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Psychotherapy

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https://www.readbyqxmd.com/read/28758763/psychodynamizing-and-existentializing-cognitive-behavioral-interventions-the-case-of-behavioral-activation-ba
#1
Golan Shahar, Aner Govrin
From the point of view of Cognitive-Existential Psychodynamics (Shahar, 2015a, 2016; Shahar & Schiller, 2016; Ziv-Beiman & Shahar, 2016), active techniques-primarily cognitive-behavioral therapy ones-might not only reduce distress but also bolster the therapeutic relationships and serve as powerful vehicles for self-discovery and growth. This, however, is contingent upon therapists' ability to view, and present to patients, the psychodynamic and existential nature of active techniques. Our focus herein is on behavioral activation, an intervention that consists of encouraging patients to participate in enjoyable and meaningful activities, in the face of depressive anhedonia...
July 31, 2017: Psychotherapy
https://www.readbyqxmd.com/read/28737419/behavioral-activation-as-a-common-mechanism-of-change-across-different-orientations-and-disorders
#2
Giancarlo Dimaggio, Golan Shahar
Behavioral activation is an effective treatment for depression, based on targeting deprivation of positive rewards. It becomes more and more evident that many forms of mental disorders and psychological suffering involve reduction of goal-driven and pleasant activities. This reduction leaves negative mental states free to take the center of consciousness, without being counterbalanced by positive feelings, memories, and experiences of agency, self-efficacy, competence, relaxation, energy, and satisfaction. Reduced activity can be found in disorders ranging from chronic pain to personality disorders and schizophrenia...
July 24, 2017: Psychotherapy
https://www.readbyqxmd.com/read/28691835/agency-before-action-the-application-of-behavioral-activation-in-psychotherapy-with-persons-with-psychosis
#3
Ilanit Hasson-Ohayon, Nitzan Arnon-Ribenfeld, Jay A Hamm, Paul H Lysaker
Incorporating behavioral activation into psychotherapy with persons with psychosis requires adaptation in its conceptualization and application owing to special deficits in the self-experience. Persons with psychosis often experience a diminished or disorganized sense of self, and have deficits in coherently narrating the experience of the self and in the ability to make sense of how to take action and direct their own lives. Based on a metacognitive model of disability in psychosis, the current paper presents a therapy process of a woman coping with schizophrenia using Metacognitive Reflection and Insight Therapy (Lysaker and Dimaggio, 2014) in the framework of an intersubjective model for psychotherapy with persons with psychosis presented by Hasson-Ohayon, Kravetz, and Lysaker (2016a)...
July 10, 2017: Psychotherapy
https://www.readbyqxmd.com/read/28661164/adaptation-of-behavioral-activation-in-the-treatment-of-chronic-pain
#4
Eun Ha Kim, Taylor B Crouch, Bunmi O Olatunji
Chronic pain is a common problem that can be challenging to treat because of its complex history, unclear etiology, and poor response to traditional treatment approaches. A growing body of research suggests that behavioral activation (BA), which was originally developed as a treatment for depression, may be a promising treatment for chronic pain. BA involves the identification and enactment of activities that are reinforcing to the individual and consistent with his or her long-term goals. The application of BA for the treatment of chronic pain is fully consistent with models of chronic pain which post that fear and avoidance leads to a cycle of physical deconditioning, increased pain as a result of deconditioning, lack of positive reinforcement, and low mood, and further reduced motivation to physically engage...
June 29, 2017: Psychotherapy
https://www.readbyqxmd.com/read/28661163/the-feasibility-of-a-culturally-informed-group-therapy-for-patients-with-schizophrenia-and-their-family-members
#5
Jessica Maura, Amy Weisman de Mamani
Research suggests that group-based psychosocial treatments for schizophrenia provide benefits to patients and family members alike. However, few existing treatments consider cultural factors that may enhance their efficacy with diverse populations. The current study examined the feasibility of a culturally informed group therapy for schizophrenia (CIGT-S), which incorporates collectivistic principles and spiritual coping into the treatment protocol. The feasibility of the group protocol was tested by examining differences in patient symptom severity and patient and family member depression, anxiety, and stress after completion of the group program...
June 29, 2017: Psychotherapy
https://www.readbyqxmd.com/read/28581329/an-empirical-analysis-of-mental-state-talk-and-affect-regulation-in-two-single-cases-of-psychodynamic-child-therapy
#6
Sibel Halfon, Ozlem Bekar, Büşra Gürleyen
Literature has shown the importance of mentalizing techniques in symptom remission and emotional understanding; however, no study to date has looked at the dynamic relations between mental state talk and affect regulation in the psychotherapy process. From a psychodynamic perspective, the emergence of the child's capacity to regulate affect through the therapist's reflection on the child's mental states is a core aspect of treatment. In an empirical investigation of 2 single cases with separation anxiety disorder, who were treated in long-term psychodynamic play therapy informed with mentalization principles, the effect of therapists' and children's use of mental state talk on children's subsequent capacity to regulate affect in play was assessed...
June 2017: Psychotherapy
https://www.readbyqxmd.com/read/28581328/therapist-adherence-is-associated-with-outcome-in-cognitive-behavioral-therapy-for-bulimia-nervosa
#7
Sofie Folke, Sarah I F Daniel, Matthias Gondan, Susanne Lunn, Louise Tækker, Stig Poulsen
Studies of therapist adherence in relation to treatment outcome have produced mixed results. The aim of the present study was to investigate change in therapist adherence to cognitive-behavioral therapy (CBT) for bulimia nervosa over time, and to investigate the relationship between adherence and client outcome in early, middle, and late phases of treatment. Thirty-six clients received the focused form of "enhanced" CBT (CBT-E) for bulimia nervosa. Trained observers rated audiotapes of 92 full-length therapy sessions from early (Session 3), middle (Session 11), and late phases (Session 20) of treatment using the Cognitive-Behavioral Therapy Treatment Protocol Adherence Scale...
June 2017: Psychotherapy
https://www.readbyqxmd.com/read/28581327/countertransference-when-working-with-narcissistic-personality-disorder-an-empirical-investigation
#8
Annalisa Tanzilli, Laura Muzi, Elsa Ronningstam, Vittorio Lingiardi
Narcissistic personality disorder (NPD) is one of the most challenging clinical syndromes to treat in psychotherapy, especially due to the difficulties of establishing a good enough therapist-patient relationship. Countertransference responses to NPD can be particularly intense, frustrating, and difficult to manage, as is often reported in the clinical literature though not clearly supported empirically. The aims of this study were to (a) investigate the relationship between patients' NPD and therapists' responses; (b) examine the associations between patient, clinician, therapy variables and clinicians' reactions during treatment of NPD patients; and (c) provide an empirically derived portrait of countertransference with NPD...
June 2017: Psychotherapy
https://www.readbyqxmd.com/read/28581326/patients-crying-experiences-in-psychotherapy-relationship-with-the-patient-level-of-personality-organization-clinician-approach-and-therapeutic-alliance
#9
Pietro Zingaretti, Federica Genova, Francesco Gazzillo, Vittorio Lingiardi
The present study sought to further understand patients' crying experiences in psychotherapy. We asked 64 clinicians to randomly request one patient in their practice to complete a survey concerning crying in psychotherapy as well as a measure of therapeutic alliance. All clinicians provided information regarding their practice and patient diagnostic information. Fifty-five (85.93%) patients cried at least once, and 18 (28.1%) had cried during their most recent session. Patients' frequency of crying episodes in therapy was negatively related with psychotic level of personality organization, while patients' tendency to feel more negative feelings after crying was positively related to lower levels of personality organization...
June 2017: Psychotherapy
https://www.readbyqxmd.com/read/28581325/is-affect-experiencing-therapeutic-in-major-depressive-disorder-examining-associations-between-affect-experiencing-and-changes-to-the-alliance-and-outcome-in-intensive-short-term-dynamic-psychotherapy
#10
Joel M Town, Alison Salvadori, Fredrik Falkenström, Stacy Bradley, Gillian Hardy
Affect experiencing (AE), defined as the facilitation of client in-session bodily arousal and visceral experiencing of affect, is a distinct theoretical process presumed to contribute to therapeutic improvement. This study examined the role of AE in the treatment of major depressive disorder by exploring its association to client distress and therapeutic alliance on a session-by-session basis. A case series design was used to conduct an intensive analysis of the treatment process of 4 clients who received time-limited intensive short-term dynamic psychotherapy, 2 of whom were considered "recovered" and 2 who showed "no change" based upon posttreatment outcomes...
June 2017: 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
#11
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...
June 2017: Psychotherapy
https://www.readbyqxmd.com/read/28263657/the-impact-of-psychotherapist-training-and-experience-on-posttermination-contact
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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