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Psychotherapy

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https://www.readbyqxmd.com/read/27869472/patients-affective-processes-within-initial-experiential-dynamic-therapy-sessions
#1
Katie Aafjes-van Doorn, Peter Lilliengren, Angela Cooper, James Macdonald, Fredrik Falkenström
Research has indicated that patients' in-session experience of previously avoided affects may be important for effective psychotherapy. The aim of this study was to investigate patients' in-session levels of affect experiencing in relation to their corresponding levels of insight, motivation, and inhibitory affects in initial Experiential Dynamic Therapy (EDT) sessions. Four hundred sixty-six 10-min video segments from 31 initial sessions were rated using the Achievement of Therapeutic Objectives Scale. A series of multilevel growth models, controlling for between-therapist variability, were estimated to predict patients' adaptive affect experiencing (Activating Affects) across session segments...
November 21, 2016: Psychotherapy
https://www.readbyqxmd.com/read/27869471/a-collaborative-approach-to-psychotherapy-termination
#2
Jonathan Goode, Jake Park, Susannah Parkin, Kelley A Tompkins, Joshua K Swift
Collaboration has been recognized as an important relationship variable in psychotherapy that is linked to client treatment outcomes. Although many therapists seek to build a collaborative working relationship with their clients when making treatment decisions, collaboration is also an important technique that can be used to help clients plan for a successful termination. Collaborative termination strategies can first be used in the initial session in order to address clients' termination expectations. Strategies can also be used throughout treatment to help clients focus on their treatment goals...
November 21, 2016: Psychotherapy
https://www.readbyqxmd.com/read/27869470/terminating-supervision
#3
Alytia A Levendosky, Christopher J Hopwood
The focus of this paper is on the termination of clinical supervision. Although clinical supervision is considered the backbone of most mental health training programs, it gets relatively little theoretical or empirical attention. The termination of supervision has received even less attention. In this paper, we describe an approach to terminating supervision in our treatment team, which integrates intensive assessment with a relational perspective in a clinical science training program (Levendosky & Hopwood, 2016)...
November 21, 2016: Psychotherapy
https://www.readbyqxmd.com/read/27869469/saying-good-goodbyes-to-your-clients-a-functional-analytic-psychotherapy-fap-perspective
#4
Mavis Tsai, Tore Gustafsson, Jonathan Kanter, Mary Plummer Loudon, Robert J Kohlenberg
Functional analytic psychotherapy (FAP) promotes client growth by shaping clients' daily life problems that also show up in session with their therapists. FAP therapists create evocative contexts within therapy that afford clients the opportunity to practice, refine, and be reinforced for new, more adaptive behaviors which then can be generalized into their outside lives. In FAP, the termination process will vary from client to client depending on the nature of the client's problems and targets. For many clients, the process can be a rich, multifaceted, final opportunity to evoke, reinforce, and promote generalization of clients' in-session improvements, particularly improvements related to vulnerable self-expression in the service of intimate and close relationships...
November 21, 2016: Psychotherapy
https://www.readbyqxmd.com/read/27869468/termination-in-cognitive-behavioral-therapy-with-children-adolescents-and-parents
#5
Hilary B Vidair, Grace O Feyijinmi, Eva L Feindler
The process of terminating cognitive-behavioral therapy (CBT) with families has been largely neglected in the literature, with the limited research focused on premature termination. This article describes the natural termination process in CBT with children, adolescents, and their parents. Based on existing theories, we describe a cognitive-behavioral model for: (a) initiating and engaging in discussion of termination, (b) processing the termination of treatment and the therapeutic relationship, (c) key aspects of the termination process in the final session, and (d) the very end of the final session (saying goodbye)...
November 21, 2016: Psychotherapy
https://www.readbyqxmd.com/read/27831697/therapeutic-alliance-and-treatment-outcome-in-the-outpatient-treatment-of-urban-adolescents-the-role-of-callous-unemotional-traits
#6
Laurel A Mattos, Adam T Schmidt, Craig E Henderson, Aaron Hogue
Callous-unemotional (CU) traits designate a unique subset of youth with externalizing psychopathology who have a severe pattern of aggressive behavior and tend to have worse outcomes in treatment. However, little research has addressed how CU traits relate to different components of psychotherapy, such as the therapeutic alliance. The current study examined the role of CU traits in predicting therapeutic alliance in 59 adolescents (M age = 15.3, 51% female, 64% Hispanic American, 15% African American) who were part of a larger randomized naturalistic trial of outpatient behavioral psychotherapy...
November 10, 2016: Psychotherapy
https://www.readbyqxmd.com/read/27642759/the-relationship-between-clients-depression-etiological-beliefs-and-psychotherapy-orientation-preferences-expectations-and-credibility-beliefs
#7
Kelley A Tompkins, Joshua K Swift, Tony G Rousmaniere, Jason L Whipple
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...
September 19, 2016: Psychotherapy
https://www.readbyqxmd.com/read/27918191/outcome-differences-between-individual-and-group-formats-when-identical-and-nonidentical-treatments-patients-and-doses-are-compared-a-25-year-meta-analytic-perspective
#8
Gary M Burlingame, Jyssica D Seebeck, Rebecca A Janis, Kaitlyn E Whitcomb, Sarah Barkowski, Jenny Rosendahl, Bernhard Strauss
There are mixed findings regarding the differential efficacy of the group and individual format. One explanation of these mixed findings is that nearly all-recent meta-analyses use between-study effect sizes to test format equivalence introducing uncontrolled differences in patients, treatments, and outcome measures. Only 3 meta-analyses were located from the past 20 years that directly tested format differences in the same study using within-study effect sizes; mixed findings were reported with a primary limitation being the small number of studies...
December 2016: Psychotherapy
https://www.readbyqxmd.com/read/27918190/quasi-experimental-evaluation-of-the-impact-of-a-cognitive-behavioral-pretreatment-intervention-for-veterans-seeking-psychotherapy
#9
Rebecca Lusk, Mark Lyubkin, Stephen T Chermack, Michelle L Sanborn, Nicholas W Bowersox
Pretreatment interventions have documented efficacy for reducing initial therapy refusal and early therapy departure. However, these interventions have not been well-studied in diagnostically diverse patient populations or within Veterans Affairs (VA) health care settings. We designed a manualized 4-session group cognitive-behavioral therapy-based pretreatment intervention (PTI) for a diagnostically diverse population of Veterans referred for psychotherapy in a general mental health clinic (MHC) in a large VA hospital...
December 2016: Psychotherapy
https://www.readbyqxmd.com/read/27918189/mentalization-based-therapy-for-parents-in-entrenched-conflict-a-random-allocation-feasibility-study
#10
Leezah Hertzmann, Mary Target, David Hewison, Polly Casey, Pasco Fearon, Dana Lassri
To explore the effectiveness of a mentalization-based therapeutic intervention specifically developed for parents in entrenched conflict over their children. To the best of our knowledge, this is the first randomized controlled intervention study in the United Kingdom to work with both parents postseparation, and the first to focus on mentalization in this situation. Using a mixed-methods study design, 30 parents were randomly allocated to either mentalization-based therapy for parental conflict-Parenting Together, or the Parents' Group, a psycho-educational intervention for separated parents based on elements of the Separated Parents Information Program-part of the U...
December 2016: Psychotherapy
https://www.readbyqxmd.com/read/27918188/the-effectiveness-of-couple-therapy-clinical-outcomes-in-a-naturalistic-united-kingdom-setting
#11
David Hewison, Polly Casey, Naomi Mwamba
Couple therapy outcomes tend to be judged by randomized controlled trial evidence, which comes primarily from the United States. United Kingdom and European outcome studies have tended to be naturalistic and there is a debate as to whether "laboratory" (RCT) studies are useful benchmarks for the outcomes of "clinic" (naturalistic) studies, not least because the therapies tested in the RCTs are hardly used in these settings. The current paper surveys the naturalistic studies in the literature and presents results from a U...
December 2016: Psychotherapy
https://www.readbyqxmd.com/read/27797546/uncontrolled-pilot-study-of-an-acceptance-and-commitment-therapy-and-health-at-every-size-intervention-for-obese-depressed-women-accept-yourself
#12
Margit I Berman, Stephanie N Morton, Mark T Hegel
Depression and obesity frequently co-occur, but providing adequate treatment to depressed obese women is challenging because existing treatments for each problem in isolation are suboptimal, and treatments to address one problem may exacerbate the other. This study used an uncontrolled, pretreatment-to-posttreatment design, with 3-month follow-up, to evaluate the feasibility and outcome of a novel, self-acceptance-based treatment for obese women with depression, "Accept Yourself!" Accept Yourself! is an 11-week manualized, group-based intervention that integrates Health At Every Size (an evidence-based paradigm to enhance physical health) and Acceptance and Commitment Therapy (an evidence-based psychotherapy often used to treat depression and eating-related concerns) to improve the physical and mental health of obese, depressed women without encouraging weight loss...
December 2016: Psychotherapy
https://www.readbyqxmd.com/read/27177079/inpatient-schema-therapy-for-nonresponsive-patients-with-personality-pathology-changes-in-symptomatic-distress-schemas-schema-modes-coping-styles-experienced-parenting-styles-and-mental-well-being
#13
Grietje M Schaap, Farid Chakhssi, Gerben J Westerhof
This study provides an evaluation of group schema therapy (ST) for inpatient treatment of patients with personality pathology who did not respond to previous psychotherapeutic interventions. Forty-two patients were assessed pre- and posttreatment, and 35 patients were evaluated at follow-up 6 months later. The results showed a dropout rate of 35%. Those who dropped out did not differ from those who completed treatment with regard to demographic and clinical variables; the only exception was that those who dropped out showed a lower prevalence of mood disorders...
December 2016: Psychotherapy
https://www.readbyqxmd.com/read/27064927/between-client-and-within-client-engagement-and-outcome-in-a-residential-wilderness-treatment-group-an-actor-partner-interdependence-analysis
#14
Harold L Lee Gillis, Dennis M Kivlighan, Keith C Russell
We examine aspects of engagement (MacKenzie, 1983) as predictors of longitudinal change in Outcome Questionnaire-45.2 scores (Lambert, Kahler, Harmon, Burlingame, & Shimokawa, 2011) for 68, 18-24-year-old male residents in a 10-bed, open enrollment 90-day residential, substance use treatment program. Engagement was partitioned into within-member, between-member, within-other members, and between-other members' effects. Within-member engagement represented how a group member's score for a week deviated from that member's average engagement score (across all weeks), whereas between-member engagement was the member's average engagement score...
December 2016: Psychotherapy
https://www.readbyqxmd.com/read/26390014/comparative-study-of-group-treatments-for-posttraumatic-stress-disorder
#15
Kendal Maxwell, Jennifer L Callahan, Pamela Holtz, Beth M Janis, Monica M Gerber, Dana R Connor
Presented herein is a comparative study of group treatments for posttraumatic stress disorder (PTSD). In this study, an emerging intervention, memory specificity training (MeST), was compared with cognitive processing therapy (CPT) using standardized outcome measures of target symptoms (i.e., anxiety and depression from client perspective; memory specificity from independent rater perspective) and global functioning (independent rater perspective), as well as a process measure of expectancy (client perspective)...
December 2016: Psychotherapy
https://www.readbyqxmd.com/read/27631868/creating-a-climate-for-therapist-improvement-a-case-study-of-an-agency-focused-on-outcomes-and-deliberate-practice
#16
Simon B Goldberg, Robbie Babins-Wagner, Tony Rousmaniere, Sandy Berzins, William T Hoyt, Jason L Whipple, Scott D Miller, Bruce E Wampold
Recent evidence suggests that psychotherapists may not increase in effectiveness over accrued experience in naturalistic settings, even settings that provide access to patients' outcomes. The current study examined changes in psychotherapists' effectiveness within an agency making a concerted effort to improve outcomes through the use of routine outcome monitoring coupled with ongoing consultation and the planful application of feedback including the use of deliberate practice. Data were available for 7 years of implementation from 5,128 patients seen by 153 psychotherapists...
September 2016: Psychotherapy
https://www.readbyqxmd.com/read/27631867/microaggressions-clinical-errors-with-sexual-minority-clients
#17
Elliot S Spengler, Deborah J Miller, Paul M Spengler
Sexual minority (SM) individuals live in a heterosexist society that denigrates their sexual orientation identity. The stigma and prejudice they regularly encounter is hypothesized to lead to their significantly increased risk for developing mental health disorders. Because of these factors, therapists should be diligent to create an affirming and supportive therapeutic environment but this is often not the case. SM clients frequently report experiencing sexual orientation microaggressions in therapy, such as heteronormative statements, a disregard for their sexual orientation identity, and an assumption that their presenting issues are rooted in their sexual orientation identity...
September 2016: Psychotherapy
https://www.readbyqxmd.com/read/27631866/clinical-errors-and-therapist-discomfort-with-client-disclosure-of-troublesome-pornography-use-implications-for-clinical-practice-and-error-reduction
#18
Nathan T Walters, Paul M Spengler
Mental health professionals are increasingly aware of the need for competence in the treatment of clients with pornography-related concerns. However, while researchers have recently sought to explore efficacious treatments for pornography-related concerns, few explorations of potential clinical judgment issues have occurred. Due to the sensitive, and at times uncomfortable, nature of client disclosures of sexual concerns within therapy, therapists are required to manage their own discomfort while retaining fidelity to treatment...
September 2016: Psychotherapy
https://www.readbyqxmd.com/read/27631865/what-clinicians-miss-about-miscarriages-clinical-errors-in-the-treatment-of-early-term-perinatal-loss
#19
Rayna D Markin
In this article, clinical errors in the treatment of perinatal grief after a miscarriage are discussed, including (a) minimizing or avoiding painful affects related to the miscarriage, (b) assuming grief is resolved upon a subsequent healthy pregnancy, and (c) neglecting early unresolved losses that are reawakened by the loss of the pregnancy. It is argued that these unintentional errors, frequently committed by significant others in the patient's life, are similarly made by well-intentioned clinicians due to a lack of knowledge about the psychological impact of miscarriage and, moreover, an unconscious avoidance of such a common yet distressing loss...
September 2016: Psychotherapy
https://www.readbyqxmd.com/read/27631864/failing-to-diagnose-and-failing-to-treat-an-addicted-client-two-potentially-life-threatening-clinical-errors
#20
Bruce S Liese, Daniel J Reis
Psychotherapists risk making 2 types of errors with clients who struggle with addictive behaviors: failure to diagnose addictive behaviors and failure to effectively treat addictive behaviors. Given the high prevalence of addictive behaviors in clinical populations, therapists are in a unique position to assist individuals with these problems. It is assumed that therapists possess general diagnostic and treatment skills and yet many do not diagnose or do not treat addictive behaviors. Reasons for making these errors include prohibitive beliefs and limited knowledge about addictive behaviors...
September 2016: Psychotherapy
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