WorldWideScience

Sample records for psychotherapy tfp dialectical

  1. Behavioral activation in TFP: The role of the treatment contract in transference-focused psychotherapy.

    Science.gov (United States)

    Yeomans, Frank E; Delaney, Jill C; Levy, Kenneth N

    2017-09-01

    Transference-focused psychotherapy (TFP) is a manualized evidence-based treatment for borderline and other severe personality disorders that is based on psychoanalytic object relations theory. Similar to other psychodynamic psychotherapies, TFP focuses on changing psychological structures, but also focuses on symptom and behavioral change, particularly the importance of being active (e.g., obtaining a job or involvement in similar activities). In TFP, the establishment of the treatment contract, also known as the treatment frame, is where goals such as work and other activities are agreed upon. The focus on such activities is particularly relevant to the concept of behavioral activation. We provide a clinical vignette to illustrate how TFP utilizes behavioral activation in facilitating treatment outcome both at the behavioral level and at the psychological level. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  2. [Transference Focused Psychotherapy for Borderline-Adolescents in a Day Clinic Treatment Program].

    Science.gov (United States)

    Krischer, Maya; Ponton-Rodriguez, Tamara; Gooran, Ghazal Rostami; Bender, Stephan

    2017-07-01

    Transference Focused Psychotherapy for Borderline-Adolescents in a Day Clinic Treatment Program This paper focuses on the concept of transference focused psychotherapy (TFP) modified for juvenile borderline patients. Adolescents with borderline developmental personality disorder (bpd) have an essential deficit in their personality structure that leads to oscillations in their self-esteem and in a "split" perception of the world. They suffer from a variety of symptoms and severe impairments on their own and their families' quality of life. Their fragmented perception of themselves and others make relationships almost unbearable for them. Relationships are mostly marked by severe anxiety of resentment and rejection. For these patients this causes intolerable trouble at school where every day conflicts take place. Self-mutilation and suicidal thoughts often seem the only way out. By now, there is an agreement that an early specialized assessment and treatment is necessary in order to stop the typical consequences of their self-mutilative and dysfunctional behavior. Still, in contrast to adult age, empirical evidence is missing which proves the effectiveness of treating adolescent borderline patients. In this paper we present a research project on the effectiveness of transference focused psychotherapy with adolescent borderline patients (TFP-A) in a day clinic setting, combining TFP with group skills training as known from dialectic behavior therapy (DBT). Furthermore, we give first results on analyzing the effectiveness of our day clinic treatment program based on TFP-A, focusing on improving core symptoms such as affective problems, aggressive behavior against self and others and interpersonal problems.

  3. Dynamic psychotherapy or dialectical behavioral therapy-- which is better for borderline personality disorder?

    Science.gov (United States)

    Tene, O; Har-Even, A; Dahan, E; Babokshin, Y; Reuveni, I; Ponarovsky, B; Rosman, V; Gluzman, L

    2011-01-01

    Clinical dilemma: A 20-year-old female patient, diagnosed as suffering from borderline personality disorder, is referred to your clinic. Her disorder is characterized by unstable personal relationships, impulsivity, suicidal behavior, emotional instability and pan-anxiety. After initiation of pharmacological treatment which you have chosen, you meet with her parents who ask you which is better for their daughter dynamic-analytic psychotherapy or dialectical behavioral therapy.

  4. The Therapeutic Alliance in Schema-Focused Therapy and Transference-Focused Psychotherapy for Borderline Personality Disorder

    Science.gov (United States)

    Spinhoven, Philip; Giesen-Bloo, Josephine; van Dyck, Richard; Kooiman, Kees; Arntz, Arnoud

    2007-01-01

    This study investigated the quality and development of the therapeutic alliance as a mediator of change in schema-focused therapy (SFT) and transference-focused psychotherapy (TFP) for borderline personality disorder. Seventy-eight patients were randomly allocated to 3 years of biweekly SFT or TFP. Scores of both therapists and patients for the…

  5. [M. Linehan dialectic behavioral psychotherapy. A new concept in the treatment of borderline personality disorders].

    Science.gov (United States)

    Bohus, M; Berger, M

    1996-11-01

    M. Linehan developed "dialectical behavioral therapy" specifically to treat chronically suicidal borderline patients. It rests on a biosocial model that assumes a disorder in the regulation of emotions and in tolerance of stress. The numerous dysfunctional patterns of behavior such as self-destructive behavior, inability to govern impulses or severe dissociative phenomena are regarded as attempts at problem-solving. This concept of therapy focuses on the continuing balance between the necessity of accepting maladaptive behavior patterns in both an intrapsychic and an interactional context while still working to change them. A comprehensive manual outlines the clearly structured therapy and integrates a wide choice of therapeutic strategies. Parallel to development of the therapy itself, a method also was developed for testing therapist adherence to the manual's guidelines, thus providing a basis for empirical evaluation. An initial controlled, randomized study demonstrated the significant superiority of this method to methods of unspecific psychotherapy at various levels. In the current endeavor to develop disorder-specific approaches to the treatment of personality disorders, "dialectical behavioral therapy" is a noteworthy model.

  6. A Tool for Preventing Teamwork Failure: the TFP Questionnaire

    DEFF Research Database (Denmark)

    Qvist, Palle; Rebollar, Rubeén; Lidón, Iván

    2010-01-01

    This paper presents the process used to devise the Teamwork Failure Prevention Questionnaire (TFP Questionnaire), a tool that allows teams with problems in functioning to be detected early. The TFP Questionnaire was formulated in a project management course at the University of Zaragoza (Spain......). In this course, teams of five or six students have to manage a project for a real client. The questionnaire was then tested on students on this course and on a similar one at Aalborg University (Denmark). This article analyses the psychometric characteristics of the TFP Questionnaire and then presents...

  7. Total factor productivity (TFP) growth agriculture in pakistan: trends in different time horizons

    International Nuclear Information System (INIS)

    Ali, A.; Mushtaq, K.; Ashfaq, M.

    2008-01-01

    The present study estimated total factor productivity (TFP) growth of agriculture sector of Pakistan for the period 1971-2006 by employing Tornqvist-Theil (T-T) index number methodology. Most of the conventional inputs were used in constructing the input index. The output index includes major crops, minor crops, important fruits and vegetables and four categories of livestock products. The study estimated TFP growth rates for different decades. The results showed that TFP growth rate was lowest during the decade of 70s (0.96 percent) and highest during the last six years of the study period (2.86 percent). The decade of 80s and 90s registered TFP growth rate of 2.24 percent and 2.46 percent, respectively. The results also explained that TFP growth contributed about 33 percent to total agricultural output growth during the decade of 70s and this contribution increased up to 83 percent during the last six years of the study period. The contribution of TFP growth to total agricultural output growth was 53 and 81 percent during the decades of 80s and 90s, respectively. The study observed that macro level government policies, institutional factors and weather conditions are the major key factors that influenced TFP growth. (author)

  8. Frontolimbic neural circuit changes in emotional processing and inhibitory control associated with clinical improvement following transference-focused psychotherapy in borderline personality disorder.

    Science.gov (United States)

    Perez, David L; Vago, David R; Pan, Hong; Root, James; Tuescher, Oliver; Fuchs, Benjamin H; Leung, Lorene; Epstein, Jane; Cain, Nicole M; Clarkin, John F; Lenzenweger, Mark F; Kernberg, Otto F; Levy, Kenneth N; Silbersweig, David A; Stern, Emily

    2016-01-01

    Borderline personality disorder (BPD) is characterized by self-regulation deficits, including impulsivity and affective lability. Transference-focused psychotherapy (TFP) is an evidence-based treatment proven to reduce symptoms across multiple cognitive-emotional domains in BPD. This pilot study aimed to investigate neural activation associated with, and predictive of, clinical improvement in emotional and behavioral regulation in BPD following TFP. BPD subjects (n = 10) were scanned pre- and post-TFP treatment using a within-subjects design. A disorder-specific emotional-linguistic go/no-go functional magnetic resonance imaging paradigm was used to probe the interaction between negative emotional processing and inhibitory control. Analyses demonstrated significant treatment-related effects with relative increased dorsal prefrontal (dorsal anterior cingulate, dorsolateral prefrontal, and frontopolar cortices) activation, and relative decreased ventrolateral prefrontal cortex and hippocampal activation following treatment. Clinical improvement in constraint correlated positively with relative increased left dorsal anterior cingulate cortex activation. Clinical improvement in affective lability correlated positively with left posterior-medial orbitofrontal cortex/ventral striatum activation, and negatively with right amygdala/parahippocampal activation. Post-treatment improvements in constraint were predicted by pre-treatment right dorsal anterior cingulate cortex hypoactivation, and pre-treatment left posterior-medial orbitofrontal cortex/ventral striatum hypoactivation predicted improvements in affective lability. These preliminary findings demonstrate potential TFP-associated alterations in frontolimbic circuitry and begin to identify neural mechanisms associated with a psychodynamically oriented psychotherapy. © 2015 The Authors. Psychiatry and Clinical Neurosciences © 2015 Japanese Society of Psychiatry and Neurology.

  9. [The relevance of zen-buddhism for dialectic-behavioral therapy].

    Science.gov (United States)

    Huppertz, Michael

    2003-01-01

    Dialectic-Behavioral Therapy is a specific psychotherapeutic approach to answer the needs of patients with Borderline Personality Disorder. It uses concepts and techniques of Cognitive Behavioral Therapy and of Humanistic Psychotherapies. For a deeper understanding, it is necessary to include also its Zen-Buddhistic background. The experience of Zen-meditation and the basic philosophy of Zen-Buddhism will be explained. In the context of the historical relation between Zen-Buddhism and Psychotherapy, the position of the DBT will be specified. Finally it will be demonstrated how Zen-Buddhism inspired the practice of DBT and what kinds of problems arise when a modern psychotherapy uses the concept of a premodern conception of the world and human existence.

  10. Psychotherapy Training: Residents' Perceptions and Experiences.

    Science.gov (United States)

    Kovach, Jessica G; Dubin, William R; Combs, Christopher J

    2015-10-01

    This survey examined actual training hours in psychotherapy modalities as reported by residents, residents' perceptions of training needs, and residents' perceptions of the importance of different aspects of psychotherapy training. A brief, voluntary, anonymous, Internet-based survey was developed. All 14 program directors for Accreditation Council for Graduate Medical Education accredited programs in Pennsylvania, New Jersey, and Delaware provided email addresses for current categorical residents. The survey inquired about hours of time spent in various aspects of training, value assigned to aspects of training, residents' involvement in their own psychotherapy, and overall resident wellness. The survey was e-mailed to 328 residents. Of the 328 residents contacted, 133 (40.5%) responded. Median reported number of PGY 3 and 4 performed versus perceived ideal hours of supportive therapy, cognitive behavioral therapy (CBT), and psychodynamic therapy did not differ. Answers for clinical time utilizing these modalities ranged from "none or less than 1 h" per month to 20+ h per month. PGY 3 and 4 residents reported a median of "none or less than 1 h" per month performed of interpersonal, dialectical behavior therapy, couples/family/group, and child therapies but preferred more time using these therapies. Residents in all years of training preferred more hours of didactic instruction for all psychotherapies and for medication management. Residents ranked teaching modalities in the following order of importance: supervision, hours of psychotherapy performed, personal psychotherapy, readings, and didactic instruction. Residents engaged in their own psychotherapy were significantly more likely to rank the experiential aspects of psychotherapy training (personal psychotherapy, supervision, and hours performed) higher than residents not in psychotherapy. Current psychotherapy training for psychiatry residents is highly variable, but overall, residents want more

  11. The Intersystem Model of Psychotherapy: An Integrated Systems Treatment Approach

    Science.gov (United States)

    Weeks, Gerald R.; Cross, Chad L.

    2004-01-01

    This article introduces the intersystem model of psychotherapy and discusses its utility as a truly integrative and comprehensive approach. The foundation of this conceptually complex approach comes from dialectic metatheory; hence, its derivation requires an understanding of both foundational and integrational constructs. The article provides a…

  12. Survey: Did the TFP Growth Rate in Japan Decline in the 1990s?(in Japanese)

    OpenAIRE

    INUI Tomohiko; KWON Hyeog Ug

    2004-01-01

    This paper surveys the body of research grounded on a basic question "Did the total factor productivity (TFP) growth rate in Japan decline in the 1990s?" In addition, using industry-level data of the Japan Industrial Productivity Database (JIP database) we estimate the mark-ups and the degree of returns to scale and then re-estimate TFP growth rates. Most of studies reviewed in this paper show a decline in TFP growth in the 1990s at the macro-level and the industry-level. There are some studi...

  13. Fiscal policy and TFP in the OECD: Measuring direct and indirect effects

    OpenAIRE

    Everaert, Gerdie; Heylen, Freddy; Schoonackers, Ruben

    2014-01-01

    This paper analyzes the direct and indirect effects of fiscal policy on total factor productivity (TFP) in a panel of OECD countries over the period 1970-2012. Our contribution is twofold. First, when estimating the impact of fiscal policy on TFP from a production function approach, we identify the worldwide available level of technology by exploiting the observed strong cross-sectional dependence between countries instead of using ad hoc proxies for technology. Second, next to direct effects...

  14. TFP Convergence in German States Since Reunification

    DEFF Research Database (Denmark)

    Burda, Michael C.; Severgnini, Battista

    A quarter-century after reunification, labor productivity in eastern Germany continues to lag systematically behind the West. Denison-Hall-Jones point-in-time estimates point to large gaps in total factor productivity as the proximate cause, and auxiliary measurements which do not rely on capital...... investment and plant and equipment. The best candidates for explaining the stubborn East-West TFP gap are the low concentration of managers in the East and the insufficient R&D expenditure, rather than the concentration of firm headquarters and R&D personnel....

  15. The Effects of Competition Policy on TFP Growth: Some Evidence from the Malaysian Electricity Supply Industry

    OpenAIRE

    Kok Fong See; Tim Coelli

    2009-01-01

    The main objectives of this paper are to measure total factor productivity (TFP) growth in the electricity supply industry in Peninsular Malaysia from 1975 to 2005 and to assess the impact of private entry reforms upon TFP in this industry. Prior to 1995, a government-linked, vertically-integrated electricity utility, Tenaga Nasional Berhad (TNB), was essentially the sole operator. However, since 1995 privately-owned Independent Power Producers (IPPs) have also begun generating electricity, a...

  16. Psychotherapy research needs theory. Outline for an epistemology of the clinical exchange.

    Science.gov (United States)

    Salvatore, Sergio

    2011-09-01

    This paper provides an analysis of a basic assumption grounding the clinical research: the ontological autonomy of psychotherapy-based on the idea that the clinical exchange is sufficiently distinguished from other social objects (i.e. exchange between teacher and pupils, or between buyer and seller, or interaction during dinner, and so forth). A criticism of such an assumption is discussed together with the proposal of a different epistemological interpretation, based on the distinction between communicative dynamics and the process of psychotherapy-psychotherapy is a goal-oriented process based on the general dynamics of human communication. Theoretical and methodological implications are drawn from such a view: It allows further sources of knowledge to be integrated within clinical research (i.e. those coming from other domains of analysis of human communication); it also enables a more abstract definition of the psychotherapy process to be developed, leading to innovative views of classical critical issues, like the specific-nonspecific debate. The final part of the paper is devoted to presenting a model of human communication--the Semiotic Dialogical Dialectic Theory--which is meant as the framework for the analysis of psychotherapy.

  17. Fluorescence Lifetime Readouts of Troponin-C-Based Calcium FRET Sensors: A Quantitative Comparison of CFP and mTFP1 as Donor Fluorophores

    Science.gov (United States)

    Laine, Romain; Stuckey, Daniel W.; Manning, Hugh; Warren, Sean C.; Kennedy, Gordon; Carling, David

    2012-01-01

    We have compared the performance of two Troponin-C-based calcium FRET sensors using fluorescence lifetime read-outs. The first sensor, TN-L15, consists of a Troponin-C fragment inserted between CFP and Citrine while the second sensor, called mTFP-TnC-Cit, was realized by replacing CFP in TN-L15 with monomeric Teal Fluorescent Protein (mTFP1). Using cytosol preparations of transiently transfected mammalian cells, we have measured the fluorescence decay profiles of these sensors at controlled concentrations of calcium using time-correlated single photon counting. These data were fitted to discrete exponential decay models using global analysis to determine the FRET efficiency, fraction of donor molecules undergoing FRET and calcium affinity of these sensors. We have also studied the decay profiles of the donor fluorescent proteins alone and determined the sensitivity of the donor lifetime to temperature and emission wavelength. Live-cell fluorescence lifetime imaging (FLIM) of HEK293T cells expressing each of these sensors was also undertaken. We confirmed that donor fluorescence of mTFP-TnC-Cit fits well to a two-component decay model, while the TN-L15 lifetime data was best fitted to a constrained four-component model, which was supported by phasor analysis of the measured lifetime data. If the constrained global fitting is employed, the TN-L15 sensor can provide a larger dynamic range of lifetime readout than the mTFP-TnC-Cit sensor but the CFP donor is significantly more sensitive to changes in temperature and emission wavelength compared to mTFP and, while the mTFP-TnC-Cit solution phase data broadly agreed with measurements in live cells, this was not the case for the TN-L15 sensor. Our titration experiment also indicates that a similar precision in determination of calcium concentration can be achieved with both FRET biosensors when fitting a single exponential donor fluorescence decay model to the fluorescence decay profiles. We therefore suggest that mTFP

  18. [Reality of treatment in psychotherapy: Results of a survey of German psychiatric hospitals].

    Science.gov (United States)

    Laux, G; Sander, K; Artmann, S; Dreher, J; Lenz, J; Hauth, I

    2015-05-01

    Since the introduction of the qualification as specialist for psychiatry and psychotherapy, in addition to psychopharmacotherapy psychotherapy is an integral component of the treatment of mentally ill people. A survey was carried out to evaluate the reality of clinical routine use of psychotherapy in German psychiatric hospitals. Between October 2011 and March 2012 German hospitals of psychiatry and psychotherapy were contacted by the head organization, the conference of national directors (Bundesdirektorenkonferenz), to participate in a survey regarding the application of psychotherapy in the real clinical world of daily treatment. With an anonymous questionnaire, data were requested as either a printed form or online version. Data from 25 psychiatric hospitals in the year 2010 could be analysed (average number of beds 300 of which 53 were for psychosomatic/psychotherapeutic patients) and a total of 87,000 inpatients were treated whereby 34 % were diagnosed as F1 addictive disorders and 24 % as F3 affective disorders. More than 80 % of the hospitals applied group therapies of relaxation, cognitive behavior therapy, social competence training and specific techniques, such as dialectic-behavior therapy. As individual treatment methods, patients with depressive disorders were treated with cognitive behavior therapy, interpersonal psychotherapy or psychodynamic therapy in more than 50 % of the cases. Relaxation techniques were offered in most cases by the nursing staff, behavior therapy by psychologists and physicians and psychodynamic therapy mainly by psychiatrists.

  19. [Integrative approach in the psychotherapy of borderline personality disorder].

    Science.gov (United States)

    Kuritárné Szabó, Ildikó

    2012-01-01

    In the last 20 years six psychotherapy methods have been developed specifically for borderline personality disorder. Solid RCT evidences suggests the efficacy of all the methods. Roughly equivalent improvement was obtained from the different types of psychotherapies. Today we have reached a new phase of the borderline "psychotherapy boom", the integrative approach. According to the integrative treatment advocates we should not choose among these effective treatments but we can incorporate in the therapy all the components that work. The integrative approach uses general factors common to all effective therapies, combined with specific treatment techniques taken from different therapies in order to treat the given patient's psychopathology. These common factors are: coherent framework; attention to strategies for building strong positive alliance and maintaining patient motivation; creating a safe and structured therapeutic environment; clear treatment frame; transparency of the goals and roles; focus upon presenting problems; higher level therapeutic activity; here-and-now focus; and facilitating self-reflection. Treatment focuses on change while maintaining a validating and supportive stance. General strategies can be supplemented by more specific techniques such as cognitive-behavioral interventions for reducing maladaptive behavior, training for developing emotion regulation skills and interpersonal skills coming from dialectical behavior therapy. Methods drawn from psychodynamic approaches can be used for the modification of underlying interpersonal cognitive-emotional schemas.

  20. TFP5/TP5 peptide provides neuroprotection in the MPTP model of Parkinson′s disease

    Directory of Open Access Journals (Sweden)

    B K Binukumar

    2016-01-01

    Full Text Available Cyclin-dependent kinase 5 (Cdk5 is a member of the serine-threonine kinase family of cyclin-dependent kinases. Cdk5 is critical to normal mammalian nervous system development and plays important regulatory roles in multiple cellular functions. Recent evidence indicates that Cdk5 is inappropriately activated in several neurodegenerative conditions, including Parkinson′s disease (PD. PD is a chronic neurodegenerative disorder characterized by the loss of dopamine neurons in the substantia nigra, decreased striatal dopamine levels, and consequent extrapyramidal motor dysfunction. During neurotoxicity, p35 is cleaved to form p25. Binding of p25 with Cdk5 leads deregulation of Cdk5 resulting in number of neurodegenerative pathologies. To date, strategies to specifically inhibit Cdk5 hyperactivity have not been successful without affecting normal Cdk5 activity. Here we show that inhibition of p25/Cdk5 hyperactivation through TFP5/TP5, truncated 24-aa peptide derived from the Cdk5 activator p35 rescues nigrostriatal dopaminergic neurodegeneration induced by 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP/MPP + in a mouse model of PD. TP5 peptide treatment also blocked dopamine depletion in the striatum and improved gait dysfunction after MPTP administration. The neuroprotective effect of TFP5/TP5 peptide is also associated with marked reduction in neuroinflammation and apoptosis. Here we show inhibition of Cdk5/p25-hyperactivation by TFP5/TP5 peptide, which identifies Cdk5/p25 as a potential therapeutic target to reduce neurodegeneration in PD.

  1. Topical Roots of Formal Dialectic

    NARCIS (Netherlands)

    Krabbe, Erik C. W.

    Formal dialectic has its roots in ancient dialectic. We can trace this influence in Charles Hamblin's book on fallacies, in which he introduced his first formal dialectical systems. Earlier, Paul Lorenzen proposed systems of dialogical logic, which were in fact formal dialectical systems avant la

  2. Efficacy of Psychotherapies for Borderline Personality Disorder: A Systematic Review and Meta-analysis.

    Science.gov (United States)

    Cristea, Ioana A; Gentili, Claudio; Cotet, Carmen D; Palomba, Daniela; Barbui, Corrado; Cuijpers, Pim

    2017-04-01

    , 0.09-0.54), suicide (g = 0.44; 95% CI, 0.15-0.74), health service use (g = 0.40; 95% CI, 0.22-0.58), and general psychopathology (g = 0.32; 95% CI, 0.09-0.55), with no differences between design types. There were no significant differences in the odds ratios for treatment retention (1.32; 95% CI, 0.87-2.00 for stand-alone designs and 1.01; 95% CI, 0.55-1.87 for add-on designs). Thirteen trials reported borderline-relevant outcomes at follow-up (g = 0.45; 95% CI, 0.15-0.75). Dialectical behavior therapy (g = 0.34; 95% CI, 0.15-0.53) and psychodynamic approaches (g = 0.41; 95% CI, 0.12-0.69) were the only types of psychotherapies more effective than control interventions. Risk of bias was a significant moderator in subgroup and meta-regression analyses (slope β = -0.16; 95% CI, -0.29 to -0.03; P = .02). Publication bias was persistent, particularly for follow-up. Psychotherapies, most notably dialectical behavior therapy and psychodynamic approaches, are effective for borderline symptoms and related problems. Nonetheless, effects are small, inflated by risk of bias and publication bias, and particularly unstable at follow-up.

  3. FOREIGN DIRECT INVESTMENT INTENSITY EFFECTS ON TFP INTENSITY OF ASEAN 5 PLUS 2

    OpenAIRE

    Elsadig Musa Ahmed

    2008-01-01

    This study aims to investigate the role of foreign direct investment (FDI) intensity through decomposition of labour productivity growth into contributions of capital deepening, increased usage of foreign direct investment (FDI) intensity, and the simultaneous contribution of the quality of these factors. This has expressed as the contribution of total factor productivity (TFP) intensity growth in achieving productivity driven growth in ASEAN 5 (Malaysia, Indonesia, Philippines, Singapore and...

  4. What's New in Treating Inpatients With Personality Disorders?: Dialectical Behavior Therapy and Old-Fashioned, Good Communication.

    Science.gov (United States)

    Ritter, Sarah; Platt, Lois M

    2016-01-01

    Psychiatric unit inpatients often have serious mental illnesses with comorbid personality disorders. Mental illnesses usually respond favorably to medication and psychotherapy, but personality disorders do not. Two personality disorders are commonly seen on inpatient units: borderline and antisocial. These personality disorders may destabilize the milieu with disruptive behaviors and present a challenge to nurses. Difficult patient behaviors and therapeutic responses by nurses are examined. Dialectical behavior therapy techniques and good communication skills may be used by nurses to (a) interact therapeutically with patients with personality disorders and (b) protect other patients and the milieu. Copyright 2016, SLACK Incorporated.

  5. Cultural differences in the dialectical and non-dialectical emotional styles and their implications for health.

    Science.gov (United States)

    Miyamoto, Yuri; Ryff, Carol D

    2011-01-01

    Previous cross-cultural studies have repeatedly demonstrated that East Asians are more likely to show a dialectical emotional style than Americans, but do not distinguish between specific types of dialectical emotional styles. Using an age diverse sample, we found that compared to Americans, Japanese are more likely to experience both positive and negative emotions moderately frequently (i.e., moderate dialectical), but are no more likely to experience them frequently (i.e., high dialectical). Thus, dialectical emotions prevalent in East Asia may be characterised by a "middle way" rather than by emotional extremes. Furthermore, we explored whether dialectical emotion types are associated with better health profiles depending on cultural background. Our results show that the moderate dialectical type is associated with fewer physical symptoms in Japan than in the USA. Together, these findings show the cultural differences in the experience of balanced positive and negative emotions and their health correlates. © 2010 Psychology Press, an imprint of the Taylor & Francis Group, an Informa business

  6. Communication Dialectics, Islam, and Sundanese Culture

    Directory of Open Access Journals (Sweden)

    Ujang Saefullah

    2013-06-01

    Full Text Available Customary societies of Kampung Dukuh is community tightly maintaining their tradition up to the present. It appeared on their life routine beginning from the way of having intercourse, the custom of consuming, the kind of living, the system of leadership until the construction model of stage house constructed from bamboo with palm fiber for the roof. This study aimed to analyze: 1 language dialectic, communication and Sundanese culture at customary society of Kampung Dukuh 2 communication dialectic and tradition of Islam at customary society of Kampung Dukuh 3 Dialectic of Islam tradition and Sundanese culture at customary society of Kampung Dukuh. The method of this research is Ethnography of Communication with qualitative approach. The techniques of data collection are profound interview, participatory observation and documentation research. The results are 1 communication dialectic Sundanese culture lasted in total dialectic manner and indicated relation of dependence each other 2 communication dialectic and tradition of Islam prevailed in total dialectic way, and possessed dependence, affirmed as well as strengthen each other 3 tradition dialectic of Islam and Sundanese culture were divided into two categories namely 1 dialectic of Islam value and culture norm run in total dialectic manner and owned dependence each other 2 dialectic of Islam faith and myths lasted in contradictory way or be in conflict among two different extremes.

  7. The Prague Linguistic Circle and Dialectics

    Directory of Open Access Journals (Sweden)

    Ondřej Sládek

    2017-12-01

    Full Text Available The study deals with dialectics in the context of the Prague Linguistic Circle, particularly in the context of Jan Mukařovský’s thinking. The essay presents 1 main sources of Mukařovský’s dialectics, and outlines 2 Mukařovský’s dialectical method. The notion of dialectics appears in Mukařovský’s scholarly work in a set of connections. He applied dialectics as a method, manner or form of rationality. It served as a means of gaining knowledge about the world, specific phenomena and objects, their essence, interconnectedness as well as development. Mukařovský also used it as a procedure for resolving contradictions (antinomies that he encountered in his scientific explorations and in ordinary practical activities. He understood dialectical thinking as dynamic, open, and pluralist thinking striving to reflect reality as a constant process. Gradual coming together of dialectics and materialism, evident in Mukařovský’s scholarly works from the mid-1930s, resulted, ten years later, in a public adoption of dialectical materialism.

  8. Borderline Personality Disorder: Therapeutic Factors.

    Science.gov (United States)

    Stone, Michael H

    2016-01-01

    Proponents of the now half-dozen major psychotherapeutic approaches tend to claim the superiority of their different approaches-known widely by their acronyms: CBT for Cognitive Behavioral Therapy, DBT for Dialectic Behavioral Therapy, MBT for Mentalization-Based Therapy, TFP for Transference- Focused Psychotherapy, and so on. The data thus far support the utility of each method, but do not show clear-cut superiority of any one method. A large percentage of BPD patients eventually improve or even recover, but these favorable results appear to derive from a multiplicity of factors. These include the personality traits of both patient and therapist, the unpredictable life events over time, the socioeconomic and cultural background of the patient, and the placebo effect of simply being in treatment. These latter factors constitute the contextual model, which operates alongside the medical model, each playing a role in eventual outcome. The contextual model will be discussed extensively in a separate article.

  9. Mineralization and defluoridation of 2,2,3,3-tetrafluoro -1-propanol (TFP) by UV oxidation in a novel three-phase fluidized bed reactor (3P-FBR).

    Science.gov (United States)

    Shih, Yu-Jen; Tsai, Meng-Tso; Huang, Yao-Hui

    2013-05-01

    2,2,3,3-Tetrafluoro-1-propanol (TFP, C3H4F4O, M.W. = 132.06) is extensively used as the solvent in CD-R and DVD-R fabrication. Since it has a fluorinated alky-chain configuration and is non-biodegradable, its treatment by conventional oxidation methods is typically very inefficient. In this work, novel three-phase fluidized bed reactor (3P-FBR, 7.5 cm in diameter, 50 cm high) that combines photo oxidation (UV/H2O2, one of AOPs (Advanced Oxidation Process) and adsorption (BT5 iron oxide as adsorbent) processes is designed for mineralizing and defluorinizing TFP wastewater. The experimental results reveal that TFP can be efficiently mineralized, and the BT5 that is circulated by aeration in the 3P-FBR system can remove the released fluoride ions in the reaction period. Irradiation with 254 nm UV and a 10 mM H2O2 dose yield a TOC removal of TFP (1.39 mM, equivalent to an initial TOC of 50 ppm) of over 99.95% in 2 h, and 99% of fluoride was removed by BT5 with an adsorption capacity of 24.1 mg-F g(-1). Copyright © 2013 Elsevier Ltd. All rights reserved.

  10. Consonants, vowels and tones across Vietnamese dialects.

    Science.gov (United States)

    PhȦm, Ben; McLeod, Sharynne

    2016-04-01

    Vietnamese is spoken by over 89 million people in Vietnam and it is one of the most commonly spoken languages other than English in the US, Canada and Australia. This study defines between one and nine different dialects of Vietnamese spoken in Vietnam. In Vietnamese schools, children learn Standard Vietnamese which is based on the northern dialect; however, if they live in other regions they may speak a different dialect at home. This paper describes the differences between the consonants, semivowels, vowels, diphthongs and tones for four dialects: Standard, northern, central and southern Vietnamese. The number and type of initial consonants differs per dialect (i.e. Standard = 23, northern = 20, central = 23, southern = 21). For example, the letter "r" is pronounced in the Standard and central dialects as the retroflex /ʐ/, northern dialect as the voiced alveolar fricative /z/ or the trilled /r/ and in the southern dialect as the voiced velar fricative /ɣ/. Additionally, the letter "v" is pronounced in the Standard, northern and central dialects as the voiced bilabial fricative /v/, the southern dialect as the voiced palatal approximant /j/ and in the lower northern dialect (Ninh Binh) as the voiceless bilabial fricative /f/. Similarly, the number of final consonants differs per dialect (i.e. Standard = 6, northern = 10, central = 10, southern = 8). Finally, the number and type of tones differs per dialect (i.e. Standard = 6, northern = 6, central = 5, southern = 5). Understanding differences between Vietnamese dialects is important so that speech-language pathologists and educators provide appropriate services to people who speak Vietnamese.

  11. Advanced Psychotherapy Training: Psychotherapy Scholars' Track, and the Apprenticeship Model

    Science.gov (United States)

    Feinstein, Robert E.; Yager, Joel

    2013-01-01

    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…

  12. Spatial Evolution of Human Dialects

    Science.gov (United States)

    Burridge, James

    2017-07-01

    The geographical pattern of human dialects is a result of history. Here, we formulate a simple spatial model of language change which shows that the final result of this historical evolution may, to some extent, be predictable. The model shows that the boundaries of language dialect regions are controlled by a length minimizing effect analogous to surface tension, mediated by variations in population density which can induce curvature, and by the shape of coastline or similar borders. The predictability of dialect regions arises because these effects will drive many complex, randomized early states toward one of a smaller number of stable final configurations. The model is able to reproduce observations and predictions of dialectologists. These include dialect continua, isogloss bundling, fanning, the wavelike spread of dialect features from cities, and the impact of human movement on the number of dialects that an area can support. The model also provides an analytical form for Séguy's curve giving the relationship between geographical and linguistic distance, and a generalization of the curve to account for the presence of a population center. A simple modification allows us to analytically characterize the variation of language use by age in an area undergoing linguistic change.

  13. Integrative psychotherapy.

    Science.gov (United States)

    Kozarić-Kovacić, Dragica

    2008-09-01

    The main purposes of the article are to present the history of integration in psychotherapy, the reasons of the development integrative approaches, and the approaches to integration in psychotherapy. Three approaches to integration in psychotherapy exist: theoretical integration, theoretical eclecticism, and common factors in different psychotherapeutic trends. In integrative psychotherapy, the basic epistemology, theory, and clinical practice are based on the phenomenology, field theory, holism, dialogue, and co-creation of dialogue in the therapeutic relationship. The main criticism is that integrative psychotherapy suffers from confusion and many unresolved controversies. It is difficult to theoretically and methodologically define the clinically applied model that is based on such a different epistemological and theoretical presumptions. Integrative psychotherapy is a synthesis of humanistic psychotherapy, object relations theory, and psychoanalytical self psychology. It focuses on the dynamics and potentials of human relationships, with a goal of changing the relations and understanding internal and external resistances. The process of integrative psychotherapy is primarily focused on the developmental-relational model and co-creation of psychotherapeutic relationship as a single interactive event, which is not unilateral, but rather a joint endeavor by both the therapist and the patient/client. The need for a relationship is an important human need and represents a process of attunement that occurs as a response to the need for a relationship, a unique interpersonal contact between two people. If this need is not met, it manifests with the different feelings and various defenses. To meet this need, we need to have another person with whom we can establish a sensitive, attuned relationship. Thus, the therapist becomes this person who tries to supplement what the person did not receive. Neuroscience can be a source of integration through different therapies. We

  14. Identifying Dialect Regions from Syntactic Data

    NARCIS (Netherlands)

    Tjong Kim Sang, E.; Wieling, Martijn; Kroon, Martin; van Noord, Gertjan; Bouma, Gosse

    2017-01-01

    The Syntactic Atlas of Dutch Dialects (SAND) is a database of syntactic features observed in the language spoken by people from different dialect regions in The Netherlands and Flanders. We would like to know how specific syntactic features are for the different dialects. For this purpose we try to

  15. Dialectical Rapprochement in the New Rhetoric.

    Science.gov (United States)

    Frank, David A.

    1998-01-01

    Contends that the New Rhetoric, a response to 20th-century totalitarianism, is a post-Holocaust dialectic of rapprochement, deserving development by scholars of rhetoric and argument. Demonstrates that the dialectic of New Rhetoric exploits Aristotle's notion of reasoning from common opinions and reconciles Hegelian dialectics with argumentation.…

  16. Clinical Severity as a Moderator of Outcome in Psychodynamic and Dialectical Behavior Therapies for Borderline Personality Disorder.

    Science.gov (United States)

    Sahin, Zeynep; Vinnars, Bo; Gorman, Bernard S; Wilczek, Alexander; Åsberg, Marie; Barber, Jacques P

    2017-12-14

    The aim of the present study was to assess the effect of initial level of psychiatric severity on treatment outcome in psychodynamic therapy and dialectical behavior therapy (DBT) for borderline personality disorder (BPD). It was hypothesized that DBT would lead to better outcome for patients with high psychiatric severity, whereas dynamic treatment would lead to better outcome for patients with lower psychiatric severity. Data from the 5th-year follow-up of the Stockholm City Council's and the Karolinska Institute's Psychotherapy Project were used in the present study. A total of 106 female patients diagnosed with BPD with at least 2 past suicide attempts were randomized into object-relational psychotherapy (ORP; based on transference-focused psychotherapy), DBT, and treatment as usual. Patients' baseline global severity index was used as a moderator. Global Assessment of Functioning (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition [American Psychiatric Association, 1994]) was used to examine outcome. There was a significant 3-way interaction of Time × Treatment × Severity. Post hoc analyses suggested that patients with lower levels of severity had significantly better outcomes in object-relational psychotherapy. For patients with higher severity, the 3 treatments resulted in similar outcomes in terms of level of functioning. Outcome of treatment for BPD might differ significantly for patients depending on their initial levels of overall psychiatric severity. If our findings are replicated for patients with low severity and supported for a high-severity sample, psychiatric severity can be used as a low-cost and effective tool to match patients with BPD to optimal treatments. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  17. ADAM: Analyzer for Dialectal Arabic Morphology

    Directory of Open Access Journals (Sweden)

    Wael Salloum

    2014-12-01

    Full Text Available While Modern Standard Arabic (MSA has many resources, Arabic Dialects, the primarily spoken local varieties of Arabic, are quite impoverished in this regard. In this article, we present ADAM (Analyzer for Dialectal Arabic Morphology. ADAM is a poor man’s solution to quickly develop morphological analyzers for dialectal Arabic. ADAM has roughly half the out-of-vocabulary rate of a state-of-the-art MSA analyzer and is comparable in its recall performance to an Egyptian dialectal morphological analyzer that took years and expensive resources to build.

  18. Novel Techniques for Dialectal Arabic Speech Recognition

    CERN Document Server

    Elmahdy, Mohamed; Minker, Wolfgang

    2012-01-01

    Novel Techniques for Dialectal Arabic Speech describes approaches to improve automatic speech recognition for dialectal Arabic. Since speech resources for dialectal Arabic speech recognition are very sparse, the authors describe how existing Modern Standard Arabic (MSA) speech data can be applied to dialectal Arabic speech recognition, while assuming that MSA is always a second language for all Arabic speakers. In this book, Egyptian Colloquial Arabic (ECA) has been chosen as a typical Arabic dialect. ECA is the first ranked Arabic dialect in terms of number of speakers, and a high quality ECA speech corpus with accurate phonetic transcription has been collected. MSA acoustic models were trained using news broadcast speech. In order to cross-lingually use MSA in dialectal Arabic speech recognition, the authors have normalized the phoneme sets for MSA and ECA. After this normalization, they have applied state-of-the-art acoustic model adaptation techniques like Maximum Likelihood Linear Regression (MLLR) and M...

  19. The use of Hegelian dialectics in nursing science.

    Science.gov (United States)

    Fagerström, Lisbeth; Bergbom, Ingegerd

    2010-01-01

    The aim of this column is to describe dialectics as a philosophy and method which can be used by nurses to make a contribution to nursing science. Dialectics can be used in three ways: as a philosophical approach, as a method using the dialectic laws, and as a method of describing the dialectic process by focusing on the dynamic elements of the process. Dialectics can also be combined with hermeneutics.

  20. A DIALECTICAL PERSPECTIVE OF TRAUMA PROCESSING

    Directory of Open Access Journals (Sweden)

    Brurit Laub

    2014-03-01

    Full Text Available This article presents a dialectical perspective, which attempts to elucidate the integrative components of trauma processing in therapy. It is proposed that the inherent movement toward greater integration is an expanding dialectical movement. It is conceived as a spiral resulting from the synergy of two dialectical movements. The horizontal line moves between the opposite aspects of the individual (thesis vs. antithesis toward a synthesis. The vertical line moves upward via whole/part shifts toward greater integration, or downward toward disintegration and fragmentation. It is proposed that the complementary processes of differentiation and linking are the building blocks of the integrative/dialectical movement. Differentiation relates to the separation of parts and linking relates to their connection. The role of differentiation and linking in three basic interacting systems of trauma work is discussed. It is proposed that the dialectical principles are applicable to various therapeutic approaches and clinical vignettes are included to illustrate.

  1. The dialect in Italy after the union

    Directory of Open Access Journals (Sweden)

    Anna Grochowska

    2013-01-01

    Full Text Available Italian dialects occupy an important position in the history of Italian linguistics and are still present and relevant in the linguistic panorama of modern Italy. The purpose of this article is to outline the linguistic image of Italy by drawing attention to its dialects. Through analysis of the situation after unification in Italy in 1861, the author attempts to mark off functions and roles which dialects used to serve. In the second part of the article she concentrates on the phenomena of nuova dialettalità, or the new perspective and collocation of dialect in the Italian linguistic panorama of the 21st century. This article is a part of a research project dedicated to functions and uses of dialects in the Italian cinematography.

  2. Integrative Psychotherapy ‘Revisited’

    Directory of Open Access Journals (Sweden)

    Marye O’Reilly-Knapp

    2017-02-01

    Full Text Available This article revisits aspects of the theory and methods of Integrative Psychotherapy as written and discussed by Richard G. Erskine, PhD and others. A case study demonstrates the use of Integrative Psychotherapy as the basis for therapeutic interventions that allow the client to interpret early experiences of relational failures, via a relationally based psychotherapy. Revisiting the theory and methods of Integrative Psychotherapy served to further validate the core of IP and its value as a cohesive and comprehensive psychotherapy.

  3. Proverb preferences across cultures: dialecticality or poeticality?

    Science.gov (United States)

    Friedman, Mike; Chen, Hsin-Chin; Vaid, Jyotsna

    2006-04-01

    Peng and Nisbett (1999) claimed that members of Asian cultures show a greater preference than Euro-Americans for proverbs expressing paradox (so-called dialectical proverbs; e.g., Too humble is half proud). The present research sought to replicate this claim with the same set of stimuli used in Peng and Nisbett's Experiment 2 and a new set of dialectical and nondialectical proverbs that were screened to be comparably pleasing in phrasing. Whereas the proverbs were rated as more familiar and (in Set 1) more poetic by Chinese than by American participants, no group differences were found in relation to proverb dialecticality. Both the Chinese and Americans in our study rated the dialectical proverbs from Peng and Nisbett's study as more likable, higher in wisdom, and higher in poeticality than the nondialectical proverbs. For Set 2, both groups found the dialectical proverbs to be as likable, wise, and poetic as the nondialectical proverbs. When poeticality was covaried out, dialectical proverbs were liked better than nondialectical proverbs across both stimulus sets by the Chinese and the Americans alike, and when wisdom was covaried out, the effect of dialecticality was reduced in both sets and groups. Our findings indicate that caution should be taken in ascribing differences in proverb preferences solely to cultural differences in reasoning.

  4. A rule-based stemmer for Arabic Gulf dialect

    Directory of Open Access Journals (Sweden)

    Belal Abuata

    2015-04-01

    Full Text Available Arabic dialects arewidely used from many years ago instead of Modern Standard Arabic language in many fields. The presence of dialects in any language is a big challenge. Dialects add a new set of variational dimensions in some fields like natural language processing, information retrieval and even in Arabic chatting between different Arab nationals. Spoken dialects have no standard morphological, phonological and lexical like Modern Standard Arabic. Hence, the objective of this paper is to describe a procedure or algorithm by which a stem for the Arabian Gulf dialect can be defined. The algorithm is rule based. Special rules are created to remove the suffixes and prefixes of the dialect words. Also, the algorithm applies rules related to the word size and the relation between adjacent letters. The algorithm was tested for a number of words and given a good correct stem ratio. The algorithm is also compared with two Modern Standard Arabic algorithms. The results showed that Modern Standard Arabic stemmers performed poorly with Arabic Gulf dialect and our algorithm performed poorly when applied for Modern Standard Arabic words.

  5. Conservative and innovative dialect areas

    Directory of Open Access Journals (Sweden)

    Christian Schwarz

    2014-12-01

    Full Text Available The present paper focuses on conservative and innovative (transitional dialect areas and the questions of 1 how such areas can be methodologically visualized and 2 how the outcomes can be interpreted. In the first part of this paper a geostatistical method of representing phonological features in space will be introduced: interpolation. This method is not entirely new to dialectology; it has been quite neglected, though, in comparison to other methods of mapping, such as the isogloss or dot symbol method that was mainly used in traditional dialect atlases. The interpolation method will be applied to a large corpus of spontaneous speech data from rural dialects spoken in southwest Germany. Methodological steps in data processing will be described, resulting in a data set that can be used as input for statistical analysis and the visual depiction of variation in space as interpolated grid plots. In the second part results will be discussed. The major outcome consists of an aggregate interpolation plot that includes variables from fifteen different etymological sound classes. These sound classes can be used for demonstrating the distribution of receding phonological variables in space. The interpolation shows two conservative areas where receding forms are still widespread. They lie within the centers of the two major dialect groups of southwest Germany: Alemannic and Swabian. The conservative areas are separated by a broad transitional zone characterized by intense variation between receding and innovative variants. It will be argued that this transitional zone is not due to the horizontal spread of the dialects into each other’s areas alone. Rather, variation is triggered by vertical standard influence that supports any dialect form to spread out horizontally as long as it is phonologically identical or similar to the standard form.

  6. [Inpatient psychotherapy].

    Science.gov (United States)

    Spitzer, C; Rullkötter, N; Dally, A

    2016-01-01

    In German-speaking countries inpatient psychotherapy plays a major role in the mental healthcare system. Due to its characteristic features, i. e. multiprofessionalism, multimodality and method integration, the inpatient approach represents a unique and independent type of psychotherapy. In order to be helpful, the manifold verbal and non-verbal methods need to be embedded into an overall treatment plan. Additionally, the therapeutic milieu of the hospital represents an important effective factor and its organization requires a more active construction. The indications for inpatient psychotherapy are not only based on the mental disorder but also on illness, setting and healthcare system-related criteria. In integrative concepts, the multiprofessional team is a key component with many functions. The effectiveness of psychotherapeutic hospital treatment has been proven by meta-analysis studies; however, 20-30% of patients do not benefit from inpatient psychotherapy and almost 13% drop-out prematurely.

  7. Book Review: Review of three Swahili dialect dictionaries published ...

    African Journals Online (AJOL)

    Kamusi la lahaja ya kiPemba (A dictionary of the Pemba dialect – the Swahili dialect of Pemba island). Nairobi: OUP East Africa Ltd. 2012. ISBN 978 019 573767 7. Kamusi la lahaja la kiTumbatu (A dictionary of the Tumbatu dialect – the Swahili dialect of Tumbatu island, off the northern part of Zanzibar island). Zanzibar: ...

  8. Plastic Brains and the Dialectics of Dialectics

    Science.gov (United States)

    Loxley, Andrew; Murphy, Colette; Seery, Aidan

    2014-01-01

    This article advances the thinking of Lima, Ostermann and Rezende's "Marxism in Vygotskian approaches to cultural studies of science education" and Mark Zuss' response to their paper. Firstly, it introduces Catherine Malabou's concept of plasticity, from which Hegel's dialectic can be re-read as historical materialist…

  9. Integrative Psychotherapy ‘Revisited’

    OpenAIRE

    Marye O’Reilly-Knapp

    2017-01-01

    This article revisits aspects of the theory and methods of Integrative Psychotherapy as written and discussed by Richard G. Erskine, PhD and others. A case study demonstrates the use of Integrative Psychotherapy as the basis for therapeutic interventions that allow the client to interpret early experiences of relational failures, via a relationally based psychotherapy. Revisiting the theory and methods of Integrative Psychotherapy served to further validate the core of IP and its value as a ...

  10. Psychotherapy in Contemporary Psychiatric Practice.

    Science.gov (United States)

    Hadjipavlou, George; Hernandez, Carlos A Sierra; Ogrodniczuk, John S

    2015-06-01

    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. 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. 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. 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.

  11. [Combination of dialectic and behavioral therapy (DBT) and duloxetin in kleptomania].

    Science.gov (United States)

    Rudel, Astrid; Hubert, Cornelia; Juckel, Georg; Edel, Marc-Andreas

    2009-09-01

    Kleptomania is characterized by repetitive stealing of things not needed for personal use. Comorbidity with affective disorders, personality disorders and attention deficit hyperactivity disorder (ADHD) is often described. Pharmacological treatment options are serotonin reuptake inhibitors, naltrexone or mood stabilizers. There are no controlled studies for cognitive-behavioral (CBT) and psychodynamic psychotherapies. However, literature suggests that patients respond to CBT, especially when combined with pharmacological strategies. Dialectical behavioral therapy (DBT) is successfully applied in the treatment of borderline personality disorder. and, in a modified manner, of ADHD. We report a treatment of an in-patient with kleptomania, depressive episode, combined personality disorder and ADHD. Under combined treatment with DBT, which has been successfully used in the treatment of impulsive disorders, and duloxetine, the patient's urge to steal decreased markedly, and no corresponding actions were detectable in follow-up examinations. Particularly for the kleptomania subtype with comorbid ADHD and / or personality disorder, DBT may be a promising approach. In addition, duloxetine as a serotonin-epinephrine reuptake inhibitor (SNRI) might fit into a complementary treatment strategy.

  12. Psychotherapy in Contemporary Psychiatric Practice

    Science.gov (United States)

    Hadjipavlou, George; Hernandez, Carlos A Sierra; Ogrodniczuk, John S

    2015-01-01

    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

  13. LEXICOGRAPHICAL STUDIES ON THE SOUTHWESTERN DIALECTS OF THE UKRAINIAN LANGUAGE

    Directory of Open Access Journals (Sweden)

    Vasyl Greshchuk

    2015-05-01

    Full Text Available The paper deals with the issue of compiling the Southwestern dialect dictionaries. A survey of the history of the dialect dictionaries from the mid-nineteenth century to the present is given. The scientific background and principles of compiling the dictionaries in question are analyzed. Special attention is given to dictionary register, dictionary entry structure, description of semantic properties of registered words, illustrative material, word passport. It has been established that many aspects of the Hutsul dialects are reflected in different lexicographical works, though a big academic dictionary still needs to be written. There exist big differential dictionaries of the Boyko, Bukovynian, Upper Dniestrian dialects. The Transcarpathian and Lemko dialects are less closely studied in this respect. There have been carried out some lexicographical studies of the Podillian, Pokuttian, Southern Volynian dialects and the dialects of the Sian river basin; further research is certainly needed to provide a firm basis for compiling dictionaries of these dialects.

  14. Psychotherapy And Phenomenology

    African Journals Online (AJOL)

    denise

    psychology and psychotherapy since its beginnings. ... accountability of psychological meaning are ... the whole of human being as entirely representative ..... approaches and range across the areas of personality psychology, psychotherapy, ...

  15. Existentially informed HIV-related psychotherapy.

    Science.gov (United States)

    Farber, Eugene W

    2009-09-01

    This article describes an existentially informed approach to conducting psychotherapy with individuals living with the human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS). Uses of existential concepts to guide a holistic conceptualization of the individual and illuminate core existential concerns and dilemmas in confronting HIV-related challenges are delineated. Applications of existential ideas regarding psychotherapy process and technique in HIV-related psychotherapy also are illustrated. It is concluded that existential psychotherapy offers a conceptual framework that is especially well suited to the work of psychotherapy with individuals living with HIV disease, although the approach has received only limited attention in the HIV-related psychotherapy literature. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

  16. Representation for dialect recognition using topographic independent component analysis

    Science.gov (United States)

    Wei, Qu

    2004-10-01

    In dialect speech recognition, the feature of tone in one dialect is subject to changes in pitch frequency as well as the length of tone. It is beneficial for the recognition if a representation can be derived to account for the frequency and length changes of tone in an effective and meaningful way. In this paper, we propose a method for learning such a representation from a set of unlabeled speech sentences containing the features of the dialect changed from various pitch frequencies and time length. Topographic independent component analysis (TICA) is applied for the unsupervised learning to produce an emergent result that is a topographic matrix made up of basis components. The dialect speech is topographic in the following sense: the basis components as the units of the speech are ordered in the feature matrix such that components of one dialect are grouped in one axis and changes in time windows are accounted for in the other axis. This provides a meaningful set of basis vectors that may be used to construct dialect subspaces for dialect speech recognition.

  17. Psychotherapy for cancer patients.

    Science.gov (United States)

    Chong Guan, Ng; Mohamed, Salina; Kian Tiah, Lai; Kar Mun, Teoh; Sulaiman, Ahmad Hatim; Zainal, Nor Zuraida

    2016-07-01

    Objective Psychotherapy is a common non-pharmacological approach to help cancer patients in their psychological distress. The benefit of psychotherapies was documented, but the types of psychotherapies proposed are varied. Given that the previous literature review was a decade ago and no quantitative analysis was done on this topic, we again critically and systematically reviewed all published trials on psychotherapy in cancer patients. Method We identified 17 clinical trials on six types of psychotherapy for cancer patients by searching PubMed and EMBASE. Result There were four trials involved adjunct psychological therapy which were included in quantitative analysis. Each trial demonstrated that psychotherapy improved the quality of life and coping in cancer patients. There was also a reduction in distress, anxiety, and depression after a psychological intervention. However, the number and quality of clinical trials for each type of psychotherapy were poor. The meta-analysis of the four trials involved adjunct psychological therapy showed no significant change in depression, with only significant short-term improvement in anxiety but not up to a year-the standardized mean differences were -0.37 (95% confidence interval (CI) = -0.57, -0.16) at 2 months, -0.21 (95% CI = -0.42, -0.01) at 4 months, and 0.03 (95 % CI = -0.19, 0.24) at 12 months. Conclusion The evidence on the efficacy of psychotherapy in cancer patients is unsatisfactory. There is a need for more rigorous and well-designed clinical trials on this topic.

  18. About Old and New Dialectic: Dialogues, Fallacies, and Strategies

    Directory of Open Access Journals (Sweden)

    Erik C. W. Krabbe

    2008-02-01

    Full Text Available We shall investigate the similarities and dissimilarities between old and new dialectic. For the ‘old dialectic’, we base our survey mainly on Aristotle’s Topics and Sophistical Refutations, whereas for the ‘new dialectic’, we turn to contemporary views on dialogical interaction, such as can, for the greater part, be found in Walton’s The New Dialectic. Three issues are taken up: types of dialogue, fallacies, and strategies. Though one should not belittle the differences in scope and outlook that obtain between the old and the new dialectic, the paper will show that in many respects the old dialectic foreshadows the new dialectic.

  19. Assessing the marks of change: how psychotherapy alters the brain structure in women with borderline personality disorder.

    Science.gov (United States)

    Mancke, Falk; Schmitt, Ruth; Winter, Dorina; Niedtfeld, Inga; Herpertz, Sabine C; Schmahl, Christian

    2017-12-13

    There is increasing evidence that psychotherapy can alter the function of the brain of patients with borderline personality disorder (BPD). However, it is not known whether psychotherapy can also modify the brain structure of patients with BPD. We used structural MRI data of female patients with BPD before and after participation in 12 weeks of residential dialectical behavioural therapy (DBT) and compared them to data from female patients with BPD who received treatment as usual (TAU). We applied voxel-based morphometry to study voxel-wise changes in grey matter volume over time. We included 31 patients in the DBT group and 17 in the TAU group. Patients receiving DBT showed an increase of grey matter volume in the anterior cingulate cortex, inferior frontal gyrus and superior temporal gyrus together with an alteration of grey matter volume in the angular gyrus and supramarginal gyrus compared with patients receiving TAU. Furthermore, therapy response correlated with increase of grey matter volume in the angular gyrus. Only women were investigated, and groups differed in size, medication (controlled for) and intensity of the treatment condition. We found that DBT increased grey matter volume of brain regions that are critically implicated in emotion regulation and higher-order functions, such as mentalizing. The role of the angular gyrus for treatment response may reside in its cross-modal integrative function. These findings enhance our understanding of psychotherapy mechanisms of change and may foster the development of neurobiologically informed therapeutic interventions.

  20. Syntactic Atlas of the Dutch Dialects

    NARCIS (Netherlands)

    Barbiers, Sjef; Bennis, Hans; Vogelaer, De Gunther; Devos, Magda; Ham, van der Margreet

    2005-01-01

    Available in a Dutch and English Edition, the Syntactic Atlas of the Dutch Dialects (SAND) provides a detailed overview of the surprisingly rich syntactic variation found in 267 dialects of Dutch at the beginning of the 21th century. 200 full color maps show the geographic distribution of more than

  1. The Dialectic: Not just the Absolute Recoil, but the World’s Living Fire that Extinguishes and Kindles Itself. Reflections on Slavoj Žižek’s Version of Dialectical Philosophy in "Absolute Recoil: Towards a New Foundation of Dialectical Materialism".

    Directory of Open Access Journals (Sweden)

    Christian Fuchs

    2014-10-01

    Full Text Available Slavoj Žižek shows in his book Absolute Recoil (and previous Hegelian works such as Less than Nothing the importance of repeating Hegel’s dialectical philosophy in contemporary capitalism. Žižek contributes especially to a reconceptualisation of dialectical logic and based on it the dialectic of history. The reflections in this paper stress that the dialectic is only the absolute recoil, a sublation that posits its own presuppositions, by working as a living fire that extinguishes and kindles itself. I point out that a new foundation of dialectical materialism needs a proper Heraclitusian foundation. I discuss Žižek’s version of the dialectic that stresses the absolute recoil and the logic of retroactivity and point out its implications for the concept of history as well as Žižek’s own theoretical ambiguities that oscillate between postmodern relativism and mechanical materialism. I argue that Žižek’s version of the dialectic should be brought into a dialogue with the dialectical philosophies of the German Marxists Hans Heinz Holz and Herbert Hörz. Žižek’s achievement is that he helps keeping alive the fire of dialectical materialism in the 21st century. Such a dialectical fire is needed for a proper revolutionary theory.

  2. More Dialectical Thinking, Less Creativity? The Relationship between Dialectical Thinking Style and Creative Personality: The Case of China

    Science.gov (United States)

    Liu, Hui; Wang, Fei-xue; Yang, Xiao-yang

    2015-01-01

    People use dialectical thinking to be holistic, reconcile contradictions, and emphasize changes when processing information and managing problems. Using a questionnaire survey, this study examined the relationship between dialectical thinking and creative personality in the Chinese culture, which encourages a holistic and collective thinking style. Undergraduates majoring in different subjects and adults in different professions were surveyed. The results showed that 1) compared with undergraduates majoring in art and adults from the design industry, undergraduates majoring in other disciplines significantly showed the least creative personality; 2) the highest score for dialectical thinking was found in the group of undergraduates who majored in other disciplines, followed by the adult group, and the undergraduates majoring in art had the lowest score; and 3) A negative relationship between dialectical thinking and creative personality was found mostly in the UMA group. The limitations of this study and suggestions for future research are discussed. PMID:25856372

  3. More dialectical thinking, less creativity? The relationship between dialectical thinking style and creative personality: the case of China.

    Science.gov (United States)

    Liu, Hui; Wang, Fei-xue; Yang, Xiao-yang

    2015-01-01

    People use dialectical thinking to be holistic, reconcile contradictions, and emphasize changes when processing information and managing problems. Using a questionnaire survey, this study examined the relationship between dialectical thinking and creative personality in the Chinese culture, which encourages a holistic and collective thinking style. Undergraduates majoring in different subjects and adults in different professions were surveyed. The results showed that 1) compared with undergraduates majoring in art and adults from the design industry, undergraduates majoring in other disciplines significantly showed the least creative personality; 2) the highest score for dialectical thinking was found in the group of undergraduates who majored in other disciplines, followed by the adult group, and the undergraduates majoring in art had the lowest score; and 3) A negative relationship between dialectical thinking and creative personality was found mostly in the UMA group. The limitations of this study and suggestions for future research are discussed.

  4. Place and dialect levelling in Denmark

    DEFF Research Database (Denmark)

    Monka, Malene

    This paper demonstrates that processes of globalization such as urbanization and social and geographic mobility may on the one hand lead to dialect leveling and on the other hand to dialect awareness and celebration of linguistic localness (Johnstone 2010). The paper reports on a real time panel......) – but also to place effects, i.e. the ensemble of sociolinguistic conditions within speech localities (Horvath and Horvath 2001; Britain 2009; Blommaert 2010). This paper examines the impact of social and structural factors of place (historic, demographic, and socio-economic) (e.g. Britain 2002) as well...... Gruyter Mouton: 632-648. Trudgill, P. (1974). "Linguistic change and diffusion: description and explanation in sociolinguistic dialect geography." Language in Society 3: 215-246....

  5. Relexification in a Northern Norwegian dialect?

    Directory of Open Access Journals (Sweden)

    Hilde Sollid

    2004-01-01

    Full Text Available This paper explores how the process of relexification can contribute to the understanding of the genesis of the new Norwegian dialect of Sappen in Nordreisa. The dialect has emerged in the context of language shift from Finnish to Norwegian, and the dialect syntax has features that might be regarded as products of relexification. One example is declarative main clauses with the finite verb in the third position (V3. The discussion adheres to a more general discussion of approaches to language genesis, where substratist and universalist (and also superstratist theories often are regarded as contrary to each other. I argue that different theories can contribute to the understanding of different aspects of the same question.

  6. The dialectic as scientific form of exposition

    OpenAIRE

    César Ruíz Sanjuán

    2014-01-01

    The aim of this work is to point out the specific characters that present Marx’s conception of the dialectic as scientific form of exposition. In order to it we distinguish the conception of the dialectic that appears in his writings of youth from the one that appears in his mature work, and we show that in the latter the dialectic is not referred to the historical development, but to the theoretical exposition of the developed capitalist system. Then we deal with the issue of the succession ...

  7. Neuroimaging for psychotherapy research: current trends.

    Science.gov (United States)

    Weingarten, Carol P; Strauman, Timothy J

    2015-01-01

    This article reviews neuroimaging studies that inform psychotherapy research. An introduction to neuroimaging methods is provided as background for the increasingly sophisticated breadth of methods and findings appearing in psychotherapy research. We compiled and assessed a comprehensive list of neuroimaging studies of psychotherapy outcome, along with selected examples of other types of studies that also are relevant to psychotherapy research. We emphasized magnetic resonance imaging (MRI) since it is the dominant neuroimaging modality in psychological research. We summarize findings from neuroimaging studies of psychotherapy outcome, including treatment for depression, obsessive compulsive disorder (OCD), and schizophrenia. The increasing use of neuroimaging methods in the study of psychotherapy continues to refine our understanding of both outcome and process. We suggest possible directions for future neuroimaging studies in psychotherapy research.

  8. More dialectical thinking, less creativity? The relationship between dialectical thinking style and creative personality: the case of China.

    Directory of Open Access Journals (Sweden)

    Hui Liu

    Full Text Available People use dialectical thinking to be holistic, reconcile contradictions, and emphasize changes when processing information and managing problems. Using a questionnaire survey, this study examined the relationship between dialectical thinking and creative personality in the Chinese culture, which encourages a holistic and collective thinking style. Undergraduates majoring in different subjects and adults in different professions were surveyed. The results showed that 1 compared with undergraduates majoring in art and adults from the design industry, undergraduates majoring in other disciplines significantly showed the least creative personality; 2 the highest score for dialectical thinking was found in the group of undergraduates who majored in other disciplines, followed by the adult group, and the undergraduates majoring in art had the lowest score; and 3 A negative relationship between dialectical thinking and creative personality was found mostly in the UMA group. The limitations of this study and suggestions for future research are discussed.

  9. Tamazight Basic Course: Ait Mgild Dialect.

    Science.gov (United States)

    Harries, Jeanette

    The materials for this course in the Ait Mgild dialect of Tamazight, one of the three main languages into which the Berber dialects of Morocco are grouped, include this textbook, 32 tape recordings, and 260 colored slides keyed to the lessons. Lesson material on each tape does not exceed 26 minutes. The remaining four to eight minutes of the tape…

  10. Dialectical Model of Human Nature

    OpenAIRE

    Cachat, Jonathan

    2013-01-01

    The DMoHN is a graphical representation of my current understanding and conceptualization of human nature, in addition to embodying the guiding ethos of social neuroscience. The dialectic is a logic, or way of thinking that joins opposite elements together in a uniting fashion to create emergent attributes not present in the elements alone. The dialectical structure of this model explicitly links Culture and Biology within the human brain in order to convey the symbiotic and dynamic interacti...

  11. Materialism, Dialectics and Theology in Alain Badiou

    DEFF Research Database (Denmark)

    Karlsen, Mads Peter

    2014-01-01

    into an idealist and materialist dialectic, and presents an exposition of the latter. The second section outlines Badiou's critical analysis of the theological model implicit in Hegel's dialectics. The third section investigates the core of this criticism through a discussion of Badiou's reading of the “negation...

  12. Towards Model Checking a Spi-Calculus Dialect

    NARCIS (Netherlands)

    Gnesi, S.; Latella, D.; Lenzini, Gabriele

    We present a model checking framework for a spi-calculus dialect which uses a linear time temporal logic for expressing security properties. We have provided our spi-calculus dialect, called SPID, with a semantics based on labeled transition systems (LTS), where the intruder is modeled in the

  13. Assessing the marks of change: how psychotherapy alters the brain structure in women with borderline personality disorder

    Science.gov (United States)

    Schmitt, Ruth; Winter, Dorina; Niedtfeld, Inga; Herpertz, Sabine C.; Schmahl, Christian

    2018-01-01

    Background There is increasing evidence that psychotherapy can alter the function of the brain of patients with borderline personality disorder (BPD). However, it is not known whether psychotherapy can also modify the brain structure of patients with BPD. Methods We used structural MRI data of female patients with BPD before and after participation in 12 weeks of residential dialectical behavioural therapy (DBT) and compared them to data from female patients with BPD who received treatment as usual (TAU). We applied voxel-based morphometry to study voxel-wise changes in grey matter volume over time. Results We included 31 patients in the DBT group and 17 in the TAU group. Patients receiving DBT showed an increase of grey matter volume in the anterior cingulate cortex, inferior frontal gyrus and superior temporal gyrus together with an alteration of grey matter volume in the angular gyrus and supramarginal gyrus compared with patients receiving TAU. Furthermore, therapy response correlated with increase of grey matter volume in the angular gyrus. Limitations Only women were investigated, and groups differed in size, medication (controlled for) and intensity of the treatment condition. Conclusion We found that DBT increased grey matter volume of brain regions that are critically implicated in emotion regulation and higher-order functions, such as mentalizing. The role of the angular gyrus for treatment response may reside in its cross-modal integrative function. These findings enhance our understanding of psychotherapy mechanisms of change and may foster the development of neurobiologically informed therapeutic interventions. PMID:29688873

  14. Mixed methods in psychotherapy research: A review of method(ology) integration in psychotherapy science.

    Science.gov (United States)

    Bartholomew, Theodore T; Lockard, Allison J

    2018-06-13

    Mixed methods can foster depth and breadth in psychological research. However, its use remains in development in psychotherapy research. Our purpose was to review the use of mixed methods in psychotherapy research. Thirty-one studies were identified via the PRISMA systematic review method. Using Creswell & Plano Clark's typologies to identify design characteristics, we assessed each study for rigor and how each used mixed methods. Key features of mixed methods designs and these common patterns were identified: (a) integration of clients' perceptions via mixing; (b) understanding group psychotherapy; (c) integrating methods with cases and small samples; (d) analyzing clinical data as qualitative data; and (e) exploring cultural identities in psychotherapy through mixed methods. The review is discussed with respect to the value of integrating multiple data in single studies to enhance psychotherapy research. © 2018 Wiley Periodicals, Inc.

  15. Ethical reflection and psychotherapy.

    Science.gov (United States)

    Vyskocilová, Jana; Prasko, Jan

    2013-01-01

    Theories of ethics and ethical reflection may be applied to both theory and practice in psychotherapy. There is a natural affinity between ethics and psychotherapy. Psychotherapy practice is concerned with human problems, dilemmas and emotions related to both one's own and other people's values. Ethics is also concerned with dilemmas in human thinking and with how these dilemmas reflect other individuals' values. Philosophical reflection itself is not a sufficient basis for the ethics of psychotherapy but it may aid in exploring attitudes related to psychotherapy, psychiatry and health care. PubMed, Web of Science and Scopus databases were searched for articles containing the keywords "psychotherapy", "ethics", "therapeutic relationship" and "supervision". The search was conducted by repeating the terms in various combinations without language or time restrictions. Also included were data from monographs cited in reviews. The resulting text is a review with conclusions concerning ethical aspects of psychotherapy. The ability to behave altruistically, sense for justice and reciprocity and mutual help are likely to be genetically determined as dispositions to be later developed by upbringing or to be formed or deformed by upbringing. Early experiences lead to formation of ethical attitudes which are internalized and then applied to both one's own and other people's behavior. Altruistic behavior has a strong impact on an individual's health and its acceptance may positively influence the pathophysiological mechanisms underlying numerous diseases. Ethical theory and reflection, however, may be applied to both theory and practice of psychotherapy in a conscious, targeted and thoughtful manner. In everyday practice, psychotherapists and organizations must necessarily deal with conscious conflicts between therapeutic possibilities, clients' wishes, their own as well as clients' ideas and the real world. Understanding one's own motives in therapy is one of the aims of a

  16. REPRESENTATIONS SOCIOLINGUISTIQUES ET DENOMINATION DES DIALECTES BERBERES EN ALGERIE

    Directory of Open Access Journals (Sweden)

    Mourad BEKTACHE

    2014-05-01

    Full Text Available Les mots berbères, tamazight, kabyle, chaoui, mozabite,… sont employés pour désigner une langue, un dialecte d’une langue ou des dialectes d’une même langue. Mais du point de vue linguistique la langue berbère standard n’existe pas. Les locuteurs ont recours à des dénominations génériques pour désigner leur langue (au singulier : celle qu’ils considèrent comme « unifiée, homogène ». Les représentations sociolinguistiques qu’ont les locuteurs berbérophones de leurs pratiques langagières sous-tendent leurs attitudes envers leur langue. Ces attitudes influent le processus de dénomination des dialectes berbères. Cependant au sein de la même communauté (ici kabylophone il existe des dénominations péjoratives qui désignent certains dialectes du berbère. Dans cette étude nous nous intéresserons aux différents noms désignant les dialectes berbères et aux dénominations péjoratives de certains dialectes.

  17. Group Psychotherapy in Italy.

    Science.gov (United States)

    Giannone, Francesca; Giordano, Cecilia; Di Blasi, Maria

    2015-10-01

    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.

  18. Psychotherapy of Mood Disorders

    Science.gov (United States)

    Picardi, Angelo; Gaetano, Paola

    2014-01-01

    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

  19. Psychotherapy Integration via Theoretical Unification

    Directory of Open Access Journals (Sweden)

    Warren W. Tryon

    2017-01-01

    Full Text Available Meaningful psychotherapy integration requires theoretical unification because psychotherapists can only be expected to treat patients with the same diagnoses similarly if they understand these disorders similarly and if they agree on the mechanisms by which effective treatments work. Tryon (in press has proposed a transtheoretic transdiagnostic psychotherapy based on an Applied Psychological Science (APS clinical orientation, founded on a BioPsychology Network explanatory system that provides sufficient theoretical unification to support meaningful psychotherapy integration. That proposal focused mainly on making a neuroscience argument. This article makes a different argument for theoretical unification and consequently psychotherapy integration. The strength of theories of psychotherapy, like all theory, is to focus on certain topics, goals, and methods. But this strength is also a weakness because it can blind one to alternative perspectives and thereby promote unnecessary competition among therapies. This article provides a broader perspective based on learning and memory that is consistent with the behavioral, cognitive, cognitive-behavioral, psychodynamic, pharmacologic, and Existential/Humanistic/Experiential clinical orientations. It thereby provides a basis for meaningful psychotherapy integration.

  20. En torno a la clasificación dialectal del panfilio

    Directory of Open Access Journals (Sweden)

    Antonio López Eire

    1983-06-01

    Full Text Available In this paper the authors try to prove that the Greek dialect of Pamphylia is not a mixed dialect formed by an Achaean base and a Doric adstratum. The Doric features of the Pamphylian are archaisms, its innovations show that this dialect belongs to Eastern Greek (together with the Mycenaean, Epic Achaean, Protolesbian, Protoionic and Protoarcado-Cyprian being the most conservative of this group. For this reason the Pamphylian is to be held as an intermediate dialect between Eastern Greek and Western Greek.

  1. Shakespeare and Warwickshire Dialect

    Directory of Open Access Journals (Sweden)

    Rosalind Barber

    2016-03-01

    Full Text Available The article investigates whether Shakespeare used Warwickshire, Cotswold or Midlands dialect, focusing on the sources of recent claims by Bate, Kathman and Wood, most of which derive from early dialect dictionaries compiled by 18th and 19th century antiquarians. It determines that all of these claims – frequently used as a defence against the Shakespeare authorship question – fall into four categories: those based on errors of fact, well-known or widely-used words, poetic inventions, and those derived through circular reasoning. Two problems are identified. Firstly, the source texts on which these dialect claims rest were written two- to three-hundred years after the plays, by which time language use would not only have evolved, but would have been influenced by Shakespeare. Secondly, the continuing academic taboo surrounding the authorship question has meant that these claims, though easily refuted by searching the Oxford English Dictionary and the digitized texts of EEBO, have gone unchallenged in academia. It demonstrates that querying the validity of arguments derived from an assumed biography can – without in any way disproving that the man from Stratford wrote the body of works we call ‘Shakespeare’ – lead to a better understanding of the way Shakespeare actually used language, and the meanings he intended.

  2. Tula song folklore: genre-stylistic and dialectic peculiarities

    Directory of Open Access Journals (Sweden)

    Krasovskaya Nelli Alexandrovna

    2016-06-01

    Full Text Available The article analyzes the works of Tula folklore recorded in the western part of the Tula region, in terms of genre, stylistic and linguistic features. The relevance of the study is related to the fact that Tula folk songs has not been studied, linguistic features of the works are not subjected to serious analysis. The article describes the features of the genre of songs recorded in Belevsky district of Tula region, including the ancient fortunetelling chants, wedding ceremony songs, romantic ballads etc., it is cited numerous examples in the lyrics that reflect the dialectal features of the phonetic, grammatical, lexical levels. According to the authors, a modern folk song genre retains its diversity and is a kind of storeroom containing priceless linguistic wealth. The analysis allows to draw conclusions about the presence and well-preserved in the recorded music of South Russian dialect phonetic and grammatical features. So far, there is no established typology of Tula dialects, therefore, according to the authors, the fixation of folklore in the territories bordering on Tula dialects, is very important and interesting for further descriptive and comparative work on identifying the eastern and south-south-west differences in Tula dialects.

  3. Reading as Evocation: Engaging the Novel in Phenomenological ...

    African Journals Online (AJOL)

    Inversely, because the practice of psychotherapy values connection and process, rather than simply ... the field of phenomenological psychology in this dialectical relationship of literature and psychotherapy. ... AJOL African Journals Online.

  4. Evidence-Based Psychotherapy: Advantages and Challenges.

    Science.gov (United States)

    Cook, Sarah C; Schwartz, Ann C; Kaslow, Nadine J

    2017-07-01

    Evidence-based psychotherapies have been shown to be efficacious and cost-effective for a wide range of psychiatric conditions. Psychiatric disorders are prevalent worldwide and associated with high rates of disease burden, as well as elevated rates of co-occurrence with medical disorders, which has led to an increased focus on the need for evidence-based psychotherapies. This chapter focuses on the current state of evidence-based psychotherapy. The strengths and challenges of evidence-based psychotherapy are discussed, as well as misperceptions regarding the approach that may discourage and limit its use. In addition, we review various factors associated with the optimal implementation and application of evidence-based psychotherapies. Lastly, suggestions are provided on ways to advance the evidence-based psychotherapy movement to become truly integrated into practice.

  5. Analysis of morphophonemic patterns of Gujii dialect: an insight from ...

    African Journals Online (AJOL)

    The Gujii dialect which is one of southern dialects of Afaan Oromoo is highly characterized by assimilation patterns. This assimilation is dictated by some linguistic and non-linguistic factors and it has impact on the communication held between Gujii dialect speakers and school text version speakers. Therefore, this paper ...

  6. A Pragma-Dialectical Response to Objectivist Epistemic Challenges

    NARCIS (Netherlands)

    Garssen, Bart; van Laar, Jan Albert

    2010-01-01

    Biro and Siegel have raised two objections against the pragma-dialectical approach to argumentation. According to the first, the pragma-dialectical theory is not genuinely normative. According to the second, the rejection of justificationism by pragma-dialecticians is unwarranted: they reject

  7. The Dialectic Between Romanticism and Classicism in Europe

    NARCIS (Netherlands)

    Ossewaarde, Marinus R.R.

    2007-01-01

    This article provides an application of Alvin Gouldner's dialectic between Romanticism and Classicism to the constitutional process of European identity formation. Gouldner introduced his dialectical sociology in a critical attempt to destroy compulsive identification with any fixed idea of order.

  8. Introduction: attachment theory and psychotherapy.

    Science.gov (United States)

    Levy, Kenneth N

    2013-11-01

    In this introduction to the JCLP: In Session 69(11) issue on attachment theory and psychotherapy, the key points of attachment theory (Bowlby, , , 1981) and its relevance to psychotherapy are briefly described. The aim of this issue is to provide case illustrations of how an attachment theory perspective and principles can expand our understanding of psychotherapy practice. © 2013 Wiley Periodicals, Inc.

  9. Integration in psychotherapy: Reasons and challenges.

    Science.gov (United States)

    Fernández-Álvarez, Héctor; Consoli, Andrés J; Gómez, Beatriz

    2016-11-01

    Although integration has been formally influencing the field of psychotherapy since the 1930s, its impact gained significant momentum during the 1980s. Practical, theoretical, and scientific reasons help to explain the growing influence of integration in psychotherapy. The field of psychotherapy is characterized by many challenges which integration may change into meaningful opportunities. Nonetheless, many obstacles remain when seeking to advance integration. To appreciate the strength of integration in psychotherapy we describe an integrative, comprehensive approach to service delivery, research, and training. We then discuss the role of integration in the future of psychotherapy. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  10. Making Psychotherapy Great Again?

    Science.gov (United States)

    Plakun, Eric M

    2017-05-01

    Psychotherapy never stopped being as "great" as other treatments. This column explores the evidence base for both psychotherapy and medications, using depression as a specific example. The limitations are comparable for psychotherapy and medication, with much of the evidence based on small degrees of "statistically significant" rather than "clinically meaningful" change. Our field's biomedical emphasis leads to a false assumption that most patients present with single disorders, when comorbidity is the rule rather than the exception. This false assumption contributes to limitations in the evidence base and in our ability to treat patients optimally.

  11. Treating co-occurring Axis I disorders in recurrently suicidal women with borderline personality disorder: a 2-year randomized trial of dialectical behavior therapy versus community treatment by experts.

    Science.gov (United States)

    Harned, Melanie S; Chapman, Alexander L; Dexter-Mazza, Elizabeth T; Murray, Angela; Comtois, Katherine A; Linehan, Marsha M

    2008-12-01

    This study evaluated whether dialectical behavior therapy (DBT) was more efficacious than treatment by nonbehavioral psychotherapy experts in reducing co-occurring Axis I disorders among suicidal individuals with borderline personality disorder (BPD). Women with BPD and recent and repeated suicidal and/or self-injurious behavior (n = 101) were randomly assigned to 1 year of DBT or community treatment by experts (CTBE), plus 1 year of follow-up assessment. For substance dependence disorders (SDD), DBT patients were more likely to achieve full remission, spent more time in partial remission, spent less time meeting full criteria, and reported more drug- and alcohol-abstinent days than did CTBE patients. These findings suggest that improvements in co-occurring SDD among suicidal BPD patients are specific to DBT and cannot be attributed to general factors associated with nonbehavioral expert psychotherapy. Further, group differences in SDD remission were not explained by either psychotropic medication usage or changes in BPD criterion behaviors. DBT and CTBE did not significantly differ in the reduction of anxiety disorders, eating disorders, or major depressive disorder.

  12. Free classification of regional dialects of American English

    Science.gov (United States)

    Clopper, Cynthia G.; Pisoni, David B.

    2011-01-01

    Recent studies have found that naïve listeners perform poorly in forced-choice dialect categorization tasks. However, the listeners' error patterns in these tasks reveal systematic confusions between phonologically similar dialects. In the present study, a free classification procedure was used to measure the perceptual similarity structure of regional dialect variation in the United States. In two experiments, participants listened to a set of short English sentences produced by male talkers only (Experiment 1) and by male and female talkers (Experiment 2). The listeners were instructed to group the talkers by regional dialect into as many groups as they wanted with as many talkers in each group as they wished. Multidimensional scaling analyses of the data revealed three primary dimensions of perceptual similarity (linguistic markedness, geography, and gender). In addition, a comparison of the results obtained from the free classification task to previous results using the same stimulus materials in six-alternative forced-choice categorization tasks revealed that response biases in the six-alternative task were reduced or eliminated in the free classification task. Thus, the results obtained with the free classification task in the current study provided further evidence that the underlying structure of perceptual dialect category representations reflects important linguistic and sociolinguistic factors. PMID:21423862

  13. Free classification of regional dialects of American English.

    Science.gov (United States)

    Clopper, Cynthia G; Pisoni, David B

    2007-07-01

    Recent studies have found that naïve listeners perform poorly in forced-choice dialect categorization tasks. However, the listeners' error patterns in these tasks reveal systematic confusions between phonologically similar dialects. In the present study, a free classification procedure was used to measure the perceptual similarity structure of regional dialect variation in the United States. In two experiments, participants listened to a set of short English sentences produced by male talkers only (Experiment 1) and by male and female talkers (Experiment 2). The listeners were instructed to group the talkers by regional dialect into as many groups as they wanted with as many talkers in each group as they wished. Multidimensional scaling analyses of the data revealed three primary dimensions of perceptual similarity (linguistic markedness, geography, and gender). In addition, a comparison of the results obtained from the free classification task to previous results using the same stimulus materials in six-alternative forced-choice categorization tasks revealed that response biases in the six-alternative task were reduced or eliminated in the free classification task. Thus, the results obtained with the free classification task in the current study provided further evidence that the underlying structure of perceptual dialect category representations reflects important linguistic and sociolinguistic factors.

  14. Interpersonal psychotherapy for anorexia nervosa.

    Science.gov (United States)

    McIntosh, V V; Bulik, C M; McKenzie, J M; Luty, S E; Jordan, J

    2000-03-01

    This paper outlines the rationale for treating individuals with anorexia nervosa using interpersonal psychotherapy. We review theoretical, empirical, and psychotherapy literature relating to interpersonal functioning in anorexia nervosa. Etiological theories emphasize interpersonal and family dysfunction in the development of anorexia nervosa. Research supports the notion that families of individuals with anorexia nervosa have dysfunctional patterns of communication. The history of treatment for anorexia nervosa emphasizes the need for resolution of interpersonal dysfunction, within the traditions of psychodynamic, family therapy, and multidimensional therapies. Interpersonal psychotherapy is a time-limited psychotherapy based on the notion that regardless of etiology, interpersonal relationships are intertwined with symptomatology. The goals of the therapy are to improve interpersonal functioning and thereby decrease symptomatology. Factors identified as important in the development of anorexia nervosa are readily conceptualized within the interpersonal psychotherapy problem areas of grief, interpersonal disputes, interpersonal deficits, and role transitions. Copyright 2000 by John Wiley & Sons, Inc.

  15. Characteristics and experience of the patient in psychotherapy and the psychotherapy's effectiveness. A structural approach.

    Science.gov (United States)

    Szymańska, Agnieszka; Dobrenko, Kamila; Grzesiuk, Lidia

    2017-08-29

    The study concerns the relationship between three groups of variables presenting the patient's perspective: (1) "patient's characteristics" before psychotherapy, including "expectations of the therapy"; (2) "experience in the therapy", including the "psychotherapeutic relationship"; and (3) "assessment of the direct effectiveness of the psychotherapy". Data from the literature are the basis for predicting relationships between all of these variables. Measurement of the variables was conducted using a follow-up survey. The survey was sent to a total of 1,210 former patients of the Academic Center for Psychotherapy (AOP) in which the therapy is conducted mainly with the students and employees of the University of Warsaw. Responses were received from 276 people. 55% of the respondents were women and 45% were men, under 30 years of age. The analyses were performed using structural equations. Two models emerged from an analysis of the relationship between the three above-mentioned groups of variables. One concerns the relationship between (1) the patient's characteristics (2) the course of psychotherapy, in which -from the perspective of the patient - there is a good relationship with the psychotherapist and (3) psychotherapy is effective. The second model refers to (2) the patient's experience of poor psychotherapeutic relationship and (3) ineffective psychotherapy. Patient's expectations of the psychotherapy (especially "the expectation of support") proved to be important moderating variablesin the models-among the characteristics of the patient. The mathematical model also revealed strong correlation of variables measuring "the relationship with the psychotherapist" and "therapeutic interventions".

  16. The therapeutic effect of a preparation extracted from tremella fuciformic berk (TFP) on the hematopoietic residual injury in mice induced by fractionated doses of 60Co γ-ray exposures

    International Nuclear Information System (INIS)

    Lu Shaoping; Yang Fengtong; Xu Chengxiong

    1989-01-01

    Hematopoietic residual injury, which is identified by the permanent defect of the blood forming system, could be induced in mice by repeated sublethal 60 Co γ-ray exposures. The number of hematopoietic stem cells (CFU-S) in mouse femora could be enhanced to a normal or near normal level if the 3 or 5 doses of 4.0 Gy irradiated mice were treated with a preparation extracted from an edible fungus Tremella Fuciformis Berk (TFP) 2 months after the irradiation. The number of endogenous spleen colonies and the spleen weight also increased markedly after the treatment. Because of the similarity found in the changes of hemaopoietic functions between the mice of residual injury and the patients of aplastic anemia, it is suggested that TFP may be useful to the patients of such blood disorder

  17. Understanding Performance Management in Schools: A Dialectical Approach

    Science.gov (United States)

    Page, Damien

    2016-01-01

    Purpose: The purpose of this paper is to provide a dialectical framework for the examination of performance management in schools. Design/Methodology/Approach: The paper is based upon a qualitative study of ten headteachers that involved in-depth semi-structured interviews. Findings: The findings identified four dialectical tensions that underpin…

  18. Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder.

    Science.gov (United States)

    Linehan, Marsha M; Comtois, Katherine Anne; Murray, Angela M; Brown, Milton Z; Gallop, Robert J; Heard, Heidi L; Korslund, Kathryn E; Tutek, Darren A; Reynolds, Sarah K; Lindenboim, Noam

    2006-07-01

    Dialectical behavior therapy (DBT) is a treatment for suicidal behavior and borderline personality disorder with well-documented efficacy. To evaluate the hypothesis that unique aspects of DBT are more efficacious compared with treatment offered by non-behavioral psychotherapy experts. One-year randomized controlled trial, plus 1 year of posttreatment follow-up. University outpatient clinic and community practice. One hundred one clinically referred women with recent suicidal and self-injurious behaviors meeting DSM-IV criteria, matched to condition on age, suicide attempt history, negative prognostic indication, and number of lifetime intentional self-injuries and psychiatric hospitalizations. One year of DBT or 1 year of community treatment by experts (developed to maximize internal validity by controlling for therapist sex, availability, expertise, allegiance, training and experience, consultation availability, and institutional prestige). Trimester assessments of suicidal behaviors, emergency services use, and general psychological functioning. Measures were selected based on previous outcome studies of DBT. Outcome variables were evaluated by blinded assessors. Dialectical behavior therapy was associated with better outcomes in the intent-to-treat analysis than community treatment by experts in most target areas during the 2-year treatment and follow-up period. Subjects receiving DBT were half as likely to make a suicide attempt (hazard ratio, 2.66; P = .005), required less hospitalization for suicide ideation (F(1,92) = 7.3; P = .004), and had lower medical risk (F(1,50) = 3.2; P = .04) across all suicide attempts and self-injurious acts combined. Subjects receiving DBT were less likely to drop out of treatment (hazard ratio, 3.2; P Dialectical behavior therapy appears to be uniquely effective in reducing suicide attempts.

  19. Psychotherapy Versus Pharmacotherapy of Depression: What's the Evidence?

    Science.gov (United States)

    Leichsenring, Falk; Steinert, Christiane; Hoyer, Jürgen

    Depression may be treated by psychotherapy or pharmacotherapy or their combination. There is an ongoing debate whether one of these approaches is possibly superior. A recent meta-analysis reported results in favour of pharmacotherapy. Individual studies and meta-analyses on the comparative efficacy of psychotherapy vs. pharmacotherapy were reviewed. Evidence suggests that psychotherapy and pharmacotherapy are equally efficacious in the short-term, but psychotherapy is superior in the long-term. For the recently stated hypothesis that pharmacotherapy is superior to psychotherapy in studies without a pill placebo condition, which implies equally including a positive expectancy effect for both pharmacotherapy and psychotherapy no evidence was found. Depression may be treated by psychotherapy or pharmacotherapy with equivalent results in the short-term and advantages for psychotherapy in the long-term. As the rates of response and remission are still limited in both treatments, further improvement of treatments is required.

  20. Dialectal Atlas of the Arab World - between Intention and Reality

    Directory of Open Access Journals (Sweden)

    Oleg Redkin

    2017-10-01

    Full Text Available Arabic dialectology has a long history and achieved significant progress in collecting and analyzing linguistic data and its classification. The present paper analyses modern trends in the linguistic situation in the Arab world and defines the topics essential for the Arabic dialectology, which require an urgent solution. During the last century, several attempts have been undertaken to create dialectal atlases of different regions of the Arab world. Besides this, considerable work also has been done on synchronous descriptions of modern and ancient Arabic dialects. Meanwhile these researches do not always reflect fully and adequately the current state of the dialectal continuum, which underwent significant transformations as a result of social and economic changes in the region, development of new technologies. Globalization and leveling of dialectal differences, spread of languages of international communication will lead to disappearance of small dialectal groups and vernaculars, among them those that are not sufficiently described or are little known at all, which presupposes their urgent investigation. In recent years digital methods of research open new horizons for scholars and put on the agenda the task of building of the dialectal atlas of the Arab world basing on the previous experience and data collected as well as application of ICT.

  1. Informed consent in psychotherapy.

    Science.gov (United States)

    Beahrs, J O; Gutheil, T G

    2001-01-01

    The authors sought a rational approach to implementing informed consent within the practice of psychotherapy. The history of informed consent in psychotherapy was reviewed to define a common synthesis that maximizes the potential benefits and minimizes the potential hazards. The benefits of informed consent in psychotherapy include fostering a positive treatment outcome through enhancing patient autonomy, responsibility, and self-therapeutic activity; lessening the risks of regressive effects and therapist liability; and helping the practice of psychotherapy extend beyond particular parochialisms by providing checks and balances on therapist judgments. The hazards include the unpredictability of interactional outcomes and the possibilities of replacing positive expectancy with negative suggestion, replacing a therapeutic alliance with a legalistic stance, and misimplying that patients are passive recipients. Practical implementation of informed consent in psychotherapy must balance such tensions in service of optimal treatment. As a guiding principle, the authors recommend that psychotherapists convey to a prospective patient information that is material to the particular patient's decision. The level of detail needed in informed consent discussions varies directly with the cost and risks of the proposed treatment, the presence of viable alternatives and their relative grounding in scientific data and professional acceptance, and the presence of significant controversy. Unresolved is the question of how to address problematic or controversial psychotherapeutic trends that temporarily enjoy wide professional support.

  2. Attachment and object relations in patients with narcissistic personality disorder: implications for therapeutic process and outcome.

    Science.gov (United States)

    Diamond, Diana; Meehan, Kevin B

    2013-11-01

    This article presents a therapeutic approach for patients with severe personality disorders, transference-focused psychotherapy (TFP), a manualized evidence-based treatment, which integrates contemporary object relations theory with attachment theory and research. Case material is presented from a narcissistic personality disorder (NPD) patient in TFP whose primary presenting problems were in the arena of sexuality and love relations, and whose attachment state of mind showed evidence of oscillation between dismissing and preoccupied mechanisms. Clinical process material is presented to illustrate the tactics and techniques of TFP and how they have been refined for treatment of individuals with NPD. The ways in which conflicts around sexuality and love relations were lived out in the transference is delineated with a focus on the interpretation of devalued and idealized representations of self and others, both of which are key components of the compensatory grandiose self that defensively protects the individual from an underlying sense of vulnerability and imperfection. © 2013 Wiley Periodicals, Inc.

  3. Igbo Language and its Dialects: A Challenge for an Igbo Language ...

    African Journals Online (AJOL)

    The dialects form part of the richness and fascination of Igbo as a language, and creating a promising future for Igbo studies requires adopting a positive attitude towards its dialects. Dialectal variation in Igbo should not be seen as an obstacle towards improved scholarship/teaching in Igbo but as a rich and valuable asset.

  4. Latvian dialects in the 21st century: old and new borders

    Directory of Open Access Journals (Sweden)

    Anna Stafecka

    2015-12-01

    Full Text Available Latvian dialects in the 21st century: old and new borders Although historical regional dialects are still relatively well preserved in Latvia, nowadays one can no longer speak of dialects and sub-dialects in the traditional sense because, due to changes of administrative borders, the traditional sub-dialects are subject to attrition and gradual loss. In particular, the contact zone of Central and High Latvian dialect has changed markedly. The border of High Latvian dialect has moved to the east. Since 2013, a project “Latvian Dialects in the 21st Century: a Socio­linguistic Aspect” is being carried out in order to gain an insight into contemporary Latvian dialect situation, analyzing at least three sub-dialects in each dialect. However, we can speak of dialect borders in another aspect. For instance, the borders between the preservation of dialectal features and the impact of standard language, as well as the borders of maintenance of sub-dialectal feature among the speakers of different age groups. Attention is also paid to the use of sub-dialects in central and peripheral parts of territories. The first research results showed that people who live further from the centre use the sub-dialect more often – especially in communication with family members (including the younger generation, relatives and neighbours. The preliminary results show a different situation among dialects. In the sub-dialects of the Middle dialect, which is closest to Standard Latvian, the borderline between sub-dialect and standard language has almost disappeared, since the infor­mants practically do not feel any difference between them. In the Livonianized dialect, there are several features that are still more or less present in the speech of all generations – generalization of masculine gender, reduc­tion of word endings, etc. However, in this dialect, too, the language used by younger speakers is gradually losing the dialectal features. The situation differs

  5. The Play of Psychotherapy

    Science.gov (United States)

    Marks-Tarlow, Terry

    2012-01-01

    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…

  6. Dialectical lexis represented in Ratko Popović's collection of poems

    Directory of Open Access Journals (Sweden)

    Jašović Golub M.

    2013-01-01

    Full Text Available This paper deals with dialectical lexics found in a poem collection named Straori written by a well-known author from Kosovo and Metohija, Ratko Popović. The book is consisted of 52 songs, mostly written in prizrensko - southmoravian dialect. Lexical materials were analyzed, classified and compared with data published in the Dictionary of Kosovo and Metohija dialects by Glisa Elezović and also in Dictionary of Ugljare near Priština by Golub Jašović. During the material extraction our main concerns were to use dialecticisms, regionalisms and localisms that are used in the same form in Serbian dialects of Gračanica natives, and also that these elements do not occur in Dictionary of Serbo-Croatian literary language published by Matica srpska. Semantics and form of chosen elements differ from those found in Popović's book and Gračanica's dialects. Lexical, semantical, and formational analysis were used in the research of house and household names, and also in cattle, crop and fruit lexics and terminology. Also, of lexics used in the naming of birds and animals, food and drinks, clothes and also for the names of board games, of faith and believes, administrative names etc. Microtoponyms and oikonyms found in Straori were classified as a special dialectical subgroup. Foreign dialectisms, mostly of Greek and Eastern origins, were also analyzed.

  7. Types of psychotherapy for pathological gamblers.

    Science.gov (United States)

    Fong, Timothy W

    2005-05-01

    Several types of psychotherapy are currently used to treat pathological gamblers. These include Gambler's Anonymous, cognitive behavioral therapy, behavioral therapy, psychodynamic therapy, and family therapy. Research into which types of psychotherapy are the most effective for pathological gambling is limited but is a growing area of study. Group therapy, namely Gambler's Anonymous, provides peer support and structure. Cognitive behavior therapy aims to identify and correct cognitive distortions about gambling. Psychodynamic psychotherapy can help recovering gamblers address core conflicts and hidden psychological meanings of gambling. Family therapy is helpful by providing support and education and eliminating enabling behaviors. To date, no single type of psychotherapy has emerged as the most effective form of treatment. As in other addictive disorders, treatment retention of pathological gamblers is highly variable. Understanding the types of psychotherapy that are available for pathological gamblers, as well their underlying principles, will assist clinicians in managing this complex behavioral disorder.

  8. Is IPT Time-Limited Psychodynamic Psychotherapy?

    Science.gov (United States)

    Markowitz, John C.; Svartberg, Martin; Swartz, Holly A.

    1998-01-01

    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) empirical support. The authors then apply both approaches to a case example of depression. They conclude that despite overlaps and similarities, IPT is distinct from STPP.(The Journal of Psychotherapy Practice and Research 1998; 7:185–195) PMID:9631340

  9. DALILA: The Dialectal Arabic Linguistic Learning Assistant

    OpenAIRE

    Khalifa , Salam; Bouamor , Houda; Habash , Nizar

    2016-01-01

    International audience; Dialectal Arabic (DA) poses serious challenges for Natural Language Processing (NLP). The number and sophistication of tools and datasets in DA are very limited in comparison to Modern Standard Arabic (MSA) and other languages. MSA tools do not effectively model DA which makes the direct use of MSA NLP tools for handling dialects impractical. This is particularly a challenge for the creation of tools to support learning Arabic as a living language on the web, where aut...

  10. Social Media and the Dialectic of Enlightenment

    OpenAIRE

    Henrik Juel

    2012-01-01

    My reflections in this paper concern revitalizing the critical potential of certain core concepts of Max Horkheimer and Theodor W. Adorno's Dialectic of Enlightenment (first published 1944) and bringing it to bear on the digital era in general and in particular on the phenomenon of modern social media. I find that the central philosophical critique of Dialectic of Enlightenment runs deeper than just a critique of contemporary (and perhaps now out-dated) media technique and cultural habits. It...

  11. [Healthier after Psychotherapy? Analysis of Claims Data (Lower Saxony, Germany) on Sickness Absence Duration before and after Outpatient Psychotherapy].

    Science.gov (United States)

    Epping, Jelena; de Zwaan, Martina; Geyer, Siegfried

    2017-11-17

    Introduction In employed populations sickness absence can be used as a good indicator of health status. In the present study, it was examined how periods of sickness absence are developing within one year before and after psychotherapy under comparison of three types of psychotherapy (behavior therapy, psychodynamic psychotherapy, and psychoanalysis), all fully covered by statutory health insurance. Methods and data The analyses were performed with pseudonymized claims data from the AOK Niedersachsen, a statutory health insurance (N=2,900,065 insured). Certified sickness absences before and after psychotherapy were examined for 9,916 patients. Parallelized controls were used to build a comparison of the length of sickness absences. Analyses were performed separately for women and for men. Results Within one year before starting psychotherapy, patients had longer sickness absences than controls on average. There was a reduction in the length of sickness absence of 20 days (median) within one year before to 12 days (median) within one year after the psychotherapy. The obtained differences between types of psychotherapy were considerable. Discussion Differences in terms of sickness absences may in part be explained by socio-demographic differences. Patients who underwent psychoanalysis were younger and had higher educational levels. However, it remains unclear why the differences of sickness absence periods were that high. It has to be discussed whether self-selection of patients with better health into psychoanalysis had occurred. Conclusions Patients undergoing psychoanalysis differ from patients who underwent other types of psychotherapy in terms of their duration of sickness absence as well as socio-demographic profile. Thus, due to differences in the composition of patients future research in psychotherapy will have to differentiate by type of psychotherapy. © Georg Thieme Verlag KG Stuttgart · New York.

  12. Comparison effectiveness of Dialectic Behavioral Therapy and Behavior Cognitive Therapy on Depression in the Multiple sclerosis

    Directory of Open Access Journals (Sweden)

    Narges Zamani

    2017-03-01

    . [Text in Persian] Tad J, Bouhart A. Clinical psychologic principles and consultation. Firooz Bakht M, Translator Tehran: Rasa Pub; 2007. [Text in Persian] Cuijpers P, van Straten A, Andersson G, Van Open P. Psychotherapy for depression in adults: A meta-analysis of comparative outcome studies. J Consult Clin Psychol 2008;76(6:909-22. Ganji M. Abnormal psychology based on DSM-5. Tehran: Savalane Pub; 2013. [Full Text in Persian] 15. Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scale (DASS with the beck depression and anxiety inventories. Behav Res Ther 1995;33(3:335-43.   Antony MM, Bieling PJ, Cox BJ, Enns MW, Swinton RP. Psychometric properties of the 42-item and 21-item version of the depression anxiety stress scale in clinical group and a community sample. Psychol Assess 1998;10(2:176-81. Samani S, Jokar B. A study on the reliability and validity of the short form of the depression anxiety stress scale (dass-21. J Social Sci Humanis 2007;26(3:65-75. [Full Text in Persian] McKay M, Wood JC, Brantley J. The dialectical behavior therapy skills workbook: Practical DBT Exercises for learning mindfulness, interpersonal. Oakland: New Harbinger Pub; 2007. Miller AL, Rathus JH, Linehan MM. Dialectical behavior therapy with suicidal adolescents. NewYork: Guilford Press; 2006. Zamani N, Farhadi M, Jamilian HR ,Habibi M. Effectiveness of group dialectical behavior therapy (based on Acceptance and Commitment on expulsive anger and impulsive behaviors. Arak Med Univ J 2014;17(11:53-61. [Full Text in Persian] Alilloo MM, Sharifi MA. Dialectical behavior therapy for borderline personality disorder. Tehran, Iran. Tehran: Tehran Univ Pub; 2011. [Text in Persian] Greenberger D, Padesky C. Mind over Mood: Psychology foundation. In: Lovibond PF, Lovibond SH. Manual for the depression anxiety stress scale. 2nd ed. Sydney: Psychology Foundation; 1995. Van den Bosch LM, Verheul R, Schippers GM, van den Brink W

  13. Advances in Psychotherapy for Depressed Older Adults.

    Science.gov (United States)

    Raue, Patrick J; McGovern, Amanda R; Kiosses, Dimitris N; Sirey, Jo Anne

    2017-09-01

    We review recent advances in psychotherapies for depressed older adults, in particular those developed for special populations characterized by chronic medical illness, acute medical illness, cognitive impairment, and suicide risk factors. We review adaptations for psychotherapy to overcome barriers to its accessibility in non-specialty settings such as primary care, homebound or hard-to-reach older adults, and social service settings. Recent evidence supports the effectiveness of psychotherapies that target late-life depression in the context of specific comorbid conditions including COPD, heart failure, Parkinson's disease, stroke and other acute conditions, cognitive impairment, and suicide risk. Growing evidence supports the feasibility, acceptability, and effectiveness of psychotherapy modified for a variety of health care and social service settings. Research supports the benefits of selecting the type of psychotherapy based on a comprehensive assessment of the older adult's psychiatric, medical, functional, and cognitive status, and tailoring psychotherapy to the settings in which older depressed adults are most likely to present.

  14. Cognitive Behavioral Psychotherapies: History and Development

    Directory of Open Access Journals (Sweden)

    M. Hakan Türkçapar

    2012-03-01

    Full Text Available 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 sufism. Apart from its historical and cultural roots, cognitive approach integrated with behaviorism which applied scientific method in human psychology for the first time, and also implemented the scientific method in the cognitive field. Cognitive behavioral approaches shall make important contributions in the pathway that psychotherapies will cover.

  15. PSYCHOTHERAPY WITH THE PARENT EGO STATE

    Directory of Open Access Journals (Sweden)

    Maruša Zaletel

    2012-06-01

    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.

  16. Dialect change and its consequences for the Dutch dialect landscape : How much is due to the standard variety and how much is not?

    NARCIS (Netherlands)

    Hinskens, F.L.M.P.; Heeringa, W.J.

    2015-01-01

    We recorded older male speakers and younger female speakers of 86 local dialects of Dutch. Using these data, we analyze and visualize the influence of standard Dutch on apparent time changes in these dialects. Focusing for the most part on variation in the sound components, we test whether (I)

  17. Left Dislocation in North-Eastern Neo-Aramaic dialects | Khan ...

    African Journals Online (AJOL)

    The North-Eastern Neo-Aramaic (NENA) dialects, which are the focus of this paper, were spoken across a wide area encompassing northern Iraq, north-west Iran, south-eastern Turkey, Armenia and Georgia. In these spoken dialects a distinction should be made between two major types of Left Dislocation (LD) structures.

  18. A Scandinavian Island in a Slavonic Linguistic Environment. The Dialect of Gammalsvenskby: Nouns (Paper 2

    Directory of Open Access Journals (Sweden)

    Alexander E. Mankov

    2014-08-01

    Full Text Available This paper continues the series of publications on the morphology of the dialect of Staroshvedskoye (Sw. Gammalsvenskby, which is the only surviving Scandinavian dialect in the territory of the former Soviet Union. The village of Staroshvedskoye is located in the Kherson region, Ukraine. Its Swedish dialect historically belongs to the group of Swedish dialects of Estonia and goes back to the dialect of the island of Dagö (Hiiumaa. The dialect of Gammalsvenskby is of interest to slavists as an example of a language island in the Slavonic environment. From around the 1950s, the main spoken language of all village residents, including dialect speakers, has been surzhik. Due to the complete lack of studies of the present-day dialect and because of the severe endangerment in which the dialect is currently situated, the most urgent task is to collect, classify, and publish the factual material. This paper introduces comprehensive material on nouns in the conservative variety of the present-day dialect. It lists all masculine nouns of types 1b, c, d, and e together with their cognates from Estonian Swedish dialects; comments on the history of the forms are given as well. The sources for the material presented here are interviews with speakers of the conservative variety of the dialect recorded by the author during fieldwork in the village from 2004 to 2013. We plan to publish nouns of other types in later articles.

  19. Child Psychotherapy Dropout: An Empirical Research Review

    Science.gov (United States)

    Deakin, Elisabeth; Gastaud, Marina; Nunes, Maria Lucia Tiellet

    2012-01-01

    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…

  20. Dialect topic modeling for improved consumer medical search.

    Science.gov (United States)

    Crain, Steven P; Yang, Shuang-Hong; Zha, Hongyuan; Jiao, Yu

    2010-11-13

    Access to health information by consumers is hampered by a fundamental language gap. Current attempts to close the gap leverage consumer oriented health information, which does not, however, have good coverage of slang medical terminology. In this paper, we present a Bayesian model to automatically align documents with different dialects (slang, common and technical) while extracting their semantic topics. The proposed diaTM model enables effective information retrieval, even when the query contains slang words, by explicitly modeling the mixtures of dialects in documents and the joint influence of dialects and topics on word selection. Simulations using consumer questions to retrieve medical information from a corpus of medical documents show that diaTM achieves a 25% improvement in information retrieval relevance by nDCG@5 over an LDA baseline.

  1. Dialect Topic Modeling for Improved Consumer Medical Search

    Energy Technology Data Exchange (ETDEWEB)

    Crain, Steven P. [Georgia Institute of Technology; Yang, Shuang-Hong [Georgia Institute of Technology; Zha, Hongyuan [Georgia Institute of Technology; Jiao, Yu [ORNL

    2010-01-01

    Access to health information by consumers is ham- pered by a fundamental language gap. Current attempts to close the gap leverage consumer oriented health information, which does not, however, have good coverage of slang medical terminology. In this paper, we present a Bayesian model to automatically align documents with different dialects (slang, com- mon and technical) while extracting their semantic topics. The proposed diaTM model enables effective information retrieval, even when the query contains slang words, by explicitly modeling the mixtures of dialects in documents and the joint influence of dialects and topics on word selection. Simulations us- ing consumer questions to retrieve medical information from a corpus of medical documents show that diaTM achieves a 25% improvement in information retrieval relevance by nDCG@5 over an LDA baseline.

  2. Health Information in Chinese, Traditional (Cantonese dialect) (繁體中文)

    Science.gov (United States)

    ... Diabetes - 繁體中文 (Chinese, Traditional (Cantonese dialect)) Bilingual PDF Health Information Translations Fasting Blood Sugar Test - 繁體中文 (Chinese, Traditional (Cantonese dialect)) ...

  3. Review of Self-disclosure in psychotherapy.

    Science.gov (United States)

    Hamilton, Rachel A; Del Castillo, Darren M; Stiles, William B

    2007-09-01

    Reviews the book, Self-disclosure in psychotherapy by Barry A. Farber (see record 2006-11792-000). At one point or another, most therapists have wondered how much their patients are telling them and wrestled with how much they should reveal themselves to their patients. This book aims to provide an integrative and up-to-date review of the literature that has addressed these kinds of questions. By looking at patient, therapist, supervisee, and supervisor self-disclosure, Farber attempts to show both common and unique aspects of self-disclosure across the different parties involved in psychotherapy. Work from historical, clinical, research, and cultural perspectives comes together to provide readers with a multifaceted view of self-disclosure in psychotherapy. This book will be of interest to therapists, researchers, psychotherapy supervisors, and therapists-in-training. Farber's discussion of self-disclosure offers a nuanced perspective on the dilemmas involved in the psychotherapy process. By highlighting the features of self-disclosure across patients, therapists, supervisees, and supervisors, Farber enriches understanding of the phenomenon and encourages empathy for the perspectives of those in other psychotherapy roles. We believe that Farber has successfully synthesized work from various perspectives to create an illuminating review of self-disclosure in psychotherapy. The book condenses a broad range of literature into clearly organized and digestible chapters. The integration of research and theory with clinical vignettes, quotations from books and movies, and popular song lyrics make this work an unusually engaging and accessible read. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

  4. Re-Appropriating a Question/Answer System to Support Dialectical Constructivist Learning Activity

    Science.gov (United States)

    Carroll, John M.; Wu, Yu; Shih, Patrick C.; Zheng, Saijing

    2016-01-01

    Learning can be engaged by dialectic, that is, by identifying pros and cons that inhere in propositions, and more generally, by raising questions about the validity of claims. We report here on a classroom case study of dialectical constructivist pedagogy: Students created dialectical analyses of two lectures and four books as core activities in a…

  5. Mood and modality in torbatian dialect | Mehrabi | Journal of ...

    African Journals Online (AJOL)

    Torbatian dialect is a current language variation and its corpus has been collected by tape-recording and after transcribing, the materials have been analyzed on the basis of mood and ... From syntactic point of view, this dialect recognizes a whole series by the peculiarity of certain modal auxiliary verbs and other auxiliaries.

  6. Piaget and psychotherapy.

    Science.gov (United States)

    Friedman, T L

    1978-04-01

    It is difficult to apply Piaget's theory to psychotherapy because the place of affect in it is ambiguous. When the alternatives are considered, it seems most consistent with Piaget's ideas to regard both cognitive and affective phenomena as problem-solving organizations. Piaget's remarkable discoveries in the cognitive sphere are a consequence of the easy access in that sphere to the kind of problems that need solving, and the phasic development of solutions. But the nature of the problems to be solved or the values to be guarded by a patient in psychotherapy are not knowable independently of the patient's actual behavior. In one respect all that is left from Piaget's approach for psychotherapy generally is the truism that therapy fosters differentiation and integration. However, even if we cannot frame a peculiarly Piagetian paradigm of psychotherapy, Piaget is valuable in posing a subsidiary question, namely, what in therapy fosters problem-solving activity. A reading of Piaget suggests that a patient learns by acting on his therapist and tacitly interpreting the results of his actions, that difficulties in therapy are the material from which therapy proceeds, and that in order to grasp the situation of the patient, the therapist himself may need to act on him and not just think about him. An implied lesson for training would be that supervision should instill a professional identity that is reinforced rather than challenged by therapy difficulties, and does not rely solely on theoretical categorizing.

  7. Dialect distances based on orthographic and phonetic transcriptions

    CSIR Research Space (South Africa)

    Zulu, N

    2006-11-01

    Full Text Available , where transcription segments were compared using the algorithm. In 2003 Gooskens and Heeringa [5] calculated Levenshtein distances between 15 Norwegian dialects and compared them to the distances as perceived by Norwegian listeners... by a clustering algorithm. Figure 2 illustrates the dendrogram derived from the clustering of perceptual distances as perceived by Norwegian listeners for the 15 Norwegian dialects investigated in this research [6]. Figure 2: Dendrogram...

  8. Assessing Attachment in Psychotherapy

    DEFF Research Database (Denmark)

    Talia, Alessandro; Miller-Bottome, Madeleine; Daniel, Sarah I.F.

    2017-01-01

    The authors present and validate the Patient Attachment Coding System (PACS), a transcript-based instrument that assesses clients' in-session attachment based on any session of psychotherapy, in multiple treatment modalities. One-hundred and sixty clients in different types of psychotherapy...... (cognitive–behavioural, cognitive–behavioural-enhanced, psychodynamic, relational, supportive) and from three different countries were administered the Adult Attachment Interview (AAI) prior to treatment, and one session for each client was rated with the PACS by independent coders. Results indicate strong...... inter-rater reliability, and high convergent validity of the PACS scales and classifications with the AAI. These results present the PACS as a practical alternative to the AAI in psychotherapy research and suggest that clinicians using the PACS can assess clients' attachment status on an ongoing basis...

  9. Cognitive Behavioral Psychotherapies: History and Development

    Directory of Open Access Journals (Sweden)

    M. Hakan Türkçapar

    2012-04-01

    Full Text Available 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 sufism. Apart from its historical and cultural roots, cognitive approach integrated with behaviorism which applied scientific method in human psychology for the first time, and also implemented the scientific method in the cognitive field. Cognitive behavioral approaches shall make important contributions in the pathway that psychotherapies will cover. [JCBPR 2012; 1(1.000: 7-14

  10. Naikan psychotherapy for alcohol dependence syndrome

    OpenAIRE

    堀井, 茂男

    1987-01-01

    To evaluate the therapeutic effect of Naikan psychotherapy for alcohol dependence syndrome, a comparison was made between 31 patients who were treated with Naikan psychotherapy (Naikan group) and 34 patients who were not treated with Naikan psychotherapy (non-Naikan group) on the following profiles : general characteristics, social adaptation occuring 6 months to 2 years 6 months after discharge (short-term follow-up) and social adaptation occuring 3 years 5 months to 5 years 5 months after d...

  11. Three Psychotherapies Examined: Ellis, Rogers, Perls

    Science.gov (United States)

    Stoten, J.; Goos, W.

    1974-01-01

    This study uses Bales' Interaction Process Analysis (I. P. A.) to identify significant process elements in counselling and psychotherapy. For this purpose, the film "Three Approaches to Psychotherapy" was analysed. (Editor)

  12. The Legitimization of Dialectic: Socratic Strategy in the "Gorgias."

    Science.gov (United States)

    Palmerton, Patricia

    In the "Gorgias," Plato focuses attention upon the value of dialectic as opposed to rhetoric, as well as the status of orators as opposed to philosophers. Through his agent, Socrates, Plato confirms dialectic as a legitimate endeavor while calling into question the place of rhetoric. Socrates is portrayed as a director who enacts a…

  13. Cognitive Behavioral Analysis System of Psychotherapy as group psychotherapy for chronically depressed inpatients: a naturalistic multicenter feasibility trial.

    Science.gov (United States)

    Sabaß, Lena; Padberg, Frank; Normann, Claus; Engel, Vera; Konrad, Carsten; Helmle, Kristina; Jobst, Andrea; Worlitz, Andrew; Brakemeier, Eva-Lotta

    2017-09-27

    The Cognitive Behavioral Analysis System of Psychotherapy (CBASP) is a relatively new approach in the treatment of chronic depression (CD). Adapted as group psychotherapy for inpatients, CBASP is attracting increasing attention. In this naturalistic multicenter trial, we investigated its feasibility after 10 sessions of CBASP group therapy over a treatment time of at least 5 to a maximum of 10 weeks. Treatment outcome was additionally assessed. Across four centers, 116 inpatients with CD (DSM-IV-TR) attended CBASP group psychotherapy. Feasibility was focused on acceptance, and evaluated for patients and therapists after five (t1) and ten sessions (t2) of group psychotherapy. Observer- and self-rating scales (Hamilton Depression Rating Scale-24 items, HDRS 24 ; Beck Depression Inventory-II, BDI-II; World Health Organization Quality of Life assessment, WHOQOL-BREF) were applied before group psychotherapy (t0) and at t2. Dropouts were low (10.3%). Patients' evaluation improved significantly from t1 to t2 with a medium effect size (d = 0.60). Most of the patients stated that the group had enriched their treatment (75.3%), that the size (74.3%) and duration (72.5%) were 'optimal' and 37.3% wished for a higher frequency. Patients gave CBASP group psychotherapy an overall grade of 2 ('good'). Therapists' evaluation was positive throughout, except for size of the group. Outcome scores of HDRS 24 , BDI-II, and WHOQOL-BREF were significantly reduced from t0 to t2 with medium to large effect sizes (d = 1.48; d = 1.11; d = 0.67). In this naturalistic open-label trial, CBASP, when applied as inpatient group psychotherapy, was well accepted by patients and therapists. The results point towards a clinically meaningful effect of inpatient treatment with CBASP group psychotherapy on depression and quality of life. Other potential factors that could have promoted symptom change were discussed. A future controlled study could investigate the safety and efficacy of CBASP

  14. Psychotherapy Outcome Research: Issues and Questions.

    Science.gov (United States)

    Shean, Glenn

    2016-03-01

    Emphasis on identifying evidence-based therapies (EBTs) has increased markedly. Lists of EBTs are the rationale for recommendations for how psychotherapy provider training programs should be evaluated, professional competence assessed, and licensure and reimbursement policies structured. There are however methodological concerns that limit the external validity of EBTs. Among the most salient is the circularity inherent in randomized control trials (RCTs) of psychotherapy that constrains the manner in which the psychological problems are defined, psychotherapy can be practiced, and change evaluated. RCT studies favor therapies that focus of specific symptoms and can be described in a manual, administered reliably across patients, completed in relatively few sessions, and involve short-term evaluations of outcome. The epistemological assumptions of a natural science approach to psychotherapy research limit how studies are conducted and assessed in ways that that advantage symptom-focused approaches and disadvantage those approaches that seek to bring broad recovery-based changes. Research methods that are not limited to RCTs and include methodology to minimize the effects of "therapist allegiance" are necessary for valid evaluations of therapeutic approaches that seek to facilitate changes that are broader than symptom reduction. Recent proposals to adopt policies that dictate training, credentialing, and reimbursement based on lists of EBTs unduly limit how psychotherapy can be conceptualized and practiced, and are not in the best interests of the profession or of individuals seeking psychotherapy services.

  15. A dialectical perspective on burnout and engagement

    Directory of Open Access Journals (Sweden)

    Matthew R. Leon

    2015-09-01

    Full Text Available With strong empirical evidence existing for conflicting models, the nature of burnout and engagement continues to be debated. Scholars have recognized the need to theoretically clarify the nature of the burnout–engagement relationship in order to advance empirical research related to both topics. The purpose of this paper is to reconcile existing perspectives through an alternative approach that provides an alternate view of burnout and engagement based on dialectical theory. Implications for common theories used to study burnout and engagement are discussed, followed by suggestions and models for future research utilizing dialectics.

  16. Individual Psychotherapy and Changes in Self-Experience in Schizophrenia: A Qualitative Comparison of Patients in Metacognitively Focused and Supportive Psychotherapy.

    Science.gov (United States)

    Lysaker, Paul H; Kukla, Marina; Belanger, Elizabeth; White, Dominique A; Buck, Kelly D; Luther, Lauren; Firmin, Ruth L; Leonhardt, Bethany

    2015-01-01

    Deficits in metacognition, or the ability to form complex ideas about self and others, may be a root cause of dysfunction in schizophrenia. Accordingly, forms of psychotherapy have been proposed to address metacognitive deficits. This study explored whether metacognitively focused individual psychotherapy can affect self-experience by conducting narrative interviews of patients with a schizophrenia spectrum disorder enrolled in either metacognitively oriented psychotherapy (n = 12) or supportive psychotherapy (n = 13) in a naturalistic setting. Participants in both groups completed a narrative interview consisting of questions that focused on perceptions and process of psychotherapy and its impact on outcomes. Interviews were audiotaped, transcribed, and coded using an inductive process informed by grounded theory. Qualitative analyses revealed all participants reported psychotherapy led to improvements in self-esteem and the ability to think more clearly and set meaningful goals. The group receiving metacognitively oriented therapy, in contrast to those receiving supportive therapy, reported being able to integrate their current experiences into the larger narratives of their lives and an increased experience of sense of agency and the ability to understand and manage pain. Results provide evidence that metacognitively oriented psychotherapy may promote subjective forms of recovery.

  17. INTEGRATIVE PSYCHOTHERAPY AND MINDFULNESS: THE CASE OF SARA

    OpenAIRE

    Mihael Černetič

    2015-01-01

    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 ana...

  18. Benjamin’s Dialectical Image and the Textuality of the Built Landscape

    Directory of Open Access Journals (Sweden)

    Ross Lipton

    2016-05-01

    Full Text Available In The Arcades Project, Walter Benjamin describes the architectural expression of nineteenth century Paris as a dialectical manifestation of backwards-looking historicism and the dawn of modern industrial production (in the form of cast iron and mass produced plate glass. Yet in the same text, Benjamin refers to the dialectical image as occurring within the medium of written language. In this paper, I will first discuss the textuality of the dialectical image as it emerges from Benjamin’s discussion of allegorical and symbolic images in his Trauerspiel study and the ‘wish symbol’ in The Arcades Project. I will then discuss the ‘textual reductionism’ implicit in Benjamin’s theory of the dialectical image, in which the dense pluralities of urban space are reduced to a finite script to be pieced together through Benjamin’s constructivist method of historical observation. The textuality of the dialectical image will be elaborated on by discussing it in relation to the practice of translation. This discussion will be further contextualised by discussing a cadre of German/Austrian planners and architects who attempted to translate architectural idioms between cultural identities in Kemalist Era Turkey. The article concludes with a short recapitulation on the dialectical image as both an object of scrutiny and a method of observation, one which also takes into consideration the specific historicity of the observer.

  19. The Pronominal System of the Soqotri Dialects: A structural and functional Study

    Directory of Open Access Journals (Sweden)

    Khaled Awadh Bin Mukhashin

    2016-12-01

    Full Text Available This study aims at describing structurally and functionally the pronominal system of the three main dialects of Soqotri, an endangered Modern south Arabian language spoken in the Island of Soqotra, Yemen. A part of the data presented in the study has been taken from my PhD thesis written in 2009. New data were collected from the field in 2012 and added to the study. The Study follows a descriptive method, therefore, showing no argumentation. The study reveals the structure and functions of the Soqotri rich pronominal system. It shows that the three Soqotri dialects (Eastern Soqotri Dialect, Central Soqotri Dialect and Western Soqotri Dialect have personal pronouns, possessive pronouns, demonstrative pronoun, reflexive pronouns, reciprocal pronouns, relative pronouns and interrogative pronouns. It also shows that these pronouns are usually of two types (independent and dependent inflecting for person, number and gender.

  20. Power Politics of Family Psychotherapy.

    Science.gov (United States)

    Whitaker, Carl A.

    It is postulated that the standard framework for psychotherapy, a cooperative transference neurosis, does not validly carry over to the successful psychotherapy of a two-generation family group. In many disturbed families, the necessary and sufficient dynamics for change must be initiated, controlled, and augmented by a group dynamic power-play,…

  1. How Do Trainees Choose Their First Psychotherapy Training? The Case of Training in Psychotherapy Integration

    Science.gov (United States)

    Plchová, Romana; Hytych, Roman; Rihácek, Tomáš; Roubal, Jan; Vybíral, Zbynek

    2016-01-01

    Future trainees go through difficult decision-making processes when starting their first psychotherapy training. The choice of training in psychotherapy integration is a specific type of this process. In this study, qualitative data were obtained from the motivational letters, in-depth semi-structured interviews and e-mail questionnaires of 26…

  2. METHOD MATTERS IN DIALECT ROUTS / AĞIZ ARAŞTIRMALARINDA YÖNTEM SORUNLARI

    Directory of Open Access Journals (Sweden)

    Assoc. Prof. Dr. Ali AKAR

    2006-12-01

    Full Text Available One of the most important language areas of Turkish is the dialects. Several studies on different aspects of these dialects have been done both in Turkey and in the other parts of the world. However, these studies pose some important methodological problems. These can be classified as problems with the act of compilation, the subject of compilation, the source subject, and the process of examination. We noticed that the dialect studies that we have examined demonstrate a lack of standard and a lack of methodology. In this study, these problems are discussed and some methods concerning the study of dialects are proposed.

  3. From Religion to Dialectics and Mathematics

    Directory of Open Access Journals (Sweden)

    Achtner Wolfgang

    2016-03-01

    Full Text Available Hermann Grassmann is known to be the founder of modern vector and tensor calculus. Having as a theologian no formal education in mathematics at a university he got his basic ideas for this mathematical innovation at least to some extent from listening to Schleiermacher’s lectures on Dialectics and, together with his brother Robert, reading its publication in 1839. The paper shows how the idea of unity and various levels of reality first formulated in Schleiermacher’s talks about religion in 1799 were transformed by him into a philosophical system in his dialectics and then were picked up by Grassmann and operationalized in his philosophical-mathematical treatise on the extension theory (German: Ausdehnungslehre in 1844.

  4. The Linguistic and Social Aspects of the Bedouin Dialect

    Science.gov (United States)

    El Salman, Mahmoud

    2016-01-01

    This is a sociolinguistic study that tries to investigate the peculiarity of the Bedouin dialect regardless of the place where it is used. Some variants that are used in their dialect are used wherever they are from. Two sounds in particular were chosen to carry out this study. These are the /?/ variant of the (Q) variable, and the /ts/ variant of…

  5. Treatment preferences of psychotherapy patients with chronic PTSD.

    Science.gov (United States)

    Markowitz, John C; Meehan, Kevin B; Petkova, Eva; Zhao, Yihong; Van Meter, Page E; Neria, Yuval; Pessin, Hayley; Nazia, Yasmin

    2016-03-01

    Patient treatment preference may moderate treatment effect in major depressive disorder (MDD) studies. Little research has addressed preference in posttraumatic stress disorder (PTSD); almost none has assessed actual patients' PTSD psychotherapy preferences. From a 14-week trial of chronic PTSD comparing prolonged exposure, relaxation therapy, and interpersonal psychotherapy, we report treatment preferences of the 110 randomized patients, explore preference correlates, and assess effects on treatment outcome. Patients recruited between 2008 and 2013 with chronic DSM-IV PTSD (Clinician-Administered PTSD Scale [CAPS] score ≥ 50) received balanced, scripted psychotherapy descriptions prerandomization and indicated their preferences. Analyses assessed relationships of treatment attitudes to demographic and clinical factors. We hypothesized that patients randomized to preferred treatments would have better outcomes, and to unwanted treatment worse outcomes. Eighty-seven patients (79%) voiced treatment preferences or disinclinations: 29 (26%) preferred prolonged exposure, 29 (26%) preferred relaxation therapy, and 56 (50%) preferred interpersonal psychotherapy (Cochran Q = 18.46, P psychotherapy (Cochran Q = 22.71, P psychotherapy preferences to outcome. Despite explanations emphasizing prolonged exposure's greater empirical support, patients significantly preferred interpersonal psychotherapy. Preference subtly affected psychotherapy outcome; depression appeared an important moderator of the effect of unwanted treatment on outcome. Potential biases to avoid in future research are discussed. ClinicalTrials.gov identifier: NCT00739765. © Copyright 2015 Physicians Postgraduate Press, Inc.

  6. THE KAJKAVIAN DIALECT IN FRAN GALOVIĆ’S WORKS

    Directory of Open Access Journals (Sweden)

    Jela Maresić

    2014-01-01

    Full Text Available The Paper analyzes the Kajkavian dialect in Fran Galović’s literary works: the unfinished Kajkavian collection of poems Z mojih bregov (1914, the unfinished novel Rastanak (1914, and the unfinished play Sodoma (1911. In these works the author uses, in various ways, the urban Zagrebian Kajkavian dialect and the local Kajkavian dialect of Peteranec. The paper also includes an overview of the general literary tendencies of the literary movement in which Galović took part and which is called ‘Moderna’. The authors also deal with some of the most important editions of Galović’s works, and they base their linguistic analysis on the manuscripts that are kept in the National and University library in Zagreb.

  7. Women in the Dictionary of Danish Insular Dialects

    DEFF Research Database (Denmark)

    Hovmark, Henrik

    Women in the Dictionary of Danish Insular Dialects In this presentation, I discuss the representation of female domains in the Dictionary of Danish Insular Dialects (DID; Ømålsordbogen ), an historical dictionary giving thorough descriptions of the dialects on the Danish isles 1750-1945. First...... volume appeared in 1992 but data collection and structure of the dictionary date back to the 1920s. It has been pointed out that the language, thoughts and domains of women until recently have been strongly neglected in for instance literary studies and history – and that the representations have been...... characterised by stereotypical images. This point has also been made as regards dictionaries (Hageberg 1990, choice of vocabulary; Mattisson 2006, data and examples). As for DID, however, female domains (‘food’, ‘clothes’, ‘milk’ etc.) are thoroughly registered in the collections and described in the dictionary...

  8. Psychotherapies for adult depression: recent developments.

    Science.gov (United States)

    Cuijpers, Pim

    2015-01-01

    Much has been learned from the 400 randomized trials on psychotherapies for adult depression that have been conducted, but much is also still unknown. In this study some recent attempts to further reduce the disease burden of depression through psychotherapies are reviewed. In the past, many new psychotherapies have promised to be more effective than existing treatments, usually without success. We describe recent research on two new therapies, acceptance and commitment therapy and cognitive bias modification, and conclude that both have also not shown to be more effective than existing therapies. A growing number of studies have also focused on therapies that may be successful in further reducing the disease burden, such as treatments for chronic depression and relapse prevention. Other studies are aimed at scaling up psychological services, such as the training of lay health counselors in low-income and middle-income countries, telephone-based, and internet-based therapies. Psychotherapies are essential tools in the treatment of adult depression. Randomized trials have shown that these treatments are effective, and by focusing on key issues, such as chronic depression, relapse, and scaling them up, psychotherapies contribute more and more to the reduction of the disease burden of depression.

  9. 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

    Science.gov (United States)

    Bedics, Jamie D.; Atkins, David C.; Comtois, Katherine A.; Linehan, Marsha M.

    2012-01-01

    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…

  10. A Dialogue on Dialectics

    Science.gov (United States)

    Zuss, Mark

    2014-01-01

    The following comments are intended as a constructive critique of the questions posed by Lima, Osterman and Rezende. The issues raised by the authors advocate for a return in research and teaching to the impetus of dialectical materialist approaches in the originators of the sociocultural school, including Vygotsky. The focus of this response is…

  11. INTEGRATIVE PSYCHOTHERAPY AND MINDFULNESS: THE CASE OF SARA

    Directory of Open Access Journals (Sweden)

    Mihael Černetič

    2015-02-01

    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.

  12. Spiritually and religiously integrated group psychotherapy

    DEFF Research Database (Denmark)

    Viftrup, Dorte Toudal; Hvidt, Niels Christian; Buus, Niels

    2013-01-01

    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......, 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...... for spiritually or religiously integrated group psychotherapy and conducting research in this field are propounded....

  13. Individual differences, cultural differences, and dialectic conflict description and resolution.

    Science.gov (United States)

    Kim, Kyungil; Markman, Arthur B

    2013-01-01

    Previous research suggests that members of East Asian cultures show a greater preference for dialectical thinking than do Westerners. This paper attempts to account for these differences in cognition using individual difference variables that may explain variation in performance both within and across cultures. Especially, we propose that the abovementioned cultural differences are rooted in a greater fear of isolation (FOI) in East Asians than in Westerners. To support this hypothesis, in Experiment 1, we manipulated FOI in American participants before having them resolve two conflicts: an interpersonal conflict and a conflict between an individual and an institution. We found that the Americans among whom a high level of FOI had been induced were more likely to look for a dialectical resolution than those among whom a low level had been prompted. The relationship between conflict resolution and FOI was further investigated in Experiment 2, in which FOI was not manipulated. The results indicated that Koreans had higher chronic FOI on average than did the Americans. Compared to the Americans, the Koreans were more likely to resolve the interpersonal conflict dialectically, but did not show the same bias in resolving the person-institution conflict. The differences in the preference for dialectical resolution between FOI conditions in Experiment 1 and cultural groups in Experiment 2 were mediated by FOI. These findings bolster previous research on FOI in showing that chronic levels of FOI are positively related to both preference for dialectical sentences and sensitivity to context. They provide clearer insight into how differences in FOI affect attention and thereby higher-level reasoning such as dialectic description and conflict resolution.

  14. Semantics of the VDM Real-Time Dialect

    DEFF Research Database (Denmark)

    Lausdahl, Kenneth; Coleman, Joey; Larsen, Peter Gorm

    All formally defined languages need to be given an unambiguous semantics such that the meaning of all models expressed using the language is clear. In this technical report a semantic model is provided for the Real-Time dialect of the Vienna Development Method (VDM). This builds upon both...... the formal semantics provided for the ISO standard VDM Specification Language, and on other work on the core of the VDM-RT notation. Although none of the VDM dialects are executable in general, the primary focus of the work presented here is on the executable subset. This focus is result of parallel work...

  15. Repeat what after whom? Exploring variable selectivity in a cross-dialectal shadowing task.

    Directory of Open Access Journals (Sweden)

    Abby eWalker

    2015-05-01

    Full Text Available Twenty women from Christchurch, New Zealand and sixteen from Columbus Ohio (dialect region U.S. Midland participated in a bimodal lexical naming task where they repeated monosyllabic words after four speakers from four regional dialects: New Zealand, Australia, U.S. Inland North and U.S. Midland. The resulting utterances were acoustically analyzed, and presented to listeners on Amazon Mechanical Turk in an AXB task. Convergence is observed, but differs depending on the dialect of the speaker, the dialect of the model, the particular word class being shadowed, and the order in which dialects are presented to participants. We argue that these patterns are generally consistent with findings that convergence is promoted by a large phonetic distance between shadower and model (Babel, 2010, contra Kim, Horton & Bradlow, 2011, and greater existing variability in a vowel class (Babel, 2012. The results also suggest that more comparisons of accommodation towards different dialects are warranted, and that the investigation of the socio-indexical meaning of specific linguistic forms in context is a promising avenue for understanding variable selectivity in convergence.

  16. The Psychotherapy Process with Adolescents: A First Pilot Study and Preliminary Comparisons between Different Therapeutic Modalities Using the "Adolescent Psychotherapy Q-Set"

    Science.gov (United States)

    Bychkova, Tetyana; Hillman, Saul; Midgley, Nick; Schneider, Celeste

    2011-01-01

    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…

  17. On Letting the Dialectic Go

    Directory of Open Access Journals (Sweden)

    Murray Code

    2007-08-01

    Full Text Available Alfred North Whiteheadrsquo;s critique of modern naturalisms suggest that they betray reason by ignoring the vast extent and depth of the problematic of symbolism. This is partly borne out by the still unexplained fact that highly abstract systems of symbolism, as in mathematics, can throw light on the hidden workings of nature. But since these include ordinary perception itself, and since symbolisms always mediate between minds and nature, all reasonings about truth or reality elicit references to mysterious natural powers. Good reasoning in natural philosophy thus requires an artful dialectic which is primarily concerned not with exact analyses of meanings but rather with the element of creativity in their ongoing production. Such a dialectic must be based on a polar logic that is opposed to the modern tendency to treat fundamental conceptual contrasts, such as nature-culture, subject-object, matter-spirit, and so on, as separable.

  18. Applied philosophy and psychotherapy: Heraclitus as case study

    Directory of Open Access Journals (Sweden)

    Johann Beukes

    2002-10-01

    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.

  19. [Psychanalitic psychotherapy: practice and indications in the aged].

    Science.gov (United States)

    Claudel, Bertrand

    2004-09-01

    Use of psychoanalytic psychotherapy for the elderly remains an issue. Even though regular psychoanalysis cure is contraindicated for elderly patients in most cases, yet, face-to-face psychotherapies can prove useful. The methods used for psychoanalytic psychotherapy for elderly patients are different from those applicable to middle age patients. These methods take into account the mourning process experienced by the elderly patient in three spheres: loss of object, loss of function and loss of oneself. Indications concerning psychoanalytic psychotherapy for the elderly have to be carefully assessed and will be detailed throughout the paper.

  20. Succession and survival in psychotherapy organizations.

    Science.gov (United States)

    Khaleelee, Olya

    2008-11-01

    This paper examines the world of psychotherapy by applying a systemic and psychodynamic understanding of the family business as a way of understanding the dilemmas and challenges of leadership succession. Oedipal factors are explored as an important theme within the succession process. This exploration is set within the context of what function psychotherapy has performed in society over the last thirty years. The hypothesis is that the first generation of leaders aimed to provide containment for the individual citizen at a time of failed dependency in society. The suggestion is that this gave way to the primary task for the second generation, which has been to focus on the therapist in training. The challenge for the third generation is to develop a meaningful role for psychotherapy today and to ensure survival at a time when other shorter therapies such as CBT are gaining ascendancy over longer term psychoanalytic psychotherapy.

  1. Dialects in Animals: Evidence, Development and Potential Functions

    Directory of Open Access Journals (Sweden)

    Laurence Henry

    2015-05-01

    Full Text Available Dialects are one of the parallels that have long been established between human language and animal communication. We discuss the potential functional parallels between human and animal dialects, arguing that in both cases different mechanisms and functions may be at stake where large geographical versus very localized (e.g. social variations are concerned. Birdsong studies in particular, but also recent studies of mammal vocalizations, show that the use of the term “dialect” to refer to within-species vocal variations in animal species is more than a metaphor and that animal dialects offer a possibility to explore the causes and functions of linguistic variation and change, one of the challenges in exploring the origin of diversity of language families. We present here an original view, as our approach was not “primate-centered,” and take into consideration “homoplasy” (analogy as a potential mechanism to explain that different taxa have evolved the same functional response to social constraints.

  2. Physician-patient argumentation and communication, comparing Toulmin's model, pragma-dialectics, and American sociolinguistics.

    Science.gov (United States)

    Rivera, Francisco Javier Uribe; Artmann, Elizabeth

    2015-12-01

    This article discusses the application of theories of argumentation and communication to the field of medicine. Based on a literature review, the authors compare Toulmin's model, pragma-dialectics, and the work of Todd and Fisher, derived from American sociolinguistics. These approaches were selected because they belong to the pragmatic field of language. The main results were: pragma-dialectics characterizes medical reasoning more comprehensively, highlighting specific elements of the three disciplines of argumentation: dialectics, rhetoric, and logic; Toulmin's model helps substantiate the declaration of diagnostic and therapeutic hypotheses, and as part of an interpretive medicine, approximates the pragma-dialectical approach by including dialectical elements in the process of formulating arguments; Fisher and Todd's approach allows characterizing, from a pragmatic analysis of speech acts, the degree of symmetry/asymmetry in the doctor-patient relationship, while arguing the possibility of negotiating treatment alternatives.

  3. [Method of existence analytic psychotherapy].

    Science.gov (United States)

    Längle, A

    1990-01-01

    Introducing questions of individual purpose and meaning into psychotherapy was an important contribution of Viktor Frankl and a necessary supplement to traditional psychotherapy. V. Frankls "Logotherapy" (logos = meaning) however has found its main application in counselling (especially bereavement and grief processes) and prophylactic endeavours (e.g. pedagogics). Suffering from meaninglessness, on the other hand, showed up to be a respectively rare indication for psychotherapeutic interventions in its proper sense. Thus the question was arising how to apply Frankl's valuable meaning-centered concept of man (which he called "Existential Analysis") in a genuine way to other neurosis and to personality disorders, so far "unspecific indications" to Logotherapy. This paper gives an outline and methodological foundation of "Existential Analysis Psychotherapy". A case study finally is illustrating its phenomenological proceeding.

  4. Graikų dialektai senojoje atikinėje komedijoje | The Greek Dialects in Old Attic Comedy

    Directory of Open Access Journals (Sweden)

    Audronė Kudulytė-Kairienė

    2013-12-01

    Full Text Available The present article deals with the Greek dialects in Old Attic Comedy. Aristophanes is the great­est representative of this genre and the one whose complete plays have been preserved. The works of his contemporary comic poets have survived in fragments. The author of this article analyses some dialectal features of comediographs such as Apol­lophanes, Crates, Eupolis, Epilycus, Strattis, Aris­tophanes. The fragments of Old Comedy are difficult to interpret because sometimes excerpts are badly battered, the dramatic context is missing, and we do not know who is speaking the fragmentary lines that have survived. The analysis of dialectal forms shows that Greek comediographs were interested in dialects. The representation of different dialects was customary in Old Attic Comedy. Comic writers used non-Attic dialects to make their personages more re­alistic or to make a mock of them. Many dialectal forms in comedies contain comicality, irony, parody, intertextuality or are paratragic and might be bor­rowed from a tragedy, lyric or epos. In the comedies Lysistrata and Acharnians, Aristophanes reproduces Laconian, Megarian, and Boiotian speeches. He had to pick out a convincing number of the most peculiar features present to these dialects to the audience. The phonologic and morphologic features of the dialectal words in comedies generally accord with epigraphic records.

  5. Psychotherapy: a profile of current occupational therapy practice in Ontario.

    Science.gov (United States)

    Moll, Sandra E; Tryssenaar, Joyce; Good, Colleen R; Detwiler, Lisa M

    2013-12-01

    Psychotherapy can be an important part of psychosocial occupational therapy practice; however, it requires specialized training to achieve and maintain competence. Regulation varies by province, and in Ontario, occupational therapists were recently authorized to perform psychotherapy. The purpose of this study was to explore the psychotherapy practice, training, and support needs of Ontario occupational therapists. An online survey was sent to occupational therapists who had clients with mental health or chronic pain issues, asking about their expertise and support needs in relation to nine psychotherapy approaches. Of the 331 therapists who responded, there were variations in the nature and frequency of psychotherapy practice. Experienced therapists in outpatient settings were more likely to practice psychotherapy, and cognitive-behaviour therapy, motivational interviewing, and mindfulness were the most common approaches. Supervision and training varied, with many therapists interested in occupational therapy-specific training. Recommendations for a framework of support include education about the nature of psychotherapy, training and supervision guidelines, and advocacy for occupational therapy and psychotherapy.

  6. Constructing the Stereotype: Indexes and Performance of a Stigmatised Local Dialect in Egypt

    Science.gov (United States)

    Bassiouney, Reem

    2018-01-01

    'Sa?idi dialect' is a general phrase used by Egyptians to refer to a group of dialects spoken in an area that stretches from the south of Cairo to the border of the Sudan. Of all the dialects found throughout Egypt and the Arab world, Sa?idi Arabic is one of the most ridiculed, stigmatised and stereotyped in the media. Salient phonological and…

  7. The Dialectical Nature of Business Strategy

    DEFF Research Database (Denmark)

    Gjerding, Allan Næs; Rasmussen, Jørgen Gulddahl

    2006-01-01

    The main argument is that contemporary scholarly activities in the field of strategy may benefit from viewing strategy as a dialectical phenomenon in terms of a continuous transposition of managerial decision making situations....

  8. A comparison of the speech patterns and dialect attitudes of Oklahoma

    Science.gov (United States)

    Bakos, Jon

    The lexical dialect usage of Oklahoma has been well-studied in the past by the Survey of Oklahoma Dialects, but the acoustic speech production of the state has received little attention. Apart from two people from Tulsa and two people from Oklahoma City that were interviewed for the Atlas of North American English, no other acoustic work has been performed within the state. This dissertation begins to fill in these gaps by presenting twelve respondents interviewed by the Research on Dialects of English in Oklahoma (RODEO) project. For each speaker, a brief biography is given, including some of their regional and speech attitudes of Oklahoma. Then acoustic data from a wordlist and reading task are presented and compared. Analysis will consider plots of each speaker's vowel system as a whole, and will also examine many environments in isolation. These environments were chosen for their likely presence in Oklahoma, and include such dialect features as the Southern Shift, the pin/pen merger, the caught/cot merger, monophthongization of the PRICE vowel, and neutralization of tense vowels before /l./ After considering each respondent separately, some of their results will be pooled together to give a preliminary sense of the state of dialect within Oklahoma. Demographic variables such as age, gender, and urban/rural upbringing will be related to speakers' attitudes and acoustic production. This will serve two goals - first, to compare modern-day production to the findings of previous scholars, and second, to suggest a dialect trajectory for the state that could be studied further in additional research.

  9. The settlement of Madagascar: what dialects and languages can tell us.

    Directory of Open Access Journals (Sweden)

    Maurizio Serva

    Full Text Available The dialects of Madagascar belong to the Greater Barito East group of the Austronesian family and it is widely accepted that the Island was colonized by Indonesian sailors after a maritime trek that probably took place around 650 CE. The language most closely related to Malagasy dialects is Maanyan, but Malay is also strongly related especially for navigation terms. Since the Maanyan Dayaks live along the Barito river in Kalimantan (Borneo and they do not possess the necessary skill for long maritime navigation, they were probably brought as subordinates by Malay sailors. In a recent paper we compared 23 different Malagasy dialects in order to determine the time and the landing area of the first colonization. In this research we use new data and new methods to confirm that the landing took place on the south-east coast of the Island. Furthermore, we are able to state here that colonization probably consisted of a single founding event rather than multiple settlements. To reach our goal we find out the internal kinship relations among all the 23 Malagasy dialects and we also find out the relations of the 23 dialects to Malay and Maanyan. The method used is an automated version of the lexicostatistic approach. The data from Madagascar were collected by the author at the beginning of 2010 and consist of Swadesh lists of 200 items for 23 dialects covering all areas of the Island. The lists for Maanyan and Malay were obtained from a published dataset integrated with the author's interviews.

  10. Dialectical Inquiry--Does It Deliver? A User Based Research Experience

    Science.gov (United States)

    Seligman, James

    2013-01-01

    Dialectical Enquiry (DI) as a research method was used in the study of customer/student experience and its management (CEM) in not for profit as higher education. The (DI) method is applied to senders, receivers of the customer experience across six English universities to gather real world data using an imposed dialectical structure and analysis.…

  11. Dialectical Imagery and Postmodern Research

    Science.gov (United States)

    Davison, Kevin G.

    2006-01-01

    This article suggests utilizing dialectical imagery, as understood by German social philosopher Walter Benjamin, as an additional qualitative data analysis strategy for research into the postmodern condition. The use of images mined from research data may offer epistemological transformative possibilities that will assist in the demystification of…

  12. PHONOLOGY OF THE LOCAL DIALECT OF ŠIMLJANIK IN NORTH MOSLAVINA

    Directory of Open Access Journals (Sweden)

    Perina Vukša Nahod

    2014-01-01

    Full Text Available The paper describes, on the basis of original field research, the phonology of the local dialect of Šimljanik, which belongs to the iekavian north Moslavian (sjevernomoslavački kajkavian group of dialects. Since this is an area near the border between the kajkavian and štokavian groups of dialects, and whose original demographic structure has changed due to migration in the past, it is expected that many deviations from the typical kajkavian systems will be found. We will try to see whether (and in which way the štokavian elements have influenced the vowel, consonant and the accentuation systems.

  13. Review: Mäder, Maya (2017: Selbsterfahrung in der Psychotherapie (Self experience in Psychotherapy, Die Bedeutung für den Kompetenzerwerb in der Aus- und Weiterbildung zum transaktionalytischen Psychotherapeuten (The significance for getting competence in training of transactional psychotherapy Münster: Waxmann

    Directory of Open Access Journals (Sweden)

    Günther Mohr

    2017-07-01

    Full Text Available Review: Mäder, Maya (2017: Selbsterfahrung in der Psychotherapie (Self experience in Psychotherapy, Die Bedeutung für den Kompetenzerwerb in der Aus- und Weiterbildung zum transaktionalytischen Psychotherapeuten (The significance for getting competence in training of transactional psychotherapy Münster: Waxmann   Citation - APA format: Mohr, G. (2017. Review: Mäder, Maya (2017: Selbsterfahrung in der Psychotherapie (Self experience in Psychotherapy, Die Bedeutung für den Kompetenzerwerb in der Aus- und Weiterbildung zum transaktionalytischen Psychotherapeuten (The significance for getting competence in training of transactional psychotherapy Münster: Waxmann. International Journal of Transactional Analysis Research & Practice, 8(2, 49-50.

  14. Integrative dimensions of psychotherapy training.

    Science.gov (United States)

    Greben, Daniel H

    2004-04-01

    This paper investigates the influence of integrative factors on psychotherapy education. The broad relevance of integrative psychotherapy to residency training and continuing mental health education is discussed. Following a review of the existing literature on the education of integrative psychotherapists, the article systematically examines the integrative and pedagogic issues to be considered in planning psychotherapy training informed by integrative principles. The integrative issues are organized into 5 categories: attitudinal set, knowledge base, clinical techniques and skills, developmental tasks and challenges, and systemic institutional factors. The educational issues can be divided into 4 categories: content, format and process, sequence, and faculty development. Brief descriptions of actual educational interventions illustrate the implementation of such ideas. Specific recommendations are made regarding the development of integrative educational initiatives and future study of unresolved questions.

  15. THE TRANSLATING PROBLEMS OF CONTEMPORARY TURKISH DIALECTS (BETWEEN THE NEW UYGUR TURKISH DIALECT AND TURKEY TURKISH DIALECT ÇAĞDAŞ TÜRK ŞİVELERİ ARASINDA AKTARMA MESELELERİ (YENİ UYGUR TÜRKÇESİ – TÜRKİYE TÜRKÇESİ ÖRNEĞİ

    Directory of Open Access Journals (Sweden)

    Dr. M. Fatih ALKAYIŞ

    2009-05-01

    Full Text Available The translating of the books, writing with Contemporary Turkish Dialects, requires some attentions about the suffixes, words, concepts and centences to get an impressive form. By this way counfusions of meaning, between the Turkish Dialects, can be prevented.The New Uygur Turkish Dialect, thought as an Eastern Turkish Dialect at the classification of Turkish Language, is nearer to the characteristics of Old Turkish Language according to the Turkey Turkish Dialect, thought as a western Turkish Dialects. We can get a classification of translating problems, between the New Uygur Language and Turkey Turkish Language, in those titles: Verb moods, participles, gerundiums.With the solving of the problems between Contemporary Turkish Dialects, Turkish world will understand each other well, and also will be nearer. Çağdaş Türk şiveleriyle yazılmış eserleri bir şiveden başka bir şiveye aktarırken dikkat edilmesi gereken hususların başında “ek, kelime, kavram ve cümleleri” aynı etkiyi yaratacak biçimde çevirmek gelmektedir. Bu sayede anlam veya şekil bulanıklığı ortadan kalkar.Türk şivelerinin tasnifinde Doğu Türkçesinin bir kolu olarak kabul edilen Yeni Uygur Türkçesi, Batı Türkçesi içerisinde yer alan Türkiye Türkçesine oranla Eski Türkçenin şekil özelliklerine daha yakındır. Yeni Uygur Türkçesi ile Türkiye Türkçesi arasındaki aktarma meselelerini şu konular üzerinde ele alabiliriz: Fiil kipleri, sıfat-fiiller, zarf-fiiller. Çağdaş Türk şiveleri arasındaki aktarma meselelerinin çözümüyle Türk Dünyası birbirini daha iyi anlayacak ve birbirine daha çok yakınlaşacaktır.

  16. [Explicit and implicit attitudes toward standard-Japanese and Osaka-dialect language use].

    Science.gov (United States)

    Watanabe, Takumi; Karasawa, Kaori

    2013-04-01

    This article examines the effects of language use on explicit and implicit attitudes. We employed the matched-guise technique to measure participants' impressions of standard-Japanese and Osaka-dialect speakers. Implicit attitudes were assessed by the Implicit Association Test (IAT). The Osaka-dialect speaker was evaluated as warmer than the standard-Japanese speaker, suggesting that explicit attitudes toward the Osaka dialect have changed positively. On the other hand, the results for the impression of intelligence were consistent with the previous literature that the standard-Japanese speaker was seen as more intelligent than the Osaka-dialect speaker. Compared with explicit attitudes, the analyses of implicit attitudes revealed that participants showed a consistent implicit bias favoring standard-Japanese language use. The changing processes and relationships of explicit and implicit attitudes were discussed.

  17. Metadata in Scientific Dialects

    Science.gov (United States)

    Habermann, T.

    2011-12-01

    Discussions of standards in the scientific community have been compared to religious wars for many years. The only things scientists agree on in these battles are either "standards are not useful" or "everyone can benefit from using my standard". Instead of achieving the goal of facilitating interoperable communities, in many cases the standards have served to build yet another barrier between communities. Some important progress towards diminishing these obstacles has been made in the data layer with the merger of the NetCDF and HDF scientific data formats. The universal adoption of XML as the standard for representing metadata and the recent adoption of ISO metadata standards by many groups around the world suggests that similar convergence is underway in the metadata layer. At the same time, scientists and tools will likely need support for native tongues for some time. I will describe an approach that combines re-usable metadata "components" and restful web services that provide those components in many dialects. This approach uses advanced XML concepts of referencing and linking to construct complete records that include reusable components and builds on the ISO Standards as the "unabridged dictionary" that encompasses the content of many other dialects.

  18. Dialectical Reason and Necessary Conflict—Understanding and the Nature of Terror

    Directory of Open Access Journals (Sweden)

    Angelica Nuzzo

    2007-12-01

    Full Text Available Taking as point of departure Hegelrsquo;s early reflections on his historical present, this essay examines the relationship between dialectical reason and the activity of the understanding in generating contradiction. Dialecticmdash;as logic and methodmdash;is Hegelrsquo;s attempt at a philosophical comprehension of the conflicts and the deep changes of his contemporary world. This idea of dialectic as logic of historical transformation guides the development of consciousness in the emPhenomenology of Spirit/em. Since my claim is that the dialectic of consciousness and its capacity of overcoming contradiction are rooted in the historical situation of 1807, the question is raised of what would be the specific problems encountered by consciousness in our contemporary worldmdash;in 2007. What are the challenges posed by our globalized world to a phenomenology of contemporary spirit; and what is the role that contradiction and dialectic play in the understanding of our own historical present?

  19. [Summary: Scientific evaluation of EMDR psychotherapy].

    Science.gov (United States)

    Haour, F; de Beaurepaire, C

    2016-06-01

    The evaluation of psychotherapy methods is made difficult by their practical and theoretical diversities as well as the increasing number of available therapies. Evaluation based on scientific criteria in randomized control trials is providing the highest level of proof and recognition by Health Agencies. A recently described integrative psychotherapy, eye movement desensitization and reprocessing (EMDR), developed by F. Shapiro since 1989, has been confronted with the validation procedure used in pharmacological treatment. It was of interest to review the scientific validation steps carried out for this EMDR psychotherapy and for its mechanisms of action. The practical and methodological protocol of the EMDR psychotherapy for trauma integration is reviewed as well as clinical results and mechanisms. This EMDR therapy, focused on the resolutions of traumas, was started by treating patients with post-traumatic stress disorders (PTSD). The integrative EMDR protocol obtained the highest level of efficiency, for PTSD treatment, twenty years after its first publication. The efficiency of the protocol is now under study and scientific evaluation for troubles in which the trauma experiences are triggers or factors of maintenance of the troubles: anxiety, depression, phobia, sexual troubles, schizophrenia, etc. This new integrative psychotherapy follows the pathways and the timing observed for the evaluation and the validation of other therapies. Copyright © 2016 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

  20. Ayurvedic concepts related to psychotherapy.

    Science.gov (United States)

    Behere, Prakash B; Das, Anweshak; Yadav, Richa; Behere, Aniruddh P

    2013-01-01

    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 identified as health regimens (swasthvrtt), correct behavior (sadvrtt), and yoga. Sattvavajaya as psychotherapy, is the mental restraint, or a "mind control" as referred by Caraka, is achieved through "spiritual knowledge, philosophy, fortitude, remembrance and concentration. Ayurvedic psychotherapy would play a dual role: First, as a revival of authentic medical culture, the exercise of a practice with an assumed primordial dimension, and second as a discovery of authentic subjectivity, the revelation of a self with an assumed interior depth. When we integrate the contemporary art of psychotherapy with the ancient science of Ayurveda, it becomes a powerful combination that is called Psycho Veda. The integration of Psycho and Veda is motivated by the complete integration of the immense but fairly contemporary view of the mind, emotions and psyche and how this performs in our lives. Integrating Psychotherapy and Vedic principles teaches us how to rediscover critical knowledge and awareness of the natural forces and rhythms that compliment and strengthen our human experience, through the understanding of the psyche and what our inner experiences are and also involving practical daily activities with thorough attention to our total environment to bring about radical changes in our mental outlook and in physical health.

  1. Vygotsky’s Hamlet: the dialectic method and personality psychology

    OpenAIRE

    Bayanova L.F.

    2013-01-01

    This article presents an analysis of Vygotsky’s work on the psychology of art and his use of the image of Hamlet in the psychological analysis of personality. It also describes the capabilities of the dialectic method for assessing psychological problems. Reference to three dialectical oppositions—of the story and the plot, of the main character’s spinelessness and his insanity, and of subject and personality—allows the development of a theoretical analysis of the psychology of personality in...

  2. Group Analytic Psychotherapy in Brazil.

    Science.gov (United States)

    Penna, Carla; Castanho, Pablo

    2015-10-01

    Group analytic practice in Brazil began quite early. Highly influenced by the Argentinean Pichon-Rivière, it enjoyed a major development from the 1950s to the early 1980s. Beginning in the 1970s, different factors undermined its development and eventually led to its steep decline. From the mid 1980s on, the number of people looking for either group analytic psychotherapy or group analytic training decreased considerably. Group analytic psychotherapy societies struggled to survive and most of them had to close their doors in the 1990s and the following decade. Psychiatric reform and the new public health system have stimulated a new demand for groups in Brazil. Developments in the public and not-for-profit sectors, combined with theoretical and practical research in universities, present promising new perspectives for group analytic psychotherapy in Brazil nowadays.

  3. The DiaS trial: dialectical behavior therapy versus collaborative assessment and management of suicidality on self-harm in patients with a recent suicide attempt and borderline personality disorder traits - study protocol for a randomized controlled trial.

    Science.gov (United States)

    Andreasson, Kate; Krogh, Jesper; Rosenbaum, Bent; Gluud, Christian; Jobes, David A; Nordentoft, Merete

    2014-05-29

    In Denmark 8,000 to 10,000 people will attempt suicide each year. The Centre of Excellence in Suicide Prevention in the Capital Region of Denmark is treating patients with suicidal behavior, and a recent survey has shown that 30% of the patients are suffering from borderline personality disorder. The majority of patients (70% to 75%) with borderline personality disorder have a history of deliberate self-harm and 10% have a lifetime risk to die by suicide. The DiaS trial is comparing dialectical behavior therapy with collaborative assessment and management of suicidality-informed supportive psychotherapy, for the risk of repetition of deliberate self-harm in patients with a recent suicide attempt and personality traits within the spectrum of borderline personality disorder. Both treatments have previously shown effects in this group of patients on suicide ideation and self-harm compared with treatment as usual. The trial is designed as a single-center, two-armed, parallel-group observer-blinded randomized clinical superiority trial. We will recruit 160 participants with a recent suicide attempt and at least two traits of the borderline personality disorder from the Centre of Excellence in Suicide Prevention, Capital Region of Denmark. Randomization will be performed though a centralized and computer-generated approach that conceals the randomization sequence. The interventions that are offered are a modified version of a dialectical behavior therapy program lasting 16 weeks versus collaborative assessment and management of suicidality-informed supportive psychotherapy, where the duration treatment will vary in accordance with established methods up to 16 weeks. The primary outcome measure is the ratio of deliberate self-harming acts including suicide attempts measured at week 28. Other exploratory outcomes are included such as severity of symptoms, suicide intention and ideation, depression, hopelessness, self-esteem, impulsivity, anger, and duration of respective

  4. Multicultural approaches in psychotherapy: A rejoinder.

    Science.gov (United States)

    Owen, Jesse; Leach, Mark M; Wampold, Bruce; Rodolfa, Emil

    2010-12-20

    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 authors challenge the wisdom of exploring MCCs in psychotherapy research and provide a different framework to understand therapists' multicultural effectiveness with clients based on their cultural race/ethnicity. Additionally, the concept of therapists' multicultural orientation or approach is introduced to illuminate the process of aligning with clients about salient cultural issues in psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

  5. PHONOLOGICAL AND LEXICAL VARIETIES OF LIO LANGUAGE IN FLORES, EAST NUSA TENGGARA: A STUDY OF GEOGRAPHICAL DIALECT

    Directory of Open Access Journals (Sweden)

    Ni Made Suryati

    2013-02-01

    Full Text Available This study aims at describing and analyzing phonological and lexical varieties of Leo language in the regions where it is spoken, classifying its dialects and subdialects, and identifying the identity of its relation to Ende language. The theories used in this study are the theory of traditional dialectology and the theory of generative. The data used were obtained from the primary and secondary sources. The observation method and the participative method were applied to collect the data needed. The data were analyzed using descriptive-comparative method which was continued with dialectometric and mapping method. The segments vowels, consonants and syllables grouped under regular and sporadic varieties. The regular vowel variety and the regular syllable variety were found just one and on the other hand 20 regular consonant varieties.   The vowel sporadic varieties found 37, the consonant sporadic varieties found 176, and the syllable sporadic varieties found 17. Lexically, Lio Language highly varied, indicated by the description of each gloss having more than 10 lexical varieties. Based on the isogloss bundles composed and based on the calculation obtained from both the lexical dialectometry and lexical dialectometry for the TPs which were close to each other, and on the permutation, DBL could be grouped into seven. (1 East Lio Language Dialect; (2 Central Lio Language Dialect; (3 Western Lio Language Dialect; (4 Ende Leo Language Dialect; (5 Welamosa Dialect; (6 Wololele A Dialect; and (7 Konara Dialect. From such groupings of dialects and sub dialects, it could be identified that Lio Language  and Ende Language were different dialects.

  6. The Prague Linguistic Circle and Dialectics

    Czech Academy of Sciences Publication Activity Database

    Sládek, Ondřej

    -, č. 19 (2017), s. 352-357 E-ISSN 2037-2426 Institutional support: RVO:68378068 Keywords : The Prague Linguistic Circle * Jan Mukařovský * Structuralism * Structural Poetics * Dialectics Subject RIV: AJ - Letters, Mass-media, Audiovision OBOR OECD: Specific literatures

  7. The Use of Aristotelian Dialectics: Reception and Scientific Meaning

    OpenAIRE

    José Miguel López Molina-Niñirola

    2016-01-01

    This article shows the relevance of Aristotelian dialectic in the twentieth century, which has a scientific use, basically in the construction and development of science. It allows, reasoning from éndoxa, to establish the value of truth in propositions and to understand the common principles of science and the principles inherent to individual sciences. The diaporétic procedure theorized by Aristotle is a method and not a piece of knowledge, unlike Plato, but rooted in the Platonic dialectic ...

  8. Group Supervision in Psychotherapy. Main Findings from a Swedish Research Project on Psychotherapy Supervision in a Group Format

    Science.gov (United States)

    Ogren, Marie-Louise; Sundin, Eva C.

    2009-01-01

    Psychotherapy supervision is considered crucial for psychotherapists in training. During the last decades, group supervision has been a frequently used format in many countries. Until recently, very few studies had evaluated the small-group format for training of beginner psychotherapists and psychotherapy supervisors. This article aims to…

  9. Gratitude in cognitive psychotherapy

    Directory of Open Access Journals (Sweden)

    Natalia C. Moyano

    2015-08-01

    Full Text Available 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 provided by the research are revised, intending to analyze possible ways to include gratitude into Cognitive Psychotherapy

  10. Dialectical Discursive Storytelling in Organizational Transformations

    DEFF Research Database (Denmark)

    Bager, Ann Starbæk; Svane, Marita Susanna

    by organizational storytelling practices but also as active re-constituents through experience, (self-)reflexivity, and sensemaking. The paper suggests further research of the potential of dialectical discursive storytelling as a performative research practice apt for or-ganizational cultural transformation through...

  11. Some Phonetic Phenomena in the Central Podillia Dialect (Based on the Terminology of Traditional Folk Crafts

    Directory of Open Access Journals (Sweden)

    Kraievska Hanna

    2016-08-01

    Full Text Available Background: In the reviewed paper we attempted to investigate the phonetic variation of the Central Podillia dialect on the example of some linguistic phenomena. We found out that many linguists studied the phonetic variation based on the Ukrainians' dialect speech. However, they did not study the terminology of folk crafts of the Central Podillia dialects, that's why we aim to describe the sound differences of the lexical units of this area. Purpose: The purpose of the analysis is to determine some phonetic phenomena of the Central Podillia dialect. First of all, there are changes within the stable word length (metathesis, substantive changes of one sound in the stable surround sound, and changes, accompanied by the word elongation or contraction (prosthesis, epenthesis, elision. Results: The analyzed dialects widely present the consonant changes within the stable word length (г → ґ, т → д, с → ш, з → ж…. The performed study characterizes the Central Podillia dialects by the vowel change within a stable word length – 5 cases. Sound changes are typical for the analyzed dialects affecting the dynamics of the word length (prosthetic sounds - [г], [в], [й], [і], [и]. In opposition to the phonetic processes that help to increase the length of the word, we observe the loss of the sound in the middle of the word in the Central Podillia dialects (reduction – [o], [й], [в]. Discussion: The analysis of some phonetic phenomena of the Central Podillia dialects proved the existence of phonetic features typical for the South-Western dialect. However, we determined the local sound differences of this area, which confirm the identity of the language of this region.

  12. Afrikaans and Dutch as closely-related languages: A comparison to West Germanic languages and Dutch dialects

    Directory of Open Access Journals (Sweden)

    Wilbert Heeringa

    2015-02-01

    Full Text Available Following Den Besten’s (2009 desiderata for historical linguistics of Afrikaans, this article aims to contribute some modern evidence to the debate regarding the founding dialects of Afrikaans. From an applied perspective (i.e. human language technology, we aim to determine which West Germanic language(s and/or dialect(s would be best suited for the purposes of recycling speech resources for the benefit of developing speech technologies for Afrikaans. Being recognised as a West Germanic language, Afrikaans is first compared to Standard Dutch, Standard Frisian and Standard German. Pronunciation distances are measured by means of Levenshtein distances. Afrikaans is found to be closest to Standard Dutch. Secondly, Afrikaans is compared to 361 Dutch dialectal varieties in the Netherlands and North-Belgium, using material from the Reeks Nederlandse Dialectatlassen, a series of dialect atlases compiled by Blancquaert and Pée in the period 1925-1982 which cover the Dutch dialect area. Afrikaans is found to be closest to the South-Holland dialectal variety of Zoetermeer; this largely agrees with the findings of Kloeke (1950. No speech resources are available for Zoetermeer, but such resources are available for Standard Dutch. Although the dialect of Zoetermeer is significantly closer to Afrikaans than Standard Dutch is, Standard Dutch speech resources might be a good substitute.

  13. Effects of gender and regional dialect on prosodic patterns in American English

    Science.gov (United States)

    Clopper, Cynthia G.; Smiljanic, Rajka

    2011-01-01

    While cross-dialect prosodic variation has been well established for many languages, most variationist research on regional dialects of American English has focused on the vowel system. The current study was designed to explore prosodic variation in read speech in two regional varieties of American English: Southern and Midland. Prosodic dialect variation was analyzed in two domains: speaking rate and the phonetic expression of pitch movements associated with accented and phrase-final syllables. The results revealed significant effects of regional dialect on the distributions of pauses, pitch accents, and phrasal-boundary tone combinations. Significant effects of talker gender were also observed on the distributions of pitch accents and phrasal-boundary tone combinations. The findings from this study demonstrate that regional and gender identity features are encoded in part through prosody, and provide further motivation for the close examination of prosodic patterns across regional and social varieties of American English. PMID:21686317

  14. Culture and demoralization in psychotherapy.

    Science.gov (United States)

    de Figueiredo, John M; Gostoli, Sara

    2013-01-01

    In most societies, members of a culture have attempted to help each other in times of trouble with various types of healing methods. Demoralization - an individual experience related to a group phenomenon - responds to certain elements shared by all psychotherapies. This article has three objectives: (1) to review the theoretical background leading to our current views on culture and demoralization in psychotherapy, (2) to discuss the methodological challenges faced in the cross-cultural study of demoralization and psychotherapy, and (3) to describe the clinical applications and research prospects of this area of inquiry. Demoralization follows a shattering of the individual's assumptive world and it is different from homeostatic responses to a stressful situation or from depressive disorders. Only a few comparative studies of this construct across cultures have been undertaken. The presentation of distress may vary widely from culture to culture and even within the same culture. To avoid 'category fallacy', it is important to understand the idioms of distress peculiar to a cultural group. A cultural psychiatrist or psychotherapist would have to identify patient's values and sentiments, reconstruct his/her personal and collective ambient worlds, and only then study demoralization. The limitations of our current diagnostic systems have resulted in methodological challenges. Cultural clinicians should consider using a combination of both 'clinimetric' and 'perspectivistic' approaches in order to arrive at a diagnosis and identify the appropriate intervention. The presenting problem has to be understood in the context of the patient's individual, social and cultural background, and patients unfamiliar with Western-type psychotherapies have to be prepared to guide their own expectations before the former are used. Future research should identify the gaps in knowledge on the effectiveness of cultural psychotherapy at reversing or preventing demoralization. Copyright

  15. CASE STUDIES IN INTEGRATIVE PSYCHOTHERAPY PART 2 (EDITORIAL

    Directory of Open Access Journals (Sweden)

    Gregor Žvelc

    2013-05-01

    Full Text Available Announcement of the special issue of the International Journal of Integrative Psychotherapy, which is dedicated to the exploration and discussion of an integrative psychotherapy case study.

  16. Critical realism and the dialectic.

    Science.gov (United States)

    Roberts, J M

    2001-12-01

    A prominent strand within both sociological and social theory has been concerned to develop a 'systems approach' with which to explore social life. One of the most original contributions to a systems approach has arisen within critical realism. In particular critical realism demonstrates that it is possible to abstract the causal powers of different objects of analysis to examine their interaction within concrete and contingent 'open systems'. The recent dialectical turn of critical realism develops this systems approach in a much more rigorous manner. However, in this paper I argue that the (dialectical) critical realist mode of abstraction ultimately fails to embed concepts and categories internally within the specific ideological and historical forms of social relations. Or rather, critical realists do not seek to develop concepts that reflect the self-movement of a historical and contradictory essence. This self-movement is what I prefer to call a 'system'. Consequently critical realists are led to separate method from system in theory construction and such a separation leads to a problematic dualist mode of theorizing. I make these observations from a Hegelian-Marxist position.

  17. Toward a Dialectical Model of Family Gender Discourse: Body, Identity, and Sexuality.

    Science.gov (United States)

    Blume, Libby Balter; Blume, Thomas W.

    2003-01-01

    Proposes a dialectical model representing gender discourse in families. A brief review of literature in sociology, psychology, and gender studies focuses on three dialectical issues: nature versus culture, similarity versus difference, and stability versus fluidity. Deconstructing gender theories from a postmodern feminist perspective, the authors…

  18. PERSONALITY THEORY IN INTEGRATIVE PERSONALITY-ORIENTED RECONSTRUCTIVE PSYCHOTHERAPY

    Directory of Open Access Journals (Sweden)

    V I Kurpatov

    2010-01-01

    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

  19. Practice Parameter for Psychodynamic Psychotherapy with Children

    Science.gov (United States)

    Medicus, Jennifer

    2012-01-01

    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…

  20. Interpersonal Psychotherapy: Past, Present and Future

    OpenAIRE

    Markowitz, John C.; Weissman, Myrna M.

    2012-01-01

    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.

  1. AUTOMATIC SPEECH RECOGNITION SYSTEM CONCERNING THE MOROCCAN DIALECTE (Darija and Tamazight)

    OpenAIRE

    A. EL GHAZI; C. DAOUI; N. IDRISSI

    2012-01-01

    In this work we present an automatic speech recognition system for Moroccan dialect mainly: Darija (Arab dialect) and Tamazight. Many approaches have been used to model the Arabic and Tamazightphonetic units. In this paper, we propose to use the hidden Markov model (HMM) for modeling these phoneticunits. Experimental results show that the proposed approach further improves the recognition.

  2. [Psychotherapy of depression in old age].

    Science.gov (United States)

    Wächtler, C

    2013-02-01

    Depression in old age is common and also dangerous due to somatic comorbidity and suicide; however, it is often not recognized and not adequately treated. Psychotherapy is almost never offered to the elderly. However, clinical experience, single-case studies and some controlled trials show effectiveness--at least to the age of 75. The psychotherapist must be aware of unusual transference and countertransference between a younger therapist and elderly patient. Psychotherapy in old age requires some modifications, especially concerning special interest in biography and history, strong empathy, "container function", and focusing. In the future, psychotherapy for the elderly should be both investigated and educated more. In addition, it is hoped that psychotherapists offer to treat elderly people with depression and that more older patients accept this professional help.

  3. Linguistic constraints on children's overt marking of BE by dialect and age.

    Science.gov (United States)

    Roy, Joseph; Oetting, Janna B; Moland, Christy Wynn

    2013-06-01

    Overt marking of BE in nonmainstream adult dialects of English is influenced by a number of linguistic constraints, including the structure's person, number, tense, contractibility, and grammatical function. In the current study, the authors examined the effects of these constraints on overt marking of BE in children as a function of their nonmainstream English dialect and age. The data were language samples from 62 children, ages 4-6 years; 24 children spoke African American English (AAE), and 38 spoke Southern White English (SWE). Analyses included analysis of variance and logistic regression. Rates of overt marking varied by the children's dialect but not their age. Although the person, number, tense, and grammatical function of BE influenced the children's rates of marking, the nature and magnitude of the influence differed by the children's dialect. For AAE-speaking children, contractibility also influenced their marking of BE. Consistent with the adult literature, the current study showed that AAE- and SWE-speaking children marked BE in ways that differed from each other and from what has been documented for child speakers of Mainstream American English. These findings show stability in the use of BE in AAE and SWE that spans different generations and different dialect communities.

  4. On the dialectical foundations of mathematics

    NARCIS (Netherlands)

    Damsma, D.

    2008-01-01

    This paper tracks the systematic dialectical determination of mathematical concepts in Hegel's Encyclopädie der philosophischen Wissenschaften (1830, 1817) and investigates the insights that can be gained from such a perspective on the mathematical. To begin with, the determination of Numbers and

  5. Metaphor in Psychotherapy

    Directory of Open Access Journals (Sweden)

    Nergis Lapsekili

    2014-08-01

    Full Text Available A metaphor is a figüre of speech in which a word or phrase is applied to an object or an action that it does not literally denote in order to imply a resemblence. Metaphor has been an essential feature of human communication from time immemorial: fairy tales, parables, provers are all examples of metaphor. Human beings regularly use metaphors to communicate with each other, so it is reasonable to expect this figüre of speech to have a place in the process of communication we call psychotherapy. As well as carefully planned and developed majör metaphoric stories to achieve specific therapeutic goals, anectodes, similes, analogies, parables and other brief metaphorical statements, relationship metaphors, tasks with metaphorical meanings, objects can be used with their metaphorican meaning in psychotherapy. Stories when properly constucted and told, are usually more interesting than straight expositions of the points one wishws to make. Of course it is possible to construct boring stories or to tell good stories in a boring way. But well thought out and well narrated stories, told in the right context ca inspire people to undertake tasks and think about things they would not have considered before. Stories, because they deal indirectly with issues and have meanings that are in varying degrees veiled, tend to be less threatening and confronting than direct statements. Listeners are free to take stories at their face value, if their implicit meaning is unacceptable to them at the time. And this result will not damage the existing therapist-client rapport. Suggesting solutions to problems, helping people to recognize themselves, increasing motivation, reframing and redefining problems, reminding subjects of their own resources are all the benefits of clinical uses of metaphors in psychotherapy. In this text, the description of metaphor and usage of metaphor in psychotherapy will be reviewed with samples. [JCBPR 2014; 3(2.000: 116-125

  6. Consequences of Psychotherapy Clients' Mental Health Ideology.

    Science.gov (United States)

    Milling, Len; Kirsch, Irving

    Current theoretical approaches to understanding emotional difficulties are dominated by the medical model of mental illness, which assumes that emotional dysfunction can be viewed the same way as physical dysfunction. To examine the relationship between psychotherapy clients' beliefs about the medical model of psychotherapy and their behavior…

  7. Book Review Psychotherapy and Phenomenology By Ian Rory ...

    African Journals Online (AJOL)

    Book Review Psychotherapy and Phenomenology By Ian Rory Owen (2006) ... Psychotherapy and Phenomenology: On Freud, Husserl and Heidegger. New York: iUniverse. Soft Cover (352 ... AJOL African Journals Online. HOW TO USE ...

  8. [Systemic therapies--a contribution to psychotherapy integration].

    Science.gov (United States)

    Schiepek, Günter

    2012-06-01

    Some converging lines from neuroscience, neurobiological psychotherapy research, process-outcome-research, internet-based change monitoring and the systems and complexity sciences actually allow for an open and generic definition of systemic therapies. The "family" of systemic therapies as designed here is not restricted to the field of psychotherapy. It is a scientifically founded and engaged, bio-psycho-social multi-level approach to a common or integrative psychotherapy, not restricted to a psychotherapeutic confession or exclusively to family or couples therapy. A core element of systemic therapy is the support of self-organizing processes and the use of data-driven feedback tools. The conclusion goes to a modified concept of evidence-based practice and, vice versa, practice-based evidence, to an integration of the medical model and the common factors model into a self-organization theory of human change processes, and to a list of criteria for scientifically based practice in psychotherapy. © Georg Thieme Verlag KG Stuttgart · New York.

  9. Introduction to the Special Issue on Advancing Methods for Analyzing Dialect Variation.

    Science.gov (United States)

    Clopper, Cynthia G

    2017-07-01

    Documenting and analyzing dialect variation is traditionally the domain of dialectology and sociolinguistics. However, modern approaches to acoustic analysis of dialect variation have their roots in Peterson and Barney's [(1952). J. Acoust. Soc. Am. 24, 175-184] foundational work on the acoustic analysis of vowels that was published in the Journal of the Acoustical Society of America (JASA) over 6 decades ago. Although Peterson and Barney (1952) were not primarily concerned with dialect variation, their methods laid the groundwork for the acoustic methods that are still used by scholars today to analyze vowel variation within and across languages. In more recent decades, a number of methodological advances in the study of vowel variation have been published in JASA, including work on acoustic vowel overlap and vowel normalization. The goal of this special issue was to honor that tradition by bringing together a set of papers describing the application of emerging acoustic, articulatory, and computational methods to the analysis of dialect variation in vowels and beyond.

  10. A Dialectical Analysis of the Ad Baculum Fallacy

    Directory of Open Access Journals (Sweden)

    Douglas Walton

    2014-09-01

    Full Text Available This paper applies dialectical argumentation structures to the problem of analyzing the ad baculum fallacy. It is shown how it is necessary in order to evaluate a suspected instance of the this fallacy to proceed through three levels of analysis: (1 an inferential level, represented by an argument diagram, (2 a speech act level, where conditions for specific types of speech acts are defined and applied, and (3 a dialectical level where the first two levels are linked together and fitted into formal dialogue structures. The paper adds a new type of dialogue called advising dialogue that needs to be applied at the third level.

  11. A Dialectical Analysis of Organizational Conflict

    Science.gov (United States)

    Lourenco, Susan V.; Glidewell, John C.

    1975-01-01

    Uses a dialectical analysis to explain the conflict over social control between a local television station and its company headquarters. Conflict centered around the perceived abuse of legitimate authority by the parent organization. Resolution seemed to be in the direction of a synthesis. (Author)

  12. On the dialectical foundations of mathematics

    NARCIS (Netherlands)

    Damsma, D.

    2011-01-01

    This paper tracks the systematic dialectical determination of mathematical concepts in Hegel’s Encyclopädie der philosophischen Wissenschaften (1830,1817) and investigates the insights that can be gained from such a perspective on the mathematical. To begin with, the determination of Numbers and

  13. The Use of Aristotelian Dialectics: Reception and Scientific Meaning

    Directory of Open Access Journals (Sweden)

    José Miguel López Molina-Niñirola

    2016-02-01

    Full Text Available This article shows the relevance of Aristotelian dialectic in the twentieth century, which has a scientific use, basically in the construction and development of science. It allows, reasoning from éndoxa, to establish the value of truth in propositions and to understand the common principles of science and the principles inherent to individual sciences. The diaporétic procedure theorized by Aristotle is a method and not a piece of knowledge, unlike Plato, but rooted in the Platonic dialectic of Parmenides.

  14. Types of Psychotherapy for Pathological Gamblers

    OpenAIRE

    Fong, Timothy W.

    2005-01-01

    Several types of psychotherapy are currently used to treat pathological gamblers. These include Gambler's Anonymous, cognitive behavioral therapy, behavioral therapy, psychodynamic therapy, and family therapy. Research into which types of psychotherapy are the most effective for pathological gambling is limited but is a growing area of study. Group therapy, namely Gambler's Anonymous, provides peer support and structure. Cognitive behavior therapy aims to identify and correct cognitive distor...

  15. Women, money, and psychodynamic group psychotherapy.

    Science.gov (United States)

    Motherwell, Lise

    2002-01-01

    Developmental concerns and sociocultural expectations may keep female patients and therapists from addressing financial issues openly in group psychotherapy. Interpersonal theory provides a different view of nurturing that may help women leaders deal better with financial discussions in group. This paper includes a review of the literature on group psychotherapy and fees; feminist literature relevant to leadership; money management in group therapy; countertransference; and case examples.

  16. PHONOLOGICAL AND LEXICAL VARIETIES OF LIO LANGUAGE IN FLORES, EAST NUSA TENGGARA: A STUDY OF GEOGRAPHICAL DIALECT By

    Directory of Open Access Journals (Sweden)

    suryati -

    2013-02-01

    Full Text Available This study aims at describing and analyzing phonological and lexical varieties of Leo language in the regions where it is spoken, classifying its dialects and subdialects, and identifying the identity of its relation to Ende language. The theories used in this study are the theory of traditional dialectology and the theory of generative. The data used were obtained from the primary and secondary sources. The observation method and the participative method were applied to collect the data needed. The data were analyzed using descriptive-comparative method which was continued with dialectometric and mapping method. The segments vowels, consonants and syllables grouped under regular and sporadic varieties. The regular vowel variety and the regular syllable variety were found just one and on the other hand 20 regular consonant varieties.   The vowel sporadic varieties found 37, the consonant sporadic varieties found 176, and the syllable sporadic varieties found 17. Lexically, Lio Language highly varied, indicated by the description of each gloss having more than 10 lexical varieties. Based on the isogloss bundles composed and based on the calculation obtained from both the lexical dialectometry and lexical dialectometry for the TPs which were close to each other, and on the permutation, DBL could be grouped into seven. (1 East Lio Language Dialect; (2 Central Lio Language Dialect; (3 Western Lio Language Dialect; (4 Ende Leo Language Dialect; (5 Welamosa Dialect; (6 Wololele A Dialect; and (7 Konara Dialect. From such groupings of dialects and sub dialects, it could be identified that Lio Language  and Ende Language were different dialects.

  17. You had me at "Hello": Rapid extraction of dialect information from spoken words.

    Science.gov (United States)

    Scharinger, Mathias; Monahan, Philip J; Idsardi, William J

    2011-06-15

    Research on the neuronal underpinnings of speaker identity recognition has identified voice-selective areas in the human brain with evolutionary homologues in non-human primates who have comparable areas for processing species-specific calls. Most studies have focused on estimating the extent and location of these areas. In contrast, relatively few experiments have investigated the time-course of speaker identity, and in particular, dialect processing and identification by electro- or neuromagnetic means. We show here that dialect extraction occurs speaker-independently, pre-attentively and categorically. We used Standard American English and African-American English exemplars of 'Hello' in a magnetoencephalographic (MEG) Mismatch Negativity (MMN) experiment. The MMN as an automatic change detection response of the brain reflected dialect differences that were not entirely reducible to acoustic differences between the pronunciations of 'Hello'. Source analyses of the M100, an auditory evoked response to the vowels suggested additional processing in voice-selective areas whenever a dialect change was detected. These findings are not only relevant for the cognitive neuroscience of language, but also for the social sciences concerned with dialect and race perception. Copyright © 2011 Elsevier Inc. All rights reserved.

  18. Is Exposure Necessary? A Randomized Clinical Trial of Interpersonal Psychotherapy for PTSD

    Science.gov (United States)

    Markowitz, John C.; Petkova, Eva; Neria, Yuval; Van Meter, Page E.; Zhao, Yihong; Hembree, Elizabeth; Lovell, Karina; Biyanova, Tatyana; Marshall, Randall D.

    2015-01-01

    Background Exposure to trauma reminders has been considered imperative in psychotherapy for posttraumatic stress disorder (PTSD). No treatment benefits all patients, however. We tested Interpersonal Psychotherapy, which has demonstrated antidepressant efficacy and showed promise in pilot PTSD research, as a non-exposure-based, non-cognitive behavioral PTSD treatment. Methods A randomized, fourteen-week trial compared Interpersonal Psychotherapy; Prolonged Exposure, an exposure-based exemplar; and Relaxation Therapy, an active control psychotherapy. Subjects were 110 unmedicated patients having DSM-IV chronic PTSD and Clinician-Administered PTSD Scale (CAPS) score >50. Randomization stratified for comorbid major depression. We hypothesized Interpersonal Psychotherapy would be no more than minimally inferior (CAPS difference 30% CAPS improvement) were: Interpersonal Psychotherapy 63%, Prolonged Exposure 47%, Relaxation Therapy 38% (n.s.). Interpersonal psychotherapy and Prolonged Exposure CAPS outcome differed by 5.5 points (n.s.); the null hypothesis of more than minimal Interpersonal Psychotherapy inferiority was rejected (p=0.035). Patients with comorbid major depression dropped out from Prolonged Exposure nine times more than non-depressed Prolonged Exposure patients. Interpersonal Psychotherapy and Prolonged Exposure improved quality of life and social functioning more than Relaxation Therapy. Conclusions This first controlled study of individual Interpersonal Psychotherapy for PTSD demonstrated non-inferiority to the “gold standard” PTSD treatment. Interpersonal Psychotherapy had (non-significantly) lower attrition and higher response rates than Prolonged Exposure. Contradicting a widespread clinical belief, PTSD treatment may not require cognitive behavioral exposure to trauma reminders. Moreover, as differential therapeutics, patients with comorbid major depression may fare better in Interpersonal Psychotherapy than Prolonged Exposure. PMID:25677355

  19. THE FEMINIST APPROACH TO PSYCHOTHERAPY INTEGRATION

    Directory of Open Access Journals (Sweden)

    Lorena Božac Deležan

    2011-12-01

    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.

  20. The Effectiveness of Western Psychotherapy in treating ...

    African Journals Online (AJOL)

    Background: Psychotherapy has been shown to be effective in the treatment of mental disorders in the western world but viewed as an alien method of treatment to Africans. Aim: To review the literature on the effectiveness of psychotherapy in sub- Saharan Africa. Method: A systematic search of Medline, PsychINFO, ...

  1. Reconstructing Dewey: Dialectics and Democratic Education

    Science.gov (United States)

    Jackson, Jeff

    2012-01-01

    This essay aims to demonstrate the theoretical purchase offered by linking Dewey's educational theory with a rigorous account of dialectical development. Drawing on recent literature which emphasizes the continuing influence of Hegel on Dewey's thought throughout the latter's career, this essay reconstructs Dewey's argument regarding the…

  2. Dialectical behavior therapy for suicidal adolescents with borderline personality disorder.

    Science.gov (United States)

    Klein, Dena A; Miller, Alec L

    2011-04-01

    Although research to date on dialectical behavior therapy (DBT) for adolescents has its limitations, growing evidence suggests that DBT is a promising treatment for adolescents with a range of problematic behaviors, including but not limited to suicidal and nonsuicidal self-injury. This article introduces dialectical behavior therapy's theoretical underpinnings, describes its adaptation for suicidal adolescents, and provides a brief review of the empirical literature evaluating DBT with adolescents. Copyright © 2011 Elsevier Inc. All rights reserved.

  3. Dialectical Method and the Critical Political Economy of Culture

    Directory of Open Access Journals (Sweden)

    Brice Nixon

    2012-05-01

    Full Text Available This article argues that the quality that defines critical political economy is its critical method. Definitions of the critical political economy of culture are considered and shown to focus on specific theoretical concerns while not fully addressing the fundamental issue of method. Method is here discussed in terms of the way human reason is used to produce knowledge. A critical method for Marx is a historical materialist dialectical method, thus this paper argues for a deeper consideration of the Marxist dialectical method in relation to critical political-economic theorizing. Sources for methodological consideration from Marx to 20th-century Western Marxists are outlined. The potential contribution of the Marxist dialectical method in the continued development of the critical political economy of culture is demonstrated by showing the possibility of developing a complementary critical political economy of consciousness. Smythe’s theorizing of audiences as workers is considered as a useful starting point, and its potential development through incorporation of the work of other critical scholars of media and culture is outlined.

  4. Promoting Efficacy Research on Functional Analytic Psychotherapy

    Science.gov (United States)

    Maitland, Daniel W. M.; Gaynor, Scott T.

    2012-01-01

    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,…

  5. Dialects of the DNA Uptake Sequence in Neisseriaceae

    Science.gov (United States)

    Frye, Stephan A.; Nilsen, Mariann; Tønjum, Tone; Ambur, Ole Herman

    2013-01-01

    In all sexual organisms, adaptations exist that secure the safe reassortment of homologous alleles and prevent the intrusion of potentially hazardous alien DNA. Some bacteria engage in a simple form of sex known as transformation. In the human pathogen Neisseria meningitidis and in related bacterial species, transformation by exogenous DNA is regulated by the presence of a specific DNA Uptake Sequence (DUS), which is present in thousands of copies in the respective genomes. DUS affects transformation by limiting DNA uptake and recombination in favour of homologous DNA. The specific mechanisms of DUS–dependent genetic transformation have remained elusive. Bioinformatic analyses of family Neisseriaceae genomes reveal eight distinct variants of DUS. These variants are here termed DUS dialects, and their effect on interspecies commutation is demonstrated. Each of the DUS dialects is remarkably conserved within each species and is distributed consistent with a robust Neisseriaceae phylogeny based on core genome sequences. The impact of individual single nucleotide transversions in DUS on meningococcal transformation and on DNA binding and uptake is analysed. The results show that a DUS core 5′-CTG-3′ is required for transformation and that transversions in this core reduce DNA uptake more than two orders of magnitude although the level of DNA binding remains less affected. Distinct DUS dialects are efficient barriers to interspecies recombination in N. meningitidis, N. elongata, Kingella denitrificans, and Eikenella corrodens, despite the presence of the core sequence. The degree of similarity between the DUS dialect of the recipient species and the donor DNA directly correlates with the level of transformation and DNA binding and uptake. Finally, DUS–dependent transformation is documented in the genera Eikenella and Kingella for the first time. The results presented here advance our understanding of the function and evolution of DUS and genetic transformation

  6. Dialects of the DNA uptake sequence in Neisseriaceae.

    Directory of Open Access Journals (Sweden)

    Stephan A Frye

    2013-04-01

    Full Text Available In all sexual organisms, adaptations exist that secure the safe reassortment of homologous alleles and prevent the intrusion of potentially hazardous alien DNA. Some bacteria engage in a simple form of sex known as transformation. In the human pathogen Neisseria meningitidis and in related bacterial species, transformation by exogenous DNA is regulated by the presence of a specific DNA Uptake Sequence (DUS, which is present in thousands of copies in the respective genomes. DUS affects transformation by limiting DNA uptake and recombination in favour of homologous DNA. The specific mechanisms of DUS-dependent genetic transformation have remained elusive. Bioinformatic analyses of family Neisseriaceae genomes reveal eight distinct variants of DUS. These variants are here termed DUS dialects, and their effect on interspecies commutation is demonstrated. Each of the DUS dialects is remarkably conserved within each species and is distributed consistent with a robust Neisseriaceae phylogeny based on core genome sequences. The impact of individual single nucleotide transversions in DUS on meningococcal transformation and on DNA binding and uptake is analysed. The results show that a DUS core 5'-CTG-3' is required for transformation and that transversions in this core reduce DNA uptake more than two orders of magnitude although the level of DNA binding remains less affected. Distinct DUS dialects are efficient barriers to interspecies recombination in N. meningitidis, N. elongata, Kingella denitrificans, and Eikenella corrodens, despite the presence of the core sequence. The degree of similarity between the DUS dialect of the recipient species and the donor DNA directly correlates with the level of transformation and DNA binding and uptake. Finally, DUS-dependent transformation is documented in the genera Eikenella and Kingella for the first time. The results presented here advance our understanding of the function and evolution of DUS and genetic

  7. Characteristics of Patients Involved in Psychotherapy in Bosnia and Herzegovina

    Directory of Open Access Journals (Sweden)

    Sabina Alispahić

    2014-04-01

    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.

  8. Affirmative LGBT psychotherapy: Outcomes of a therapist training protocol.

    Science.gov (United States)

    Pepping, Christopher A; Lyons, Anthony; Morris, Eric M J

    2018-03-01

    Lesbian, gay, bisexual, and transgender (LGBT) people seek psychotherapy at high rates, and the importance of providing culturally appropriate and LGBT-affirmative psychotherapy has been widely acknowledged. Despite this, remarkably little research has investigated the effects of therapist training in LGBT-affirmative psychotherapy. Here we examined the effectiveness of a training protocol for LGBT-affirmative psychotherapy with 96 mental health professionals, ranging in therapeutic experience from LGBT clients following the training. Therapists also displayed reductions in homo-negativity and trans-negativity. Therapists' characteristics did not influence the extent to which they benefited from training. Specifically, years of clinical experience, therapist religiosity, and therapist psychological flexibility were unrelated to changes in attitudes, knowledge, and skills. The results of this study clearly suggest that providing training in LGBT-affirmative psychotherapy can enhance therapists' attitudes, knowledge, and skills. Of particular importance is that the benefits associated with such training appear to hold regardless of therapists' characteristics. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  9. Applications of Mindfulness in Psychotherapy – Contemporary Dilemmas

    Directory of Open Access Journals (Sweden)

    Borut ŠKODLAR

    2016-08-01

    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.

  10. Integrative Treatment of Personality Disorder. Part I: Psychotherapy.

    Science.gov (United States)

    Jovanovic, Mirjana Divac; Svrakic, Dragan

    2017-03-01

    In this paper, we outline the concept of integrative therapy of borderline personality, also referred to as fragmented personality, which we consider to be the core psychopathology underlying all clinical subtypes of personality disorder. Hence, the terms borderline personality, borderline disorder, fragmented personality, and personality disorder are used interchangeably, as synonyms. Our integrative approach combines pharmacotherapy and psychotherapy, each specifically tailored to accomplish a positive feedback modulation of their respective effects. We argue that pharmacotherapy and psychotherapy of personality disorder complement each other. Pharmacological control of disruptive affects clears the stage, in some cases builds the stage, for the psychotherapeutic process to take place. In turn, psychotherapy promotes integration of personality fragments into more cohesive structures of self and identity, ultimately establishing self-regulation of mood and anxiety. We introduce our original method of psychotherapy, called reconstructive interpersonal therapy (RIT). The RIT integrates humanistic-existential and psychodynamic paradigms, and is thereby designed to accomplish a deep reconstruction of core psychopathology within the setting of high structure. We review and comment the current literature on the strategies, goals, therapy process, priorities, and phases of psychotherapy of borderline disorders, and describe in detail the fundamental principles of RIT.

  11. Treatment Failure in Dialectical Behavior Therapy

    Science.gov (United States)

    Rizvi, Shireen L.

    2011-01-01

    Dialectical behavior therapy (DBT) has become a widely used treatment model for individuals with borderline personality disorder (BPD) and other individuals with significant emotion dysregulation problems. Despite its strong empirical support, DBT obviously does not have positive outcomes for all individuals. It is critical that cases of DBT…

  12. Establishing psychiatric registrars' competence in psychotherapy: a portfolio based model.

    Science.gov (United States)

    Naidu, T; Ramlall, S

    2008-11-01

    During most of the latter part of the last century, South Africa has followed international trends in the training of psychiatrists. Training programmes have become increasingly focused on the neurobiological aspects of psychiatric disorders with less attention being paid to psychotherapy. This is consistent with developments in psychiatric research. In the clinical arena this manifests as a focus on pharmacological and medically based interventions and a resulting relative inattention to non-pharmacological interventions, most especially psychotherapy. In an effort to address this imbalance there has been an international initiative, over the past two decades, to establish an acceptable level of competence in psychotherapy in the training of psychiatrists. A South African programme is needed that can take account of international trends and adapt them for the local context. In order to produce a programme for establishing competence in psychotherapy for psychiatric registrars at the Nelson R. Mandela School of Medicine, the authors examine directives for the development of psychotherapy skills from international regulatory bodies for graduate medical training and their application. Defining and setting preliminary standards for competence is emphasized. A programme based on five core psychotherapy components using a portfolio based model to facilitate learning and assessment of competence in psychotherapy, is proposed.

  13. Bentuhua: culturing psychotherapy in postsocialist China.

    Science.gov (United States)

    Zhang, Li

    2014-06-01

    The breathless pace of market reform in China has brought about profound ruptures in socioeconomic structures and increased mental distress in the population. In this context, more middle-class urbanites are turning to nascent psychological counseling to grapple with their problems. This article examines how Chinese psychotherapists attempt to "culture" or indigenize (bentuhua) three imported psychotherapy models in order to fit their clients' expectations, desires, and sensibilities: the Satir family therapy, cognitive behavioral therapy, and sandplay therapy. It addresses three interrelated questions: What is the role of culture in adopting, translating, and recasting psychotherapy in contemporary China? How is cultural difference understood and mobilized by therapists in the therapeutic encounter? What kind of distinct therapeutic relationship is emerging in postsocialist China? Data presented here are drawn from my semistructured interviews and extensive participant observation at various counseling offices and psychotherapy workshops in the city of Kunming. My ethnographic account suggests that it is through constant dialog, translation, and re-articulation between multiple regimes of knowledge, cultural values, and social practices that a new form of talk therapy with "Chinese characteristics" is emerging. Finally, I reflect upon what this dialogic process of transformation means for psychotherapy as a form of globally circulating knowledge/practice.

  14. Deconstructing Risk Management in Psychotherapy Supervision.

    Science.gov (United States)

    Kroll, Jerome; Radden, Jennifer

    2017-12-01

    In the ongoing controversy over how much regulation and standardization to impose on clinical practice and research, it is not surprising that the activity of psychotherapy supervision should be swept up in the drive for uniformity. The managers amongst us want to regulate and institutionalize all aspects of practice. In opposition, many clinicians resist the relentless march toward the safety of uniformity travel alongside managerial imposition of regulations. Psychotherapy supervision's method of a close apprenticeship relationship between supervisor and trainee and its focus on the process and ethics of professional interaction stand at the humanistic core of what is otherwise becoming an increasingly mechanistic model of providing care to persons with mental illness. Our commentary picks up on these themes as it reviews the work by Mehrtens et al about strengthening awareness of liability in psychiatry residency training programs. We argue that the practice of psychiatry is overburdened by documentation requirements. In imposing further record-keeping on psychotherapy supervision, we lose much more than we gain. We recommend that the supervisory process focus on the characterological virtues essential to functioning as an ethical therapist. We also argue that self-protective rules place restraints on possibilities for imaginative insights and innovations in psychotherapy. © 2017 American Academy of Psychiatry and the Law.

  15. Narrative research in psychotherapy: a critical review.

    Science.gov (United States)

    Avdi, Evrinomy; Georgaca, Eugenie

    2007-09-01

    This paper is a review of studies which utilise the notion of narrative to analyse psychotherapy. Its purpose is to systematically present this diverse field of research, to highlight common themes and divergences between different strands and to further the development and integration of narrative research in psychotherapy. The paper reviews studies which employ an applied textual analysis of narratives produced in the context of psychotherapy. Criteria for inclusion of studies are, firstly, the analysis of therapeutic and therapy-related texts and, secondly, the adoption of a narrative psychological perspective. The studies were examined on the basis of the notion of narrative they employ and the aspects of client narratives they focus on, and were grouped accordingly in the review. The majority of the studies reviewed assume a constructivist approach to narrative, adopt a representational view of language, focus primarily on client micro-narratives and relate to cognitive-constructivist and process-experiential psychotherapeutic approaches. A smaller group of studies assume a social constructionist approach to narrative and a functional view of language, focus on micro-narratives, highlight the interactional and wider social aspects of narrative and relate to postmodern trends in psychotherapy. The range of conceptualisations of narrative in the studies reviewed, from a representational psychological view to a constructionist social view, reflects tensions within narrative psychology itself. Moreover, two trends can be discerned in the field reviewed, narrative analysis of therapy, which draws from narrative theory and utilises the analytic approaches of narrative research to study psychotherapy, and analyses of narrative in therapy, which study client narratives using non-narrative qualitative methods. Finally, the paper highlights the need for integration of this diverse field of research and urges for the development of narrative studies of psychotherapy

  16. New parity, same old attitude towards psychotherapy?

    Science.gov (United States)

    Clemens, Norman A

    2010-03-01

    Full parity of health insurance benefits for treatment of mental illness, including substance use disorders, is a major achievement. However, the newly-published regulations implementing the legislation strongly endorse aggressive managed care as a way of containing costs for the new equality of coverage. Reductions in "very long episodes of out-patient care," hospitalization, and provider fees, along with increased utilization, are singled out as achievements of managed care. Medical appropriateness as defined by expert medical panels is to be the basis of authorizing care, though clinicians are familiar with a history of insurance companies' application of "medical necessity" to their own advantage. The regulations do not single out psychotherapy for attention, but long-term psychotherapy geared to the needs of each patient appears to be at risk. The author recommends that the mental health professions strongly advocate for the growing evidence base for psychotherapy including long-term therapy for complex mental disorders; respect for the structure and process of psychotherapy individualized to patients' needs; awareness of the costs of aggressive managed care in terms of money, time, administrative burden, and interference with the therapy; and recognition of the extensive training and experience required to provide psychotherapy as well as the stresses and demands of the work. Parity in out-of-network benefits could lead to aggressive management of care given by non-network practitioners. Since a large percentage of psychiatrists and other mental health professionals stay out of networks, implementation of parity for out-of-network providers will have to be done in a way that respects the conditions under which they would be willing and able to provide services, especially psychotherapy, to insured patients. The shortage of psychiatrists makes this an important access issue for the insured population in need of care.

  17. Technology-enhanced human interaction in psychotherapy.

    Science.gov (United States)

    Imel, Zac E; Caperton, Derek D; Tanana, Michael; Atkins, David C

    2017-07-01

    Psychotherapy is on the verge of a technology-inspired revolution. The concurrent maturation of communication, signal processing, and machine learning technologies begs an earnest look at how these technologies may be used to improve the quality of psychotherapy. Here, we discuss 3 research domains where technology is likely to have a significant impact: (1) mechanism and process, (2) training and feedback, and (3) technology-mediated treatment modalities. For each domain, we describe current and forthcoming examples of how new technologies may change established applications. Moreover, for each domain we present research questions that touch on theoretical, systemic, and implementation issues. Ultimately, psychotherapy is a decidedly human endeavor, and thus the application of modern technology to therapy must capitalize on-and enhance-our human capacities as counselors, students, and supervisors. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  18. What can Google Trends data tell us about dialect labels

    DEFF Research Database (Denmark)

    Jensen, Marie Møller

    2017-01-01

    The aim of this article is twofold: first of all it sets out to explore the usefulness of Google Trends to the study of language and the perception of variants and, secondly, it investigates the social realities of dialect labels as reflected in searches on the Internet search engine Google...... for some of the patterns of search volume over time and the differences between the three dialect labels are sought by considering the impact of popular culture and TV shows....

  19. Dialectic and science: Galen, Herophilus and Aristotle on phenomena.

    Science.gov (United States)

    Tieleman, T

    1995-01-01

    This paper examines the nature of Galen's argument in the De placitis Hippocratis et Platonis, books 2-3, concerned with the location of the psychic functions within the body. To this question Galen applies a coherent set of methodological principles, integrating Aristotelian dialectic and scientific demonstration based on anatomical experiments. Galen disagrees with Aristotle in that he relegates the endoxa from the realm of dialectic to that of rhetoric. His attitude is marked by a distinctive emphasis on perceptible phenomena as the starting point for scientific inquiry. This and other features can be traced back to the Hellenistic scientist Herophilus.

  20. [Body-centered psychotherapy IKP (Institute of Body-Centered Psychotherapy): holistic psychotherapy].

    Science.gov (United States)

    Maurer-Groeli, Y

    1996-03-01

    Body centered Psychotherapy IKP is treated in this article under the aspect of a holistic approach. First the theory and the system of science are summarised and shown as to which amount they are changing concerning knowledge of details and wholeness. It is pointed out that the actual paradigma "to the depth" has to be completed by that of "wideness". The way of holistic-multirelational thinking, stating a diagnosis and doing therapy is demonstrated along a case study going on at the background of a therapeutic encounter-relationship which is emotionally warm (Gestalt-approach).

  1. Proposal for the Formalization of Dialectical Logic

    Directory of Open Access Journals (Sweden)

    José Luis Usó-Doménech

    2016-12-01

    Full Text Available Classical logic is typically concerned with abstract analysis. The problem for a synthetic logic is to transcend and unify available data to reconstruct the object as a totality. Three rules are proposed to pass from classic logic to synthetic logic. We present the category logic of qualitative opposition using examples from various sciences. This logic has been defined to include the neuter as part of qualitative opposition. The application of these rules to qualitative opposition, and, in particular, its neuter, demonstrated that a synthetic logic allows the truth of some contradictions. This synthetic logic is dialectical with a multi-valued logic, which gives every proposition a truth value in the interval [0,1] that is the square of the modulus of a complex number. In this dialectical logic, contradictions of the neuter of an opposition may be true.

  2. Lost in Transition: Examining Transitions in Psychotherapy Training.

    Science.gov (United States)

    Tan, Adrienne; Philipp, Diane; Malat, Jan; Feder, Victor; Kulkarni, Chetana; Lawson, Andrea; So, Vivien; Ravitz, Paula

    2015-10-01

    Disruptions are inevitable during psychiatry residency training and can affect resident learning and patient care. This exploratory study examined the nature and impact of transitions in psychotherapy training. PGY2-5 residents (45/150; 30% response rate) and psychotherapy supervisors (46/247; 18.6% response rate) were surveyed about transitional events during residency training in psychotherapy. Supervisors and residents ranked the frequency of occurrence of transitional events and their impact very similarly, as well as the "feed forward" items when transitioning to a new supervisor. Residents feeling confused or overwhelmed with the balancing of learning differing models with differing levels of comfort or knowledge was ranked as the issue that occurred most frequently by both supervisors and residents. This study highlights issues that arise at transitions during psychotherapy training in psychiatry residency. Strategies for managing these periods are discussed, with a focus on resident learning and improved continuity of patient care.

  3. Competency in integrative psychotherapy: perspectives on training and supervision.

    Science.gov (United States)

    Boswell, James F; Nelson, Dana L; Nordberg, Samuel S; McAleavey, Andrew A; Castonguay, Louis G

    2010-03-01

    Increasingly, many psychotherapists identify with an integrative approach to psychotherapy. In recent years, more attention has been directed toward the operationalization and evaluation of competence in professional psychology and health care service delivery. Aspects of integrative psychotherapy competency may differ from competency in other psychotherapy orientations, although convergence is more often the case. Despite the potential differences, there exist very few formal training programs or guidelines to systematically guide clinicians in developing a competent integrative practice. This paper attempts to distill the essential elements of competent integrative psychotherapy practice and focuses on how these might be developed in training and supervision. We address most of these complex issues from a specific integrative perspective: principle-based assimilative integration. PsycINFO Database Record (c) 2010 APA, all rights reserved

  4. The Grandmaternal Transference in Parent-Infant/Child Psychotherapy

    Science.gov (United States)

    Dugmore, Nicola

    2013-01-01

    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…

  5. Psychotherapy Utilization Among Rural and Urban Veterans From 2007 to 2010.

    Science.gov (United States)

    Mott, Juliette M; Grubbs, Kathleen M; Sansgiry, Shubhada; Fortney, John C; Cully, Jeffrey A

    2015-01-01

    This study evaluated change in rural and urban veterans' psychotherapy use during a period of widespread effort within the Veterans Health Administration (VHA) to engage rural veterans in mental health care. National VHA administrative databases were queried for patients receiving a new diagnosis of depression, anxiety, or posttraumatic stress disorder in fiscal years (FY) 2007 and 2010. Using the US Department of Agriculture Rural-Urban Continuum Codes, we identified urban (FY 2007: n = 192,347; FY 2010: n = 231,471) and rural (FY 2007: n = 72,923; FY 2010: n = 81,905) veterans. Veterans' psychotherapy use during the 12 months following diagnosis was assessed. From FY 2007 to 2010, the proportion of veterans receiving any psychotherapy increased from 17% to 22% for rural veterans and 24% to 28% for urban veterans. Rural veterans were less likely to receive psychotherapy across both fiscal years; however, the magnitude of this disparity decreased significantly from 2007 (odds ratio [OR] = 1.51) to 2010 (OR = 1.41). Similarly, although urban veterans received more psychotherapy sessions, urban-rural disparities in the receipt of 8 or more psychotherapy sessions decreased over the study period (2007: OR = 2.32; 2010: OR = 1.69). Rural and urban veterans are increasingly making use of psychotherapy, and rural-urban gaps in psychotherapy use are shrinking. These improvements suggest that recent VHA efforts to engage rural veterans in care have been successful at reducing differences between rural and urban veterans with respect to access and engagement in psychotherapy. © 2014 National Rural Health Association.

  6. Intern Perceptions of Dialect and Regionalism

    Science.gov (United States)

    O'Hara, Hunter

    2005-01-01

    Interns at The University of Tampa investigate how perceptions of dialect and regionalism may impact the learning environment and more precisely, the learner. Regionalism is defined as a belief that one's region of origin is a primary determinant of the quality of one's standards of living, social forms, customary beliefs, levels of…

  7. NONVERBAL STORIES: THE BODY IN PSYCHOTHERAPY

    Directory of Open Access Journals (Sweden)

    Richard G. Erskine

    2014-11-01

    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.

  8. Reflections on Individual Psychotherapy with University Students: What Seems to Work

    Science.gov (United States)

    Pinkerton, Rolffs; Talley, Joseph E.; Cooper, Stacie L.

    2009-01-01

    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…

  9. Psychotherapy use in bipolar disorder: Association with functioning and illness severity.

    Science.gov (United States)

    Sylvia, Louisa G; Thase, Michael E; Reilly-Harrington, Noreen A; Salcedo, Stephanie; Brody, Benjamin; Kinrys, Gustavo; Kemp, David; Shelton, Richard C; McElroy, Susan L; Kocsis, James H; Bobo, William V; Kamali, Masoud; McInnis, Melvin; Friedman, Edward; Tohen, Mauricio; Bowden, Charles L; Ketter, Terence A; Singh, Vivek; Calabrese, Joseph; Nierenberg, Andrew A; Rabideau, Dustin J; Elson, Constance M; Deckersbach, Thilo

    2015-05-01

    This study examines characteristics of individuals with bipolar disorder who sought psychotherapy versus those who did not. Bipolar CHOICE was an 11-site comparative effectiveness study of lithium versus quetiapine in symptomatic outpatients (N = 482) with bipolar disorder. At baseline, participants' psychotherapy use within the past 3 months, mood, functioning, and overall health were assessed. Logistic regressions were used to test whether psychotherapy users and non-users differed on various demographic and clinical variables at baseline. Mixed-effects regression was used to determine whether psychotherapy groups differed on response to treatment over the 6-month study. Kaplan-Meier plots and log-rank tests were employed to test whether there were any differences in time to recovery (CGI-BP ≤ 2 for at least 8 weeks) between the groups. Thirty one percent of participants reported using psychotherapy services. Psychotherapy users reported greater medication side effect burden than non-users and were more likely to have moderate to high suicide risk and at least one anxiety disorder. Participants not utilizing medications or psychotherapy had greater mania symptom severity, were younger, and less educated than medication only users. Medication only users were more likely to be married than the other participants. These data suggest that a minority of individuals with bipolar disorder attend psychotherapy services, and those that do have greater illness burden. © The Royal Australian and New Zealand College of Psychiatrists 2015.

  10. Insight into the Attitudes of Speakers of Urban Meccan Hijazi Arabic towards their Dialect

    Directory of Open Access Journals (Sweden)

    Sameeha D. Alahmadi

    2016-04-01

    Full Text Available The current study mainly aims to examine the attitudes of speakers of Urban Meccan Hijazi Arabic (UMHA towards their dialect, which is spoken in Mecca, Saudi Arabia. It also investigates whether the participants’ age, sex and educational level have any impact on their perception of their dialect. To this end, I designed a 5-point-Likert-scale questionnaire, requiring participants to rate their attitudes towards their dialect. I asked 80 participants, whose first language is UMHA, to fill out the questionnaire. On the basis of the three independent variables, namely, age, sex and educational level, the participants were divided into three groups: old and young speakers, male and female speakers and educated and uneducated speakers. The results reveal that in general, all the groups (young and old, male and female, and educated and uneducated participants have a sense of responsibility towards their dialect, making their attitudes towards their dialect positive. However, differences exist between the three groups. For instance, old speakers tend to express their pride of their dialect more than young speakers. The same pattern is observed in male and female groups. The results show that females may feel embarrassed to provide answers that may imply that they are not proud of their own dialect, since the majority of women in the Arab world, in general, are under more pressure to conform to the overt norms of the society than males. Therefore, I argue that most Arab women may not have the same freedom to express their opinions and feelings about various issues. Based on the results, the study concludes with some recommendations for further research.  Keywords: sociolinguistics, language attitudes, dialectology, social variables, Urban Meccan Hijazi Arabic

  11. Dialectical Behavior Therapy for Adolescents with Bipolar Disorder: A 1-Year Open Trial

    Science.gov (United States)

    Goldstein, Tina R.; Axelson, David A.; Birmaher, Boris; Brent, David A.

    2007-01-01

    Objective: To describe an adapted version of dialectical behavior therapy for adolescents with bipolar disorder. Method: The dialectical behavior therapy intervention is delivered over 1 year and consists of two modalities: family skills training (conducted with individual family units) and individual therapy. The acute treatment period (6 months)…

  12. The influence of psychotherapy on marriage typology

    Directory of Open Access Journals (Sweden)

    Staniszewski Mirosław

    2016-07-01

    Full Text Available The article analyses the influence of psychotherapeutic group work on matrimonial relations. Such questions are put up in the research as if participating of one of the married couples in a group psychotherapy could indirectly influence the other partner, and also if the type of matrimony could change under the influence of psychotherapy, for example from hierarchical to the partner’s. The article generalizes the classification of marriage types and pays special attention on the types that can be subject to the positive changes as a result of psychotherapeutic influence. Actuality and value of this research lay in estimation of the ability of psychotherapy to influence the matrimony on the whole in case when only one of the partners takes part in the therapy.

  13. Communication patterns in a psychotherapy following traumatic brain injury: A quantitative case study based on symbolic dynamics

    Directory of Open Access Journals (Sweden)

    Gilpin Adele MK

    2011-07-01

    Full Text Available Abstract Background The role of psychotherapy in the treatment of traumatic brain injury is receiving increased attention. The evaluation of psychotherapy with these patients has been conducted largely in the absence of quantitative data concerning the therapy itself. Quantitative methods for characterizing the sequence-sensitive structure of patient-therapist communication are now being developed with the objective of improving the effectiveness of psychotherapy following traumatic brain injury. Methods The content of three therapy session transcripts (sessions were separated by four months obtained from a patient with a history of several motor vehicle accidents who was receiving dialectical behavior therapy was scored and analyzed using methods derived from the mathematical theory of symbolic dynamics. Results The analysis of symbol frequencies was largely uninformative. When repeated triples were examined a marked pattern of change in content was observed over the three sessions. The context free grammar complexity and the Lempel-Ziv complexity were calculated for each therapy session. For both measures, the rate of complexity generation, expressed as bits per minute, increased longitudinally during the course of therapy. The between-session increases in complexity generation rates are consistent with calculations of mutual information. Taken together these results indicate that there was a quantifiable increase in the variability of patient-therapist verbal behavior during the course of therapy. Comparison of complexity values against values obtained from equiprobable random surrogates established the presence of a nonrandom structure in patient-therapist dialog (P = .002. Conclusions While recognizing that only limited conclusions can be based on a case history, it can be noted that these quantitative observations are consistent with qualitative clinical observations of increases in the flexibility of discourse during therapy. These

  14. HELPFUL ASPECTS OF THE THERAPEUTIC RELATIONSHIP IN INTEGRATIVE PSYCHOTHERAPY

    Directory of Open Access Journals (Sweden)

    Karmen Urška Modic

    2015-12-01

    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.

  15. 'So Much the Worse for the Whites': Dialectics of the Haitian Revolution

    Directory of Open Access Journals (Sweden)

    George Ciccariello-Maher

    2014-09-01

    Full Text Available This article sets out from an analysis of the pioneering work of Susan Buck-Morss to rethink, not only Hegel and Haiti, but broader questions surrounding dialectics and the universal brought to light by the Haitian Revolution. Reading through the lens of C.L.R. James’ The Black Jacobins, I seek to correct a series of ironic silences in her account, re-centering the importance of Toussaint’s successor, Jean-Jacques Dessalines, and underlining the dialectical importance of identitarian struggles in forging the universal. Finally, I offer Frantz Fanon’s reformulation of the Hegelian master-slave dialectic—overlooked in Buck-Morss’ account—as a corrective that allows us to truly rethink progress toward the universal in decolonized dialectical terms.

  16. The Therapy Process Observational Coding System for Child Psychotherapy Strategies Scale

    Science.gov (United States)

    McLeod, Bryce D.; Weisz, John R.

    2010-01-01

    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…

  17. Ethics and aims in psychotherapy: a contribution from Kant.

    Science.gov (United States)

    Callender, J S

    1998-08-01

    Psychotherapy is an activity which takes many forms and which has many aims. The present paper argues that it can be viewed as a form of moral suasion. Kant's concepts of free will and ethics are described and these are then applied to the processes and outcome of psychotherapy. It is argued that his ideas, by linking rationality, free will and ethics into a single philosophical system, offer a valuable theoretical framework for thinking about aims and ethical issues in psychotherapy.

  18. Omani Arabic: More than a Dialect

    Directory of Open Access Journals (Sweden)

    Rashid Al-Balushi

    2016-06-01

    Full Text Available This paper surveys several linguistic aspects of the varieties of the Omani Arabic dialect (OA. It starts with a discussion of the sociolinguistic situation in Oman and the factors that shaped it, as well as discussing the OA varieties and the languages spoken in the country. This is followed by a presentation of the OA consonant and vowel phonemes and their allophones. The paper also presents phonological aspects such as syllable structure and word stress as well as examples of processes like assimilation and emphasis spreading. Then, it presents the OA personal, demonstrative, possessive, and interrogative pronouns, as well as morphological issues such as subject agreement affixes, verbal forms, passive formation, and pluralization patterns. Next, it presents syntactic patterns including word order, negation, question formation, and relative clauses. Besides the survey, the paper provides examples that reveal similarity between some OA dialects and those of the pre-Islamic era, as evidenced by some of the documented and approved readings of the Holy Qurʔān. There is also discussion of some cases of grammaticalization and pronominal copulas.

  19. DYNAMICS OF THE ANXIETY DISORDERS IN THE COURSE OF SHORT-TERM PSYCHOTHERAPY

    Directory of Open Access Journals (Sweden)

    T.N. Hmylova

    2008-06-01

    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.

  20. Use of Psychotherapy by Rural and Urban Veterans

    Science.gov (United States)

    Cully, Jeffrey A.; Jameson, John P.; Phillips, Laura L.; Kunik, Mark E.; Fortney, John C.

    2010-01-01

    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…

  1. Teoria e eficácia da terapia comportamental dialética na bulimia nervosa e no transtorno da compulsão alimentar periódica Theory and efficacy of dialectical behavior therapy of bulimia nervosa and binge eating disorder

    Directory of Open Access Journals (Sweden)

    Rui Alexandre Nunes-Costa

    2009-01-01

    Full Text Available OBJETIVOS: Procura-se analisar as atuais evidências empíricas e teóricas sobre o modo de operar nas intervenções comportamentais dialéticas. Procedeu-se igualmente à análise da eficácia dessa terapia no tratamento da bulimia nervosa e no transtorno da compulsão alimentar periódica. MÉTODO: Realizou-se uma revisão agregativa da literatura, recorrendo às palavras-chave "dialectical behavior therapy", "bulimia nervosa" e "binge eating disorder" nas bases de dados PsycInfo e MedLine e em livros da especialidade, sob o critério da atualidade e premência das publicações levantadas. RESULTADOS: A terapia comportamental dialética, inicialmente desenhada para o transtorno de personalidade borderline, tem-se estendido a outros transtornos do eixo I. Sua aplicação às perturbações alimentares sustentase num paradigma dialético com o recurso das estratégias comportamentais e cognitivas. Esse modelo permite aos pacientes uma regulação mais efetiva dos estados afetivos negativos, reduzindo a probabilidade da ocorrência de comportamentos bulímicos e de compulsão alimentar periódica. CONCLUSÃO: Embora escasseiem estudos sobre a sua eficácia, os resultados existentes parecem comprovar a eficácia da terapia comportamental dialética nas populações descritas.OBJECTIVES: Current theoretical and empirical evidences on how to operate in dialectical behavioral interventions were examined. The effectiveness of these interventions in the treatment of bulimia nervosa and binge eating disorder were analyzed too. METHOD: An aggregative literature review was made, using the keywords "dialectical behavior therapy", "bulimia nervosa" and "binge eating disorder", from the database PsycInfo and MedLine and from reference books, selecting the most representative and recent scientific texts about this psychotherapy model. RESULTS: Dialectical behavior therapy, initially designed for borderline personality disorder, has been extended to other

  2. Obstacles to early career psychiatrists practicing psychotherapy.

    Science.gov (United States)

    Clemens, Norman A; Plakun, Eric M; Lazar, Susan G; Mellman, Lisa

    2014-09-01

    Though psychiatric residents are expected to be competent psychotherapists on graduation, further growth in skill and versatility requires continued experience in their ongoing career. Maturity as a psychotherapist is essential because a psychiatrist is the only mental health provider who, as a physician, can assume full responsibility for biopsychosocial patient care and roles as supervisor, consultant, and team leader. Graduating residents face an environment in which surveys show a steady and alarming decline in practice of psychotherapy by psychiatrists, along with a decline in job satisfaction. High educational debts, practice structures, intrusive management, and reimbursement policies that devalue psychotherapy discourage early career psychiatrists from a practice style that enables providing it. For the early-career psychiatrist there is thus the serious risk of being unable to develop a critical mass of experience or a secure identity as a psychiatric psychotherapist. Implementation of parity laws and the Affordable Care Act (ACA) will affect the situation in unpredictable ways that call for vigilance and active response. Additional service and administrative demands may result from the ACA, creating ethical dilemmas about meeting urgent patient needs versus biopsychosocial standards of care. The authors recommend 1) vigorous advocacy for better payment levels for psychotherapy and freedom from disruptive management; 2) aggressive action against violations of the parity act, 3) active preparation of psychiatric residents for dealing with career choices and the environment for providing psychotherapy in their practice, and 4) post-graduate training in psychotherapy through supervision/consultation, continuing education courses, computer instruction, and distance learning.

  3. Review of Psychoanalytic Psychotherapy: A Practitioner's Guide.

    Science.gov (United States)

    Papouchis, Nicholas

    2006-01-01

    Reviews the book, Psychoanalytic Psychotherapy: A Practitioner's Guide by Nancy McWilliams (see record 2004-16060-000). Nancy McWilliams' book on analytic therapy is her latest contribution to the training needs of young clinicians. The book is organized into chapters that address fundamental issues clinical trainees typically face as they work with patients. To establish the context for describing psychoanalytic work, the first chapter defines what she means by psychoanalytic therapy. The three chapters that follow address what McWilliams means by a psychoanalytic sensibility: how the therapist may be prepared for doing therapy and how the client may be prepared for the experience of psychoanalytic psychotherapy. The next three chapters address the maintenance of boundaries and basic therapy processes. Two case examples follow in chapters eight and nine, and each example is a richly evocative description of the complexity of psychoanalytic psychotherapy. The last three chapters of the book deal with the ancillary lessons of psychoanalytic therapy, the occupational hazards and gratifications of the work, and a final chapter on self-care. This is an excellent book, but it should be read together with other texts on psychoanalytic psychotherapy that describe the treatment process systematically in more technical terms. This is a book written for clinicians in training or for experienced clinicians to use in working with clinical trainees. In this sense, Nancy McWilliams has more than achieved her goal of writing a book that will introduce clinical trainees to the psychoanalytic sensibility of doing psychoanalytic psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

  4. Materiality, Symbolicity, and the Rhetoric of Order: "Dialectical Biologism" as Motive in Burke.

    Science.gov (United States)

    Engnell, Richard A.

    1998-01-01

    Considers how the work of Kenneth Burke has recently been critiqued for its lack of attention to the role of non-symbolic motivation in rhetoric. Describes Burke's contributions as a "dialectical biologism" that sets forth a system of five symbolic/material dialectics that undergird all rhetorical appeal. Suggests that the most effective…

  5. Alveolar and Velarized Laterals in Albanian and in the Viennese Dialect.

    Science.gov (United States)

    Moosmüller, Sylvia; Schmid, Carolin; Kasess, Christian H

    2016-12-01

    A comparison of alveolar and velarized lateral realizations in two language varieties, Albanian and the Viennese dialect, has been performed. Albanian distinguishes the two laterals phonemically, whereas in the Viennese dialect, the velarized lateral was introduced by language contact with Czech immigrants. A categorical distinction between the two lateral phonemes is fully maintained in Albanian. Results are not as straightforward in the Viennese dialect. Most prominently, female speakers, if at all, realize the velarized lateral in word-final position, thus indicating the application of a phonetically motivated process. The realization of the velarized lateral by male speakers, on the other hand, indicates that the velarized lateral replaced the former alveolar lateral phoneme. Alveolar laterals are either realized in perceptually salient positions, thus governed by an input-switch rule, or in front vowel contexts, thus subject to coarticulatory influences. Our results illustrate the subtle interplay of phonology, phonetics and sociolinguistics.

  6. A New Language for Child Psychotherapy: A Response to Jerald Kay

    Science.gov (United States)

    Clark, James J.; Borden, William

    2009-01-01

    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…

  7. Medical psychotherapy of schizophrenia--a dynamic/supportive approach.

    Science.gov (United States)

    Corradi, Richard B

    2004-01-01

    Split psychiatric treatment-a psychiatrist prescribing medication while a nonphysician provides or coordinates psychosocial treatments-is common practice, especially in the managed care setting. This influence, along with a focus on the biology of mental illness, has shifted the emphasis in psychiatric education and practice away from psychotherapy. In particular, "psychotherapy" of schizophrenia has gotten short shrift. Since our drugs for schizophrenia do not cure, but only ameliorate, it would be unfortunate if psychiatrists were to become marginalized in a largely prescriptive role. This paper discusses medical psychotherapy of schizophrenia-an integrated treatment in which the psychiatrist provides the comprehensive care that such a chronic biopsychosocial illness requires.

  8. Attachment style and readiness for psychotherapy among psychiatric outpatients.

    Science.gov (United States)

    Kealy, David; Tsai, Michelle; Ogrodniczuk, John S

    2017-06-01

    Ninety-two adults attending outpatient mental health services completed measures of attachment style and readiness to engage in psychotherapy. Correlation and linear regression analyses found anxious attachment to be positively associated with treatment-seeking distress and found avoidant attachment to be negatively associated with openness to personal disclosure in the therapy relationship. Insecure attachment may influence prospective patients' readiness for psychotherapy. Patients with an avoidant attachment style may need assistance in preparing for the relational aspects of psychotherapy. © 2016 The British Psychological Society.

  9. Therapy 101: A Psychotherapy Curriculum for Medical Students

    Science.gov (United States)

    Aboul-Fotouh, Frieda; Asghar-Ali, Ali Abbas

    2010-01-01

    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…

  10. Effect of Accent and Dialect on Employability

    Science.gov (United States)

    Carlson, Holly K.; McHenry, Monica A.

    2006-01-01

    This study was designed to determine how ethnicity, the amount of perceived accent or dialect, and comprehensibility affect a speaker's employability. Sixty human resource specialists judged 3 female potential applicants. The applicants represented speakers of Spanish-influenced English, Asian-influenced English, and African American Vernacular…

  11. Internet-mediated psychotherapy: Are we ready for the ethical challenges?

    Science.gov (United States)

    Satalkar, Priya; Shrivastava, Shivanshu; Desousa, Avinash

    2015-01-01

    Advances in information and communication technology have facilitated the development of online psychotherapy. This form of psychotherapy would provide the developing world with better access to professional mental healthcare services. At the same time, it is prudent to carefully consider the various ethical, legal and regulatory issues involved in online psychotherapy. This paper highlights the major ethical issues involved in the use of online psychotherapy, whether conducted via e-mail, chat rooms or interactive video, and identifies practical solutions for the ethical dilemmas that exist. Many authors and organisations have expressed their opinions on the subject, but no consensus has evolved. The advice offered to psychologists is mostly skewed and the scarcity of literature available to those considering expanding their practice to include online psychotherapy is certainly a source of vexation. While reviewing the existing literature, this paper seeks to describe and discuss the major ethical issues in this area, particularly in India, but many of these issues will be equally applicable to any developing world settings.

  12. Psychotherapy, consciousness, and brain plasticity

    Directory of Open Access Journals (Sweden)

    Daniel eCollerton

    2013-09-01

    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.

  13. 157 On Tense, Aspect and Negation markings in Ògbahù Dialect of ...

    African Journals Online (AJOL)

    Tracie1

    Abstract. This paper presents a descriptive account of some grammatical categories in gbahù dialect of the Ìgbò language, one of the three major languages of Nigeria, West. Africa. The purpose of this study is to show how these grammatical categories operate in gbahù dialect. These grammatical categories (functors) are ...

  14. Groups as a part of integrated treatment plans : Inpatient psychotherapy for outpatients?

    NARCIS (Netherlands)

    Staats, H

    2005-01-01

    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

  15. WORD-FORMATIVE MEANING OF ACTION SEMELFACTIVENESS IN THE KHANTY LANGUAGE (AS EXEMPLIFIED IN THE KAZYM DIALECT

    Directory of Open Access Journals (Sweden)

    Irina Maksiovna Moldanova

    2015-02-01

    Full Text Available Study of verb formation holds a high position in the Finno-Ugric linguistics. In spite of works on the verb formation in other dialects of the Khanty language there are many gaps and uncovered issues in description of the Kazym dialect.Goal and tasks of the research. The main goal of the research is to find suffixes with the meaning of action semelfactiveness in the Kazym dialect of the Khanty language, to specify the list of suffixes and the meanings given to the verb.According to the goal stated the following tasks are completed in the work:1. To collect factual material: verbs with the meaning of semelfactiveness using the sources of literature, colloquial and dialect speech.2. To analyze and specify morphological characteristic of the semelfactive verbs3. To detect productivity of the verb suffixes being studied and compare their semantics with other dialects of the Khanty language.Academic novelty. In this work we have examined considerable layer of semelfactive verbs that allows us to specify the meanings of suffixes, detect their productivity.Topicality of this research is explained by the fact that the issue of action semelfactiveness using the example of the Kazym dialect of the Khanty language has not been specially studied.

  16. Dialect contact and the speed of Jespersen’s cycle in Middle Low German

    Directory of Open Access Journals (Sweden)

    Anne Breitbarth

    2014-12-01

    Full Text Available The present paper adds empirical evidence to the observation that dialect contact can lead to language change, and in particular, structural simplification. Empirically, the paper maps out the differences in the speed of the transition from stage II to stage III in different Middle Low German scribal dialects (Schreibsprachen and proposes an account for these differences.

  17. The dialectic tension between 'being' and 'not being' a good nurse.

    Science.gov (United States)

    Fagerström, Lisbeth

    2006-11-01

    The aim of this hermeneutic study was to gain a broader understanding of nurses' workload and what characterizes a nurse's experience in terms of the various levels of intensity of nursing care. Twenty-nine nurses participated in seven focus groups. The interpretation process took place in six different phases and the three laws of dialectics were used as interpretation rules. An optimal nursing care intensity level can be understood as a situation characterized by the balance between the intensity of care needed by patients and the external and internal factors of the current nursing care situation. The nurses' work situation can be understood as a dialectic struggle between 'being' and 'not being' a good nurse; this can be said to be the underlying root metaphor. Nursing care can be understood as consisting of 'complex and meaningful caring situations'. Dialectics can be used as a fruitful method of revealing the complexity of clinical reality.

  18. Effects of trauma-focused psychotherapy upon war refugees.

    Science.gov (United States)

    Kruse, Johannes; Joksimovic, Ljiljana; Cavka, Majda; Wöller, Wolfgang; Schmitz, Norbert

    2009-12-01

    The aim of this study is to evaluate the effects of a trauma-focused psychotherapy upon war refugees from Bosnia. Seventy refugees who met the criteria for posttraumatic stress disorder (PTSD) and somatoform disorders were included. The first 35 refugees were offered psychotherapy and the following 35 refugees received usual care. Outcome variables were changes in self-reported PTSD symptoms, psychological symptoms, and health status. At 12-month follow-up, participants in the intervention group reported significantly lower scores on the PTSD scale and the measure of psychological symptoms than the comparison group participants. Our results suggest that psychotherapy reduces symptoms of PTSD and somatoform disorders among war refugees even in the presence of insecure residence status.

  19. Using Cognitive Conflict to Promote the Use of Dialectical Learning for Strategic Decision-Makers

    Science.gov (United States)

    Woods, Jeffrey G.

    2012-01-01

    Purpose: The purpose of this paper is to develop a conceptual model that uses dialectical inquiry (DI) to create cognitive conflict in strategic decision-makers for the purpose of improving strategic decisions. Activation of the dialectical learning process using DI requires strategic decision-makers to integrate conflicting information causing…

  20. [Utilization of self-help groups and psychotherapy after psychosomatic-psychotherapeutic in-patient treatment].

    Science.gov (United States)

    Höflich, Anke; Matzat, Jürgen; Meyer, Friedhelm; Knickenberg, Rudolf J; Bleichner, Franz; Merkle, Wolfgang; Reimer, Christian; Franke, Wolfram; Beutel, Manfred E

    2007-05-01

    Until now little is known about the role of participation in self-help groups alone or combined with psychotherapy in post-in-patient care. In the present study 2933 patients were questioned about their experience of self-help groups and psychotherapy after discharge from a clinic for psychosomatic medicine and psychotherapy. Nearly 8 % of them utilized self-help groups (mostly combined with out-patient psychotherapy), and altogether 68 % out-patient psychotherapy following in-patient treatment. Patients without out-patient treatment were psychologically less burdened and had better resources than participants of self-help groups or psychotherapy. Self-help group members differed from patients in out-patient psychotherapy by expressing a more positive opinion of groupwork and higher openness to new experiences. Additionly, they had discussed the topic of self-help groups more frequently with their therapists. This may be a starting-point for promoting more self-help activities of patients in the future.

  1. Dialectic of Eros and Myth of the Soul in Plato's Phaedrus

    DEFF Research Database (Denmark)

    Larsen, Jens Kristian

    2010-01-01

    In this paper, I question a widespread reading of a passage in the last part of the Phaedrus dealing with the science of dialectic. According to this reading, the passage announces a new method peculiar to the later Plato aiming at defining natural kinds. I show that the Phaedrus itself does not ...... not support such a reading. As an alternative reading, I suggest that the science of dialectic, as discussed in the passage, must be seen as dealing primarily with philosophical rhetoric and knowledge of human souls....

  2. Redefining Outcome Measurement: A Model for Brief Psychotherapy.

    Science.gov (United States)

    McGuinty, Everett; Nelson, John; Carlson, Alain; Crowther, Eric; Bednar, Dina; Foroughe, Mirisse

    2016-05-01

    The zeitgeist for short-term psychotherapy efficacy has fundamentally shifted away from evidence-based practices to include evidence-informed practices, resulting in an equally important paradigm shift in outcome measurement designed to reflect change in this short-term modality. The present article delineates a short-term psychotherapy structure which defines four fundamental stages that all brief therapies may have in common, and are represented through Cognitive Behavioral Therapy, Solution-Focused Brief Therapy, Narrative Therapy, and Emotion-Focused Therapy. These four theoretical approaches were analyzed via a selected literature review through comparing and contrasting specific and common tasks as they relate to the process of psychotherapy and change. Once commonalities were identified within session, they were categorized or grouped into themes or general stages of change within the parameters of a four to six session model of short-term therapy. Commonalities in therapeutic stages of change may more accurately and uniformly measure outcome in short-term work, unlike the symptom-specific psychometric instruments of longer-term psychotherapy. A systematic framework for evaluating the client and clinician adherence to 20 specific tasks for these four short-term therapies is presented through the newly proposed, Brief Task Acquisition Scale (BTAS). It is further proposed that the client-clinicians' adherence to these tasks will track and ultimately increase treatment integrity. Thus, when the client-clinician relationship tracks and evaluates the three pillars of (1) stage/process change, (2) task acquisition, and (3) treatment integrity, the culmination of these efforts presents a new way of more sensitively measuring outcome in short-term psychotherapy. Data collection is suggested as a first step to empirically evaluate the testable hypotheses suggested within this current model. Copyright © 2015 John Wiley & Sons, Ltd. Key Practitioner Message The

  3. A cost-utility analysis of psychoanalysis versus psychoanalytic psychotherapy.

    Science.gov (United States)

    Berghout, Caspar C; Zevalkink, Jolien; Hakkaart-van Roijen, Leona

    2010-01-01

    Despite the considerable and growing body of research about the clinical effectiveness of long-term psychoanalytic treatment, relatively little attention has been paid to economic evaluations, particularly with reference to the broader range of societal effects. In this cost-utility study, we examined the incremental cost-effectiveness ratio (ICER) of psychoanalysis versus psychoanalytic psychotherapy. Incremental costs and effects were estimated by means of cross-sectional measurements in a cohort design (psychoanalysis, n = 78; psychoanalytic psychotherapy, n = 104). Quality-adjusted life-years (QALYs) were estimated for each treatment strategy using the SF-6D. Total costs were calculated from a societal perspective (treatment costs plus other societal costs) and discounted at 4 percent. Psychoanalysis was more costly than psychoanalytic psychotherapy, but also more effective from a health-related quality of life perspective. The ICER--that is, the extra costs to gain one additional QALY by delivering psychoanalysis instead of psychoanalytic psychotherapy--was estimated at 52,384 euros per QALY gained. Our findings show that the cost-utility ratio of psychoanalysis relative to psychoanalytic psychotherapy is within an acceptable range. More research is needed to find out whether cost-utility ratios vary with different types of patients. We also encourage cost-utility analyses comparing psychoanalytic treatment to other forms of (long-term) treatment.

  4. "Anything You Can Do I Can Do Better": Dialectical Argument in Philosophy of Education

    Science.gov (United States)

    Vokey, Daniel

    2009-01-01

    Drawing upon my critical appropriation of Alasdair MacIntyre's account of the rationality of traditions, I undertake to explain and demonstrate how the competing conceptual frameworks of distinct traditions of educational inquiry and practice can be assessed through dialectical argument. To illustrate the "method" of dialectic, I argue that the…

  5. A manifesto of community-focused psychotherapy for the social participation: Does individual and group psychotherapy still meet the care needs of the society?

    Directory of Open Access Journals (Sweden)

    Simone Bruschetta

    2015-10-01

    Full Text Available This paper presents a critical, on a social-political level, of development of psychotherapy, seen as the health discipline, especially in that part of the world called West, scientifically established itself through the evaluation of the effectiveness of its two most common types of setting: Individual and Group- Psychotherapy. Through a social-anthropological interpretation of mental processes which it underpins, and a group analytical analysis of organizational and institutional dynamics that led to its evolution, the authors highlight the significant impasse in which psychotherapy finds itself today compared to new and more pervasive forms of mental suffering. Following on of the latest scientific research on the functioning of the mind and of new policy proposals from the World Health Organization, it is suggested so a form of basic psychotherapy, focused on the quality of the mental health of human contexts, defined Community-Focused Psychotherapy. This new form of psychotherapy is wrong simply understood as a new setting, alongside the classic individual, group, or family setting, but as a political-cultural background and a theoretical-methodological framework, so for different psychotherapeutic treatment (individual, group , family put in place in cases of specific psychopathological symptoms, as for a number of other clinical and social programs, carried out by professionals, workers and (formerly users, who support the empowerment of people, with serious psychological disorders or severe mental illness, in their own social contexts of belonging, and in their own recovery, through the active participation of all those therapeutic processes that support their care. 

  6. Depressed patients’ preferences for type of psychotherapy: a preliminary study

    Directory of Open Access Journals (Sweden)

    Yrondi A

    2015-09-01

    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

  7. Psychotherapy in psychiatry: the current situation and future directions in Germany.

    Science.gov (United States)

    Schnell, Knut; Herpertz, Sabine C

    2011-11-01

    The aim of this article is to review how psychotherapy is dispensed to patients in psychiatric treatment and to render the future perspectives of psychotherapy in psychiatric outpatient and inpatient care in Germany. We demonstrate that--according to the currently available data about healthcare providers, allocation of financial resources and curricular regulations--the presently used definition of the term "psychotherapy" is ambiguous. One major problem for the application of psychotherapy in psychiatry is obviously constituted by the dominance of the major guideline therapies ("Richtlinienverfahren") within psychiatric services. Here, guideline therapies do not meet the needs of a significant proportion of acutely, severely and/or chronically ill psychiatric patients and restrain the application of scientifically approved, disorder-oriented and context compliant interventions in psychiatric practice. As a future perspective, we suggest that the training of psychiatrists should impart profound interpersonal skills and provide the competence to offer psychotherapy within a multimodal, modular, and flexible treatment plan on the background of the self-conception of psychiatry as a medical discipline. Moreover, future concepts of psychiatric psychotherapy should promote an evidence-based selection and application of scientifically approved, disorder-oriented, and integrative treatment methods, which are available in growing number.

  8. Psychotherapy for Suicidal Clients.

    Science.gov (United States)

    Lester, David

    1994-01-01

    Reviews various systems of psychotherapy for suitability for suicidal clients. Discusses psychoanalysis, cognitive therapy, primal therapy, transactional analysis, Gestalt therapy, reality therapy, person-centered therapy, existential analysis, and Jungian analysis in light of available treatment options. Includes 36 citations. (Author/CRR)

  9. Using Media to Teach How Not to Do Psychotherapy

    Science.gov (United States)

    Gabbard, Glen; Horowitz, Mardi

    2010-01-01

    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…

  10. Conceptual Frame for Selecting Individual Psychotherapy in the Schools

    Science.gov (United States)

    Hughes, Tammy L.; Theodore, Lea A.

    2009-01-01

    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…

  11. Advancing psychotherapy and evidence-based psychological interventions.

    Science.gov (United States)

    Emmelkamp, Paul M G; David, Daniel; Beckers, Tom; Muris, Peter; Cuijpers, Pim; Lutz, Wolfgang; Andersson, Gerhard; Araya, Ricardo; Banos Rivera, Rosa M; Barkham, Michael; Berking, Matthias; Berger, Thomas; Botella, Christina; Carlbring, Per; Colom, Francesc; Essau, Cecilia; Hermans, Dirk; Hofmann, Stefan G; Knappe, Susanne; Ollendick, Thomas H; Raes, Filip; Rief, Winfried; Riper, Heleen; Van Der Oord, Saskia; Vervliet, Bram

    2014-01-01

    Psychological models of mental disorders guide research into psychological and environmental factors that elicit and maintain mental disorders as well as interventions to reduce them. This paper addresses four areas. (1) Psychological models of mental disorders have become increasingly transdiagnostic, focusing on core cognitive endophenotypes of psychopathology from an integrative cognitive psychology perspective rather than offering explanations for unitary mental disorders. It is argued that psychological interventions for mental disorders will increasingly target specific cognitive dysfunctions rather than symptom-based mental disorders as a result. (2) Psychotherapy research still lacks a comprehensive conceptual framework that brings together the wide variety of findings, models and perspectives. Analysing the state-of-the-art in psychotherapy treatment research, "component analyses" aiming at an optimal identification of core ingredients and the mechanisms of change is highlighted as the core need towards improved efficacy and effectiveness of psychotherapy, and improved translation to routine care. (3) In order to provide more effective psychological interventions to children and adolescents, there is a need to develop new and/or improved psychotherapeutic interventions on the basis of developmental psychopathology research taking into account knowledge of mediators and moderators. Developmental neuroscience research might be instrumental to uncover associated aberrant brain processes in children and adolescents with mental health problems and to better examine mechanisms of their correction by means of psychotherapy and psychological interventions. (4) Psychotherapy research needs to broaden in terms of adoption of large-scale public health strategies and treatments that can be applied to more patients in a simpler and cost-effective way. Increased research on efficacy and moderators of Internet-based treatments and e-mental health tools (e.g. to support

  12. Psychotherapy and Cognitive Behavioral Therapy Supervision in Danish Psychiatry: Training the Next Generation of Psychiatrists.

    Science.gov (United States)

    Schmidt, Lasse M; Foli-Andersen, Nina J

    2017-02-01

    Psychotherapy training is mandatory for physicians to qualify as psychiatrists in Denmark. Evidence for the effectiveness of psychotherapy has increased, and psychotherapy is increasingly included in international treatment guidelines. The authors investigated how psychiatrists in training in Denmark evaluate the opportunities to practice psychotherapy in their training and the quality of the supervision they receive in psychotherapy training, particularly for cognitive behavioral therapy (CBT). The authors conducted a survey regarding psychotherapy training and CBT supervision among psychiatrists in training at Danish psychiatric specialist training courses. They investigated respondents' interest and experience in psychotherapy and respondents' views on the relevance and feasibility of performing psychotherapy and receiving supervision in their psychiatry training. Eighty-eight percent of the psychiatrists in training found psychotherapy to be a relevant part of their training; however, 77 % found it difficult to find time to practice psychotherapy and 44 % felt that practicing psychotherapy was a strain on their employer. Thirty-six percent and 53 %, respectively, had difficulties securing psychodynamic and CBT supervision. In CBT supervision, more than 60 % reported supervision that appeared to be below the expected CBT supervision standard and often so much below it might not qualify as CBT supervision. There is a need to focus on how to better integrate psychotherapy and supervision in the Danish psychiatric training program. Good CBT supervision may be lacking, and a way to ensure high-quality supervision is required.

  13. The current status of psychotherapy | Gureje | West African Journal ...

    African Journals Online (AJOL)

    A fundamental understanding about the mechanisms of action of psychotherapy is a promising new development that is emanating from modern techniques of neurosciences and neuroimaging. Whether such understanding will lead to a renaissance in the clinical utility of psychotherapy is still early to say. However, there is ...

  14. Psychotherapy and Women's Liberation

    Science.gov (United States)

    Holroyd, Jean

    1976-01-01

    Personality theories and scientific data on women frequently contribute negatively to the psychotherapy of female clients. This paper examines some of the background factors which have shaped our information about women, and then reviews some contemporaneous approaches to the therapy of women. (Author)

  15. [The Application of Body-Mind-Spirit Integrated Psychotherapy in Nursing Practice].

    Science.gov (United States)

    Hsiao, Fei-Hsiu

    2017-06-01

    Body-mind-spirit integrated psychotherapy reflects the core value of nursing by emphasizing the inseparable concept of body, mind, and spirit and caring for the holistic needs of the patient. Body-mind-spirit integrated psychotherapy was developed based on Western psychotherapy (positive psychology and forgiveness therapy), traditional Chinese medicine, and the Eastern philosophies of Buddhism, Taoism, and Confucianism. The present paper describes the holistic concepts that underpin this therapeutic approach. Physical health is sustained through proper nutrition, physical relaxation, and harmonized breathing; psychological well-being helps maintain inner peace and harmony in interpersonal relationships; and spiritual well-being helps develop an optimistic and meaningful life. We report on several cases in which body-mind-spirit integrated psychotherapy was applied to the care of clients with depressive disorders and of breast cancer survivors and their partners as well as the related efficacy of this intervention in these cases. Finally, we discuss the potential for culturally-enriched psychotherapy to help clients transform illness suffering into life-growth experiences.

  16. Benefits of Combining Massage Therapy with Group Interpersonal Psychotherapy in Prenatally Depressed Women

    OpenAIRE

    Field, Tiffany; Deeds, Osvelia; Diego, Miguel; Hernandez-Reif, Maria; Gauler, Andy; Sullivan, Susan; Wilson, Donna; Nearing, Graciela

    2009-01-01

    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...

  17. [Psychoanalysis and psychoanalytic oriented psychotherapy: differences and similarities].

    Science.gov (United States)

    Rössler-Schülein, Hemma; Löffler-Stastka, Henriette

    2013-01-01

    Psychoanalysis as well as Psychoanalytic Psychotherapy derived from Psychoanalysis are efficient methods offered by the Austrian health care system in the treatment for anxiety, depression, personality disorders, neurotic and somatoform disorders. In both methods similar basic treatment techniques are applied. Therefore differentiation between both treatment options often is made pragmatically by the frequency of sessions or the use of the couch and seems to be vague in the light of empirical studies. This overview focuses a potential differentiation-the objective and subjective dimensions of the indication process. Concerning the latter it is to investigate, if reflective functioning and ego-integration can be enhanced in the patient during the interaction process between patient and psychoanalyst. Empirical data underline the necessity to investigate to which extent externalizing defence processes are used and to integrate such factors into the decision and indication process. Differing treatment aims display another possibility to differentiate psychoanalysis and psychoanalytic psychotherapy. Psychoanalytic psychotherapy aims for example more at circumscribed problem-foci, the capability for self-reflexion is one of the most prominent treatment effects in psychoanalysis that results in on-going symptom reduction and resilience. The most prominent differentiation lies in the utilization of technical neutrality. Within Psychoanalytic Psychotherapy neutrality has sometimes to be suspended in order to stop severe acting out. Empirical evidence is given concerning the differentiation between psychoanalysis and psychoanalytic psychotherapy, that treatment efficacy is not correlated with the duration of the treatment, but with the frequency of sessions. Results give support to the assumption that the dosage of specific and appropriate psychoanalytic techniques facilitates sustained therapeutic change.

  18. Genic control of honey bee dance language dialect.

    Science.gov (United States)

    Rinderer, T E; Beaman, L D

    1995-10-01

    Behavioural genetic analysis of honey bee dance language shows simple Mendelian genic control over certain dance dialect differences. Worker honey bees of one parent colony (yellow) changed from round to transition dances for foraging distances of 20 m and from transition to waggle dances at 40 m. Worker bees of the other parent colony (black) made these shifts at 30 m and 90 m, respectively. F1 colonies behaved identically to their yellow parent, suggesting dominance. Progeny of backcrossing between the F1 generation and the putative recessive black parent assorted to four classes, indicating that the dialect differences studied are regulated by genes at two unlinked loci, each having two alleles. Honey bee dance communication is complex and highly integrated behaviour. Nonetheless, analysis of a small element of this behaviour, variation in response to distance, suggests that dance communication is regulated by subsets consisting of simple genic systems.

  19. Power relations and reciprocity: dialectics of knowledge construction.

    Science.gov (United States)

    Ben-Ari, Adital; Enosh, Guy

    2013-03-01

    In this article we suggest a theoretical framework of knowledge construction by employing the concept of dialectics to power relationships between researcher and participants. Power distribution in research is perceived as dichotomous and asymmetrical in favor of the researcher, creating unequal power relations that make exploitation possible. Acknowledging such exploitation has led to a critical stance and attempts to bridge gaps through egalitarianism and empowerment of participants. Some scholars have focused on shifting expert knowledge differentials between researcher and participants throughout the research project. Others have evaluated such gaps as a source of knowledge construction. In the present work we applied a dialectical approach to understanding research relationships, suggesting reciprocity as their defining attribute, regardless of symmetry or asymmetry and as a source of knowledge construction. In this article we recommend avoiding a taken-for-granted attitude, because we see it as a direct obstacle to the construction of knowledge.

  20. Research on psychotherapy integration: building on the past, looking to the future.

    Science.gov (United States)

    Castonguay, Louis G; Eubanks, Catherine F; Goldfried, Marvin R; Muran, J Christopher; Lutz, Wolfgang

    2015-01-01

    Integration has become an important and influential movement within psychotherapy practice, reflected by the fact that many treatment providers now identify as integrative. However, integration has not had as great an influence on psychotherapy research. The goal of this paper is to highlight the growing body of research on psychotherapy integration, and to identify future directions for research that may strengthen the integration movement as well as the field of psychotherapy as a whole. We first summarize the past 25 years of research on integration, with a focus on four approaches to integration: theoretical integration, technical eclectic, common factors, and assimilative integration. Next, we identify directions of research within these four areas that could strengthen and support integrative practice. We then propose ways in which the perspective of integrationists could contribute to psychotherapy research in the critical areas of harmful effects, therapist effects, practice-oriented research, and training. We end this paper by suggesting that a greater collaboration between integrationists and psychotherapy researchers will help to create a unified landscape of knowledge and action that will benefit all participants and advance the field.

  1. Meaning in life in psychotherapy: The perspective of experienced psychotherapists.

    Science.gov (United States)

    Hill, Clara E; Kanazawa, Yoshi; Knox, Sarah; Schauerman, Iris; Loureiro, Darren; James, Danielle; Carter, Imani; King, Shakeena; Razzak, Suad; Scarff, Melanie; Moore, Jasmine

    2017-07-01

    Our goal was to explore the meaning experienced psychotherapists derive from providing psychotherapy, their beliefs about the role of meaning in life (MIL) in psychotherapy, how they worked with MIL with a client who explicitly presented concerns about MIL, and how they worked with a different client for whom MIL was a secondary and more implicit concern. Thirteen experienced psychotherapists were interviewed and data were analyzed using consensual qualitative research. Therapists derived self-oriented meaning (e.g., feeling gratified, fulfilled, connected) and other-oriented meaning (helping others, making the world a better place) from providing psychotherapy. They believed that MIL is fundamental and underlies all human concerns, including those brought to therapy. In contrast to the clients who had implicit MIL concerns, clients who explicitly presented MIL concerns were reported to have more interpersonal problems and physical problems, but about the same amount of psychological distress and loss/grief. Therapists used insight-oriented interventions, support, action-oriented interventions, and exploratory interventions to work with MIL with both types of clients, but used more exploratory interventions with implicit than explicit MIL clients. MIL is a salient topic for experienced, existentially oriented psychotherapists; they work with MIL extensively with some clients in psychotherapy. We recommend that therapists receive training to work with MIL in therapy, and that they pay attention to MIL concerns when they conduct psychotherapy. We also recommend additional research on MIL in psychotherapy.

  2. SPATIAL ANALYSIS OF A DIALECT WORD-FORMATIONAL TYPE FUNCTIONING ON THE TERRITORY OF SMOLENSK REGION

    Directory of Open Access Journals (Sweden)

    T. V. Vatlina

    2015-01-01

    Full Text Available This article is devoted to the practical application of a cartographical method in the study of a dialect word-formation based on GIS-technologies. The research has proved the importance of lingvogeographical information for the study the specificity of a dialect word-formational type.

  3. The Dialectical Development of "Storytelling" Learning Organizations: A Case Study of a Public Research University

    Science.gov (United States)

    Hillon, Yue Cai; Boje, David M.

    2017-01-01

    Purpose: Calls for dialectical learning process model development in learning organizations have largely gone unheeded, thereby limiting conceptual understanding and application in the field. This paper aims to unify learning organization theory with a new understanding of Hegelian dialectics to trace the development of the storytelling learning…

  4. Insight into the Attitudes of Speakers of Urban Meccan Hijazi Arabic towards Their Dialect

    Science.gov (United States)

    Alahmadi, Sameeha D.

    2016-01-01

    The current study mainly aims to examine the attitudes of speakers of Urban Meccan Hijazi Arabic (UMHA) towards their dialect, which is spoken in Mecca, Saudi Arabia. It also investigates whether the participants' age, sex and educational level have any impact on their perception of their dialect. To this end, I designed a 5-point-Likert-scale…

  5. Investigating Psychometric Properties of the Persian Version of Positive Psychotherapy Inventory

    Directory of Open Access Journals (Sweden)

    Z Ghorbani

    2015-08-01

    Full Text Available The purpose of the study was to investigate psychometric properties of the Persian version of positive psychotherapy inventory in university students. Research method was descriptive, correlational type. The sample of the study consist of 432 MS and PhD students, 225 female and 207 male, aged between 23 to 45 of state universities of Tehran who were selected through multi-stage random sampling. To study reliability, convergent and structural validity of instrument the sample group completed, positive psychotherapy inventory (Rashid and Oxford Happiness Inventory (Argyle and Hills. To investigating the reliability Cronbach alpha and test- retest method, and for validity of instrument structural validity exploratory factor analysis method and convergent validity were used. Results showed the total internal consistency of positive psychotherapy inventory was 0.80 and subscales internal consistency was between 0.80 to 0.92 respectively. In addition test-retest reliability coefficient was 0.70 for total inventory and between 0.63 to 0.73 for the subscales. Also the correlation coefficients between positive psychotherapy inventory and oxford happiness inventory were 0.73, which indicated a satisfactory convergent validity for positive psychotherapy inventory. Confirmatory factor analysis results showed three factors model of positive psychotherapy inventory in the Iranian sample. These three factors explained 79.99 variance of total inventory.

  6. Interpersonal psychotherapy (IPT) in major depressive disorder.

    Science.gov (United States)

    Brakemeier, Eva-Lotta; Frase, Lukas

    2012-11-01

    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.

  7. Pain-mediated affect regulation is reduced after dialectical behavior therapy in borderline personality disorder: a longitudinal fMRI study.

    Science.gov (United States)

    Niedtfeld, Inga; Schmitt, Ruth; Winter, Dorina; Bohus, Martin; Schmahl, Christian; Herpertz, Sabine C

    2017-05-01

    Borderline Personality Disorder (BPD) is characterized by affective instability, but self-injurious behavior appears to have an emotion-regulating effect. We investigated whether pain-mediated affect regulation can be altered at the neural level by residential Dialectical Behavior Therapy (DBT), providing adaptive emotion regulation techniques. Likewise, we investigated whether pain thresholds or the appraisal of pain change after psychotherapy. We investigated 28 patients with BPD undergoing DBT (self-referral), 15 patients with treatment as usual and 23 healthy control subjects at two time points 12 weeks apart. We conducted an fMRI experiment eliciting negative emotions with picture stimuli and induced heat pain to investigate the role of pain in emotion regulation. Additionally, we assessed heat and cold pain thresholds.At first measurement, patients with BPD showed amygdala deactivation in response to painful stimulation, as well as altered connectivity between left amygdala and dorsal anterior cingulate cortex. These effects were reduced after DBT, as compared with patients with treatment as usual. Pain thresholds did not differ between the patient groups. We replicated the role of pain as a means of affect regulation in BPD, indicated by increased amygdala coupling. For the first time, we could demonstrate that pain-mediated affect regulation can be changed by DBT. © The Author (2017). Published by Oxford University Press.

  8. Design challenges in transdiagnostic psychotherapy research: Comparing Transdiagnostic Behavior Therapy (TBT) to existing evidence-based psychotherapy in veterans with affective disorders.

    Science.gov (United States)

    Gros, Daniel F

    2015-07-01

    To address the limitations of disorder-specific approaches, newer transdiagnostic approaches to psychotherapy have been developed to provide a single treatment that is capable of addressing several, related disorders. However, the recruitment of multiple diagnoses presents many challenges to the traditional design of psychotherapy randomized controlled trials (RCTs). The goal of the manuscript is to present the challenges and rationale for designing a RCT for transdiagnostic treatment to inform and aid in the development of future investigations. A recently funded and ongoing RCT for Transdiagnostic Behavior Therapy (TBT) is used as an example to discuss the related design challenges. The TBT study involves the recruitment of 96 veteran participants with any of the following eight principal diagnoses: posttraumatic stress disorder, panic disorder, social anxiety disorder, obsessive compulsive disorder, generalized anxiety disorder, specific phobia, major depressive disorder, or persistent depressive disorder. Within the TBT study, participants will complete a semi-structured diagnostic interview and a series of transdiagnostic self-report measures to determine eligibility and assess baseline symptomatology. Qualifying participants will be randomized to TBT or control psychotherapy. Additional assessments will be completed at post-treatment and 6-month follow-up. Due to the transdiagnostic nature of the sample, adjustments to the recruitment and randomization procedures, selection of measures, selection of control psychotherapy, and analysis plan were required. These adjustments have implications to future trials on transdiagnostic psychotherapy protocols as well as future research in line with the transdiagnostic focus of the National Institute of Mental Health's Research Domain Criteria (RDoC) funding strategy. Published by Elsevier Inc.

  9. The Linguistic and Social Aspects of the Bedouin Dialect

    Directory of Open Access Journals (Sweden)

    Mahmoud El Salman

    2016-08-01

    Full Text Available This is a sociolinguistic study that tries to investigate the peculiarity of the Bedouin dialect regardless of the place where it is used. Some variants that are used in their dialect are used wherever they are from. Two sounds in particular were chosen to carry out this study. These are the /ʤ/ variant of the (Q variable, and the /ts/ variant of the (K variable. The study shows that some sounds that are known to be exclusively used by Bedouins, are still used by the old Bedouins wherever they live. For example, Old informants from Jordan used the /ts/ variant within the tribe domains, and the old informants from other tribes living in Saudi Arabia used it as well. This is also seen with regard to the /ʤ/ sound.  The /ʤ/ is used also in relatively high percentage in the speech of the old in Jordan and Saudi Arabia. This shows that belonging to the Bedouin group per se, is what matters in determining the sound used regardless of the region to which one belongs. Unlike the rural people who might use the different alternates of the (Q variable depending on the region to which they belong, for example, [k] is used in some parts of Palestine while [q] is used in other parts like Tirat Haifa village in the northern part of Palestine. Bedouins are consistent in using the [g] variant or the /ʤ/ of the (Q variable regardless of the area where they live. In other words, the two sounds appear in the dialects of the Bedouins whether they live in Jordan or Saudi Arabia.  This raises the possibility that their sharing the same culture (being Bedouins leads to their sharing these linguistic features. Part of their culture is belonging to their tribes as they are traditionally divided into tribes. The dialect of the tribe remains important where ever they are. Keywords. Linguistic variation, variant

  10. Social Problem Solving and Depressive Symptoms over Time: A Randomized Clinical Trial of Cognitive-Behavioral Analysis System of Psychotherapy, Brief Supportive Psychotherapy, and Pharmacotherapy

    Science.gov (United States)

    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.

    2011-01-01

    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…

  11. “Gold Standards,” Plurality and Monocultures: The Need for Diversity in Psychotherapy

    Directory of Open Access Journals (Sweden)

    Falk Leichsenring

    2018-04-01

    Full Text Available For psychotherapy of mental disorders, presently several approaches are available, such as interpersonal, humanistic, systemic, psychodynamic or cognitive behavior therapy (CBT. Pointing to the available evidence, proponents of CBT claim that CBT is the gold standard. Some authors even argue for an integrated CBT-based form of psychotherapy as the only form of psychotherapy. CBT undoubtedly has its strengths and CBT researchers have to be credited for developing and testing treatments for many mental disorders. A critical review, however, shows that the available evidence for the theoretical foundations of CBT, assumed mechanisms of change, quality of studies, and efficacy is not as robust as some researchers claim. Most important, there is no consistent evidence that CBT is more efficacious than other evidence-based approaches. These findings do not justify regarding CBT as the gold standard psychotherapy. They even provide less justification for the idea that the future of psychotherapy lies in one integrated CBT-based form of psychotherapy as the only type of psychotherapy. For the different psychotherapeutic approaches a growing body of evidence is available. These approaches have their strengths because of differences in their respective focus on interpersonal relationships, affects, cognitions, systemic perspectives, experiential, or unconscious processes. Different approaches may be suitable to different patients and therapists. As generally assumed, progress in research results from openness to new ideas and learning from diverse perspectives. Thus, different forms of evidence-based psychotherapy are required. Plurality is the future of psychotherapy, not a uniform “one fits all” approach.

  12. “Gold Standards,” Plurality and Monocultures: The Need for Diversity in Psychotherapy

    Science.gov (United States)

    Leichsenring, Falk; Abbass, Allan; Hilsenroth, Mark J.; Luyten, Patrick; Munder, Thomas; Rabung, Sven; Steinert, Christiane

    2018-01-01

    For psychotherapy of mental disorders, presently several approaches are available, such as interpersonal, humanistic, systemic, psychodynamic or cognitive behavior therapy (CBT). Pointing to the available evidence, proponents of CBT claim that CBT is the gold standard. Some authors even argue for an integrated CBT-based form of psychotherapy as the only form of psychotherapy. CBT undoubtedly has its strengths and CBT researchers have to be credited for developing and testing treatments for many mental disorders. A critical review, however, shows that the available evidence for the theoretical foundations of CBT, assumed mechanisms of change, quality of studies, and efficacy is not as robust as some researchers claim. Most important, there is no consistent evidence that CBT is more efficacious than other evidence-based approaches. These findings do not justify regarding CBT as the gold standard psychotherapy. They even provide less justification for the idea that the future of psychotherapy lies in one integrated CBT-based form of psychotherapy as the only type of psychotherapy. For the different psychotherapeutic approaches a growing body of evidence is available. These approaches have their strengths because of differences in their respective focus on interpersonal relationships, affects, cognitions, systemic perspectives, experiential, or unconscious processes. Different approaches may be suitable to different patients and therapists. As generally assumed, progress in research results from openness to new ideas and learning from diverse perspectives. Thus, different forms of evidence-based psychotherapy are required. Plurality is the future of psychotherapy, not a uniform “one fits all” approach. PMID:29740361

  13. Computational psychotherapy research: scaling up the evaluation of patient-provider interactions.

    Science.gov (United States)

    Imel, Zac E; Steyvers, Mark; Atkins, David C

    2015-03-01

    In psychotherapy, the patient-provider interaction contains the treatment's active ingredients. However, the technology for analyzing the content of this interaction has not fundamentally changed in decades, limiting both the scale and specificity of psychotherapy research. New methods are required to "scale up" to larger evaluation tasks and "drill down" into the raw linguistic data of patient-therapist interactions. In the current article, we demonstrate the utility of statistical text analysis models called topic models for discovering the underlying linguistic structure in psychotherapy. Topic models identify semantic themes (or topics) in a collection of documents (here, transcripts). We used topic models to summarize and visualize 1,553 psychotherapy and drug therapy (i.e., medication management) transcripts. Results showed that topic models identified clinically relevant content, including affective, relational, and intervention related topics. In addition, topic models learned to identify specific types of therapist statements associated with treatment-related codes (e.g., different treatment approaches, patient-therapist discussions about the therapeutic relationship). Visualizations of semantic similarity across sessions indicate that topic models identify content that discriminates between broad classes of therapy (e.g., cognitive-behavioral therapy vs. psychodynamic therapy). Finally, predictive modeling demonstrated that topic model-derived features can classify therapy type with a high degree of accuracy. Computational psychotherapy research has the potential to scale up the study of psychotherapy to thousands of sessions at a time. We conclude by discussing the implications of computational methods such as topic models for the future of psychotherapy research and practice. (PsycINFO Database Record (c) 2015 APA, all rights reserved).

  14. Emerging Approaches to Counseling Intervention: Dialectical Behavior Therapy

    Science.gov (United States)

    Neacsiu, Andrada D.; Ward-Ciesielski, Erin F.; Linehan, Marsha M.

    2012-01-01

    Dialectical Behavior Therapy (DBT) is a comprehensive, multimodal cognitive behavioral treatment originally developed for individuals who met criteria for borderline personality disorder (BPD) who displayed suicidal tendencies. DBT is based on behavioral theory but also includes principles of acceptance, mindfulness, and validation. Since its…

  15. Some Aspects of Verbal Politeness in Maghrebi Arabic Dialects

    Directory of Open Access Journals (Sweden)

    Luca D'Anna

    2014-12-01

    Positive politeness, on the other hand, seems to be frequently employed, without the occurrence of any FTA, in standardised and predictable ways, thus questioning Brown and Levinson’s theory to a certain extent. The two scholars, in facts, considered the necessity to redress a FTA as the primary reason for the existence of verbal politeness, leaving all the phenomena that contradicted this tenet to the vague domain of the speakers’ spontaneous verbal inventiveness. The expressions observed in Maghrebi dialects, on the contrary, are not spontaneous, but part of the competence of all mature native speakers, who are usually expected to perform them. This independent existence of verbal politeness, thus, represents one of the most interesting features of Maghrebi Arabic dialects and a field that still calls for further research and investigation.

  16. Clients' and therapists' stories about psychotherapy.

    Science.gov (United States)

    Adler, Jonathan M

    2013-12-01

    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. © 2012 Wiley Periodicals, Inc.

  17. “THE WHOLE EMERGES AS A HERO”: TO THE UNDERSTANDING OF DIALECTICAL PRINCIPLES OF DOSTOEVSKY’S POETICS

    Directory of Open Access Journals (Sweden)

    Sergey V. Syzranov

    2015-11-01

    Full Text Available The article seeks to elaborate a methodological approach to the creative work of Fyodor Dostoevsky, corresponding to dialectical nature of the writer’s artistic world perception. Dostoevsky’s formula “the whole emerges as a hero” is regarded as an architectonic model of his poetics. The author reveals the dialectical and mythological content of various aspects of this model, discovers the moments of community of Dostoevsky’s “realism in the best sense of the term” and Losev’s absolute dialectics. In the light of Losev’s teaching Dostoevsky’s formula is modifi ed according to the dialectical model of a tragic myth. In the structure of the formula there are consistently explicated cosmological, anthropological, Christological, ecclesiological, and pneumatological aspects. These aspects trace back to a number of works of the writer (the novel “Poor People”, the tale “A Faint Heart”, the story “A Little Hero”, the novel “Th e Idiot”. Th ere is demonstrated the dialectical unity of the intuitions of faith and knowledge in Dostoevsky’s artistic experience.

  18. The Epistemic Inferiority of Pragma-Dialectics – Reply to Botting

    Directory of Open Access Journals (Sweden)

    Christoph Lumer

    2012-03-01

    Full Text Available In a recent paper in this journal, David Botting defended pragma-dialectics against epistemological criticisms by exponents of the epistemological approach to argumentation, i.e. Harvey Siegel, John Biro and me. In particular, Botting tries to justify with new arguments a Functional Claim, that the function of argumentation is to resolve disputes, and a Normative Claim, that standpoints that have the unqualified consensus of all participants in a dispute will generally be epistemically sound. In this reply it is shown that Botting’s arguments are fallacious, that the two Claims are false and that the epistemological approach to argumentation, of course, outclasses pragma-dialectics epistemically and is at least as good as it in other respects.

  19. The role of identification in dynamic psychiatry and psychotherapy.

    Science.gov (United States)

    Corradi, Richard B

    2011-01-01

    Identification-a psychic process in which a person takes on characteristics of another-is a concept important to the understanding of human nature. It plays an important role in how our personalities develop, in our ability to deal with life's stresses, and in how we interact with other people. Knowledge of its manifestations is essential to dynamic psychiatry and to its applications in psychotherapy. This article defines identification and reviews its role in development and as a defense. It discusses its role in the psychopathology of disorders commonly encountered in psychotherapy practice-depression and anxiety states reactive to losses in life, and borderline states. Clinical vignettes illustrate how identification functions in these conditions, and also how identifications reveal themselves in the transference and are utilized in psychotherapy. A teaching vignette illustrates how important it is that residents learning the art of psychotherapy appreciate the therapeutic potential of identification. The article maintains that, although it often goes unrecognized, identification with the therapist is one of the most effective therapeutic devices in the transference.

  20. The Theory and Art of Child Psychotherapy: A Corrective Developmental Approach.

    Science.gov (United States)

    Friedman, Robert

    2017-10-01

    The history of child psychotherapy is sketched from the psychoanalytic pioneers Anna Freud and Melanie Klein to the popular "nondirective" approach of Virginia Axline. The author's approach to child psychotherapy, based on contemporary psychoanalytic theories, allows the therapist to play any parental role that helps to repair developmental deficiencies and conflicts. These include nurturing, supporting, mirroring, role modeling, challenging, and limit setting. Following Winnicott, psychotherapy is conceived as a play space in which therapist and child are both spontaneous. The value of interpretation and insight in child therapy is discussed. There follows a more detailed discussion of three major problem areas in child psychotherapy: handling anger and hostile aggression; handling issues related to sexuality; and handling narcissistic issues of inferiority and shame.

  1. Psychotherapy for chronic major depression and dysthymia: A meta analysis.

    NARCIS (Netherlands)

    Cuijpers, P.; Straten, van A.; Schuurmans, J.; Oppen, van P.C.; Hollon, S.D.; Andersson, G.

    2009-01-01

    Abstract Although several studies have examined the effects of psychotherapy on chronic depression and dysthymia, no meta-analysis has been conducted to integrate results of these studies. We conducted a meta-analysis of 16 randomized trials examining the effects of psychotherapy on chronic

  2. Dialectic and conflicts

    DEFF Research Database (Denmark)

    Højholt, Charlotte; Kousholt, Dorte

    In this paper, we aim to develop a dialectical approach to analyzing social conflicts concerning children’s school life. Public education can be seen as a common cause different parties at the same time are engaged in and conflicting about. We want to discuss this unity between the distribution...... are at one hand historical, and they demand situated handling and coordination in concrete situations to make things work. The involved experience the contradictions from different positions, types of responsibilities and with insight from different locations. In this way contradictions have potential...... to turn into conflicts and the conflicts have personal and existential meanings to the participant in social practice (related to their possibilities for conducting everyday life) and they are historical and political (related to societal questions about education). We draw on conceptualizations of social...

  3. Winifred Rushforth and the Davidson Clinic for Medical Psychotherapy: a case study in the overlap of psychotherapy, Christianity and New Age spirituality.

    Science.gov (United States)

    Miller, Gavin

    2015-09-01

    The activities of both Winifred Rushforth (1885-1983), and the Edinburgh-based Davidson Clinic for Medical Psychotherapy (1941-73) which she directed, exemplify and elaborate the overlap in Scotland of religious discourses and practices with psychoanalytic psychotherapy. Even as post-war secularization began to affect Scottish culture and society, Rushforth and the Davidson Clinic attempted to renew the biographical discourses of Christianity using the idioms and practices of psychoanalytic psychotherapy. Furthermore, alongside these Christian-inflected activities, Rushforth promoted a psychoanalytically-informed New Age spirituality. This parallel mode of belief and practice drew on Christian life-narrative patterns, preserving them within psychoanalytic forms grafted onto a vitalist worldview informed by the work of Pierre Teilhard de Chardin. © The Author(s) 2015.

  4. The ethics of providing hope in psychotherapy.

    Science.gov (United States)

    Dembo, Justine Sarah; Clemens, Norman A

    2013-07-01

    The instillation of hope is a common factor in most psychotherapies. A considerable literature exists on the ethics of providing false or positively biased hope in non-psychiatric medical settings, and ethicists have generally concluded that this practice is unethical. However, the literature on the ethics of encouraging hope in psychotherapy, especially in the case of treatment-resistant mental illness, is sparse. The author explores two clinical cases with the intention of examining the nature of hope, false hope, positive illusions, and denial, as they relate to our definitions of mental health and psychotherapy. The cases highlight the ethics of balancing an acknowledgment of likely treatment futility with a desire to hope. Clinical psychological studies on depressive realism and optimistic bias indicate that some degree of positive bias, referred to by some authors as "the optimal margin of illusion," is in fact necessary to promote what we define as "good mental health;" conversely, stark realism is correlated with mild to moderate depression. An examination of the existential literature, including Ernest Becker's work, The Denial of Death, indicates that without the defense mechanism of denial, human beings tend to experience paralytic despair as a result of being fallible, mortal creatures in a frightening world. The combination of these diverse bodies of literature, along with the surprising outcomes of our case examples, leads to an unexpected conclusion: it may occasionally be ethical to encourage some degree of optimistic bias, and perhaps even positive illusion, when treating patients in psychotherapy.

  5. Serious Games for Psychotherapy: A Systematic Review.

    Science.gov (United States)

    Eichenberg, Christiane; Schott, Markus

    2017-06-01

    In the evolving digital age, media applications are increasingly playing a greater role in the field of psychotherapy. While the Internet is already in the phase of being established when it comes to the care of mental disorders, experimentation is going on with other modern media such as serious games. A serious game is a game in which education and behavior change is the goal, alongside with entertainment. The objective of the present article was to provide a first empirical overview of serious games applied to psychotherapy and psychosomatic rehabilitation. Therefore, a systematic literature search, including the terms "serious game" or "computer game" and "psychotherapy" or "rehabilitation" or "intervention" or "mental disorders" in the databases Medline and PsycINFO, was performed. Subsequently, an Internet search was conducted to identify studies not published in journals. Publications not providing empirical data about effectiveness were excluded. On the basis of this systematic literature review, the results of N = 15 studies met inclusion criteria. They utilized primarily cognitive behavioral techniques and can be useful for treating a range of mental disorders. Serious games are effective both as a stand-alone intervention or part of psychotherapy and appeal to patients independent of age and sex. Included serious games proved to be an effective therapeutic component. Nonetheless, findings are not conclusive and more research is needed to further investigate the effectiveness of serious games for psychotherapeutic purposes.

  6. The Peculiarities of the Adverbs Functioning of the Dialect Spoken in the v. Shevchenkove, Kiliya district, Odessa Region

    Directory of Open Access Journals (Sweden)

    Maryna Delyusto

    2013-08-01

    Full Text Available The article gives new evidence about the adverb as a part of the grammatical system of the Ukrainian steppe dialect spread in the area between the Danube and the Dniester rivers. The author proves that the grammatical system of the dialect spoken in the v. Shevchenkove, Kiliya district, Odessa region is determined by the historical development of the Ukrainian language rather than the influence of neighboring dialects.

  7. Psychotherapy for neurologists.

    Science.gov (United States)

    Hobday, Gabrielle S; Gabbard, Glen O

    2009-07-01

    Psychotherapy has traditionally been regarded as the purview of psychiatry rather than neurology. Yet, the doctor-patient relationship is fundamental to both specialties, and the principles that derive from psychotherapy theory and practice apply to that relationship regardless of the specialty. It is common knowledge that a large proportion of patients seen in the context of the practice of medicine have some kind of emotional disturbance. Moreover, patients with organic disease may also have significant emotional difficulties that complicate both the primary illness and its treatment. This experience inevitably has drawn attention to the need for the nonpsychiatric physician to have an understanding and proficiency in psychiatric diagnosis and psychotherapeutic principles. In this article, we consider basic psychotherapeutic principles that are useful in the everyday practice of neurologists and other nonpsychiatric physicians. These skills are important not only for practical reasons, but also because responsiveness to their emotional distress is essential to maintain empathy and caring as cornerstones of the art of medicine. With the use of clinical examples to illustrate these principles, we hope that readers can apply them to their own clinical experiences.

  8. Psychotherapy for chronic major depression and dysthymia: A meta analysis

    NARCIS (Netherlands)

    Cuijpers, P.; van Straten, A.; Schuurmans, J.; van Oppen, P.C.; Hollon, S.D.; Andersson, G.

    2010-01-01

    Although several studies have examined the effects of psychotherapy on chronic depression and dysthymia, no meta-analysis has been conducted to integrate results of these studies. We conducted a meta-analysis of 16 randomized trials examining the effects of psychotherapy on chronic depression and

  9. Psychotherapy for chronic major depression and dysthymia: A meta analysis.

    NARCIS (Netherlands)

    Cuijpers, P.; van Straten, A.; Schuurmans, J.; van Oppen, P.C.; Hollon, S.D.; Andersson, G.

    2009-01-01

    Although several studies have examined the effects of psychotherapy on chronic depression and dysthymia, no meta-analysis has been conducted to integrate results of these studies. We conducted a meta-analysis of 16 randomized trials examining the effects of psychotherapy on chronic depression and

  10. The self is an illusion: a conceptual framework for psychotherapy.

    Science.gov (United States)

    Stankevicius, Steve

    2017-06-01

    To explain the illusory nature of the self and explore its implications for psychotherapy. Our usual experience of the self is an illusion. Rather than a discrete entity, it is a network of processes that maintains apparent irreducible unity via alterations of perceptions, beliefs, intentions and memories. By providing an efficient summary of an individual and its surroundings, the self-illusion allows one to predict, experience and interact with the world efficiently. Targeting mechanisms that preserve the self-illusion could provide a focus for psychotherapy. Viewing the self as a complex network offers a valuable conceptual framework for psychotherapy.

  11. Psychotherapies for Children and Adolescents

    Science.gov (United States)

    ... in intentionally self-harmful behaviors, or have Borderline Personality Disorder. DBT emphasizes taking responsibility for one's problems and ... is a form of psychotherapy where there are multiple patients led by one or more therapists. It ...

  12. Hypnotic Psychotherapy with Sex Offenders

    Science.gov (United States)

    Moseley, Sullivan; Briggs, Wanda P.; Magnus, Virginia

    2005-01-01

    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.)

  13. Mobile Phone-Based Mood Ratings Prospectively Predict Psychotherapy Attendance.

    Science.gov (United States)

    Bruehlman-Senecal, Emma; Aguilera, Adrian; Schueller, Stephen M

    2017-09-01

    Psychotherapy nonattendance is a costly and pervasive problem. While prior research has identified stable patient-level predictors of attendance, far less is known about dynamic (i.e., time-varying) factors. Identifying dynamic predictors can clarify how clinical states relate to psychotherapy attendance and inform effective "just-in-time" interventions to promote attendance. The present study examines whether daily mood, as measured by responses to automated mobile phone-based text messages, prospectively predicts attendance in group cognitive-behavioral therapy (CBT) for depression. Fifty-six Spanish-speaking Latino patients with elevated depressive symptoms (46 women, mean age=50.92years, SD=10.90years), enrolled in a manualized program of group CBT, received daily automated mood-monitoring text messages. Patients' daily mood ratings, message response rate, and delay in responding were recorded. Patients' self-reported mood the day prior to a scheduled psychotherapy session significantly predicted attendance, even after controlling for patients' prior attendance history and age (OR=1.33, 95% CI [1.04, 1.70], p=.02). Positive mood corresponded to a greater likelihood of attendance. Our results demonstrate the clinical utility of automated mood-monitoring text messages in predicting attendance. These results underscore the value of text messaging, and other mobile technologies, as adjuncts to psychotherapy. Future work should explore the use of such monitoring to guide interventions to increase attendance, and ultimately the efficacy of psychotherapy. Copyright © 2017. Published by Elsevier Ltd.

  14. Individual Psychotherapy ("Talking Therapy"): A Survey of Attitudes among Residents & Specialists in Psychiatry, Israel 2010-2011.

    Science.gov (United States)

    Levi Shachar, Orit; Mendlovic, Shlomo; Hertzberg, Libi; Baruch, Yehuda; Lurie, Ido

    2016-01-01

    Individual psychotherapy is an efficient tool and an integral part of psychiatric treatment. However, its status among psychiatrists in Israel has never been explored. To explore and map the attitudes of psychiatrists in Israel regarding psychotherapy and psychotherapy training during residency, with comparisons between residents vs. specialists, peripheral vs. central institutions and mental health vs. medical centers. We conducted a cross-sectional survey to examine the attitudes toward individual psychotherapy. The questionnaire was delivered via email and direct approach to psychiatrists in Israel. The survey was completed by 229 of 1,502 registered psychiatrists (15.3%). While 96% (n=218) had positive attitudes towards psychotherapy, 93.1% (n=215) thought psychotherapy was less available than pharmacotherapy. Psychiatrists from peripheral institutions prefer cognitive behavioral therapy, while psychiatrists from central institutions prefer dynamic psychotherapy. Psychiatrists from mental health centers use more dynamic psychotherapy compared to psychiatrists from medical centers. The number of dynamic psychotherapy treatments psychiatrists delivered during their residencies has been decreasing over time, meaning residents today deliver fewer dynamic psychotherapy treatments compared to the number of treatments specialists delivered during their residencies. Additionally, 97.4% (n=225) believed psychotherapy training should be included in the psychiatric residency and 87.3% thought that the training should be improved to a great extent. The survey demonstrates mixed but overall positive attitudes towards psychotherapy among psychiatrists in Israel. The findings should be taken into consideration by psychiatrists who design the residency program and by policy makers who are in charge of the mental health reform in Israel, or the psychotherapy usage and therapeutic potential may diminish, as has happened in other countries.

  15. A Systematic Review of the Combined Use of Electroconvulsive Therapy and Psychotherapy for Depression

    Science.gov (United States)

    McClintock, Shawn M.; Brandon, Anna R.; Husain, Mustafa M.; Jarrett, Robin B.

    2011-01-01

    Objective Electroconvulsive therapy (ECT) is one of the most effective treatments for severe Major Depressive Disorder (MDD). However, after acute phase treatment and initial remission, relapse rates are significant. Strategies to prolong remission include continuation phase ECT, pharmacotherapy, psychotherapy, or their combinations. This systematic review synthesizes extant data regarding the combined use of psychotherapy with ECT for the treatment of patients with severe MDD and offers the hypothesis that augmenting ECT with depression-specific psychotherapy represents a promising strategy for future investigation. Methods The authors performed two independent searches in PsychInfo (1806 – 2009) and MEDLINE (1948 – 2009) using combinations of the following search terms: Electroconvulsive Therapy (including ECT, ECT therapy, electroshock therapy, EST, shock therapy) and Psychotherapy (including cognitive behavioral, interpersonal, group, psychodynamic, psychoanalytic, individual, eclectic, and supportive). We included in this review a total of six articles (English language) that mentioned ECT and psychotherapy in the abstract, and provided a case report, series, or clinical trial. We examined the articles for data related to ECT and psychotherapy treatment characteristics, cohort characteristics, and therapeutic outcome. Results Although research over the past seven decades documenting the combined use of ECT and psychotherapy is limited, the available evidence suggests that testing this combination has promise and may confer additional, positive functional outcomes. Conclusions Significant methodological variability in ECT and psychotherapy procedures, heterogeneous patient cohorts, and inconsistent outcome measures prevent strong conclusions; however, existing research supports the need for future investigations of combined ECT and psychotherapy in well-designed, controlled clinical studies. Depression-specific psychotherapy approaches may need special

  16. Individual psychotherapy for schizophrenia: trends and developments in the wake of the recovery movement

    Directory of Open Access Journals (Sweden)

    Hamm JA

    2013-08-01

    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

  17. Individual psychotherapy for schizophrenia: trends and developments in the wake of the recovery movement.

    Science.gov (United States)

    Hamm, Jay A; Hasson-Ohayon, Ilanit; Kukla, Marina; Lysaker, Paul H

    2013-01-01

    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.

  18. Individual psychotherapy for schizophrenia: trends and developments in the wake of the recovery movement

    Science.gov (United States)

    Hamm, Jay A; Hasson-Ohayon, Ilanit; Kukla, Marina; Lysaker, Paul H

    2013-01-01

    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. PMID:23950665

  19. Dyslexia Limits the Ability to Categorize Talker Dialect

    Science.gov (United States)

    Long, Gayle Beam; Fox, Robert Allen; Jacewicz, Ewa

    2016-01-01

    Purpose: The purpose of this study was to determine whether the underlying phonological impairment in dyslexia is associated with a deficit in categorizing regional dialects. Method: Twenty adults with dyslexia, 20 school-age children with dyslexia, and 40 corresponding control listeners with average reading ability listened to sentences produced…

  20. Is There Room for Criticism of Studies of Psychodynamic Psychotherapy?

    Science.gov (United States)

    Thombs, Brett D.; Jewett, Lisa R.; Bassel, Marielle

    2011-01-01

    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…

  1. Neural correlates of distraction in borderline personality disorder before and after dialectical behavior therapy.

    Science.gov (United States)

    Winter, Dorina; Niedtfeld, Inga; Schmitt, Ruth; Bohus, Martin; Schmahl, Christian; Herpertz, Sabine C

    2017-02-01

    Neural underpinnings of emotion dysregulation in borderline personality disorder (BPD) are characterized by limbic hyperactivity and disturbed prefrontal activity. It is unknown whether neural correlates of emotion regulation change after a psychotherapy which has the goal to improve emotion dysregulation in BPD, such as dialectical behavioral therapy (DBT). We investigated distraction as a main emotion regulation strategy before and after DBT in female patients with BPD. Thirty-one BPD patients were instructed to either passively view or memorize letters before being confronted with negative or neutral pictures in a distraction task during functional magnetic resonance imaging. This paradigm was applied before and after a 12-week residential DBT-based treatment program. We compared the DBT group to 15 BPD control patients, who continued their usual, non-DBT-based treatment or did not have any treatment, and 22 healthy participants. Behaviorally, BPD groups and healthy participants did not differ significantly with respect to alterations over time. On the neural level, BPD patients who received DBT-based treatment showed an activity decrease in the right inferior parietal lobe/supramarginal gyrus during distraction from negative rather than neutral stimuli when compared to both control groups. This decrease was correlated with improvement in self-reported borderline symptom severity. DBT responders exhibited decreased right perigenual anterior cingulate activity when viewing negative (rather than neutral) pictures. In conclusion, our findings reveal changes in neural activity associated with distraction during emotion processing after DBT in patients with BPD. These changes point to lower emotional susceptibility during distraction after BPD symptom improvement.

  2. How Italian dialect poets translate themselves and how they translate other poets

    Directory of Open Access Journals (Sweden)

    Edoardo Zuccato

    2017-07-01

    Full Text Available Part one of this essay discusses the way most contemporary Italian dialect poets translate themselves into Italian. Part two of the essay examines examples of poetry translation into dialect made by some of the same contemporary authors. A comparison between the style of the self-translations, which is mainly lyrical, and the variety of styles of the translations from other poets, shows that each choice is an intentional strategy rather than a missed opportunity for a more creative self-translation, as some scholars have argued.

  3. On tense, aspect and negation markings in Ògbahù dialect of Ìgbò ...

    African Journals Online (AJOL)

    This paper presents a descriptive account of some grammatical categories in gbahù dialect of the Ìgbò language, one of the three major languages of Nigeria, West Africa. The purpose of this study is to show how these grammatical categories operate in gbahù dialect. These grammatical categories (functors) are Tense, ...

  4. [SOPHO-NET - a research network on psychotherapy for social phobia].

    Science.gov (United States)

    Leichsenring, Falk; Salzer, Simone; Beutel, Manfred E; von Consbruch, Katrin; Herpertz, Stephan; Hiller, Wolfgang; Hoyer, Jürgen; Hüsing, Johannes; Irle, Eva; Joraschky, Peter; Konnopka, Alexander; König, Hans-Helmut; de Liz, Therese; Nolting, Björn; Pöhlmann, Karin; Ruhleder, Mirjana; Schauenburg, Henning; Stangier, Ulrich; Strauss, Bernhard; Subic-Wrana, Claudia; Vormfelde, Stefan V; Weniger, Godehard; Willutzki, Ulrike; Wiltink, Jörg; Leibing, Eric

    2009-01-01

    This paper presents the Social Phobia Psychotherapy Research Network (SOPHO-NET). SOPHO-NET is among the five research networks on psychotherapy funded by "Bundesministerium für Bildung und Forschung". The research program encompasses a coordinated group of studies of social phobia. In the central project (Study A), a multi-center randomized controlled trial, refined models of manualized cognitive-behavioral therapy (CBT) and manualized short-term psychodynamic psychotherapy (STPP) are compared in the treatment of social phobia. A sample of n=512 outpatients will be randomized to either CBT, STPP or wait list. For quality assurance and treatment integrity, a specific project has been established (Project Q). Study A is complemented by four interrelated projects focusing on attachment style (Study B1), cost-effectiveness (Study B2), polymorphisms in the serotonin transporter gene (Study C1) and on structural and functional deviations of hippocampus and amygdala (Study C2). Thus, the SOPHO-NET program allows for a highly interdisciplinary research of psychotherapy in social phobia.

  5. Training Psychiatry Residents in Psychotherapy: The Role of Manualized Treatments.

    Science.gov (United States)

    Pagano, Joshua; Kyle, Brandon N; Johnson, Toni L; Saeed, Sy Atezaz

    2017-06-01

    Evidence-based treatment and manualized psychotherapy have a recent but rich history. As interest and research have progressed, defining the role of treatment manuals in resident training and clinical practice has become more important. Although there is not a universal definition of treatment manual, most clinicians and researchers agree that treatment manuals are an essential piece of evidence-based therapy, and that despite several limitations, they offer advantages in training residents in psychotherapy. Requirements for resident training in psychotherapy have changed over the years, and treatment manuals offer a simple and straightforward way to meet training requirements. In a search limited to only depression, two treatment manuals emerged with the support of research regarding both clinical practice and resident training. In looking toward the future, it will be important for clinicians to remain updated on further advances in evidence based manualized treatment as a tool for training residents in psychotherapy, including recent developments in online and smartphone based treatments.

  6. [New Paradigms? Current Trends within National and International Psychotherapy Research].

    Science.gov (United States)

    Strauß, Bernhard

    2015-09-01

    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. © Georg Thieme Verlag KG Stuttgart · New York.

  7. Qualitative psychotherapy research: the journey so far and future directions.

    Science.gov (United States)

    Levitt, Heidi M

    2015-03-01

    This article documents the evolution of qualitative psychotherapy research over the past 3 decades. Clients' and therapists' accounts of their experiences in psychotherapy provide a window into the psychotherapy relationship and its mechanisms of change. A sizable body of literature has been generated that uses qualitative methods to collect and analyze these accounts and to shed light on the psychotherapy process. It notes changes in the field such as growing numbers of dissertations and publications using qualitative methods as well as a strengthening emphasis on qualitative research within graduate education and research funding bodies. Future recommendations include developing principles for practice from qualitative methods and conducting qualitative meta-analyses. Other recommendations include forming journal review policies that support the publication of qualitative research and that focus on coherence in adapting methods to meet research goals, in light of a study's characteristics and epistemological framework, rather than focusing on sets of procedures. (PsycINFO Database Record (c) 2015 APA, all rights reserved).

  8. The cost-effectiveness of psychotherapy for the major psychiatric diagnoses.

    Science.gov (United States)

    Lazar, Susan G

    2014-09-01

    Psychotherapy is an effective and often highly cost-effective medical intervention for many serious psychiatric conditions. Psychotherapy can also lead to savings in other medical and societal costs. It is at times the firstline and most important treatment and at other times augments the efficacy of psychotropic medication. Many patients are in need of more prolonged and intensive psychotherapy, including those with personality disorders and those with chronic complex psychiatric conditions often with severe anxiety and depression. Many patients with serious and complex psychiatric illness have experienced severe early life trauma in an atmosphere in which family members or caretakers themselves have serious psychiatric disorders. Children and adolescents with learning disabilities and those with severe psychiatric disorders can also require more than brief treatment. Other diagnostic groups for whom psychotherapy is effective and cost-effective include patients with schizophrenia, anxiety disorders (including posttraumatic stress disorder), depression, and substance abuse. In addition, psychotherapy for the medically ill with concomitant psychiatric illness often lowers medical costs, improves recovery from medical illness, and at times even prolongs life compared to similar patients not given psychotherapy. While "cost-effective" treatments can yield savings in healthcare costs, disability claims, and other societal costs, "cost-effective" by no means translates to "cheap" but instead describes treatments that are clinically effective and provided at a cost that is considered reasonable given the benefit they provide, even if the treatments increase direct expenses. In the current insurance climate in which Mental Health Parity is the law, insurers nonetheless often use their own non-research and non-clinically based medical necessity guidelines to subvert it and limit access to appropriate psychotherapeutic treatments. Many patients, especially those who need

  9. Personality Theory and Psychotherapy

    Science.gov (United States)

    Fagan, Joen; And Others

    1974-01-01

    This group of articles discusses various aspects of Gestalt Therapy including its major contributions, role in psychotherapy, and contributions of Gestalt psychology in general. There is some discussion of the philosophical background of Gestalt therapy along with Gestalt theory of emotion. A case study and an annotated bibliography are included…

  10. Towards a taxonomy of common factors in psychotherapy-results of an expert survey.

    Science.gov (United States)

    Tschacher, Wolfgang; Junghan, Ulrich Martin; Pfammatter, Mario

    2014-01-01

    How change comes about is hotly debated in psychotherapy research. One camp considers 'non-specific' or 'common factors', shared by different therapy approaches, as essential, whereas researchers of the other camp consider specific techniques as the essential ingredients of change. This controversy, however, suffers from unclear terminology and logical inconsistencies. The Taxonomy Project therefore aims at contributing to the definition and conceptualization of common factors of psychotherapy by analyzing their differential associations to standard techniques. A review identified 22 common factors discussed in psychotherapy research literature. We conducted a survey, in which 68 psychotherapy experts assessed how common factors are implemented by specific techniques. Using hierarchical linear models, we predicted each common factor by techniques and by experts' age, gender and allegiance to a therapy orientation. Common factors differed largely in their relevance for technique implementation. Patient engagement, Affective experiencing and Therapeutic alliance were judged most relevant. Common factors also differed with respect to how well they could be explained by the set of techniques. We present detailed profiles of all common factors by the (positively or negatively) associated techniques. There were indications of a biased taxonomy not covering the embodiment of psychotherapy (expressed by body-centred techniques such as progressive muscle relaxation, biofeedback training and hypnosis). Likewise, common factors did not adequately represent effective psychodynamic and systemic techniques. This taxonomic endeavour is a step towards a clarification of important core constructs of psychotherapy. This article relates standard techniques of psychotherapy (well known to practising therapists) to the change factors/change mechanisms discussed in psychotherapy theory. It gives a short review of the current debate on the mechanisms by which psychotherapy works. We

  11. Interpersonal Psychotherapy for Depressed Adolescents (IPT-A): A Case Illustration

    Science.gov (United States)

    Hall, Elisabeth Baerg; Mufson, Laura

    2009-01-01

    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…

  12. [Psychotherapy research in the German-speaking community--a bibliometric analysis of three journals].

    Science.gov (United States)

    Petermann, Franz; Schüssler, Gerhard

    2010-01-01

    Psychotherapy research has often been considered a neglected topic in clinical psychology, psychosomatic medicine, and psychiatry because of its massive organizational and financial demands. However, it is unclear whether this assumption actually reflects the research activities in the field. We conducted a bibliometric analysis of the annual volumes for 2008 and 2009 of three clinical journals published in German. All publications referring to facets of psychotherapy research were analysed. About 30% of the publications dealt with issues of psychotherapy research. Outcome and process studies were about equally distributed. Process research frequently focused on patient variables as outcome predictors. Outcome studies most often presented effectiveness studies with rather small sample sizes. Psychotherapy research is a well-represented and multifaceted field in the German speaking research community. However, the traditional distinction between efficacy and process research among the various schools of psychotherapy research may be hampering further developments in this branch. The government-funded research networks may turn out to be promising approaches to overcoming some of the obstacles of classic psychotherapy research.

  13. [Attitudes towards psychotherapy in South Korea and Germany : A cross-cultural comparative study].

    Science.gov (United States)

    Schulz, W; Shin, M A; Schmid-Ott, G

    2018-01-01

    Due to the relatively recent introduction of psychotherapy in South Korea and against the background of collectivist and Confucian values, it has been suggested that South Koreans harbor more negative attitudes towards psychotherapy compared to Germans and that the social acceptance of psychotherapy is lower. We compared the attitudes of 99 women from South Korea with 98 German women using the questionnaire on attitudes towards psychotherapeutic treatment (FEP). For the study of the South Korean women we translated the questionnaire into the Korean language. The results of the psychometric analysis suggest that the Korean version of the FEP is of acceptable quality. South Korean women reported a significantly more negative attitude towards psychotherapy compared to German women. Furthermore, South Korean women anticipated a more skeptical social attitude towards psychotherapy compared to Germans. The presented results suggest the relevance of cultural imprinting in psychotherapy. They are discussed with respect to culture-specific self-concepts, concepts of disease and healing expectations and the increase of individualistic values in the Korean society.

  14. Counselling/psychotherapy and older people in medical settings.

    OpenAIRE

    Trethewey-Spurgeon, Celia.

    2004-01-01

    This study explores the nature of the need for counselling/psychotherapy for older people who suffer a debilitating physical injury or illness. This topic is investigated within a medical setting where the emphasis is on physical rehabilitation. The relevance of this inquiry is highlighted by the paucity of literature about the individual impact of such an event and the need for counselling/psychotherapy in these situations. Theories, on the ageing process, the body, and the self, are used to...

  15. Perubahan Struktur Ekonomi, Dekomposisi Sumber Pertumbuhan Output, dan Pertumbuhan Total Factor Productivity (TFP: Analisis Lanjutan Tabel Input-Output Provinsi Kalimantan Selatan, 2000-2010

    Directory of Open Access Journals (Sweden)

    Nurul Fajri

    2016-11-01

    Full Text Available High economic growth is the target of economic development in each area. Economic development should be prioritized in sectors that can be a major driver of the economy so that the economy can grow faster. Economic growth can be seen from the aggregate demand side, namely consumption, investment, government spending, exports and imports, and the aggregate supply side namely labor growth, capital growth and the growth of TFP (Total Factor Productivity. This study uses South Kalimantan’s Input-Output Tables of 2000, 2005 and 2010. The results showed that although the structure of the value-added of the mining sector remains the main economic pillar, but this sector has low linkages with other sectors. The prime mover and driving economic growth sector are manufacturing sector i.e chemical industry, food, beverages and tobacco industry, rubber and plastics industry, paper, printing and publishing industry and industry of metal, machinery, transport equipment and other manufacturing industries. Based Multiplier Product Matrix, manufacturing industry suggest a leading role in the economy so that it can be said that the province of South Kalimantan are heading toward a change in the economic structure. Decomposition of sources of growth based on the Chenery’s model (1960 showed that the main source of economic growth in South Kalimantan is exports by 67 percent in the period 2000-2005 and 73.72 percent in the period 2005-2010, especially the export of coal. Decomposition of productivity growth made by Namura and Kuroda’s model (2004 and suggests that TFP growth and capital have a strong linear relationship and significant Output growth, while labor productivity have no significant correlation with Output growth. Finally, the wealth of the abundant natural resources, industry-oriented economic growth and sustainable development in South Kalimantan Province is agriculture-based industries and mining-based industries with the main strategy is to

  16. Communication Dialectics, Islam, and Sundanese Culture

    OpenAIRE

    Ujang Saefullah

    2013-01-01

    Customary societies of Kampung Dukuh is community tightly maintaining their tradition up to the present. It appeared on their life routine beginning from the way of having intercourse, the custom of consuming, the kind of living, the system of leadership until the construction model of stage house constructed from bamboo with palm fiber for the roof. This study aimed to analyze: 1) language dialectic, communication and Sundanese culture at customary society of Kampung Dukuh 2) communication d...

  17. The Dialectics of Democracy

    Directory of Open Access Journals (Sweden)

    Sari Roman-Lagerspetz

    2012-03-01

    Full Text Available ”Thinking publicly otherwise” is one of the foundations of democracy. The task of the opposition in a democratic system is to express distrust, to criticize the actions of the government and to provide an alternative. The opposition institutionalizes distrust, and, paradoxically, the presence of this institutionalized distrust is, for the citizens, one important reason to trust the democratic system. The claim defended here is that the relationship between the government and the opposition can be understood in terms of Hegel’s dialectics. Although Hegel’s political theory as formulated in his Philosophy of Right emphasizes the unifying role of the State, his earlier philosophy contains more democratic potential.

  18. Dialectic and conflicts

    DEFF Research Database (Denmark)

    Højholt, Charlotte; Kousholt, Dorte

    to turn into conflicts and the conflicts have personal and existential meanings to the participant in social practice (related to their possibilities for conducting everyday life) and they are historical and political (related to societal questions about education). We draw on conceptualizations of social......In this paper, we aim to develop a dialectical approach to analyzing social conflicts concerning children’s school life. Public education can be seen as a common cause different parties at the same time are engaged in and conflicting about. We want to discuss this unity between the distribution...... practice as contradictory and developed through its contradictions (Lave, Dreier, Axel). The theoretical discussion will be illustrated through examples from conflicts between children and between parents - in relation to dealing with focus on the tasks of the school as well as flexibility in relation...

  19. AHP 1:A RESPONSE TO WAYS AND THE SYNTAX OF NOUN PHRASES IN QĪNGHĂI CHINESE DIALECTS

    Directory of Open Access Journals (Sweden)

    Keith Dede

    2009-06-01

    Full Text Available In the course of offering a review of Zhāng Chéngcái's Ways, this paper describes the syntax of noun phrases in the Chinese dialect of Huángshuĭ, in Qīnghăi Province. Unlike other Chinese dialects, this dialect employs several postpositions for indicating syntactic nominal relationships. The origin of this phenomenon in contact with non-Sinitic languages in the region and its significance are also explored.

  20. Psychotherapy, psychopathology, research and practice: pathways of connections and integration.

    Science.gov (United States)

    Castonguay, Louis G

    2011-03-01

    This paper describes three pathways of connections between different communities of knowledge seekers: integration of psychotherapeutic approaches, integration of psychotherapy and psychopathology, and integration of science and practice. Some of the issues discussed involve the delineation and investigation of common factors (e.g., principles of change), improvement of major forms of psychotherapy, clinical implications of psychopathology research, as well as current and future directions related to practice-research networks. The aim of this paper is to suggest that building bridges across theoretical orientations, scientific fields, professional experiences, and epistemological views may be a fruitful strategy to improve our understanding and the impact of psychotherapy.

  1. Exploring Psychotherapy Clients' Independent Strategies for Change While in Therapy

    Science.gov (United States)

    Mackrill, Thomas

    2008-01-01

    Psychotherapy research usually describes how client change is caused by therapist interventions. This article describes how clients change by continuing to use and revising the strategies for change that they bring with them when they first enter therapy. This article presents data from a qualitative diary study of psychotherapy. Three cases…

  2. Situation of the Csángó Dialect of Moldavia in Romania

    Directory of Open Access Journals (Sweden)

    Siarl Ferdinand

    2016-10-01

    Full Text Available The following paper analyses the situation of the Csángó dialect spoken in the Romanian region of Moldavia. After a review of the global phenomenon of language death, its causes, and some resources to evaluate language vitality, the study focuses on the Csángó community and its Hungarian dialect. A short description of some fundamental facts about the group, such as ethnicity, religious affiliation, and linguistic background sets the base for an in-depth study of the language situation. In order to achieve that goal, the language was scrutinized according to the nine factors proposed by the UNESCO’s Language Vitality and Endangerment (LVE framework. The results confirm previous research in the field and show that Csángó is experiencing a decisive and most difficult phase in its history. It is expected, however, that this paper can contribute to create a successful planning to preserve not only Csángó but many other languages and dialects in similar situations.

  3. Humor and creativity in psychotherapy

    Directory of Open Access Journals (Sweden)

    Javier Martín Camacho

    2015-09-01

    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. 

  4. Psychiatric Residents' Views of Quality of Psychotherapy Training and Psychotherapy Competencies: A Multisite Survey

    Science.gov (United States)

    Calabrese, Christina; Sciolla, Andres; Zisook, Sidney; Bitner, Robin; Tuttle, Jeffrey; Dunn, Laura B.

    2010-01-01

    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…

  5. The effect of medical comorbidities on male and female Veterans' use of psychotherapy for PTSD.

    Science.gov (United States)

    Breland, Jessica Y; Greenbaum, Mark A; Zulman, Donna M; Rosen, Craig S

    2015-04-01

    Posttraumatic stress disorder (PTSD) is associated with an increased risk for medical comorbidities that may prevent participation in psychotherapy. The present study investigated whether medical comorbidities were associated with lower initiation rates and fewer psychotherapy visits for PTSD. Because women are more likely to initiate psychotherapy after traumatic events, we also assessed whether relationships were weaker among women. Veterans (N=482, 47% women) recently diagnosed with PTSD completed a survey assessing demographics, mood, functional status, and interest in treatment. Data on medical comorbidities, psychotherapy visits, antidepressant prescriptions, and service connection were assessed longitudinally through administrative files. Logistic and negative binomial regressions assessed associations between number of medical comorbidities in the 2 years before the survey and the initiation and number of psychotherapy visits for PTSD in the year after the survey. All analyses were stratified by sex and controlled for survey and administrative variables. The relationship between medical comorbidities and number of psychotherapy visits was stronger among women than among men. A greater number of medical comorbidities was associated with significantly fewer psychotherapy visits in the total sample [incidence rate ratio: 0.91; 95% confidence interval (CI): 0.83, 1.00] and among women (incidence rate ratio: 0.87; 95% CI: 0.77, 0.99), but not among men (95% CI: 0.75, 1.01). Medical comorbidities were not associated with the initiation of psychotherapy among men or women. Addressing medical comorbidities may help individuals remain in psychotherapy for PTSD. Medical comorbidities may play a larger role in the number of psychotherapy visits among women than men.

  6. Internet and video technology in psychotherapy supervision and training.

    Science.gov (United States)

    Wolf, Abraham W

    2011-06-01

    The seven articles in this special section on the use of Internet and video technology represent the latest growth on one branch of the increasingly prolific and differentiated work in the technology of psychotherapy. In addition to the work presented here on video and the Internet applications to supervision and training, information technology is changing the field of psychotherapy through computer assisted therapies and virtual reality interventions.

  7. GERMANISMS IN THE NORTH ČAKAVIAN DIALECT

    Directory of Open Access Journals (Sweden)

    Marija Turk

    2005-01-01

    Full Text Available This paper deals with Germanisms in some local idioms of the North Čakavian dialect. Phonological, morphological and word-formation variants of Germanisms are identified. Special attention is paid to the semantic fields and to the spatial, temporal, functional and stylistic stratification of the Germanisms, and to the degree to which they are recognized and used by speakers who belong to different generations.

  8. Dialectical Behaviour Therapy: Description, Research and Future Directions

    Science.gov (United States)

    Swales, Michaela A.

    2009-01-01

    Dialectical Behaviour Therapy (DBT) is a cognitive behavioural treatment initially developed for adult women with a diagnosis of borderline personality disorder (BPD) and a history of chronic suicidal behaviour (Linehan, 1993a; 1993b). DBT was the first treatment for BPD to demonstrate its efficacy in a randomised controlled trial (Linehan ,…

  9. Mandarin, Suzhou Dialect and English: Multilingualism in Suzhou

    Science.gov (United States)

    Xu, Sibing

    2015-01-01

    This paper explains the situation of Mandarin, Suzhou dialect and English in Suzhou, the relation between language policy and language use, discusses the positive and negative consequences that multilingualism in Suzhou might have for the society, and focuses on the change of language use in Suzhou and provides suggestions for the maintenance of…

  10. LANGUAGE PLANNING IN DIASPORA: THE CASE OF KURDISH KURMANJI DIALECT

    Directory of Open Access Journals (Sweden)

    Salih Akin

    2011-01-01

    Full Text Available In this paper, we study a particular case of language planning in Diaspora through the activities of the Committee for Standardization of Kurdish Kurmanji dialect spoken by the majority of Kurds living in Turkey, in Syria and by part of the Kurds living in Iran and in Iraq. Despite its sizeable speaker community,Kurmanji is not officially recognized and public education is not provided in this dialect in the countries where it is spoken. The absence of official recognition and structural variation within Kurmanji led Kurdish intellectuals and researchers living in exile to form the Committee in 1987. Holding two meetings per year in a European city, the Committee tries to standardize and to revitalize the Kurmanji dialect without relying on government support. We examine the activities of the committee in the light of its research in the field of language policy and planning. The activities will be assessed by three typologies of language planning: 1 Haugen’s classical model of language planning (1991 [1983]; 2 Hornberger’s integrative framework of language planning (1988; 3 Nahir’s Language Planning Goals (2000. Our contribution focuses on two aspects of the activities: corpus planning and dissemination of results in exile. We study the practices of collection of vocabulary and neology in different scientific domains as well as the influences of these activities on the development of Kurmanji.

  11. [From humanism to nihilism: dialectics on Jean Watson's caring theory].

    Science.gov (United States)

    Krol, Pawel J; Lavoie, Mireille

    2015-09-01

    nursing today is heir to values that have developed over many years. In addition to the values of human care, present-day nursing embraces values that shape our modern world. This dialectical study first traces the evolution of a number of the traditional values associated with human care that nursing has retained. It goes on to show how some of the values of human care have been cast aside in favour of modern--neoliberal, technocratic and bureaucratic--values which have in turn given rise to disturbing problems of instrumentalization. Watson's theory of caring proposes two ways to remedy such instrumentalization: espousing a transcendental, metaphysical mode of thought and adopting an altruistic humanism. However, many critics have questioned the theoretical consistency and very legitimacy of the theory as a means of dealing with instrumentalization. this study analyses Watson's proposals, using a Nietzschean dialectic approach to test them and to suggest possible solutions. Significant problems in terms of both consistency and relevance are brought to light, tending to refute Watson's notions. the study findings suggest that the application of Watson's theory may paradoxically perpetuate dualism and nihilism and, rather than curb their invasive impact, lead inevitably to a conversion to instrumental values. it's suggested an alternative, ethics-of-life approach based on the synthesis of our dialectics that would foster a return to, and respect for, humanity's essential nature.

  12. Solicited Diary Studies of Psychotherapy in Qualitative Research - Pros and Cons

    DEFF Research Database (Denmark)

    Mackrill, Thomas

    2008-01-01

    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...

  13. [Meaning in life and mental health: personal meaning systems of psychotherapists and psychotherapy patients].

    Science.gov (United States)

    Löffler, Sabine; Knappe, Rainer; Joraschky, Peter; Pöhlmann, Karin

    2010-01-01

    This study investigated differences in the personal meaning systems of psychotherapists and psychotherapy patients as well as correlations between meaning in life and mental health. We qualitatively assessed the content and structure of the personal meaning systems of 41 psychotherapists and 77 psychotherapy patients. In addition, the participants completed questionnaires measuring meaning in life (LRI-r-d), sense of coherence (SOC-9L), self-esteem (RSES), satisfaction with life (SWLS), self-efficacy (SWK), and depression (BDI). The personal meaning systems of psychotherapists were more complex and coherent compared to psychotherapy patients. In the group of psychotherapy patients, a more elaborate structure of the personal meaning system correlated with the subjective sense of meaning. We were able to confirm correlations between meaning in life and mental health for most of the instances. Psychotherapists had more elaborate and coherent meaning systems than psychotherapy patients. Especially for psychotherapy patients elaborate and coherent meaning systems turned out to be important for mental health.

  14. Emotion Regulation in Schema Therapy and Dialectical Behavior Therapy

    NARCIS (Netherlands)

    Fassbinder, E.; Schweiger, U.; Martius, D.; Brand-de Wilde, O.; Arntz, A.

    2016-01-01

    Schema therapy (ST) and dialectical behavior therapy (DBT) have both shown to be effective treatment methods especially for borderline personality disorder. Both, ST and DBT, have their roots in cognitive behavioral therapy and aim at helping patient to deal with emotional dysregulation. However,

  15. Children’s Marking of Verbal –s by Nonmainstream English Dialect and Clinical Status

    Science.gov (United States)

    Cleveland, Lesli H.; Oetting, Janna B.

    2015-01-01

    Purpose Children’s marking of verbal –s was examined by their dialect (African American English [AAE] vs. Southern White English [SWE]) and clinical status (specific language impairment [SLI] vs. typically developing [TD]) and as a function of 4 linguistic variables (verb regularity, negation, expression of a habitual activity, and expression of historical present tense). Method The data were language samples from 57 six-year-olds who varied by their dialect and clinical status (AAE: SLI = 14, TD = 12; SWE: SLI = 12, TD = 19). Results The AAE groups produced lower rates of marking than did the SWE groups, and the SWE SLI group produced lower rates of marking than did the SWE TD group. Although low numbers of verb contexts made it difficult to evaluate the linguistic variables, there was evidence of their influence, especially for verb regularity and negation. The direction and magnitude of the effects were often (but not always) consistent with what has been described in the adult dialect literature. Conclusion Verbal –s can be used to help distinguish children with and without SLI in SWE but not in AAE. Clinicians can apply these findings to other varieties of AAE and SWE and other dialects by considering rates of marking and the effects of linguistic variables on marking. PMID:23813205

  16. HRM Model in Tourism, Based on Dialectical Systems Theory

    Directory of Open Access Journals (Sweden)

    Simona Šarotar Žižek

    2015-12-01

    Full Text Available A human resources management (HRM model integrating trends in HRM with trends in tourism into a dialectical system by the Dialectical Systems Theory (DST. HRM strategy, integrated within the tourism organization’s (to’s strategy is implemented through functional strategies helping their users to achieve a requisitely holistic (rh HRM strategy replacing the prevailing one-sided ones. to’s strategy covers: employees (1 planning, (2 acquisition and selection, (3 development and training, (4 diversity management, (5 teamwork and creativity, (6 motivation and rewarding, (7 stress reduction and health, (8 relationships, (9 personal holism, (10 well-being, (11 work and results assessment; etc. Everyone matters; their synergy is crucial. An innovated HRM model for TOS, which applies employees’, organizations’ rh and integrates new knowledge about HRM. HRM belongs to central managers’ tools. Their HRM must be adapted for TOS, where employees are crucial.

  17. The dialectical antinomies for leisure

    Directory of Open Access Journals (Sweden)

    Gustavo Martins Piccolo

    2009-12-01

    Full Text Available The article looks, through a dry process of literature review, demarcate the leisure at the space dialectic of ownership, enjoyment and cultural objectification by the experience of entertainment in society, stressing the leisure phenomenon characteristic of mediated tools in the production of knowledge, which materiality can either be in line to the incorporation of the goals proposed by the hegemonic classes but also to critique these assumptions. Still in the framework of the text pointed possible relationships between physical education and leisure, which aim to produce a play area libertarian and emancipated. Keywords: leisure, Physical Education and culture.

  18. The Dialectical Nature of Business Strategy

    DEFF Research Database (Denmark)

    Gjerding, Allan Næs; Rasmussen, Jørgen Gulddahl

    Based on a theoretical overview and empirical observations, the paper discusses a variety of concepts of strategy. The main argument is that even though the concepts of strategy mostly reflect the perception of science at the macro-sociological level, the research field of strategy seems keen on ...... on mixing paradigms. The paper arrives at the argument that contemporary scholarly activities may benefit from viewing strategy as a dialectical phenomenon in terms of a continuous transposition of managerial decision making situations....

  19. Brief Psychotherapy for Maternal Depression: Impact on Mothers and Children.

    Science.gov (United States)

    Swartz, Holly A; Cyranowski, Jill M; Cheng, Yu; Zuckoff, Allan; Brent, David A; Markowitz, John C; Martin, Stacy; Amole, Marlissa C; Ritchey, Fiona; Frank, Ellen

    2016-06-01

    Two-generation studies demonstrate that treating maternal depression benefits school-age children. Although mothers prefer psychotherapy to medication, little is known about how psychotherapy for maternal depression affects offspring, especially in very high-risk families in which both mothers and children concurrently meet syndromal criteria for psychiatric disorders. This trial evaluated the effects of 2 brief psychotherapies for maternal depression on very high-risk families. Mothers with major depressive disorder were randomly assigned to 9 sessions of either brief interpersonal psychotherapy for mothers (IPT-MOMS; n = 85) or brief supportive psychotherapy (BSP; n = 83). Independent assessors evaluated mothers and their children, ages 7 to 18 years, diagnosed with at least 1 internalizing disorder, every 3 months over the course of 1 year. Symptoms and functioning of mothers and children improved significantly over time, with no between-group differences. However, children of mothers assigned to BSP had more outpatient mental health visits and were more likely to receive antidepressant medication. Mothers reported greater satisfaction with IPT-MOMS than BSP. Improvement in mothers' depressive symptoms was associated with improvement in child functioning in time-lagged fashion, with children improving 3 to 6 months after mothers improved. Antidepressant medication use and number of mental health visits received by children did not affect outcomes. IPT-MOMS and BSP demonstrated comparable beneficial effects on maternal depression. Children's functioning improved following maternal improvement, independent of youths' treatment. Children of mothers randomized to IPT-MOMS, compared with BSP, achieved comparable outcomes despite less follow-up treatment. Observation of lagged association between maternal improvement and change in child functioning should influence treatment planning for families. Clinical trial registration information-Psychotherapy for Depressed

  20. Research on Psychotherapy Integration: Recommendations and Conclusions from an NIMH Workshop.

    Science.gov (United States)

    Wolfe, Barry E.; Goldfried, Marvin R.

    1988-01-01

    Describes National Institute of Mental Health (NIMH) workshop (March 1986) which invited 14 psychotherapy researchers to consider key issues associated with psychotherapy integration. Discusses recommendations developed to initiate a research program encompassing conceptual clarification, efficacy studies of systematic eclectic therapies, the role…

  1. Development of 2D and 3D structured textile batteries processing conductive material with Tailored Fiber Placement (TFP)

    Science.gov (United States)

    Normann, M.; Grethe, T.; Zöll, K.; Ehrmann, A.; Schwarz-Pfeiffer, A.

    2017-10-01

    In recent years smart textiles have gained a significant increase of attention. Electrotherapeutic socks, light emitting dresses or shirts with integrated sensors, having the ability to process data of vital parameters, are just a few examples and the full potential is not yet exhausted: Smart textiles are not only used for clothing purposes. Sensors for the care of the elderly, light applications for home textiles and monitoring systems in the automotive section are promising fields for the future. For all these electrical and electronic features, the supply of power is needed. The most common used power supplies, however, are not flexible, often not lightweight and therefore a huge problem for the integration into textile products. In recent projects, textile-based batteries are being developed. Metal-coated fabrics and yarns (e.g. silver, copper, nickel, zinc) as well as carbon based materials were used to create textile based energy sources. This article gives an overview of textile based electrochemical cells by combining different conductive yarns and a gel-electrolyte. The available materials will be processed by embroidering utilizing tailored fiber placement (TFP). The electrical characteristics of different embroidered patterns and material combinations are examined.

  2. Proper Names in Dialectal Idioms: Stages of Idiomatization

    Directory of Open Access Journals (Sweden)

    Ekaterina S. Kogan

    2014-06-01

    Full Text Available The article deals with the functioning of proper names (both personal and place names and their derivatives in dialectal idioms. Based upon the criteria of the establishing of the idiomatic status of word combinations, traditionally used in contemporary lexicology, the author marks out four stages of the entry of units containing proper names and their derivatives into a regional idiomatic inventory: 1 word combinations with figurative meanings and transparent motivation easily decoded by every member of the local community (e. g., naryaditsa kak Anisya Klimovskaya ‘to be slovenly dressed’; 2 word combinations with a proper name localizing a nationally known idiom (e. g., zhelninsky telyonok ‘screaming person’; 3 word combinations including a name with a general meaning (e. g., Masha s Yashey ‘two inseparable persons’; 4 idioms with non-transparent motivation (e. g., tutursky pop ‘cuckoo male’. The analyzed data are retrieved from dialect dictionaries (including those of idioms and notes made by the Ural Federal University Toponymic Expeditions in Kostroma Region in 2011–2013.

  3. Place of psychotherapy in psychology movement toward cognitivism

    Directory of Open Access Journals (Sweden)

    Todorović Milorad V.

    2015-01-01

    Full Text Available Psychology striving to make us more aware of our own nature dominantly, if not exclusively, is realized through psychotherapy. Psychotherapy as a praxis of psychology, which only follows the psychological theory and without it we can hardly call it that, is largely dependent on the prevailing social trends and the dominant form of pathology that can occur in them. That theoretical aspects of many forms of pathology are not completely understood and not give the right to cancel the search for the unconscious forces that determine the subject. Dominant tendencies in contemporary psychology not only do not favor psychotherapy, but are directly aimed against it. At least against that psychotherapy which is based on the split subject, the interior space in which the physical and perceptual sensations, moral rules, mood depression and everything else that we call 'mental'. The great danger that is above psycho­therapy activity comes by pharmacology and cognitivism (lat. Cognitio 'knowledge' and the intellectual soul. Equating the mind and the brain makes psychotherapy unnecessary in relation to the pharmacology whose power impact becomes decisive on each deviation and every suffering. The fact that in the psychology shortens the long and uncertain path of mental knowledge that does not correspond to the nature of 'psychological' seems to be replaced by those efforts which are only concerned with the question of science. The fact that there is no comprehensive theory of emotions that can not be resolved by cognitivism which is opposite to emotional. Rorty's cynicism towards such efforts, which emphasize that the spirit is the same as that stimulate the brain and that the theorem symphonies and excreted in the same way that the spleen is excreted dark juices (Rorty 1990: 54 exhorts the psychology of the fact that instead of being which has a spirit, that is different from the 'physical body', 'matter', the central nervous system, has been the

  4. Multiple attachments and group psychotherapy: implications for college counseling centers.

    Science.gov (United States)

    Marmarosh, Cheri L

    2009-10-01

    A large body of literature has supported the application of attachment theory to the understanding of college student development and the process of individual psychotherapy. Despite group treatment being one of the major methods of intervention in college counseling centers, there has been very little research guided by attachment theory that has been applied to the area of group psychotherapy. Many current assessment instruments used in college counseling centers can be supported with attachment theory, and many group therapy interventions are aimed at facilitating secure working models of self, other, and groups. This paper explores the importance of personal and group attachments in group psychotherapy and specifically addresses implications for clinical training and research in university counseling centers.

  5. Navigating Instructional Dialectics: Empirical Exploration of Paradox in Teaching

    Science.gov (United States)

    Thompson, Blair; Rudick, C. Kyle; Kerssen-Griep, Jeff; Golsan, Kathryn

    2018-01-01

    Navigating contradiction represents an integral part of the teaching process. While educational literature has discussed the paradoxes that teachers experience in the classroom, minimal empirical research has analyzed the strategies teachers employ to address these paradoxes. Using relational dialectics as a theoretical framework for understanding…

  6. Change mechanisms of schema-centered group psychotherapy with personality disorder patients.

    Directory of Open Access Journals (Sweden)

    Wolfgang Tschacher

    Full Text Available BACKGROUND: This study addressed the temporal properties of personality disorders and their treatment by schema-centered group psychotherapy. It investigated the change mechanisms of psychotherapy using a novel method by which psychotherapy can be modeled explicitly in the temporal domain. METHODOLOGY AND FINDINGS: 69 patients were assigned to a specific schema-centered behavioral group psychotherapy, 26 to social skills training as a control condition. The largest diagnostic subgroups were narcissistic and borderline personality disorder. Both treatments offered 30 group sessions of 100 min duration each, at a frequency of two sessions per week. Therapy process was described by components resulting from principal component analysis of patients' session-reports that were obtained after each session. These patient-assessed components were Clarification, Bond, Rejection, and Emotional Activation. The statistical approach focused on time-lagged associations of components using time-series panel analysis. This method provided a detailed quantitative representation of therapy process. It was found that Clarification played a core role in schema-centered psychotherapy, reducing rejection and regulating the emotion of patients. This was also a change mechanism linked to therapy outcome. CONCLUSIONS/SIGNIFICANCE: The introduced process-oriented methodology allowed to highlight the mechanisms by which psychotherapeutic treatment became effective. Additionally, process models depicted the actual patterns that differentiated specific diagnostic subgroups. Time-series analysis explores Granger causality, a non-experimental approximation of causality based on temporal sequences. This methodology, resting upon naturalistic data, can explicate mechanisms of action in psychotherapy research and illustrate the temporal patterns underlying personality disorders.

  7. Murdelisest tegelaskõnest "Tõe ja õiguse" I osas / Dialect in the Speech of Characters in A. H. Tammsaare’s Truth and Justice Part I

    Directory of Open Access Journals (Sweden)

    Maria Mandri

    2015-06-01

    Full Text Available Teesid: Artikkel keskendub A. H. Tammsaare „Tõe ja õiguse“ pentaloogia I osas leiduvale murdelisele tegelaskõnele. Murdeline tegelaskõne on ilukirjanduslik võte, mis lähtub autori loomingulistest taotlustest ning on seega lahutamatu teose sisust. Keele- ja kirjandusteadust ühendades pakub artikkel seni puudu nud kontekstisidusa käsitluse „Tõe ja õiguse“ I osa tegelaskõnes kasutatud murdepärasuste omadustest ning funktsioonist teose sisu ja kompositsiooni toetamisel. Murdeline tegelaskõne osutab geograafiliselt kesk- ja läänemurde alale, iseloomustab tegelasi kui talurahva hulka kuulujaid, taotleb külaühiskonna realistlikku esitlust, toetab keeleliselt Vargamäe Ees- ja Tagapere ning vanade ja noorte vastandust.    SU M M A R Y   The use of language in Part I of A. H. Tammsaare’s five-volume novel Truth and Justice (Tõde ja Õigus has received quite a bit of scholarly attention. However, up till now there have been few treatments of dialect in characters’ speech that also take into account the coherence of context and the writer’s aesthetic goals. Features of dialect in characters’ speech have been noticed by many researchers, but they mostly limited themselves to giving descriptive accounts of dialect words. These earlier accounts often approached these passages as authentic specimens of dialect, and did not interpret them in context or as aspects of literary form. This article is based on the literary dialect theory of linguist and literary scholar Sumner Ives, who argues from the principle that dialect phenomena in literature cannot be studied as authentic specimens of dialect. In literature, when characters speak in dialect, this serves goals related to the content and composition of the work, and does not attempt to be a precise representation of real dialect speech. In this spirit, I will examine dialect in the characters’ speech in the first volume of Tammsaare’s cycle of novels Truth and Justice

  8. Believing is seeing: an evolving research program on patients' psychotherapy expectations.

    Science.gov (United States)

    Constantino, Michael J

    2012-01-01

    In this article I discuss one facet of my evolving research program focused on patients' psychotherapy-related expectations. Although generally considered a common psychotherapeutic factor, expectations have been historically undervalued conceptually, empirically, and clinically. Attempting to somewhat redress this slight, I will (a) define the various forms of patients' psychotherapy-related expectations, (b) present relevant findings from research that my colleagues, students, and I have conducted, (c) summarize an integrative psychotherapy approach that underscores expectations as an explanatory construct for patients' corrective experiences, and (d) highlight future research directions for increasing our understanding of the nature and functions of the expectancy construct.

  9. A comparative trial of psychotherapy and pharmacotherapy for "pure" dysthymic patients.

    Science.gov (United States)

    Markowitz, John C; Kocsis, James H; Bleiberg, Kathryn L; Christos, Paul J; Sacks, Michael

    2005-12-01

    Psychotherapy of "pure" dysthymic disorder remains understudied. This article reports outcomes of an acute randomized trial of 94 subjects treated for 16 weeks with either interpersonal psychotherapy (IPT), brief supportive psychotherapy (BSP), sertraline, or sertraline plus IPT. Recruited by clinical referral and advertising, subjects met DSM-IV criteria for early onset dysthymic disorder, with no episode of major depression in the prior six months. They were randomly assigned to one of four 16-week treatments, with options for crossover or continuation treatment. Results were analyzed from the intention-to-treat sample by ANCOVA, controlling for baseline depressive severity. Subjects improved in all conditions over time, with the cells including sertraline pharmacotherapy showing superiority over psychotherapy alone for response and remission. Response rates were 58% for sertraline alone, 57% for combined treatment, 35% for IPT, and 31% for BSP. The study was underpowered and may have employed too "active" a control condition. Follow-up data were unobtainable. In this acute trial for "pure" dysthymic disorder, sertraline with or without IPT showed advantages relative to IPT and BSP. Methodological difficulties may have limited differential outcome findings. This study bolsters a small but growing literature on the treatment of dysthymic disorder, suggesting that pharmacotherapy may acutely benefit patients more than psychotherapy.

  10. Structural and Dialectal Characteristics of the Fictional and Personal Narratives of School-age African American Children

    Science.gov (United States)

    Mills, Monique T.; Watkins, Ruth V.; Washington, Julie A.

    2014-01-01

    Purpose To report preliminary comparisons of developing structural characteristics associated with fictional and personal narratives in school-age African American children. Method Forty-three children, grades two through five, generated a fictional and a personal narrative in response to a wordless-book elicitation task and a story-prompt task, respectively. Narratives produced in these two contexts were characterized for macrostructure, microstructure, and dialect density. Differences across narrative type and grade level were examined. Results Statistically significant differences between the two types of narratives were found for both macrostructure and microstructure but not for dialect density. There were no grade-related differences in macrostructure, microstructure, or dialect density. Conclusion The results demonstrate the complementary role of fictional and personal narratives for describing young children's narrative skills. Use of both types of narrative tasks and descriptions of both macrostructure and macrostructure may be particularly useful for characterizing the narrative abilities of young school-age African American children, for whom culture-fair methods are scarce. Further study of additional dialect groups is warranted. PMID:23633645

  11. The Arts, Crafts, and Sciences of Psychotherapy.

    Science.gov (United States)

    Benjamin, Lorna Smith

    2015-11-01

    Contemporary training and practice of psychotherapy and the research that supports it is the subject of this review. I discuss it in the light of what I value most from my own professional training, which was, in my opinion, highly privileged by comparison with what is offered today. A minimal hoped-for outcome is that younger readers will find valuable tidbits here and there that will be useful in their own versions of psychotherapy. A maximal hope is that a few individuals who choose to maintain clinical skills as well as emphasize psychotherapy research might be encouraged to follow their instincts toward excellence. They would allow their curiosity to bloom and their work to be creative and more adherent to the rules of natural science than time allows in these days of dashboards that count funding associated with numbers of publications, grants, teaching, and service hours. Admittedly, that path less well traveled would be risky, because what truly is new takes time to develop and implement and the outcomes when research truly can disconfirm hypotheses (as distinct from fail to confirm them) are, well, uncertain. © 2015 Wiley Periodicals, Inc.

  12. Social Problem Solving and Depressive Symptoms Over Time: A Randomized Clinical Trial of Cognitive Behavioral Analysis System of Psychotherapy, Brief Supportive Psychotherapy, and Pharmacotherapy

    Science.gov (United States)

    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.

    2011-01-01

    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 chronically depressed patients who failed to fully respond to an initial trial of pharmacotherapy (Kocsis et al., 2009). Method Participants with chronic depression (n = 491) received Cognitive Behavioral Analysis System of Psychotherapy (CBASP), which emphasizes interpersonal problem-solving, plus medication; Brief Supportive Psychotherapy (BSP) plus medication; or medication alone for 12 weeks. Results CBASP plus pharmacotherapy was associated with significantly greater improvement in social problem solving than BSP plus pharmacotherapy, and a trend for greater improvement in problem solving than pharmacotherapy alone. In addition, change in social problem solving predicted subsequent change in depressive symptoms over time. However, the magnitude of the associations between changes in social problem solving and subsequent depressive symptoms did not differ across treatment conditions. Conclusions It does not appear that improved social problem solving is a mechanism that uniquely distinguishes CBASP from other treatment approaches. PMID:21500885

  13. Effectiveness of Psychotherapy in Personality Disorders Not Otherwise Specified: A Comparison of Different Treatment Modalities.

    Science.gov (United States)

    Horn, Eva K; Bartak, Anna; Meerman, Anke M M A; Rossum, Bert V; Ziegler, Uli M; Thunnissen, Moniek; Soons, Mirjam; Andrea, Helene; Hamers, Elisabeth F M; Emmelkamp, Paul M G; Stijnen, Theo; Busschbach, Jan J V; Verheul, Roel

    2015-01-01

    Although personality disorder not otherwise specified (PDNOS) is highly prevalent and associated with a high burden of disease, only a few treatment studies in this patient group exist. This study is the first to investigate the effectiveness of different modalities of psychotherapy in patients with PDNOS, i.e., short-term (up to 6 months) and long-term (more than 6 months) outpatient, day hospital, and inpatient psychotherapy. A total of 205 patients with PDNOS were assigned to one of six treatment modalities. Effectiveness was assessed over 60 months after baseline. The primary outcome measure was symptom severity, and the secondary outcome measures included psychosocial functioning and quality of life. The study design was quasi-experimental, and the multiple propensity score was used to control for initial differences between treatment groups. All treatment modalities showed positive outcomes, especially in terms of improvements of symptom severity and social role functioning. At 12-month follow-up, after adjustment for initial differences between the treatment groups, short-term outpatient psychotherapy and short-term inpatient psychotherapy showed most improvement and generally outperformed the other modalities concerning symptom severity. At 60 months after baseline, effectiveness remained but observed differences between modalities mostly diminished. Patients with PDNOS benefit from psychotherapy both at short-term and long-term follow-up. Short-term outpatient psychotherapy and short-term inpatient psychotherapy seem to be superior to the other treatment modalities at 12-month follow-up. At 60-month follow-up, treatments showed mostly comparable effectiveness. The effectiveness of different modalities of psychotherapy in patients with PDNOS (i.e., short-term vs long-term; outpatient versus day hospital versus inpatient psychotherapy) has not yet been compared. Different modalities of psychotherapy are effective for patients with PDNOS, and positive

  14. Efficacy of pharmacotherapy and psychotherapy for adult psychiatric disorders: a systematic overview of meta-analyses.

    Science.gov (United States)

    Huhn, Maximilian; Tardy, Magdolna; Spineli, Loukia Maria; Kissling, Werner; Förstl, Hans; Pitschel-Walz, Gabriele; Leucht, Claudia; Samara, Myrto; Dold, Markus; Davis, John M; Leucht, Stefan

    2014-06-01

    There is debate about the effectiveness of psychiatric treatments and whether pharmacotherapy or psychotherapy should be primarily used. To perform a systematic overview on the efficacy of pharmacotherapies and psychotherapies for major psychiatric disorders and to compare the quality of pharmacotherapy and psychotherapy trials. We searched MEDLINE, EMBASE, PsycINFO, and the Cochrane Library (April 2012, with no time or language limit) for systematic reviews on pharmacotherapy or psychotherapy vs placebo, pharmacotherapy vs psychotherapy, and their combination vs either modality alone. Two reviewers independently selected the meta-analyses and extracted efficacy effect sizes. We assessed the quality of the individual trials included in the pharmacotherapy and psychotherapy meta-analyses with the Cochrane risk of bias tool. The search yielded 45,233 results. We included 61 meta-analyses on 21 psychiatric disorders, which contained 852 individual trials and 137,126 participants. The mean effect size of the meta-analyses was medium (mean, 0.50; 95% CI, 0.41-0.59). Effect sizes of psychotherapies vs placebo tended to be higher than those of medication, but direct comparisons, albeit usually based on few trials, did not reveal consistent differences. Individual pharmacotherapy trials were more likely to have large sample sizes, blinding, control groups, and intention-to-treat analyses. In contrast, psychotherapy trials had lower dropout rates and provided follow-up data. In psychotherapy studies, wait-list designs showed larger effects than did comparisons with placebo. Many pharmacotherapies and psychotherapies are effective, but there is a lot of room for improvement. Because of the multiple differences in the methods used in pharmacotherapy and psychotherapy trials, indirect comparisons of their effect sizes compared with placebo or no treatment are problematic. Well-designed direct comparisons, which are scarce, need public funding. Because patients often benefit

  15. Practice Study Outpatient Psychotherapy - Switzerland (PAP-S) : Study design and feasibility (Revised edition)

    OpenAIRE

    Wyl, Agnes von; Crameri, Aureliano; Koemeda, Margit; Tschuschke, Volker; Schulthess, Peter

    2016-01-01

    Revised edition of Von Wyl, A., Crameri, A., Koemeda, M., Tschuchke, V. & Schulthess, P. (2013). The PAP-S (Practice of Ambulant Psychotherapy-Study), Switzerland: Study Design and Feasibility. Zurich University of Applied Sciences, Zurich. The original article was published in German: von Wyl, A., Crameri, A., Koemeda, M., Tschuschke, V. & Schulthess, P. (2013). Praxisstudie ambulante Psychotherapie Schweiz (PAP-S): Studiendesign und Machbarkeit. Psychotherapie-Wissenschaft, 1, 6-22; op...

  16. Psychosis and the dynamics of the psychotherapy process

    DEFF Research Database (Denmark)

    Rosenbaum, Bent; Harder, Susanne

    2007-01-01

    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 's......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...

  17. Malagasy dialects and the peopling of Madagascar.

    Science.gov (United States)

    Serva, Maurizio; Petroni, Filippo; Volchenkov, Dima; Wichmann, Søren

    2012-01-07

    The origin of Malagasy DNA is half African and half Indonesian, nevertheless the Malagasy language, spoken by the entire population, belongs to the Austronesian family. The language most closely related to Malagasy is Maanyan (Greater Barito East group of the Austronesian family), but related languages are also in Sulawesi, Malaysia and Sumatra. For this reason, and because Maanyan is spoken by a population which lives along the Barito river in Kalimantan and which does not possess the necessary skill for long maritime navigation, the ethnic composition of the Indonesian colonizers is still unclear. There is a general consensus that Indonesian sailors reached Madagascar by a maritime trek, but the time, the path and the landing area of the first colonization are all disputed. In this research, we try to answer these problems together with other ones, such as the historical configuration of Malagasy dialects, by types of analysis related to lexicostatistics and glottochronology that draw upon the automated method recently proposed by the authors. The data were collected by the first author at the beginning of 2010 with the invaluable help of Joselinà Soafara Néré and consist of Swadesh lists of 200 items for 23 dialects covering all areas of the island.

  18. Social Media and the Dialectic of Enlightenment

    Directory of Open Access Journals (Sweden)

    Henrik Juel

    2012-10-01

    Full Text Available My reflections in this paper concern revitalizing the critical potential of certain core concepts of Max Horkheimer and Theodor W. Adorno's Dialectic of Enlightenment (first published 1944 and bringing it to bear on the digital era in general and in particular on the phenomenon of modern social media. I find that the central philosophical critique of Dialectic of Enlightenment runs deeper than just a critique of contemporary (and perhaps now out-dated media technique and cultural habits. It is a critical view of the process of civilization, economy and enlightenment as such, a critical view of the seemingly self-evident notion of pure reason, science and technology. What Horkheimer and Adorno are trying to capture and reflect is the very process of rationality backlashing into irrationality. We seem to have reached the era of mathematics and exact calculation, but this leaves us with no sense of control or meaningfulness, and in the face of crisis and systemic contradictions in the now global society we tend to regress and rely on older, more primitive forms of sense-making and coping: magic, mythology and metaphysics - even ritual behaviour. But these philosophical reflections, can they help us evaluate the role of today's social media?

  19. Question Formation and Focus Construction in Owo: A Yoruba Dialect

    Directory of Open Access Journals (Sweden)

    Boluwaji Oshodi

    2016-06-01

    Full Text Available Question formation and focusing are two transformational processes attested in Standard Yorùbá both of which have been extensively discussed in previous studies. However, very little is known about these concepts in Owo (Owò̩̩̀ a south-East Yoruba (Yorùbá dialect. This study examines the concept of questions and focusing in Owo ̩̩̀̀dialect with a comparison of the processes in Standard Yorùbá. The study revealed some differences as well as similarities in the two processes in Owo ̩̩̀̀and standard Yorùbá. Just like in Standard Yorùbá, question markers in Owo ̩̩̀̀normally occur in sentence initial and final positions. However, the question marker de ̩̀constantly appears sentence medially before and before verbs in certain constructions. Furthermore, while the focus marker in Yorùbá normally occurs immediately after the focused item with a stable form, the focus marker in Owo ̩̩̀̀usually occurs at the sentence final position as a reduplicated form of the last syllable of the final item. Also, a pronoun which indicates number and agreement usually occurs immediately after the focused item in Owò̩̩̀. Finally, just like in Yorùbá, there is a syntactic relationship between question and focusing in Owo ̩̩̀̀dialect.

  20. The necessity of dialectics according to Plato and Adorno

    DEFF Research Database (Denmark)

    Olsen, Anne-Marie Eggert

    2009-01-01

    The paper deals with the notion of philosophy as, on the one hand, an academic or scientific discipline and, on the other, something perhaps superior to the disciplines and in any case dealing with what is not a 'disciplinary' matter. Through an interpretation of Plato's concept of dialectics and...

  1. Culturally Adapted Psychotherapy and the Legitimacy of Myth: A Multilevel Model, Direct Comparison Meta-Analysis

    Science.gov (United States)

    Benish, Steven G.

    2010-01-01

    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…

  2. Outcomes and Experiences of an Adapted Dialectic Behaviour Therapy Skills Training Group for People with Intellectual Disabilities

    Science.gov (United States)

    Crossland, Tom; Hewitt, Olivia; Walden, Sarah

    2017-01-01

    Background: A growing body of evidence supports the use of Dialectic Behaviour Therapy with people with an intellectual disability. Various adaptation have been used in studies exploring the efficacy of this intervention. Method: A Dialectic Behaviour Therapy DBT skills training group was attended by people with an intellectual disability and…

  3. Efficacy of group psychotherapy for social anxiety disorder: A meta-analysis of randomized-controlled trials.

    Science.gov (United States)

    Barkowski, Sarah; Schwartze, Dominique; Strauss, Bernhard; Burlingame, Gary M; Barth, Jürgen; Rosendahl, Jenny

    2016-04-01

    Group psychotherapy for social anxiety disorder (SAD) is an established treatment supported by findings from primary studies and earlier meta-analyses. However, a comprehensive summary of the recent evidence is still pending. This meta-analysis investigates the efficacy of group psychotherapy for adult patients with SAD. A literature search identified 36 randomized-controlled trials examining 2171 patients. Available studies used mainly cognitive-behavioral group therapies (CBGT); therefore, quantitative analyses were done for CBGT. Medium to large positive effects emerged for wait list-controlled trials for specific symptomatology: g=0.84, 95% CI [0.72; 0.97] and general psychopathology: g=0.62, 95% CI [0.36; 0.89]. Group psychotherapy was also superior to common factor control conditions in alleviating symptoms of SAD, but not in improving general psychopathology. No differences appeared for direct comparisons of group psychotherapy and individual psychotherapy or pharmacotherapy. Hence, group psychotherapy for SAD is an efficacious treatment, equivalent to other treatment formats. Copyright © 2016 Elsevier Ltd. All rights reserved.

  4. Psychodramatic psychotherapy combined with pharmacotherapy in major depressive disorder: an open and naturalistic study

    Directory of Open Access Journals (Sweden)

    Costa Elisabeth Maria Sene

    2006-01-01

    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.

  5. Creating a Lexicon of Bavarian Dialect by Means of Facebook Language Data and Crowdsourcing

    OpenAIRE

    Burghardt, Manuel; Granvogl, Daniel; Wolff, Christian

    2016-01-01

    Data acquisition in dialectology is typically a tedious task, as dialect samples of spoken language have to be collected via questionnaires or interviews. In this article, we suggest to use the “web as a corpus” approach for dialectology. We present a case study that demonstrates how authentic language data for the Bavarian dialect (ISO 639-3:bar) can be collected automatically from the social network Facebook. We also show that Facebook can be used effectively as a crowdsourcing pla...

  6. Creating a Lexicon of Bavarian Dialect by Means of Facebook Language Data and Crowdsourcing

    OpenAIRE

    Burghardt, Manuel; Granvogl, Daniel; Wolff, Christian

    2016-01-01

    Data acquisition in dialectology is typically a tedious task, as dialect samples of spoken language have to be collected via questionnaires or interviews. In this article, we suggest to use the “web as a corpus” approach for dialectology. We present a case study that demonstrates how authentic language data for the Bavarian dialect (ISO 639-3:bar) can be collected automatically from the social network Facebook. We also show that Facebook can be used effectively as a crowdsourcing platform, wh...

  7. History of Division 29, 1993-2013: another 20 years of psychotherapy.

    Science.gov (United States)

    Williams, Elizabeth Nutt; Barnett, Jeffrey E; Canter, Mathilda B

    2013-03-01

    The history of Division 29 (Psychotherapy) of the American Psychological Association (APA) from 1993 to 2013 is reviewed. The 20 years of history can be traced via the Division's primary publications (the journal Psychotherapy and its newsletter Psychotherapy Bulletin) as well as the history of those who have served leadership roles in the Division and have won Divisional awards. Several recurring themes emerge related to the Division's articulations of its own identity, the Division's advocacy efforts vis-à-vis the profession and the APA, and the work of the Division on behalf of major social issues (such as disaster relief and the nation's health care).

  8. Emerging and continuing trends in psychotherapy: views from an editor's eye.

    Science.gov (United States)

    Gelso, Charles J

    2011-06-01

    It is proposed that six major trends in psychotherapy have continued or emerged over the course of the author's editorship of Psychotherapy, the past seven years. These trends are (a) the increasing integration of techniques and the therapeutic relationship; (b) increasing focus on theoretical integration; (c) increasing efforts at research-practice integration; (d) increases in more specific, integrative reviews; (e) integration of biological, neuroscience understandings; and (f) integration of diversity and cultural considerations into psychotherapy. Each trend is described and its impact on the field is discussed. Cautions about each trend are also noted. The six trends are discussed in the context of integration.

  9. Modern tendencies in psychotherapy: The specialisation of practice and knowledge integration

    Directory of Open Access Journals (Sweden)

    Gavrilov-Jerković Vesna

    2003-01-01

    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.

  10. Parent-Infant Psychotherapy and Postpartum Depression: The Fathers Participation

    Directory of Open Access Journals (Sweden)

    Milena da Rosa Silva

    2013-05-01

    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.

  11. Content Coding of Psychotherapy Transcripts Using Labeled Topic Models.

    Science.gov (United States)

    Gaut, Garren; Steyvers, Mark; Imel, Zac E; Atkins, David C; Smyth, Padhraic

    2017-03-01

    Psychotherapy represents a broad class of medical interventions received by millions of patients each year. Unlike most medical treatments, its primary mechanisms are linguistic; i.e., the treatment relies directly on a conversation between a patient and provider. However, the evaluation of patient-provider conversation suffers from critical shortcomings, including intensive labor requirements, coder error, nonstandardized coding systems, and inability to scale up to larger data sets. To overcome these shortcomings, psychotherapy analysis needs a reliable and scalable method for summarizing the content of treatment encounters. We used a publicly available psychotherapy corpus from Alexander Street press comprising a large collection of transcripts of patient-provider conversations to compare coding performance for two machine learning methods. We used the labeled latent Dirichlet allocation (L-LDA) model to learn associations between text and codes, to predict codes in psychotherapy sessions, and to localize specific passages of within-session text representative of a session code. We compared the L-LDA model to a baseline lasso regression model using predictive accuracy and model generalizability (measured by calculating the area under the curve (AUC) from the receiver operating characteristic curve). The L-LDA model outperforms the lasso logistic regression model at predicting session-level codes with average AUC scores of 0.79, and 0.70, respectively. For fine-grained level coding, L-LDA and logistic regression are able to identify specific talk-turns representative of symptom codes. However, model performance for talk-turn identification is not yet as reliable as human coders. We conclude that the L-LDA model has the potential to be an objective, scalable method for accurate automated coding of psychotherapy sessions that perform better than comparable discriminative methods at session-level coding and can also predict fine-grained codes.

  12. Psychotherapy via Videoconferencing: A Review

    Science.gov (United States)

    Simpson, Susan

    2009-01-01

    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…

  13. Max Raphael, dialectics and Greek art

    OpenAIRE

    Healy, P.

    2007-01-01

    The article outlines what is required for a theory of art in the late work of Max Raphael, by showing that it is a response to a problematic first formulated, but left unanswered, by Marx, and which can be seen as developed by Raphael in his writing, especially the text he devoted to a dialectic interpretation of Greek art, with special reference to temple architecture. In detailing this latter study it is possible to see how Raphael’s understanding and analysis is guided by his account of an...

  14. Double-blind, placebo-controlled study of dialectical behavior therapy plus olanzapine for borderline personality disorder.

    Science.gov (United States)

    Soler, Joaquim; Pascual, Juan Carlos; Campins, Josefa; Barrachina, Judith; Puigdemont, Dolors; Alvarez, Enrique; Pérez, Victor

    2005-06-01

    The aim of this study was to determine the efficacy and safety of dialectical behavior therapy plus olanzapine compared with dialectical behavior therapy plus placebo in patients with borderline personality disorder. Sixty patients with borderline personality disorder were included in a 12-week, double-blind, placebo-controlled study. All patients received dialectical behavior therapy and were randomly assigned to receive either olanzapine or placebo following a 1-month baseline period. Seventy percent of the patients completed the 4-month trial. Combined treatment showed an overall improvement in most symptoms studied in both groups. Olanzapine was associated with a statistically significant improvement over placebo in depression, anxiety, and impulsivity/aggressive behavior. The mean dose of olanzapine was 8.83 mg/day. A combined psychotherapeutic plus pharmacological approach appears to lower dropout rates and constitutes an effective treatment for borderline personality disorder.

  15. Psychiatric and psychotherapeutic literacy: attitudes to, and knowledge of, psychotherapy.

    Science.gov (United States)

    Furnham, Adrian

    2009-11-01

    Whereas there is now a rapidly emerging literature on psychiatric literacy (Jorm, 2000), there is much less work on the public's knowledge of, and beliefs about the purpose of, and processes involved in, psychotherapy. This study looked at what lay people think happens during psychotherapy; what the processes and aims are; and the aetiology, treatment and prognosis for a mood and psychotic (bipolar, schizophrenia) and two neurotic (depression, obsessive-compulsive) disorders. In total 185 British adults, recruited by a market research company, completed a four-part questionnaire, lasting about 20 minutes. Participants were generally very positive about psychotherapy believing the experience to be highly beneficial. Schizophrenia was seen to have a biological basis; depression and bipolar disorder were perceived to have family, work and other stress-related causal issues; obsessive-compulsive disorder was seen to be caused by stress and family-related issues. Participants thought psychotherapy a very effective treatment but drug treatments more effective for schizophrenia and bipolar disorder. 'Talking it over' was judged highly relevant, specifically to depression. Participants believed that depression had a good chance of cure, and remission, but that neither schizophrenia nor bipolar disorder had much chance of an effective cure. Lay people show a curious pattern on insight, ignorance and naivety with regard to the cause and cure of mental disorders. They appear to have a modestly realistic but somewhat naive view of the process and efficacy of psychotherapy. This may influence how they react to their own and others' mental illness. It has clear implications for education in psychiatric literacy.

  16. The many secure knowledge bases of psychotherapy.

    Science.gov (United States)

    Bergner, Raymond M

    2006-01-01

    Psychotherapeutic practice, while it has benefited greatly from scientific research, rests on many further secure epistemic foundations. In the present article, this thesis is argued in two stages. First, a brief review of some elementary epistemological findings is presented. In this review, the generally acknowledged degree of certainty attributed to different knowledge sources, and thus the confidence with which we may believe and act upon them, are recounted. Second, an extended analysis of the ways in which each of these knowledge sources enter into the practice of psychotherapy is developed. In the end, what is proffered here is a demonstration that well conducted psychotherapy is an activity whose judgments and decisions rest on many secure foundations.

  17. Constructivism and psychotherapy.

    Science.gov (United States)

    Mahoney, Michael J; Granvold, Donald K

    2005-06-01

    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 develop. Techniques from many different traditions can help people find and refine their sense of balance as they develop.

  18. Brief Adlerian psychodynamic psychotherapy: theoretical issues and process indicators.

    Science.gov (United States)

    Fassino, S; Amianto, F; Ferrero, A

    2008-06-01

    Brief psychotherapy is gaining interest worldwide, because of its good cost/effectiveness ratio and proved efficacy. The aim of the paper was to describe the brief Adlerian psychodynamic psychotherapy (B-APP): a brief, psychodynamically oriented psychotherapy referring to the individual psychology (IP). The B-APP theory refers to the following paradigms: 1) the individual represents a psychosomatic unity integrated in the social context; 2) the individual needs to build and regulate the image of the self; 3) bond patterns regulate human relationships and represent the symbolic ''fil rouge'' connecting the elements of the life-style. Its objectives are: 1) an at least partial resolution of the focus problem; 2) a decrease or a non-increase of symptoms; 3) a global increase of quality of life. The results depend on intrapsychic and relational changes. Indications are more relative than absolute. The possibility of identifying a meaningful focus is fundamental. The treatment scheme includes 15 sessions subdivided into 5 phases. B-APP offers a technical approach to brief psychotherapy which is suitable in many fields of psychiatry and liaison medicine such as preventive interventions in at-risk subjects, somatopsychic disorders and liaison psychiatry, personality and eating disorders, and treatment of emotionally disturbed children. It was applied as psychotherapeutic approach in some clinical outcome studies about eating disorders and severe personality disorders displaying a good efficacy.

  19. [Need of specific criteria for psychotherapy referral in the public health system: A proposal].

    Science.gov (United States)

    García-Haro, J; Fernández-Briz, N

    2015-01-01

    This study discusses the need of specific criteria for psychotherapy referral in the public services. the use of psychotherapy as a supplement to traditional medication, and its comparison with informal methods of support, has been questioned. This study proposes the establishment of basic criteria for the integration of psychotherapy, based on an analysis of the conditions that allow it to function. It thus aims to contribute to improving the reputation and the practice conditions of psychotherapy in the public health system. Copyright © 2013 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

  20. Synchrony in Psychotherapy: A Review and an Integrative Framework for the Therapeutic Alliance

    Science.gov (United States)

    Koole, Sander L.; Tschacher, Wolfgang

    2016-01-01

    During psychotherapy, patient and therapist tend to spontaneously synchronize their vocal pitch, bodily movements, and even their physiological processes. In the present article, we consider how this pervasive phenomenon may shed new light on the therapeutic relationship– or alliance– and its role within psychotherapy. We first review clinical research on the alliance and the multidisciplinary area of interpersonal synchrony. We then integrate both literatures in the Interpersonal Synchrony (In-Sync) model of psychotherapy. According to the model, the alliance is grounded in the coupling of patient and therapist’s brains. Because brains do not interact directly, movement synchrony may help to establish inter-brain coupling. Inter-brain coupling may provide patient and therapist with access to another’s internal states, which facilitates common understanding and emotional sharing. Over time, these interpersonal exchanges may improve patients’ emotion-regulatory capacities and related therapeutic outcomes. We discuss the empirical assessment of interpersonal synchrony and review preliminary research on synchrony in psychotherapy. Finally, we summarize our main conclusions and consider the broader implications of viewing psychotherapy as the product of two interacting brains. PMID:27378968

  1. Synchrony in Psychotherapy: A Review and an Integrative Framework for the Therapeutic Alliance.

    Science.gov (United States)

    Koole, Sander L; Tschacher, Wolfgang

    2016-01-01

    During psychotherapy, patient and therapist tend to spontaneously synchronize their vocal pitch, bodily movements, and even their physiological processes. In the present article, we consider how this pervasive phenomenon may shed new light on the therapeutic relationship- or alliance- and its role within psychotherapy. We first review clinical research on the alliance and the multidisciplinary area of interpersonal synchrony. We then integrate both literatures in the Interpersonal Synchrony (In-Sync) model of psychotherapy. According to the model, the alliance is grounded in the coupling of patient and therapist's brains. Because brains do not interact directly, movement synchrony may help to establish inter-brain coupling. Inter-brain coupling may provide patient and therapist with access to another's internal states, which facilitates common understanding and emotional sharing. Over time, these interpersonal exchanges may improve patients' emotion-regulatory capacities and related therapeutic outcomes. We discuss the empirical assessment of interpersonal synchrony and review preliminary research on synchrony in psychotherapy. Finally, we summarize our main conclusions and consider the broader implications of viewing psychotherapy as the product of two interacting brains.

  2. RELATIONAL GROUP PSYCHOTHERAPY: THE HEALING OF STRESS, NEGLECT AND TRAUMA

    Directory of Open Access Journals (Sweden)

    Richard G. Erskine

    2010-01-01

    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.

  3. Playing off the beat: Applying the jazz paradigm to psychotherapy.

    Science.gov (United States)

    Johnson, David Read

    2018-02-01

    A jazz paradigm is applied to traditional psychotherapy practice, illuminating the links between psychotherapy and the Romantic aesthetic tradition, primarily in the centrality of concepts such as attunement. Modernist disruptions of realism during the early 20 th century, such as jazz, elaborated dissonant and improvisational artistic impulses that brought new vitality to their art forms. The psychotherapeutic relationship also has potential avenues for multilevel and discrepant communication that open possibilities of freedom. However, the limitations imposed by the single channel nature of comprehended language, compared with the capacity of artistic media to express multiple sensory information simultaneously, remain the most significant obstacle to dimensionalizing the psychotherapeutic dialogue. Psychotherapy may have much to gain from embracing some of the concepts underlying the jazz aesthetic. © 2018 Wiley Periodicals, Inc.

  4. Gestalt Therapy: Student Perceptions of Fritz Perls in "Three Approaches to Psychotherapy"

    Science.gov (United States)

    Reilly, Joe; Jacobus, Veronica

    2009-01-01

    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…

  5. Psychotherapy

    Science.gov (United States)

    Sansone, Lori A.

    2009-01-01

    Clinicians have a number of treatment options for dealing with the emotional ills of patients, including psychoeducation, psychotherapy, and pharmacotherapy. However, after years of experience in the clinical field, we have recognized that these treatment options may not be sufficient to adequately address the problems of some patients. We have found that adding a metaphysical/spiritual component may be helpful, particularly for those patients with histories of childhood trauma. In this edition of The Interface, we discuss four metaphysical techniques for facilitating patient healing—1) refocusing on the present, 2) reframing adversity, 3) practicing surrender, and 4) meditation. These approaches can be mutually integrated and compliment a psychological treatment in either the psychiatric or primary care setting, regardless of whether or not the patient has formal religious beliefs. PMID:20104289

  6. Palmistry, tarot cards, and psychotherapy.

    Science.gov (United States)

    Pejic, Nicholas G

    2008-01-01

    The author summarizes his experience with palm and Tarot card readers in New Orleans. The history, practice, and psychodynamics of palmistry and Tarot are explored. It's postulated that these practices are forms of archaic psychotherapy, which employ supportive treatment and placebo. These tactics are used to elicit hope for its clients.

  7. The relationship between clients' depression etiological beliefs and psychotherapy orientation preferences, expectations, and credibility beliefs.

    Science.gov (United States)

    Tompkins, Kelley A; Swift, Joshua K; Rousmaniere, Tony G; Whipple, Jason L

    2017-06-01

    The purpose of this study was to examine the relationship between clients' etiological beliefs for depression and treatment preferences, credibility beliefs, and outcome expectations for five different depression treatments-behavioral activation, cognitive therapy, interpersonal psychotherapy, pharmacotherapy, and psychodynamic psychotherapy. Adult psychotherapy clients (N = 98) were asked to complete an online survey that included the Reasons for Depression Questionnaire, a brief description of each of the five treatment options, and credibility, expectancy, and preference questions for each option. On average, the participating clients rated pharmacotherapy as significantly less credible, having a lower likelihood of success, and being less preferred than the four types of psychotherapy. In general, interpersonal psychotherapy was also rated more negatively than the other types of psychotherapy. However, these findings depended somewhat on whether the participating client was personally experiencing depression. Credibility beliefs, outcome expectations, and preferences for pharmacotherapy were positively associated with biological beliefs for depression; however, the other hypothesized relationships between etiological beliefs and treatment attitudes were not supported. Although the study is limited based on the specific sample and treatment descriptions that were used, the results may still have implications for psychotherapy research, training, and practice. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  8. Psychotherapy: Adaptation or Walking Together? (A Roadside Conversation

    Directory of Open Access Journals (Sweden)

    Nina Bychkova

    2011-02-01

    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. 

  9. Psychotherapy role expectations and experiences - discrepancy and therapeutic alliance among patients with substance use disorders.

    Science.gov (United States)

    Frankl, My; Philips, Björn; Wennberg, Peter

    2014-12-01

    The main aim of the study was to examine how the discrepancy between role expectations prior to psychotherapy and experiences of ongoing psychotherapy related to therapeutic alliance. We hypothesized that a similarity between patient role expectations and experiences would be associated with a stronger alliance. The study also examined whether different dimensions of psychotherapy role expectations predicted retention in psychotherapy. A naturalistic study design was used with data collected prior to therapy and during the first 6 months of therapy. Patients with substance use disorders completed the Psychotherapy Expectation Questionnaire-short version (PEX-S) at the time of therapy assessment. A subsample of these patients (n = 41; n = 24 in individual therapy and n = 17 in group therapy) provided data from therapy including psychotherapy experiences (also measured with PEX-S) and therapeutic alliance, measured with Working Alliance Questionnaire-short version. For patients in group therapy, discrepancy between role expectations and experiences correlated negatively with alliance. Expectations prior to psychotherapy characterized by defensiveness correlated negatively with therapy retention. The finding that disconfirmation of patients' role expectations in group therapy were associated with weaker therapeutic alliance highlights the importance of discussing psychotherapy expectations at an early stage in treatment. Expectations characterized by defensiveness predicted worse retention in psychotherapy, which indicates that the PEX-S can be helpful in detecting patients at risk for dropout. In targeting a patient's role expectancies prior to treatment, possible discrepancies between patient and therapist are made visible and possible to examine. Clarifying the patient's role expectations and the therapist's rationale might be a first step towards establishing a strong working alliance. Surveying the patient's defensiveness tendencies at the beginning of therapy

  10. Resistances in the first session of psychodrama psychotherapy group with adults.

    Science.gov (United States)

    Drakulić, Aleksandra Mindoljević

    2010-06-01

    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 person's functioning in therapy. In psychodrama, which is a type of action method of group psychotherapy, resistance can manifest through continuous verbalization of problems, in not wanting to act out the problem, the protagonist's typical non-verbal message or the most obvious manifestation: the absence of the protagonist. This paper will be on the typical resistance which the therapist has noticed during the first session of psychodrama psychotherapy, with a small group of adult clients. As the group was young and with undeveloped cohesiveness, resistance represented a certain balancing power for maintaining mental homeostasis of the group.

  11. A comparison to West Germanic languages and Dutch dialects

    African Journals Online (AJOL)

    Kate H

    From an applied perspective (i.e. human language technology), we aim to .... Frisian group)?. 3. 2. If so, are there Dutch dialects which are closer to Afrikaans than Standard Dutch is? If this is so, which one is closest and would therefore be better suited for our ...... divergence: Conceptual and methodological considerations.

  12. Can Independent Judges Recognize Different Psychotherapies? An Experience with Manual-Guided Therapies.

    Science.gov (United States)

    Luborsky, Lester; And Others

    1982-01-01

    Tested whether independent judges could recognize three different manual-guided psychotherapies, drug counseling, supportive-expressive psychotherapy, and cognitive-behavioral using a special rating form containing scales for the characteristic aspects of each type. Results indicated that manual-guided therapies can be reliably recognized.…

  13. Dialect and Cultural Contact, Shift and Maintenance among the Jordanians Living in Irbid City: A Sociolinguistic Study

    Science.gov (United States)

    Abushihab, Ibrahim

    2015-01-01

    The paper investigates the issue of dialect and cultural contact among Jordanians living in Irbid city in the north of Jordan. The objective of the paper is to find the extent of dialect and cultural shift and maintenance among them. The data are collected by means of interviews and observations. A sample of 100 participants has been selected on…

  14. [On the present situation in psychotherapy and its implications - A critical analysis of the facts].

    Science.gov (United States)

    Tschuschke, Volker; Freyberger, Harald J

    2015-01-01

    The currently dominating research paradigm in evidence-based medicine is expounded and discussed regarding the problems deduced from so-called empirically supported treatments (EST) in psychology and psychotherapy. Prevalent political and economic as well as ideological backgrounds influence the present dominance of the medical model in psychotherapy by implementing the randomized-controlled research design as the standard in the field. It has been demonstrated that randomized controlled trials (RCTs) are inadequate in psychotherapy research, not the least because of the high complexity of the psychotherapy and the relatively weak role of the treatment concept in the change process itself. All major meta-analyses show that the Dodo bird verdict is still alive, thereby demonstrating that the medical model in psychotherapy with its RCT paradigm cannot explain the equivalence paradox. The medical model is inappropriate, so that the contextual model is proposed as an alternative. Extensive process-outcome research is suggested as the only viable and reasonable way to identify highly complex interactions between the many factors regularly involved in change processes in psychotherapy.

  15. Psychotherapy: from exorcism to cognitive theories

    Directory of Open Access Journals (Sweden)

    Durval Mazzei Nogueira Filho

    Full Text Available The author discusses aspects of psychotherapeutic action. He defends the rationality of the procedure, comments on the splintering of the field of psychotherapy and discusses the usefulness of applying the scientific methodology to this field of knowledge.

  16. Does gratitude writing improve the mental health of psychotherapy clients? Evidence from a randomized controlled trial.

    Science.gov (United States)

    Wong, Y Joel; Owen, Jesse; Gabana, Nicole T; Brown, Joshua W; McInnis, Sydney; Toth, Paul; Gilman, Lynn

    2018-03-01

    Although the past decade has witnessed growing research interest in positive psychological interventions (PPIs), their potential as adjunctive interventions for psychotherapy remains relatively unexplored. Therefore, this article expands the frontiers of PPI research by reporting the first randomized controlled trial to test a gratitude writing adjunctive intervention for psychotherapy clients. Participants were 293 adults seeking university-based psychotherapy services. Participants were randomly assigned to one of three conditions: (a) control (psychotherapy only), (b) a psychotherapy plus expressive writing, and (c) a psychotherapy plus gratitude writing. Participants in the gratitude condition wrote letters expressing gratitude to others, whereas those in the expressive writing condition wrote about their deepest thoughts and feelings about stressful experiences. About 4 weeks as well as 12 weeks after the conclusion of the writing intervention, participants in the gratitude condition reported significantly better mental health than those in the expressive and control conditions, whereas those in the expressive and control conditions did not differ significantly. Moreover, lower proportions of negative emotion words in participants' writing mediated the positive effect of condition (gratitude versus expressive writing) on mental health. These findings are discussed in light of the use of gratitude interventions as adjunctive interventions for psychotherapy clients.

  17. Normativity I – The Dialectical Legacy | Strauss | South African ...

    African Journals Online (AJOL)

    With Habermas it is important to realize that one has to differentiate between moral and non-moral (a-moral) norms, which is different from what is immoral. However, since the Renaissance reflections on human freedom were caught up in the dialectic of necessity (nature) and freedom. A brief sketch is given of the ...

  18. Transformational Theory and English as a Second Language/Dialect.

    Science.gov (United States)

    Scott, Charles T.

    Noam Chomsky's numerous criticisms of formerly well-accepted beliefs about the nature of language learning (e.g. in his review of Skinner's "Verbal Behavior") have led to a diversity of views regarding the potential application of transformational theory to the teaching of English as a second language/dialect. It seems clear, moreover, that his…

  19. The Dialectic Of Will: The Will as Subjetivityc In The Introduction Of The Philosophy Of Right

    Directory of Open Access Journals (Sweden)

    Diego Soares Souza

    2014-09-01

    Full Text Available This article intends to analyze the dialectic development of the concept of free will in Hegel's thought. This concept, that just becomes comprehensible with its practical effectiveness among social institutions, that mean, Abstract Right Morality and Ethics, will be presented here firstly in its subjective moment, in that it remains abstract. Thus we seek to show what dialectical moments lead the will to realize its self determination.

  20. [Psychotherapies for the Treatment of Phantom Limb Pain].

    Science.gov (United States)

    Cárdenas, Katherine; Aranda, Mariana

    The phantom limb pain has been described as a condition in which patients experience a feeling of itching, spasm or pain in a limb or body part that has been previously amputated. Such pain can be induced by a conflict between the representation of the visual and proprioceptive feedback of the previously healthy limb. The phantom limb pain occurs in at least 42 to 90% of amputees. Regular drug treatment of phantom limb pain is almost never effective. A systematic review of the literature was conducted in Medline and Cochrane using the MESH terms "phantom limb pain" and "psychotherapy", published in the last 10 years, in English and Spanish, finding 49 items. After reviewing the abstracts, 25 articles were excluded for not being related to the objective of the research. Additionally cross references of included articles and literature were reviewed. To describe the psychotherapies used in the management of phantom limb pain, their effectiveness and clinical application reported in the literature. The mechanisms underlying phantom limb pain were initially explained, as were the published studies on the usefulness of some psychotherapies such as mirror visual feedback and immersive virtual reality, visual imagery, desensitization and reprocessing eye movements and hypnosis. The phantom limb pain is a complex syndrome that requires pharmacological and psychotherapeutic intervention. The psychotherapies that have been used the most as adjuvants in the treatment of phantom limb pain are mirror visual feedback, desensitization and reprocessing eye movements, imagery and hypnosis. Studies with more representative samples, specifically randomized trials are required. Copyright © 2016 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  1. Current Perspective on MDMA-Assisted Psychotherapy for Posttraumatic Stress Disorder

    OpenAIRE

    Thal, Sascha B.; Lommen, Miriam J.J.

    2018-01-01

    The present paper discusses the current literature with regard to substance-assisted psychotherapy with Methylenedioxymethamphetamine (MDMA) for posttraumatic stress disorder (PTSD). The aim of the paper is to give a comprehensive overview of the development from MDMA’s early application in psychotherapy to its present and future role in the treatment of PTSD. It is further attempted to increase the attention for MDMA’s therapeutic potential by providing a thorough depiction of the scientific...

  2. Argumentative Polylogues: Beyond Dialectical Understanding of Fallacies

    Directory of Open Access Journals (Sweden)

    Lewiński Marcin

    2014-03-01

    Full Text Available Dialectical fallacies are typically defined as breaches of the rules of a regulated discussion between two participants (di-logue. What if discussions become more complex and involve multiple parties with distinct positions to argue for (poly-logues? Are there distinct argumentation norms of polylogues? If so, can their violations be conceptualized as polylogical fallacies? I will argue for such an approach and analyze two candidates for argumentative breaches of multi-party rationality: false dilemma and collateral straw man.

  3. Nonverbal Synchrony in Psychotherapy: Coordinated Body Movement Reflects Relationship Quality and Outcome

    Science.gov (United States)

    Ramseyer, Fabian; Tschacher, Wolfgang

    2011-01-01

    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…

  4. [Multiprofessional inpatient psychotherapy of depression in old age].

    Science.gov (United States)

    Cabanel, N; Kundermann, B; Franz, M; Müller, M J

    2017-11-01

    Depression is common in old age but is often underdiagnosed and inadequately treated. Although psychotherapy is considered effective for treating elderly patients with depression, it is rarely applied in inpatient settings. Furthermore, treatment on inpatient units specialized for elderly patients and implementation of a psychotherapeutic treatment approach are currently more the exception. From this background, a multiprofessional inpatient behavioral treatment program (MVT) for elderly depressed patients was developed at a specialized unit of a university-affiliated regional psychiatric hospital. The MVT is based on specific and modularized group therapies accompanied by individual therapeutic interventions. While the provision of group therapies (such as psychotherapy, social skills training, relaxation training, euthymic and mindfulness-based methods, exercise and occupational therapy as well as psychoeducational sessions for relatives) is assigned to specific professional groups, a joint multiprofessional treatment planning is of central relevance. First evaluations of different treatment components support the high acceptability of the MVT and highlight that psychotherapeutic inpatient treatment programs for the elderly are feasible. Further research is required to investigate the clinical efficacy of psychotherapy in elderly depressive inpatients.

  5. Max Raphael: Dialectics and Greek Art

    Directory of Open Access Journals (Sweden)

    Patrick Healy

    2014-07-01

    Full Text Available The article outlines what is required for a theory of art in the late work of Max Raphael, by showing that it is a response to a problematic first formulated, but left unanswered, by Marx, and which can be seen as developed by Raphael in his writing, especially the text he devoted to a dialectic interpretation of Greek art, with special reference to temple architecture. In detailing this latter study it is possible to see how Raphael’s understanding and analysis is guided by his account of an empirical theory of art, and contributes to its further elaboration.

  6. The Challenge of White Dialectics: Making the "Invisible" Visible

    Science.gov (United States)

    Sue, Derald Wing

    2011-01-01

    In this article, the author comments on the substance of Todd and Abrams's study on "White Dialectics: A New Framework for Theory, Research, and Practice With White Students" (2011). The study is a major contribution to the importance of raising awareness of how Whiteness, White privilege, and one's own complicity in the perpetuation of racism are…

  7. Psychotherapy with people with developmental disabilities

    Directory of Open Access Journals (Sweden)

    Barbara Zafošnik

    2011-08-01

    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.

  8. Looking back, looking forward: A historical reflection on psychotherapy process research.

    Science.gov (United States)

    Knobloch-Fedders, Lynne M; Elkin, Irene; Kiesler, Donald J

    2015-01-01

    In 1983, a group of 14 prominent psychotherapy process researchers attended a workshop sponsored by the US National Institute of Mental Health. Although the previous decade had seen a marked emphasis on psychotherapy outcome research, there had also been several major advances in the field of process research. The goals of the workshop were to review the current state of the field, address methodological and conceptual issues, and provide recommendations to advance scholarship in this area. In this paper, we summarize the major themes of the workshop and consider the degree to which its recommendations have come to fruition via subsequent developments in the field. Although 30 years have passed since the workshop was held, its insights remain highly relevant to psychotherapy process research today.

  9. Fundamental dilemmas in contemporary psychotherapy: a transtheoretical concept.

    Science.gov (United States)

    Scaturo, Douglas J

    2002-01-01

    The transtheoretical nature of fundamental dilemmas in contemporary psychotherapy is explored. The basic distinction between technical and ethical dilemmas in clinical practice is discussed, as well as the ramifications for the psychotherapist. Clinical dilemmas identified by survey research studies and interviews with master psychotherapists are reviewed. In addition to dilemmas relevant to circumscribed areas of psychotherapy, such as brief therapy, managed mental health care, sexual questions, feminist therapy, dilemmas fundamental to the psychotherapeutic process as a whole are examined. Finally, clinical examples are provided that include such issues as hospitalization of the suicidal patient, dealing with known contraindications, treating the intractable patient, and self-care of the psychotherapist.

  10. Dialectical Behavior Therapy: Current Indications and Unique Elements

    OpenAIRE

    Chapman, Alexander L.

    2006-01-01

    Dialectical behavior therapy (DBT) is a comprehensive, evidence-based treatment for borderline personality disorder (BPD). The patient populations for which DBT has the most empirical support include parasuicidal women with borderline personality disorder (BPD), but there have been promising findings for patients with BPD and substance use disorders (SUDs), persons who meet criteria for binge-eating disorder, and depressed elderly patients. Although DBT has many similarities with other cognit...

  11. TO THE PROBLEM OF RELIABILITY OF LEXICAL DATA IN RUSSIAN DIALECTAL LEXICOGRAPHY AND ETYMOLOGY

    Directory of Open Access Journals (Sweden)

    Alexandr E. Anikin

    2015-01-01

    Full Text Available The problem considered in the article is the following: in the Russian dialect dictionaries (first and foremost, the “Dictionary of Russian Dialects”, but also the dictionary of V. I. Dal’ and occasionally others we sometimes find distortions of lexical data (due to errors in recording, typos, etc. that lead to incorrect etymological and other solutions. For example, dial. otsúmivat’ ‘avert love’ has been explicated as a loan-word from Turkish süm ‘love’, when in reality we have to do with a distortion of otsúshivat’, an antonym of prisushít’ ‘make lovesick’, cf. sushít’. According to the article, the solution to the problem lies in allowing conjectures for dialectal words as one of the resources of Russian etymology. A special concern in this study is the «Dictionary of the Russian Dialects of Transbaikalia» by L.E. Eliasov. The article argues that it contains distorted lexical data such as son ‘sweet meat’ instead of expected sok ‘very tasty meat’. 

  12. Health Information in Chinese, Simplified (Mandarin dialect) (简体中文)

    Science.gov (United States)

    ... Mandarin dialect)) MP4 Healthy Roads Media Postpartum Depression Emotional Changes After Giving Birth - 简体中文 (Chinese, Simplified (Mandarin ... PDF Vermont Department of Health Women's Health Non-Contraceptive Indications for Hormonal Contraceptive Products - English PDF Non- ...

  13. Efficacy and enlightenment: LSD psychotherapy and the Drug Amendments of 1962.

    Science.gov (United States)

    Oram, Matthew

    2014-04-01

    The decline in therapeutic research with lysergic acid diethylamide (LSD) in the United States over the course of the 1960s has commonly been attributed to the growing controversy surrounding its recreational use. However, research difficulties played an equal role in LSD psychotherapy's demise, as they frustrated researchers' efforts to clearly establish the efficacy of treatment. Once the Kefauver Harris Drug Amendments of 1962 introduced the requirement that proof of efficacy be established through controlled clinical trials before a drug could be approved to market, the value of clinical research became increasingly dependent on the scientific rigor of the trial's design. LSD psychotherapy's complex method of utilizing drug effects to catalyze a psychological treatment clashed with the controlled trial methodology on both theoretical and practical levels, making proof of efficacy difficult to obtain. Through a close examination of clinical trials performed after 1962, this article explores how the new emphasis on controlled clinical trials frustrated the progress of LSD psychotherapy research by focusing researchers' attention on trial design to the detriment of their therapeutic method. This analysis provides a new perspective on the death of LSD psychotherapy and explores the implications of the Drug Amendments of 1962.

  14. Implications of RDoC for the research and practice of psychotherapy.

    Science.gov (United States)

    Hershenberg, Rachel; Goldfried, Marvin R

    2015-03-01

    The field of psychotherapy is at an important juncture. Recent changes in the field include (a) the skeptical reception of the fifth edition of the Diagnostic and Statistical Manual and (b) NIMH's prioritization of an alternative classification system to guide translational and intervention research. Moreover, (c) the field continues to be held accountable to governmental agencies and third-party payers to demonstrate its empirical basis. Thus, psychological research as it relates to the practice of psychotherapy is at a crossroads. In this article, we provide a brief overview of several generations of psychotherapy outcome research, including the consequences that followed in the 1980s as psychotherapy research moved toward randomized controlled trials for clinical disorders. We delineate the inherent strengths and limitations of this movement and address how the NIMH has recently responded with the Research Domain Criteria (RDoC). We then address philosophical and practical implications of the emphasis on a neuroscientific conceptualization of psychological problems. Finally, we discuss opportunities for a next generation of convergent science that incorporates, rather than replaces, psychosocial variables across stages of translational research and treatment development. Copyright © 2014. Published by Elsevier Ltd.

  15. Emotion episodes during psychotherapy sessions among women newly diagnosed with gynecological cancers.

    Science.gov (United States)

    Myers Virtue, Shannon; Manne, Sharon L; Darabos, Kathleen; Heckman, Carolyn J; Ozga, Melissa; Kissane, David; Rubin, Stephen; Rosenblum, Norman

    2015-09-01

    The aim of this study was to describe emotion episodes during early and late psychotherapy sessions among women newly diagnosed with gynecological cancer and to examine whether the total number of emotion episodes during early and later sessions was associated with baseline psychological distress, dispositional emotion expressivity, and patient-rated therapeutic progress. The study utilized data from an ongoing study examining the efficacy of two psychotherapy interventions, a coping and communication intervention and a supportive counseling intervention, for women diagnosed with gynecological cancer. Emotion episode coding was completed for the first and sixth psychotherapy sessions for each patient randomized to receive psychotherapy (N = 173). Patients completed baseline survey measures of psychological distress and dispositional emotional expressivity and post-session ratings of therapeutic progress. The average number of emotion episodes was 7.4 in the first session and 5.2 episodes in the sixth session. In both sessions, the majority of emotion episodes contained only negative emotions and focused on a cancer-related topic. A higher number of emotion episodes in the first session was associated with higher psychological distress reported in the baseline survey (p = 0.02). A higher number of emotion episodes in the sixth session was associated with a higher number of emotion episodes in the first session (p psychotherapy among women diagnosed with gynecological cancer. Copyright © 2014 John Wiley & Sons, Ltd.

  16. Use of psychotherapy in a representative adult community sample in São Paulo, Brazil

    Science.gov (United States)

    Blay, Sergio L.; Fillenbaum, Gerda G.; da Silva, Paula Freitas R.; Peluso, Erica T.

    2014-01-01

    Little is known about the use of psychotherapy to treat common mental disorders in a major city in a middle income country. Data come from in-home interviews with a stratified random sample of 2,000 community residents age 18–65 in the city of São Paulo, Brazil. The information obtained included sociodemographic characteristics; psychotropic drugs; mental status; and lifetime, previous 12 months, and current use of psychotherapy. Logistic regression was used to examine determinants of use of psychotherapy. Of the sample, 22.7% met General Health Questionnaire-12 criteria for common mental disorders. Lifetime, previous 12 months, and current use of psychotherapy were reported by 14.6%, 4.6%, and 2.3% of the sample respectively. Users were typically women, more educated, higher income, not married, unemployed, with common mental disorders. Further analysis found that 47% (with higher education and income) paid out-of-pocket, and 53% used psychotropic medication. Psychotherapy does not appear to be the preferred treatment for common mental disorders. PMID:25118139

  17. The dialectics of homeland and identity: Reconstructing Africa in the ...

    African Journals Online (AJOL)

    The article investigates the dialectics between homeland and identity in the poetry of the Sudanese poet, Mohamed Al-Fayturi and his literary master, Langston Hughes in order to underline their attitudes toward crucial issues integral to the African and African- American experience such as identity, racism, enslavement and ...

  18. Psychotherapy in Argentina: a clinical case from an integrative perspective.

    Science.gov (United States)

    Gómez, Beatriz

    2007-08-01

    The article describes psychotherapy practice in Argentina. It outlines the main features of training and regulation of clinical psychologists. A brief description of the main treatment approaches and the major current challenges is presented. Subsequently it delineates the probable treatment locations and options for a 30-year-old woman, Mrs. A, seeking psychological help in Argentina. The case is then considered from an integrative perspective starting with the intake process, which includes a comprehensive pretreatment assessment followed by the treatment plan. Its course is described as composed of four stages: (1) psychoeducational initial intervention, (2) psychotherapy for symptom alleviation, (3) marital treatment, and (4) psychoeducational final intervention. Posttreatment evaluation and possible outcome and prognosis are presented, as well as factors that might prevent improvement. The article ends with a hopeful view of the future role of psychotherapy in Argentina. (c) 2007 Wiley Periodicals, Inc.

  19. The role of cognitive biases in short-term psychodynamic psychotherapy.

    Science.gov (United States)

    Kramer, Ueli; Ortega, Diana; Ambresin, Gilles; Despland, Jean-Nicolas; de Roten, Yves

    2018-06-01

    The concept of biased thinking - or cognitive biases - is relevant to psychotherapy research and clinical conceptualization, beyond cognitive theories. The present naturalistic study aimed to examine the changes in biased thinking over the course of a short-term dynamic psychotherapy (STDP) and to discover potential links between these changes and symptomatic improvement. This study focuses on 32 self-referred patients consulting for Adjustment Disorder according to DSM-IV-TR. The therapists were experienced psychodynamically oriented psychiatrists and psychotherapists. Coding of cognitive biases (using the Cognitive Errors Rating Scale; CERS) was made by external raters based on transcripts of interviews of psychotherapy; the reliability of these ratings on a randomly chosen 24% of all sessions was established. Based on the Symptom Check List SCL-90-R given before and after, the Reliable Change Index (RCI) was used. The assessment of cognitive errors was done at three time points: early (session 4-7), mid-treatment (session 12-17), and close to the end (after session 20) of the treatment. The results showed that the total frequency of cognitive biases was stable over time (p = .20), which was true both for positive and for negative cognitive biases. In exploring the three main subscales of the CERS, we found a decrease in selective abstraction (p = .02) and an increase in personalization (p = .05). A significant link between RCI scores (outcome) and frequency of positive cognitive biases was found, suggesting that biases towards the positive might have a protective function in psychotherapy. Therapists may be attentive to changes in biased thinking across short-term dynamic psychotherapy for adjustment disorder. Therapists may foster the emergence of positive cognitive biases at mid-treatment for adjustment disorder. © 2017 The British Psychological Society.

  20. Can Two Psychotherapy Process Measures Be Dependably Rated Simultaneously? A Generalizability Study

    Science.gov (United States)

    Ulvenes, Pal G.; Berggraf, Lene; Hoffart, Asle; Levy, Raymon A.; Ablon, J. Stuart; McCullough, Leigh; Wampold, Bruce E.

    2012-01-01

    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…

  1. Clinical outcomes of psychotherapy dropouts: does dropping out of psychotherapy necessarily mean failure?

    Directory of Open Access Journals (Sweden)

    Rodrigo T. Lopes

    2017-09-01

    Full Text Available Objective: A large proportion of psychotherapy patients remain untreated, mostly because they drop out. This study compares the short- and long-term outcomes of patients who dropped out of psychotherapy to those of therapy completers. Methods: The sample included 63 patients (23 dropouts and 40 completers from a controlled clinical trial, which compared narrative therapy vs. cognitive-behavioral therapy for major depressive disorder. Patients were assessed at the eighth session, post-treatment, and at 31-month follow-up. Results: Dropouts improved less than completers by the last session attended, but continued to improve significantly more than completers during the follow-up period. Some dropout patients improved with a small dose of therapy (17% achieved a clinically significant change before abandoning treatment, while others only achieved clinically significant change after a longer period (62% at 31-month follow-up. Conclusion: These results emphasize the importance of dealing effectively with patients at risk of dropping out of therapy.Patients who dropped out also reported improvement of depressive symptoms without therapy, but took much longer to improve than did patients who completed therapy. This might be attributable to natural remission of depression. Further research should use a larger patient database, ideally gathered by meta-analysis.

  2. Reducing the time until psychotherapy initiation reduces sick leave duration in participants diagnosed with anxiety and mood disorders.

    Science.gov (United States)

    Alonso, Sandra; Marco, José H; Andani, Joaquín

    2018-01-01

    Sick leave in patients with a mental disorder is characterized by having a long duration. Studies suggest that the time until a patient on sick leave for a common mental health disorder initiates evaluation and treatment by a healthcare professional is an important factor in the duration of the sick leave. However, in these studies, the intervention was not performed by a mental health specialist. The aim of this study was to find out whether the length of sick leave was associated with the time before initiating psychotherapy, age, time until returning to work after psychotherapy ends, and duration of psychotherapy. In a further analysis, we examined whether the model composed of age, duration of psychotherapy, and time before initiating psychotherapy predicted the length of sick leave. The sample consisted of 2,423 participants, 64.1% (n = 1,554) women and 35.9% (n = 869) men, who were on sick leave for anxiety disorders or depressive disorder. The total duration of the sick leave of participants diagnosed with depression and anxiety was positively associated with the time before beginning psychotherapy. Time before beginning psychotherapy predicted the length of sick leave when the variables age and duration of psychotherapy were controlled. It is necessary to reduce the time until beginning psychotherapy in people on sick leave for common mental disorders. Copyright © 2017 John Wiley & Sons, Ltd.

  3. VULNERABILITY, AUTHENTICITY, AND INTER-SUBJECTIVE CONTACT: PHILOSOPHICAL PRINCIPLES OF INTEGRATIVE PSYCHOTHERAPY

    OpenAIRE

    Richard G. Erskine

    2013-01-01

    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, Granth...

  4. A Review of Psychotherapy Outcome Research: Considerations for School-Based Mental Health Providers

    Science.gov (United States)

    Zirkelback, Emily A.; Reese, Robert J.

    2010-01-01

    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…

  5. Sociodemographic and Clinical Characteristics of Patients attending Psychotherapy in a Tertiary Care Hospital in Oman

    Directory of Open Access Journals (Sweden)

    Zena Al-Sharbati

    2012-02-01

    Full Text Available Objectives: There is significant evidence that psychotherapy is a pivotal treatment for persons diagnosed with Axis I clinical psychiatric conditions; however, a psychotherapy service has only recently been established in the Omani health care system. This study aimed to investigate the sociodemographic and clinical characteristics of attendees at a psychotherapy clinic at a tertiary care hospital. Methods: An analysis was carried out of 133 new referrals to the Psychotherapy Service at Sultan Qaboos University Hospital, a tertiary care hospital. Results: The majority of referrals were females (59%, aged 18–34 years, employed (38%, had ≤12 years of formal education (51%, and were single (54%. A total of 43% were treated for anxiety disorders (including obsessive compulsive disorder, while 22% were treated for depression. A total of 65% were prescribed psychotropic medications. The utilisation of the Psychotherapy Service and its user characteristics are discussed within the context of a culturally diverse Omani community which has unique personal belief systems such as in supernatural powers (Jinn, contemptuous envy (Hassad, evil eye (Ain and sorcery (Sihr which are often used to explain the aetiology of mental illness and influence personal decisions on utilising medical and psychological treatments. Conclusion: Despite the low number of referrals to the Psychotherapy Service, there is reason to believe that psychotherapy would be an essential tool to come to grips with the increasing number of mental disorders in Oman.

  6. Current Risk Management Practices in Psychotherapy Supervision.

    Science.gov (United States)

    Mehrtens, Ilayna K; Crapanzano, Kathleen; Tynes, L Lee

    2017-12-01

    Psychotherapy competence is a core skill for psychiatry residents, and psychotherapy supervision is a time-honored approach to teaching this skill. To explore the current supervision practices of psychiatry training programs, a 24-item questionnaire was sent to all program directors of Accreditation Council for Graduate Medical Education (ACGME)-approved adult psychiatry programs. The questionnaire included items regarding adherence to recently proposed therapy supervision practices aimed at reducing potential liability risk. The results suggested that current therapy supervision practices do not include sufficient management of the potential liability involved in therapy supervision. Better protections for patients, residents, supervisors and the institutions would be possible with improved credentialing practices and better documentation of informed consent and supervision policies and procedures. © 2017 American Academy of Psychiatry and the Law.

  7. Narcissistic grandiosity and narcissistic vulnerability in psychotherapy.

    Science.gov (United States)

    Pincus, Aaron L; Cain, Nicole M; Wright, Aidan G C

    2014-10-01

    This article briefly summarizes the empirical and clinical literature underlying a contemporary clinical model of pathological narcissism. Unlike the DSM Narcissistic Personality Disorder (NPD), this clinical model identifies and differentiates between two phenotypic themes of dysfunction-narcissistic grandiosity and narcissistic vulnerability-that can be expressed both overtly and covertly in patients' ways of thinking, feeling, behaving, and participating in treatment. Clinical recognition that narcissistic patients can and often do present for psychotherapy in vulnerable states of depression, anxiety, shame, and even suicidality increases the likelihood of accurate diagnosis and effective treatment planning. This article provides case examples derived from psychotherapies with narcissistic patients to demonstrate how narcissistic grandiosity and narcissistic vulnerability concurrently present in patients who seek treatment. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

  8. Delimitacion de las Zonas Dialectales de Mexico: Objetivos y Problemas (Delimitation of Dialect Zones in Mexico: Objectives and Problems)

    Science.gov (United States)

    Blanch, Juan M. Lope

    1975-01-01

    Before creating a linguistic map of Mexican dialects, it is necessary to determine the dialect regions of the country. An extensive questionnaire must be written and distributed to collect data from a representative sample of the population for an accurate picture of the language. (CK) (Text in Spanish.)

  9. Premature conclusions about psychotherapy for dysthymia

    NARCIS (Netherlands)

    Cuijpers, P.

    2009-01-01

    Dr Cuijpers and Colleagues Reply To the Editor: We thank Dr Gaudiano and colleagues for their contribution to the discussion about psychotherapy for dysthymia. We agree very much with Gaudiano et al that we should be careful about drawing definite conclusions about the comparative efficacy of

  10. Functional characteristics of Swabian regional dialect in education (the analysis of discussion in classes in the gymnasium named after F. List in Mannheim

    Directory of Open Access Journals (Sweden)

    Sakharusov A.N.

    2017-03-01

    Full Text Available this article investigates some functions of regional dialects in modern society. The aim of this study is to describe some features of speech communication among native speakers in Swabia in the field of education. The research has been carried out by the method of discourse analysis of directly observed texts. The study of Swabian regional dialect implementation in education discovered new social functions of regional dialects. According to the author they consist of expression of emotions, drawing attention and regulations of communicative distance. The research results could be of interest to sociolinguistics as a description of territorial dialect functioning in society.

  11. The Nordic Dialect Corpus – a joint research infrastructure

    Directory of Open Access Journals (Sweden)

    Janne Bondi Johannessen

    2011-06-01

    Full Text Available The paper describes the Nordic Dialect Corpus as of June 2010. The corpus is a tool that combines a number of useful features that together makes it a unique and very advanced resource for researchers of many fields of language search. The corpus is web-based and features full audio-visual representation linked to transcriptions and translations.

  12. USING BACH FLOWER IN HOLISTIC PSYCHOTHERAPY

    Directory of Open Access Journals (Sweden)

    Vagner Ferreira do Nascimento

    2017-05-01

    Full Text Available This is a narrative review from scientific literature that aimed to describe concepts and approaches for indications of the therapeutic use of Bach flower remedies in holistic psychotherapy. The review was developed in February 2016 from books, official documents and articles indexed in Lilacs and Scielo databases. Bach flower remedies is a therapeutic method that aims to restore the balance of human being, restoring its vital energy through holistic care. Because the flower essences act on psychic and emotional dimension of individual, when employed in holistic psychotherapy can provide greater autonomy, self-care and effectiveness compared to other alternative methods. The literature indicated that flower essence therapy is a safe practice and can be used in a complementary to health care, but should be performed by qualified professionals. It has also shown to be a promising and important area for nursing professional, but it still requires greater investment in research in the area to support the practice.

  13. [Psychotherapy with Immigrants and Traumatized Refugees].

    Science.gov (United States)

    Erim, Yesim; Morawa, Eva

    2016-09-01

    In view of the growing proportion of immigrants and refugees in the population of Germany the knowledge on the influence of culture and migration on identity, and mental health presents a substantial basis for effective therapy. This article addresses important topics of psychotherapy with immigrants in general and with refugees in particular. Following issues selected according to their relevance and actuality are highlighted: definition of persons with migration background, migrants and refugees, facts on immigration to Germany, main results and theories on mental health of immigrants, social psychological aspects of intercultural psychotherapy (individualism vs. collectivism, stereotypes, discrimination etc.), psychosomatic diagnostics in intercultural context, diversity management in institutions, language and use of translators, living conditions of immigrants - stress and protective factors in immigrant mental health, post traumatic stress disorders among refugees: their prevalence, risk factors, diagnostics, course, multimodal psychosocial interventions in consulting centers, trauma focused interventions, trauma pedagogics, education and prevention of the volunteers. © Georg Thieme Verlag KG Stuttgart · New York.

  14. Psychotherapy as a treatment modality for psychiatric disorders: Perceptions of general public of Karachi, Pakistan

    Directory of Open Access Journals (Sweden)

    Zafar Abdul

    2009-06-01

    Full Text Available Abstract Background Psychiatric disorders affect about 450 million individuals worldwide. A number of treatment modalities such as psychotropic medications, psychotherapy and electroconvulsive therapy can be used to treat these disorders. Attitudes of general public play a pivotal role in effective utilization of mental health services. We explored the perceptions of general public of Karachi, Pakistan regarding psychotherapy. Methods A cross-sectional study was conducted in Karachi, Pakistan during July-August, 2008. A three-step sampling strategy and a structured questionnaire were employed to survey knowledge and perceptions of adult general public about psychotherapy. Descriptive statistics were used for baseline characteristics. Logistic regression models were used to investigate any significant associations between baseline characteristics of the participants and their perceptions. Results The study sample comprised of 985 individuals (536 males; 531 financially independent with an average age of 36.7 years (SD 13.54 years and 12.5 years (SD 3.09 years of education were included. Majority (59.4%; n = 585 claimed to be aware of psychotherapy as a treatment option for psychiatric disorders but 47.5% of these (n = 278/585 failed to identify its correct definition. Concerns voiced by the participants about psychotherapy included stigma (48.7% and breech in confidentiality (39.5%; 60.7% opined it cost effective and 86.5% favored its use as an adjuvant modality. A preference for psychotherapy as the treatment strategy for psychiatric disorders was demonstrated by 46.6% (n = 459/985. Younger, more educated, financially independent and female participants were more likely to prefer psychotherapy as were those who deemed it cost effective. Conclusion Positive attitudes regarding the acceptability, clinical utility and cost-effectiveness of psychotherapy were observed in a sample representative of general public of Karachi, Pakistan. These findings

  15. [Work-related behaviour and experience patterns and mental health: a study in psychotherapy trainees].

    Science.gov (United States)

    Grundmann, Johanna; Sude, Kerstin; Löwe, Bernd; Wingenfeld, Katja

    2013-03-01

    In view of the fact that many reports have been published that emphasize the difficult conditions of the German psychotherapy training, the aim of this study was to investigate psychotherapy trainees´ work stress as well as work-related psychosocial risks and resources. Variables of interest were work-related behaviour and experience patterns (AVEM), effort-reward-imbalance, chronic stress and health-related quality of life. 321 participants completed an online survey. The distribution of work-related behaviour and experience patterns as well as the results regarding work overload and mental health are evidence of psychotherapy trainees' strain. AVEM-risk patterns are associated with effort-reward-imbalance, chronic stress and reduced mental health. These results clearly support claims for a modification of the psychotherapy training in Germany. © Georg Thieme Verlag KG Stuttgart · New York.

  16. Hair curvature: a natural dialectic and review.

    Science.gov (United States)

    Nissimov, Joseph N; Das Chaudhuri, Asit Baran

    2014-08-01

    Although hair forms (straight, curly, wavy, etc.) are present in apparently infinite variations, each fibre can be reduced to a finite sequence of tandem segments of just three types: straight, bent/curly, or twisted. Hair forms can thus be regarded as resulting from genetic pathways that induce, reverse or modulate these basic curvature modes. However, physical interconversions between twists and curls demonstrate that strict one-to-one correspondences between them and their genetic causes do not exist. Current hair-curvature theories do not distinguish between bending and twisting mechanisms. We here introduce a multiple papillary centres (MPC) model which is particularly suitable to explain twisting. The model combines previously known features of hair cross-sectional morphology with partially/completely separated dermal papillae within single follicles, and requires such papillae to induce differential growth rates of hair cortical material in their immediate neighbourhoods. The MPC model can further help to explain other, poorly understood, aspects of hair growth and morphology. Separate bending and twisting mechanisms would be preferentially affected at the major or minor ellipsoidal sides of fibres, respectively, and together they exhaust the possibilities for influencing hair-form phenotypes. As such they suggest dialectic for hair-curvature development. We define a natural-dialectic (ND) which could take advantage of speculative aspects of dialectic, but would verify its input data and results by experimental methods. We use this as a top-down approach to first define routes by which hair bending or twisting may be brought about and then review evidence in support of such routes. In particular we consider the wingless (Wnt) and mammalian target of rapamycin (mTOR) pathways as paradigm pathways for molecular hair bending and twisting mechanisms, respectively. In addition to the Wnt canonical pathway, the Wnt/Ca(2+) and planar cell polarity (PCP) pathways

  17. Reflections on Man as a Creature of Dynamic–Dialectical Tension in Some Works of Romano Guardini

    OpenAIRE

    Šimunec, Davor

    2016-01-01

    The essay strives to cast a light on the specificity of Guardini’s dialectical reasoning involving man whom he understands as a being whose maturation or authentic self–realization occurs insofar as the oscillations of polarity are achieved through the spiritual and corporeal internal–individual and external–social dimensions of his self in adequate measure. With the aim of discovering the dialectical thread that runs through all principal dimensions of the »I«, the beginning of the essay ...

  18. The influence of diagnosis on psychotherapy missed opportunities in a veteran population.

    Science.gov (United States)

    Keeley, Jared Wayne; Cardin, Scott; Gonzalez, Rose

    2016-01-01

    Canceled or unattended psychotherapy sessions are a source of concern for patients, providers, and health-care systems. Veterans are particularly likely to experience mental health problems, and yet they are also especially susceptible to variables leading to premature termination of services. This study examined a large (n = 2285) sample of veterans receiving psychotherapy services to determine if mental health diagnosis had an impact upon missed psychotherapy opportunities. There were differential cancelation rates for individuals with different classes of disorder, and the total number of appointments a person scheduled changed the nature of the effect. Health-care administrators and treatment providers should consider the specific effects of individuals with differing diagnoses when planning courses of treatment and coordinating care.

  19. [Body integrity identity disorder--first success in long-term psychotherapy].

    Science.gov (United States)

    Thiel, Aylin; Ehni, Franziska J F; Oddo, Silvia; Stirn, Aglaja

    2011-07-01

    The Body Integrity Identity Disorder (BIID) is a fairly unknown and unexplored psychic illness. Very little cases underwent a psychotherapeutic treatment. We report on the two-and-a-half year psychotherapy with a 37 years old man, who wants an amputation of his two legs. Origin and meaning of the amputation desire were uncovered in psychotherapy. The psychodynamic oriented therapy with cognitive-behavioral elements can be used to develop further treatment approaches. © Georg Thieme Verlag KG Stuttgart · New York.

  20. Quasi-Appropriation of Dialectical Materialism: A Critical Reading of Marxism in Vygotskian Approaches to Cultural Studies in Science Education

    Science.gov (United States)

    Rodrigues, André; Camillo, Juliano; Mattos, Cristiano

    2014-01-01

    In this review essay we examine five categories of dialectical materialism proposed by Paulo Lima Junior, Fernanda Ostermann, and Flavia Rezende in their study of the extent to which the articles published in "Cultural Studies of Science Education," that use a Vygotskian approach, are committed to Marxism/dialectical materialism. By…

  1. Therapeutic hypnosis, psychotherapy, and the digital humanities: the narratives and culturomics of hypnosis, 1800-2008.

    Science.gov (United States)

    Rossi, Ernest; Mortimer, Jane; Rossi, Kathryn

    2013-04-01

    Culturomics is a new scientific discipline of the digital humanities-the use of computer algorithms to search for meaning in large databases of text and media. This new digital discipline is used to explore 200 years of the history of hypnosis and psychotherapy in over five million digitized books from more than 40 university libraries around the world. It graphically compares the frequencies of English words about hypnosis, hypnotherapy, psychoanalysis, psychotherapy, and their founders from 1800 to 2008. This new perspective explore issues such as: Who were the major innovators in the history of therapeutic hypnosis, psychoanalysis, and psychotherapy? How well does this new digital approach to the humanities correspond to traditional histories of hypnosis and psychotherapy?

  2. Adding Group Psychotherapy to Medication Treatment in Dysthymia

    Science.gov (United States)

    Hellerstein, David J.; Little, Suzanne A. S.; Samstag, Lisa Wallner; Batchelder, Sarai; Muran, J. Christopher; Fedak, Michael; Kreditor, David; Rosenthal, Richard N.; Winston, Arnold

    2001-01-01

    Patients with dysthymia have been shown to respond to treatment with antidepressant medications, and to some degree to psychotherapy. Even patients successfully treated with medication often have residual symptoms and impaired psychosocial functioning. The authors describe a prospective randomized 36-week study of dysthymic patients, comparing continued treatment with antidepressant medication (fluoxetine) alone and medication with the addition of group therapy treatment. After an 8-week trial of fluoxetine, medication-responsive subjects were randomly assigned to receive either continued medication only or medication plus 16 sessions of manualized group psychotherapy. Results provide preliminary evidence that group therapy may provide additional benefit to medication-responding dysthymic patients, particularly in interpersonal and psychosocial functioning. PMID:11264333

  3. [Integrative parent-infant psychotherapy for early regulatory and relationship disorders].

    Science.gov (United States)

    Papousek, Mechthild; de Chuquisengo, Ruth Wollwerth

    2006-01-01

    The author introduces both the concept and practice of Integrative Parent-Infant Psychotherapy (IPI-P), a treatment specifically designed for the most frequent developmental problems and psychological needs of infants and their parents. Based on growing knowledge from interdisciplinary infancy research, both basic and clinical, IPI-P has been developed and practised in the "Munich Interdisciplinary Research and Intervention Program" for early regulatory and relationship disorders since the early nineties. Preverbal parent-infant communication represents both the port of entry into the system and the main focus of diagnostics, developmental counselling, interaction guidance, or psychodynamic psychotherapy of distorted communication and distressed/disordered relationships. The method of videomicroanalysis during video-feedback with the parent has proven particularly efficient--while observing, reliving and working through brief episodes of recorded parent-infant interaction. The author illustrates the diagnostic and therapeutic procedures with excerpts from psychotherapy of a toddler with an age-specific regulatory disorder in the context of severely distressed primary relationships.

  4. Culturally Adapted Psychotherapy and the Legitimacy of Myth: A Direct-Comparison Meta-Analysis

    Science.gov (United States)

    Benish, Steven G.; Quintana, Stephen; Wampold, Bruce E.

    2011-01-01

    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…

  5. A Pilot Use of Team-Based Learning in Psychiatry Resident Psychodynamic Psychotherapy Education

    Science.gov (United States)

    Touchet, Bryan K.; Coon, Kim A.

    2005-01-01

    Objective: Demonstrating psychotherapy competency in trainees will test the resources of psychiatry training programs. The authors outline the phases of team-based learning (TBL). Methods: The University of Oklahoma College of Medicine, Tulsa (OUCM-T), Department of Psychiatry reorganized its psychodynamic psychotherapy didactic course using TBL.…

  6. Toward a Neurobiology of Child Psychotherapy

    Science.gov (United States)

    Kay, Jerald

    2009-01-01

    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…

  7. The potential dangers of using MDMA for psychotherapy.

    Science.gov (United States)

    Parrott, Andrew C

    2014-01-01

    MDMA has properties that may make it attractive for psychotherapy, although many of its effects are potentially problematic. These contrasting effects will be critically reviewed in order to assess whether MDMA could be safe for clinical usage. Early studies from the 1980s noted that MDMA was an entactogen, engendering feelings of love and warmth. However, negative experiences can also occur with MDMA since it is not selective in the thoughts or emotions it releases. This unpredictability in the psychological material released is similar to another serotonergic drug, LSD. Acute MDMA has powerful neurohormonal effects, increasing cortisol, oxytocin, testosterone, and other hormone levels. The release of oxytocin may facilitate psychotherapy, whereas cortisol may increase stress and be counterproductive. MDMA administration is followed by a period of neurochemical recovery, when low serotonin levels are often accompanied by lethargy and depression. Regular usage can also lead to serotonergic neurotoxicity, memory problems, and other psychobiological problems. Proponents of MDMA-assisted therapy state that it should only be used for reactive disorders (such as PTSD) since it can exacerbate distress in those with a prior psychiatric history. Overall, many issues need to be considered when debating the relative benefits and dangers of using MDMA for psychotherapy.

  8. MODERATE ISLAM IN LOMBOK: The Dialectic between Islam and Local Culture

    Directory of Open Access Journals (Sweden)

    Mutawali Mutawali

    2016-12-01

    Full Text Available This study looks into the concept of moderate Islam; describes the distinctive formation of moderate Islam in Indonesia and dialectical phenomena between culture and religion in the Muslim community of the Lombok island. Grounded in qualitative method involving participative observation, interview, documentation and critical discourse analysis, this study reveals that the dialectics and dynamics between the shari’a texts with reality and local traditions in Lombok have brought about the concept of Islam Nusantara characterizing wasatiyyah (moderate, tawazun (balance, tasamuh (tolerance, shura (priotizing dialogue, dan i‘tidal (justice. Islam Lombok illustrates the harmonious interfaith coexistence comprising pluralistic societies including diverse ethnicity, religion, and culture; and portrays Islam rahmatan lil ‘Alamin (Islam as a mercy of the universe. Overall, this study suggests that the concept of moderate Islam could be seen in Lombok and might be applied in other communities in Indonesia.

  9. Inter-individual variation among young children growing up in a bidialectal community : the acquisition of dialect and standard Dutch vocabulary.

    NARCIS (Netherlands)

    Francot, Ryanne; van den Heuij, Kirsten; Blom, Elma; Heeringa, W.J.; Cornips, L.M.E.A.; Buchstaller, Isabella; Siebenhaar, Beat

    2017-01-01

    This study focuses on the relationship between dialect use and the acquisition of standard Dutch vocabulary by young children in the Dutch province of Limburg. The results of a newly-developed dialect expressive vocabulary task show extensive inter-individual variation that does not support a

  10. The therapeutic alliance as a predictor of outcome in dialectical behavior therapy versus nonbehavioral psychotherapy by experts for borderline personality disorder.

    Science.gov (United States)

    Bedics, Jamie D; Atkins, David C; Harned, Melanie S; Linehan, Marsha M

    2015-03-01

    The purpose of the present study was to explore facets of the client- and therapist-rated therapeutic alliance as predictors of suicide attempts, nonsuicidal self-injury, depression, and introject during the course of 2 psychosocial treatments for borderline personality disorder. A total of 101 women meeting Diagnostic and Statistical Manual of Mental Disorders-IV DSM-IV criteria for borderline personality disorder participated in a randomized controlled trial of dialectical behavior therapy (DBT) versus community treatment by experts. Clients and therapists rated the therapeutic alliance at 4 time points during 1 year of treatment. Multilevel models showed no significant differences in client ratings of the alliance by treatment condition. DBT therapists reported greater working strategy consensus early in treatment and an overall greater alliance during treatment. Client ratings of commitment and working capacity were associated with fewer suicide attempts in DBT. Client ratings of commitment were also associated with reduced nonsuicidal self-injury in DBT only. Therapist ratings of the alliance were predictive of reduced suicide attempts in both treatments. Therapist ratings of the alliance in community treatment by experts were predictive of increased nonsuicidal self-injury. Client and therapist ratings of the alliance were not significantly associated with changes in depression or introject across both treatments. The study supported theoretically predicted relationships between facets of the therapeutic alliance in DBT and suicidal behavior. Results are discussed in the context of recommendations for developing the therapeutic alliance in DBT. (PsycINFO Database Record (c) 2015 APA, all rights reserved).

  11. Aaron Temkin BECK: After Cricitical Thinking to A Creative Psychotherapy Theory

    Directory of Open Access Journals (Sweden)

    Mehmet DÝNÇ

    2012-08-01

    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. [JCBPR 2012; 1(2.000: 70-76

  12. Aaron Temkin BECK: After Cricitical Thinking to A Creative Psychotherapy Theory

    Directory of Open Access Journals (Sweden)

    Mehmet DİNÇ

    2012-07-01

    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.

  13. The Subject in Cognitive Psychotherapy

    Directory of Open Access Journals (Sweden)

    Isabel Caro-Gabalda

    2015-05-01

    Full Text Available This paper discusses the various subjects embedded in cognitive psychotherapy. The cognitive model developed by Beck, considered as a rationalist and modernist model, will exemplify these subjects. Cognitive therapy should be placed in the modernist historical context and related to a subject characterized as having rationality and the ability to observe and detect cognitions, emotions and behaviors. The paper develops this background introducing three main subject types. The first is the introspective and conscious subject, who is able to observe what is within oneself, has free access, and is conscious of one's cognitive world. The second is the cognitive miser that describes the subject who enters into therapy. The final subject identified, is the trained scientist who is able to develop a more objective knowledge, changing faulty schemas and cognitive distortions. This subject is the one most looked for in cognitive therapy. We could connect these subjects to some of the main elements of cognitive therapy such as the concept of ABC, assessment procedures, cognitive techniques or the relevance of schemas. Finally, the paper suggests some issues for study that could contribute to the theoretical and clinical evolution of cognitive psychotherapy.

  14. Self and its anxieties in existential psychotherapy

    Directory of Open Access Journals (Sweden)

    Marica Mircea Adrian

    2017-05-01

    Full Text Available The existence of a self and the imperative of knowing it have gone through philosophy from its beginning until today. Existentialism, starting with Kierkegaard and continuing with Heidegger, relate the scope of the authentic self to that of anxiety. Once the scope of the anxiety of self has been formulated, it entered the sphere of psychological theories. The prolific encounter between existentialism and psychology materializes into the influent contemporary psychological school, named existential psychotherapy. Our analysis wishes to describe the nodal points of this encounter, having as reference points the scope of self and its anxieties. In the first part of the analysis we look into the philosophical premises, referring to the two above mentioned names, while in the second part we present the taking-ups and the applicative adjustments brought up by existential psychotherapy.

  15. Of God and Psychotherapy.

    Science.gov (United States)

    Karasu, T Byram

    2015-01-01

    Psychotherapy is an instrument for remediation of psychological deficits and conflict resolution, as well as an instrument for growth and self-cultivation. In fact, psychotherapy is the finest form of life education. All of this is done without psychotherapists' playing a teacher, a minister, a priest, a rabbi, an imam, or a Buddhist monk, but by being familiar with what they know and more. That "more" is about understanding "the attributes" of gods and religions as they serve the all-too-human needs of believing and belonging. It is about the distillation of common psychological, sociological, moral, and philosophical attributes of religions, and the recognition that the attributes themselves are faith and God. Attributes that serve the affiliative needs define faith, for example, belonging is faith; attributes that serve the divine needs define God, for example, compassion is God. Those who have recovered from their primitive innocence need to formulate their ideas of God and religion, regardless of their affiliation with a religious community. One may need to resonate emotionally with the God of his or her religion, but intellectually need to transcend all its dogma and cultivate a personal concept of divinity free from any theological structure. Such an enlightened person achieves enduring equanimity by striving to own the attributes of Gods--to be godly. This is equally true for psychotherapists as it is for their patients.

  16. The Dialectic of the Nature-Society-System

    Directory of Open Access Journals (Sweden)

    Christian Fuchs

    2008-07-01

    Full Text Available There are four logical possibilities for conceiving the relationship of nature and society: the reduction of society to nature, the projection of nature into society, dualism, and a nature-society-dialectic. This differentiation results in four different approaches. Nature is a self-organizing system that produces an evolutionary hierarchy of interconnected systems with specific qualities. Society is a product of nature where humans produce and reproduce structures that enable and constrain human practices in dynamic processes. Parts of nature are observed and appropriated by humans from within society, these parts are socially constructed and form a subsystem of society. The self-organization cycle of nature and the self-organization cycle of the socio-sphere are mutually connected in a productive cycle of society where natural self-organization serves as the material foundation that enables and constrains social self-organization and human production processes transform natural structures and incorporate these very structures into society as means of production (technologies, raw materials. The economy is that part of the socio-sphere where the relationship between nature and the socio-sphere is established, the mediation is achieved by human labour processes. Nature enters the economic process as material input in the form of means of production (constant capital: machines, raw materials, auxiliary materials. Organized nature that is part of the production process in the form of technology increases the productivity of labour and hence reduces the costs of variable capital (total amount of wages and increases the speed of the production of surplus value. The production system of modern society is oriented on economic profit and productivity, ecological depletion and pollution are by-products of modernization. The Fordist production model that originated in the West and was copied by the Soviet Union is one of the major causes of the global

  17. Dialectical Inquiry as an Instructional Heuristic in Organization Theory and Design.

    Science.gov (United States)

    Dehler, Gordon E.; Welsh, M. Ann

    1993-01-01

    A strategy for teaching undergraduate organization theory and design uses dialectical inquiry (thesis-antithesis-synthesis) and involves students actively in classroom learning. Concepts are introduced through dichotomies as typically introduced in texts; discussion elaborates grey areas. Case analysis by this method conveys the often ambiguous…

  18. Dialectical Behavior Therapy for Adolescents: Theory, Treatment Adaptations, and Empirical Outcomes

    Science.gov (United States)

    MacPherson, Heather A.; Cheavens, Jennifer S.; Fristad, Mary A.

    2013-01-01

    Dialectical behavior therapy (DBT) was originally developed for chronically suicidal adults with borderline personality disorder (BPD) and emotion dysregulation. Randomized controlled trials (RCTs) indicate DBT is associated with improvements in problem behaviors, including suicide ideation and behavior, non-suicidal self-injury (NSSI), attrition,…

  19. An outline of the systematic-dialectical method: scientific and political significance

    NARCIS (Netherlands)

    Reuten, G.; Moseley, F.; Smith, T.

    2014-01-01

    The method of systematic-dialectics (SD) is reconstructed with a focus on what institutions and processes are necessary - rather than contingent - for the capitalist system. This allows for the detection of strengths and weaknesses in the actual structure of the system. Weaknesses should be

  20. Multicultural Approaches in Psychotherapy: A Rejoinder

    Science.gov (United States)

    Owen, Jesse; Leach, Mark M.; Wampold, Bruce; Rodolfa, Emil

    2011-01-01

    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…