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
Larry S. Liebovitch; Peluso, Paul R.; Norman, Michael D.; Su, Jessica; Gottman, John M.
The success of psychotherapy depends on the nature of the therapeutic relationship between a therapist and a client. We use dynamical systems theory to model the dynamics of the emotional interaction between a therapist and client. We determine how the therapeutic endpoint and the dynamics of getting there depend on the parameters of the model. Previously Gottman et al. used a very similar approach (physical-sciences paradigm) for modeling and making predictions about husband–wife relationshi...
Daniel Franco de Carvalho
Full Text Available 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
In the light of contemporary research, the Internet appears to be both a source of danger to mental health, but equally - a space for utilising new methods of help. Making use of these possibilities, as the author claims, goes far beyond remote psychotherapy. It requires something more from help providers: understanding and considering the new types of human relationships which develop in communication facilitated by new media.
This dissertation inquires into the problem of understanding as it pertains to the psychotherapeutic situation. It analyses- some of the ways in which the therapist's understanding of the patient has been conceptualised and uses concepts from hermeneutic philosophy in order to suggest possible resolutions to some of the problems identified in the discussion of the theory of psychotherapy. For heuristic purposes I start with the thesis that there are three distinct 'positions' a therapist c...
Pavlović, Slavica; Vlastelica, Mirela
The aim of this study is to develop a questionnaire that can observe empathy in group psychoanalytic psychotherapy and examine the structure of its factors. A questionnaire comprised of 160 items in five-point Likert-type scale was developed through analysis of communication and interaction related to empathizing during group sessions. The questionnaire was applied on 256 patients from 40 therapy groups in 9 cities in Croatia. All 20 group analysts are trained in the Institute for...
Liggan, Deborah Y.; Kay, Jerald
Ever since the idea was accepted that memory is associated with alterations in synaptic strength, studies on the cellular and molecular mechanisms responsible for the plastic changes in neurons have attracted wide interest in the scientific community. This article explores the process of memory consolidation leading to persistent modifications in synaptic plasticity as a mechanism by which psychotherapy facilitates changes in the permanent storage of information acquired throughout the indivi...
In this article theme of domestic violence & sexual abuse against children is being considered from the cultural-historical, social-economic & psychological paradigms. Foreign authors approaches specialized on the work with children’s abuse & their practical results are presented herein. The risk factors of impact of cruel treatment & different forms of child’s mental development abuse are analyzed. The examples of prevention & psychotherapy work with the abused children are given. The articl...
Full Text Available Pregnancy is a major life change for many women. The related biological changes, especially complications in its course and in the course of delivery, carry a risk of developing a variety of psychological problems and mental disorders. However, their treatment is challenging due to the teratogenic effects of most psychoactive drugs and specific requirements for entering different psychotherapeutic programs. Mental disorders during pregnancy are undoubtedly an important issue for both gynecology and psychiatry. There is still a discussion considering the question whether psychotherapy during pregnancy is safe, although no scientifically valid data contradicting the safety of psychotherapy during pregnancy has been published so far. Together with psychotherapy – as a treatment of choice – clinicians approve some other relatively safe treatment methods for psychiatric disorders in pregnant women. Light therapy, limited pharmacotherapy, ECT are included. The goal of this paper is to review current opinions of clinicians and researches concerning possibilities, indications and outcome of psychological treatments as a way to help pregnant women who suffer from different psychiatric conditions, and also because this subject is not yet present in Polish psychiatric journals.
Psychological processes of learning may lead to biological changes in brain synapses, as was shown by Eric Kandel, Nobel laureate for 2000. Factors connected with learning (for instance, psychotherapeutic procedures) can modify the expression of genes occurring in brain cells. Current neurobiological research make it possible to explain some theoretical concepts and mechanisms of action of psychotherapy on the ground of basic medical sciences. Experimental and clinical studies point to a prominent role for early untoward life experiences in brain development and vulnerability for psychiatric disturbances. Neuroimaging studies demonstrated the existence of unconscious processes in both cognitive and emotional functions. In several studies, changes in brain function or in the biology of whole organism were measured, under the influence of psychotherapy. It was found that in such illnesses as depression or obsessive-compulsive disorder, similar changes in brain functions, as measured with neuroimaging methods, were observed either after pharmacotherapy or psychotherapy. The attempts have been also made to interpret psychotherapeutic mechanisms in the light of current concepts of memory processes, functioning of brain circuits or neurobiological theories of character and temperament. PMID:12043032
Adler, Jonathan M
This article provides an overview of the emerging field of research on clients' stories about their experiences in psychotherapy. The theory of narrative identity suggests that individuals construct stories about their lives in order to provide the self with a sense of purpose and unity. Psychotherapy stories serve both psychological functions. Focusing on the theme of agency as a vehicle for operationalizing purpose and coherence as a way of operationalizing unity, this article will describe the existing scholarship connecting psychotherapy stories to clients' psychological well-being. Results from cross-sectional qualitative and quantitative studies as well as longitudinal research indicate a connection between the stories clients tell about therapy and their psychological well-being, both over the course of treatment and after it is over. In addition, a preliminary analysis of therapists' stories about their clients' treatment is presented. These analyses reveal that the way therapists recount a particular client's therapy does not impact the relationships between clients' narratives and their improvement. The article concludes with a discussion of how this body of scholarship might be fruitfully applied in the realm of clinical practice. PMID:22812587
Brakemeier, Eva-Lotta; Frase, Lukas
In this article, we will introduce interpersonal psychotherapy as an effective short-term treatment strategy in major depression. In IPT, a reciprocal relationship between interpersonal problems and depressive symptoms is regarded as important in the onset and as a maintaining factor of depressive disorders. Therefore, interpersonal problems are the main therapeutic targets of this approach. Four interpersonal problem areas are defined, which include interpersonal role disputes, role transitions, complicated bereavement, and interpersonal deficits. Patients are helped to break the interactions between depressive symptoms and their individual interpersonal difficulties. The goals are to achieve a reduction in depressive symptoms and an improvement in interpersonal functioning through improved communication, expression of affect, and proactive engagement with the current interpersonal network. The efficacy of this focused and structured psychotherapy in the treatment of acute unipolar major depressive disorder is summarized. This article outlines the background of interpersonal psychotherapy, the process of therapy, efficacy, and the expansion of the evidence base to different subgroups of depressed patients. PMID:22955493
林雅嫱; 李林森; 杨军
流变心理治疗是以开放性和自适应性为背景的个性化的、自组织的行为.这一行为是通过激活机体组织自身的自律性运动来实现的.自律性运动是以实现传感通信、能量输配和结构调整,达到组织修复、疾病治疗等为目的的一种内源性的自组织运动.把运动感觉作为心理治疗的一个参量,应用于心理治疗,势必引发心理治疗观念的变革.%Rheological psychotherapy is a personalized and self-organizing behavior in the openness and self-adaptive context. This behavior is achieved by activating the body's automaticity movement. The automatici-ty movement is an endogenous self-organizing movement with the purpose of sensing communication, energy transmission and distribution, structural adjustment, tissue repair and disease treatment. Feeling as a factor in the introduction of psychotherapy, it may bring the concept of change in psychotherapy.
Bellino, Silvio; Brunetti, Chiara; Bozzatello, Paola
Borderline personality disorder (BPD) represents a significant therapeutic challenge. Critical factors in psychotherapeutic treatment of patients with BPD are noticeable and strictly related to the psychopathological dimensions of this disorder: affective and relational instability, behavioral impulsivity and precarious definition of identity. These features are emphasized by therapeutic intervention and become evident during the course of the treatment. Psychotherapeutic setting induces BPD patient to actualize the dysfunctional relational patterns that have been acquired during childhood. Specific critical factors concern the characteristics of the patient (risk of suicide, aggressive behaviors, chronic course of the disorder, disorganized attachment style), of the therapist (therapeutic skills, training, countertransference, risk of burnout) and of the setting of psychotherapy (patients selection, therapeutic alliance, need to set limits, duration and end of therapy). In Otto Kernberg's and Marsha Linehan's models of psychotherapy specific for DBP the authors identify substantially overlapping objectives and modalities of intervention. In particular, therapists should take care of patient safety, maintain boundaries of therapeutic setting and promote the development of psychotherapeutic process. The aim of this article is to analyze the main critical factors affecting psychotherapeutic process in patients with BPD. Objectives and priorities that therapist should consider to address these issues will be discussed. We will also try to make clear why interpersonal psychotherapy adapted to DBP can represent one of the therapeutic models that may be useful to manage and resolve these difficulties. PMID:27030345
Gans, Jerome S
Unwitting self-disclosures (USDs), unconscious yet observable parts of personality, are often behavioral relics of past suffering and, as such, constitute valuable though frequently underutilized clinical information. While ego-syntonic aspects of personality can be commented on with impunity, dealing therapeutically with patients' USDs--manifestations of their blind spots--requires sensitivity, empathy, and timing. Providing many clinical examples of patient and therapist USDs from individual and group psychotherapy, this report discusses the origins, possible meanings, and the countertransference and empathic challenges encountered in the handling of these blind spots. The importance of establishing a narcissistic alliance and of employing the methods of the existential school of psychotherapy in processing USDs is described. Self-aware therapists can minimize the clinical impasse that may result when therapist-patient blind spots overlap. PMID:21463095
Borgeat, François; O’Connor, Kieron; Amado, Danielle; St-Pierre-Delorme, Marie-Ève
Objective: To test the hypothesis that repeated preconscious (masked) priming of personalized positive cognitions could augment cognitive change and facilitate achievement of patients’ goals following a therapy. Methods: Twenty social phobic patients (13 women) completed a 36-weeks study beginning by 12 weeks of group behavioral therapy. After the therapy, they received 6 weeks of preconscious priming and 6 weeks of a control procedure in a randomized cross-over design. The Priming conditi...
The psychic significance of the figure of the grandmother in psychodynamic psychotherapy has received scant attention. This paper develops the concept of the "grandmaternal transference" in parent-infant psychotherapy and explores its identification, its possible functions and its therapeutic significance. The grandmaternal transference has…
Gabbard, Glen; Horowitz, Mardi
Objective: This article describes how using media depictions of psychotherapy may help in teaching psychiatric residents. Methods: Using the HBO series "In Treatment" as a model, the authors suggest how boundary transgressions and technical errors may inform residents about optimal psychotherapeutic approaches. Results: The psychotherapy vignettes…
Mackrill, Thomas Edward
Diary studies are scarce within the field of qualitative psychotherapy research. In this article arguments for and against the employment of solicited diaries studies in qualitative psychotherapy research are investigated. The strengths of diary studies are presented along with arguments concerning...
Cully, Jeffrey A.; Jameson, John P.; Phillips, Laura L.; Kunik, Mark E.; Fortney, John C.
Purpose: To examine whether differences exist between rural and urban veterans in terms of initiation of psychotherapy, delay in time from diagnosis to treatment, and dose of psychotherapy sessions. Methods: Using a longitudinal cohort of veterans obtained from national Veterans Affairs databases (October 2003 through September 2004), we extracted…
Aboul-Fotouh, Frieda; Asghar-Ali, Ali Abbas
Objective: This pilot project, designed and taught by a resident, created a curriculum to introduce medical students to the practice of psychotherapy. Medical students who are knowledgeable about psychotherapy can become physicians who are able to refer patients to psychotherapeutic treatments. A search of the literature did not identify a…
Thombs, Brett D.; Jewett, Lisa R.; Bassel, Marielle
Comments on the original article, "The efficacy of psychodynamic psychotherapy," by J. Shedler. Shedler declared unequivocally that "empirical evidence supports the efficacy of psychodynamic therapy" (p. 98). He did not mention any specific criticisms that have been made of evidence on psychodynamic psychotherapies or address possible distinctions…
Hilsenroth, Mark J.; And Others
Investigates the differences between 97 patients who had prematurely terminated psychotherapy and 81 who had participated in individual psychotherapy for at least 6 months and 24 sessions on selected Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and Rorschach variables. Theoretical implications of interpersonal variables are discussed in…
Responds to previous article by Steenbarger on science-practice integration in brief counseling and therapy. Focuses specifically on the integration of science and practice in brief psychotherapy. Elaborates on agreements and disagreements concerning Steenbarger's analysis of brief psychotherapy. Muses over what is lost as well as gained in brief…
Objective: Psychotherapy instructors have used video technology to train residents for over 40 years. Though it has met with some controversy, many will argue that videotape review is essential for self-directed learning and accurate psychotherapy supervision. Methods: The author describes a technique of small-group videotape training as provided…
Riess, Helen; Herman, John B.
Objective: There are no standard training programs for teaching psychotherapy supervisors effective, ethical, and legal aspects of supervision. This article describes an eight session training course containing essential information for supervisors. Methods: The literature on psychotherapy supervision was reviewed and an evening seminar series was…
O'Malley, Stephanie S.; And Others
Examined whether therapist's level of competence in conducting interpersonal psychotherapy of depression was associated with patient improvement. Used data from 35 depressed outpatients receiving interpersonal psychotherapy. Results showed that measures of therapist performance contributed significantly to prediction of patient-rated change and…
Fernanda Barcellos Serralta
Full Text Available Abstract Interaction structures refers to the repetitive ways of interaction between the patient-therapist dyad over the course of treatment. This construct is operationalized by the repeated application of the Psychotherapy Process Q-Set (PQS to psychotherapy sessions. Studies in this line of research have so far focused only on long-term treatment. The present study examines whether interaction structures can be detected empirically in short-term psychotherapies. All sessions (N = 31 of a successful case of brief psychodynamic psychotherapy were coded with the Psychotherapy Process Q-Set (PQS. The application of Q type factor analysis procedures with varimax rotation revealed five interaction structures: resistance, alliance, facing depression, expectation of change, and introspection and hearing. The analysis of variation of these structures over the course of the treatment showed that these interactions are nonlinear, may be positively or negatively protruding in different sessions, or be predominant at some treatment phase.
One in four people suffer from mental health problems, so mental health problems are a major national and international challenge. Psychotherapy is an effective intervention for a wide range of mental health problems in people of all ages. The average success rate for treated cases ranges from 65 to 72%.
Calabrese, Christina; Sciolla, Andres; Zisook, Sidney; Bitner, Robin; Tuttle, Jeffrey; Dunn, Laura B.
Objective: Few studies of residents' attitudes toward psychotherapy training exist. The authors examined residents' perceptions of the quality of their training, support for training, their own competence levels, and associations between self-perceived competence and perceptions of the training environment. Methods: An anonymous, web-based…
Barber, Jacques P.
The author outlines the history of brief dynamic psychotherapy, describes some of its characteristics, and addresses methodological requirements for assessing the efficacy of psychotherapy. Review of two major meta-analyses suggests that manual-based brief dynamic psychotherapy by trained therapists is likely to be as effective as other forms of psychotherapy and more effective than no treatment. More studies are needed that 1) compare brief dynamic psychotherapy with other for...
Lorena Božac Deležan
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 con...
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 s...
Full Text Available Becoming a mother is a time of transition, transformation and sometimes trauma. The immediacy of meeting the needs of an infant, combined with the immediacy of becoming a mother, often collide to produce depression, anxiety and stress. Shame, confusion, isolation and cultural expectations often prevent women from seeking the postpartum support they need, which may result in long lasting depression, anxiety and unresolved trauma. Integrative Psychotherapy, Transactional Analysis and Attachment Theory offer ways to understand postpartum adjustment as well as methodologies for addressing this unique developmental event in the life of women.
Reviews the book, Psychotherapy as a human science by Daniel Burston and Roger Frie (see record 2006-12980-000). In this book, the authors show how philosophical assumptions pervade therapeutic praxis. "In our view, philosophy is inherent to the very practice of psychotherapy" (p. 2). There is a "common ground that unites the therapists of today with the philosophers of the past" (p. 17). Their effort succeeds brilliantly in reconnecting psychology and philosophy and, by that homecoming, to ground psychotherapy (including contemporary psychoanalysis) as a "human science." The book begins by sketching ideas about truth we inherit from the Greeks, then shows how Descartes and Pascal helped launch the Enlightenment with their thinking about truth and the limits of reason. Kant, Hegel, and Marx broaden the scope to include reason, the unconscious, and the course of history. Kierkegaard and Nietzsche interject angst and authenticity. Dilthey proposes a human science neither scientistic nor irrational. Husserl launches phenomenology as the proper study of experience; Scheler, Jaspers and Heidegger react in their particular ways. Freud and Jung come to loggerheads over the unconscious. Buber, Binswanger, and Boss further develop existential-phenomenological perspectives in terms of human interrelatedness. Confrontation with the other and the limits of reciprocity engage Sartre, Lacan, and Laing. Psychoanalysis grows intersubjectively through the work of Sullivan, Fromm, Merleau-Ponty, Benjamin, and Stolorow. Postmodernism's excess, Frie and Burston conclude, requires acknowledgment of an authentic self answerable for choices in life: '...[W]e are both determined by, and exercise our agency in determining, the communicative contexts in which we exist" (p. 262). Psychotherapy from this existential-phenomenological perspective becomes "a rigorous exploration of our ways of making meaning--both consciously and unconsciously" (p. 263). The book ends, then, with an affirmation
Collado, Anahí; Lim, Aaron C; MacPherson, Laura
For decades, the literature has reported persistent treatment disparities among depressed Latinos. Fortunately, treatment development and evaluation in this underserved population has expanded in recent years. This review summarizes outcomes across 36 unique depression treatment studies that reported treatment outcomes for Latinos. Results indicated that there was significant variability in the quality of RCT and type/number of cultural adaptations. The review suggested that there might a relation between cultural adaptations with treatment outcomes; future studies are warranted to confirm this association. Cognitive Behavioral Therapy was the most evaluated treatment (CBT; n=18, 50% of all evaluations), followed by Problem Solving Therapy (PST; n=4), Interpersonal Therapy (IPT; n=4), and Behavioral Activation (BA; n=3). CBT seems to fare better when compared to usual care, but not when compared to a contact-time matched control condition or active treatment. There is growing support for PST and IPT as efficacious depression interventions among Latinos. IPT shows particularly positive results for perinatal depression. BA warrants additional examination in RCT. Although scarce, telephone and in-home counseling have shown efficacy in reducing depression and increasing retention. Promotora-assisted trials require formal assessment. Limitations and future directions of the depression psychotherapy research among Latinos are discussed. PMID:27113679
Marina Bento Gastaud
Full Text Available Objective:To analyze the degree of similarity to a "psychodynamic prototype" during the first year of two children's once-weekly psychodynamic psychotherapy.Methods: This study used a longitudinal, descriptive, repeated-measures design based on the systematic case study method. Two male school children (here referred to as Walter and Peter and their therapists took part in the study. All sessions were video and audio recorded. Ten sessions from each case were selected for analysis in this preliminary study. Trained examiners (randomly selected in pairs independently and blindly evaluated each session using the Child Psychotherapy Q-Set (CPQ. Experts in psychodynamic therapy and cognitive behavioral therapy from several countries rated each of the 100 CPQ items with regard to how well it characterized a hypothetical ideal session of either treatment modality. A series of paired t tests comparing analogous adherence scores within each session were conducted.Results:There were no significant correlations between time elapsed and adherence to the prototypes. Walter's treatment adhered to both prototypes and Peter's treatment did not adhere to either prototype.Conclusion:Child psychotherapy theory and practice are not absolutely coincident. Real psychotherapy sessions do not necessarily resemble the ideal prototypes.
目的:比较团体人际心理干预和团体认知行为干预对大学生社交焦虑的疗效.方法:方便选取1314 名大学生,采用交往焦虑量表(Interaction Anxiousness Scale,IAS)进行测试,筛取IAS 总分≥49 分(高焦虑者)275人.参照美国精神障碍诊断与统计手册第四版(Diagnostic and Statistical Manual of Mental Disorders,DSM-IV)关于社交焦虑障碍诊断标准的症状学描述,根据自愿的原则,选取社交焦虑程度较重的大学生45 名,随机分为3组,每组15人:IPT 组,采用团体人际心理干预,每周1次,共8周;CBT 组,实施认知行为干预,每周1 次,共8 周;对照组,实验过程中不予干预.各组在干预前测定社交回避及苦恼量表(Social Avoidance and Distress Scale,SADS),干预后再进行IAS和SADS的测定,比较IPT 组、CBT 组干预前后的疗效及其差别.结果:干预前3 组间IAS 总分、SADS 总分、回避因子分、苦恼因子分差异无统计学意义(P>0.05);干预后IPT 组与CBT 组的社交焦虑水平均低于对照组,而IPT 组与CBT 组间各项指标差异无统计学意义.IPT 组干预后各项指标得分均低于干预前;CBT 组干预后SADS 总分、回避因子分、苦恼因子分低于干预前;对照组各项指标前后差异无统计学意义(P>0.05).结论:团体人际心理干预与团体认知行为干预均能有效缓解社交焦虑水平,人际心理干预可作为治疗社交焦虑的一个重要手段.%Objective: To compare the effects of group interpersonal psychotherapy (IRT) and cognitive behavioral therapy (CBT) on social anxiety in college students.Methods: Totally 1314 students were selected by convenience sampling.They were assessed with the Interaction Anxiousness Scale (IAS) and 275 students whose scores ≥49 were chosen.Then 45 students with more serious symptoms were chosen according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-Ⅳ) diagnostic criteria on social anxiety disorder.They were randomly
A literature survey on new developments in the area of video games and psychotherapy of children and adolescents was conducted. Despite the omnipresence of computers and the internet, development of therapeutic games seems rather slow. The video game Treasure Hunt was introduced in 2008 to support treatment of children with internalizing and externalizing disorders. Camp Cope-A-Lot was developed for treatment of anxious children, whereas the self-help game SPARX is directed at depressed adolescents. Rage-Control is a biofeedback game for children with anger problems. The game Zoo U aims to assess and train social skills of primary school children. Ricky and the Spider for young children with obsessive compulsive disorder is meant to support the cognitive-behavioural treatment of these patients. Clash- Back is a French game for adolescents with externalizing problems. Possible reasons for the relatively slow development of therapeutic games are the high methodological demands concerning an evaluation as well as the high costs of game development. Nonetheless, computers and the internet are bound to influence psychotherapy with children and adolescents in the long run. PMID:26904927
Chadda, Rakesh K; Deb, Koushik Sinha
Indian society is collectivistic and promotes social cohesion and interdependence. The traditional Indian joint family, which follows the same principles of collectivism, has proved itself to be an excellent resource for the care of the mentally ill. However, the society is changing with one of the most significant alterations being the disintegration of the joint family and the rise of nuclear and extended family system. Although even in today's changed scenario, the family forms a resource for mental health that the country cannot neglect, yet utilization of family in management of mental disorders is minimal. Family focused psychotherapeutic interventions might be the right tool for greater involvement of families in management of their mentally ill and it may pave the path for a deeper community focused treatment in mental disorders. This paper elaborates the features of Indian family systems in the light of the Asian collectivistic culture that are pertinent in psychotherapy. Authors evaluate the scope and effectiveness of family focused psychotherapy for mental disorders in India, and debate the issues and concerns faced in the practice of family therapy in India. PMID:23858272
James L. Griffith
Full Text Available Background and Objectives: Existential inquiry is a focal psychotherapy tailored to address crises of demoralization. Demoralization refers to the helplessness, despair, and subjective incompetence that people feel when perceiving themselves to be failing their own or others´ expectations for coping with adversity. Methods: Existential inquiry revives a demoralized person´s capacity for coping by eliciting accounts for how the person has sustained hope, communion with others, purpose, agency, commitment, courage, and gratitude when threatened by losses, traumas, or insecurities. Existential questions reveal emotional postures of vulnerability and resilience. They ask both how a person has been impacted by adversities and how he or she has prevailed against them. Existential inquiry rebuilds morale by mobilizing emotional postures of resilience that are grounded in core identities: What are my deep desires and commitments? To whom am I accountable? Who do I know myself to be, or wish to be? Results: Clinical vignettes illustrate how these questions can open conversations that rebuild morale. Conclusions: Existential inquiry can serve as an effective brief psychotherapy for countering demoralization.
Full Text Available Sports is all forms of usually competitive physical activity which, through casual or organized participation, aim to use, maintain or improve physical ability and skills while providing entertainment to participants, and in some cases, spectators. Sport participation can contribute to the development of social skills and self esteem, emotional well-being, social connectedness, and lead to a reduction in stress and improved mental health (Steptoe & Butler, 1996; Bailey, 2006; Asztalos et al., 2008; Armstrong & Oomen-Early, 2009. However, at higher levels of athletics, and in collegiate settings where pressures placed on the athlete are not just sport-related, athletes may be at risk for developing emotional and psychological problems. Sports psychology concerns with both psychological factors that influence participation and performance in sport and exercise as well as psychological effects derived from them. This is a study in the theory and philosophy of Psychotherapy. The focus is on the psychotherapeutic technique of reframing – a technique for helping sportsmen to see their situation in a new light, from a new perspective. Psychotherapy is the treatment by psychological means of the problem of an emotional nature, in which a trained person deliberately establishes a professional relationship with the patient.
邓旭阳; 何家声; 郭晋林
Objective:This is a case study in which a 30-year-old male suffering from Examination Anxiety Disorder was treated by Eclectic Psychotherapy. Methods: Using Eclectic Psychotherapy, an approach that combines principles of Client Centeed Therapy, Cognitive Therapy, Rational Emotion Therapy (RET),and Behavior Therapy, the patient was treated for a total of 22 sessions.Results: The study showed obvious therapeutic effect for Eclectic Psychotherapy. The patient reported complete relief of his examination anxiety symptoms at conclusion of treatment. Follow-up by telephone at 1 month and 6 months after treatment showed that the patient remained stable and well.Conclusion: Eclectic Psychotherapy is an efficient way for treating symptoms of severe Examination Anxiety Disorder, both in terms of permanent cure and temporary relief.
Bychkova, Tetyana; Hillman, Saul; Midgley, Nick; Schneider, Celeste
An innovative methodology is presented for describing the therapeutic processes involved in five types of adolescent treatments: psychoanalysis, psychodynamic psychotherapy, cognitive-behavioural therapy, mentalisation-based treatment and interpersonal psychotherapy. Using the "Adolescent Psychotherapy Q-Set" (APQ), 18 experienced clinicians…
Background: Ideas of cure within the psychoanalytical movement have mainly focused on 'insight' or 'interpersonal relationship'. Patients' ideas of curative factors during and after therapy have been studied previously, as well as their expectancies and preferences prior to treatment. Aims: This project aimed at studying psychoanalytic psychotherapy with young adults from the viewpoints of ideas of cure among patients, and outcome, and how these two aspects are related t...
Sledge, William; Plakun, Eric M.; Bauer, Stephen; Brodsky, Beth; Caligor, Eve; Clemens, Norman A; Deen, Serina; Kay, Jerald; Lazar, Susan; Mellman, Lisa A; Myers, Michael; Oldham, John; Yeomans, Frank
The objective was to review established literature on approaches to the psychotherapy of borderline personality disorder with specfic reference to suicide in order to determine if there were common factors across these efforts that would guide future teaching, practice and research. The publications from the proponents of five therapies for the treatment of suicidal behavior in individuals with borderline personality disorder (BPD), were reviewed and discussed by the members of the Group for ...
Leung, Eugenie Y.
This article presents an online interview about college psychotherapy at a Hong Kong counseling center. The interview discusses how students generally feel about going for counseling or therapy and how common it is in Hong Kong.
This article is devoted to the question which paradigms currently determine psychotherapy and psychotherapy research, and if there are indicators of paradigm changes in this field. The question of the efficacy and effectiveness (including the effectiveness of a transfer of psychotherapeutic knowledge to service) is specifically focussed as well as the question of the central therapeutic factors and the significance of the person of the therapist. It is argued that there are really some signals of a paradigm switch, with a turn away from controlled outcome research, representing only a minor part of patients in need of psychotherapy, towards a more specific process oriented research, also considering differential effects of the therapist. The most prominent indicator of a paradigm change is reflected by an increasing influence of patient oriented psychotherapy research which - consequently - should also be supported by the insurances as well as the funding organisations. PMID:26308458
Mattenklodt, P; Leonhardt, C
Systematic reviews of psychosocial assessment and effectiveness of psychotherapy for chronic pain syndromes in older patients are rare. However, it is of particular importance to consider the psychosocial aspects of elderly people with chronic pain. This narrative review describes recommended German-language assessments of the psychosocial dimensions of pain and summarizes existing studies of psychological therapy approaches for chronic pain in old age. Effective psychometric instruments are available for the assessment of cognitive function, pain-specific attitudes, depression, fear of falling, interpersonal processes and social activities, pain management, pain acceptance, disability, psychological well-being, and quality of life. Further experience with the use of these instruments with cognitively impaired or geriatric patients is required. The efficacy of age-adapted cognitive behavioral therapy and multimodal therapy for older patients has been documented. However, there is often a lack of supporting documentation about important result parameters (e.g., quality of life, functioning in everyday life, or pain acceptance). Overall, chronic pain in elderly people requires a biopsychosocial-spiritual model of pain. More attention should be given in research and daily practice to religiosity/spirituality as a possible means of coping, while mindfulness- and acceptance-based therapies should be further explored. PMID:26024645
Background: Sensorimotor Psychotherapy is an approach for working with people who have experienced trauma (e.g. post-traumatic stress disorder [PTSD]) that is based on contemporary philosophies of embodiment and the expanse of neurobiological evidence for the effect of psychological trauma on the physical body. Thus, Sensorimotor Psychotherapy places central importance on working with the body in therapy. Method: This study explored the experiences of 10 therapists and 2 clients who have...
Razaghi, Emran Mohammad; Tabatabaee, Maryam; Pourramzani, Ali; Shirali Mohammadpour, Reza; Mousazade Moghaddam, Arezou; Yahyavi, Seyyed Taha
In Iran, inpatient group psychotherapy has been limited to transient practices for research purposes or fulfilling personal interest of therapists. The goal of this paper is to share and explain the experience of developing an inpatient group psychotherapy program in Roozbeh Psychiatric Hospital, Tehran, Iran. After theoretical delineation and preparation of a draft of the program guideline, two pilot sessions were held. Based on this initial experience a final treatment guideline was prepare...
Voutilainen, Liisa; PerÃ€kylÃ€, Anssi; Ruusuvuori, Johanna Elisabeth
Using audio-recorded data from cognitive-constructivist psychotherapy, the article shows a particular institutional context in which successful professional action does not adhere to the pattern of affective neutrality which Parsons saw as an inherent component of medicine and psychotherapy. In our data, the professionalâs non-neutrality functions as a tool for achieving institutional goals. The analysis focuses on the psychotherapistâs actions that convey a critical stance towards a thir...
Oana Maria Popescu; Silvia Georgiana Gane
One of the most important tendencies in child psychotherapy is the integration of various psychotherapeutic approaches and technical interventions belonging to different orientations. Based on the Harry Potter stories, the „Wizarding School” structured group therapy program is a 12-step integratively oriented program applicable in personal development, individual and group therapy for children aged 6 to 13 (at present being adapted for adult psychotherapy). The program takes place within a fa...
Rialle, Vincent; Stip, Emmanuel; O'Connor, Kieron
Computer technology has been applied to psychiatry and psychotherapy for four main purposes: as a diagnostic aid, for computer-assisted instruction, to aid cognitive rehabilitation, and for computer-mediated psychotherapy (CMP). The first and second applications have proved highly useful in some psychiatric domains, but CMP is at a preliminary stage and remains controversial because little evaluation data is available. The questions addressed in this paper are: Can psychologic computer softwa...
Diogo de Bitencourt Machado; Fábio Monteiro da Cunha Coelho; Augusto Dutra Giacomelli; Mariana Almeida Lopes Donassolo; Morgana Sonza Abitante; Tatiane Dall'Agnol; Cláudio Laks Eizirik
INTRODUCTION: Countertransference, the emotional reaction of a psychotherapist toward a patient, is an important technical element of psychotherapy. The purpose of this systematic review was to identify and describe the main findings of studies that evaluated countertransference in adult psychotherapy.METHODS: A search was conducted of the databases Embase, PubMed, PsycINFO and Web of Knowledge to retrieve data published in any language at any time.RESULTS:Of the 1,081 studies found in the da...
Marcolino José Alvaro Marques; Iacoponi Eduardo
INTRODCTION: Therapeutic alliance is a key component of the psychotherapeutic process. This study estimated the impact of the therapeutic alliance as measured by CALPAS-P in an individual brief psychodynamic psychotherapy program. METHODS: To study the impact of the therapeutic alliance patients in psychotherapy answered to the CALPAS-P at the first and third session and to the Self-report Questionnaire (SRQ-20), to the Beck Depression Inventory (BDI) and to the Hamilton Anxiety Scale at the ...
JOY RENEE ROSE CALINGASAN RECIO
This research attempted to determine the effect of positive psychotherapy anchored on Martin Seligman’s theory of Authentic Happiness (2002)as an intervention to adolescents’ depression. Specifically, the study intended to seek the respondent’s level of depression before the experiment; the respondent’s level of depression after the experiment; and the significant effect of positive psychotherapy on the respondent’s level of depression. Based on the results, the mean score of the levels of de...
Clinical decision-making about suitability for psychological therapies is hampered by limitations of psychotherapy research and our lack of understanding of therapeutic mechanisms. Watzke et al's important randomised controlled study offers apparent validation for clinical judgement in relation to suitability for psychodynamic psychotherapy but also highlights the negative effects of unselected assignment to this type of treatment. Here, I consider why systematic selection for this form of tr...
Zaslav, Mark R.
Current theory on self-conscious emotions emphasizes the importance of shame-related phenomena in psychopathology and psycho- therapy. An appreciation of manifestations of shame in psychotherapy greatly deepens our ability to connect with and understand our patients' experience. The relative salience of the shame-prone patient's devalued-self or devaluing-other internalizations will have critical importance in the psychotherapy setting, guiding the types of interventions and stances that are ...
According to parts of the existential psychology and psychotherapy the individual's exploration and compliance of his or her life project is central to the experience of living a meaningful life. In many ways, becoming a fully adult individual is about identifying and taking responsibility...... for this life project. If individuals do not undertake the task to find and follow this project their life they will either come to live an empty or superficial life on other people's premises or experience a life of despair. This also includes students for whom completion of an education might be part...... of their life project. For all people choosing a particular kind of education involves an existential choice...
First-person narratives may have advantages as adjuncts in psychotherapy. They provide an inside view of mental disorders expressed in the person's own words, emphasize issues that the person deems important, are interesting to read with strong story lines, are less didactic than self-help books, and offer identification with a protagonist. Recent trends in published autobiographies are described. There has been an increase in the number of published autobiographies describing mood disorder relative to schizophrenia, of psychotherapists going public with personal experiences of mental disorder, and of books expressing a positive view of treatment. The article includes case vignettes and a practitioner-recommended list of autobiographies on addictive disorders, death and grieving, and mood disorders. PMID:12552628
Menahem, Sam; Love, Melanie
The process of forgiveness in psychotherapy involves both letting go of resentment toward the offender and replacing the resentment with mindful awareness and empathy. By reconceptualizing past transgressions with a kinder, more equivocal outlook, clients attain a shift in perspective that is spiritual and cognitive in nature, thereby reducing symptomology and enhancing their quality of life. Such insights bring clients toward their inner Buddha nature, which transcends the suffering associated with clinging to past hurts and resentment. This process is facilitated by techniques such as concentrative meditation and identifying with transgressors through perspective taking. Forgiveness therapy improves clients' sense of well-being by promoting feelings of peacefullness toward oneself as well as others. PMID:23775401
Schredl, Michael; Bohusch, Claudia; Kahl, Johanna; Mader, Andrea; Somesan, Alexandra
Since the publication of Sigmund Freud's The Interpretation of Dreams, dream interpretation has been a standard technique often used in psychotherapy. However, empirical studies about the frequency of working on dreams in therapy are lacking. The present study elicited, via a self-developed questionnaire, various aspects of work on dreams applied by psychotherapists in private practice. The findings indicate that dreams were often used in therapy, especially in psychoanalysis. In addition, a significant relationship was found between the frequency of the therapists' working on their own dreams and frequency of work on dreams in therapy. Because work on dreams was rated as beneficial for the clients, further studies investigating the effectiveness and the process of working on dreams will be of interest. PMID:10793127
Thomas Kuhn's concept of paradigm as central to the functioning of a mature science is linked with Johnson-Abercrombie's recognition that perception itself is shaped by the schemata available to the subject. The rapidly advancing field of non-linear mathematics, in offering conceptual forms to represent complex events, may provide a useful framework in which to place various psychodynamic formulations about the development of the personality, and suggests the possibility of a new approach to research concerning the efficacy of psychotherapy. Dan Stern's latest concept of "moments" as the basic unit in structuring the personality, leading to the complex representational patterns and feed-back loops he terms "RIGS" may be viewed in this context. The paradigm may be extended to include such concepts as Peterfreund's linkage of psychodynamic theorising with aspects of information theory generated by the study of computers, and with Sullivan's concepts of repetitive patterns of behaviour recognisable, and changing, throughout the course of a therapy. PMID:1793425
Elkjaer, Henriette Kiilsholm; Mortensen, Erik Lykke; Poulsen, Stig Bernt;
PURPOSE: Women with long-term sequalae of child sexual abuse (CSA) were randomly assigned to analytic (Group A) or systemic group psychotherapy (Group S). Pre-post-analysis indicated that both therapies led to significant improvement, but overall Group S had significantly better outcome than Group...... A. This study investigates if gains are maintained one and five years following termination, and if the groups differ in gains. METHOD: 106 women started on allocated intervention. Psychological distress (GSI from SCL-90R), psycho-social functioning (GAF), and global life quality (GLQ), were...... maintained statistical significant improvement on GSI, GAF and GLQ five years post-treatment. No significant difference was found in gains between groups....
Full Text Available The aim of the study was to indicate efficacy of various psychological therapies for pathological and problem gambling. The literature on psychotherapy of gambling (1983–2012 was reviewed and particular attention carried out to meta-analysis studies during the period in question. The definition and the place of pathological gambling in the international classifications of diseases DSM-IV and ICD-10, and the prevalence of this disorder was briefly explained. This article provides information about the therapeutic approaches applied for the treatment of the pathological gambling problem: Gamblers Anonymous groups, the psychodynamic approach, behavioral therapy, cognitive approach, cognitive-behavioral therapy, marriage and family therapy, motivational interviewing therapy, multimodal treatment. This review provides an assessment of the effectiveness of therapeutic approaches used to treat people suffering from addiction to gambling. The cognitive behavioral approach is currently rated as the most effective in the treatment of gambling addicts. A meta-analysis performed on the previous study of gambling psychotherapy are the source of two types of recommendations. The first recommendations relate to methodological rigour. The second recommendations set the following research problems e.g. finding a common factor of different therapeutic approaches, gender as a moderator or an issue of dual diagnosis in treating gamblers.
Karmen Urška Modic
Full Text Available This article describes a qualitative study of helpful aspects of the therapeutic relationship in Integrative Psychotherapy. Participants of the study were sixteen clients who were in the process of Integrative Psychotherapy for at least a year. Participants were interviewed with the adapted version of the Change Interview (Elliott, 1999, which involves a semi-structured empathic exploration of the client's experience in therapy. The analysis of the clients’ experience of Integrative Psychotherapy revealed six categories of helpful aspects of therapeutic relationship: the therapist’s empathic attunement, the therapist’s acceptance, the match between the client and the therapist, feelings of trust and safety, feeling of connection, and experience of a new relational experience. Based on results of the research, we developed a model of the healing relationship in integrative psychotherapy. This model describes the interrelatedness of these six helpful aspects of the therapeutic relationship. The categories of empathic attunement and acceptance proved to be the most important categories relating to the therapist’s contribution to the healing therapeutic relationship. Clients described that the therapist’s empathic attunement and acceptance influenced the development of safety and trust, feelings of connection and promotion of new relational experiences. The results of this study are discussed in relation to the theories of Integrative Psychotherapy and research regarding the therapeutic relationship in psychotherapy.
The present study examines the relations between acculturative stress, mental health, and attitudes toward psychotherapy, and whether these relations are the same for immigrants of color and White immigrants. This study predicted that acculturative stress would have a significant, negative relation with attitudes toward psychotherapy and that this relation would be moderated by race (immigrants of color and White immigrants) so that as acculturative stress increases, attitudes toward psychotherapy become more negative for immigrants of color but not White immigrants. Finally, mental health was predicted to mediate the relation between acculturative stress and attitudes toward psychotherapy for immigrants of color, but not White immigrants. Participants were 149 first-generation, immigrant, young adults, between the ages of 18 and 29, who identified as White, Black, Latino, or Asian. A significant negative correlation was found between acculturative stress and attitudes toward psychotherapy. A moderated mediation analysis demonstrated that the negative relation between acculturative stress and attitudes toward psychotherapy was mediated by mental health symptoms for immigrants of color but not White immigrants. PMID:23544838
Hörz-Sagstetter, Susanne; Mertens, Wolfgang; Isphording, Sybille; Buchheim, Anna; Taubner, Svenja
This study examines how reflective functioning (RF) can be assessed in analytic sessions and throughout psychoanalytic psychotherapy. The goals are to replicate in part a study by Josephs and colleagues (2004) by applying the RF Scale to analytic sessions and to study fluctuations of RF within each session. Additionally, RF based on sessions was compared with the RF ratings based on the Adult Attachment Interview (AAI) during the course of two psychoanalytic psychotherapies with a duration of 240 hours. RF changes based on 10 sessions per patient, assessed at baseline and after 80, 160, and 240 hours of therapy, and RF changes based on AAI ratings measured at baseline and after 240 hours of therapy, and in one case at follow-up, were related to changes of symptoms and attachment classifications over time. Results showed that in both cases RF fluctuated within sessions. The average RF rating per session increased over the course of treatment, while the AAI-based RF rating needed longer to increase. Rather good correspondence was found between session-based RF ratings and independent AAI-based RF ratings. In both cases, changes in RF over time were compared to changes in attachment classification based on the AAI and to symptomatic change. Better correspondence between symptomatic and attachment changes was found with the AAI-based RF rating. It was tentatively interpreted that session-based RF ratings may represent a state of RF that is strongly influenced by the therapist-patient interaction, whereas AAI-based RF can be considered to have more trait characteristics. PMID:26185290
The results of a short-term psychotherapy quality assessment study, conducted at a university mental health service, are described. The outcome indicates that high-quality brief psychotherapy can be provided by university counseling services. (JN)
Mentalistic variables must be considered to reach a correct understanding of the neurophysiological basis of behavior in humans. Confusion regarding the relative importance of neurophysiological and mentalistic variables can lead to important misconceptions about causes and effects in the study of human behavior. In this article, we review neuroimaging studies of the effect of psychotherapy in patients suffering from diverse forms of psychopathology (obsessive-compulsive disorder, panic disorder, unipolar major depressive disorder, spider phobia). We also review neuroimaging studies of the placebo effect in healthy individuals (placebo analgesia, psychostimulant expectation) and patients with Parkinson's disease or unipolar major depressive disorder. Mental functions and processes involved in diverse forms of psychotherapy exert a significant influence on brain activity. With regard to the placebo effect, beliefs and expectations can markedly modulate neurophysiological and neurochemical activity in brain regions involved in perception, movement, pain and various aspects of emotion processing. The findings of the neuroimaging studies reviewed here strongly support the view that the subjective nature and the intentional content of mental processes significantly influence the various levels of brain functioning (e.g. molecular, cellular, neural circuit) and brain plasticity. PMID:19023697
Bozhko, S. A.; N.A. Tyuvina
Objective: to study the efficiency of treating neurasthenia by psychotherapy in combination with reflexotherapy (acupuncture) and phytotherapy. Patients and methods. Psychotherapy or combination treatment (psychotherapy + reflexotherapy, psychotherapy + phytotherapy) was performed in 96 neurasthenic patients (65 men and 31 women) aged 18 to 40 years. Therapeutic effectiveness was evaluated by psychometric testing using the Clinical Global Impression Scale (CGI), the Spielberger-Hanin test, an...
Field, Tiffany; Deeds, Osvelia; Diego, Miguel; Hernandez-Reif, Maria; Gauler, Andy; Sullivan, Susan; Wilson, Donna; Nearing, Graciela
One hundred twelve pregnant women who were diagnosed depressed were randomly assigned to a group who received group Interpersonal Psychotherapy or to a group who received both group Interpersonal Psychotherapy and massage therapy. The group Interpersonal Psychotherapy (one hour sessions) and massage therapy (30 minute sessions) were held once per week for six weeks. The data suggested that the group who received psychotherapy plus massage attended more sessions on average, and a greater perce...
Spirituality and religiosity appeared in psychotherapy in the 1980’s and 1990’s of the twentieth century. Since then, the number of studies on the effectiveness of including them in psychotherapy has significantly increased. Scientific research shows that psychotherapy which takes into account the patient’s spirituality or religiosity is just as effective as other forms of psychotherapy, and in some cases even more effective, especially in the treatment of religious individuals and in the tre...
Costa Elisabeth Maria Sene; Antonio Rosilda; Soares Márcia Britto de Macedo; Moreno Ricardo Alberto
OBJETIVE: Recent literature has highlighted the role of psychotherapy in the treatment of major depressive disorder. Combined therapies comprising both psychotherapy and pharmacotherapy have presented the best results. Although several kinds of psychotherapies have been studied in the treatment of depressive disorders, there remains a lack of data on psychodramatic psychotherapy in the treatment of major depressive disorder. The objective of this study was to evaluate the impact of psychodram...
Johnson, Steven D
Although a fair amount has been written about gay affirmative psychotherapy, there has not been a clear consensus on what actually constitutes gay affirmative therapy. Because there are no real theoretical framework, operational definitions, or outcome measures, pychotherapists are left unsure about how to incorporate it into their practice and researchers are unsure how best to investigate it. This article offers recommendations to identify gay affirmative therapy as a culturally competent approach for working with lesbian, gay, and bisexual clients and offers future research directions including how to utilize the "coming out" narrative in gay affirmative therapy. PMID:23039349
Full Text Available Objective: The coordination of patient’s and therapist’s bodily movement – nonverbal synchrony – has been empirically shown to be associated with psychotherapy outcome. This finding was based on dynamic movement patterns of the whole body. The present paper is a new analysis of an existing dataset (Ramseyer & Tschacher, 2011, which extends previous findings by differentiating movements pertaining to head and upper-body regions. Method: In a sample of 70 patients (37 female, 33 male treated at an outpatient psychotherapy clinic, we quantified nonverbal synchrony with an automated objective video-analysis algorithm (Motion Energy Analysis, MEA. Head- and body-synchrony was quantified during the initial 15 minutes of video-recorded therapy sessions. Micro-outcome was assessed with self-report post-session questionnaires provided by patients and their therapists. Macro-outcome was measured with questionnaires that quantified attainment of treatment goals and changes in experiencing and behavior at the end of therapy. Results: The differentiation of head- and body-synchrony showed that these two facets of motor coordination were differentially associated with outcome. Head-synchrony predicted global outcome of therapy, while body-synchrony did not, and body-synchrony predicted session outcome, while head-synchrony did not. Conclusions: The results pose an important amendment to previous findings, which showed that nonverbal synchrony embodied both outcome and interpersonal variables of psychotherapy dyads. The separation of head- and body-synchrony suggested that distinct mechanisms may operate in these two regions: Head-synchrony embodied phenomena with a long temporal extension (overall therapy success, while body-synchrony embodied phenomena of a more immediate nature (session-level success. More explorations with fine-grained analyses of synchronized phenomena in nonverbal behavior may shed additional light on the embodiment of
Benish, Steven G.
Culturally adapted psychotherapy has potential to improve psychotherapy outcomes for ethnic and racial minorities and solve a decades-long conundrum that alteration of specific ingredients does not improve psychotherapy outcomes. Adaptation of the cultural explanation of illness, known as the anthropological Myth in universal healing practices…
Ritvo, Rachel; Al-mateen, Cheryl; Ascherman, Lee; Beardslee, William; Hartmann, Lawrence; Lewis, Owen; Papilsky, Shirley; Sargent, John; Sperling, Eva; Stiener, Gregory; Szigethy, Eva
In this task force report, the authors define the field of child and adolescent psychotherapy; review the state of the field with respect to advocacy, training, research, and clinical practice; and recommend steps to ensure that psychotherapy remains a core competence of child and adolescent psychiatrists. (The Journal of Psychotherapy Practice and Research 1999; 8:93–102)
Pinkerton, Rolffs; Talley, Joseph E.; Cooper, Stacie L.
The authors offer reflections on what seems to work in individual psychotherapy with university students. Discussion centers around the topics of triage and disposition, referral, crisis intervention, stress management, open-ended psychotherapy, extratherapeutic factors, and the psychotherapy relationship. These observations are not intended to be…
Clark, James J.; Borden, William
Jerald Kay's article in this issue reviews important research in the areas of adult psychotherapy and neuroscience, and their implications for child psychotherapy. We respond by exploring some of the strengths and limitations of these lines of research and their implications for child psychotherapy development and research. The paper closes with…
McLeod, Bryce D.; Weisz, John R.
Most everyday child and adolescent psychotherapy does not follow manuals that document the procedures. Consequently, usual clinical care has remained poorly understood and rarely studied. The Therapy Process Observational Coding System for Child Psychotherapy-Strategies scale (TPOCS-S) is an observational measure of youth psychotherapy procedures…
Kwan, Bethany M.; Dimidjian, Sona; Rizvi, Shireen L.
Pharmacotherapy and psychotherapy are generally effective treatments for major depressive disorder (MDD); however, research suggests that patient preferences may influence outcomes. We examined the effects of treatment preference on attrition, therapeutic alliance, and change in depressive severity in a longitudinal randomized clinical trial comparing pharmacotherapy and psychotherapy. Prior to randomization, 106 individuals with MDD reported whether they preferred psychotherapy, antidepressa...
Full Text Available Mindfulness has without doubt been the fastest spreading and most popular concept in psychotherapy in the last two decades. Its influence exceeds that of any other individual concept or approach in modern psychotherapy. However, there are many dilemmas, open questions and controversies related to this rapid, almost fanatic spread, which obviously compensates for a certain lack in modern Euro- and Americo-centric societies. Similarly, we are witnessing in the West a lack of reflection, a process of limitless idealization, and the search for a panacea. This all flows with a tint of colonialism, presumptuously taking over ideas, concepts and techniques without a proper study of the primary sources, and with all the accompanying negative side-effects: profiteering, self-promotion, unethical conduct, empty promises of instant rewards, and so on. In the present paper, the development of interest in mindfulness in psychotherapy, as well as the research findings and dilemmas, and concepts and mechanisms of applying mindfulness in psychotherapy, will be reviewed. The main purpose of the paper is to contribute to the critical reflection in studying and applying mindfulness in psychotherapy.
Choi, Kwang-Yeon; Kim, Yong-Ku
Psychotherapy and pharmacotherapy have been the mainstays of treatment for depression and anxiety disorders during the last century. However, treatment response has not improved in the last few decades, with only half of all patients responding satisfactorily to typical antidepressants. To fulfill the needs of the remaining patients, new treatments with better efficacy are in demand. The addition of psychotherapy to antidepressant treatment has been shown to be superior to pharmacotherapy alone. However, the time costs of psychotherapy limit its use for clinicians and patients. Advancements in neuroscience have contributed to an improved understanding of the pathogenesis of depressive and anxiety disorders. In particular, recent advances in the field of fear conditioning have provided valuable insight into the treatment of refractory depressive and anxiety disorders. In this review, we studied the reconsolidation-updating paradigm and the concept of epigenetic modification, which has been shown to permanently attenuate remote fear memory. This has implications for drug-augmented, e.g. antidepressant and valproic acid, psychotherapy. Future research on more sophisticated psychotherapy techniques will increase the desirability of this treatment modality for both clinicians and patients. PMID:27072378
A psychodynamic formulation of borderline psychopathology includes the understanding of the borderline patient's aloneness problems, need-fear dilemma issues, and difficulties with primitive guilt. The aloneness problems are at the core of the disorder, and involve an inability to maintain an evocative memory, and holding and soothing introjects of significant people when under stress of separation. The possible childhood origins of these difficulties are explored and related to the ways these issues emerge in psychotherapy. The psychodynamic formulation is crucial in the psychotherapeutic approach to the aloneness problems. It helps the therapist work with the aloneness difficulties and understand the options as the therapy continues. Since rapid therapeutic decisions are often necessary with borderline patients, the formulation provides the necessary framework, and helps the therapist process and utilize countertransference feelings. Projective identification is an important concept that helps explain the complex transference/countertransference experiences, and is used in defining the resolution of the aloneness problems of borderline patients. Finally, limit-setting and the use of transitional objects are explored, utilizing the psychodynamic framework that has been defined. PMID:8517469
Gamze Ergil Altin
Full Text Available Perinatal depression is a psychiatric disorder that is not sufficiently diagnosed and directed to treatment. Its acute and chronic outcomes influence not only the mother but also the infant and the relationship between them. Both pregnancy and the postpartum periods are the times of significant physiological and emotional changes which also influence interpersonal relationships. Interpersonal risk factors like insufficient social support and increased social conflict can have an important impact on the women’s mental and physiological health during this period. Studies have shown that women prefer psychological and social management over drugs during this period. Interpersonal psychotherapy is a time-limited treatment approach, especially focusing on interpersonal difficulties with the goal of reducing depressive symptoms and improving interpersonal functioning. Such distressing factors which can occur during pregnancy and delivery are compatible with the four main problem areas that interpersonal psychotherapy addresses so that the therapist can easily use interpersonal psychotherapy in order to solve such difficulties.
Milena da Rosa Silva
Full Text Available Given the specificities of postpartum maternal depression, the literature recommends that fathers become involved in psychological interventions within this context. This study presents an investigation of the participation of fathers in parent-infant psychotherapy in the context of maternal postpartum depression. Two families participated in this study, both with a child aged between 7 and 8 months old, whose mothers showed depressive symptoms. These families participated in parent-infant psychotherapy lasting approximately 12 sessions. Analysis of the fathers’ participation in psychotherapy showed that their presence during sessions enables the therapy to address aspects of parenthood, and also reduce the feeling of mothers as being the only ones responsible for the family’s process of change. In regard to the technique, the presence of fathers during sessions allows the therapist to see and address the issues concerning mother-father-infant during sessions.
Kramer, U; Ambresin, G; de Roten, Y; Fassassi, S; Hedjal, A; Herrera, F; Kolly, S; Pomini, V; Preisig, M; Despland, J-N
The question of the place of psychotherapy in psychiatric public care is posed in this article. We will address this question first by presenting two clinical and research programmes which were implemented in a clinical psychiatric unit, section Karl Jaspers (Service of General Psychiatry) of the Department of Psychiatry CHUV, in Lausanne with the collaboration of the University Institute of Psychotherapy. The first one puts forward psychodynamic psychotherapy of depressed inpatients; the clinical programme and the research questions on efficacy of this treatment are discussed. The second focuses on the early treatment of patients with Borderline Personality Disorder, in particular in its research question on the effect of the motive-oriented therapeutic relationship in this process. We conclude by underlining the convergences of the two programmes. PMID:20963958
Richard G. Erskine
Full Text Available 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 several developments in group therapy, particularly the cybernetic feedback and other-centered models. It emphasizes the healing power of relationships between group members and the importance of phenomenological inquiry, affective attunement, identification, and relational-needs. The leader’s tasks are to stimulate the flow of contactful dialogue and to teach about human needs and healthy relationships.
Full Text Available The tendency of psychotherapy modern concepts referring to the short-term forms having been taken into account, we carried out the research aimed at the study of short-term form personality-oriented psychotherapy effect on the anxiety disorder dynamics. 103 patients with neurotic disorders were examined in the neurosis and psychotherapy department of the Bekhterev Psychoneurological Research Institute. The findings revealed the situational and personal anxiety level to be objectively decreased in the short-term group psychotherapy course. The short-term group psychotherapy was proved to bean effective method in anxiety disorders treatment considering indications and limitations.
Summary China’s first mental health law, which went into effect last year, envisages a world in which psychotherapy is an integral part of all levels of medical care. There are many obstacles to achieving this goal. The new law empowers psychiatrists to provide psychotherapy but few of them have the time or inclination to do so because of the lower incomes generated by non-biological treatments. Trained clinical psychologists are in very short supply partly because of the lack of supervised t...
Sacamano, James; Altman, Jennifer K
We propose to incorporate the contextual view of the Buddhist teachings of the Three Turnings into applications of mindfulness in psychotherapy; specifically by applying the teaching of the Four Postures, which are expressions of innate health in ordinary life activities. This practice may expand understanding of the core mechanisms of different modalities of mindfulness and psychotherapy, thereby supporting clinicians in guiding clients on a healing path that is in natural alignment with each individual. By its allegiance to inherent wakefulness (Buddha Nature), this teaching supports clients in appreciating their own inherent health and the health of the world around them. PMID:26661827
Full Text Available The article concerns psychotherapeutic work in the perspective of existential approach. Two trends are discerned in modern psychotherapy regardless of the known division into different schools – the adaptation therapy, and the one viewing a person in the context of his Personal being in the world. Therapy here is understood as the Way of mutual personal growth of both the therapist and the client. Distinction is singled out as one of the central points in forming the meanings, essential for both the normal development of a child and in psychotherapy, and remaining significant for spiritual growth in adults.
Brenes, Gretchen A.; Ingram, Cobi W.; Danhauer, Suzanne C.
Telephone-delivered psychotherapy has increased utility as a method of service delivery in the current world, where a number of barriers, including economic hardships and limited access to care, may prevent people from receiving the treatment they need. This method of service provision is practical and has the potential to reach large numbers of underserved people in a cost-effective manner. The aim of this paper is to review the state-of-the-art of telephone-delivered psychotherapy and to id...
Clinical decision-making about suitability for psychological therapies is hampered by limitations of psychotherapy research and our lack of understanding of therapeutic mechanisms. Watzke et al's important randomised controlled study offers apparent validation for clinical judgement in relation to suitability for psychodynamic psychotherapy but also highlights the negative effects of unselected assignment to this type of treatment. Here, I consider why systematic selection for this form of treatment may be important and suggest how the limited effectiveness of psychodynamic therapy for an unselected group of patients may be addressed by more systematic treatment delivery and the ongoing monitoring of intermediate treatment outcomes. PMID:20679254
Katarzyna Cyranka; Krzysztof Rutkowski; Michał Mielimąka; Jerzy A. Sobański; Bogna Smiatek-Mazgaj; Katarzyna Klasa; Edyta Dembińska; Łukasz Müldner-Nieckowski; Paweł Rodziński
Objectives The study of group psychotherapy influence on the personality functioning of patients on treatment for neurotic disorders and selected personality disorders (F4-F6 under ICD-10). Methods The study concerned 82 patients (61 women and 21 men) who underwent intensive short-term group psychotherapy in a day ward. A comprehensive assessment of the patients’ personality functioning was carried out at the outset and the end of the psychotherapy utilising the MMPI-2 questionnaire...
The present paper is part of the project „Synergetik in der Psychotherapie“ (synergetics in psychotherapy) which checks whether the system of a psychotherapy can be analyzed by synergetics or systems science. This dissertation examines the validity of some specific synergetic hypotheses about psychotherapy and suggests the following links: Emotional support in relationships enhances therapy outcome, occuring throughout the whole length of therapy as well as at times of personal change. Comple...
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 participated in treatment. Repeated-measures analyses using linear mixed models with random intercepts were conducted to determine whether child and caregiver alliance differed across time, as well to examine factors associated with each perspective on alliance. Intraclass correlations (ICCs) between child, caregiver, and therapist reports of alliance were also examined. Alliance was rated relatively high overall across perspectives. Clients (children and caregivers) tended to report the strongest and most stable alliance, while therapists reported the weakest alliance and perceived deteriorations in child alliance over time. Inter-informant agreement was variable for child and caregiver alliance; agreement was moderate between clients and therapists. Several predictors of alliance emerged, including child gender, anxiety diagnosis, caregiver race/ethnicity, and therapist experience. This study provides methodological information about reports of therapeutic alliance across time and informants that can inform current efforts to understand the alliance-outcome association. PMID:25314097
Thorsen, Anders Lillevik; van den Heuvel, Odile A; Hansen, Bjarne; Kvale, Gerd
The symptoms of obsessive-compulsive disorder (OCD) include intrusive thoughts, compulsive behavior, anxiety, and cognitive inflexibility, which are associated with dysfunction in dorsal and ventral corticostriato-thalamocortical (CSTC) circuits. Psychotherapy involving exposure and response prevention has been established as an effective treatment for the affective symptoms, but the impact on the underlying neural circuits is not clear. This systematic review used the Medline, Embase, and PsychINFO databases to investigate how successful therapy may affect neural substrates of OCD. Sixteen studies measuring neural changes after therapy were included in the review. The studies indicate that dysfunctions in neural function and structure are partly reversible and state-dependent for affective symptoms, which may also apply to cognitive symptoms. This is supported by post-treatment decreases of symptoms and activity in the ventral circuits during symptom provocation, as well as mainly increased activity in dorsal circuits during cognitive processing. These effects appear to be common to both psychotherapy and medication approaches. Although neural findings were not consistent across all studies, these findings indicate that people with OCD may experience functional, symptomatic, and neural recovery after successful treatment. PMID:26228566
Del Grande da Silva, Giovanna; Wiener, Carolina David; Barbosa, Luana Porto; Gonçalves Araujo, Jaciana Marlova; Molina, Mariane Lopez; San Martin, Pedro; Oses, Jean Pierre; Jansen, Karen; Dias de Mattos Souza, Luciano; Azevedo da Silva, Ricardo
Depression is a serious condition that is associated with great psychic suffering and major impairments on the patient's general health, quality of life, and social and occupational activities. In some cases, it may lead to suicide. Regardless of the innumerous research works that have already addressed depression in wide and specific facets, there is still a lot to grasp in order to effectively help preventing and treating depression. This work presents data from a randomized clinical trial that sought to evaluate the effectiveness of two brief psychotherapeutic for Depression: Cognitive Behavioral Therapy (CBT) and Supportive-Expressive Dynamic Psychotherapy (SEDP). This was a convenience sample composed of 46 individuals that were evaluated using a structured diagnostic interview and then randomly allocated to the SEDP group. We examined baseline and post-intervention serum levels of the Interleukin-6 (IL-6) and the Tumor Necrosis Factor (TNF-α) in addition to the severity of depressive symptoms according to the Outcome Questionnaire - 45.2 (OQ-45.2) and the Beck Depression Inventory (BDI). Results show that serum IL-6 and TNF-α levels, as well as the scores from the OQ-45.2 and the BDI significantly decreased after 16 sessions of SEDP (p brief psychodynamic psychotherapy in the reduction of depressive symptoms and serum inflammatory levels that are associated with depression. PMID:26802811
Intensive short-term dynamic psychotherapy (ISTDP) was developed out of the need for relatively short psychodynamic psychotherapeutic treatment approaches to complex and resistant patient populations so common in public health systems. Based on extensive study of video recordings, Habib Davanloo discovered, and other researchers have validated, some important clinical ingredients that align the therapist with healthy aspects of the patient striving for resolution of chronic neurotic disorders and fragile character structure. In the case of character neurotic highly resistant patients, these approaches including "pressure," "clarification," "challenge to defenses," and "head on collision" can be used in a tailored and properly timed way to help the chronically suffering patient to overcome his or her own resistance and access core drivers of these pathologies. In this article the meta-psychological basis of ISTDP is reviewed and illustrated with an extended case vignette. PMID:27200465
Wagner, William G.
Notes that of the treatments attempted for nocturnal enuresis, pharmacotherapy, individual psychotherapy, and behavioral conditioning, the most effective is behavioral conditioning with a urine alarm. Reviews the enuresis literature and provides recommendations for use of the urine alarm approach. (Author/ABB)
Didem Behice ÖZTOP; Emel KARAKAYA
Currently, Cognitive Behavioral Therapy (CBT) becomes one of the leading approaches in the psychotherapy. However,use of CBT in childhood psychotherapy is considerably novel. After 1990s, it has been understood that it is an effectivemethod for children and adolescents. Anxiety disorders are one of the most common problems in the field of childhoodand adolescent psychiatry. In the studies conducted, the effectiveness of CBT was demonstrated in anxiety disorders ofthe children and adolescents....
Macaskie, Jane; Meekums, Bonnie; Nolan, Greg
An evolving relational dynamic approach to psychotherapy and counselling education is described. Key themes integrated within the approach are the learning community and transformational relationships. Learning is a reciprocal change process involving students, teachers, supervisors and therapists in overlapping learning communities. Drawing on…
Stuart, Scott; O’Hara, Michael W.
Postpartum depression is a frequent complication of childbirth. Postpartum depression is associated with disruptions in interpersonal relationships, and the puerperium is a period of major role transition. In contrast to other subtypes of depression, however, postpartum depression often is not treated with medication, which is relatively contraindicated for women who are breastfeeding. Interpersonal psychotherapy (IPT) focuses specifically on the effects of depression on interp...
Full Text Available Previously thought as a childhood disorder, attention-deficit hyperactivity disorder (ADHD is reported to be spreading at an increasing rate and affecting 4% to 5% of the adult population. It is characterized by persistent problems of inattention, hyperactivity and impulsivity. We present the case of an adult ADHD patient intervened with neurocognitive psychotherapy.
Rosenbaum, Bent; Harder, Susanne
The role of psychotherapy in the treatment of psychoses remains controversial but there is improving acceptance that an understanding of the dynamics of the psychological processes involved in treatment and in the disorder itself may be important. Psychosis is understood as a detachment of the...
Comments on the original article, "The efficacy of psychodynamic psychotherapy," by J. Shedler. Shedler summarized a large body of research that shows psychodynamic therapy to have a substantial effect size, comparable to that for many empirically supported treatments. This is an important finding, in part refuting the concerns raised by Bornstein…
Technological advances have impinged on every aspect of contemporary phenomenological experiences, including counseling and psychotherapy. The author explores the intersection of narrative therapy, specifically the traditional memory book, with the advances in information technology in the formulation of the digital memory book. The digital memory…
Härkäpää, Kristiina; Junttila, Outi; Lindfors, Olavi; Järvikoski, Aila
In rehabilitative psychotherapy, the goal is to support and improve the person's working and studying capacity and to secure his/her staying in or entering the workforce. In this qualitative study, the aim was to describe the changes students experienced in their studying ability and the advancement of their studies as a result of the therapy…
Duncan-Daston, Rana; Schneller, Debora
Evolving developments in psychodynamic theory have strengthened it as an evidence-based approach and have made it concordant with social work's strengths-based, multicultural perspective. An elective focused on teaching fundamental concepts of psychodynamic psychotherapy was developed for graduate social work students based on Kolb's theory of…
Jackson, Kathryn; Seeman, David
The purpose of this article is to bring to the fore a topic that has received little mention in the college student literature: conducting psychotherapy with survivors of war and political trauma who seek treatment at college and university counseling centers. Following a discussion of political trauma in relation to typical developmental…
Anita D. Stuart; H Gertie Pretorius; Patricia K Nel
The goal of this study was to provide individualised psychotherapy for a sample suffering from IBS and vocational stress. Opsomming Die doelstelling van hierdie studie was om eïndividualiseerde psigoterapie te verskaf aan ’n steekproef van lyers met Prikkelbare Dermsindroom (PDS) en beroepspanning. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.
McWilliams, Spencer A.
Constructivist and Buddhist approaches to counseling and psychotherapy share increasing popularity as well as similar epistemological assumptions and understanding of human dysfunction and its amelioration. These approaches can be seen as consistent with postmodern psychology, which is distinguished from a realist or foundationalist view. This…
Hwang, Kwang-Kuo; Chang, Jeffrey
This article describes self-cultivation practices originating from the cultural traditions of Confucianism, Taoism, and Buddhism. It delineates the therapeutic implications of the three states of self pursued by these three traditions: namely, the "relational self", the "authentic self", and the "nonself". Several psychotherapy techniques derived…
Carlson, Thomas M.
This article explores the need for university counseling centers (UCCs) to implement brief therapies and describes one such treatment, intensive short-term dynamic psychotherapy (ISTDP), as a particularly viable therapeutic approach in this setting. Because ISTDP is not appropriate for all students seeking therapy, a careful assessment of the…
May, Robert R.
This description of counseling and psychotherapy services at Amherst College begins with our heritage from the "mental hygiene" movement of the nineteenth century, the founding of the first university mental health services and the later development of a counseling center tradition. By tracing the evolution at Amherst, from a brief counseling and…
Hill, Clara E.; And Others
Examined therapist response modes in 127 sessions of eight cases of brief psychotherapy with experienced therapists and anxious-depressed clients. Response modes had significant effect on immediate outcome, with self-disclosure, interpretation, approval, and paraphrase being the most helpful response modes. Found large individual differences in…
Lichtmacher, Jonathan; Eisendrath, Stuart J.; Haller, Ellen
Objective: Interpersonal psychotherapy (IPT) for depression is a brief, well researched treatment for acute major depression. This article describes the implementation of IPT as an evidence-based treatment for depression in a psychiatry residency program. Method: The authors tracked the implementation process over 5 years as interpersonal…
Group psychotherapy was used with socio-economically deprived adolescents whose capacity for self-expression was promising. Non-psychotic acting out characters and passive inadequate personalities participated, and discussion, role playing, and psychodrama were the techniques utilized. After one year the following changes were seen: (1) increased…
Counselling and psychotherapy is attracting government interest and intervention, for instance the proposal to regulate the profession by the Health Professions Council. Many therapists see this as a threat to its fundamental principles due to the fact that government policy is influenced by the medical model and managerialism. This article looks,…
Stark, Marcella D.; Frels, Rebecca K.; Chavez, Rafael Reyes; Sharma, Bipin
This article explores the history of psychotherapy in Mexico and describes past and current practices of psychological services, training, and supervision for Mexican international students in the United States. Sample curricula, texts, and universities in Mexico are listed. Implications for training underscore the importance of collaboration and…
Daniels, Carla; Fitzpatrick, Marilyn
In recent decades, spirituality has become a prominent focus of psychological inquiry. As research begins to elucidate the role of spiritual beliefs and behaviours in mental health and the influences of spirituality in psychotherapy, developing therapist competency in this domain has increased in importance. This article will first situate…
Minami, Takuya; Wampold, Bruce E.; Serlin, Ronald C.; Kircher, John C.; Brown, George S.
This study estimates pretreatment-posttreatment effect size benchmarks for the treatment of major depression in adults that may be useful in evaluating psychotherapy effectiveness in clinical practice. Treatment efficacy benchmarks for major depression were derived for 3 different types of outcome measures: the Hamilton Rating Scale for Depression…
Ferro-Garcia, Rafael; Lopez-Bermudez, Miguel Angel; Valero-Aguayo, Luis
This paper presents a clinical case study of a depressed female, treated by means of Functional Analytic Psychotherapy (FAP) based on the theory and techniques for treating an "unstable self" (Kohlenberg & Tsai, 1991), instead of the classic treatment for depression. The client was a 20-year-old college student. The trigger for her problems was a…
Slavet, James D.; Parker, Lisa; Kitowicz, Jennifer M.; MacDonald, Marian L.
This paper describes two studies conducted to determine whether there is a stigma associated with being in psychotherapy and if so, how that stigma compares with the well-documented stigma associated with mental illness (Wahl, 1995). In the first study, community members (n=89) were asked to listen to an audiotaped statement from a young man. All…
Miller, Lisa; Gur, Merav; Shanok, Arielle; Weissman, Myrna
The objective of this study was to test the feasibility, acceptability and helpfulness of group Interpersonal Psychotherapy (IPT-PA) for depression in pregnant adolescents. Method: Two open clinical trials were conducted of IPT-PA delivered in group format in a New York City public school for pregnant girls. Study 1 tests IPT-PA for management of…
Raguraman, Janakiraman; Priyadharshini, Kothai R.; Chandrasekaran, R.; Vijaysagar, John
A male patient with homosexual obsession in obsessive compulsive disorder shows a better outcome following a combination of pharmacotherapy and psychotherapy. This case report emphasizes the importance of combination therapy in obsessive compulsive disorder with abnormal sexual impulses and behavior.
Miniati, Mario; Callari, Antonio; Calugi, Simona; Rucci, Paola; Savino, Mario; Mauri, Mauro; Dell'Osso, Liliana
Interpersonal psychotherapy (IPT) is a dynamically informed and present-focused psychotherapy originally conceived for patients with unipolar depression and subsequently modified for other disorders, including postpartum depression (PPD). The aim of this paper is to review the evidence on the efficacy of IPT for PPD. We conducted a systematic review of studies published between 1995 and April 2013 assessing the efficacy of IPT for PPD using PubMed and PsycINFO. We included the following: (i) articles that presented a combination of at least two of the established terms in the abstract, namely, interpersonal [all fields] and ("psychotherapy" [MeSH terms] or psychotherapy [all fields]) and (perinatal [all fields] or postpartum [all fields]) and ("depressive disorder" [MeSH terms] or ("depressive" [all fields] and "disorder" [all fields]) or depressive disorder [all fields] or "depression" [all fields] or depression [MeSH terms]); (ii) manuscripts in English; (iii) original articles; and (iv) prospective or retrospective observational studies (analytical or descriptive), experimental, or quasi-experimental. Exclusion criteria were as follows: (i) other study designs, such as case reports, case series, and reviews; (ii) non-original studies including editorials, book reviews, and letters to the editor; and (iii) studies not specifically designed and focused on IPT. We identified 11 clinical primary trials assessing the efficacy of IPT for PPD, including 3 trials with group interventions (G-IPT) and one that required the presence of the partner (PA-IPT). We also identified six studies interpersonal-psychotherapy-oriented preventive interventions for use in pregnancy. IPT studies showed overall clinical improvement in the most commonly used depression measures in postpartum depressed women (EPDS, HDRS, BDI) and often-full recovery in several cases of treated patients. Evidence from clinical trials indicates that, when administered in monotherapy (or in combination with
Patrick R Steffen
Full Text Available Accumulating evidence indicates that psychotherapy participants show increased physiological responsiveness to stress. The purpose of the present study was to examine differences between individuals participating in outpatient psychotherapy and matched controls using an experimental design. Forty-two psychotherapy participants and forty-eight matched controls were assessed on cardiovascular and cortisol functioning at baseline, during the Trier Social Stress Test (TSST, and during a twenty-minute recovery period. Psychotherapy participants and matched controls did not differ at baseline or during the TSST on the physiological measures but psychotherapy participants had higher cortisol and heart rate during the recovery period. In regards to reactivity, cortisol increased during the recovery period for the psychotherapy participants but decreased for those in the matched control group. Psychotherapy participants experiencing clinically significant levels of distress displayed elevated systolic and diastolic blood pressure and heart rate during the TSST when compared to psychotherapy participants not experiencing clinically significant levels of distress. Overall, physiological reactivity to stress appears to be an important issue for those in psychotherapy and directly addressing this issue may help improve psychotherapy outcomes.
Wiltsey Stirman, Shannon; Shields, Norman; Deloriea, Josh; Landy, Meredith SH; Belus, Jennifer M; Maslej, Marta M; Monson, Candice M.
Background Posttraumatic Stress Disorder (PTSD) is a serious mental health condition with substantial costs to individuals and society. Among military veterans, the lifetime prevalence of PTSD has been estimated to be as high as 20%. Numerous research studies have demonstrated that short-term cognitive-behavioral psychotherapies, such as Cognitive Processing Therapy (CPT), lead to substantial and sustained improvements in PTSD symptoms. Despite known benefits, only a minority of clinicians pr...
Full Text Available A new scale measuring patient-therapist attachment avoidance was developed. Attachment Avoidance in Therapy Scale is a new measure based on the Bartholomew model of adult attachment (Bartholomew & Horowitz, 1991 and the Experience in Close Relationships Scale (Brennan, Clark, & Shaver, 1998 to measure patients’ attachment avoidance towards therapists. With 112 patient-therapist dyads participating in the study, validation of a preliminary scale – measuring both attachment anxiety and attachment avoidance in therapy – took place using therapists’ evaluations of patients’ relational behavior and patients’ self-reports about their attitude toward psychotherapy. Analysis of the data revealed six underlying scales. Results showed all six scales to be reliable. Validation of scales measuring attachment anxiety failed. The importance of Attachment Avoidance in Therapy Scale and its subscales is discussed.
Kukla, Marina; Whitesel, Frankie; Lysaker, Paul H
This case study illustrates the use of a long-term integrative psychotherapy approach with a middle- aged man with chronic schizophrenia and a mood disorder. The case of "Holst" describes a man with a history of insecure attachment and trauma who later went on to contract a serious chronic illness, precipitating the onset of psychotic symptoms, depression, and chronic suicidal ideation, resulting in multiple hospitalizations. Combining metacognition-oriented therapy with elements of cognitive behavioral therapy and psychiatric rehabilitation, this approach fostered significantly improved community functioning and attainment of personal goals over time. Through the journey of therapy, the patient also developed a more coherent narrative about his life, established a stable sense of self, and became an active agent in the world. This case illustration demonstrates that these three different approaches can be used in a sequential and complementary fashion to foster recovery in the midst of serious physical and mental illness. PMID:26636563
Trimboli, Frank; Keenan, Charles W; Marshall, Rycke L
In this paper 12 common errors that occur in the course of psychodynamic psychotherapy are reviewed. Rationales for why we consider these to be errors are described, and vignettes are used to illustrate the errors, lastly, recommendations for alternate approaches consistent with effective psychodynamic psychotherapy are presented. The errors reviewed include concerns regarding the maintenance of appropriate limits and boundaries; decisions regarding the focus and form of treatment; no-suicide contracts; fee arrangements; missed sessions; psychological testing of psychotherapy patients; selecting appropriate patients for psychotherapy; and the importance of personal psychotherapy for the therapist. The suggestions provided are consistent with what we believe are the goals of psychodynamic psychotherapy: autonomy, insight, and self-determination. PMID:27329406
Full Text Available The article presents theoretical considerations on the time and space in psychotherapy. Attempt was made to examine these two dimensions from different perspectives. Focused on the physical and non–physical aspects of time in psychotherapy, which are connected with time perspective, temporal orientation, dynamics, and specific “bilocation in time” that may occur during the therapeutic process, especially some of them. Also discussed whether it is observable and non–observable spaces in psychotherapy – space of place, space of the therapeutic relationship, space of problems and associated with them solution spaces. Finally, consideration was also the problem of spacetime in psychotherapy, its dynamic and correlations. The article is an attempt to approach problematic theoretical issues relating to psychotherapy and provides a counterbalance to the relatively more numerous studies of a systemic nature. This is a kind of reflection, discussion, polemics, and new view for an old things in psychotherapy.
Krause, Merton S
Random sampling of cases is usually infeasible for psychotherapy research, so opportunistic and purposive sampling must be used instead. Such sampling does not justify generalizations from sample to population-distribution statistics, but does justify reporting what independent-variable value configurations are associated with what dependent-variable value configurations. This allows only the generalization that these associations occur at least that frequently in the population sampled from, which is enough for suggesting and testing some psychotherapy theories and informing some psychotherapy practice. Although psychotherapy practice is a longitudinal process, formal psychotherapy outcome research is so far most feasible and most widely done in the form of two-phase cross-sectional input-outcome studies. Thus, the analysis of sampling for psychotherapy research here will be in terms of the independent- and dependent-variable value configurations produced in such two-phase studies. PMID:26169591
The author discusses the evolution of psychotherapy as a healing practice, a scientific endeavor, and a multicultural empowering process. Social justice, the next force in psychotherapy, is presented. The author predicts that psychotherapy will embrace its sociopolitical nature by subscribing to social justice action. Within this framework, psychotherapists can work toward the promotion of political, social, economic, and cultural rights of oppressed individuals. PMID:23205834
Mindoljević Drakulić, Aleksandra
Modern history of short-term group psychotherapy dates back to the late 1950-ies. From then to present day, this psychotherapeutic method has been used in various forms, from dynamic-oriented to cognitive behavioural psychotherapies. Although it has always been considered rather controversial, due its cost-effectiveness, it has been capturing more and more popularity. This paper presents the specificities of first session short-term psychotherapy psychodrama group through session ...
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 sevent...
Patrick R Steffen; Louise eFidalgo; Dominic eSchmuck; Yoko eTsui; Tracy eBrown
Accumulating evidence indicates that psychotherapy participants show increased physiological responsiveness to stress. The purpose of the present study was to examine differences between individuals participating in outpatient psychotherapy and matched controls using an experimental design. Forty-two psychotherapy participants and forty-eight matched controls were assessed on cardiovascular and cortisol functioning at baseline, during the Trier Social Stress Test (TSST), and during a twenty-m...
Katarzyna Kinga Wiktor-Sass; Jan Czesław Czabała
This article presents the review of results of psychotherapy researches presented in the Psychotherapy Research in years 2004-2012. The main point of interest was common factor of many psychotherapy schools - therapeutic relationship. Collected informations were divided into three categories. The first one consist of variables which can be used to describe the relationship, specified with use of tools created for their measurement. Most of them were easy to measure, however some concerned abs...
This paper takes up the subject of the place and role of individual psychotherapy of people diagnosed with schizophrenia in the Polish system of psychiatric care. It describes various therapeutic contexts in which such psychotherapy can take place: inpatient ward, outpatient ward, ambulatory care, community care team. It also touches upon the issue of psychotherapy in contact with a chronically ill patient who participates in rehabilitation at occupational therapy workshops or at a day care c...
Khazaie, Habibolah; Rezaie, Leeba; Shahdipour, Niloofar; Weaver, Patrick
Elucidating the reasons for dropping out of psychotherapy can lead to the development of interventions aimed at reducing patient drop out. The present study aimed to explore patients' reasons for dropping out of psychotherapy in Kermanshah, Iran. The present qualitative study was performed using conventional content analysis. The current sample included 15 participants consisting of 7 patients who dropped out of psychotherapy and 8 psychotherapists who have previously experienced patient dropout. A semi-structured interview was used for data collection. All interviews were audio recorded and subsequently transcribed. Content analysis using constant comparisons was performed for transcribed interviews. Four main categories emerged as reasons for dropping out of psychotherapy: dissatisfaction with the quality of psychotherapy, financial problems in psychotherapy, unprepared socio-cultural context of psychotherapy, and psychotherapy as a non-user friendly treatment. Additionally, specific subcategories within each main category were documented. The results revealed distinct reasons for psychotherapy drop out in the current Iranian-based sample. These identified reasons should be considered and addressed at the onset of treatment as well as in the development of formal interventions aimed at reducing dropout. Further research investigating the antecedents leading to patient drop out is recommended. PMID:27010417
Conclusions: The findings of this research confirm marriage interpersonal psychotherapy on the depression recovery and the increasing marriage satisfaction of women suffering from postpartum depression.
Zinbarg, Richard E; Uliaszek, Amanda A; Adler, Jonathan M
A trait approach to personality has many implications for psychotherapy. Given that traits contribute to the expression of symptoms of common psychiatric disorders, are moderately heritable, and relatively stable (yet also dynamic to some extent), long-term change in symptoms is possible but is likely to be limited. Analogous to the manner in which genes set the reaction range for phenotype, standing on certain traits may set the patient's "therapeutic range." On the other hand, some of the same traits that may limit the depth of therapeutic benefits might also increase their breadth. In addition, taking the patient's standing on different traits into account can inform the choice of therapeutic strategy and targets and can affect the formation of the therapeutic alliance and compliance with self-help exercises. Finally, other aspects of personality beyond traits, such as ego development and narrative identity, also appear to have important implications for psychotherapy. PMID:19012661
Appel, Philip R
Psychosynthesis is one of the first Western transpersonal models of personality and psychotherapy. It was developed in 1910 by the Italian psychiatrist Roberto Assagioli. In this article, basic constructs involving the realms of consciousness, subpersonalities, and the importance of the will, and the neo-Jungian functions, will be introduced and related to the practice of hypnotically mediated psychotherapy. That which makes this model unique is its recognition of the human spirit and how that impacts consciousness and its inclusion as an important element to be included in therapy. A guideline for selecting interventions based upon the patient's symptom will be described as well as a discussion of some of the therapy techniques associated with this model. PMID:24693834
Full Text Available The present article describes and analyses the emergence and development of a professional field called social integration. Ideas, theories, and occupational practices forming this field are explored, particularly those related to the development of a new discipline, that of psychotherapy. The development of three occupations (psychiatry, psychology and social work and their professionalisation is described through their qualitative and quantitative take‑offs in particular historical periods. Three periods are identified: formation, 1850-1920, when psychiatry was defined as a medical sub-discipline; consolidation, 1920-1945, with the institutionalisation of psychiatric care, and with psychoanalysis and mental hygiene as qualitatively new cognitive bases for practitioners; and professionalisation, 1945-1980, with the deinstitutionalisation of psychiatric care and the professionalisation of psychologists and social workers. New ideas on subjectivity and individualism, new welfare state institutions, as well as collaborative professionalism all favoured the creation of psychotherapy as professional knowledge, and a possible new profession of psychotherapists.
Lakes, Kimberley; López, Steven R.; Garro, Linda C.
The authors apply two contemporary notions of culture to advance the conceptual basis of cultural competence in psychotherapy: Kleinman’s (1995) definition of culture as what is at stake in local, social worlds, and Mattingly and Lawlor’s (2001) concept of shared narratives between practitioners and patients. The authors examine these cultural constructs within a clinical case of an immigrant family caring for a young boy with an autism-spectrum disorder. Their analysis suggests that the soci...
Full Text Available The authors develop some reflections on the relationship between the emergence of new mental disorders and post-industrial society. They argue that the new social mandate of mental health professionals is to help the community to develop co-evolutionary practices for preventing and treating the fragmentation of psychic life that characterizes today's contexts of contemporary life.Keywords: Community psychotherapy; Contemporary mental disorders; Post-industrial society
Anita D Stuart
Full Text Available The goal of this study was to provide individualised psychotherapy for a sample suffering from IBS and vocational stress. Opsomming Die doelstelling van hierdie studie was om eïndividualiseerde psigoterapie te verskaf aan ’n steekproef van lyers met Prikkelbare Dermsindroom (PDS en beroepspanning. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.
Nina Bychkova; Yana Larionova
The article concerns psychotherapeutic work in the perspective of existential approach. Two trends are discerned in modern psychotherapy regardless of the known division into different schools – the adaptation therapy, and the one viewing a person in the context of his Personal being in the world. Therapy here is understood as the Way of mutual personal growth of both the therapist and the client. Distinction is singled out as one of the central points in forming the meanings, essential for b...
Full Text Available This paper considers the challenges and dilemmas facing psychotherapists working with neurological patients, and in particular those who work in the context of under-resourced brain injury rehabilitation healthcare systems. Through the subjective process of reflective practice integral to clinical supervision, the author attempts to identify five core aspects of psychotherapy intended to augment post-acute long- term rehabilitation programmes and interventions after acquired brain injury.
Linden, David E J
The development of psychotherapy has been based on psychological theories and clinical effects. However, an investigation of the neurobiological mechanisms of psychological interventions is also needed in order to improve indication and prognosis, inform the choice of parallel pharmacotherapy, provide outcome measures and potentially even aid the development of new treatment protocols. This neurobiological investigation can be informed by animal models, for example of learning and conditioning, but will essentially need the non-invasive techniques of functional neuroimaging in order to assess psychotherapy effects on patients' brains, which will be reviewed here. Most research so far has been conducted in obsessive compulsive disorder (OCD), anxiety disorders and depression. Effects in OCD were particularly exciting in that both cognitive behavioural therapy and medication with a selective serotonin inhibitor led to a reduction in blood flow in the caudate nucleus. In phobia, brief courses of behavioural therapy produced marked reductions of paralimbic responses to offensive stimuli in line with the clinical improvement. Findings in depression are less consistent, with both increases and decreases in prefrontal metabolism being reported. However, they are important in pointing to different mechanisms for the clinical effects of pharmacotherapy (more "bottom up") and psychotherapy (more "top down"). For the future it would be desirable if the findings of psychotherapy changes to brain activation patterns were confirmed in larger groups with homogenous imaging protocols. Functional imaging has already made great contributions to the understanding of the neural correlates of psychopathology. For example, evidence converges to suggest that the subgenual cingulate is crucial for mood regulation. One current clinical application of these findings is deep brain stimulation in areas highlighted by such imaging studies. I will discuss their initial application in depression
The article is an attempt to describe the ethical basics of Gestalt psychotherapy, both known to the authors of Gestalt and unknown, to the insight into the problem. The ethical principles underlying Gestalt are the issue of responsibility, freedom, rationality, nature of good and evil and the principle of the golden mean. The article also attempts to answer the question of how to be a free and authentic person on the basis of the Gestalt approach
Given the specificities of postpartum maternal depression, the literature recommends that fathers become involved in psychological interventions within this context. This study presents an investigation of the participation of fathers in parent-infant psychotherapy in the context of maternal postpartum depression. Two families participated in this study, both with a child aged between 7 and 8 months old, whose mothers showed depressive symptoms. These families participated in parent-infant ps...
Poleshuck, Ellen L.; Gamble, Stephanie A.; Cort, Natalie; Hoffman-King, Debra; Cerrito, Beth; Rosario-McCabe, Luis A.; Giles, Donna E.
Up to 37% of individuals experience chronic pain during their lifetimes. Approximately one-fourth of primary care patients with chronic pain also meet criteria for major depression. Many of these individuals fail to receive psychotherapy or other treatment for their depression; moreover when they do, physical pain is often not addressed directly. Women, socioeconomically disadvantaged individuals, African Americans and Latinos all report higher rates of pain and depression compared to other g...
Conceptions in this paper themselves do not offer new facts and findings; instead; they are concerned with what we view as facts and as findings, how we organize existing facts and findings, and perhaps most important, what question we consider worthy of attention. The single most important contribution of positive psychology has been to provide a collective identity – a common voice and language for researchers and practitioners from clinical psychology, health psychology and psychotherapy. ...
Markin, Rayna D
In recent years, the theory of mentalization has been applied to a number of clinically relevant areas including psychotherapy for patients with borderline personality disorder, therapy with adolescents and children, treatment of self-harm in young people, parent-infant early interventions, and even community outreach (see Midgley & Vrouvam, 2012. Minding the child: Mentalizing interventions with children, young people, and their families. London and New York: Routledge). Extending on this body of work, the present article applies the theory of mentalization to psychotherapies that aim to help first time expecting mothers psychologically adjust to and prepare for motherhood. Theory and research suggest that pregnancy represents an intermediate space in which, under ideal circumstances, the woman comes to represent herself as a mother, her unborn child as a separate and intentional being, and her emotional bond or attachment to the fetus. However, the expecting mother's own conflictual experiences being mothered are likely to influence her ability to mentalize her pregnancy, setting the stage for problems in the mother-infant dyad postpartum. This article explores how mentalizing techniques may be used in psychotherapy to help mothers-to-be to mentalize their emerging identity as a mother, their unborn child, and their developing relationship to the fetus. PMID:24000852
Although the relationship between research and clinical psychology has at times been conflicted, it has also been productive. Psychologists from both specialties have benefited from each others' work. The area of psychotherapy outcome research represents an important interface between the fields of clinical and research psychology. In an era of scarce resources and demands for accountability, there is pressure for researchers to justify the value of clinical practices. Recently, numerous articles have appeared recommending changes to the way psychotherapy research is conducted. The authors of these articles emphasize with urgency the importance of conducting and reporting research in a manner that will influence the decisions of policymakers and sanction funding for psychotherapy services. This article is an exploration of the impact of these recommendations, whose objective appears to be the promotion of psychological techniques for inclusion in clinical practice guidelines. It is argued that such recommendations may be in conflict with the philosophy and methods of science and may adversely affect public perception, perhaps leading psychologists to be seen as political lobbyists rather than clinicians and researchers. PMID:11092419
Kernberg, Otto F
This paper will summarize recent clinical developments in the treatment of borderline patients at the Personality Disorders Institute at Cornell. The experiences under review will include the careful, ongoing monitoring of developments in the patient's life outside the sessions, and their consideration in diagnosing affective dominance during the hours. Other issues include the discussion of a 'second chance' approach to contract violations; the assessment and concern with the patient's assumption of responsibility for himself; the contradictions between actual behavior patterns and life goals, and between personality potentials and present functioning; the technical implications of particular constellations of regressive narcissistic features; drug dependence and antisocial behavior; and life goals and treatment goals. PMID:27112823
Beevers, Christopher G.; McGeary, John E.
New research suggests that genetic variation predicts response to cognitive behavior therapy (CBT) for the treatment of pediatric anxiety. We discuss this intriguing finding, review its implications for understanding the etiology of psychopathology, and suggest that psychosocial treatment research would strongly benefit from routinely assessing genetic variation in clinical trials.
Gaudiano, Brandon A.; Hughes, Jessica A.; Miller, Ivan W.
Previous research on patients’ expectancies for improvement in clinical trials typically has been conducted after patients have already agreed to participate in a study. Depressed patients (n = 55) read 3 vignettes describing hypothetical clinical trials of antidepressant vs pill placebo, antidepressant vs antidepressant, and psychotherapy vs psychotherapy. Patients reported greater overall acceptability for psychotherapy over antidepressants. Patients had significantly greater expectancies f...
Hall, Elisabeth Baerg; Mufson, Laura
This article describes the treatment of a depressed adolescent (15 years of age) boy using Interpersonal Psychotherapy for depressed adolescents (IPT-A). IPT-A is an empirically supported psychosocial intervention for adolescents suffering from a depressive episode. It is delivered as an individual psychotherapy with a minimum of parental…
Benish, Steven G.; Quintana, Stephen; Wampold, Bruce E.
Psychotherapy is a culturally encapsulated healing practice that is created from and dedicated to specific cultural contexts (Frank & Frank, 1993; Wampold, 2007; Wrenn, 1962). Consequently, conventional psychotherapy is a practice most suitable for dominant cultural groups within North America and Western Europe but may be culturally incongruent…
Ulvenes, Pal G.; Berggraf, Lene; Hoffart, Asle; Levy, Raymon A.; Ablon, J. Stuart; McCullough, Leigh; Wampold, Bruce E.
Observer ratings in psychotherapy are a common way of collecting information in psychotherapy research. However, human observers are imperfect instruments, and their ratings may be subject to variability from several sources. One source of variability can be raters' assessing more than 1 instrument at a time. The purpose of this research is to…
Zirkelback, Emily A.; Reese, Robert J.
Evaluating psychotherapeutic outcome is an important endeavor given psychology's focus on identifying effective treatments. There is ample evidence to suggest that psychotherapy interventions for children and adolescents are effective. Unfortunately, the child and adolescent psychotherapy outcome literature lags behind the adult-focused outcome…
Rigazio-DiGilio, Sandra A.; Gonçalves, Óscar F.; IVEY, Allen E.
The authors build upon Castonguay and Goldfried's analysis regarding issues and directions central to advancing psychotherapy integration. They elaborate on two issues addressed only minimally in Castonguay and Goldfried's article. The first involves moving beyond traditional psychotherapy territory to include cultural, self-in-relationship, and interdisciplinary domains. The second concerns using more holistic and synergistic processes to coconstruct integrative theories and appr...
Qualitative research in counselling and psychotherapy has largely been based on interviews carried out with clients and therapists. Other approaches to qualitative data collection are possible. The present paper presents a diary design for qualitative psychotherapy research. The study explores th...
Bierenbaum, Howard; And Others
This study examined the role of emotional catharsis in brief emotive psychotherapy and its differential effects within three time frames. The findings are seen as supporting the contention that within a specific time frame emotional catharsis can lead to certain positive outcomes in brief emotive psychotherapy. (Author)
Hawley, Lance L.; Ho, Moon-Ho Ringo; Zuroff, David C.; Blatt, Sidney J.
Psychotherapy and medication treatments are both effective in reducing depressive symptoms. However, only psychotherapy provides an enduring effect by reducing depressive vulnerability following treatment termination. This differential efficacy may reflect mode-specific effects on the longitudinal relationship between depression and stress. The…
Sloan, Apryl E.; Kahn, Jeffrey H.
College students differ in their tendencies to self-disclose personal information. The goal of this study was to determine how differing disclosure tendencies among university counseling center clients affect psychotherapy outcomes. Among 22 clients in brief psychotherapy, client tendencies to self-disclose personal information predicted how…
Cuijpers, P.; Marks, I.M.; Straten, van A.; Cavanagh, K; Gega, L.; Andersson, G.
Computer-aided psychotherapy (CP) is said to (1) be as effective as face-to-face psychotherapy, while requiring less therapist time, for anxiety disorder sufferers, (2) speed access to care, and (3) save traveling time. CP may be delivered on stand-alone or Internet-linked computers, palmtop compute
Becker, Susan Kelly; Forman, Bruce D.
Compares Zen Buddhism and psychotherapy of Milton Erickson. Explores their similarities with respect to theory, change relationship between teacher/student and therapist/client, and acceptance of nature. Compares Ericksonian psychotherapy with Zen-based Morita therapy to concretize philosophical underpinnings of both systems. (Author/ABL)
Diary studies are scarce within the field of qualitative psychotherapy research. In this article arguments for and against the employment of solicited diaries studies in qualitative psychotherapy research are investigated. The strengths of diary studies are presented along with arguments concerning...
Full Text Available Jay A Hamm,1 Ilanit Hasson-Ohayon,2 Marina Kukla,3 Paul H Lysaker11Richard L Roudebush VA Medical Center, Department of Psychiatry, Indianapolis, IN, USA; 2Bar-Ilan University, Department of Psychology, Ramat Gan, Israel; 3Health Services Research and Development Center of Excellence on Implementing Evidence-Based Practice, Richard L Roudebush VA Medical Center, Indianapolis, IN, USAAbstract: Although the role and relative prominence of psychotherapy in the treatment of schizophrenia has fluctuated over time, an analysis of the history of psychotherapy for schizophrenia, focusing on findings from the recovery movement, reveals recent trends including the emergence of the development of integrative psychotherapy approaches. The authors suggest that the recovery movement has revealed limitations in traditional approaches to psychotherapy, and has provided opportunities for integrative approaches to emerge as a mechanism for promoting recovery in persons with schizophrenia. Five approaches to integrative psychotherapy for persons with schizophrenia are presented, and a shared conceptual framework that allows these five approaches to be compatible with one another is proposed. The conceptual framework is consistent with theories of recovery and emphasizes interpersonal attachment, personal narrative, and metacognitive processes. Implications for future research on integrative psychotherapy are considered.Keywords: schizophrenia, psychotherapy, recovery, metacognition, psychosis, integrative psychotherapy
Westmacott, Robin; Hunsley, John
In the past two decades, numerous meta-analyses have been published that examine the question of psychotherapy equivalence. Hunsley and Di Giulio (2002) critically reviewed this literature and concluded that there was abundant evidence that the Dodo bird verdict of equivalence across psychotherapies is false. In this article, we summarize and…
Karon, Bertram P.
That two-thirds of depressed adults are resistant to medication has led to the addition of psychotherapy to treatment, but is medication necessary? Results are at least as good with psychotherapy alone, and the relapse rate is less. Handling of suicidal danger, sleep disorders, and common depressing issues in college students are discussed along…
Ramseyer, Fabian; Tschacher, Wolfgang
Objective: The authors quantified nonverbal synchrony--the coordination of patient's and therapist's movement--in a random sample of same-sex psychotherapy dyads. The authors contrasted nonverbal synchrony in these dyads with a control condition and assessed its association with session-level and overall psychotherapy outcome. Method: Using an…
Thompson, Mindi N.; Cole, Odessa D.; Nitzarim, Rachel S.
The process of psychotherapy among 16 low-income clients was explored using grounded theory (Charmaz, 2006; Glaser & Strauss, 1967) in order to understand and identify their unique experiences and needs. Semistructured interviews were conducted with 12 women and 4 men who had attended at least 6 sessions of psychotherapy within 6 months of the…
Reilly, Joe; Jacobus, Veronica
The "Three Approaches to Psychotherapy" ("TAP") videotape series introduces students to three major schools of psychotherapy: client-centered therapy, Gestalt therapy, and rational-emotive therapy. A sample of undergraduate students viewed the "TAP" series. The students were surveyed about their observations of…
Moretti, M. M.
Comments on C. Sedikides and J. J. Skowronski's (see record 1992-00351-001) article on the law of cognitive structure activation (CSA) and disagrees with some of their statements regarding the implications of the CSA principle for psychotherapy. Alternative positions are offered regarding the applicability of the CSA principle for understanding depression and psychotherapy.
Kang, N.; Brinkman, W.P.; Riemsdijk, M.B. van; Neerincx, M.A.
Currently, expressive virtual humans are used in psychological research, training, and psychotherapy. However, the behavior of these virtual humans is usually scripted and therefore cannot be modified freely at runtime. To address this, we created a virtual audience with parameterized behavioral sty
It is true that no single method of treatment from any schools can satisfy the needs of all ehents and apply to all psychological problems and situations. The rise of the integrative movement, to some extent, broke the individualistic manacles of the fractions, elimi- nated the discrimination among different schools, promoted their communications and dialogues. The study of Adler~ psychotherapy can help us discover those important contributions overlooked in the past that there has been a close relationship between Adler~ psychother- apy and contemporary practice. Adlerb psychotherapy, cognitive therapy and cognitive-behavioral therapy share a great deal of common ground, such as attention to the conceptual framework of the client, with the present - -oriented method. All Adler~ psychotherapy and cognitive therapy lay great emphasis on it. It is important to understand the patients within their own conceptual framework. The view of Adler is that expectations and aspirations of future as a current center to a large extent determine the way people recall the past and act in the present. Cognitive therapy also concerns the feelings of the client. Adlerb psychotherapy, constructivist psychotherapy and social constructivist psychotherapy all have achieved apparent resonance in such aspects as view of reality, principles of treatment, and social cultural origin of psychological development. The Adlerian and the constructivist theories agree that human perception renders external reality or truth subjective and only approximately knowable. The Adler theory and constructivist theory assert that humans are to con- struct their own personality and subsequently the creative motivation for themselves and others and the perception and interpretation of the world. Adler and constructivism emphasize that it is important that a person, as an active and motivated agent, creatively and rou- tinely participates in the construction of her own psychological world. In addition, Adler is
Full Text Available This article evaluated an experiment carried out at the Family Health Program with the establishment of a Mental Health Group, based on transactional analysis associated with the cognitive-behavioral therapy, describing the impact of this intervention in improving the quality of life of the population served by the public system. In the Cruz das Almas Health Basic Unit, from São Paulo City Hall, a group of Mental Health has been happening since January, 2007, with the frequency of once a week, during one hour. In it, participants discuss topics of interest and learn psychotherapy techniques to deal with daily events and to manage their emotions and behaviors in a constructive way. The group is open to all those interested in participating in therapy sessions, being constituted, in most cases, by patients followed by the Family Health Program teams and sent to the Mental Health Group. When patients join the group, they fill out a questionnaire known as Patient Health Questionnaire, Brazilian version, known by the acronym PHQ-9. After attending the group for at least 12 sessions, participants complete a self-assessment questionnaire, informing about feeling better on their health, improved self-esteem, and personal relationships, and about having a more positive view of life and of other people. Of the evaluated participants, 40 completed the questionnaire. From these, nine (22.5% had scores of zero to four (without depression; six (15% scored five to nine (mild depression; ten (25% had scores from 10 to 14 (moderate depression; seven (17.5% had a score of 15 to 19 (moderate to severe depression; and eight (20% had scores of 20 or more (severe depression. Of the 65 patients who completed the questionnaire for self-evaluation after at least 12 sessions of therapy, 51 (78% reported a more positive view of life and of other people; 44 (67% reported improved self-esteem; 52 (80% related improvement in relationships and 53 (81% improvement in relation
Full Text Available The positive changes among addicted people usually don’t happen by themselves, but they are results of the process which stays under the impact of the aspirations, values and priorities of the person at the moment. Enhancing the motivation of addicted people requires a huge effort from them what helps in making changes in the life style. The presented article contains results of the research. The main aim was describing critical events, which appeared among people addicted to drugs and made them to change their life styles. Additionally the article describes an classifies changes which were noticed by the participants of the stationary psychotherapy of drug addiction.
van Naerssen, A
Clinical experiences with 36 males, between the ages of 21 and 60 are described. All of them felt an enduring sexual attraction for boys. Sixteen males were treated for sexual identity conflicts. For eight of them this ended in a positive self-labeling as pedophile, the others had severe problems with accepting sexuality as positive and lustful. Twenty males were treated for identity management problems and counseled how to handle their relationships with boys. Several modalities of interpersonal interaction in man-boy relationships are proposed and the ways conflicts can arise within these frames of reference are explored in counseling and psychotherapy. PMID:2086630
Knapp, Samuel; Vandecreek, Leon
Psychotherapists must deal with practical business matters such as advertising, billing, collecting fees, and other practice management topics. We review the enforceable standards of the American Psychological Association's (2002) Ethics Code that deal with advertising, fees, billing, and related business matters in psychotherapy. Using a principle-based perspective, we link each of the standards to overarching ethical values and illustrate the concerns with case vignettes. We argue that understanding the moral foundations of ethical standards helps psychotherapists to implement with greater integrity the spirit and the letter of the standards with regard to advertising and business practices. PMID:18386792
Sledge, William; Plakun, Eric M; Bauer, Stephen; Brodsky, Beth; Caligor, Eve; Clemens, Norman A; Deen, Serina; Kay, Jerald; Lazar, Susan; Mellman, Lisa A; Myers, Michael; Oldham, John; Yeomans, Frank
The objective was to review established literature on approaches to the psychotherapy of borderline personality disorder with specfic reference to suicide in order to determine if there were common factors across these efforts that would guide future teaching, practice and research. The publications from the proponents of five therapies for the treatment of suicidal behavior in individuals with borderline personality disorder (BPD), were reviewed and discussed by the members of the Group for the Advanced of Psychiatry, Psychotherapy Committee (GAPPC). Twenty nine published research and summary reports were reviewed of the specific treatments noted above along with two other reviews of common factors for this group of treatments. We used expert consensus as to the salient articles for review and the appropriate level of abstraction for the common factor definition. We formulated a definition of effectiveness and identified six common factors: 1) negotiation of a specific frame for treatment, 2) recognition and insistence on the patient's responsibilities within the therapy, 3) provision to the therapist of a conceptual framework for understanding and intervening, 4) use of the therapeutic relationship to engage and address suicide, 5) prioritization of suicide as a topic to be actively addressed whenever it emerges, and 6) provision of support for the therapist in the form of supervision, consultation or peer support. We discuss common factors, their formulation, and implications for development and teaching of psychotherapeutic approaches specific to suicide in patients with borderline personality disorder and note that there should be greater attention in practice and education to these issues. PMID:26401300
Hundt, Natalie E; Mott, Juliette M; Miles, Shannon R; Arney, Jennifer; Cully, Jeffrey A; Stanley, Melinda A
Evidence-based psychotherapies (EBP) for posttraumatic stress disorder (PTSD) are effective at reducing symptoms and improving quality of life. Despite their effectiveness, few veterans receive EBP. To examine veterans' experiences initiating EBP for PTSD, we conducted qualitative interviews with those who completed at least 8 sessions of prolonged exposure (PE) or cognitive processing therapy (CPT). Veterans reported learning about EBP from therapists, psychiatrists, and other veterans. Ambivalence and delaying EBP initiation were common. Barriers included fears that EBP would increase symptoms, beliefs that avoidance was helpful, disbelief of the therapy rationale, particularly for PE, and less commonly, lack of knowledge about EBP. Facilitators included feeling a "need to talk about it," prior treatment that increased confidence in the ability to handle EBP, prior knowledge of the EBP therapist, provider behaviors that facilitated buy-in, encouragement from other veterans, and desperation for symptom relief. There were few differences in barriers and facilitators between PE and CPT, although veterans in PE were more likely to express skepticism of the therapy rationale. These results highlight the importance of "word of mouth" about EBP among the veteran community and identifying provider behaviors that may promote EBP initiation. PMID:25915648
Erin R. Barnett
Full Text Available Evidence-based psychotherapies (EBP for Posttraumatic Stress Disorder are not utilized to their full extent within the Department of Veterans Affairs (VA. VA provides care to many persons with PTSD and has been in the forefront of clinical practice guidelines and EBP training and dissemination. Yet VA continues to find EBP implementation difficult. Veterans with PTSD often initially present to prescribing clinicians, who then help make care decisions. It is therefore critical that these clinicians correctly screen and triage appropriate mental health care. The purpose of this study was to assess VA prescribing clinicians’ knowledge, perceptions, and referral behaviors related to EBPs for PTSD and to identify facilitators and barriers to implementing EBPs within VA. We conducted qualitative interviews with 26 VA prescribing clinicians. Limited access to EBPs was the most commonly noted barrier. The clinicians we interviewed also held specific beliefs and behaviors that may delay or deter EBPs. Strategies to improve utilization also emerged. Findings suggest the need for increased access to EBPs, training to optimize the role of prescribing clinicians in helping Veterans with PTSD make appropriate care decisions, and specific organizational changes to facilitate access and effective referral systems for EBPs.
Costa Elisabeth Maria Sene
Full Text Available OBJETIVE: Recent literature has highlighted the role of psychotherapy in the treatment of major depressive disorder. Combined therapies comprising both psychotherapy and pharmacotherapy have presented the best results. Although several kinds of psychotherapies have been studied in the treatment of depressive disorders, there remains a lack of data on psychodramatic psychotherapy in the treatment of major depressive disorder. The objective of this study was to evaluate the impact of psychodramatic psychotherapy (in a sample of major depressive disorder patients. METHOD: This is an open, naturalistic, controlled, non-randomized study. Twenty major depressive disorder patients (according to the DSM-IV criteria, under pharmacological treatment for depression, with Hamilton Depression Scale total scores between 7 and 20 (mild to moderate depression, were divided into two groups. Patients in the psychotherapeutic group took part in 4 individual and 24 structured psychodramatic group sessions, whilst subjects in the control group did not participate in this psychodramatic psychotherapy. Both groups were evaluated with the Social Adjustment Scale - Self Report and the Hamilton Depression Scale. RESULTS: Psychotherapeutic group patients showed a significant improvement according to the Social Adjustment Scale - Self Report and the Hamilton Depression Scale scores at endpoint, compared to those of the control group. CONCLUSIONS: Results suggest that individual and group psychodramatic psychotherapy, associated to pharmacological treatment, provides good clinical benefits in the treatment of major depressive disorder.
Background The use of the Internet as a source of health information is growing among people who experience mental health difficulties. The increase in Internet use has led to questions about online information-seeking behaviors, for example, how psychotherapists and patients use the Internet to ascertain information about each other. The notion of psychotherapists seeking information about their patients online (patient-targeted googling, PTG) has been identified and explored. However, the idea of patients searching for information online about their psychotherapists (therapist-targeted googling, TTG) and the associated motives and effects on the therapeutic relationship remain unclear. Objective This study investigated former and current German-speaking psychotherapy patients’ behavior and attitudes relating to TTG. In addition, patients’ methods of information gathering, motives, and success in searching for information were examined. Furthermore, patients’ experiences and perceptions of PTG were explored. Methods Overall, 238 former and current psychotherapy patients responded to a new questionnaire specifically designed to assess the frequency, motives, use, and outcomes of TTG as well as experiences and perceptions of PTG. The study sample was a nonrepresentative convenience sample recruited online via several German-speaking therapy platforms and self-help forums. Results Of the 238 former and current patients who responded, 106 (44.5%) had obtained information about their therapists; most of them (n=85, 80.2%) had used the Internet for this. Besides curiosity, motives behind information searches included the desire to get to know the therapist better by attempting to search for both professional and private information. TTG appeared to be associated with phases of therapy in which patients felt that progress was not being made. Patients being treated for personality disorders appear to engage more frequently in TTG (rphi = 0.21; P=.004). In general
Spiegel, Eric B
The concept of the "wounded self" (Wolfe, 2005) offers an integrative theoretical framework for self-wounds and their developmental origins. Alladin (2013, 2014, 2016) integrated hypnotherapy into this model to comprehensively address the unconscious protective mechanisms and maladaptive conscious cognitive strategies of the wounded self. The purpose of this article is to propose how an attachment-focused psychotherapy could be utilized in working with the wounded self. With its emphasis on developmental maturation through the frame of the attachment relationship, attachment theory is well-positioned to offer conceptual and treatment insights in treating the wounded self. E. B. Spiegel's (2016) attunement, representation, and mentalization approach to attachment-focused psychotherapy described how hypnosis can be utilized across attachment processes of attunement, representation, and mentalization toward structural maturation and developmental repair of patients with histories of complex relational trauma. In this article, the attunement, representation, and mentalization attachment approach and associated interventions are further explicated in the treatment of self-wounds in the borderline and narcissistic spectrums of personality organization. These principles of conceptualization and treatment interventions are then applied in a case example. PMID:27196010
Full Text Available The paper considers chronological and theoretical development of psychotherapy with the aim of formulating psychotherapeutic paradigm as an expression of scientific improvement in this field, as well as methodological and empirical assumption of integrative models in the psychotherapy. Special attention is paid to the phenomena that have characterised the field of psychotherapy in recent time, such as, on one hand, the emphasis on the increased need for the empirical evaluation of practice and accompanied trend regarding specialisation, and, on the other hand, the strengthening of the trend towards defining and researching general change mechanisms from wider, more integrative and transtheoretical perspective.
Swartz, Holly A.; Grote, Nancy K.; Graham, Patricia
Brief Interpersonal Psychotherapy (IPT-B) is an eight-session adaption of Interpersonal Psychotherapy (IPT), an evidence-based psychotherapy for depression. The rationale for developing a briefer form of IPT rests on the paucity of empirical evidence linking increased therapy “dose” to enhanced therapeutic effects. The goal of IPT-B is to allow individuals who are unlikely to attend 16 sessions of psychotherapy—because of external or internal constraints—to receive the full benefits of IPT in...
Souza, Linton Wallis Figueiredo; Souza, Simone Vilas Trancoso; Botelho, Ana Cristina de Carvalho
This study shows the effectiveness of photodynamic therapy based on methylene blue dye for the treatment of endonyx toenail onychomycosis. Four patients with endonyx onychomycosis caused by Trichophyton rubrum were treated with 2% methylene blue aqueous solution irradiated with light emission diode at 630 nm and an energy density of 36 J/cm2 for 6 months at 2-week intervals. The preliminary study showed the effectiveness of this therapy in the treatment of endonyx onychomycosis, and also indi...
Rory du Plessis
Full Text Available This paper aims to offer a critical reading of Thomas S. Szasz's The ethics of psychoanalysis: The theory and method of autonomous psychotherapy (1965 / 1988a. In particular, the critical reading is focused on revealing and investigating the presence of attitudinal biases and beliefs pertaining to the social class of psychotherapy. It will be argued that in Szasz forwarding his thesis, a number of statements regarding social class are raised. In particular, and for the purposes of this paper, the key focus will be an investigation of Szasz's proclamation that the poor and uneducated do not need psychoanalysis but require freedom, knowledge and skills. The paper will argue that this statement may not necessarily be presenting an attitudinal bias or belief against the poor and uneducated. Rather, Szasz is professing the nature and limitations of psychotherapy. Nonetheless, Szasz's text still reflects attitudinal biases through the disapproval of the efforts made by Sigmund Freud to make psychotherapy available to all people.
Intensive, short-term group psychotherapy with elements of individual therapy is an effective treatment for neurotic disorders. The majority of treated persons obtains a significant symptomatic improvement and a reduction in the severity of neurotic personality traits.
Beaudreau, Sherry A.; Rideaux, Tiffany; O'Hara, Ruth; Arean, Patricia
Objectives To identify cognitive predictors of geriatric depression treatment outcome. Method Older participants completed baseline measures of memory and executive function, health, and baseline and posttreatment Hamilton Depression Scales (HAM-D) in a 12-week trial comparing psychotherapies (problem-solving vs. supportive; n = 46). We examined cognitive predictors to identify treatment responders, i.e., HAM-D scores reduced by ≥50%, and remitters, i.e., posttreatment HAM-D score ≤ 10. Results Empirically-derived decision trees identified poorer performance on switching (i.e. Trails B), with a cut-score of ≥82” predicting psychotherapy responders. No other cognitive or health variables predicted psychotherapy outcomes in the decision trees. Conclusions Psychotherapies that support or improve the executive skill of switching may augment treatment response for older patients exhibiting executive dysfunction in depression. If replicated, Trails B has potential as a brief cognitive tool for clinical decision-making in geriatric depression. PMID:25441055
García Pérez, Ana Isabel; Dapueto, Juan J
This case describes a psychotherapy intervention in a patient in advanced stages of ALS. The inability for verbal communication at these stages necessitated the inclusion of a computational system to favor augmentative and alternative communication (AAC) to provide psychological care. The association of this device and software with ongoing psychotherapy acted in a synergistic manner. AAC devices made it possible to maintain patient-therapist communication and provided material support for psychotherapy despite severe speech limitations. This bimodal protocol of intervention resulted in better symptom control, improved communication with the team and family, reduction of psychological distress, promotion of autonomy, dignity, and self-esteem. The novelty of this communication is to report how the regular psychological care could be adapted to the patient circumstances using a computer device. Clinical trials will be required to evaluate the effectiveness of this mode of psychotherapy for the general population of ALS patients. PMID:25492716
Amunátegui, L Felipe; Dowd, E Thomas
Psychotherapy process research needs a paradigm capable of integrating activity across biological, affective, linguistic and social domains into one causal model. It also needs a methodology capable of measuring complex deterministic activity spontaneously generated by the therapy participants. Here we articulate a model based on Autopoietic theory and nonlinear quantitative analysis that stands to provide a method and a metric to explore how psychotherapy processes lead to a measurable outcome. Perturbations are the unit of study within the autopoietic framework. Lyapunov exponents are the quantitative tools for the analysis of phase portraits generated by cardiac activity. We propose that these phase portraits can be used to measure the perturbational activity of psychotherapy participants. We buttress this argument with results from a preliminary application of this method in a psychotherapy analogue situation. PMID:16519868
Rosenbaum, Bent; Harder, Susanne; Knudsen, Per; Køster, Anne; Lindhardt, Anne; Lajer, Matilde; Valbak, Kristian; Winther, Gerda
During recent decades, the field of treatment of schizophrenia has lacked empirical, systematic outcome studies that support psychodynamic psychotherapy as an evidence-based intervention for patients with schizophrenia. The Danish schizophrenia project (DNS) compared psychodynamic psychotherapy for...... manualized individual supportive psychodynamic psychotherapy (SPP) in addition to treatment as usual or with treatment as usual alone (TaU). Symptoms and functional outcomes were measured using the Positive and Negative Syndrome Scale (PANSS) and the Global Assessment of Functioning scale (GAF). The study.......000) and GAF(symptom) (p = 0.010) significantly favored SPP in combination with TaU over TaU alone. In spite of limitations, this study speaks in favor of including supportive psychodynamic psychotherapy in the treatment for patients with schizophrenic first-episode psychoses....
Beatrice A. Popescu
Full Text Available 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 complaints, usually lies a lack of existential meaning or existential scope and clients are also tormented by moral dilemmas. Following the anamnestic interview and the psychological evaluation, rarely the depression or anxiety diagnosed on Axis I is purely just a sum of invalidating symptoms, which may disappear if treated symptomatically. When applying the Sentence Completion Test, an 80 items test of psychodynamic origin and high-face validity, most of the clients report an entire plethora of conscious or unconscious motivations, distorted cognitions or irrational thinking but also grave existential themes such as scope or meaning of life, professional identity, fear of death, solitude and loneliness, freedom of choice and liberty. Same issues are approached in the philosophical counseling practice, but no systematic research has been done yet in the field. Future research and investigation is needed in order to assess the importance of moral dilemmas and existential issues in both practices.
Balluerka, Nekane; Muela, Alexander; Amiano, Nora; Caldentey, Miguel A
The goal of this study was to examine the influence of animal-assisted psychotherapy (AAP) on the psychosocial adaptation of a group of adolescents in residential care who had suffered traumatic childhood experiences and who presented with mental health problems. This study recruited 63 youths (mean age=15.27, SD=1.63) who were divided into two groups: a treatment group of 39 youths (19 female and 20 male; mean age=15.03, SD=0.51) and a control group of 24 (five female and 19 male; mean age=15.67, SD=1.63). The youths who underwent the AAP program had higher school adjustment in comparison to their peers who did not receive treatment. Their hyperactive behavior decreased, and they showed better social skills, more leadership, and fewer attention problems. They also showed a more positive attitude toward their teachers in comparison to controls. No differences were observed in other variables associated with clinical symptoms or personal adjustment. These results suggest that AAP can be effective with teenagers who have suffered childhood traumas and who present with problems of psychosocial adaptation. PMID:26443670
Popescu, Beatrice A
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 complaints, usually lies a lack of existential meaning or existential scope and clients are also tormented by moral dilemmas. Following the anamnestic interview and the psychological evaluation, rarely the depression or anxiety diagnosed on Axis I is purely just a sum of invalidating symptoms, which may disappear if treated symptomatically. When applying the Sentence Completion Test, an 80 items test of psychodynamic origin and high-face validity, most of the clients report an entire plethora of conscious or unconscious motivations, distorted cognitions or irrational thinking but also grave existential themes such as scope or meaning of life, professional identity, fear of death, solitude and loneliness, freedom of choice and liberty. Same issues are approached in the philosophical counseling practice, but no systematic research has been done yet in the field. Future research and investigation is needed in order to assess the importance of moral dilemmas and existential issues in both practices. PMID:27247674
Armezzani, Maria; Chiari, Gabriele
In this part of our work about a comparison between Kelly's personal construct theory and phenomenology, we enter the fields of psychotherapy and research. The topic of intersubjectivity, meant as original recognition of the other's subjectivity, provides a backdrop for both phenomenological clinic and Kellyan psychotherapy. Though Kelly never used the term "intersubjectivity", his theory and the corollary of sociality in particular, reveals a view of interpersonal relationships as intercorpo...
Tao Wang; Xiaolan Huang; Peiyu Huang; Dan Li; Fajin Lv; Yong Zhang; Linke Zhou; Deyu Yang; Peng Xie
BACKGROUND: Psychotherapy has demonstrated comparable efficacy to antidepressant medication in the treatment of major depressive disorder. Metabolic alterations in the MDD state and in response to treatment have been detected by functional imaging methods, but the underlying white matter microstructural changes remain unknown. The goal of this study is to apply diffusion tensor imaging techniques to investigate psychotherapy-specific responses in the white matter. METHODS: Twenty-one of forty...
Connolly Gibbons, Mary Beth; Crits-Christoph, Paul; Barber, Jacques P.; Stirman, Shannon Wiltsey; GALLOP, ROBERT; Goldstein, Lizabeth A.; Temes, Christina M.; RING-KURTZ, SARAH
The goal of this paper was to examine theoretically important mechanisms of change in psychotherapy outcome across different types of treatment. Specifically, the role of gains in self-understanding, acquisition of compensatory skills, and improvements in views of the self were examined. The University of Pennsylvania Center for Psychotherapy Research database that includes studies conducted from 1995 to 2002 evaluating the efficacy of cognitive and psychodynamic therapies for a variety of di...
Strauman, Timothy J; Goetz, Elena L.; Detloff, Allison M; MacDuffie, Katherine E.; Zaunmüller, Luisa; Lutz, Wolfgang
Psychotherapy is a complex, multi-layered process with the potential to bring about changes at multiple levels of functioning, from the neurobiology of the brain to the individual’s role in the social world. Although studies of the mechanisms by which psychotherapy leads to change continue to appear, there remains much to be learned about how psychological interventions work. To guide explorations of how and for whom particular treatment approaches lead to change, researchers can rely on theo...
Simone Isabel Jung; Fernanda Barcellos Serralta; Maria Lucia Tiellet Nunes; Cláudio Laks Eizirik
Introduction: Even though it is expected that patients and therapist will agree on when to terminate psychotherapy, quite often patients discontinue treatment on their own. This study aims to better understand dropout in psychoanalytic psychotherapy (PP). Method: Baseline and post-treatment interviews were conducted with six adult women classified by their therapists as dropout patients at a PP outpatient clinic. Results were analyzed using Bardin's content analysis. Results: Content analysis...
Manetta, Christopher T.; Gentile, Julie P.; Gillig, Paulette Marie
Psychodynamic psychotherapy is effective for a variety of mental health symptoms. This form of psychotherapy uses patient self reflection and self examination, as well as the therapeutic relationship between the patient and psychiatrist, to explore maladaptive coping strategies and relationship patterns of the patient. A thorough understanding of resistance and the core conflictual relationship theme afford the psychiatrist the ability to facilitate this work. In this article, the composite c...
As a psychotherapist working in the field of eating disorders, I have a long-standing interest in accessing the subjective expertise of a wider group of sufferers, including what it is like and what it means to suffer from anorexia, the factors that help to support recovery and the role psychotherapy plays in contributing towards the recovery process. This study provides a timely addition to the literature on the nature and role of psychotherapy as a treatment for anorexia. Stu...
Smita, Kampani; Mani N., Pavuluri
Objective: For comprehensive management of paediatric bipolar disorder (PBD), it is imperative to combine psychopharmacotherapy with specific psychotherapy. This article proposes a model that incorporates (1) an overview of psychopathology, (2) a review of outcomes in psychopharmacotherapy trials, and (3) a summary of evidence-based forms of psychotherapy to complement pharmacotherapy. Results: The psychopathology of PBD is unique compared to that of adult bipolar disorder with promi...
Samardžić Ljiljana; Nikolić Gordana
Background/Aim. Working alliance, as a collaborative part of the therapeutic relationship has been proven to be one of the most powerful therapeutic factors in psychotherapy in general, regardless many technical differences between numerous psychotherapeutic modalities. On the other hand, transference is the basic concept of psychodynamic psychotherapy, and, according to the psychoanalytic theory and practice, it forms a major part of the therapeutic relati...
Mindoljević Drakulić, Aleksandra
Resistance refers to all types of behaviour that oppose the exploration processes in the therapeutic process and inhibit work. Very common types of resistances, such as forgetting the time of session, being late, non-payment of sessions and such are found in every type of psychotherapy, including psychodrama psychotherapy. The attempt to break resistance in order to evoke changes could be dangerous as it represents the necessary defence mechanism and it is also a vital element of the...
In Biotransenergetica (BTE), a transpersonal psychotherapy model developed in the 1980s by Lattuada, the uniqueness of self-experience is pivotal. In the therapeutic process inner experiences and felt sense are essential. These are contained in the concept of Transe. During the psychotherapy session the psychotherapist favors the creation of the Transe, a field, using mindfulness techniques; the psychotherapist and the patient “indwell” together in this experience at a multilevel dimension (p...
Owen, Jesse; Imel, Zac E
This article introduces the special section on utilizing large data sets to explore psychotherapy processes and outcomes. The increased use of technology has provided new opportunities for psychotherapy researchers. In particular, there is a rise in large databases of tens of thousands clients. Additionally, there are new ways to pool valuable resources for meta-analytic processes. At the same time, these tools also come with limitations. These issues are introduced as well as brief overview of the articles. PMID:27078195
The article presents theoretical considerations on the time and space in psychotherapy. Attempt was made to examine these two dimensions from different perspectives. Focused on the physical and non–physical aspects of time in psychotherapy, which are connected with time perspective, temporal orientation, dynamics, and specific “bilocation in time” that may occur during the therapeutic process, especially some of them. Also discussed whether it is observable and non–observable spaces ...
Richard G. Erskine
Full Text Available The Philosophical principles of a relationally focused Integrative Psychotherapy are described through the concepts of vulnerability, authenticity, and inter-subjective contact. Eight principles or therapist attitudes are outlined with clinical examples that illustrate the philosophy. These philosophical principles provide the foundation for a theory of methods. This article is based on a keynote address given at the 6th International Integrative Psychotherapy Association Conference, Grantham, UK, July 11-14, 2013.
Anna eBuchheim; Karin eLabek; Steffen eWalter; Roberto eViviani
This case study describes one year of the psychoanalytic psychotherapy using clinical data, a standardized instrument of the psychotherapeutic process (Psychotherapy process Q-Set, PQS), and functional neuroimaging (fMRI). A female dysthymic patient with narcissistic traits was assessed at monthly intervals (12 sessions). In the fMRI scans, which took place immediately after therapy hours, the patient looked at pictures of attachment-relevant scenes (from the Adult Attachment Projective Pictu...
Jacob Owusu Sarfo; Isaac Acheampong Sarfo; Michael Asiedu
In the development of psychotherapy, the debate between opting for a specific model as opposed to systems integration has been a growing controversy. In addition, questions have been raised with regards to the consistency of integration approaches, the benchmark for choice of integration approach and the proficiency of practitioners. This article examines the reasons for integration using a systematic review to evaluate the triumphs made since the inception of psychotherapy integration. The a...
"Embodied Enquiry: Phenomenological Touchstones for Research, Psychotherapy and Spirituality" von Les TODRES ist ein inspirierendes Buch über die Praxis der Phänomenologie in der qualitativen Forschung, Psychotherapie und Spiritualität. Es wurde von einem Standpunkt aus geschrieben, der auf der körperlichen Teilnahme in der gelebten Welt beruht und der existentiellen Bedeutung der Verwobenheit von Subjekt und Objekt, einzigartige und universelle Prozesse von Möglichkeiten und Verwundbarkeit. ...
Honagodu, Abhijit Ramanna; Krishna, Murali; Sundarachar, Rajesh; Lepping, Peter
Studies investigating effectiveness of group psychotherapy intervention in depression in persons with HIV have showed varying results with differing effect sizes. A systematic review of randomized controlled trials of group psychotherapy in depression in persons with HIV has been conducted to present the best available evidence in relation to its effect on depressive symptomatology. Electronic databases were searched to identify randomized controlled trials. Selected studies were quality asse...
Bartak, Anna; Soeteman, Djora; Verheul, Roel; Busschbach, Jan
textabstractObjective: Despite scientific evidence of effectiveness, psychotherapy for personality disorders is not yet fully deployed, nor is its reimbursement self-evident. Both clinicians and health care policy-makers increasingly rely on evidence-based medicine and health economics when determining a treatment of choice and reimbursement. This article aims to contribute to that understanding by applying these criteria on psychotherapy as a treatment for patients with personality disorder....
Lysaker, Paul H.; Glynn, Shirley M.; Wilkniss, Sandra M.; Silverstein, Steven M.
Recovery from schizophrenia has been conceptualized to involve not only symptom remission of symptoms and achievement of psychosocial milestones but also subjective changes in how persons appraise their lives and the extent to which they experience themselves as meaningful agents in the world. In this paper we review the potential of individual psychotherapy to address these more subjective aspects of recovery. Literature on the effectiveness of psychotherapy for persons with schizophrenia is...
This thesis develops an existential-phenomenological understanding of resistance in psychotherapy. It is argued that the concept of resistance is both one of the most problematic, as well as one of the most enduring, concepts within psychotherapy. An in-depth, critical literature review is presented on the various meanings and significances given to resistance across different theoretical perspectives. It is shown that while resistance as a concept belongs centrally within the psychoanalytic ...
Van, H.L.; Schoevers, R.; Kool, S.; Hendriksen, M.; Dekker, J.
Background To examine the predictive value of early response for final outcome of psychotherapy and combined therapy in major depression. Methods Mild- to moderately depressed patients were treated with either Short-Term Psychodynamic Supportive Psychotherapy (SPSP) (N = 63) only, or combined with an antidepressant (N = 127). Early response was defined as a reduction of more than 25% on the HAM-D-17 after 2 months. Outcome was determined in terms of complete nonresponse and remission rates. A...
Manber, Rachel; Kraemer, Helena C.; Arnow, Bruce A.; Trivedi, Madhukar H; Rush, A. John; THASE, MICHAEL E.; Rothbaum, Barbara O.; Klein, Daniel N.; Kocsis, James H.; Gelenberg, Alan J.; Keller, Martin E.
The main aim of the present novel reanalysis of archival data was to compare the time to remission during 12 weeks of treatment of chronic depression following antidepressant medication (n = 218), psychotherapy (n = 216), and their combination (n = 222). Cox regression survival analyses revealed that the combination of medication and psychotherapy produced full remission from chronic depression more rapidly than either of the single modality treatments, which did not differ from each other. R...
Connolly, Mary Beth; Crits-Christoph, Paul; Shappell, Sandi; BARBER, JACQUES P.; Luborsky, Lester
Although psychotherapy manuals provide treatment guidelines, detailed descriptions of therapist interventions in manual-guided therapies are lacking. The purpose of the present investigation was to evaluate the types of therapist interventions in Supportive-Expressive (SE) psychotherapy for depression by using a molecular method of assessment and then to compare the results with those attained with a molar method. Four percent of therapist statements per session early in treatment were interp...
Maat, de, E.; Dekker, J.J.M.; Schoevers, R.; Jonghe, de, F.
Abstract We investigated the efficacy of pharmacotherapy and psychotherapy for depression by searching for RCT's. Studies were classified according to chronicity and severity and a meta-analysis was applied. Ten studies were included. Remission did not differ between psychotherapy (38%) and pharmacotherapy (35%). No differences were found in chronic, or in non-chronic depression, and in mild or in moderate depression. Both treatments performed better in mild than in moderate depression. Dropo...
Milrod, Barbara; BUSCH, FREDRIC; Leon, Andrew C.; Aronson, Andrew; Roiphe, Jean; Rudden, Marie; Singer, Meriamne; Shapiro, Theodore; Goldman, Heather; Richter, Daniel; Shear, M. Katherine
This is a complete report of an open trial of manualized psychodynamic psychotherapy for treatment of panic disorder, Panic-Focused Psychodynamic Psychotherapy (PFPP). Twenty-one patients with PD were entered into a trial of twice-weekly, 24-session treatment. Sixteen of 21 experienced remission of panic and agoraphobia. Treatment completers with depression also experienced remission of depression. Improvements in symptoms and in quality of life were substantial and consistent across all meas...
Full Text Available The report aims to tell the experience of a supervision group in a private setting. The group consists of professional psychotherapists driven by the more experienced practitioner, who shares a clinical reasoning on psychotherapy with younger colleagues. The report aims to present the supervision group as a methode and to showcase its features. The supervision group becomes a container of professional experiences that speak of the new way of doing psychotherapy.
Benjamin P. Chapman; Talbot, Nancy; Tatman, Anthony W.; BRITION, PETER C.
Ackerman and Hilsenroth (2001, 2003) suggested that therapist personality may be meaningfully associated with the psychotherapy working alliance. We extended this line of research by examining the association between Five Factor Model (Costa & McCrae, 1997b) personality traits Neuroticism, Extraversion, Openness to Experience, Agreeableness, and Conscientiousness, and ratings of the working alliance made by clients and psychotherapy trainees. Higher trainee Neuroticism was associated with bet...
Kenny, Maeve A.
Client engagement in psychotherapy can be defined as intense involvement with the therapy tasks and materials, and presence with the therapist and the self. Client engagement is deemed important in determining the success of the psychotherapeutic process and outcome (Hubble, Duncan and Miller 1999). Client engagement has been investigated most often in the context of its intersection with other client related factors in psychotherapy such as attendance, accessibility, agreement on and complet...
Reif, A; Richter, J; Straube, B; Höfler, M; Lueken, U; Gloster, A T; Weber, H; Domschke, K; Fehm, L; Ströhle, A; Jansen, A; Gerlach, A; Pyka, M; Reinhardt, I; Konrad, C; Wittmann, A; Pfleiderer, B; Alpers, G W; Pauli, P; Lang, T; Arolt, V; Wittchen, H-U; Hamm, A; Kircher, T; Deckert, J
Panic disorder with agoraphobia (PD/AG) is a prevalent mental disorder featuring a substantial complex genetic component. At present, only a few established risk genes exist. Among these, the gene encoding monoamine oxidase A (MAOA) is noteworthy given that genetic variation has been demonstrated to influence gene expression and monoamine levels. Long alleles of the MAOA-uVNTR promoter polymorphism are associated with PD/AG and correspond with increased enzyme activity. Here, we have thus investigated the impact of MAOA-uVNTR on therapy response, behavioral avoidance and brain activity in fear conditioning in a large controlled and randomized multicenter study on cognitive behavioral therapy (CBT) in PD/AG. The study consisted of 369 PD/AG patients, and genetic information was available for 283 patients. Carriers of the risk allele had significantly worse outcome as measured by the Hamilton Anxiety scale (46% responders vs 67%, P=0.017). This was accompanied by elevated heart rate and increased fear during an anxiety-provoking situation, that is, the behavioral avoidance task. All but one panic attack that happened during this task occurred in risk allele carriers and, furthermore, risk allele carriers did not habituate to the situation during repetitive exposure. Finally, functional neuroimaging during a classical fear conditioning paradigm evidenced that the protective allele is associated with increased activation of the anterior cingulate cortex upon presentation of the CS+ during acquisition of fear. Further differentiation between high- and low-risk subjects after treatment was observed in the inferior parietal lobes, suggesting differential brain activation patterns upon CBT. Taken together, we established that a genetic risk factor for PD/AG is associated with worse response to CBT and identify potential underlying neural mechanisms. These findings might govern how psychotherapy can include genetic information to tailor individualized treatment approaches
Nude psychotherapy is one of the most flamboyant therapeutic techniques ever developed in American psychology. Largely forgotten today, the therapy was an academic and popular sensation upon its introduction in 1967. Developed by psychologist Paul Bindrim, the therapy promised to guide clients to their authentic selves through the systematic removal of clothing. This paper explores the intellectual, cultural and ethical context of nude therapy and its significance as a form of unchurched spirituality. Although nude therapy has an indisputable tabloid character, it is also rooted in a long-standing academic search for authenticity and ultimate meaning through science. Bindrim's career demonstrates the historically long-standing interweaving of spirituality and science within American psychology while simultaneously highlighting the field's extraordinary capacity for adaptive reinvention. PMID:17912714
Jacobsen, Claus Haugaard; Jensen, Karen Boelt; Madsen, Ninna Skov
current relatively widespread use video one finds only a very limited numbers empirical study of how these recordings is experienced by the clients. Aim: After a brief discussion of the pro and cons of the use of video recordings this paper presents a qualitative, explorative study of clients’ experiences...... of having their psychotherapy sessions video recorded and presented in supervision. Methods: In all 25 clients receiving brief psychodynamic outpatient treatment in a university clinic setting filled out a questionnaire containing eight open ended questions concerning the influence of the video...... recordings. The answers were analyzed in accordance with Hill et al.’s (2005) guidelines for consensual qualitative research. Furthermore, subjects rated the overall influence on their therapy on a nine point Likert scale. Results: Categorization and frequencies of how clients across time and in certain...
Full Text Available Since Freud’s “Mourning and Melancholia”, bereavement encompasses the dilemma between continuing versus relinquishing bonds to deceased persons. Mourning is the process of symbolizing the loss, of making sense by facing the conflict between the absence of the lost object and the continuing presence of an emotional relationship to that which is lost. Furthermore, mourning is not limited to bereaved persons but also concerns dying persons and, in a broader sense, our whole symbolic life which is playful coping with a rhythm of absence and presence. True consolation connects the individual and the archetypical mourning. Spiritually integrated psychotherapy may accompany this process by amplification. Christian mysticism takes its starting point from the experience of Jesus Christ’s lost body, and this may be understood as a model of spiritual transformation.
Kenneth E. Bruscia
Full Text Available This case describes individual psychotherapy with Matt, a 26-year old man recently infected with the AIDS virus. In the eleven sessions, Guided Imagery and Music (GIM was used as the main technique within a psychodynamic orientation. Through an intense process of imagery transformation, Matt gained insight into how traumatic events from his past prevented him from coping with the emotional challenges of living with AIDS. Ultimately, this led him to confront one of the most important questions of his life: Shall I live dead, or shall I die living?
Caffrey, T A
Psychotherapy with a dying Vietnam veteran is described. In spite of a severe heart condition and HIV-positive diagnosis, the outspoken and provocative patient reverts to heroin and cocaine use early in the treatment. This causes a heart attack and interruption of treatment. The therapist maintains empathy, a solid bond is forged, and the patient returns, but under constrained circumstances. A turning point is reached, both in the treatment and in this final phase of the patient's life, with major life improvement ensuing. At death the patient leaves word to thank the therapist. This case exemplifies how the approach of death lends urgency to positive forces appropriate to life's final developmental stage, and how end-of-life therapy bolsters those forces. PMID:11109136
Akhmetova, V V; Kolchin, A I; Govorin, N V
Based on the results of examination of 157 patients with neurotic depression (ICD-10 items F43.20, F43.21, F43.22), electroencephalographic criteria of transpersonal psychotherapy efficacy have been specified as following: the increase of alpha-3 activity in the frontotemporal region and the decrease of a spectral index of theta-activity in parietal, central, occipital and prefrontal regions; some changes in beta-band (the increase of spectral index of beta-1 in frontotemporal and prefrontal regions and the decrease of beta-2 in parietal and occipital regions). The direction of these changes is objectively supported by the clinical dynamics, data of correlation analysis of neurophysiological parameters and psychometric scales used for assessment of the presence and severity of emotional and personality disorders. PMID:21350411
Barnett, Jeffrey E
Psychotherapists confront a myriad of ethical dilemmas as they endeavor to provide effective services. This issue of the Journal of Clinical Psychology: In Session on Ethics in Psychotherapy provides psychotherapists with thoughtful reviews, case examples, and practical guidance in the major areas of ethics. Following this brief introduction, the subsequent seven articles cover Informed consent; confidentiality, privilege, and their limits; treatment of minors and their families; business matters of practice (e.g., money, fees, bartering, advertising); clinical competence and scope of practice; boundaries and nonsexual multiple relationships; and termination and abandonment. This issue is designed to promote ethical practice, to provide guidance on common ethical dilemmas, and to prevent ethical challenges before they occur. PMID:18384116
JUAN CARLOS ALONSO G
Full Text Available This article is an answer to the growing interest arisen byAnalytic Psychology, a school of thought that compilesthe work of the Swiss doctor Carl G. Jung (1875-1961. There exists a wide lack of information in our society onthe contents of this school and thus this article seeks to offer wide review of its foundations. Given the fact thatthe aforementioned lack of knowledge is even greater in relation to its contributions to clinical work this paperpresents the main contributions made by this approach to psychotherapy. Finally, a mention is made of thedevelopments, revisions and postjunguian schools that have evolved from the original ideas of Jung to our days, aswell as interesting encounter points with other psychoanalitical approaches.
This paper presents the viewpoint of the adaptive approach in respect to manifest allusions to God and other religious themes from patients in psychotherapy and psychoanalysis. Such imagery is understood and interpreted on a par with secular imagery, as reflections of encoded deep unconscious experiences, many of them in response to therapists' interventions. The article also explores the reasons why religious imagery is uncommon in adaptive modes of therapy, discusses encoded evidence that therapists' religious self-revelations and extended personal reactions to patients' religious images are maladaptively countertransference-based, and suggests that particular kinds of encoded nonreligious imagery suggest that the deep unconscious mind should be thought of as an inner god of divine wisdom and pristine morality. The decision as to whether this viewpoint speaks for the existence of a transcendental deity or is properly considered in secular terms lies beyond the province of psychoanalytic observations and thinking. PMID:19364261
Ettin, M F
Practitioners of analytical psychology were late in coming to the practice of group psychotherapy because Carl Jung effectively forbade the treatment of individuals in stranger groups. This article explores Jung's objections to group therapy and, by way of a conceptual review of the literature, expands on the practice that grew up proximate to his death. It is argued that Jungian theory is especially conducive to collective treatment because it is concerned with the relationship between oppositions (whether in persons or between people) and uses synthetic and symbolic processes to bring about an integration of the one with the many. For Jungians who espouse a theory of symbolic transformation, archetype, and myth, the group is embodied in individuals and can be accessed by working with individuals in groups. PMID:7558501
Schnyder, Ulrich; Ehlers, Anke; Elbert, Thomas; Foa, Edna B; Gersons, Berthold P R; Resick, Patricia A; Shapiro, Francine; Cloitre, Marylène
A number of evidence-based psychotherapeutic approaches for the treatment of posttraumatic stress disorder (PTSD) are available. They differ in various ways, however, they also have a number of commonalities. Given this situation, clinicians may wonder which treatment program to use, or more specifically, which treatment components are critical for a successful therapy. The following treatment components can be found in almost all effective psychotherapies for PTSD: psychoeducation; teaching emotion regulation and coping skills; imaginal exposure, cognitive processing, restructuring and/or meaning making; targeting emotions; and the reorganization of memory functions. The underlying mechanisms of action are not sufficiently investigated. In the future, treatments should be tailored more specifically depending on certain patient characteristics. Also, the additional benefit of interventions aimed at improving resilience remains to be established. PMID:27005732
Full Text Available BACKGROUND: Psychotherapy has demonstrated comparable efficacy to antidepressant medication in the treatment of major depressive disorder. Metabolic alterations in the MDD state and in response to treatment have been detected by functional imaging methods, but the underlying white matter microstructural changes remain unknown. The goal of this study is to apply diffusion tensor imaging techniques to investigate psychotherapy-specific responses in the white matter. METHODS: Twenty-one of forty-five outpatients diagnosed with major depression underwent diffusion tensor imaging before and after a four-week course of guided imagery psychotherapy. We compared fractional anisotropy in depressed patients (n = 21 with healthy controls (n = 22, and before-after treatment, using whole brain voxel-wise analysis. RESULTS: Post-treatment, depressed subjects showed a significant reduction in the 17-item Hamilton Depression Rating Scale. As compared to healthy controls, depressed subjects demonstrated significantly increased fractional anisotropy in the right thalamus. Psychopathological changes did not recover post-treatment, but a novel region of increased fractional anisotropy was discovered in the frontal lobe. CONCLUSIONS: At an early stage of psychotherapy, higher fractional anisotropy was detected in the frontal emotional regulation-associated region. This finding reveals that psychotherapy may induce white matter changes in the frontal lobe. This remodeling of frontal connections within mood regulation networks positively contributes to the "top-down" mechanism of psychotherapy.
Full Text Available This paper takes up the subject of the place and role of individual psychotherapy of people diagnosed with schizophrenia in the Polish system of psychiatric care. It describes various therapeutic contexts in which such psychotherapy can take place: inpatient ward, outpatient ward, ambulatory care, community care team. It also touches upon the issue of psychotherapy in contact with a chronically ill patient who participates in rehabilitation at occupational therapy workshops or at a day care center. It discusses various needs of patients at specific stages of illness: acute psychosis, postpsychotic depression, symptomatic remission, and a possible response to these needs offered by psychiatric treatment. The paper emphasizes the importance of long-term therapeutic contact for recovery process, which includes the patient’s self-knowledge and awareness of the capability to influence their own life, gained during psychotherapy. The central idea of this paper is the connection of psychotherapy and organizational solutions which would enable its broadest and most effective usage in daily practice. An important element is a reflection concerning the relationships between psychotherapy of people suffering from schizophrenia and usually concurrently administered pharmacotherapy.
In this paper, I have tried to describe some of the characteristics of psychoanalytic psychotherapy in Japan in terms of dependency patterns in the psychotherapeutic relationship and the resolution of psychological problems. In the beginning of my paper I described problems concerning the professional network of psychiatry and psychotherapy in Japan and looked at the general attitude of the people toward this type of therapy. Then I briefly mentioned the attraction of traditional folk healing practices and outlined two of the academically acknowledged psychotherapies which originated in Japan. I have also presented characteristics of psychoanalytic psychotherapy practice in conjunction with those Japanese psychotherapies, discussing them in terms of the following issues: 1. General differences in psychoanalytic psychotherapy as contrasted to Naikan and Morita therapies and problems in psychoanalytic treatment that result from these differences. 2. Symptom resolution patterns in psychoanalytic treatment in Japanese patients and in relation to dream interpretation. 3. The cultural pattern of transference and how this relates to the Buddhistic figure of Kannon. 4. The Ajase Complex, a model of maternal transferential issues and an interpretation of objected-relations among the Japanese, namely the importance of forgiveness as a resolution of guilt and resentment. 5. The Amida Complex, a model of the cultural pattern of countertransference and the feeling of omnipotence and need for praise in the therapist. 6. Some complications and characteristics of a patient's perception of psychoanalytic interpretation. 7. The patient's perception of the psychoanalytic psychotherapist. PMID:7085393
The "mind-body" dualism has shaped the development of psychiatry. At the very beginning psychiatry was related to the mind and the rest of the medicine to the body. The main reasons for such division were lack of biological evidence for psychiatric disorders and wrong beliefs about demonic origins of "lunacy". But although the development of science offered more than enough biological evidence to understand brain as an organ of origin for psychiatric disorders, the dualism of mind and body remained alive even in the modern classification systems. One of the consequences was another dualism that differ biological (e.g. pharmacotherapy) from psychological therapy (e.g. psychotherapy) as completely different approaches. The purpose of this article is to offer enough evidence to reframe the existing dualisms into a different paradigm. In every illness both mind and body can be affected to a different extent. Which part of an illness is body and which part is mind is often difficult to differentiate even when we compare a person with broken leg with a person with acute stress reaction. For that reason it might be an over-simplification to differentiate sharply between biological and psychological therapies. The evidence show that psychotherapy influences biology of the brain and that pharmacotherapy influences psychological, social and developmental dimensions of the diseased person as well as overall well-being and functionality. In the era where medicine discovered psychology and psychiatry discovered biology, the debates and divisions that steam out of past dualisms should end. Every practising physician regardless of the medical discipline uses in everyday practice both biological and psychological approaches to help the patient successfully. PMID:17914321