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Bulletin of the Menninger Clinic

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https://www.readbyqxmd.com/read/28745949/short-term-psychodynamic-therapy-for-obsessive-compulsive-disorder-a-manual-guided-approach-to-treating-the-inhibited-rebel
#1
Falk Leichsenring, Christiane Steinert
Obsessive-compulsive disorder (OCD) is a chronic disabling disorder characterized by recurrent obsessions and uncontrolled compulsions. Recent research on anxiety disorders suggests that manual-guided short-term psychodynamic therapy (STPP) may be a promising approach. Building on this, a model of STPP for OCD was developed based on Luborsky's supportive-expressive (SE) therapy. Treatment consists of 12 modules, which include the characteristic elements of SE therapy, that is, a focus on the Core Conflictual Relationship Theme (CCRT) associated with OCD symptoms and on establishing a secure alliance...
July 26, 2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28745948/the-coconstruction-of-interpersonal-recognition-in-the-clinical-dialogue-of-the-diagnostic-process-a-multilevel-analysis-of-the-verbal-content-and-vocal-nonverbal-dimension
#2
Federica Biassoni, Lisa Boga, Maria Rita Ciceri, Margherita Lang, Laura Rivolta
The present study is an empirical evaluation of a clinical setting from a particular point of view, able to integrate the vocal dimension-used in different fields of psychology as an indicator of rational phenomena-with the linguistic dimension of contents. Starting from the "interpersonal recognition" extracted from the contents of the verbatim transcripts of some diagnostic processes using the Strumento di Valutazione del Riconoscimento Interpersonale (Evaluation Tool for Interpersonal Recognition), the variation of vocal parameters both in the clinician and in the patient were analyzed...
July 26, 2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28745947/identity-narrative-density-preliminary-findings-from-scoring-emotional-valence-of-autobiographical-events
#3
A Novac, R G Bota, B Blinder
Autobiographical Memory is a form of declarative episodic memory known to have a significant role in identity, self-regulation, and socialization. Conceivably, it may also influence outcome of psychopathology. This is a preliminary report in which the authors are proposing the notion of Identity Narrative (IdN), a set of implicit memories acquired throughout life and consolidated according to a gradient of emotional valence. IdN may constitute an implicit scaffolding for autobiographical memory. Identity Narrative Density (IND) is a score of emotional valence referring to life events that contribute to the construction of an IdN...
July 26, 2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28745946/mentalization-based-treatment-for-borderline-personality-disorder-in-adults-and-adolescents-for-whom-when-and-how
#4
Dine J Feenstra, Patrick Luyten, Dawn L Bales
Borderline personality disorder (BPD) is common in clinical practice. Psychotherapy is the treatment of choice, and mentalization-based treatment (MBT) is one of the empirically supported treatments that are currently available. For adults, two variants of MBT (MBT day hospital [MBT-DH] and MBT intensive outpatient [MBT-IOP]) have been developed and empirically evaluated. The authors review research on the development, efficacy, and implementation of MBT. In conclusion, the authors focus on the implementation of treatment programs for BPD patients...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28745945/elena-a-case-of-dissociative-identity-disorder-from-the-1920s
#5
Adriano Schimmenti
In 1930, Italian psychiatrist Giovanni Enrico Morselli described the history, diagnosis, and treatment of his patient Elena. The case of Elena has been considered in literature as one of the most remarkable cases of multiple personality ever published. In fact, before treatment, Elena showed alternating French- and Italian-speaking personalities, with the Italian personality knowing nothing of her French counterparts. After a difficult treatment involving recovered memories of incestuous attacks by her father, which were proven to be true, Elena fully recovered from her symptoms...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28745944/need-to-screen-for-clinical-levels-of-ocd-four-questions-are-the-key
#6
Judy H Hong, Eric B Lee, Chad T Wetterneck, John M Hart
The aim of this study was to investigate a new measure, the Wetterneck-Hart OCD Screener (WHOS), as a self-report screening tool for obsessive-compulsive disorder (OCD). The authors examined relationships between the WHOS and severity scores of OCD measures taken via three methods of data collection: online, at OCD consumer conferences, and from an intensive, residential OCD program. Severity measures included the Yale-Brown Obsessive-Compulsive Scale-Self Report (Y-BOCS-SR), the Dimensional Obsessive-Compulsive Scale (DOCS), and the Obsessive-Compulsive Inventory-Revised (OCI-R)...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28745943/integrating-caring-into-patient-centered-care-through-interprofessional-education-and-ethics-the-caring-project
#7
Jane S Mahoney, Cynthia Mulder, Susan Hardesty, Alok Madan
In an era of health care that is driven by biological and technical advances, there is a need to safeguard the caring component of care, the humanistic part of care. With this in mind, the authors constructed a Patient-Centered Caring model consisting of three overlapping constructs: delivering customer service, understanding the illness experience, and providing trauma-informed care. These practices operate within an interprofessional competency context. The authors describe an interprofessional educational project focused on understanding the illness experience and providing trauma-informed care to faculty, staff, and administrators in an inpatient psychiatric setting...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28745942/the-empirically-derived-violence-and-aggression-risk-index-from-the-personality-assessment-inventory-development-validation-and-application-in-general-psychiatric-settings
#8
Michael J Roche, Samuel Justin Sinclair, Christy Denckla, Wei-Jean Chung, Michelle Stein, Mark Blais
The current study developed a new index of violence risk from scales within the Personality Assessment Inventory (PAI). Clinical patients from inpatient and outpatient settings completed the PAI along with reports of violence history and arrest record. A forward-selection hierarchical logistic regression was employed (N = 388) to identify the PAI scales (AGG-P, AGG-A, NON, PAR-H, and ANT-A) that could effectively distinguish patients with and without a history of violence. These indicators were then aggregated into a single index, labeled the Violence and Aggression Risk Index (VARI)...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28609149/react-a-paraprofessional-training-program-for-first-responders-a-pilot-study
#9
Madeline R Marks, Clint Bowers, Natasha S DePesa, Benjamin Trachik, Frances E Deavers, Nicholas T James
The purpose of this study was to evaluate a newly designed peer support training program for first responders titled Recognize, Evaluate, Advocate, Coordinate, and Track (REACT). REACT was developed in partnership with public safety agencies to address the need for promoting psychological health. This resulted in the development of a program that uses train-the-trainer methodology to address primary prevention of stress injuries. REACT was an all-day training that consisted of four modules, each featuring instruction and practice...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28609148/an-intensive-outpatient-treatment-program-for-combat-related-ptsd-trauma-management-therapy
#10
Deborah C Beidel, Jeremy W Stout, Sandra M Neer, B Christopher Frueh, Carl Lejuez
An estimated 18.5% of veterans returning from Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn are suffering from posttraumatic stress or posttraumatic stress disorder (PTSD). The number of veterans and service duty personnel requesting VA health care services is increasing, and the VA's ability to handle requests is dwindling. Thus, both the content of interventions and the format by which these services are delivered need to be reconceptualized. The authors present a multicomponent intervention program known as Trauma Management Therapy (TMT), a comprehensive, empirically supported treatment that can be delivered in an intensive, 3-week outpatient format...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28609147/transference-and-countertransference-a-review
#11
Karoline Parth, Felicitas Datz, Charles Seidman, Henriette Löffler-Stastka
Originally a psychodynamic concept, the therapeutic relationship (also therapeutic alliance, helping alliance or simply alliance) has become a pan-theoretical model for the professional relationship between a therapist and his or her client (Kivlighan, 1995). With the development of this concept in the latter half of the 20th century, psychotherapeutic theory and practice saw a paradigm shift away from strict adherence to technique with little room for responsive, individual behavior from the therapist and toward the "authentic" human relationship at the core of therapy...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28609146/chronic-pain-management-group-psychotherapy-for-psychiatric-inpatients-a-pilot-study
#12
Patricia J Osborne, Gladys Janice Jimenez-Torres, Yulia Landa, Jane Mahoney, Alok Madan
Individuals with serious mental illness (SMI) experience significant comorbid chronic pain (CP). Little is known about CP management in psychiatric inpatient settings. To address this gap in clinical practice, the authors developed CP management group psychotherapy for adult inpatients with SMI. In this report, the authors highlight (1) the theoretical underpinnings of and execution of the psychotherapy group, (2) the characteristics of participants in the pilot phase of the group, and (3) outcomes of group participants...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28271906/recognizing-and-addressing-unique-vulnerabilities-of-suicidal-patients-suicide-research-at-the-menninger-clinic
#13
Thomas E Ellis
Suicide risk is an inescapable presence in the treatment of people with psychiatric disorders, a fact that applies especially in inpatient psychiatric settings. This article summarizes a several-year research initiative at The Menninger Clinic aimed at better understanding psychological contributors to suicidality and developing more effective clinical interventions. Two areas of research are described, an outcomes arm focused on assessing the feasibility and effectiveness of a suicide-specific intervention (The Collaborative Assessment and Management of Suicidality) and an exploratory arm whose objective is to learn about psychological vulnerabilities that distinguish suicidal from nonsuicidal patients, with an eye toward developing interventions that address such vulnerabilities...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28271905/a-comprehensive-overview-of-the-neuropsychiatry-of-parkinson-s-disease-a-review
#14
REVIEW
Muhammad Adnan Khan, Syed A Quadri, Hassaan Tohid
Parkinson's disease is a widespread neurological illness. However, its psychiatric links have also been discussed lately by many authors, which has brought more depth to the specialized field of neuropsychiatry. Neuropsychiatric complications are commonly seen in Parkinson's patients, including major depression, anxiety, psychosis and hallucination, and cognitive abnormality. Almost all of these complications have a distinct pathophysiology and treatment. In this article we review the most recent studies about the association of these symptoms with Parkinson's disease and highlight the epidemiology, diagnosis, pathophysiology, and treatment of the neuropsychiatric complications, with more emphasis on the pathophysiology of these complications...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28271904/discovering-the-impact-of-psychotherapeutic-hospital-treatment-for-adults-with-serious-mental-illness
#15
Jon G Allen, J Christopher Fowler, Alok Madan, Thomas E Ellis, John M Oldham, B Christopher Frueh
The authors summarize findings from a multiyear research project designed primarily to investigate outcomes of intensive, psychotherapeutic hospital treatment lasting several weeks. Patients are assessed with well-established measures at admission, and their progress is reassessed biweekly up to discharge. A follow-up component was added recently to track outcomes for 1 year after discharge. All inpatient assessments are integrated with clinical care by providing individual results for each time point to the patient and the treatment team...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/27936905/commentary-adverse-experiences-in-psychiatric-hospitals-might-be-the-cause-of-some-postdischarge-suicides
#16
Daniel Thomas Chung, Christopher James Ryan, Matthew Michael Large
In this article, the authors comment on "Postdischarge Suicide: A Psychodynamic Understanding of Subjective Experience and Its Importance in Suicide Prevention," by Schechter, Goldblatt, Ronningstam, Herbstman, and Maltsberger (Bulletin of the Menninger Clinic, 2016, volume 80, pp. 80-96). Suicide after discharge from psychiatric hospitals is an enduring and serious problem. Consideration needs to be given to the possibility that adverse experiences associated with hospitalization, experiences such as trauma, stigma, and loss of social support, might precipitate some suicides after discharge...
2016: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/27936903/paradoxical-increase-in-synthetic-cannabinoid-emergency-related-presentations-after-a-citywide-ban-lessons-from-houston-texas
#17
David Mathai, Mollie Gordon, Peter Muchmore, Anu Matorin, Asim Shah, Nidal Moukaddam
Synthetic cannabinoids (SCs) have become a major drug of abuse associated with severe hospital presentations. There have been a variety of legislative efforts to regulate these drugs: The authors focus on trends in SC-related hospitalizations at Ben Taub General Hospital before and after a ban enacted by the city of Houston. Data from all consults seen by Ben Taub's Licensed Chemical Dependency Counselor were examined for changes in SC-related presentations before and after the ban. The findings were compared alongside other reports of current SC use...
2016: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/27936902/psychiatrists-emotional-reactions-useful-for-precise-diagnosis-in-adolescence
#18
Sarah Knaus, Roland Grassl, Charles Seidman, Tamara Seitz, Andreas Karwautz, Henriette Löffler-Stastka
Therapist response (countertransference) can be defined as the range of emotions a clinician experiences when interacting with a patient. Previous research has shown that this reaction plays an important role in the establishment of the therapeutic relationship, and that certain psychiatric disorders are systematically related to strong countertransference reactions in clinicians. For this study, 30 videotaped sessions were retrospectively analyzed by one observer using the Therapist Response Questionnaire (TRQ)...
2016: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/27936901/psychosomatic-patients-in-integrated-care-which-treatment-mediators-do-we-have-to-focus-on
#19
Karoline Parth, Ania Rosar, Kurt Stastka, Timo Storck, Henriette Löffler-Stastka
The field of psychosomatics has gained increasing significance; it has been struggling to establish its position as either an independent discipline or a subdomain of specific areas such as internal medicine or psychiatry. However, the rise of psychosomatic syndromes and disease patterns as well as an increase of specific integrated psychosomatic wards is a clear indication for the growing importance of interdisciplinary approaches to psychosomatic disorders. The study presents data from an 8-week inpatient treatment at a psychosomatic facility and investigates whether patients improved in their subjective symptom experience...
2016: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/27936900/real-time-functional-mri-training-to-decrease-motion-in-imaging-studies-lack-of-significant-improvement
#20
Tessy M Lal, Philip R Baldwin, Ming-Bo Cai, Ricky R Savjani, David M Eagleman, David Ress, Ramiro Salas
Functional magnetic resonance imaging (fMRI) is widely used to study brain circuitry in healthy controls and in psychiatry. A major problem of fMRI studies is motion, which affects the quality of images, is a major source of noise, and can confound data if, for example, the experimental groups move differently. Despite continual reminders to experimental subjects about keeping still, however, movement in the scanner remains a problem. The authors hypothesized that showing head movement during a scanning session may help subjects learn how to keep their head still...
2016: Bulletin of the Menninger Clinic
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