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Psychodynamic Psychiatry

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https://www.readbyqxmd.com/read/28846511/personality-and-affect-when-the-central-nervous-system-is-sensitized-an-analysis-of-central-sensitization-syndromes-in-a-substance-use-disorder-population
#1
Lindsey C McKernan, Michael T M Finn, Erika R Carr
Functional somatic syndromes, or more recently termed central sensitivity syndromes (CSS), comprise a significant portion of the chronic pain population. Although it is evident that personality is intricately related to the pain experience, it has not been widely studied. This article examines the impact of CSS on the clinical presentation of individuals presenting to treatment for a substance use disorder (SUD), with an emphasis on personality and emotional functioning. We examined personality profiles of individuals presenting to treatment with SUD between three groups: those with a CSS (n = 30), non-CSS chronic pain (n = 79), and no pain (n = 232)...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28846510/psychological-mindedness-and-psychotherapy-process-in-short-term-group-therapy
#2
David Kealy, Carlos A Sierra-Hernandez, William E Piper, Anthony S Joyce, Rene Weideman, John S Ogrodniczuk
Psychological mindedness is regarded as an important patient characteristic that can influence the course of psychotherapy. The purpose of this study was to investigate the relationship between patients' capacity for psychological mindedness and aspects of the group psychotherapy process as experienced and rated by therapists and other group members. Participants were 110 patients who completed two forms of short-term group therapy for the treatment of complicated grief. Psychological mindedness was assessed at pretreatment by external raters using a video-interview procedure...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28846509/reliability-and-validity-of-the-interpersonal-guilt-rating-scale-15-a-new-clinician-reporting-tool-for-assessing-interpersonal-guilt-according-to-control-mastery-theory
#3
Francesco Gazzillo, Bernard Gorman, Marshall Bush, George Silberschatz, Cristina Mazza, Filippo Faccini, Valeria Crisafulli, Roberta Alesiani, Emma De Luca
This article introduces the Interpersonal Guilt Rating Scale-15 (IGRS-15), a brief clinician-rated tool for the clinical assessment of interpersonal guilt as conceived in Control-Mastery Theory (CMT; Silberschatz, 2015; Weiss, 1993), and its psychometric proprieties. The items of the IGRS-15 were derived from the CMT clinical and empirical literature about guilt, and from the authors' clinical experiences. Twenty-eight clinicians assessed 154 patients with the IGRS-15, the patient self-reported Interpersonal Guilt Questionnaire-67 (IGQ-67; O'Connor, Berry, Weiss, Bush, & Sampson, 1997), and the Clinical Data Form (CDF; Westen & Shedler, 1999)...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28846508/editorial
#4
Richard C Friedman
No abstract text is available yet for this article.
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28846507/assessing-distance-training-how-well-does-it-produce-psychoanalytic-psychotherapists
#5
Robert M Gordon, Jing Lan
How effective is psychoanalytic/psychodynamic distance training over the Internet? To assess this, we surveyed graduates of the 2-year and 4-year programs of the China America Psychoanalytic Alliance (CAPA). The main results of the 90 graduates' surveys showed that 77% of their work involves a psychoanalytic formulation of their cases as compared to other theoretical orientations. Graduates highly rated the effectiveness of their own psychoanalytic therapy over videoconferencing (VCON). Graduates' ratings of treatment with their patients over VCON positively correlated with years of psychoanalytic education, number of days a week in own treatment, years doing psychoanalytic treatment, and degree working with a psychoanalytic orientation...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28590210/book-reviews
#6
(no author information available yet)
No abstract text is available yet for this article.
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28590209/psychodynamic-treatment-of-combat-veterans-with-ptsd-at-risk-for-suicide
#7
Herbert Hendin
Posttraumatic stress disorder is a condition associated with suicide in both military personnel and combat veterans. Most veterans with PTSD, however, are not at risk of suicide. The major factor distinguishing those who attempted or were preoccupied with suicide is persistent severe guilt over behavior in combat while emotionally out of control. A 12-session short-term, psychodynamic psychotherapy, presented here, showed promise of success in dissipating the guilt from combat-related actions in veterans of the war in Vietnam...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28590208/borderline-patients-25-to-50-years-later-with-commentary-on-outcome-factors
#8
Michael H Stone
The current study concerns the long-term follow-up of 40 patients with borderline personality disorder. Sixteen were patients from the PI-500 study, formerly hospitalized at the New York State Psychiatric Institute. Twenty-four had been from the author's private practice 25 to 50 years ago. Twenty-one of the combined group had first been in treatment 50 years ago. This is believed to be the longest follow-up period recorded for borderline patients. The main results are that two-thirds of the patients eventually reached the level of either clinical remission or clinical recovery...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28590207/an-integrative-approach-to-treatment-resistant-obsessive-compulsive-disorder
#9
Luke Sy-Cherng Woon, Anita Kanapathy, Hazli Zakaria, César A Alfonso
Obsessive-compulsive disorder (OCD) is a debilitating psychiatric disorder that often runs a chronic unremitting course. Treatment outcomes can be unsatisfactory despite the availability of various somatic and psychological therapies. Psychodynamic psychotherapy in combination with cognitive behavioral therapy (CBT) with exposure and response prevention (ERP) could help patients with treatment-resistant OCD achieve better outcomes. An integrative approach can help patients gain insight, strengthen the therapeutic alliance, improve treatment adherence, and provide symptomatic relief when other treatments seem insufficient or have failed...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28590206/letter-to-the-editor
#10
LETTER
Catherine Hickey
No abstract text is available yet for this article.
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28590205/psychodynamic-treatment-of-the-criminal-offender-making-the-case-for-longer-term-treatment-in-a-longer-term-setting
#11
Abby L Mulay, Elspeth Kelly, Nicole M Cain
In recent years, prisons and jails have become de facto psychiatric hospitals, responsible for the care and treatment of individuals with serious mental illness. Historically, cognitive-behaviorally informed therapeutic approaches have been the treatment of choice among mental health practitioners in correctional settings. However, inmate-clients often present with complex diagnostic issues that are arguably better served by long-term treatment options, such as psychodynamic psychotherapy. We first review the nature of psychotherapy in the correctional setting, as well as treatment barriers and challenges faced by both mental health providers and inmate-clients...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28590204/differentiation-between-schizophreniform-configurations-and-psychotic-personality-structures
#12
Julie Dauphin
The symptom overlap between primary psychotic and severe personality disorders renders timely diagnosis challenging, which often results in ambiguous treatment and poorly defined outcomes. Kernberg's (1984) structural model of personality, treating symptoms as a non-pathognomonic higher order construct, has much contributed to our understanding of the nature of some severe disorders, highlighting fundamental facets of personality function. However, the model's main focus is on borderline personality organization and thus offers an incomplete formulation of psychotic structure...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28590203/manifest-dream-content-as-a-predictor-of-suicidality
#13
Myron L Glucksman, Milton Kramer
A number of behavioral, social, biological, and cultural factors are associated with suicide. However, the ability to predict an imminent suicide attempt remains problematic. Prior studies indicate that the manifest dream content of depressed, non-suicidal patients differs from that of depressed, suicidal patients. The dream imagery of depressed, suicidal patients contains themes of death, dying, violence, and departure. The dream imagery of depressed, non-suicidal patients contains themes of rejection, helplessness, hopelessness, humiliation, failure, and loss...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28590202/editorial-mental-health-in-prisons
#14
EDITORIAL
Richard C Friedman
No abstract text is available yet for this article.
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28248567/physician-psychodynamic-psychiatrist-psychoanalyst-academic-editor-and-artist-in-recognition-of-the-contributions-of-joseph-silvio
#15
César A Alfonso
No abstract text is available yet for this article.
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28248565/learning-psychodynamic-psychotherapy-in-southeast-asia
#16
Jiann Lin Loo, Jin Kiat Ang, Natasha Subhas, Brian Kong Wai Ho, Hazli Zakaria, César A Alfonso
The subjective nature of psychodynamic psychotherapy (PP) makes training and supervision more abstract compared to other forms of psychotherapy. The issues encountered in the learning and supervision process of PP of Malaysian psychiatry trainees are discussed in this article. Issues of preparation before starting PP, case selection, assessment of patients, dynamic formulations, supervision, anxieties in the therapy, countertransference, termination of therapy, the treatment alliance, transfer of care, the therapeutic setting, and bioethical considerations are explored...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28248564/patient-and-therapist-perspectives-during-the-psychotherapy-termination-process-the-role-of-participation-and-exploration
#17
Margot P Weil, Michael Katz, Mark J Hilsenroth
OBJECTIVE: This study was the first to examine psychotherapy termination from both therapists' and patients' perspectives by using standardized psychotherapy process measures. Our aim was to examine whether patient participation and therapist exploration during the termination phase of treatment are related to how good and productive the session was. METHOD: The sample consisted of 30 outpatient adults who had completed the Vanderbilt Psychotherapy Process Scale-Short form (VPPS-S; Smith, Hilsenroth, Baity, & Knowles, 2003) and the Session Evaluation Questionnaire (SEQ; Stiles, 1980) during a termination-phase session...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28248563/promoting-behavioral-change-in-psychoanalytic-treatments
#18
Fredric N Busch
One of the shibboleths of psychoanalysis is that treatment should not target behavioral change, focusing instead on gaining insight and the therapeutic relationship (Freud, 1917; 1923; Gabbard, 2014; Greenson, 1967). Such an approach is believed to be accompanied by disruptions of exploration or problematic distortions of the transference (Freud, 1917; 1923; Gabbard, 2014; Greenson, 1967). However, ignoring behavioral change can put patients at increased risk for stalemates in treatment and persistent problematic behaviors that interfere with improvement and impair relationships...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28248562/breaking-through-to-the-other-side-a-resident-explores-the-benefits-of-time-limited-psychodynamic-therapy-for-patients-with-schizophrenia
#19
Zoë Thomas
This article recounts the case of a patient with schizophrenia engaged in time-limited psychodynamic psychotherapy with a psychiatry resident-the first case history of its type to the author's knowledge. This patient suffered from chronically debilitating schizophrenia with persistent positive and negative symptoms at the time of treatment, despite usual psychiatric management. He benefited significantly from 18 weekly sessions of weekly dynamic therapy, achieving symptom reduction, increased social involvement, and improved functioning-gains that were sustained at 9-month follow-up...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28248560/borderline-personality-disorder-treatment-from-the-contextual-perspective
#20
REVIEW
Michael H Stone
In relation to the psychotherapy of borderline personality disorder (BPD), the contextual model embraces the subjective components that operate alongside the more readily objectifiable elements of the medical model. The latter include the guidelines of the various psychodynamic and cognitive approaches, the randomized control trials of these approaches, follow-up studies, and data from MRI and other neurophysiological tests. The contextual model focuses on less easily measurable factors that comprise the real relationship between therapist and patient, including the heterogeneity in the BPD domain...
2017: Psychodynamic Psychiatry
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