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https://www.readbyqxmd.com/read/30477911/clinical-efficacy-of-cognitive-behavioral-therapy-for-chronic-subjective-tinnitus
#1
Juan Li, Jianhua Jin, Songli Xi, Qian Zhu, Yuqin Chen, Min Huang, Chunyan He
BACKGROUND: Although cognitive behavioral therapy (CBT) has been known with a theoretical basis for tinnitus patients, there still were lack of clinical evidence. OBJECTIVE: To evaluate the clinical efficacy of cognitive behavioral therapy (CBT) for treatment of chronic subjective tinnitus. METHODS: One hundred patients with chronic subjective tinnitus patients were randomly divided into control (50 cases) and intervention (50 cases) groups, which received the masking therapy and sound treatment and masking therapy and sound treatment plus CBT...
October 29, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/30459662/the-clinic-of-identifications-in-the-different-processes-of-metamorphosis-into-woman
#2
Laure Westphal, Thierry Lamote
This article examines, from a psychoanalytical perspective, the function of identification in the relationship between the subject of the unconscious and his body, his body image, and the other. To this effect, the article leans on the clinic of the metamorphosis into a woman in psychosis, both in the way that it is presented by patients in the context of treatment, and in the form of testimonies extracted from literature. It demonstrates how specular identification allows the subject to unify himself, so long as there is an avoidance of possible deformations of the psychical body, including for example the delusion of transforming into a woman...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/30458850/the-u-i-study-study-protocol-for-a-feasibility-randomised-controlled-trial-of-a-pre-cognitive-behavioural-therapy-digital-informed-choice-intervention-to-improve-attitudes-towards-uptake-and-implementation-of-cbt-for-psychosis
#3
Kathryn Greenwood, Katie Alford, Ian O'Leary, Emmanuelle Peters, Amy Hardy, Kate Cavanagh, Andy P Field, Richard de Visser, David Fowler, Matthew Davies, Alexandra Papamichail, Philippa Garety
BACKGROUND: At least 40% of people with psychosis have persistent distressing symptoms despite optimal medication treatment. Cognitive behaviour therapy for psychosis (CBTp) is the only NICE-recommended individual therapy for psychosis, with effects on symptoms, distress and quality of life. Yet <10% of service-users receive it and 94% of trusts struggle to provide it. Of those offered it, 22-43% refuse or do not attend. We have developed a new pre-CBTp informed choice intervention to address knowledge and attitudes that influence uptake and implementation and now want to test it in a feasibility trial...
November 20, 2018: Trials
https://www.readbyqxmd.com/read/30455657/the-necessity-of-ambiguity-in-self-other-processing-a-psychosocial-perspective-with-implications-for-mental-health
#4
Christophe Emmanuel de Bézenac, Rachel Ann Swindells, Rhiannon Corcoran
While distinguishing between the actions and physical boundaries of self and other (non-self) is usually straightforward there are contexts in which such differentiation is challenging. For example, self-other ambiguity may occur when actions of others are similar or complementary to those of the self. Even in the absence of such situational challenges, individuals experiencing hallucinations have difficulties with this distinction, often experiencing thoughts or actions of self as belonging to other agents...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/30443277/cognitive-behavioural-therapy-for-psychosis-a-health-technology-assessment
#5
(no author information available yet)
Background: Cognitive behavioural therapy (CBT) for psychosis is a distinct type of psychotherapy that has been recommended together with antipsychotic drugs and comprehensive usual care in the management of schizophrenia, a complex mental health disorder associated with a high economic and societal burden. The objectives of this report were to assess the effectiveness, harms, cost-effectiveness, and lived experience of CBT for psychosis in improving outcomes for adults with a primary diagnosis of schizophrenia...
2018: Ontario Health Technology Assessment Series
https://www.readbyqxmd.com/read/30439851/depression-as-a-comorbidity-of-a-disorder-not-recognized-in-adolescence
#6
Ivan Urlić
Depression is one of the most frequent mood disorders. The spectrum of its meanings is very complex. Symptoms of depression can be felt at every stage of life. Depressed mood states can, as for intensity, show the clinical picture that varies from mood changes to psychotic states. In this presentation, it is described a case of the patient who since early childhood showed the symptoms of ADHD that was showing as a comorbidity feelings of depression, which have significantly hindered the emotional maturation of the person...
November 2018: Psychiatria Danubina
https://www.readbyqxmd.com/read/30427822/emerging-psychotherapies-for-psychosis
#7
Daniel Knauss, Jeremy Ridenour, Jay A Hamm
Recent developments in the research and clinical literatures have highlighted the importance of focusing on higher-order cognitive processes in the treatment of psychotic disorders. A particular emphasis has been placed on how impairments in self-monitoring and the ability to form mental representations of others uniquely manifest in psychosis. At the same time, the recovery movement has influenced clinical innovations by emphasizing the importance of subjective domains of recovery that privilege the individual's phenomenological experience...
September 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/30427819/diagnosis-and-use-of-psychotherapy-among-children-and-adolescents-prescribed-antipsychotics
#8
Sara B Vanbronkhorst, Daniel E Roberts, Evonne M Edwards, Kelly Blankenship
OBJECTIVE: To examine the diagnoses, demographics, and prevalence of psychotherapy use among children and adolescents prescribed antipsychotics by psychiatric providers in a community setting. METHODS: Medical records from 1127 children aged 0 to 17 years who were prescribed antipsychotics in 2014-2015 at Pine Rest Christian Mental Health Services (PRCMHS) outpatient network were analyzed. Antipsychotics, diagnosis codes, demographics, and number of psychotherapy sessions during this time frame were analyzed using χ and logistic regression analyses...
September 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/30419038/economic-evaluation-of-brief-cognitive-behavioural-therapy-for-social-activation-in-recent-onset-psychosis
#9
Ben F M Wijnen, Karin Pos, Eva Velthorst, Frederike Schirmbeck, Hoi Yau Chan, Lieuwe de Haan, Mark van der Gaag, Silvia M A A Evers, Filip Smit
BACKGROUND: In schizophrenia spectrum disorders, negative symptoms (e.g. social withdrawal) may persist after initial treatment with antipsychotics, much affecting the quality of life (QOL) of patients. This health-economic study evaluated if a dedicated form of cognitive behaviour therapy for social activation (CBTsa) would reduce negative symptoms and improve QOL in an economically sustainable way. METHODS: A health-economic evaluation was conducted alongside a single-blind randomised controlled trial in two parallel groups: guideline congruent treatment as usual (TAU; n = 50) versus TAU augmented with adjunct CBTsa (n = 49)...
2018: PloS One
https://www.readbyqxmd.com/read/30400765/recovery-in-first-episode-psychosis-a-case-study-of-metacognitive-reflection-and-insight-therapy-merit
#10
Bethany L Leonhardt, Kristen Ratliff, Jenifer L Vohs
Despite historically pessimistic views from both the professional community and lay public, research is emerging that recovery from psychosis is possible. Recovery has evolved to include not only a reduction in symptoms and return to functioning, but a sense of agency and connection to meaningful roles in life. The development of a more comprehensive conceptualization of recovery has particular importance in the treatment of first-episode psychosis, because early intervention may avoid some of the prolonged dysfunction that may make recovery difficult...
November 7, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30376124/individualized-metacognitive-training-mct-reduces-delusional-symptoms-in-psychosis-a-randomized-clinical-trial
#11
Ryan P Balzan, Julie K Mattiske, Paul Delfabbro, Dennis Liu, Cherrie Galletly
Individualized metacognitive training (MCT+) is a novel psychotherapy that has been designed to specifically target delusional beliefs in people with psychosis. It works by developing an awareness of the implausible content of delusional beliefs, while also targeting the cognitive biases that contribute to their formation and maintenance. It was expected that MCT+ would lead to significantly greater reductions in delusional severity compared to a cognitive remediation (CR) active control condition. A total of 54 patients with a schizophrenia spectrum disorder and active delusions were randomized into four 2-hourly sessions of MCT+ (n = 27) or CR (n = 27)...
October 30, 2018: Schizophrenia Bulletin
https://www.readbyqxmd.com/read/30364516/identifying-and-treating-the-prodromal-phases-of-bipolar-disorder-and-schizophrenia
#12
Susan Conroy, Michael Francis, Leslie A Hulvershorn
Purpose of review: The goal of this paper is to review recent research on the identification and treatment of prodromal periods that precede bipolar and psychotic disorders. We also sought to provide information about current best clinical practices for prodromal youth. Recent findings: Research in the areas of identifying prodromal periods has rapidly advanced. Calculators that can predict risk are now available for use during both bipolar and psychotic disorder prodromes...
March 2018: Current Treatment Options in Psychiatry
https://www.readbyqxmd.com/read/30359995/-psychosis-cognitive-behavioral-treatment-strategies
#13
Klaus Hesse, Stefan Klingberg
Cognitive behavioral therapy (CBT) is an established treatment for the patients with psychosis including schizophrenia. The evidence for the efficacy of CBT is proved by randomized clinical trials and meta-analyses. Evidence-based treatment guidelines recommend CBT for routine treatment. The aim of this paper is to give a short practical guideline for different cognitive behavioral treatment strategies. Cognitive Behavior Therapy for psychosis (CBTp) is an adaptation of general principles of CBT modified for patients with psychotic disorders...
November 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/30337862/is-our-self-related-to-personality-a-neuropsychodynamic-model
#14
Andrea Scalabrini, Clara Mucci, Georg Northoff
The concept and the assessment of personality have been extensively discussed in psychoanalysis and in clinical psychology over the years. Nowadays there is large consensus in considering the constructs of the self and relatedness as central criterions to assess the personality and its disturbances. However, the relation between the psychological organization of personality, the construct of the self, and its neuronal correlates remain unclear. Based on the recent empirical data on the neural correlates of the self (and others), on the importance of early relational and attachment experiences, and on the relation with the brain's spontaneous/resting state activity (rest-self overlap/containment), we propose here a multilayered model of the self with: (i) relational alignment; (ii) self-constitution; (iii) self-manifestation; and (iv) self-expansion...
2018: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/30319479/making-worlds-in-a-waking-dream-where-bion-intersects-friston-on-the-shaping-and-breaking-of-psychic-reality
#15
Matthew John Mellor
With the publication of Wilfred Bion's text 'Learning from Experience,' psychoanalysis was afforded a new schema for understanding the processes and implications involved in an infant's contact with their caregivers. As a result, our conception of some of the most fundamental phenomena of psychic life was significantly enriched. By proposing his theory of alpha-functioning, Bion mapped out how meaningful connexions to the internal and external worlds become established in the mind. In contrast, and through working clinically with psychotic patients, Bion revealed how these ties can catastrophically come undone...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/30267339/neurofeedback-treatment-of-negative-symptoms-in-schizophrenia-two-case-reports
#16
Khashayar Pazooki, Max Leibetseder, Walter Renner, Gabriel Gougleris, Efsevia Kapsali
Negative symptoms of schizophrenia, like diminished emotional expression and a dearth of self-initiated behavior do not respond reliably to anti-psychotic medication or to conventional psychotherapeutic approaches. Starting from evidence on the probable neural basis of such symptoms and on the effectiveness of neurofeedback with other psychological disorders, the present case study applied 20 sessions of EEG neurofeedback to a 45-year-old female and a 30-year-old male, both diagnosed with severe negative symptoms of schizophrenia...
September 28, 2018: Applied Psychophysiology and Biofeedback
https://www.readbyqxmd.com/read/30233476/psychotherapy-in-psychosis-experiences-of-fully-recovered-service-users
#17
Jone Bjornestad, Marius Veseth, Larry Davidson, Inge Joa, Jan Olav Johannessen, Tor Ketil Larsen, Ingrid Melle, Wenche Ten Velden Hegelstad
Background: Despite the evidence of the importance of including service users' views on psychotherapy after psychosis, there is a paucity of research investigating impact on full recovery. Objectives: To explore what fully recovered service users found to be the working ingredients of psychotherapy in the recovery process after psychosis. Materials and Methods: The study was designed as a phenomenological investigation with thematic analysis as the practical tool for analysis. Twenty fully recovered service users were interviewed...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/30170114/treatment-resistant-schizophrenia-clinical-biological-and-therapeutic-perspectives
#18
REVIEW
Frederick C Nucifora, Edgar Woznica, Brian J Lee, Nicola Cascella, Akira Sawa
Treatment resistant schizophrenia (TRS) refers to the significant proportion of schizophrenia patients who continue to have symptoms and poor outcomes despite treatment. While many definitions of TRS include failure of two different antipsychotics as a minimum criterion, the wide variability in inclusion criteria has challenged the consistency and reproducibility of results from studies of TRS. We begin by reviewing the clinical, neuroimaging, and neurobiological characteristics of TRS. We further review the current treatment strategies available, addressing clozapine, the first-line pharmacological agent for TRS, as well as pharmacological and non-pharmacological augmentation of clozapine including medication combinations, electroconvulsive therapy, repetitive transcranial magnetic stimulation, deep brain stimulation, and psychotherapies...
August 29, 2018: Neurobiology of Disease
https://www.readbyqxmd.com/read/30138029/psychedelics-and-psychotherapy-in-canada-humphry-osmond-and-aldous-huxley
#19
Erika Dyck, Patrick Farrell
The decade of the 1950s is well known among historians of psychiatry for the unprecedented shift toward psychopharmacological solutions to mental health problems. More psychiatric medications were introduced than ever before or since (Healy, 2002). While psychiatric researchers later credited these drugs, in part, for controlling psychotic, depressive, and anxious symptoms-and subsequently for emptying decaying psychiatric institutions throughout the Western world-psychiatrists also produced a number of other theories that relied on a more delicate and nuanced blending of psychotherapy and psychopharmacology...
August 2018: History of Psychology
https://www.readbyqxmd.com/read/30132466/-the-problem-of-aggressive-behavior-in-epilepsy-clinical-and-neurobiological-aspects
#20
M A Kutlubaev, V D Mendelevich
Aggressive behavior is observed in a significant number of patients with epilepsy. The aggressive behavior is associated with structural and functional changes in the amygdala, orbitofrontal cortex and striatum. From the clinical point of view, aggressive behavior more often is not related to the seizure, and develops as part of borderline psychiatric disorder. Another potential cause of aggressive behavior is postictal psychotic disorder. Pre- and intraictal aggressive behavior is rarely observed. Anticonvulsants may influence differently on aggression...
2018: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
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