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Psychotherapy

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https://www.readbyqxmd.com/read/28182451/therapeutic-alliance-subsequent-change-and-moderators-of-the-alliance-outcome-association-in-interpersonal-psychotherapy-for-depression
#1
Michael J Constantino, Alice E Coyne, Emily K Luukko, Katie Newkirk, Samantha L Bernecker, Paula Ravitz, Carolina McBride
The therapeutic alliance has historically emerged as a pantheoretical correlate of favorable psychotherapy outcomes. However, uncertainty remains about the direction of the alliance-outcome link, and whether it is affected by other contextual variables. The present study explored (a) if early alliance quality predicted subsequent symptom change while controlling for the effect of prior symptom change in interpersonal psychotherapy (IPT) for depression, and (b) whether baseline patient characteristics moderated the alliance-outcome relation (to help specify conditions under which alliance predicts change)...
February 9, 2017: Psychotherapy
https://www.readbyqxmd.com/read/28263657/the-impact-of-psychotherapist-training-and-experience-on-posttermination-contact
#2
Sarah Jofen-Miller, Katherine L Fiori
This study sought to enhance our understanding of posttermination contact, with a particular focus on the role of training and experience in shaping attitudes and behaviors with respect to the posttermination period. We collected anonymous online survey data related to attitudes, policies, and experience of posttermination contact from 144 licensed clinicians. Our sample was composed of an experienced group of clinicians, with 20.7 years in practice on average. Clinicians had a range of clinical orientations and ∼25% of respondents were from outside of the United States...
March 2017: Psychotherapy
https://www.readbyqxmd.com/read/28263656/therapists-in-training-experiences-of-working-with-transfer-clients-one-relationship-terminates-and-another-begins
#3
Cheri L Marmarosh, Barbara Thompson, Clara Hill, Suzanne Hollman, Monica Megivern
Data from interviews with 12 graduate-level trainees about their experiences of working with clients who had been transferred to them from another therapist were analyzed using consensual qualitative research. Trainees reported a range of helpful and hindering aspects about the transfer experience related to the client (e.g., client had experienced a prior termination and transfer, client had severe character pathology), the prior therapist (e.g., prior therapist prepared client for transfer, prior therapists did not process their termination with client), themselves (e...
March 2017: Psychotherapy
https://www.readbyqxmd.com/read/28263655/client-therapist-agreement-in-the-termination-process-and-its-association-with-therapeutic-relationship
#4
Julieta Olivera, Laura Challú, Juan Martín Gómez Penedo, Andrés Roussos
There is no consensus among different therapeutic approaches on the process of termination when therapy does not have a prefixed duration. Moreover, both clinicians and researchers are still exploring decision making in the termination of treatment. The present study assessed former client's perspective of therapy termination in a nonprobabilistic sample from Buenos Aires, Argentina. Seventy-three semistructured interviews, lasting ∼60 min each, were conducted with participants that had finished a therapeutic treatment or dropped out...
March 2017: Psychotherapy
https://www.readbyqxmd.com/read/28263654/the-termination-phase-therapists-perspective-on-the-therapeutic-relationship-and-outcome
#5
Avantika Bhatia, Charles J Gelso
The termination phase of treatment is recognized as a significant aspect of the therapy process and yet remains vastly understudied in psychotherapy literature. In the present study, therapists' perspectives were used to examine how 3 elements of the therapy relationship (working alliance, real relationship, and transference) during the termination phase relate to perceived client sensitivity to loss, termination phase evaluation, and overall treatment outcome. Self-report data were gathered from 233 therapists, recruited from 2 Divisions of the American Psychological Association...
March 2017: Psychotherapy
https://www.readbyqxmd.com/read/28263653/do-all-therapists-do-that-when-saying-goodbye-a-study-of-commonalities-in-termination-behaviors
#6
John C Norcross, Barrett E Zimmerman, Roger P Greenberg, Joshua K Swift
This study aimed to identify core termination behaviors of psychotherapists across theoretical orientations in a successful course of treatment. Sixty-five experts from diverse theoretical traditions reported the frequency with which they used 80 tasks in a planned, mutually agreed termination of individual psychotherapy. Fifty-one items reached a positive consensus, 27 items did not obtain consensus, and 2 items were consensually employed infrequently. Termination behaviors/tasks achieving the strongest consensus concerned supporting the client's progress, promoting client growth posttermination, following the ethics code, consolidating gains made, and highlighting patient's recognition of competence...
March 2017: Psychotherapy
https://www.readbyqxmd.com/read/28263652/therapist-effects-and-the-impacts-of-therapy-nonattendance
#7
Henry Xiao, Jeffrey A Hayes, Louis G Castonguay, Andrew A McAleavey, Benjamin D Locke
Although dropout from psychotherapy has received substantial attention, the impacts of nonattendance on client outcome across a course of psychotherapy have not been well researched. All in-person psychotherapy treatments require clients to actually attend sessions to generate positive symptomatic results, and missed sessions have at least a time and financial cost. Furthermore, it is plausible that therapist differences exist for client attendance rates. The present study examined impacts of nonattendance, particularly early in a course of treatment, comparing the effects of canceled and no-showed appointments on overall symptom reduction and rate of change while accounting for therapist effects...
March 2017: Psychotherapy
https://www.readbyqxmd.com/read/28263651/treatment-refusal-and-premature-termination-in-psychotherapy-pharmacotherapy-and-their-combination-a-meta-analysis-of-head-to-head-comparisons
#8
Joshua K Swift, Roger P Greenberg, Kelley A Tompkins, Susannah R Parkin
The purpose of this meta-analysis was to examine rates of treatment refusal and premature termination for pharmacotherapy alone, psychotherapy alone, pharmacotherapy plus psychotherapy, and psychotherapy plus pill placebo treatments. A systematic review of the literature resulted in 186 comparative trials that included a report of treatment refusal and/or premature termination for at least 2 of the 4 treatment conditions. The data from these studies were pooled using a random-effects analysis. Odds Ratio effect sizes were then calculated to compare the rates between treatment conditions, once across all studies and then again for specific client disorder categories...
March 2017: Psychotherapy
https://www.readbyqxmd.com/read/28263650/supportive-expressive-interventions-in-working-through-treatment-termination
#9
Aviv Nof, Liat Leibovich, Sigal Zilcha-Mano
Supportive-expressive (SE) psychodynamic treatment has been receiving much empirical support. It is based on conceptualizing and working through the patients' Core Conflictual Relationship Theme, which includes their main wish (W) in the context of an interpersonal relationship, an actual or anticipated subjective response from the other (RO) in relation to the W, and the subsequent emotional and behavioral response from the self (RS) to the RO. Studies suggest that the RO and RS components show the greatest change as a result of effective SE treatment...
March 2017: Psychotherapy
https://www.readbyqxmd.com/read/28263649/fostering-engagement-during-termination-applying-attachment-theory-and-research
#10
Cheri L Marmarosh
Therapists often struggle to determine the most important things to focus on during termination. Reviewing the treatment, identifying plans for the future, summarizing positive gains, and saying goodbye receive the most attention. Despite our best intentions, termination can end up becoming intellectualized. Attachment theory and recent developments in neuroscience offer us a road map for facilitating endings that address client's underlying relational needs, direct us to foster engagement, and help us facilitate new relational experience that can be transformative for clients...
March 2017: Psychotherapy
https://www.readbyqxmd.com/read/28263648/an-introduction-to-the-special-issue-on-psychotherapy-termination
#11
Mark J Hilsenroth
This introduction to the special issue on psychotherapy termination begins by noting the almost complete lack of research and clinical discussion on this topic in the literature. It is with a desire to effect some sort of change to this current state of affairs that Psychotherapy invited manuscripts for this special issue. Specifically, the editors sought contributions on both the clinical practice and research aspects of the psychotherapy termination process from a variety of different theoretical orientations, perspectives, and methodologies...
March 2017: Psychotherapy
https://www.readbyqxmd.com/read/27869471/a-collaborative-approach-to-psychotherapy-termination
#12
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...
March 2017: Psychotherapy
https://www.readbyqxmd.com/read/27869470/terminating-supervision
#13
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)...
March 2017: Psychotherapy
https://www.readbyqxmd.com/read/27869469/saying-good-goodbyes-to-your-clients-a-functional-analytic-psychotherapy-fap-perspective
#14
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...
March 2017: Psychotherapy
https://www.readbyqxmd.com/read/27869468/termination-in-cognitive-behavioral-therapy-with-children-adolescents-and-parents
#15
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)...
March 2017: Psychotherapy
https://www.readbyqxmd.com/read/27991813/therapist-effects-on-outcome-and-alliance-in-inpatient-psychotherapy-the-contribution-of-patients-symptom-severity
#16
Ulrike Dinger, Johannes Zimmermann, Oliver Masuhr, Carsten Spitzer
Therapists differ in their effectiveness regarding their patients' symptomatic improvement as well as their therapeutic alliances, but little is known about influencing factors. The current study aimed to investigate therapist effects on outcome and alliance in inpatient psychotherapy and to estimate the influence of patient severity on the magnitude of therapist effects in this specific setting. We examined differences between individual psychotherapists in their patients' early alliance and outcome at discharge in a psychotherapy setting of a psychiatric hospital...
December 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
#17
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
#18
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
#19
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
#20
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
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