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Jan Philipp Klein, Andrea Hauer, Thomas Berger, Eva Fassbinder, Ulrich Schweiger, Gitta Jacob
Introduction: Borderline Personality Disorder (BPD) is a prevalent condition that is often under-treated. This is partly because very few psychotherapists offer treatment for this disabling disorder. Internet-based self-management interventions could contribute to reducing the treatment gap but-mainly due to safety concerns-these have never been tested for BPD in controlled trials. Methods: Patients with BPD will be recruited primarily via the internet and randomized to two groups: care as usual (CAU) alone) or the self-management intervention priovi ® in addition to CAU...
2018: Frontiers in Psychiatry
Franziska Kühne, Hannah Lesser, Franziska Petri, Florian Weck
PURPOSE: The acquisition of skills is essential to the conceptualization of cognitive-behavioural therapy. Yet, what experiences are encountered and what skills actually learned during therapy, and whether patients and therapists have concurrent views hereof, remains poorly understood. METHOD: An explorative pilot study with semi-structured, corresponding interview guides was conducted. Pilot data from our outpatient unit were transcribed and content-analyzed following current guidelines...
December 2018: International Journal of Qualitative Studies on Health and Well-being
Saskia Scholten, Julia Velten, Maja Kintscher, Anita Pataki, Jürgen Margraf
Unprofessional psychotherapy damages its otherwise good standing. For that reason, a public discussion about malpractice and unethical psychotherapist behavior is oftentimes missing even though addressing the topic openly could illustrate its rarity and promote a professional handling of psychotherapeutic misconduct. In the presented study, qualitative content analysis was conducted to analyze malpractice claims that were sent to the Psychotherapeutic Chamber of North Rhine-Westphalia (Germany) in 2011 and 2012...
September 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
James Paul Pandarakalam
Guidelines for the management of treatment-resistant depression (TRD) do not meet the criteria of evidence-based medicine and better-quality research is required to inform clinical practice. Current treatments of resistant depression remains largely empirical. There are no bench-mark antidepressants. Clear and justifiable rationale should be followed while initiating new treatment strategies; systematic planning and careful monitoring of progress implemented while new treatment components are added. Biological psychiatrists should give due importance to the non-biological aspects of depression and psychotherapists should not overlook the biological correlates...
September 2018: Psychiatria Danubina
Katarina Kornaros, Sofia Zwedberg, Eva Nissen, Björn Salomonsson
Background: There is a considerable prevalence of and an increasing attention to emotional problems in families with infants. Yet, knowledge is scant of how to create efficient and accessible mental health services for this population. The study qualitatively explored public health nurses' conceptions of a clinical project, in which psychotherapists provided short-term consultations and supervisions for nurses at Child Health Centres in Stockholm. Methods: In-depth interviews with fifteen nurses...
2018: BMC Nursing
Joël Vos, Diego Vitali
ABSTRACTObjective:Many psychotherapists speak with clients about meaning in life. Meaning is an neutral evidence-based term for a subjective sense of purpose, values, understanding, self-worth, action-directed goals, and self-regulation. Since little is known about its effectiveness, our study aimed to determine the effects of meaning-centered therapies (MCTs) on improving quality of life and reducing psychological stress. METHOD: Independent researchers selected and scored articles in multiple languages in multiple search engines...
September 24, 2018: Palliative & Supportive Care
Vicky Mesrie, Marc J Diener, Adam Clark
Clinical supervision is often considered to be one of the important tasks in training psychotherapists. The present study investigated the relation between trainees' attachment to their supervisors and trainees' perceptions of their own counseling self-efficacy (CSE), as potentially moderated by trainee level of experience. Results indicated that trainees with greater avoidant attachment to their supervisors demonstrated lower levels of CSE. Although the results of the moderator analyses were not statistically significant, levels of avoidance significantly predicted levels of CSE even when controlling for level of experience, whereas levels of anxiety were not found to significantly predict levels of CSE...
September 2018: Psychotherapy
Yuxing Jiang, Hillary R Bogner, Xiaoqing Wang, Jiayu Wang, Tingfei Zhu, Yeates Conwell, Shunlin Chen
Patient beliefs about depression and its treatment in primary care clinics in China influence the delivery of care. Our objective was to investigate primary care patients' beliefs about depression and its treatment as well as help-seeking preferences regarding depression in China to aid in the development and promotion of interventions that are acceptable to patients with depression. 100 primary care nurses used the Public Knowledge and Beliefs Survey Package (PKBSP) to assess patients in the primary care clinic waiting rooms...
August 13, 2018: Psychiatry Research
Ingrid Titzler, Karina Saruhanjan, Matthias Berking, Heleen Riper, David Daniel Ebert
Introduction: Blended therapies (BT) combine face-to-face (f2f) sessions with internet- and mobile-based interventions (IMIs). However, the use of blended interventions in routine care is still rare and depends on the acceptance of key health care professionals such as the therapists. Little is yet known about the therapists' perspective on and experiences with blended approaches. The aim of this pilot study was to identify barriers and facilitators, as perceived by psychotherapists, for implementing a blended therapy for depression...
June 2018: Internet Interventions: the Application of Information Technology in Mental and Behavioural Health
Amanda Heredia Montesinos, Marion C Aichberger, Selver Temur-Erman, Zohra Bromand, Andreas Heinz, Meryam Schouler-Ocak
Women of Turkish descent in Germany show higher rates of suicidal behavior compared to their host populations and men of Turkish descent. This indicates a demand for a better understanding of suicidality in this group. Nine focus groups ( N = 61) were conducted to assess explanatory models including patterns of distress, perceived causes, course/consequences of and reactions towards a suicidal crisis, help-seeking behavior, and potential intervention and prevention strategies. All participants were of Turkish descent living in Berlin, Germany...
August 22, 2018: Transcultural Psychiatry
Tess Soulié, Elliot Bell, Gabrielle Jenkin, Dalice Sim, Sunny Collings
Despite its critical role in clinical suicidology, empirical evidence on the nature of countertransference (CT) to patients at risk for suicide (PRS) is lacking. This study aimed to provide a systematic description of CT phenomena to PRS. Psychiatrists, psychologists and psychotherapists completed the Therapist Response Questionnaire (TRQ) online, with reference to a PRS. Factor analysis (n = 267) yielded a seven-factor structure, including 1) entrapped/rejecting, 2) fulfilled/engaging, 3) aroused/reacting, 4) informal/boundary crossing, 5) protective/overinvolvement, 6) ambivalent/inconsistent, and 7) mistreated/controlling...
August 17, 2018: Archives of Suicide Research: Official Journal of the International Academy for Suicide Research
Sarah Schumacher, Deborah Weiss, Christine Knaevelsrud
The efficacy of exposure is beyond doubt, which is reflected in guidelines recommending its application in the treatment of anxiety disorders and post-traumatic stress disorder (PTSD). Research suggests exposure to be underutilized in clinical practice in the United States and Europe. A systematic investigation of the dissemination of exposure in Germany is lacking. The present study examined the dissemination and application frequency of exposure among German cognitive behavioural therapists working in routine care...
August 17, 2018: Clinical Psychology & Psychotherapy
Lina Nassri, Isabell Schneider, Petra Maria Gaum, Jessica Lang
OBJECTIVES: To identify approaches for an effective patient-centred care of depressed employees, we investigated occupational physicians' (OPs) and psychotherapists' (PTs) knowledge about job stressors on the development of depression, application of this knowledge, interdisciplinary cooperation and perceived barriers. STUDY DESIGN: A cross-sectional online survey. PARTICIPANTS: OPs (163; 48.5% male) and PTs (69; 43.5% male) providing complete data on the survey out of 257 OPs and 112 PTs who started the survey...
August 13, 2018: BMJ Open
Selvira Draganović
INTRODUCTION: Providing good mental health services to the vulnerable and needy should be of utmost importance to all mental health professionals. To be able to do so, professionals require to be, not only educated but actually properly trained and supervised in specially, among various skills, psychotherapy orientation. Unlike developed countries, psychotherapy services and professional career in psychotherapy in Bosnia and Herzegovina (B&H) is relatively new primarily due to the recent historical developments and events in B&H...
July 2018: Psychiatria Danubina
David Cittern, Abbas Edalat
We build on a neuroanatomical model of how empathic states can motivate caregiving behavior, via empathy circuit-driven activation of regions in the hypothalamus and amygdala, which in turn stimulate a mesolimbic-ventral pallidum pathway, by integrating findings related to the perception of pain in self and others. On this basis, we propose a network to capture states of personal distress and (weak and strong forms of) empathic concern, which are particularly relevant for psychotherapists conducting attachment-based interventions...
December 2017: Computational psychiatry
Faisil Sethi, John Parkes, Eric Baskind, Brodie Paterson, Aileen O'Brien
SummaryThe emergence of a drive to reduce restrictive interventions has been accompanied particularly in the UK by a debate focussing on restraint positions. Any restraint intervention delivered poorly can potentially lead to serious negative outcomes. More research is required to reliably state the risk attached to a particular position in a particular clinical circumstance.Declaration of interestF.S. is a consultant psychiatrist in Psychiatric Intensive Care at the Maudsley Hospital, London. He is on the Executive Committee of the National Association of Psychiatric Intensive Care and Low Secure Units, and was a member of the National Institute for Health and Care Excellence Guideline Development Group for the Short-Term Management of Aggression and Violence (2015)...
March 2018: British Journal of Psychiatry: the Journal of Mental Science
Beata Charążka, Agnieszka Suligowska, Jan Komorowski, Agnieszka Siejka
Thyroid-associated orbitopathy is a syndrome of eye symptoms produced by immunological inflammation of soft tissues of orbit,mostly due to Graves-Basedow disease. This disease is accompanied by proptosis, oedema of lids, double vision, tearing and photophobia. These symptoms lead to significant deterioration of quality of life due to reduction of sharpness of sight and therefore worsen emotional condition of patients. AIM: The aim of study was to assess the impact of Graves orbitopathy on quality of life...
June 27, 2018: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Brian A Chopko, Konstantinos Papazoglou, Robert C Schwartz
First responders are psychosocially burdened with work-related stressors that occur frequently during required duties. Related mental health difficulties, such as direct and vicarious trauma, depression, and interpersonal problems often affect first responders' ability to perform effectively, and their personal lives may be disrupted. Mindfulness-based interventions have been shown to directly promote first responders' mental and physical health while providing increased resilience when facing work-related stressors...
October 1, 2018: American Journal of Psychotherapy
Laura Moeseneder, Eugénia Ribeiro, John Christopher Muran, Franz Caspar
OBJECTIVE: Striking the balance between creating challenge through confrontation (drawing attention to discrepancies) to encourage change and offering support through the therapeutic relationship to ensure safety for patients represents a central issue for psychotherapists. The aim of the present study was to assess immediate effects of confrontations by therapists on the therapeutic alliance. METHOD: We rated video recordings of 77 therapies to measure incidences of alliance ruptures/resolution attempts as well as confrontations by therapists...
July 26, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
Iana Markevych, Falko Tesch, Thomas Datzmann, Marcel Romanos, Jochen Schmitt, Joachim Heinrich
BACKGROUND: Attention deficit hyperactivity disorder (ADHD) is a frequently occurring neurodevelopmental disorder, symptoms of which first appear in early childhood. Etiology of ADHD is not well understood. We investigated whether outdoor air pollution and greenspace affect ADHD incidence in children residing in Saxony. METHODS: 66,823 children, all beneficiaries of the statutory health insurance company AOK PLUS and born between 2000 and 2004, were followed until 2014...
November 15, 2018: Science of the Total Environment
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