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Psychotherapy Research: Journal of the Society for Psychotherapy Research

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https://www.readbyqxmd.com/read/28714839/the-psychotherapy-outcome-problem-the-development-of-the-outcome-stability-index
#1
Jesse Owen, Joanna M Drinane, Jill L Adelson, Mark Kopta
OBJECTIVE: Psychotherapy research commonly utilizes clients' last session score as an indicator of treatment outcome. We examined whether this last session score is consistent with what would be predicted based on clients' general trajectory in psychological functioning across sessions. We focused on the unstandardized residual variance at the last session, as this represents the degree to which the session score is divergent (or not) from what is predicted from the previous sessions (i...
July 17, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28714808/-it-was-hard-work-every-session-therapists-view-of-successful-psychoanalytic-treatments
#2
Andrzej Werbart, Peter Missios, Fredrik Waldenström, Peter Lilliengren
OBJECTIVE: To explore therapists' experiences of the therapeutic process in successful cases of psychoanalytic psychotherapy. METHOD: A two-stage, mixed-method design was used. Sixteen successful cases were drawn from a sample of 92 young adults in psychoanalytic psychotherapy according to Jacobson's criteria for reliable and clinically significant improvement. Therapist interviews at baseline and termination were analyzed applying Inductive Thematic Analysis. RESULTS: Three core themes emerged: Being Particularly Motivated to be This Patient's Therapist, Maintaining a Safe and Attentive Therapeutic Position, and Assiduous Work Every Session...
July 17, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28714778/how-clients-change-emotion-with-emotion-a-programme-of-research-on-emotional-processing
#3
Antonio Pascual-Leone
This paper reviews a body of research that has examined Pascual-Leone and Greenberg's sequential model of emotional processing or used its accompanying measure (the Classification of Affective Meaning States). Research from 24 studies using a plurality of methods examined process-outcome relationships from micro to macro levels of observation and builds support for emotional transformation as a possible causal mechanism of change in psychotherapy. A pooled sample of 310 clinical and 130 sub-clinical cases have been studied, reflecting the process of 7 different treatment approaches in addressing over 5 different presenting clinical problems (including depression, anxiety, relational trauma, and personality disorders)...
July 17, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28637385/applying-cognitive-restructuring-in-therapy-the-clinical-reality-in-spain
#4
Rebeca Pardo Cebrián, Ana Calero Elvira
Cognitive restructuring is one of the most widely used techniques among psychologists of different orientations. However, there is a lack of clarity in what concerns its precise definition, functioning, effectiveness, and components. OBJECTIVE: To obtain precise information on how psychotherapists use cognitive restructuring in their clinical practice in Spain. METHOD: A survey study was conducted following a descriptive quantitative methodology, with a cross-sectional design and a non-random sampling method...
June 21, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28610475/general-and-specific-factors-of-working-alliance-in-parent-training-a%C3%A2-bifactor-exploratory-structural-equation-modelling-approach
#5
Silje Hukkelberg, Terje Ogden
The Working Alliance Inventory Short form (WAI-S) comprises 12 items that measure 3 subdomains (goal, task, and bond). In the present study, we evaluated the factor structure of WAI-S in a parent management training (PMT) context, by investigating a series of different factor models, including standard confirmatory factor analyses (CFA) models and more recent alternatives, like the exploratory structural equation model (ESEM), the bifactor-CFA, and the bifactor exploratory structural equation model (B-ESEM)...
June 13, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28580884/specific-and-common-processes-as-mediators-of-the-long-term-effects-of-cognitive-behavioral-therapy-integrated-with-motivational-interviewing-for-generalized-anxiety-disorder
#6
Michael J Constantino, Henny A Westra, Martin M Antony, Alice E Coyne
OBJECTIVE: A trial of psychotherapy for generalized anxiety disorder (GAD) demonstrated that motivational interviewing (MI) integrated with cognitive-behavioral therapy (CBT) outperformed CBT alone on clients' worry reduction across a 12-month follow-up. In the present study, we hypothesized and tested that less client resistance and greater client-perceived therapist empathy (specific foci of MI) would account for MI's additive effect. Exploratory analyses assessed whether the common processes of homework completion and therapeutic alliance quality mediated the treatment effect...
June 5, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28569097/testing-the-convergent-and-discriminant-validity-of-the-systemic-therapy-inventory-of-change-initial-scales
#7
Richard E Zinbarg, William Pinsof, Kelley Quirk, Ashley Kendall, Jacob Goldsmith, Nathan Hardy, Yaliu He, Allen Sabey, Tara Latta
OBJECTIVE: The Systemic Therapy Inventory of Change (STIC(®)) is the first multi-systemic and multi-dimensional measurement and feedback system designed for assessment in family, couple, and individual functioning. Patients fill out the STIC Initial before the first session to identify treatment targets and provide starting values for subsequent assessments of trajectories of change. This study tested the construct validity of five of the six STIC Initial scales. METHODS: We administered both the STIC Initial and a set of validity measures to a relatively large sample of patients...
June 1, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28532259/ethnic-differences-in-response-to-directive-vs-non-directive-brief-intervention-for-subsyndromal-depression
#8
David Pan, Stanley J Huey, Lara H Heflin
OBJECTIVE: Analog research suggests that directive interventions might increase treatment engagement for non-symptomatic Asian American (AA) students; however, no studies have assessed whether directiveness improves therapy processes or clinical outcomes for AAs with mental health symptoms. This study tested the comparative efficacy of brief directive vs. non-directive intervention for AAs and European Americans (EAs) with subsyndromal depression. METHOD: Participants were randomly assigned directive, non-directive, or cultural values interview conditions, and assessed three times over six months...
May 22, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28532254/towards-the-recovery-of-a-sense-of-self-an-interpretative-phenomenological-analysis-of-patients-experience-of-body-oriented-psychotherapy-for-schizophrenia
#9
Laura Galbusera, Lisa Fellin, Thomas Fuchs
OBJECTIVE: Increasing evidence supports the efficacy of body-oriented psychotherapy (BPT) for schizophrenia. Yet, so far no research has investigated outcome in relation to therapy process: Why and how BPT is effective. In this study, we qualitatively explore participants' experience of a manualized BPT for schizophrenia to shed light on the process of therapeutic change. METHOD: We conducted in-depth interviews with 6 participants who completed a 10-week BPT group intervention...
May 22, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28523962/patients-experiences-with-routine-outcome-monitoring-and-clinical-feedback-systems-a-systematic-review-and-synthesis-of-qualitative-empirical-literature
#10
Stig Magne Solstad, Louis Georges Castonguay, Christian Moltu
Routine outcome monitoring (ROM) and clinical feedback (CF) systems have become important tools for psychological therapies, but there are challenges for their successful implementation. OBJECTIVE: To overcome these challenges, a greater understanding is needed about how patients experience the use of ROM/CF. METHOD: We conducted a systematic literature search of qualitative studies on patient experiences with the use of ROM/CF in mental health services. RESULTS: The findings from 16 studies were synthesized, resulting in four meta-themes: (1) Suspicion towards service providers, (2) Flexibility and support to capture complexity, (3) Empowering patients, and (4) Developing collaborative practice...
May 19, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28513339/juggling-thoughts-and-feelings-how-do-female-patients-with-borderline-symptomology-and-substance-use-disorder-experience-change-in-mentalization-based-treatment
#11
Katharina T E Morken, Per Einar Binder, Nina Arefjord, Sigmund Karterud
OBJECTIVE: The aim of this study was to explore the experience of central psychological change processes for female patients with borderline symptomology and substance use disorder in mentalization-based treatment. METHOD: Semi-structured qualitative interviews on experiences from mentalization-based treatment with 13 participants were conducted. The interview material was analysed within a hermeneutical-phenomenological epistemology, with emphasis on researcher reflexivity...
May 17, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28468535/building-emotional-resilience-over-14-sessions-of-emotion-focused-therapy-micro-longitudinal-analyses-of-productive-emotional-patterns
#12
A Pascual-Leone, N Yeryomenko, T Sawashima, S Warwar
OBJECTIVE: Pascual-Leone and Greenberg's sequential model of emotional processing has been used to explore process in over 24 studies. This line of research shows emotional processing in good psychotherapy often follows a sequential order, supporting a saw-toothed pattern of change within individual sessions (progressing "2-steps-forward, 1-step-back"). However, one cannot assume that local in-session patterns are scalable across an entire course of therapy. Thus, the primary objective of this exploratory study was to consider how the sequential patterns identified by Pascual-Leone, may apply across entire courses of treatment...
May 4, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28443477/psychotherapist-trainees-professional-self-doubt-and-negative-personal-reaction-changes-during-cognitive-behavioral-therapy-and-association-with-patient-progress
#13
Patrizia Odyniec, Thomas Probst, Jürgen Margraf, Ulrike Willutzki
OBJECTIVE: This study examined psychotherapist trainees' experiences of "professional self-doubt" (PSD) and "negative personal reaction" (NPR) during cognitive behavioral therapy (CBT) and their associations with patients' symptoms and interpersonal problems. METHOD: Forty therapists treating 621 patients were analyzed. Patients' symptoms and interpersonal problems were collected repeatedly during therapy. Data about patients' interpersonal problems were available only for 106 patients and 18 therapists...
April 26, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28436756/the-role-of-attachment-style-in-interpersonal-psychotherapy-for-depressed-adolescents
#14
Meredith Gunlicks-Stoessel, Ana Westervelt, Kristina Reigstad, Laura Mufson, Susanne Lee
OBJECTIVE(S): This study examined changes in depressed adolescents' reports of attachment anxiety and avoidance with interpersonal psychotherapy (IPT-A), and the relationship between attachment style and change in depression with IPT-A. METHOD: Forty adolescents (aged 12-17) participated in a 16-week randomized clinical trial of 4 adaptive treatment strategies for adolescent depression that began with IPT-A and augmented treatment for insufficient responders (n = 22) by adding additional IPT-A sessions (n = 11) or the antidepressant medication, fluoxetine (n = 11)...
April 24, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/26829714/convergence-in-patient-therapist-therapeutic-alliance-ratings-and-its-relation-to-outcome-in-chronic-depression-treatment
#15
Holly B Laws, Michael J Constantino, Aline G Sayer, Daniel N Klein, James H Kocsis, Rachel Manber, John C Markowitz, Barbara O Rothbaum, Dana Steidtmann, Michael E Thase, Bruce A Arnow
OBJECTIVE: This study tested whether discrepancy between patients' and therapists' ratings of the therapeutic alliance, as well as convergence in their alliance ratings over time, predicted outcome in chronic depression treatment. METHOD: Data derived from a controlled trial of partial or non-responders to open-label pharmacotherapy subsequently randomized to 12 weeks of algorithm-driven pharmacotherapy alone or pharmacotherapy plus psychotherapy. The current study focused on the psychotherapy conditions (N = 357)...
July 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/26837661/the-effect-of-congruence-in-patient-and-therapist-alliance-on-patient-s-symptomatic-levels
#16
Sigal Zilcha-Mano, John Snyder, George Silberschatz
OBJECTIVE: The ability of alliance to predict outcome has been widely demonstrated, but less is known about the effect of the level of congruence between patient and therapist alliance ratings on outcome. In the current study we examined whether the degree of congruence between patient and therapist alliance ratings can predict symptomatic levels 1 month later in treatment. METHOD: The sample consisted of 127 patient-therapist dyads. Patients and therapists reported on their alliance levels, and patients reported their symptomatic levels 1 month later...
May 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/26684670/the-shorter-the-better-a-follow-up-analysis-of-10-session-psychiatric-treatment-including-the-motive-oriented-therapeutic-relationship-for-borderline-personality-disorder
#17
Ueli Kramer, Niklaus Stulz, Laurent Berthoud, Franz Caspar, Pierre Marquet, Stéphane Kolly, Yves De Roten, Jean-Nicolas Despland
OBJECTIVE: There is little research on short-term treatments for borderline personality disorder (BPD). While the core changes may occur only in long-term treatments, short-term treatments may enable the study of early generic processes of engagement in therapy and thus inform about effective treatment components. It was shown that a 10-session version of a psychiatric treatment was effective in reducing borderline symptoms at the end of this treatment [Kramer, U., Kolly, S., Berthoud, L...
May 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/26549180/feedback-to-semi-professional-counselors-in-treating-child-aggression
#18
Zipora Shechtman, Rony Tutian
OBJECTIVE: To investigate the impact of outcome feedback provided to semi-professional counselors of children and adolescents at risk for aggressive behavior, following group treatment. METHOD: Participants included 230 aggressive children and adolescents and 64 educators in a quasi-experimental design of 3 conditions: experimental group with feedback, experimental group without feedback, and control group (no treatment). The current study employed a feedback system based on self-report aggression scores measured after each session, provided to teachers, including an alert system and weekly follow-up group support...
May 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/26522864/efficacy-of-an-individualized-social-competence-training-for-children-with-oppositional-defiant-disorders-conduct-disorders
#19
Anja Goertz-Dorten, Christina Benesch, Christopher Hautmann, Emel Berk-Pawlitzek, Martin Faber, Timo Lindenschmidt, Rahel Stadermann, Lioba Schuh, Manfred Doepfner
OBJECTIVES: Group-based Cognitive-Behavioral Therapy of children with aggressive behavior has resulted in significant reductions of behavior problems with small to medium effect sizes. We report the efficacy of an individualized Treatment Program for Children with Aggressive Behavior. METHOD: A within-subject design with two phases (waiting, treatment) was chosen. Sixty boys aged 6-12 years with peer-related aggressive behavior were included. The course of the outcome measures (growth rates) during a 6-week waiting phase was compared with those in the subsequent treatment phase (24 weekly child sessions together with an average of 8 parent contacts) by multilevel modeling...
May 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/26514065/patterns-of-change-in-interpersonal-problems-during-and-after-short-term-and-long-term-psychodynamic-group-therapy-a-randomized-clinical-trial
#20
Anette Fjeldstad, Per Høglend, Steinar Lorentzen
OBJECTIVE: In this study, we compared the patterns of change in interpersonal problems between short-term and long-term psychodynamic group therapy. METHOD: A total of 167 outpatients with mixed diagnoses were randomized to 20 or 80 weekly sessions of group therapy. Interpersonal problems were assessed with the Inventory of Interpersonal Problems at six time points during the 3-year study period. Using linear mixed models, change was linearly modelled in two steps...
May 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
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