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American Journal of Psychotherapy

C Edward Watkins
Adapting the therapeutic pyramid to the supervision of psychotherapy, the author presents and describes the supervision pyramid-a simple meta-model of the broad conceptual organizers of the supervisor's contribution to the experience and outcomes of supervision. The supervision pyramid consists of three commonalities: supervisor skills and interventions, the supervisory relationship, and the supervisor's person and personhood. Those three commonalities converge to stimulate supervisee learning and relearning and client improvement and symptom reduction...
August 15, 2018: American Journal of Psychotherapy
Timothy Rice, Nicole Derish, Leon Hoffman
In response to an emerging consensus that research is important to maintain and develop the field of child and adolescent psychoanalysis, 20 child and adolescent psychoanalysts underwent a semistructured interview concerning their current practices, background, and professional values. Grounded theory methodology was applied to a section of the narratives to produce shared concepts. A significant difference was found between how child and adolescent psychoanalysts are traditionally characterized and taught and how they currently practice...
July 27, 2018: American Journal of Psychotherapy
Alice Marble, Per H√łglend, Randi Ulberg
The First Experimental Study of Transference Interpretation (FEST), conducted in Norway, is a dismantling, randomized clinical trial of the long-term effects of transference interpretation (TI). This article examines two case studies of women with poor quality of object relations (QOR), one who was rated as recovered after psychotherapy and one who was rated as not recovered. Both received TI. In general, women with poor QOR needed TI to recover, but some members of this group did not recover, even with TI...
July 27, 2018: American Journal of Psychotherapy
Brian A Chopko, Konstantinos Papazoglou, Robert C Schwartz
First responders are psychosocially burdened with work-related stressors that occur frequently during required duties. Related mental health difficulties, such as direct and vicarious trauma, depression, and interpersonal problems often affect first responders' ability to perform effectively, and their personal lives may be disrupted. Mindfulness-based interventions have been shown to directly promote first responders' mental and physical health while providing increased resilience when facing work-related stressors...
July 27, 2018: American Journal of Psychotherapy
Alison E Lenet, Yael Holoshitz, Lauren K Havel, Deborah L Cabaniss
Psychodynamically oriented psychotherapists are faced with the question of what to say to new patients about the therapy they are beginning. This article reviews historical attitudes about early treatment discussions with patients in psychoanalysis with an emphasis on how these discussions have evolved as informed consent became a standard of care. Approaches to talking to patients about therapeutic action in psychodynamic psychotherapy are discussed, including the development and application of a psychoeducational document that is being used to facilitate these discussions in the outpatient residents' clinic of a large urban academic medical center...
July 17, 2018: American Journal of Psychotherapy
Denise Ma, Maxine Sigman
This article focuses on the unconscious repetition of a patient's dynamics among a multidisciplinary inpatient treatment team. The patient was diagnosed as having bipolar affective illness and borderline personality traits. The prominent borderline traits displayed by the patient during hypomanic episodes evoked a parallel process of the patient's internal conflicts, rendering the team temporarily divided regarding treatment plans. This divide was resolved by holding dedicated multidisciplinary team meetings in which the patient's projections onto the team were explained and understood...
July 17, 2018: American Journal of Psychotherapy
John McDuffie, Michael D Roy
No abstract text is available yet for this article.
July 1, 2018: American Journal of Psychotherapy
Asser Mikkel Hestbech
The article explores the psychotherapeutic notion of an inner child in the context of the cognitive model and introduces a twin mode protocol that offers a more user-friendly entry level than usual CBT protocols by conferring meaning and immediacy from the outset.
July 1, 2018: American Journal of Psychotherapy
Brad Bowins
Rational and reality-congruent unconscious processes facilitate adaptive functioning and have implications for mental illness and psychotherapy. With this knowledge, psychotherapists can more effectively guide interventions to improve mental health.
July 1, 2018: American Journal of Psychotherapy
Matthew Merced
A biopsychosocial model provides a framework for a contemporary understanding of paranormal phenomena. From this perspective, paranormal beliefs and experiences are best understood by identifying biological, psychological, and sociocultural explanatory factors. Treatment recommendations are provided.
July 1, 2018: American Journal of Psychotherapy
Kristina J Korte, Aaron M Norr, Norman B Schmidt
This article provides an overview of F-SET, a brief transdiagnostic treatment for anxiety disorders. The article focuses on the use of specific treatment techniques and follows a successful course of treatment using the F-SET protocol. The client's treatment progress is discussed session by session and at midtreatment, posttreatment, and 11-month follow-up.
July 1, 2018: American Journal of Psychotherapy
Fran Weiss
This article examines psychological sequelae underlying dysregulated eating in the overweight and obese patient and proposes a psychotherapy approach informed by classical and modern attachment theory, developmental trauma, and neuroscience to address these structural deficits.
July 1, 2018: American Journal of Psychotherapy
C Edward Watkins, Elizabeth Davis, Patrick Love, Jennifer L Callahan
Allegiance, long regarded as a significant variable in psychotherapy and psychotherapy research, has been ignored in the psychotherapy supervision literature. It is our contention that allegiance is similarly significant for psychotherapy supervision. In this brief communication, we define supervisor allegiance, consider its impact on supervision outcome, and highlight its role in the contextual supervision relationship model (a trans-theoretical model of the supervisory relationship).
December 31, 2016: American Journal of Psychotherapy
Colin A Ross
Severe, chronic childhood trauma commonly results in a set of negative core self-beliefs. These include blaming the self for the abuse, feeling unworthy and unlovable, believing the world would be better off if one committed suicide, and believing that one does not deserve peace or happiness. Linked to these cognitive errors are beliefs that one is not worthy of God's love, that God wanted the person to be abused, and that the person can avoid God's judgment if she does not go to church. Strategies for dealing with these cognitive errors about God are presented within the context of a secular psychotherapy...
December 31, 2016: American Journal of Psychotherapy
Jerome S Gans
This paper, written from a relational perspective, examines the final minutes of an individual psychotherapy session, and is organized around the topics of boundary negotiation, unwitting self-disclosures, visual challenges, and countertransference. Attending to session-ending material is important because the separation involved lends heightened emotional intensity to the oftensignificant material that appears in the final minutes. This material often serves as a bridge to the psychotherapeutic work to be taken up in subsequent sessions...
December 31, 2016: American Journal of Psychotherapy
Milton Viederman
This paper presents a framework for brief, intensive psychotherapeutic intervention for acute distress, manifested by feelings of depression, anxiety or anger, isolation and loneliness, that arise when crises provoke unconscious conflict. This therapy uses a technique to develop a "benevolent transference" for symptom relief and as a groundwork for gaining insight. Interventions to facilitate this process will be illustrated with case illustrations.
December 31, 2016: American Journal of Psychotherapy
James P Mccullough, Sarah W Clark, Daniel N Klein, Michael B First
Assessment of clinical course to aid in the diagnosis of patients and to guide treatment planning has gained momentum in recent years. A course-graphing scale for the DSM-5 Mood Disorders is presented to facilitate clinical history-taking and diagnosis of the mood disorders during the screening interview. The scale can be administered in the more traditional historytaking portion of the screening interview. The only difference is that it is a more systematic approach especially when the clinician suspects the presence of a mood disorder...
December 31, 2016: American Journal of Psychotherapy
Giampalo Salvatore, Raffaele Popolo, Luisa Buonocore, Anna Maria Ferrigno, Mariagrazia Proto, Anna Sateriale, Marianna Serio, Giancarlo Dimaggio
Many patients with personality disorders (PD) display emotional inhibition or over-regulation (EOR); others display emotional dysregulation (ED)- heightened sensitivity to emotional stimuli with difficulty toning down arousal. To date, most treatments focus on patients with ED, particularly those with borderline disorders, though some focus on EOR. Patients with complex PD often swing from periods of EOR to ED. In this paper, we describe an adaptation of metacognitive interpersonal therapy (MIT), which has been manualized for treating PD with prominent EOR and is aimed at dealing with patients fluctuating from EOR to ED...
December 31, 2016: American Journal of Psychotherapy
Brad Foote, Kim Van Orden
Dialectical Behavior Therapy (DBT), created by Marsha Linehan, has been shown to be an effective therapy for the treatment of borderline personality disorder (BPD) and for suicidal and self-harming behavior. Dissociative identity disorder (DID) is a complex post-traumatic disorder which is highly comorbid with BPD, shares a number of clinical features with BPD, and which like BPD features a high degree of suicidality. The DID treatment literature emphasizes the importance of a staged approach, beginning with the creation of a safe therapeutic frame prior to addressing traumatic material; DBT is also a staged treatment, in which behavioral and safety issues are addressed in Stage 1, and trauma work reserved for Stage 2...
December 31, 2016: American Journal of Psychotherapy
Saeed Shoja Shafti
Vital to the contemporary exercise of psychiatry is the biopsychosocial approach, with psychotherapy as its well-defined, and requisite, constituent. The key objectives of psychoanalysis and other related therapies are the amelioration of symptoms and modification of character by probing the unconscious. But the practice of psychoanalysis and similar insight-oriented techniques is in developing nations is different from developed countries due to cultural and educational reasons, along with a shortage of required facilities...
2016: American Journal of Psychotherapy
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