different response types to drug, hyperkinetic-visual dominant type and hypersensory-auditory dominant type. Assessments of such personality pattern or trait are useful for selection of appropriate drug. 2) Some changes in psychoanalytic stance. The author could find some therapeutic significances of object relationship in therapeutic process. These findings have stimulated the author to shift from classic drive oriented psychoanalysis to object relation psychoanalysis. 3) Significance of psychiatric nursing, team approach and therapeutic environment. The author has convinced of importance of role of psychiatric nursing and team approach. And the author has found importance of making and maintaining of appropriate psychiatric milieu and environment. PMID:12701206
Full Text Available ... accepting BPD and changing beliefs and behaviors by teaching skills to: Control intense emotions Reduce self-destructive ... BPD behaviors, relieve symptoms of depression, and improve quality of life. Dynamic Deconstructive Therapy (DDT) DDT aims ...
Full Text Available ... and behaviors by teaching skills to: Control intense emotions Reduce self-destructive behaviors Improve relationships With DBT, ... concrete things they can do to manage their emotions when certain challenging situations arise and they are ...
Full Text Available Introduction: Substance use disorders are considered as Mental and behavioral disorders therefore people with addictions should receive help that is oriented towards personal growth and enhancement of functioning. Such help cannot be provided using only medications, therefore psychotherapeutic interference is necessary. Objectives: The Aim – to find out the point of view of substance use disorders patients regarding number of visits, duration of treatment and efficacy of self-help groups, individual and group psychotherapy. Methods: Quantitative research method using research authors’ designed questionnaire was used in this study. The questionnaire was pilot tested in order to be validated. It consists of 24 questions and it consists from two parts – socio-demographic data collection and basic information collection.Results: 587 substance use disorders patients were interviewed, 66.4% male, 33.6% female, mean age – 39.6 (SD±11.3. 26.2% (154 respondents have attended self-help groups, 18.5% (109 – individual psychotherapy, 7.0% (41 – group psychotherapy. From those who attended self-help groups 52 respondents (33.7% report remission for one year or more. From those who attended individual psychotherapy – 27 (24.8% respondents, but from those who attended group psychotherapy 15 (36.6% report remission for one year or more. Conclusions: Respondents choose self-help groups more often than group psychotherapy. Half of the SUD patients stop psychotherapy in the first half a year of the treatment. Group psychotherapy provides remission that lasts for more than 5 years for most of the respondents comparing to individual psychotherapy and self-help groups.
Kanter, Jonathan W.; Landes, Sara J.; Busch, Andrew M.; Rusch, Laura C.; Brown, Keri R.; Baruch, David E.; Holman, Gareth I.
The current study investigated a behavior-analytic treatment, functional analytic psychotherapy (FAP), for outpatient depression utilizing two single-subject A/A+B designs. The baseline condition was cognitive behavioral therapy. Results demonstrated treatment success in 1 client after the addition of FAP and treatment failure in the 2nd. This…
Churchill Rachel; Omori Ichiro M; Watanabe Norio; Furukawa Toshi A
Abstract Background In a number of drug and psychotherapy comparative trials, psychotherapy-placebo combination has been assumed to represent psychotherapy. Whether psychotherapy plus pill placebo is the same as psychotherapy alone is an empirical question which however has to date never been examined systematically. Methods We conducted a systematic review and meta-analysis of randomised controlled trials (RCTs) that directly compared cognitive-behavior therapy (CBT) alone against CBT plus p...
Research into the use of videoconferencing for clinical purposes, in particular psychotherapy, is gradually expanding. A number of case studies and case series have suggested that videoconferencing can be clinically effective and acceptable to patients. Nevertheless, there is a lack of methodologically rigorous studies with adequate sample sizes…
Lazarus, Arnold A.
Outlines tenets of multimodal therapy (MMT) and argues for its cost-effective yet comprehensive value as a brief psychotherapy model. Describes MMT as an integrated, seven-modality model of personality and provides clinical examples of its use. Argues that MMT approach will be an important future alternative to more expensive, time-consuming, and…
Does Acceptance and Relationship Focused Behavior Therapy Contribute to Bupropion Outcomes? A Randomized Controlled Trial of Functional Analytic Psychotherapy and Acceptance and Commitment Therapy for Smoking Cessation
Gifford, Elizabeth V.; Kohlenberg, Barbara S.; Hayes, Steven C.; Pierson, Heather M.; Piasecki, Melissa P.; Antonuccio, David O.; Palm, Kathleen M.
This study evaluated a treatment combining bupropion with a novel acceptance and relationship focused behavioral intervention based on the acceptance and relationship context (ARC) model. Three hundred and three smokers from a community sample were randomly assigned to bupropion, a widely used smoking cessation medication, or bupropion plus…
Treatment Differences in the Therapeutic Relationship and Introject during a 2-Year Randomized Controlled Trial of Dialectical Behavior Therapy versus Nonbehavioral Psychotherapy Experts for Borderline Personality Disorder
Bedics, Jamie D.; Atkins, David C.; Comtois, Katherine A.; Linehan, Marsha M.
Objective: The present study explored the role of the therapeutic relationship and introject during the course of dialectical behavior therapy (DBT; Linehan, 1993) for the treatment of borderline personality disorder. Method: Women meeting "DSM-IV" criteria for borderline personality disorder (N = 101) were randomized to receive DBT or community…
Rueve, Marie E.; Correll, Terry L.
A preliminary challenge in learning the art of psychotherapy is mastering how to choose appropriate patients. This skill goes far beyond performing a symptom inventory and matching up those results to a diagnosis. A psychodynamic evaluation explores various innate characteristics that predict a patient's ability to participate fully in and benefit greatly from this mode of therapy. Ignoring this critical first step in the process may create unnecessary stumbling blocks in the road of treatmen...
Markowitz, John C.; Svartberg, Martin; Swartz, Holly A.
Interpersonal psychotherapy (IPT) has sometimes but not always been considered a psychodynamic psychotherapy. The authors discuss similarities and differences between IPT and short-term psychodynamic psychotherapy (STPP), comparing eight aspects: 1) time limit, 2) medical model, 3) dual goals of solving interpersonal problems and syndromal remission, 4) interpersonal focus on the patient solving current life problems, 5) specific techniques, 6) termination, 7) therapeutic stance, and 8) empir...
Campbell, Linda F; Smith, Thomas P
This article describes a systematic and integral method of incorporating self-help books into psychotherapy as a collaborative function. We address the distinctions between self-help and bibliotherapy, consider bibliotherapy as adjunctive or integrative to psychotherapy, and outline the multiple uses of bibliotherapy for clinical purposes. How to apply self-help books in psychotherapy and ways to select books are illustrated by a case example. Indications and contraindications for bibliotherapy in therapy are outlined. PMID:12552626
Studt, Hans Henning
The development and state of the art is presented for inpatient psychotherapy in neurotic and psychosomatic patients. The question is then posed whether time-tested inpatient psychotherapy can survive the introduction of "diagnosis-related groups" (DRG) with its threat of flat-rate case billing. Thus, the development of an "in- and outpatient network" has been considered as a possible alternative, in which hospitals and private practices combine intervals of inpatient and outpatient psychotherapy. PMID:14733063
Sheng, Ng Wai
As a young and developing profession for the last two decades, psychotherapy in Malaysia is not widely known to those outside of the country. Therefore, this paper seeks to provide an overview of the development of psychotherapy in Malaysia. The paper first begins with a review of the Malaysian social-cultural context and mental health scenario, followed by the current practice of psychotherapy and psychotherapists in Malaysia. The title of ‘psychotherapist’ covers a broad range of profession...
Full Text Available ... by teaching skills to: Control intense emotions Reduce self-destructive behaviors Improve relationships With DBT, people learn ... the patient distorts his or her sense of self and images of other people. Therapy addresses intense ...
Psychodynamic psychotherapy is effective as an approach to understanding the psychological conflicts and the psychiatric symptoms of cancer patients as well as to planning useful psychological interventions. The author recommends that the psychotherapist who treats cancer patients be familiar with the following: 1) the natural course and treatment of the illness, 2) a flexible approach in accord with the medical status of the patient, 3) a common sense approach to defenses, 4) a concern with ...
Champion, Lorna; Power, Michael J.
Interpersonal psychotherapy (IPT) is a leading evidence-based treatment for those eating disorders in which binge eating is a feature. This article begins with a consideration of the rationale for using IPT to treat patients with eating disorders. This is followed by a review of the evidence supporting its use and a brief description of treatment including an illustrative clinical case vignette. The article closes with a discussion of possible future directions for research on IPT for eating ...
Behere, Prakash B.; Das, Anweshak; Yadav, Richa; Behere, Aniruddh P.
The perfect balance of mind, body and soul is considered as complete health in Ayurveda. Ayurveda has its own identity as most ancient and traditional System of Medicine in India. Even Ayurveda emphasizes its treatment modalities into three parts viz. Satwawajay Chikitsa, Yuktivyapashray and Daivyapashray Chikitsa. Sattvavajaya therapy mentioned in Charakasamhita and it used as new concept of psychotherapy in Ayurveda. The effectiveness of “traditional mental health promoting practices” was i...
Bonow, Jordan T.; Maragakis, Alexandros; Follette, William C.
Functional Analytic Psychotherapy (FAP) targets a client's interpersonal behavior for change with the goal of improving his or her quality of life. One question guiding FAP case conceptualization is, "What interpersonal behavioral repertoires will allow a specific client to function optimally?" Previous FAP writings have suggested that a therapist…
Jager, Margot; Huiskes, Mike; Metselaar, Janneke; Knorth, Erik J; De Winter, Andrea F; Reijneveld, Sijmen A
OBJECTIVE: In psychotherapy clients' I don't know-responses (IDK-responses) to therapists' questions are typically considered to be non-cooperating behaviors. How therapists actually handle these behaviors remains unclear. This study therefore aims to assess client-therapist interactions following I
Baldwin, Scott A; Del Re, A C
Meta-analysis has played a key role in psychotherapy research for nearly 40 years. There is now an opportunity for technology to assist with transparent and open meta-analyses. The authors describe an open-access database of effect sizes and a corresponding web application for performing meta-analyses, viewing the database, and downloading effect sizes. The initial databases provide effect sizes for family therapy for delinquency studies and for alliance-outcome correlations in individual psychotherapy. Disciplinary norms about data sharing and openness are shifting. Furthermore, meta-analyses of behavioral interventions have been criticized for lacking transparency and openness. The database and web application are aimed at facilitating data sharing and improving the transparency of meta-analyses. The authors conclude with a discussion of future directions for the database. (PsycINFO Database Record PMID:27078196
Berthold P. R. Gersons
Full Text Available Brief eclectic psychotherapy for PTSD (BEPP is an evidence-based therapeutic approach that combines and integrates elements from psychodynamic, cognitive-behavioral, and directive psychotherapy. Psychoeducation is done jointly with the patient and his or her partner. Exposure, a structured writing task, and memorabilia are used to help patients accessing, feeling and expressing their suppressed emotions related to the traumatic experience. In the domain of meaning stage, patients will learn how they and their view of the world have changed, and that they have become “sadder but wiser”. Much emphasis is put on the vulnerability of human beings. Finally, an individually tailored farewell ritual is done to end treatment, to reunite with loved ones, and to go on with life.For the abstract or full text in other languages, please see Supplementary files under Article Tools online
Foley, Gretchen N.; Gentile, Julie P.
The mental status examination is the objective portion of any comprehensive psychiatric assessment and has key diagnostic and treatment implications. This includes elements such as a patient's baseline general appearance and behavior, affect, eye contact, and psychomotor functioning. Changes in these parameters from session to session allow the psychiatrist to gather important information about the patient. In psychiatry, much emphasis is placed on not only listening to what patients communic...
Lazar, Susan G.; GABBARD, GLEN O.
Recent studies suggest that psychotherapy can be cost-effective, especially for certain patient populations. These patients include, among others, those with schizophrenia, those with borderline personality disorder, and certain child patients, as well as certain medical patients with concomitant psychiatric illness. In addition, several surveys and actuarial studies suggest better outcomes and cost savings are attained when psychotherapy is available as medically necessary ...
This Practice Parameter describes the principles of psychodynamic psychotherapy with children and is based on clinical consensus and available research evidence. It presents guidelines for the practice of child psychodynamic psychotherapy, including indications and contraindications, the setting, verbal and interactive (play) techniques, work with…
Koss, Mary P.; And Others
After a concise overview of the technical characteristics that define brief psychotherapy, the current use and misuse of these methods in clinical research on the outcome and process of treatment is examined. Suggests that brief psychotherapy methods possess unique technical advantages to the researcher. (Author/BL)
Kernberg, Paulina F; Ritvo, Rachel; Keable, Helene
This Practice Parameter describes the principles of psychodynamic psychotherapy with children and is based on clinical consensus and available research evidence. It presents guidelines for the practice of child psychodynamic psychotherapy, including indications and contraindications, the setting, verbal and interactive (play) techniques, work with the parents, and criteria for termination. PMID:22525961
This article provides a particular view on the use of Functional Analytical Psychotherapy (FAP) in a group therapy format. This view is based on the author's experiences as a supervisor of Functional Analytical Psychotherapy Groups, including groups for women with depression and groups for chronic pain patients. The contexts in which this approach…
Markowitz, John C.; Weissman, Myrna M.
The authors briefly describe the origins, theory, and development of interpersonal psychotherapy: its roots in clinical outcome research, its spread from major depression to other psychiatric disorders and its increasing dissemination as an empirically validated clinical intervention included in treatment guidelines. They attempt to forecast research, organizational and training issues the growing interpersonal psychotherapy community may face in the future.
Lunn, Susanne; Daniel, Sarah I F; Poulsen, Stig
This case study presents the progress of one patient with bulimia nervosa who was originally very compromised in psychological domains that are the focus of analytic treatment, and includes in-session therapeutic process and a range of outcomes, for example, eating disorder symptoms, attachment status, and reflective functioning. Nested in a study showing more rapid behavioral improvement in subjects receiving cognitive behavior therapy than in subjects receiving psychoanalytic psychotherapy, the case highlights the importance of supplementing RCTs with single case studies and the need of adapting the therapeutic approach as well as the current therapeutic dialogue to the individual client. (PsycINFO Database Record PMID:27267505
Up until now there has been no consumer's guide to psychotherapy in Ireland. Nor has there been a psychotherapy textbook with a uniquely Irish orientation. Edward Boyne's new volume, therefore, is an important book for both prospective psychotherapy clients and students of psychotherapy.
Reduction of suicidal ideation in patients undergoing psychotherapy in the day hospital for the treatment of neurotic and behavioral disorders and neurotic symptoms reported by them before the hospitalization
Patients initially reporting SI constituted approximately 1/3 in both genders and were characterized by greater intensity of neurotic disorders. Among those, women with particularly higher intensity of Obsessive-compulsive symptoms, Neurasthenia and Autonomic disorders and women reporting episodes of uncontrollable hunger seemed to suffer from SI that were more resistant to the psychotherapy. As such, those subgroups of women require special attention and diligent selection of the therapeutic methods.
Johnson, Jennifer E
In this article, I review my research applying interpersonal treatments and interpersonal principles from psychotherapy for major depression and substance use to broader public health goals for incarcerated women and other vulnerable populations. A public health focus has led me to expand the boundaries of psychotherapy research to include partners such as prisons, parole officers, and bachelor's level providers; behaviors like risky sex; service delivery challenges; and ultimately to researc...
Charles B Nemeroff; Heim, Christine M.; THASE, MICHAEL E.; Klein, Daniel N.; Rush, A. John; Schatzberg, Alan F.; Ninan, Philip T.; McCullough, James P.; Weiss, Paul M.; DUNNER, David L; Rothbaum, Barbara O.; Kornstein, Susan; Keitner, Gabor; Keller, Martin B.
Major depressive disorder is associated with considerable morbidity, disability, and risk for suicide. Treatments for depression most commonly include antidepressants, psychotherapy, or the combination. Little is known about predictors of treatment response for depression. In this study, 681 patients with chronic forms of major depression were treated with an antidepressant (nefazodone), Cognitive Behavioral Analysis System of Psychotherapy (CBASP), or the combination. Overall, the effects of...
Tasca, Giorgio A
This is a commentary on 3 case studies of relationship-focused therapies for eating disorders. The 3 approaches vary along a number of dimensions, but nevertheless share important similarities especially related to the role played by variables such as interpersonal problems and affect dysregulation. I briefly review research on interpersonal- and attachment-based models of eating disorders that provide the evidence-base for theories of therapy that are relationship-focused. The Interpersonal Psychotherapy case presented by Tanofsky-Kraff, Shomaker, Young, and Wilfley (2016) illustrates how a group context can facilitate change in key role disputes and role transitions in an adolescent at risk of developing an eating disorder later in her life. The Integrative-Dynamic Therapy case presented by Richards, Shingleton, Goldman, Siegel, and Thompson-Brenner (2016) is a novel sequential combination of cognitive-behavioral therapy followed by dynamic psychotherapy for a young adult with bulimia nervosa that likely reflects what most clinicians do in everyday practice. The Psychoanalytic Psychotherapy case presented by Lunn, Poulsen, and Daniel (2016) of a patient with severe personality pathology demonstrates how treatments for eating disorders sometimes must address complex attachment dysfunction, self-organization, and therapist countertransference in order to provide a useful therapeutic experience. Relationship-focused theories and therapies for eating disorders have come a long way over the past decades, thus providing therapists with a wider range of approaches that can be truly personalized to their clients. (PsycINFO Database Record PMID:27267506
Wojciech Mateusz Rachel
Full Text Available Summary: Psychotherapy of the elderly appears to be a very important part of comprehensive treatment, and its character should be based on a holistic vision of the patient. The effectiveness of the individual Cognitive-Behavioral Psychotherapy (CBT and Problem Solving Therapy (PST is well establish in clinical trial. In treating patients at the psycho geriatric ward, on account of the described clinical state placed in the article, we apply Supportive Therapy (ST and existential approach. An important element of therapy is a holistic approach to the needs of the patient, an attempt to understand their internal conflicts, a focus on long-term therapy and the setting of realistic goals tailored to the patient's abilities. A positive change in thinking can bear fruit in the patient’s everyday life, their functioning, and in their relationships with other people. It seems, that at elderly people, choice of the psychotherapeutic method should adapt individually to the clinical state, therapeutic readiness to work and one's situation in life of the patient In this article, the authors share their own experiences and reflections from the use of individual and group psychotherapy with elderly patients in the psychogeriatric ward.
Ferro García, Rafael; Valero Aguayo, Luis; López Bermúdez, Miguel A
Functional Analytic Psychotherapy is based on the principles of radical behaviourism. It emphasises the impact of events occurring during therapeutic sessions, the therapist-client interaction context, functional equivalence of environments, natural reinforcement, and shaping by the therapist. Functional Analytic Psychotherapy makes use of both the basic principles of behaviour analysis: individual functional assessment and application of in vivo treatment. This paper analyses novelties and new contributions of this therapy. New contributions are classified in various categories: integration with other psychotherapies, improvement of therapeutic skills, methods for evaluation and data recording in therapy, its application to several clinical problems, and studies of its efficacy. PMID:17617985
I examined the relationship of traditional ideology, a characterological and cultural variable, and life stress and symptoms of depression to an openness to the use of psychotherapy. American college students (N = 150) completed several questionnaires; the results showed that despite higher levels of symptoms of depression among traditionals, a strong negative relationship existed between traditional ideology and attitudes toward and use of psychotherapy. Stressful life events, symptoms of depression, social desirability scores, and religious behaviour were unrelated to attitudes toward and use of psychotherapy. PMID:8151515
Auerbach, John S
Reviews the book, Self-Relations in the Psychotherapy Process by J. Christopher Muran (see record 2000-16556-000). The self is alive and well and living in psychology, at least if the contributors to J. Christopher Muran's stimulating volume, Self-Relations in the Psychotherapy Process, are to be taken seriously. The self is a central construct in psychoanalytic, humanistic, and cognitive-behavioral theories, but nowadays even some radical behaviorists find the self to be an important concept. Thus, the present is a propitious time for a book that presents the major theoretical approaches to the self in psychotherapy and, fortunately for us, Muran, by gathering the views of leading psychodynamic, humanistic, cognitive-behavioral, and radical behavioral thinkers, has assembled a volume of almost uniformly high quality. Inspired by postmodernism, especially by the growing popularity of dialogic and perspectival epistemologies, Muran has a constructed this book as a set of six dialogues among contributors of varying theoretical persuasions, and although I doubt that dialogic and perspectival epistemologies are necessarily postmodern, I nevertheless find that this volume's dialogic structure makes for interesting reading and adds to its intellectual contributions. Because Muran's contention, with which I agree, is that the self is not an isolated entity but rather part of a relational matrix, it is perhaps necessary for this book to be structured dialogically. Whether postmodern or not, this book is an important one, one that conveys a great deal about what it means to be human as we enter the 21st century. (PsycINFO Database Record (c) 2010 APA, all rights reserved). PMID:22121965
Swarr, Ralph R.; Ewing, Thomas N.
A focused 5-year research program used a large number of clients (45), groups (10), and co-therapists (20) to assess group psychotherapy outcome in a homeogeneous diagnostic population (severly disturbed college student neurotics) and therapist-treatment modality (eclectic, interpersonal learning based, with insight and behavior change goals).…
This article describes how a social systems approach to psychopathology can be applied to treatment goals in group psychotherapy with mentally retarded individuals. Treatment models blending behavioral and psychodynamic interventions are covered. Suggestions for maintaining cost-effective linkages between mental health and mental retardation…
Sburlati, Elizabeth S.; Lyneham, Heidi J.; Mufson, Laura H.; Schniering, Carolyn A.
In order to treat adolescent depression, a number of empirically supported treatments (ESTs) have been developed from both the cognitive behavioral therapy (CBT) and interpersonal psychotherapy (IPT-A) frameworks. Research has shown that in order for these treatments to be implemented in routine clinical practice (RCP), effective therapist…
Moreno, J. Kelly
Fifteen women with long-standing histories of eating disorders and other disordered behavior participated in a psychodynamically oriented psychotherapy group over a three-year period. Provides several observations on the group and describes how a variety of variables combined to help, as well as, hinder favorable outcomes in group members.…
Silbergeld, Sam; And Others
Examined impacts of brief group psychotherapy on the marital and sex roles of five volunteer couples. Results show interactional correlates of traditional marital and sex role variations are attenuated, that communication between spouses is improved, and that the therapeutic quality of verbal behavior is enhanced over the course of therapy.…
Gaston, Louise; And Others
Investigated prediction of therapeutic alliance from patient pretreatment characteristics among 60 elderly depressed outpatients treated in behavioral, cognitive, and brief dynamic psychotherapy. Found that higher degree of patient defensiveness was related to lower patient contribution to alliance as reflected in patient commitment and working…
The discovery of selfobject transferences and the interpretation of symptomatic behavior from within the patient’s perspective have altered the conduct of psychoanalytic psychotherapy in fundamental ways. A review of the treatment process from a self psychological perspective serves as a background for pointing to the significance of curative fantasies in the process of recovery.
Cuijpers, Pim; van Straten, Annemieke; Andersson, Gerhard; van Oppen, Patricia
Although the subject has been debated and examined for more than 3 decades, it is still not clear whether all psychotherapies are equally efficacious. The authors conducted 7 meta-analyses (with a total of 53 studies) in which 7 major types of psychological treatment for mild to moderate adult depression (cognitive-behavior therapy, nondirective…
Ludman, Evette J.; Simon, Gregory E.; Tutty, Steve; Von Korff, Michael
Randomized trial evidence and expert guidelines are mixed regarding the value of combined pharmacotherapy and psychotherapy as initial treatment for depression. This study describes long-term results of a randomized trial (N = 393) evaluating telephone-based cognitive-behavioral therapy (CBT) plus care management for primary care patients…
Rossi, Ernest; Erickson-Klein, Roxanna; Rossi, Kathryn
We explore a new distinction between the future, prospective memory system being investigated in current neuroscience and the past, retrospective memory system, which was the original theoretical foundation of therapeutic hypnosis, classical psychoanalysis, and psychotherapy. We then generalize a current evolutionary theory of sleep and dreaming, which focuses on the future, prospective memory system, to conceptualize a new evolutionary perspective on therapeutic hypnosis and brief psychotherapy. The implication of current neuroscience research is that activity-dependent gene expression and brain plasticity are the psychobiological basis of adaptive behavior, consciousness, and creativity in everyday life as well as psychotherapy. We summarize a case illustrating how this evolutionary perspective can be used to quickly resolve problems with past obstructive procrastination in school to facilitate current and future academic success. PMID:18524301
Fristad, Mary A
Treatment guidelines recommend that psychotherapy be used in conjunction with pharmacotherapy in children with bipolar disorder. A well-established category of psychotherapy is family skill-building plus psychoeducation; 3 examples of this are family-focused treatment, psychoeducational psychotherapy, and child- and family-focused cognitive-behavioral therapy. These treatments share several common elements that are important in pediatric populations, including being family-based, providing psychoeducation on symptoms and their management, and training patients and families in emotion regulation, communication, and problem-solving skills. Clinicians may also wish to explore nutritional interventions; multinutrient complexes are experimental, and omega-3 fatty acid supplements are possibly efficacious. Nutritional interventions are particularly attractive in this patient population because of their favorable safety profile. PMID:27570930
Viftrup, Dorte Toudal; Hvidt, Niels Christian; Buus, Niels
WE SYSTEMATICALLY REVIEWED THE RESEARCH LITERATURE ON SPIRITUALLY AND RELIGIOUSLY INTEGRATED GROUP PSYCHOTHERAPY TO ANSWER THE FOLLOWING THREE QUESTIONS: first, how are spirituality and religiosity defined; second, how are spiritual and religious factors characterized and integrated into group...... psychotherapy; and, third, what is the outcome of the group psychotherapies? We searched in two databases: PsycINFO and PubMed. Inclusion and exclusion criteria and checklists from standardized assessment tools were applied to the research literature. Qualitative and quantitative papers were included. In total......, 8 articles were considered eligible for the review. Findings from the evaluation suggested that the concepts of spirituality and religiosity were poorly conceptualized and the way in which spiritual and religious factors were integrated into such group psychotherapies, which distinguished it from...
Full Text Available In their article, the authors present the findings of the study in which they conceptualized the method of psychotherapy with the Parent ego state. Their aim was to explore whether this method could be divided into individual, content-wise separate chronological phases which can be observed with the majority of clients. By using a modified method of content analysis of five psychotherapy transcripts and a video recording of a psychotherapy session, nine chronological phases were identified. In order to illustrate the individual phases, excerpts from the transcripts and the video recording of psychotherapy have been included. The article proposes under what conditions can this method be used, and presents some of its limitations.
Bemak, Fred; Chung, Rita Chi-Ying
Reviews the literature on Amerasians and offers suggestions for directions in psychotherapy. Provides a brief chronology of Amerasian emigration and associated psychological issues, followed by a discussion of myths and generalizations about Amerasians, research findings, and adjustment issues. (RJM)
Psychotherapies were introduced into China and developed quite well in the past two decades.The author suggests that the development of psychotherapies for the Chinese should be integrated the traditional cultural issues with the different schools of Western psychotherapies. This article reviews the traditional cultures,which deeply influenced the people's mind and behavioral patterns; and the common kinds of modern psychotherapies practiced in China now.Particularly, the author suggests that the therapeutic skills to learn and experiments to collect, as well as cultural issues to concern will be focused on more by the Chinese therapists.
Goldberg, David A.
A multiaxial model that structures educational goals for psychodynamic psychotherapy has been developed. It specifies core aspects of psychodynamic psychotherapy, clusters them in categories that further define and link related areas, and presents a sequence that enables educators and students to focus on training goals in a consistent progression. This model has been used by the Director of Education as a basis for developing the curriculum, by students as a way of focusing learning and givi...
The article regards a number of challenges for psychotherapy, posed by the dynamic development of the Internet and changes in the functioning of individuals and societies this causes. The author analyses the social role of psychotherapy - its tasks, the needs it fulfils, and the expectations it tries to meet. Subsequently, he refers to cultural changes related to the communication revolution, and points at areas which will require special attention in the coming years, so that psychotherapist...
Increasingly the philosophical discipline of hermeneutics is being applied to a systematic study of the human sciences. Yet a hermeneutic approach to psychotherapy has barely been considered. In this paper, the possible significance of a hermeneutic approach to the field of child psychotherapy is explored. Despite the fundamental differences between the two disciplines, both are faced with the task of understanding and interpreting the meaning of human expressions through words and images. Bo...
Richard G. Erskine
Full Text Available Emotional experience is stored within the amygdala and the limbic system of the brain as affect, visceral, and physiological sensation without symbolization and language. These significant memories are expressed in affect and through our bodily movements and gestures. Such body memories are unconscious non-symbolized patterns of self-in-relationship. Several methods of a body centered psychotherapy are described and clinical case examples illustrate the use of expressive methods within a relational psychotherapy.
Frank, Ellen; Novick, Danielle; Kupfer, David J.
This review focuses on information concerning antidepressants and psychotherapy in the treatement of both acute and chronic forms of unipolar depression in the English language literature. In it, we address the use of combination therapy, both from the outset of treatment and in a variety of sequences, ie, we examine the potential advantages of adding a targeted psychotherapy to an incompletely effective pharmacotherapy and the potential advantages of adding pharmacotherapy to an incompletely...
Psychotherapy has developed from four foundational schools of psychoanalytic, cognitive behavioural, humanistic, and transpersonal psychology, and it has been estimated (Karasu 1986; Corsini 1995) that over 400 systems of psychotherapy have evolved. However, empirical studies (Asay & Lambert 1999) suggest that the quality of the therapeutic relationship, regardless of system, is the major influence on therapeutic outcome. These professional factors, and other economic and social influences (N...
Eder, Kelly C.; Whiston, Susan C.
This article provides a brief overview of the outcome research on psychotherapy with children and adolescents. Outcome research indicates that psychotherapy can be effective with both children and adolescents, with meta-analyses indicating that youth who participated in this type of intervention tended to score on the outcome measures half of a…
... disorders in children and adolescents. Journal of Clinical Child and Adolescent Psychology . 2008 Jan; 37(1): 105-130. 16 Mufson ... for child and adolescent depression. Journal of Clinical Child and Adolescent Psychology . 2008 Jan; 37(1):62-104. 18 Eyberg ...
Manduchi, Katia; Schoendorff, Benjamin
Practicing Functional Analytic Psychotherapy (FAP) for the first time can seem daunting to therapists. Establishing a deep and intense therapeutic relationship, identifying FAP's therapeutic targets of clinically relevant behaviors, and using contingent reinforcement to help clients emit more functional behavior in the therapeutic relationship all…
VAUGHAN, SUSAN C.; Marshall, Randall D.; MACKINNON, ROGER A.; Roose, Steven P.
This paper describes a study to assess the feasibility of applying the methodology and instruments used in brief-term psychotherapy outcome research to long-term psychodynamic psychotherapy and psychoanalysis.
V I Kurpatov
approaches. V.N. Myasishchev's theory of personality relations in association with its universality, as well as pathogenetic psychotherapy may be the basis for the integration of other methods of psychotherapy
Treatment differences in the therapeutic relationship and introject during a 2-year randomized controlled trial of dialectical behavior therapy versus non-behavioral psychotherapy experts for borderline personality disorder
Bedics, Jamie D.; Atkins, David C.; Comtois, Katherine A.; Linehan, Marsha M.
Objective The purpose of the present study was to explore the role of the therapeutic relationship and introject during the course of dialectical behavior therapy (DBT; Linehan, 1993) for the treatment of borderline personality disorder. Method Women meeting DSM-IV criteria for borderline personality disorder (N = 101) were randomized to receive DBT or community treatment by experts. The Structural Analysis of Social Behavior (SASB; Benjamin, 1974) was used to measure both the therapeutic relationship and introject. Results Using hierarchical linear modeling, DBT patients reported the development of a more positive introject including significantly greater self-affirmation, self-love, self-protection, and less self-attack during the course of treatment and one-year follow-up relative to community treatment by experts. The therapeutic relationship did not have an independent effect on intrapsychic or symptomatic outcome but did interact with treatment. DBT patients who perceived their therapist as affirming and protecting reported less frequent occurrences of non-suicidal self-injury. Conclusions The study showed positive intrapsychic change during DBT while emphasizing the importance of affirmation and control in the therapeutic relationship. Results are discussed in the context of understanding the mechanisms of change in DBT. PMID:22061867
Chhatwal, Jasleen; Lane, Richard D
The ability to be aware of one's own emotional states has been a time-honored ingredient of successful psychodynamic psychotherapy. With the rise of cognitive-behavioral therapy (CBT), however, the utility of experiencing and reflecting upon emotional experience has become less certain, and a quantifiable measure of emotional awareness for clinicians has not been previously available. Several recent advances cast the role of emotional awareness in psychotherapy in a different light: (1) a new theory of change in psychotherapy has been formulated that highlights emotional experience as an important ingredient of change in a variety of modalities; (2) new evidence shows that individual differences in the capacity for emotional awareness predict successful psychotherapeutic outcome in the treatment of panic disorder both by manualized psychodynamic psychotherapy and CBT; and (3) a new online version of the electronic Levels of Emotional Awareness Scale (eLEAS) has been created that can be used with individual patients as a guide to psychotherapy treatment. Here we review evidence of a reliable and valid measure of emotional awareness that has been used in both normative and clinical contexts. The psychotherapeutic treatment of three patients is described to illustrate the clinical manifestations of the different levels of emotional awareness and the ways the eLEAS can be useful in the clinical context, including (1) assessment of the patient's current level of emotional functioning and his or her potential for higher levels of functioning, (2) the targeting of interventions to facilitate functioning at the next level, and (3) a possible marker of treatment progress. These observations suggest that the eLEAS has the potential to be a clinically useful tool that may assist clinicians in guiding psychotherapy treatment. PMID:27200467
Windholz, Michael J.; Silberschatz, George
Replicated two earlier studies undertaken by the Vanderbilt Psychotherapy Research Group to investigate relation between process and outcome of brief psychotherapy. Rated audiotaped segments of 38 brief psychodynamic psychotherapies with adult outpatients. Found significant correlations between therapist ratings of outcome and two process…
Quan-chao XING; Fei ZI
Psychotherapy of personality disorder has received more and more attention. As a mental illness of high incidence, a few persons study the psychotherapy of obsessive-compulsive personality disorder.This article overviewed the current situation of the research at home and abroad, in the hope of providing help for the psychotherapy of obsessive-compulsive personality disorder.
V I Kurpatov; S A Osipova; Viktoria Vladimirovna Kolchina
The state-of-the-art of psychotherapy is associated with the integration of various assumptions and theories of personality, psychotherapeutic approaches. V.N. Myasishchev's theory of personality relations in association with its universality, as well as pathogenetic psychotherapy may be the basis for the integration of other methods of psychotherapy
Cuijpers, Pim; Koole, Sander L.; van Dijke, Annemiek; Roca, Miquel; Li, Juan; Reynolds, Charles F.
Background There is controversy about whether psychotherapies are effective in the treatment of subclinical depression, defined by clinically relevant depressive symptoms in the absence of a major depressive disorder. Aims To examine whether psychotherapies are effective in reducing depressive symptoms, reduce the risk of developing major depressive disorder and have comparable effects to psychological treatment of major depression. Method We conducted a meta-analysis of 18 studies comparing a psychological treatment of subclinical depression with a control group. Results The target groups, therapies and characteristics of the included studies differed considerably from each other, and the quality of many studies was not optimal. Psychotherapies did have a small to moderate effect on depressive symptoms against care as usual at the post-test assessment (g = 0.35, 95% CI 0.23-0.47; NNT = 5, 95% CI 4-8) and significantly reduced the incidence of major depressive episodes at 6 months (RR = 0.61) and possibly at 12 months (RR = 0.74). The effects were significantly smaller than those of psychotherapy for major depressive disorder and could be accounted for by non-specific effects of treatment. Conclusions Psychotherapy may be effective in the treatment of subclinical depression and reduce the incidence of major depression, but more high-quality research is needed. PMID:25274315
Full Text Available A comprehensive model of integrative psychotherapy that has been derived from clinical practice at the Counseling Service for Students of the University of Heidelberg is outlined. The ABCDE-model of integrative psychotherapy is based on established therapeutic methods and is composed of the dimensions of Alliance, Behavior, Cognitions, Dynamics and Existentials. Based on the therapeutic alliance and the general principles of understanding and communication, it comprises cognitive-behavioral, psychodynamic, and existential elements and employs hermeneutics as a meta-theoretical framework. The evaluation of integrative counseling according to the ABCDE-model in a naturalistic single-group pre-post design demonstrated a clinically significant improvement within a rather short number of sessions. Therefore, the integrative model of psychotherapy is an important contribution to evidence-based practice. Moreover, models of training in psychotherapy and counseling for the better education of future therapists can be developed on the basis of the ABCDE-model.
Riches, Simon; Schrank, Beate; Rashid, Tayyab; Slade, Mike
Positive psychotherapy (PPT) is an established psychological intervention initially validated with people experiencing symptoms of depression. PPT is a positive psychology intervention, an academic discipline that has developed somewhat separately from psychotherapy and focuses on amplifying well-being rather than ameliorating deficit. The processes targeted in PPT (e.g., strengths, forgiveness, gratitude, savoring) are not emphasized in traditional psychotherapy approaches to psychosis. The goal in modifying PPT is to develop a new clinical approach to helping people experiencing psychosis. An evidence-based theoretical framework was therefore used to modify 14-session standard PPT into a manualized intervention, called WELLFOCUS PPT, which aims to improve well-being for people with psychosis. Informed by a systematic review and qualitative research, modification was undertaken in 4 stages: qualitative study, expert consultation, manualization, and stake-holder review. The resulting WELLFOCUS PPT is a theory-based 11-session manualized group therapy. PMID:25961372
Lorena Božac Deležan
Full Text Available The goal of Integrative Psychotherapy is to establish full inner and external contact (Moursund & Erskine, 2004. The most important goal in feminist therapy is the transformation of an individual as well as the transformation of the society as a whole (Herlihy & Corey, 2004. In my work I attempt to integrate both: to help the client establish inner and external contact, but also help him/her to become aware and recognize inner messages connected with his/her gender and replace them with constructive beliefs of his/her own, as well as for him/her to learn, regardless of his/her gender, to trust his/her intuition and experience. In this article I present my approach to integration in psychotherapy and the way I use feminist principles in Integrative Psychotherapy.
Amerine, Jeanne Louise; Hubbard, Grace B
Animal-assisted therapy (AAT) has been shown to be effective in the treatment of many psychological disorders, including autism spectrum disorders, depression, anxiety, and posttraumatic stress disorder (PTSD). AAT can be used as an adjunct to other forms of psychotherapy. With AAT, the animal becomes a part of the treatment plan. Outcomes for clients that are associated with the use of AAT include (1) increased sense of comfort and safety, (2) increased motivation, (3) enhanced self-esteem, (4) increased prosocial behaviors, and (5) decreased behavioral problems. AAT provides a bridge for the therapist to develop a therapeutic relationship with a client, and the animal can provide supportive reassurance for the therapist. The amount of data that supports the benefits of AAT for the treatment of those with mental illnesses is growing, but evidence-based research that supports its use is lacking. Further research is needed. PMID:27541053
Lotterman, Andrew C
The paper describes how standard psychotherapy techniques need to be modified to suit the specialized needs of patients diagnosed with schizophrenia. Patients with psychosis often have lost their ability to use words to describe their inner states. As a result, traditional forms of psychotherapy which depend so crucially on the use of language are compromised. The goal of treatment at the start is to help the patient recover his ability to use language to describe his inner life. Eventually, this enables the patient to make use of more traditional forms of psychodynamic treatment. PMID:27052606
Die traditionellen Empathiekonzepte (z. B. Rogers, Kohut), die in der Psychotherapie bis heute maßgebend sind, werden einer gründlichen Überprüfung unterzogen. Dabei ergeben sich drei wesentliche Kritikpunkte: (1) Empathische Vorgänge in der Psychotherapie werden als einseitige Prozesse verstanden; der Therapeut fühlt sich in die Klientin ein, nicht auch umgekehrt. (2) Empathie wird in Cartesianischer Tradition schwerpunktmäßig als kognitive Leistung gesehen; ein körperloser Ge...
Full Text Available Kelda H Walsh, Christopher J McDougleDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USAAbstract: Obsessive-compulsive disorder (OCD is a chronic anxiety disorder. While medication and psychotherapy advances have been very helpful to patients, many patients do not respond adequately to initial trials of serotonergic medication or cognitive-behavioral therapy (CBT and require multiple treatment trials or combination therapies. Comorbidity may also influence treatment response. The role of streptococcal infections in pediatric OCD has become an area of intense scrutiny and controversy. In this article, current treatment methods for OCD will be reviewed, with special attention to strategies for treating OCD in children and in patients with comorbid tic disorders. Alternative psychotherapy strategies for patients who are highly anxious about starting CBT, such as cognitive therapy or augmentation with D-cycloserine, will be reviewed. Newer issues regarding use of antibiotics, neuroleptics, and glutamate modulators in OCD treatment will also be explored.Keywords: OCD, exposure/response prevention therapy, PANDAS, tic disorder
Schiepek, Gunter; Aas, Benjamin; Viol, Kathrin
Psychotherapy is a dynamic process produced by a complex system of interacting variables. Even though there are qualitative models of such systems the link between structure and function, between network and network dynamics is still missing. The aim of this study is to realize these links. The proposed model is composed of five state variables (P: problem severity, S: success and therapeutic progress, M: motivation to change, E: emotions, I: insight and new perspectives) interconnected by 16 functions. The shape of each function is modified by four parameters (a: capability to form a trustful working alliance, c: mentalization and emotion regulation, r: behavioral resources and skills, m: self-efficacy and reward expectation). Psychologically, the parameters play the role of competencies or traits, which translate into the concept of control parameters in synergetics. The qualitative model was transferred into five coupled, deterministic, nonlinear difference equations generating the dynamics of each variable as a function of other variables. The mathematical model is able to reproduce important features of psychotherapy processes. Examples of parameter-dependent bifurcation diagrams are given. Beyond the illustrated similarities between simulated and empirical dynamics, the model has to be further developed, systematically tested by simulated experiments, and compared to empirical data. PMID:27262423
Full Text Available There is broad consensus that the therapeutic alliance constitutes a core common factor for all modalities of psychotherapy. Meta-analyses corroborated that alliance, as it emerges from therapeutic process, is a significant predictor of therapy outcome. Psychotherapy process is traditionally described and explored using two categorially different approaches, the experiential (first-person perspective and the behavioral (third-person perspective. We propose to add to this duality a third, structural approach. Dynamical systems theory and synergetics on the one hand and enactivist theory on the other together can provide this structural approach, which contributes in specific ways to a clarification of the alliance factor. Systems theory offers concepts and tools for the modeling of the individual self and, building on this, of alliance processes. In the enactive perspective, the self is conceived as a socially enacted autonomous system that strives to maintain identity by observing a two-fold goal: to exist as an individual self in its own right (distinction while also being open to others (participation. Using this conceptualization, we formalized the therapeutic alliance as a phase space whose potential minima (attractors can be shifted by the therapist to approximate therapy goals. This mathematical formalization is derived from probability theory and synergetics. Our conclusions say that structural theory provides powerful tools for the modeling of how therapeutic change is staged by the formation, utilization, and dissolution of the therapeutic alliance. In addition, we point out novel testable hypotheses and future applications.
Mishara, A L
In part I, I presented some results of empirical research on mind/body relationship: writing about traumatic experiences brings about improved psychological and physiological health. One important factor of healing in psychotherapy is thereby isolated empirically. In part II, it was shown that the cognitive science explanation of these findings, however, is based on categories deriving from common sense and is insufficient. Phenomenological method can serve as a form of criticism of the assumptions shared by most contemporary approaches to the human mind and brain in psychology, psychiatry, and medicine (e. g. cognitive, psychodynamic, behavioral, and biological). In part III, I presented research and concepts developed in the phenomenological tradition that have bearing on the problem of the healing factor in narrative acts (in writing and speech), including the "talking cure" of psychoanalysis and psychotherapy. I described the problem of the unconscious in narrative acts from the phenomenological point of view and provide an alternative explanation for their healing effects. In short, the way we overcome painful and traumatic experiences is not seen in terms of the cognitive theory in which a painful feeling is "translated" into a cognitive or linguistic representation that organizes it. Such a theory objectifies the human subject. Healing through narration and "opening up," involves an existential act of self-transcendence of an embodied person who organizes his/her experience in time. PMID:7677199
Meier, Emily A.; Irwin, Scott A.
Caring for patients with cancer involves addressing their myriad physical, psychological, social, and spiritual needs. Although many cancer treatments focus on physical or psychological needs, few treatments specifically target the basic need for meaning and spiritual well-being in this population. This article describes the creation and evolution of a new psychotherapy devoted to these needs, a therapy termed “meaning-centered psychotherapy.” In this article, a detailed description of meaning-centered psychotherapy is provided. An explanation of the current research findings related to this treatment are also offered, with information about the various group and individual treatments as well as the new expansions for use with cancer survivors or nursing staff. Overall, meaning-centered psychotherapy shows promise for enhancing meaning and spiritual well-being among patients with cancer and offers exciting possibilities for future research in other areas. PMID:25182513
Messina, Irene; Sambin, Marco; Beschoner, Petra; Viviani, Roberto
Influential neurobiological models of the mechanism of action of psychotherapy attribute its success to increases of activity in prefrontal areas and decreases in limbic areas, interpreted as the successful and adaptive recruitment of controlled processes to achieve emotion regulation. In this article, we review the behavioral and neuroscientific evidence in support of this model and its applicability to explain the mechanism of action of psychotherapy. Neuroimaging studies of explicit emotion regulation, evidence on the neurobiological substrates of implicit emotion regulation, and meta-analyses of neuroimaging studies of the effect of psychotherapy consistently suggest that areas implicated in coding semantic representations play an important role in emotion regulation not covered by existing models based on controlled processes. We discuss the findings that implicate these same areas in supporting working memory, in encoding preferences and the prospective outcome of actions taken in rewarding or aversive contingencies, and show how these functions may be integrated into process models of emotion regulation that depend on elaborate semantic representations for their effectiveness. These alternative models also appear to be more consistent with internal accounts in the psychotherapeutic literature of how psychotherapy works. PMID:27351671
Gelo, Omar Carlo Gioacchino; Salvatore, Sergio
Notwithstanding the many methodological advances made in the field of psychotherapy research, at present a metatheoretical, school-independent framework to explain psychotherapy change processes taking into account their dynamic and complex nature is still lacking. Over the last years, several authors have suggested that a dynamic systems (DS) approach might provide such a framework. In the present paper, we review the main characteristics of a DS approach to psychotherapy. After an overview of the general principles of the DS approach, we describe the extent to which psychotherapy can be considered as a self-organizing open complex system, whose developmental change processes are described in terms of a dialectic dynamics between stability and change over time. Empirical evidence in support of this conceptualization is provided and discussed. Finally, we propose a research design strategy for the empirical investigation of psychotherapy from a DS approach, together with a research case example. We conclude that a DS approach may provide a metatheoretical, school-independent framework allowing us to constructively rethink and enhance the way we conceptualize and empirically investigate psychotherapy. (PsycINFO Database Record PMID:27177027
Watts, Richard E., Ed.; Carlson, Jon, Ed.
This book acknowledges the contributions of Alfred Adler and illustrates the many ways in which Adlerian ideas underpin and influence contemporary therapeutic approaches. It brings together today's leading thinkers to address the practice of counseling and psychotherapy from a social-cognitive perspective. Contributors apply the basic ideas of…
Swift, Joshua K.; Callahan, Jennifer L.
Delay discounting (DD) procedures are emerging as an important new method for psychotherapy researchers. In this paper a framework for conceptualizing existing, seemingly discrepant, research findings on termination is introduced and new directions for research are described. To illustrate the value of a DD framework, the common psychotherapy…
American Journal of Play, 2014
Terry Marks-Tarlow is a clinical and consulting psychologist and psychotherapist and a member of the teaching faculty at the Reiss Davis Child Study Center in Los Angeles. She is the author of "Awakening Clinical Intuition: An Experiential Workbook for Psychotherapists"; "Psyche's Veil: Psychotherapy, Fractals, and…
Brain imaging studies have demonstrated that psychotherapy alters brain structure and function. Learning and memory, both implicit and explicit, play central roles in this process through the creation of new genetic material that leads to increased synaptic efficiency through the creation of new neuronal connections. Although there is substantial…
Owen, Jesse; Leach, Mark M.; Wampold, Bruce; Rodolfa, Emil
In this rejoinder, the authors address several issues raised by R. L. Worthington and F. R. Dillon (2011) and C. R. Ridley and M. Shaw-Ridley (2011) regarding (a) the measurement of multicultural competencies (MCCs), (b) sampling considerations in multicultural research, and (c) the conceptual frame of multicultural psychotherapy research. The…
Grimm, Donald W.
Examines nature of therapist spiritual and religious values and impact of these values on psychotherapy practice. Suggests that integration of therapist spiritual and religious values with therapist epistemic values to accommodate spiritual and religious needs of both client and counselor should be goal of effective treatment. Includes 28…
MacLennan, Beryce W.; Felsenfeld, Naomi
Intended as an aid in conceptualizing group programs for adolescents and as a basic text on group methods, the book examines the goals and processes of socialization and rehabilitation. Areas treated include the group as an agent of change, the adolescent and his culture, general considerations in group counseling and group psychotherapy, process…
Homosexual or bisexual men, dissatisfied with, or indirectly because of, their sexual orientation, were treated in a psychotherapy group led by a male-female cotherapy team. Of the 66 patients in this series, almost half made heterosexuality an explicit treatment goal. Of these, 85 percent experienced at least partial heterosexual shifts. (Author)
Entin, Alan D.
Photographs and family albums are helpful in marriage and family psychotherapy to aid in the understanding of family processes, relationship patterns, goals, expectations, values, traditions, and ideals. Based on the assumption that a photograph is a form of communication, photography can be used to: (1) examine typical family picture-taking…
Counseling and psychotherapy are not the same, but rather represent two modalities with different theoretical premises which use different techniques and pursue different goals. Counseling always focuses on a specific subject and the interaction between the counselor and the client is generally goal-directed. The counselor focuses on the acute…
This article presents an introduction to cross-cultural psychotherapy, with reference to historical theories of art, symbols and myth, and to the therapist working with the client--both individual and groups. Cross-cultural dimensions of art therapy are delineated with a support for further research and cooperation between cultures, with attention…
Barlow, David H.
In this article, the author responds to a set of comments on his original article, "Psychological Treatments." The author responds to each comment. Hal Arkowitz (2005) misread the proposed distinction between "psychological treatments" and "psychotherapy" by presuming that the author was implying that the former is evidence based and the latter is…
Leva, Richard A.
The views of Carl Rogers and Milton H. Erickson are combined in this book on psychotherapy. The first section focuses on belief systems, views of man, new views of the unconscious, and a philosophy for change. Erickson and his relationship to myth, the nature of man and the goal of counseling, trance, and a radical view of the unconscious are…
Westefeld, John S.
Current models and issues related to psychotherapy supervision are examined. These include ethical and legal issues, problems of interpersonal competence, and multicultural issues. As a part of this analysis, interviews about supervision with five prominent counseling psychologists are included to provide their perspectives. Implications for the…
Boccia, Maddalena; Piccardi, Laura; Guariglia, Paola
The idea that modifications of affect, behavior and cognition produced by psychotherapy are mediated by biological underpinnings predates the advent of the modern neurosciences. Recently, several studies demonstrated that psychotherapy outcomes are linked to modifications in specific brain regions. This opened the debate over the similarities and dissimilarities between psychotherapy and pharmacotherapy. In this study, we used activation likelihood estimation meta-analysis to investigate the effects of psychotherapy (PsyTh) and pharmacotherapy (DrugTh) on brain functioning in Major Depression (MD). Our results demonstrate that the two therapies modify different neural circuits. Specifically, PsyTh induces selective modifications in the left inferior and superior frontal gyri, middle temporal gyrus, lingual gyrus and middle cingulate cortex, as well as in the right middle frontal gyrus and precentral gyrus. Otherwise, DrugTh selectively affected brain activation in the right insula in MD patients. These results are in line with previous evidence of the synergy between psychotherapy and pharmacotherapy but they also demonstrate that the two therapies have different neural underpinnings. PMID:26164169
Wilson, J. Scott; Roman, Brenda JB
There are numerous variables to consider when planning treatment for a psychiatric disorder as complex as obsessive compulive disorder (OCD). Beyond the efficacy of the medications, one must take into account patient preferences and beliefs, as well as the impact of the disease and treatment on social and occupational functioning. Psychotherapy, specifically cognitive behavioral therapy (CBT), can serve as an addition to pharmacotherapy or as an alternative treatment, if necessary, for OCD. H...
Beatrice A. Popescu
This paper stems from clinical observations and empirical data collected in the therapy room over six years. It investigates the relationship between psychotherapy and philosophical counseling, proposing an integrative model of counseling. During cognitive behavior therapy sessions with clients who turn to therapy in order to solve their clinical issues, the author noticed that behind most of the invalidating symptoms classified by the DSM-5 as depression, anxiety, hypochondriac and phobic co...
Beckner, Victoria; Howard, Isa; Vella, Lea; Mohr, David C.
Depression is common in individuals with multiple sclerosis (MS). While psychotherapy is an effective treatment for depression, not all individuals benefit. We examined whether baseline social support might differentially affect treatment outcome in 127 participants with MS and depression randomized to either Telephone-administered Cognitive-Behavioral Therapy (T-CBT) or Telephone-administered Emotion-Focused Therapy (T-EFT). We predicted that those with low social support would improve more ...
Nuwan Dominic Leitan
Full Text Available As a discipline, psychology is defined by its location in the ambiguous space between mind and body, but theories underpinning the application of psychology in psychotherapy are largely silent on this fundamental metaphysical issue. This is a remarkable state of affairs, given that psychotherapy is typically a real-time meeting between two embodied agents, with the goal of facilitating behavior change in one party. The overarching aim of this paper is to problematize the mind-body relationship in psychotherapy in the service of encouraging advances in theory and practice. The paper briefly explores various psychotherapeutic approaches to help explicate relationships between mind and body from these perspectives. Themes arising from this analysis include a tendency toward dualism (separation of mind and body from the conceptualization of human functioning, exclusivism (elimination of either mind or body from the conceptualization of human functioning, or mind-body monism (conceptualization of mind and body as a single, holistic system. We conclude that the literature, as a whole, does not demonstrate consensus, regarding the relationship between mind and body in psychotherapy. We then introduce a contemporary, holistic, psychological conceptualization of the relationship between mind and body, and argue for its potential utility as an organizing framework for psychotherapeutic theory and practice. The holistic approach we explore, grounded cognition, arises from a long philosophical tradition, is influential in current cognitive science, and presents a coherent empirically testable framework integrating subjective and objective perspectives. Finally, we demonstrate how this grounded cognition perspective might lead to advances in the theory and practice of psychotherapy.
Leitan, Nuwan D; Murray, Greg
As a discipline, psychology is defined by its location in the ambiguous space between mind and body, but theories underpinning the application of psychology in psychotherapy are largely silent on this fundamental metaphysical issue. This is a remarkable state of affairs, given that psychotherapy is typically a real-time meeting between two embodied agents, with the goal of facilitating behavior change in one party. The overarching aim of this paper is to problematize the mind-body relationship in psychotherapy in the service of encouraging advances in theory and practice. The paper briefly explores various psychotherapeutic approaches to help explicate relationships between mind and body from these perspectives. Themes arising from this analysis include a tendency toward dualism (separation of mind and body from the conceptualization of human functioning), exclusivism (elimination of either mind or body from the conceptualization of human functioning), or mind-body monism (conceptualization of mind and body as a single, holistic system). We conclude that the literature, as a whole, does not demonstrate consensus, regarding the relationship between mind and body in psychotherapy. We then introduce a contemporary, holistic, psychological conceptualization of the relationship between mind and body, and argue for its potential utility as an organizing framework for psychotherapeutic theory and practice. The holistic approach we explore, "grounded cognition," arises from a long philosophical tradition, is influential in current cognitive science, and presents a coherent empirically testable framework integrating subjective and objective perspectives. Finally, we demonstrate how this "grounded cognition" perspective might lead to advances in the theory and practice of psychotherapy. PMID:24904486
Full Text Available There is growing interest in the cognitive psychotherapy all around the world including Turkey. According to American Institute of Cognitive Therapy; cognitive psychotherapy is the fastest growing and most rigorously studied kind of talk therapy and it is practiced around the world, taking hold in places from the Middle East to Japan. Cognitive psychotherapy was designed first by Aaron Temkin Beck in 1950’s. He has published over 450 articles and authored or co-authored seventeen books and he has been listed as one of the “10 individuals who shaped the face of American Psychiatry” and one of the 5 most influential psychotherapists of all time since then. Beck’s groundbreaking systematic research established for the first time the efficacy of any psychotherapy for the treatment of depression. Moreover he not only developed and tested an effective short-term treatment (cognitive therapy for depression, but he and his former students have successfully adapted cognitive therapy to a wide range of other psychiatric disorders as well. Numerous controlled clinical trials have now demonstrated that cognitive therapy is effective in a variety of psychiatric conditions including depression, bulimia nervosa, hypochondriasis, social phobia, obsessive-compulsive disorder, substance abuse, body dysmorphic disorder, and post-traumatic stress disorder. Therefore knowing the father of cognitive therapy and his journey from 1950’s to 2010’s will help to understand cognitive therapy and its development during these years. This article aims to give an overview of the historical background to contemporary cognitive and cognitive-behavioral approaches to psychotherapy by focusing on Beck’s life, characteristics and works.
Group psychotherapy in Germany is well established as part of an integrative treatment plan in inpatient treatment. Outpatient group psychotherapy, however, is conceptualized as a separate treatment option in competition with individual therapy. German guidelines for outpatient psychotherapy exclude
Full Text Available The article explores the relationship between Integrative Psychotherapy and mindfulness on a theoretical as well as practical level. Although mindfulness is not an explicit constituent of Integrative Psychotherapy, the two are arguably a natural fit. Mindfulness has the potential to enhance internal and external contact, a central concept in Integrative Psychotherapy, as well as strengthen a client’s Adult ego state. This article presents a case study whereby Integrative Psychotherapy is analysed from the perspective of mindfulness. Within the course of therapy, parallels were observed between the client's increased mindfulness, improved internal and external contact, strengthened Adult ego state, mastery of introjections, as well as diminished feelings of guilt, improved mood, self care and ability to engage in appropriate separation and individuation. These gains support the conclusion that Integrative Psychotherapy and mindfulness are inherently related and that explicit incorporation of mindfulness may enhance the therapeutic process of Integrative Psychotherapy.
Mahrer, A R; Gagnon, R.
Although psychotherapy research teams have been in existence since the 1940s, one of the reasons they are not more popular is the absence of literature on how they operate. There is essentially no literature on the organization and administration of psychotherapy research teams, on the management of their everyday practical issues, decisions, and problems. In order to open the way for a dialogue on these matters, an inside view is provided of one relatively productive psychotherapy research t...
Richard G. Erskine
This article is the Keynote Address given at the 4th International Integrative Psychotherapy Association Conference, April 17, 2009. In speaking to the conference theme of “Acute Trauma, Cumulative Neglect, and Chronic Stress” the article describes some of the principles of Relational Group Psychotherapy. The theory of methods is based on the concept that the healing of trauma, neglect and stress occurs through a contactful therapeutic relationship. Relational group psychotherapy draws from s...
This article investigates a recent attempt to apply philosophy within the discipline of psychotherapy and to investigate the somewhat undefined realm of philosophical counselling. After introducing the claims of this interdisciplinary exercise and after addressing the problems involved in crossing the boundaries between philosophy and psychotherapy, the article elaborates on Alex Howard’s (2000) [Philosophy for counselling and psychotherapy: Pythagoras to post-modernism. London: Macmillan] a...
Background Many psychotherapy studies with trainees have been conducted, but few have investigated how effective baseline trainee-led psychotherapies are. Baseline trainee-led psychotherapies are often provided by a professional education, and the therapists are often young, untrained and inexperienced. The present study was conducted at the Clinical Psychology Program at Umeå University, in Sweden. The psychology students were in their fourth or fifth year of, in total, five years, and few h...
DOCHERTY, JOHN P.; STREETER, MELISSA J.
During the last 15 years we have made substantial advances in our understanding of psychotherapy research and our ability to conduct this research effectively. Advances have occurred in several areas, including diagnosis, outcome assessment, and the technology of efficacy studies. These advances have improved the credibility of psychotherapy as a form of medical intervention and improved the efficacy of psychotherapeutic techniques. A review of progress in the psychotherapy ...
Niels Buus; Niels Christian Hvidt; Dorte Toudal Viftrup
We systematically reviewed the research literature on spiritually and religiously integrated group psychotherapy to answer the following three questions: first, how are spirituality and religiosity defined; second, how are spiritual and religious factors characterized and integrated into group psychotherapy; and, third, what is the outcome of the group psychotherapies? We searched in two databases: PsycINFO and PubMed. Inclusion and exclusion criteria and checklists from standardized assessme...
Full Text Available This article investigates a recent attempt to apply philosophy within the discipline of psychotherapy and to investigate the somewhat undefined realm of philosophical counselling. After introducing the claims of this interdisciplinary exercise and after addressing the problems involved in crossing the boundaries between philosophy and psychotherapy, the article elaborates on Alex Howard’s (2000 [Philosophy for counselling and psychotherapy: Pythagoras to post-modernism. London: Macmillan] attempt to make explicit use of philosophy in psychotherapy, using his interpretation and application of Heraclitus’ philosophy as case study.
Ross, T; Fontao, M I
In the last two decades, forensic psychotherapy has become a specialised area of scholarship, predominantly in the UK and Germany. However, scientific research with respect to set goals, methods and the application of treatments has been heterogeneous and not very extensive. Focussing on offender treatment, the status quo of research schemes based on clinical experience is discussed, and a strategy is suggested as how to develop a research framework for forensic psychotherapy which makes use of the specific methods and treatment interventions applied in this field. It is concluded that forensic psychotherapy research will greatly benefit from the methodological framework of general psychotherapy research, especially when competing for scarce financial resources. PMID:16758539
Full Text Available Die Psychotherapie stellt eine wirksame Behandlung für alle Angststörungen dar. Die Kombination mit einer (antidepressiven Pharmakotherapie dürfte oft sinnvoll sein, ist jedoch nur bei der Panikstörung empirisch untermauert. Bei allen Angststörungen sind verhaltenstherapeutische Ansätze am besten in ihrer Wirksamkeit belegt. Inzwischen sind außer für die spezifischen Phobien auch psychodynamische Ansätze manualisiert und empirisch evaluiert. Entspannungsverfahren werden bei der sozialen Phobie und der Panikstörung empfohlen und sind oft Bestandteil umfassender Behandlungsprogramme. Komorbide Störungen insbesondere Persönlichkeitsstörungen verschlechtern den Outcome der Angstbehandlung. Für die Zukunft sind weitere Untersuchungen zur langfristigen Wirksamkeit der Psychotherapie sowie zur Behandlung von Angstpatienten mit komorbiden Störungen notwendig.
Daniel Franco de Carvalho; Laéria Fontenele
Our main goal on this study was to reflect about the return of the suggestive practice nowadays - which have been already criticized by Freud as being inefficient and dangerous, and therefore, were abandoned even by him since the psychoanalysis foundation. In this sense, we are going to work with a comparative analysis on the speech present on the psychotherapy, psychoanalysis and Self-Help, taking into account its contents and effects