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Alliance psychotherapy

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https://www.readbyqxmd.com/read/28421880/interactive-dynamics-among-therapist-interventions-therapeutic-alliance-and-metacognition-in-the-early-stages-of-the-psychotherapeutic-process
#1
Francesca Locati, Germano Rossi, Laura Parolin
OBJECTIVE: Several authors have identified a bidirectional link between patient metacognitive functioning and the therapeutic alliance. Specifically, metacognition might be enhanced by a positive alliance with the clinician, whereas metacognitive deficits might impede the alliance. Interestingly, the therapist's technical interventions might influence both therapeutic alliance and metacognitive functioning. However, little is known about the interactions between these dimensions. The aim of the present study is to explore these interactions more fully in the earliest phase of the therapeutic process...
April 19, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28411772/psychocutaneous-disease-pharmacotherapy-and-psychotherapy
#2
REVIEW
Helena Kuhn, Constance Mennella, Michelle Magid, Caroline Stamu-O'Brien, George Kroumpouzos
Building a strong therapeutic alliance with the patient is of utmost importance in the management of psychocutaneous disease. Optimal management of psychocutaneous disease includes both pharmacotherapy and psychotherapy. This article reviews psychotropic medications currently used for psychocutaneous disease, including antidepressants, antipsychotics, mood stabilizers, and anxiolytics, with a discussion of relevant dosing regimens and adverse effects. Pruritus management is addressed. In addition, basic and complex forms of psychotherapy, such as cognitive-behavioral therapy and habit-reversal training, are described...
May 2017: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/28394170/dynamic-models-of-individual-change-in-psychotherapy-process-research
#3
Fredrik Falkenström, Steven Finkel, Rolf Sandell, Julian A Rubel, Rolf Holmqvist
OBJECTIVE: There is a need for rigorous methods to study the mechanisms that lead to individual-level change (i.e., process-outcome research). We argue that panel data (i.e., longitudinal study of a number of individuals) methods have 3 major advantages for psychotherapy researchers: (1) enabling microanalytic study of psychotherapeutic processes in a clinically intuitive way, (2) modeling lagged associations over time to ensure direction of causality, and (3) isolating within-patient changes over time from between-patient differences, thereby protecting against confounding influences because of the effects of unobserved stable attributes of individuals...
April 10, 2017: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/28355973/patient-therapist-convergence-in-alliance-ratings-as-a-predictor-of-outcome-in-psychotherapy-for-generalized-anxiety-disorder
#4
Alice E Coyne, Michael J Constantino, Holly B Laws, Henny A Westra, Martin M Antony
OBJECTIVE: Although patients and therapists aligning over time on their perceptions of alliance quality is regarded as clinically important, few studies have examined the influence of such dyadic convergence on psychotherapy outcomes. This study tested whether early treatment convergence in patient-therapist alliance ratings was associated with subsequent worry and distress reduction in psychotherapy for generalized anxiety disorder (GAD), and whether treatment type and the dyad members' initial alliance perceptions moderated these associations...
March 29, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28345940/early-development-of-mechanisms-of-change-as-a-predictor-of-subsequent-change-and-treatment-outcome-the-case-of-working-alliance
#5
Sigal Zilcha-Mano, Paula Errázuriz
OBJECTIVE: Advanced statistical tools have created the opportunity to systematically examine the effect of early trajectories in predictors of therapeutic change, such as early alliance development patterns, on outcome. To date, however, these methods have been used almost exclusively to examine the effect of the development of early symptoms on later ones. Development patterns of alliance early in treatment, and their association with treatment outcome, have received much theoretical attention, but few systematic examinations have been conducted so far...
May 2017: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/28333513/feedback-in-group-psychotherapy-for-eating-disorders-a-randomized-clinical-trial
#6
Annika Helgadóttir Davidsen, Stig Poulsen, Jane Lindschou, Per Winkel, Marjun Frígerð Tróndarson, Mette Waaddegaard, Marianne Lau
OBJECTIVE: To investigate the effect of client feedback in group psychotherapy on attendance and treatment outcome for patients with eating disorders. METHOD: We conducted a randomized clinical trial with central randomization stratified for diagnosis and treatment type according to a computer-generated allocation sequence concealed to the investigators. One-hundred and 59 adult participants, diagnosed with bulimia nervosa, binge eating disorder, or eating disorder not otherwise specified according to DSM-IV, were included...
May 2017: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/28300508/promoting-safety-in-hypnosis-a-clinical-instrument-for-the-assessment-of-alertness
#7
Hedy A Howard
Hypnosis has long demonstrated its power to facilitate various approaches to psychotherapy. Like other potent modalities, hypnosis may produce unwanted effects. Although its negative sequelae are usually mild and transient, more serious complications may occur. Recently, attention has been drawn to the powerful role of failures of dehypnosis or alerting/realerting in producing unwanted effects. Traditionally, alerting has been viewed as a relatively uncomplicated process that requires little more than the simple suggestion that the subject will return or awaken from trance, and exiting from trance has generally been considered the cessation of the phenomena suggested during induction and thereafter...
April 2017: American Journal of Clinical Hypnosis
https://www.readbyqxmd.com/read/28299797/processes-that-inform-multicultural-supervision-a-meta-analysis
#8
Nilou B Tohidian, Karen Mui-Teng Quek
As the fields of counseling and psychotherapy have become more cognizant that individuals, couples, and families bring with them a myriad of diversity factors into therapy, multicultural competency has also become a crucial component in the development of clinicians during clinical supervision and training. We employed a qualitative meta-analysis to provide a detailed and comprehensive description of similar themes identified in primary qualitative studies that have investigated supervisory practices with an emphasis on diversity...
March 16, 2017: Journal of Marital and Family Therapy
https://www.readbyqxmd.com/read/28263654/the-termination-phase-therapists-perspective-on-the-therapeutic-relationship-and-outcome
#9
Avantika Bhatia, Charles J Gelso
The termination phase of treatment is recognized as a significant aspect of the therapy process and yet remains vastly understudied in psychotherapy literature. In the present study, therapists' perspectives were used to examine how 3 elements of the therapy relationship (working alliance, real relationship, and transference) during the termination phase relate to perceived client sensitivity to loss, termination phase evaluation, and overall treatment outcome. Self-report data were gathered from 233 therapists, recruited from 2 Divisions of the American Psychological Association...
March 2017: Psychotherapy
https://www.readbyqxmd.com/read/28263642/observer-youth-and-therapist-perspectives-on-the-alliance-in-cognitive-behavioral-treatment-for-youth-anxiety
#10
Bryce D McLeod, Michael A Southam-Gerow, Philip C Kendall
This study examined the score reliability and validity of observer- (Therapy Process Observational Coding System for Child Psychotherapy-Alliance scale [TPOCS-A]; Vanderbilt Therapeutic Alliance Scale Revised, Short Form [VTAS-R-SF]), therapist- (Therapeutic Alliance Scale for Children Therapist Version [TASC-T]), and youth-rated (Therapeutic Alliance Scale for Children Child Version [TASC-C]) alliance instruments. Youths (N = 50) aged 7-15 (Mage = 10.28 years, SD = 1.84; 88.0% Caucasian; 60.0% male) diagnosed with a principal anxiety disorder received manual-based cognitive-behavioral treatment...
March 6, 2017: Psychological Assessment
https://www.readbyqxmd.com/read/28261907/significant-change-events-in-psychodynamic-psychotherapy-is-cognition-or-emotion-more-important
#11
Kye L McCarthy, Peter Caputi, Brin F S Grenyer
OBJECTIVE: Significant change events are helpful moments within a psychotherapy session that have been shown in previous research to relate strongly to outcome. They are special moments and therefore provide rich data for research into understanding therapeutic process. This study investigated clinical and linguistic features of these helpful moments using and comparing both human ratings and computerized text analysis strategies. METHOD: Significant change events versus non-event passages were studied within 1195 word blocks of transcribed psychotherapy for 20 participants with diagnoses of comorbid depression and personality disorder...
March 6, 2017: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/28248565/learning-psychodynamic-psychotherapy-in-southeast-asia
#12
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/28194599/common-factors-in-community-mental-health-intervention-a-scoping-review
#13
Sean A Kidd, Larry Davidson, Kwame McKenzie
While there is considerable research and commentary devoted to common factors in psychotherapy, their implications for community mental health interventions are much less clear. In response, a scoping review was conducted to answer the question, 'What is the evidence base for common factors in community mental health intervention?' A comprehensive search of MEDLINE, PsycINFO, and Google Scholar was completed. A total of 60 publications were identified in this review with a focus primarily upon therapeutic alliance...
February 13, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28191795/simulation-modeling-analysis-of-sequential-relations-among-therapeutic-alliance-symptoms-and-adherence-to-child-centered-play-therapy-between-a-child-with-autism-spectrum-disorder-and-two-therapists
#14
Geoff Goodman, Hyewon Chung, Leah Fischel, Laura Athey-Lloyd
This study examined the sequential relations among three pertinent variables in child psychotherapy: therapeutic alliance (TA) (including ruptures and repairs), autism symptoms, and adherence to child-centered play therapy (CCPT) process. A 2-year CCPT of a 6-year-old Caucasian boy diagnosed with autism spectrum disorder was conducted weekly with two doctoral-student therapists, working consecutively for 1 year each, in a university-based community mental-health clinic. Sessions were video-recorded and coded using the Child Psychotherapy Process Q-Set (CPQ), a measure of the TA, and an autism symptom measure...
February 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28182451/therapeutic-alliance-subsequent-change-and-moderators-of-the-alliance-outcome-association-in-interpersonal-psychotherapy-for-depression
#15
Michael J Constantino, Alice E Coyne, Emily K Luukko, Katie Newkirk, Samantha L Bernecker, Paula Ravitz, Carolina McBride
The therapeutic alliance has historically emerged as a pantheoretical correlate of favorable psychotherapy outcomes. However, uncertainty remains about the direction of the alliance-outcome link, and whether it is affected by other contextual variables. The present study explored (a) if early alliance quality predicted subsequent symptom change while controlling for the effect of prior symptom change in interpersonal psychotherapy (IPT) for depression, and (b) whether baseline patient characteristics moderated the alliance-outcome relation (to help specify conditions under which alliance predicts change)...
February 9, 2017: Psychotherapy
https://www.readbyqxmd.com/read/28145735/patient-personality-and-relational-patterns-in-psychotherapy-factor-structure-reliability-and-validity-of-the-psychotherapy-relationship-questionnaire
#16
Annalisa Tanzilli, Antonello Colli, Ivan Gualco, Vittorio Lingiardi
The aim of this study was to examine the factor structure and the psychometric properties of the Psychotherapy Relationship Questionnaire (PRQ; Bradley, Heim, & Westen, 2005 ), a clinician report instrument that measures a wide spectrum of thoughts, feelings, motives, conflicts, and behaviors expressed by patients toward their therapists in psychotherapy. A national sample of psychiatrists and clinical psychologists (N   = 314) of different theoretical orientations completed the PRQ, as well as the Shedler-Westen Assessment Procedure-200 (SWAP-200; Westen & Shedler, 1999a , 1999b ) to assess the personality of a patient in their care...
February 1, 2017: Journal of Personality Assessment
https://www.readbyqxmd.com/read/28114769/enhancing-psychotherapy-process-with-common-factors-feedback-a-randomized-clinical-trial
#17
Andrew S McClintock, Matthew R Perlman, Shannon M McCarrick, Timothy Anderson, Lina Himawan
In this study, we developed and tested a common factors feedback (CFF) system. The CFF system was designed to provide ongoing feedback to clients and therapists about client ratings of three common factors: (a) outcome expectations, (b) empathy, and (c) the therapeutic alliance. We evaluated the CFF system using randomized, clinical trial (RCT) methodology. PARTICIPANTS: Clients were 79 undergraduates who reported mild, moderate, or severe depressive symptoms at screening and pretreatment assessments...
April 2017: Journal of Counseling Psychology
https://www.readbyqxmd.com/read/28102111/applying-relationship-anecdotes-paradigm-interviews-to-study-client-therapist-relationship-narratives-core-conflictual-relationship-theme-analyses
#18
Hadas Wiseman, Orya Tishby
OBJECTIVE: We describe client-therapist relational narratives collected in relationship anecdotes paradigm (RAP) interviews during psychotherapy and the application of the core conflictual relationship theme (CCRT) method. Changes in clients' and therapists' CCRT in relation to each other are examined and associations between their CCRTs and self-reported ruptures and repairs are explored. METHOD: Sixty-seven clients and 27 therapists underwent RAP interviews and completed self-report rupture and repair items at early, middle, and late psychodynamic psychotherapy...
January 19, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28072647/tools-for-practical-psychotherapy-a-transtheoretical-collection-or-interventions-which-have-at-least-worked-for-us
#19
Joel Yager, Robert E Feinstein
BACKGROUND AND OBJECTIVES: Regardless of their historical and theoretical roots, strategies, tactics, and techniques used in everyday psychotherapy across diverse theoretical schools contain common factors and methods from other specific psychotherapeutic modalities that contribute substantially to psychotherapy outcomes. Common factors include alliance, empathy, goal consensus/collaboration, positive regard/affirmation, and congruence/genuineness, among others. All therapies also recognize that factors specific to therapists impact treatment...
January 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28008219/introduction-to-using-structured-evocative-activities-in-functional-analytic-psychotherapy
#20
Kimberly M Nelson, Joyce P Yang, Ashley C Maliken, Mavis Tsai, Robert J Kohlenberg
Functional Analytic Psychotherapy (FAP) focuses on what happens in session between clients and therapists in order to create more intense and curative therapeutic relationships. FAP may be used as a standalone treatment or as an adjunct to other therapies in order to maximize therapeutic gains through strengthened alliance and differential reinforcement. When it fits within a client's case conceptualization, FAP clinicians often choose to use structured, evocative activities to progress the therapy at a faster pace...
November 2016: Cognitive and Behavioral Practice
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