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Psychotherapy Research: Journal of the Society for Psychotherapy Research

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https://www.readbyqxmd.com/read/27903132/a-trans-theoretical-training-designed-to-promote-understanding-and-management-of-countertransference-for-trainee-therapists
#1
Claire Cartwright, Carrie Barber, Sue Cowie, Neil Thompson
OBJECTIVE: There is evidence that awareness of countertransference (CT) in combination with a conceptualization of CT facilitates its management. This study examines the impact of a trans-theoretical training designed to make the construct of CT accessible to trainee therapists in programs oriented towards cognitive-behavioral therapy. The training aimed to enhance trainees' awareness, understanding, and management of CT. METHOD: Academics at five New Zealand universities introduced the training into their curriculum...
November 30, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27892804/the-form-of-the-story-measuring-formal-aspects-of-narrative-activity-in-psychotherapy
#2
Tilmann Habermas, Susanne Döll-Hentschker
OBJECTIVE: We ask which are the clinically relevant qualities of narratives in psychotherapy and how they can be measured. METHOD: On the background of psychoanalytic assumptions and narrative theory, we propose to measure formal narrative processes which stay close to the linguistic surface, because these escape conscious control. RESULTS: We propose five aspects of narratives to be especially sensitive to distortions and therefore prone to change in successful therapies: (1) The actual chronological, stepwise narrating of events, (2) the intentional structuring of events, or emplotment, (3) the immediate evaluation, (4) the reflected interpretation of events, and finally (5) the consistency and completeness of the narrative...
November 28, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27855544/three-narrative-based-coding-systems-innovative-moments-ambivalence-and-ambivalence-resolution
#3
Miguel M Gonçalves, António P Ribeiro, Inês Mendes, Daniela Alves, Joana Silva, Catarina Rosa, Cátia Braga, João Batista, Pablo Fernández-Navarro, João Tiago Oliveira
Narrative and dialogical perspectives suggest that personal meaning systems' flexibility is an important resource for change in psychotherapy. Drawn from these theoretical backgrounds, a research program focused on the identification of Innovative Moments (IMs)-exceptions to the inflexible meaning systems present in psychopathological suffering-has been carried out. For this purpose, three process-oriented coding systems were developed: The IMs Coding System, the Ambivalence Coding System, and the Ambivalence Resolution Coding System...
November 18, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27855541/relaxation-induced-anxiety-effects-of-peak-and-trajectories-of-change-on-treatment-outcome-for-generalized-anxiety-disorder
#4
Michelle G Newman, Lucas S Lafreniere, Nicholas C Jacobson
OBJECTIVE: Evidence is mixed regarding whether relaxation-induced anxiety (RIA) impedes relaxation training (RT) efficacy. Unlike past studies that averaged RIA across sessions, we examined peak RIA, change in RIA level across sessions, and timing of peak RIA with outcome. METHOD: This was a secondary analysis of Borkovec, Newman, Pincus, and Lytle [2002. A component analysis of cognitive-behavioral therapy for generalized anxiety disorder and the role of interpersonal problems...
November 18, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27846780/treatment-engagement-in-the-early-phase-of-cognitive-behavior-therapy-for-panic-disorder-a-grounded-theory-analysis-of-patient-experience
#5
Eleni C Tzavela, Paschalia Mitskidou, Antigoni Mertika, Anastassios Stalikas, Yiannis Kasvikis
Exposure-based cognitive-behavior therapy (EBCBT) is the treatment of choice for panic disorder (PD). However, little is known about early treatment processes that facilitate retention in treatment and positive outcomes of PD treatment. We studied the development of early treatment process with semi-structured individual in-depth interviews with 12 patients with PD, conducted post session 3. Grounded theory was used to analyze the transcripts. The development of early treatment process was captured by four thematic categories: approaching the problem, easing in and opening up, building trust and bonding, and making sense of panic...
November 15, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27844506/a-comparison-of-pre-dropout-and-temporary-rupture-sessions-in-psychotherapy
#6
I Volkan Gülüm, Gonca Soygüt, Jeremy D Safran
: Although numerous studies have investigated the relationship between the therapeutic alliance and dropout, most have focused on the relationship between alliance quality and psychotherapy outcomes. OBJECTIVE: To compare sessions with therapeutic alliance ruptures and two sessions prior to treatment dropout (pre-dropout) in terms of rupture subtypes, psychotherapists' behavior, attitudes, and session content. METHOD: We implemented quantitative methods to select the sessions and qualitative methods to analyze them...
November 15, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27827093/learning-from-clients-a-qualitative-investigation-of-psychotherapists-reactions-to-negative-verbal-feedback
#7
Heidi Brattland, Juni R Høiseth, Olav Burkeland, Tryggve S Inderhaug, Per E Binder, Valentina C Iversen
OBJECTIVE: To explore how therapists experience, react to, and learn from negative feedback from their clients. METHOD: Eighteen experienced therapists' written descriptions of episodes where they had received negative verbal feedback from clients were analyzed according to the Consensual Qualitative Research methodology. RESULTS: Receiving feedback was experienced as challenging, but educational. Learning was manifested in different ways: (a) Immediately Applied Learning-therapists improved the following therapy process by changing their behavior with the client, (b) Retrospectively Applied Learning-therapists made changes in their way of working with subsequent clients, and (c) Non-Applied Learning-new ideas generated by the experience had not been translated into behavior...
November 9, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27808005/how-do-patients-with-anorexia-nervosa-process-psychotherapy-between-sessions-a-comparison-of-cognitive-behavioral-and-psychodynamic-interventions
#8
A Zeeck, A Hartmann, B Wild, M De Zwaan, S Herpertz, M Burgmer, J Von Wietersheim, G Resmark, H-C Friederich, S Tagay, A Dinkel, B Loewe, M Teufel, D Orlinsky, W Herzog, S Zipfel
OBJECTIVE: Patients' processing of psychotherapy between sessions ("inter-session process" (ISP)) has been repeatedly shown to be related to outcome. The aim of this study was to compare ISP characteristics of cognitive-behavioral vs. psychodynamic psychotherapy in the treatment of anorexia nervosa (AN) and their relation to outcome. METHODS: Data of 106 patients participating in a randomized-controlled trial who received either 40 sessions of enhanced cognitive-behavioral therapy (CBT-E) or focal psychodynamic therapy (FPT) were analyzed...
November 3, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27808001/what-changes-when-the-course-of-improvement-during-a-stage-based-treatment-for-suicidal-and-self-injuring-women-with-borderline-personality-disorder-and-ptsd
#9
Melanie S Harned, Robert J Gallop, Helen R Valenstein-Mah
OBJECTIVE: Dialectical Behavior Therapy (DBT) with the DBT Prolonged Exposure (DBT PE) protocol is an integrated treatment for suicidal and self-injuring individuals with PTSD and borderline personality disorder (BPD) that occurs in three stages: Stage 1 targets behavioral dyscontrol, Stage 2 targets posttraumatic stress disorder (PTSD) via the DBT PE protocol, and Stage 3 addresses remaining problems. We evaluated the course of change in multiple outcomes across these three stages and compared them to changes found in DBT alone...
November 3, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27799015/differential-responses-of-positive-affect-negative-affect-and-worry-in-cbt-for-generalized-anxiety-disorder-a-person-specific-analysis-of-symptom-course-during-therapy
#10
Hannah G Bosley, Aaron J Fisher, C Barr Taylor
INTRODUCTION: Research indicates that individuals with generalized anxiety disorder (GAD) may experience deficits in positive affect (PA), and tend to dampen or intentionally suppress PA. Despite the presence of PA-related pathology in GAD, little is known about change in PA during GAD treatment. OBJECTIVE: This study examines changes in PA, negative affect (NA) and worry in seven participants during cognitive behavioral therapy (CBT) for GAD. METHOD: Intensive repeated measures (i...
October 31, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27794632/different-lens-or-different-picture-comparing-methods-of-defining-dramatic-change-in-psychotherapy
#11
David M Erekson, Joseph Horner, Michael J Lambert
OBJECTIVES: Differing methodologies that identify dramatic change in psychotherapy have been thought to be capturing similar phenomena. We compared three methods-percentage improvement-50% (PI-50), rapid response (RR), and sudden gains (SG)-to identify similarities and differences between these approaches. METHODS: Using a large database (n = 11,764) from a western university counseling center, we examined client characteristics (including initial severity and number of sessions in a course of treatment) and treatment outcomes (including overall change and meeting clinically significant criteria) using the Outcome Questionnaire-45...
October 31, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27781568/delivering-solid-treatments-on-shaky-ground-feasibility-study-of-an-online-therapy-for-child-anxiety-in-the-aftermath-of-a-natural-disaster
#12
K Stasiak, S N Merry, C Frampton, S Moor
OBJECTIVE: To assess feasibility of online cognitive behaviour therapy (CBT) for children and adolescents with anxiety in the aftermath of a natural disaster. METHOD: 42 children and adolescents with clinical anxiety referred from primary care were invited to complete an internet CBT program (BRAVE-ONLINE). Outcome measures and assessment timelines were chosen to allow a comparison of the results with the program developers' randomised controlled trials. RESULTS: At 6-month post intervention, more than half (55%) of the 33 participants assessed, no longer met criteria for their primary anxiety disorder...
October 26, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27774841/patient-demographics-and-psychological-functioning-as-predictors-of-unilateral-termination-of-psychodynamic-therapy
#13
Avinadav Rubin, Tohar Dolev, Sigal Zilcha-Mano
: Approximately one in five patients drops out of treatment before its completion. Little is known about consistent predictors of dropout, and most studies focus on patients' demographic characteristics. A mass of information is collected daily at intake in clinical practice. Based on psychodynamic theoretical conceptualizations and accumulative clinical experience, this information may help predict dropout, and thereby expand the empirically based predictors of dropout. OBJECTIVE: The present study aims at bridging between scientific research and clinical practice by investigating potential predictors of unilateral termination collected at intake, before therapy, in addition to predictors already identified in the literature...
October 24, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27772015/the-narrative-emotion-process-coding-system-2-0-a-multi-methodological-approach-to-identifying-and-assessing-narrative-emotion-process-markers-in-psychotherapy
#14
Lynne E Angus, Tali Boritz, Emily Bryntwick, Naomi Carpenter, Christianne Macaulay, Jasmine Khattra
OBJECTIVE: Recent studies suggest that it is not simply the expression of emotion or emotional arousal in session that is important, but rather it is the reflective processing of emergent, adaptive emotions, arising in the context of personal storytelling and/or Emotion-Focused Therapy (EFT) interventions, that is associated with change. METHOD: To enhance narrative-emotion integration specifically in EFT, Angus and Greenberg originally identified a set of eight clinically derived narrative-emotion integration markers were originally identified for the implementation of process-guiding therapeutic responses...
October 24, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27756184/the-impact-of-resistance-on-empathy-in-cbt-for-generalized-anxiety-disorder
#15
Kimberley M Hara, Henny A Westra, Michael J Constantino, Martin M Antony
OBJECTIVE: Client resistance has been shown to relate to poorer therapy outcomes, thus making it important to better understand the mechanisms underlying this association. Given observational research suggesting that therapist empathy decreases during moments of resistance, the present study examined client-rated therapist empathy as a potential mediator of the resistance-outcome association. METHOD: Participants included 44 therapist-client dyads receiving cognitive-behavioral therapy for generalized anxiety disorder...
October 19, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27729003/attachment-and-biobehavioral-catch-up-an-evidence-based-intervention-for-vulnerable-infants-and-their-families
#16
Mary Dozier, Caroline K P Roben, E B Caron, Julie Hoye, Kristin Bernard
In this paper, we highlight issues we consider key to the development of an evidence-based intervention for the parents of young children who had experienced early adversity. The intervention was initially developed for foster infants, but adapted for infants living with their neglecting parents, then for young children adopted internationally, and finally for toddlers in foster care or living with neglecting birth parents. The intervention and its adaptations share a focus on the importance of providing nurturance to children when they are distressed, and following children's lead when they are not distressed...
October 11, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27728998/transforming-core-emotional-pain-in-a-course-of-emotion-focused-therapy-for-depression-a-case-study
#17
Andrew Dillon, Ladislav Timulak, Leslie S Greenberg
OBJECTIVE: To investigate the pattern of change in emotional states over a course of emotion-focused therapy using the model of sequential emotional processing as an initial framework for analysis. METHOD: This was a single case study observational design examining 15 sessions of therapy with one client. A qualitative analysis of moment-to-moment shifts in client emotional events was conducted. This conceptualised the interplay between experienced emotions using the sequential emotional processing model as an interpretative framework...
October 11, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27712547/-what-do-you-believe-therapist-spiritual-religious-non-religious-self-disclosure
#18
Danielle Magaldi, Leora Trub
OBJECTIVE: Spiritual/religious/non-religious (S/R/N) identity development is often neglected in psychotherapy training and represents an area where psychotherapists feel they lack competence. Such feelings can become even more pronounced when it comes to S/R/N self-disclosure. This study explores the decisions therapists make regarding self-disclosure, which impacts the psychotherapy process. METHOD: This grounded theory study explores psychotherapists' S/R/N self-disclosure based on qualitative interviews with 21 psychotherapists representing varied theoretical orientations and spiritual, religious, atheist, and agnostic backgrounds...
October 6, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27653284/a-self-report-version-of-the-ways-of-responding-reliability-and-validity-in-a-clinical-sample
#19
Seohyun Yin, Mary Beth Connolly Gibbons, Caroline Diehl, Robert Gallop, Paul Crits-Christoph
OBJECTIVE: The Ways of Responding (WOR) instrument measures compensatory skills, a central construct in some theories of the mechanism of cognitive therapy for depression. However, the instrument is time-consuming and expensive to use in community settings, because it requires trained independent judges to rate subjects' open-ended written responses to depressogenic scenarios. The present study evaluated the reliability and validity of a self-report version of the WOR (WOR-SR) in a community mental health sample with depressive symptoms (N = 467)...
September 22, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27631420/from-feelings-of-imprisonment-to-group-cohesion-a-qualitative-analysis-of-group-analytic-psychotherapy-with-dual-diagnosed-patients-admitted-to-an-acute-inpatient-psychiatric-unit
#20
Lidia Sánchez Morales, Francisco José Eiroa-Orosa, Cristina Valls Llagostera, Alba González Pérez, Cristina Alberich
OBJECTIVES: Group cohesion, the establishment of hope, and the expression of feelings have been said to be the basic ingredients of group psychotherapy. To date, there is few literature describing therapeutic processes in short stay settings such as acute psychiatric wards and with special patient groups such as addictions. Our goal with this study is to describe and analyze group processes in such contexts. METHODS: We used a qualitative methodology combining constant comparative methods and hermeneutical triangulation to analyze therapeutic narratives in the context of a group analytic process carried following Foulkes' and Yalom's styles...
September 15, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
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