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Alliance psychotherapy

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https://www.readbyqxmd.com/read/27898280/what-defense-mechanisms-do-therapists-interpret-in-session
#1
Maneet Bhatia, Jonathan Petraglia, Yves de Roten, Elisabeth Banon, Jean-Nicolas Despland, Martin Drapeau
One of the key technical guidelines outlined by psychodynamic theorists and clinicians is for therapists to interpret a patient's most prominent defenses (Greenson, 1967; Langs, 1973). However, a debate exists about what constitutes a patient's most prominent defense and which defenses therapists actually choose to interpret in-session. This study aimed to shed light on this debate by examining 35 psychotherapy sessions (18 high alliance and 17 low alliance dyads) of individuals in therapy at a university counselling center...
2016: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/27893529/the-role-of-theory-specific-techniques-and-therapeutic-alliance-in-promoting-positive-outcomes-integrative-psychotherapy-for-world-trade-center-responders
#2
Peter Tejas Haugen, Aditi Sinha Werth, Alyce Lauren Foster, Jesse Owen
World Trade Center responders demonstrate high symptom burden, underscoring the importance of refining treatment approaches for this cohort. One method is examining the impact of therapy techniques on outcomes, and the interactions between technique and alliance on outcomes. This study a) examined the interaction of early treatment techniques on integrative psychotherapy outcomes and b) explored whether associations differed at varying levels of alliance. Twenty-nine adult responders diagnosed with partial or full posttraumatic stress disorder received outpatient psychotherapy and completed weekly measures of alliance, technique, and symptom distress...
December 2016: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/27870116/therapy-processes-progress-and-outcomes-for-two-therapies-for-gynecological-cancer-patients
#3
Sharon L Manne, Shannon Myers-Virtue, Deborah A Kashy, Melissa Ozga, David Kissane, Carolyn Heckman, Mark Morgan
OBJECTIVE: Although a number of effective psychotherapies have been identified for cancer patients, little is known about therapy processes as they unfold the course of treatment and the role of therapy processes in treatment outcome. We used growth curve modeling to evaluate the associations between therapy processes and outcomes among gynecological cancer patients participating in two types of therapy. METHODS: Two hundred twenty five women newly diagnosed with gynecological cancer were randomly assigned to receive eight sessions of a coping and communication intervention (CCI) or a client-centered supportive therapy (SC)...
November 21, 2016: Psycho-oncology
https://www.readbyqxmd.com/read/27861977/collaborating-with-the-fortress-around-early-childhood-trauma-a-depth-psychotherapy-process
#4
Katherine May
PURPOSE: A depth psychotherapy process is a deepening of experience facilitating access into a fortress of body and mind defenses that aims to protect although may imprison the adult survivor of early childhood trauma. CONCLUSIONS: When psychotherapy moves beyond managing manifest symptoms and behavior, individuals have an opportunity to connect with their authentic self and experience wholeness in their personality and relationships. PRACTICE IMPLICATIONS: A theoretical and practical approach including the therapeutic frame, therapeutic alliance, and body psychotherapy attempts to collaborate with a fortress to encourage its cooperation in the release of its captive...
November 8, 2016: Perspectives in Psychiatric Care
https://www.readbyqxmd.com/read/27848105/patient-therapist-perspective-of-the-working-alliance-in-psychotherapy
#5
Nelson Andrade-González, Guillermo Lahera, Alberto Fernández-Liria
This study aimed to examine perceptions of the working alliance in a sample of Spanish patients and therapists. The alliance was measured after the third and tenth psychotherapy sessions using patient and therapist versions of the Spanish adaptation of the Working Alliance Inventory (WAI). After both sessions, correlations between the patients' and therapists' ratings, both of total alliance and of the various dimensions of the alliance, were moderate at best. Moreover, after the third psychotherapy session, patients' scores for the total alliance and the Goal and Task subscales were significantly higher than the scores from their therapists in these dimensions...
November 16, 2016: Psychiatric Quarterly
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/27831738/correction-to-krupnick-et-al-2016
#7
(no author information available yet)
Reports an error in "An Internet-Based Writing Intervention for PTSD in Veterans: A Feasibility and Pilot Effectiveness Trial" by Janice L. Krupnick, Bonnie L. Green, Richard Amdur, Adil Aloui, Anas Beloui, Erika Roberge, David Cueva, Miguel Roberts, Elizabeth Melnikoff and Mary Ann Dutton (Psychological Trauma: Theory, Research, Practice, and Policy, Advanced Online Publication, Sep 8, 2016, np). (The following abstract of the original article appeared in record 2016-43134-001.) Objective: Veterans suffering from posttraumatic stress disorder (PTSD) may avoid or fail to follow through with a full course of face-to-face mental health treatment for a variety of reasons...
November 10, 2016: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/27831697/therapeutic-alliance-and-treatment-outcome-in-the-outpatient-treatment-of-urban-adolescents-the-role-of-callous-unemotional-traits
#8
Laurel A Mattos, Adam T Schmidt, Craig E Henderson, Aaron Hogue
Callous-unemotional (CU) traits designate a unique subset of youth with externalizing psychopathology who have a severe pattern of aggressive behavior and tend to have worse outcomes in treatment. However, little research has addressed how CU traits relate to different components of psychotherapy, such as the therapeutic alliance. The current study examined the role of CU traits in predicting therapeutic alliance in 59 adolescents (M age = 15.3, 51% female, 64% Hispanic American, 15% African American) who were part of a larger randomized naturalistic trial of outpatient behavioral psychotherapy...
November 10, 2016: Psychotherapy
https://www.readbyqxmd.com/read/27797646/a-study-of-asynchronous-mobile-enabled-sms-text-psychotherapy
#9
Thomas D Hull, Kush Mahan
BACKGROUND: Many obstacles to obtaining psychotherapy continue to diminish its reach despite its documented positive effects. Using short message service (SMS) texting and Web platforms to enable licensed psychotherapists to deliver therapy directly to the lived context of the client is one possible solution. INTRODUCTION: Employing a feasibility study design, this pilot trial further evaluated the external validity for treatment outcomes of text therapy and extended findings to include mobile-enabled text platforms...
October 31, 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/27766761/outpatient-psychodynamic-group-psychotherapy-outcomes-related-to-personality-disorder-severity-age-and-gender
#10
Elfrida Hartveit Kvarstein, Ola Nordviste, Lone Dragland, Theresa Wilberg
OBJECTIVES: Outpatient group psychotherapy is frequent within specialist services, recruits a mixed population, but effects are poorly documented. This study investigates long-term outcomes for patients with personality disorder (PD) treated in outpatient, psychodynamic groups within secondary mental health service. METHODS: A naturalistic study (N = 103) with repeated assessments of process and clinical outcomes. Longitudinal statistics are linear mixed models...
October 21, 2016: Personality and Mental Health
https://www.readbyqxmd.com/read/27754874/resolution-of-alliance-ruptures-the-special-case-of-animal-assisted-psychotherapy
#11
Sigal Zilcha-Mano
Many therapists regard alliance ruptures as one of the greatest challenges therapists face in the therapy room. Alliance ruptures has been previously defined as breakdowns in the process of negotiation of treatment tasks and goals and a deterioration in the affective bond between patient and therapist. Alliance ruptures have been found to predict premature termination of treatment and poor treatment outcomes. But ruptures can also present important opportunities for gaining insight and awareness and for facilitating therapeutic change...
October 17, 2016: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/27748609/change-in-patients-interpersonal-impacts-as-a-mediator-of-the-alliance-outcome-association-in-treatment-for-chronic-depression
#12
Michael J Constantino, Holly B Laws, Alice E Coyne, Roger P Greenberg, Daniel N Klein, Rachel Manber, Barbara O Rothbaum, Bruce A Arnow
OBJECTIVE: Theories posit that chronically depressed individuals have hostile and submissive interpersonal styles that undermine their interpersonal effectiveness and contribute to the cause and maintenance of their depression. Recent findings support this theory and demonstrate that chronically depressed patients' interpersonal impacts on their therapist become more adaptive (i.e., less hostile and submissive, and more friendly and assertive) during a targeted chronic depression treatment: cognitive-behavioral analysis system of psychotherapy (CBASP)...
December 2016: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/27733008/-outpatient-psychotherapy-under-naturalistic-conditions-a-selective-review-of-results-from-german-speaking-countries
#13
Uwe Altmann, Désirée Thielemann, Bernhard Strauß
There is a growing body of literature recognizing the importance of outpatient psychotherapy. Several studies investigated the efficacy of outpatient psychotherapy and aspects of the health care system under natural conditions. This paper gives an overview of studies from German speaking countries (TRANS-OP-, TK-, PAP-S- and QS-PSY-BAY-study).The results of the different studies indicate both, positive outcome of the therapies (e. g., reduction of symptoms with an average ES of 1,03; improvement of symptoms despite premature termination) as well as an economic benefit (end of treatment depending on treatment outcome and not limited by therapy sessions; extensions of psychotherapy only if patient is highly impaired and therapeutic alliance is positive; high reduction of supply costs and sick leave)...
October 2016: Psychiatrische Praxis
https://www.readbyqxmd.com/read/27712547/-what-do-you-believe-therapist-spiritual-religious-non-religious-self-disclosure
#14
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/27607767/an-internet-based-writing-intervention-for-ptsd-in-veterans-a-feasibility-and-pilot-effectiveness-trial
#15
Janice L Krupnick, Bonnie L Green, Richard Amdur, Adil Aloui, Anas Beloui, Erika Roberge, David Cueva, Miguel Roberts, Elizabeth Melnikoff, Mary Ann Dutton
Objective: Veterans suffering from posttraumatic stress disorder (PTSD) may avoid or fail to follow through with a full course of face-to-face mental health treatment for a variety of reasons. We conducted a pilot effectiveness trial of an online intervention for veterans with current PTSD to determine the feasibility, safety, and preliminary effectiveness of an online writing intervention (i.e., Warriors Internet Recovery & EDucation [WIRED]) as an adjunct to face-to-face psychotherapy. Method: Veterans (N = 34) who had served in Iraq or Afghanistan with current PTSD subsequent to deployment-related trauma were randomized to Veterans Affairs (VA) mental health treatment as usual (TAU) or to treatment as usual plus the online intervention (TAU + WIRED)...
September 8, 2016: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/27494662/the-relation-between-outcome-expectation-therapeutic-alliance-and-outcome-among-depressed-patients-in-group-cognitive-behavioral-therapy
#16
Andreea Vîslă, Michael J Constantino, Katie Newkirk, John S Ogrodniczuk, Ingrid Söchting
OBJECTIVE: Although patients' expectation for improvement correlates with their treatment outcome, there remains limited information regarding the mechanisms through which outcome expectation influences outcome. Although several studies have revealed alliance as a mediator of the expectancy-outcome relation, most have focused on individual psychotherapy only. More research is needed examining mediators, including alliance quality, of the outcome expectation-outcome relation in group therapy...
August 5, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27467033/-online-counselling-the-prospect-of-a-therapeutic-connection
#17
O Giotakos, E Papadomarkaki
Over the last few years, Internet has become an integral part of daily life. An abundant source of information and a principal gateway of communication between individuals, Internet has been continuously gaining considerable ground as a tool of awareness and intervention in the area of public health. With regard to the field of mental health, Internet exhibits a credible potential in facilitating dialogue not only between experts and their beneficiaries but also between stakeholders. Moreover and with regard to various aspects of public concern, it can serve as a circulation portal of educational material between students and teachers...
April 2016: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/27442352/initial-test-of-a-principle-guided-approach-to-transdiagnostic-psychotherapy-with-children-and-adolescents
#18
John Weisz, Sarah Kate Bearman, Lauren C Santucci, Amanda Jensen-Doss
To address implementation challenges faced by some evidence-based youth psychotherapies, we developed an efficient transdiagnostic approach-a potential "first course" in evidence-based treatment (EBP)-guided by five empirically supported principles of therapeutic change. An open trial of the resulting FIRST protocol was conducted in community clinics. Following a 2-day training, staff practitioners treated 24 clinically referred youths ages 7-15, 50% male, 87% White and 13% Latino, all with the Schedule for Affective Disorders and Schizophrenia for School-Age Children Diagnostic and Statistical Manual of Mental Disorders (4th ed...
July 21, 2016: Journal of Clinical Child and Adolescent Psychology
https://www.readbyqxmd.com/read/27427844/psychotherapy-and-its-role-in-psychiatric-practice-a-position-paper-ii-objective-subjective-and-intersubjective-science
#19
Yakov Shapiro, Nicholas John, Rowan Scott, Nadia Tomy
In the first article in this 2-part series, we outlined a psychobiological model of psychiatric treatment and reviewed the evidence showing psychotherapy to be a form of biological intervention that induces lasting alterations in brain structure and function. In this second article, we focus on the adaptive model of psychopathology, the effectiveness of psychotherapeutic interventions, the synergistic effects of combined psychotherapy and psychopharmacology treatments, and attention to the patient's subjective experience and the doctor-patient alliance to complement an "objective" case formulation...
July 2016: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/27427841/therapeutic-alliance-in-patients-with-schizophrenia-introduction-of-a-new-rating-instrument
#20
Christian G Widschwendter, Alex Hofer, Susanne Baumgartner, Monika Edlinger, Georg Kemmler, Maria A Rettenbacher
OBJECTIVE: The quality of the patient-psychiatrist relationship can be seen as a cornerstone of adherence to medications in patients with chronic psychiatric disorders. Although therapeutic alliance in psychotherapy has been investigated broadly, it has received little attention in the context of medication adherence. The goal of this study was to develop and validate a user-friendly questionnaire for the assessment of therapeutic alliance in clinically stable outpatients with schizophrenia...
July 2016: Journal of Psychiatric Practice
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