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American Journal of Psychotherapy

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https://www.readbyqxmd.com/read/30474378/metacognitive-reflection-and-insight-therapy-merit-among-people-with-schizophrenia-lessons-from-two-case-studies
#1
Nitzan Arnon-Ribenfeld, Rachel Bloom, Dana Atzil-Slonim, Tuvia Peri, Steven de Jong, Ilanit Hasson-Ohayon
People with schizophrenia spectrum disorder face a major challenge in the ability to reflect on their own and others' mental activities and about specific psychological problems in their lives. These deficits are associated with increased symptoms and lower functioning. Specific interventions have been designed to enhance these abilities, one of which is metacognitive reflection and insight therapy (MERIT). Several case studies and a recent pilot study have shown increased metacognitive abilities and a decrease in symptoms among clients after MERIT...
November 26, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30458633/metacognitive-interpersonal-therapy-for-treating-persecutory-delusions-in-schizophrenia
#2
Giampaolo Salvatore, Luisa Buonocore, Paolo Ottavi, Raffaele Popolo, Giancarlo Dimaggio
A persecutory delusion (PD) is a person's false belief that others are focusing their attention on him or her with malevolent intentions, which often results in intense anxiety and significant disruption of daily life. PDs are common in schizophrenia, and many patients with schizophrenia do not respond well to current pharmacological treatments. Therefore, effective psychological treatments are needed. The most well-known intervention for PDs continues to be cognitive-behavioral therapy. It aims to reduce patients' stigma and then help them to question the delusional meaning they attribute to events...
November 21, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30458632/metacognitive-reflection-and-insight-therapy-merit-for-persons-with-a-schizophrenia-spectrum-disorder-and-interpersonal-trauma
#3
Jaclyn D Hillis, Nathan Bidlack, Brian Macobin
Schizophrenia often involves a loss of metacognitive capacity, the ability to form complex and integrated representations of self and others. Independent of symptoms and neurocognition, deficits in synthetic metacognition are related to difficulties engaging in goal-directed activities in social and vocational settings. Against this backdrop, the authors provide a case report of the effects of metacognitive reflection and insight therapy (MERIT) provided over the course of seven months to assist a client with persistent schizophrenia...
November 21, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30400766/metacognitive-reflection-and-insight-therapy-for-schizophrenia-case-study-of-a-patient-with-a-co-occurring-substance-use-disorder
#4
Alison V James, Bethany L Leonhardt, Kelly D Buck
Decrements in metacognitive functioning, or the ability to form complex and integrated representations of oneself and others, have been identified as a core feature of schizophrenia. These deficits have been observed to be largely independent of the severity of psychopathology and neurocognitive functioning and are linked to poor outcomes for those with the disorder. This study is a case illustration of the efficacy of metacognitive reflection and insight therapy (MERIT) in increasing the metacognitive capacity of an individual diagnosed as having co-occurring schizophrenia and a substance use disorder during three years of individual therapy...
November 7, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30400765/recovery-in-first-episode-psychosis-a-case-study-of-metacognitive-reflection-and-insight-therapy-merit
#5
Bethany L Leonhardt, Kristen Ratliff, Jenifer L Vohs
Despite historically pessimistic views from both the professional community and lay public, research is emerging that recovery from psychosis is possible. Recovery has evolved to include not only a reduction in symptoms and return to functioning, but a sense of agency and connection to meaningful roles in life. The development of a more comprehensive conceptualization of recovery has particular importance in the treatment of first-episode psychosis, because early intervention may avoid some of the prolonged dysfunction that may make recovery difficult...
November 7, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30400764/metacognitive-reflection-and-insight-therapy-merit-application-to-a-long-term-therapy-case-of-borderline-personality-disorder
#6
Kelly D Buck, Mary Vertinski, Marina Kukla
Impairments in metacognitive capacity-or the processes that enable individuals to access, understand, and integrate their ideas about their own and others' mental states-are a core barrier to recovery for many people with borderline personality disorder. Although therapeutic approaches that focus on metacognitive capacity are emerging, few deal with the concept of recovery at a foundational level. This article describes how a form of metacognitively oriented psychotherapy focused on recovery, metacognitive reflection and insight therapy (MERIT), assisted a patient with borderline personality disorder and initial metacognitive deficits to develop a complex understanding of himself and others and then to use that knowledge to act as an agent in the world and effectively respond to life challenges...
November 7, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30400763/metacognitive-reflection-and-insight-therapy-for-persons-with-severe-negative-symptoms-of-schizophrenia
#7
Sunita E George, Kelly D Buck
Individuals with schizophrenia possess enduring deficits that limit their capacity for interpersonal connection. Negative symptoms of schizophrenia provide additional barriers to interpersonal relatedness in that they include a range of deficits related to an individual's ability to express and experience emotions-basic human capacities that are needed for daily functioning and an acceptable quality of life. Additionally, metacognitive deficits are closely related to the development and maintenance of negative symptoms; previous research has indicated that treatment of negative symptoms should focus on providing interventions that target metacognition...
November 7, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30301362/application-of-integrative-metacognitive-psychotherapy-for-serious-mental-illness
#8
Jay A Hamm, Paul H Lysaker
Recovery for many people with serious mental illness is more than symptom remission or attainment of certain concrete milestones. It can also involve recapturing a previously lost coherent and cohesive sense of self. The authors review several case studies of integrative metacognitive psychotherapy offered to adults with broadly differing clinical presentations. In all the cases, patients demonstrated significant subjective gains and objective improvements-for example, in negative symptoms, in substance use, and in overcoming a history of childhood sexual abuse...
October 10, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30404562/risk-management-with-clients-who-stalk-threaten-and-harass-mental-health-professionals
#9
Aaron J Kivisto, Katherine L Kivisto
Although most psychologists will at some point be confronted with a client who engages in stalking, threatening, or harassing behavior (STHB), few feel prepared to manage these situations. In this article, the results of a survey of 112 psychologists who endorsed experiencing STHB are reported. Psychologists were asked about their perceptions of client motivations and personality pathology, frequency of use of 18 risk management responses, and perceived effectiveness of these responses. The effectiveness of risk management strategies differed by client level of personality organization and motivation for STHB...
November 1, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30404561/resuming-publication-of-an-established-journal-part-3
#10
John McDuffie, Michael D Roy
No abstract text is available yet for this article.
November 1, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30182754/resuming-publication-of-an-established-journal-part-2
#11
John McDuffie, Michael D Roy
No abstract text is available yet for this article.
October 1, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30049222/child-and-adolescent-psychoanalysis-as-contemporary-psychotherapy-insights-from-a-semistructured-interview-of-practitioners
#12
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...
October 1, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30049221/recovery-and-nonrecovery-after-psychotherapy-with-transference-interpretation-two-case-studies
#13
Alice Marble, Per Høglend, 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...
October 1, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30049220/mindfulness-based-psychotherapy-approaches-for-first-responders-from-research-to-clinical-practice
#14
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...
October 1, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30016128/beyond-informed-consent-talking-to-patients-about-therapeutic-action
#15
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...
October 1, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30016127/unconscious-repetition-of-a-patient-s-dynamics-on-an-inpatient-unit-treatment-challenges
#16
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...
October 1, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30205695/humor-associated-with-positive-outcomes-in-individual-psychotherapy
#17
Christophe Panichelli, Adelin Albert, Anne-Françoise Donneau, Salvatore D'Amore, Jean-Marc Triffaux, Marc Ansseau
Considerable anecdotal evidence points to the usefulness of humor in the therapeutic process, but empirical evidence is lacking. The purpose of this study, conducted in Belgium, was to search for an association between humor and therapy outcomes in a population of 110 adult psychotherapy clients who attended at least 10 therapy sessions. Clients and their therapist evaluated the frequency and intensity of humorous events, as well as therapy effectiveness, therapeutic alliance, perceived hope, and pleasure in participating in therapy sessions...
September 12, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30205694/relationship-of-christian-beliefs-to-attitudes-toward-people-with-mental-illness
#18
Katharine S Adams, Jeremy R Tost, Mark A Whatley, Meghan C Brown, Brendan J Dochney, Jessica M Taylor, Mary H Neal
This study assessed the influence of Christian beliefs on attitudes toward people with mental illness. Participants (N=204) provided demographic information and completed the Christian Orthodoxy Scale, the Religious Fundamentalism Scale, and the Attitudes to Mental Illness Questionnaire. Participants read vignettes of a person with a mental illness (schizophrenia), a general medical illness (diabetes), and a control condition (practicing Christian) and rated them on five criteria representing stigmatizing attitudes...
September 12, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30107750/the-supervision-pyramid-a-commonalities-based-synthesis-of-intervention-relationship-and-person-personhood
#19
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
https://www.readbyqxmd.com/read/29961341/resuming-publication-of-an-established-journal
#20
John McDuffie, Michael D Roy
No abstract text is available yet for this article.
July 1, 2018: American Journal of Psychotherapy
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