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Alliance psychotherapy

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https://www.readbyqxmd.com/read/29303042/testing-a-mediation-model-of-psychotherapy-process-and-outcome-in-psychodynamic-psychotherapy-previous-client-distress-psychodynamic-techniques-dyadic-working-alliance-and-current-client-distress
#1
Dennis M Kivlighan, Clara E Hill, Katherine Ross, Kathryn Kline, Amy Furhmann, Elizabeth Sauber
To test a sequential model of psychotherapy process and outcome, we included previous client distress, therapist psychodynamic techniques, dyadic working alliance, and current client distress. For 114 sets of eight-session segments in 40 cases of psychodynamic psychotherapy, clients completed the Outcome Questionnaire-45 and Inventory of Interpersonal Problems-32 after the first and final session, judges reliably coded one middle sessions on the Psychodynamic subscale of the Multitheoretical List of Therapeutic Interventions, and clients and therapists completed the Working Alliance Inventory after every session...
January 5, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29275791/the-working-alliance-and-clinician-assisted-emotional-disclosure-for-rheumatoid-arthritis
#2
Mark A Lumley, Timothy Anderson, Brett Ankawi, Gregory Goldman, LisaCaitlin M Perri, Joseph A Bianco, Francis J Keefe
OBJECTIVES: The working alliance predicts improvement following general psychotherapy, but how it operates in brief interventions conducted with medically ill patients is unknown. Also, the role of the working alliance may differ in emotion-focused versus educational interventions. METHODS: We report secondary analyses of a randomized clinical trial (Keefe et al.) [35], in which patients with rheumatoid arthritis (RA) received four nurse-provided sessions of either a) Clinician-assisted Emotional Disclosure (CAED), which emphasized the disclosure, expression, and processing of emotions related to stressful events; or b) Arthritis Education (AE), which provided basic education about RA...
January 2018: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/29251782/the-association-between-self-compassion-and-treatment-outcomes-session-level-and-treatment-level-effects
#3
Lior Galili-Weinstock, Roei Chen, Dana Atzil-Slonim, Eran Bar-Kalifa, Tuvia Peri, Eshkol Rafaeli
OBJECTIVE: Self-compassion (SC) has been consistently linked to less psychopathology; however, the link between changes in client's SC levels and psychotherapy outcomes has yet to be explored. METHOD: Clients at a university-based community clinic completed SC and outcome measures session by session (N = 112) as well as pre- to posttreatment (N = 70). RESULTS: Increases in clients' SC levels across the entire therapeutic process were associated with improvement in all posttreatment outcomes...
December 18, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/29189035/processes-of-change-after-a-sudden-gain-and-relation-to-treatment-outcome-evidence-for-an-upward-spiral
#4
Felix Wucherpfennig, Julian A Rubel, Stefan G Hofmann, Wolfgang Lutz
OBJECTIVE: Sudden gains are sudden symptom improvements from 1 psychotherapy session to the next. This study investigates the processes that may facilitate treatment outcome after a sudden gain occurred. METHOD: A sample of 211 depressed patients who underwent cognitive-behavioral therapy was analyzed. Sudden gains were identified using a session-by-session self-report symptom measure. Patient ratings of general change factors (therapeutic alliance; coping skills) in the sessions before and after a sudden gain were investigated as predictors of outcome...
December 2017: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29178338/disorder-and-treatment-specific-therapeutic-competence-scales-for-posttraumatic-stress-disorder-intervention-development-and-psychometric-properties
#5
Clara Dittmann, Meike Müller-Engelmann, Ulrich Stangier, Kathlen Priebe, Thomas Fydrich, Nora Görg, Sophie Rausch, Patricia A Resick, Regina Steil
Although the assessment of therapeutic competence in psychotherapy research is essential for examining its possible associations with treatment outcomes, it is often neglected due to high costs and a lack of valid instruments. This study aimed to develop two therapeutic competence scales that assess disorder-specific and treatment-specific therapeutic competence, and to examine these scales' psychometric properties along with those of the already established Cognitive Therapy Scale (CTS) in a posttraumatic stress disorder (PTSD) sample...
November 27, 2017: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/29154168/evaluating-an-e-mental-health-program-deprexis-as-adjunctive-treatment-tool-in-psychotherapy-for-depression-results-of-a-pragmatic-randomized-controlled-trial
#6
Thomas Berger, Tobias Krieger, Kerstin Sude, Björn Meyer, Andreas Maercker
BACKGROUND: Depressive disorders place a significant disease burden on individuals as well as on societies. Several web-based interventions for depression have shown to be effective in reducing depressive symptoms. However, it is not known whether web-based interventions, when used as adjunctive treatment tools to regular psychotherapy, have an additional effect compared to regular psychotherapy for depression. METHODS: Adults (N = 98) with a unipolar affective disorder were recruited in routine outpatient psychotherapy practices in Germany from therapists over the course of their initial sessions and randomized within therapists to one of two active treatment conditions: regular psychotherapy or psychotherapy plus a web-based depression program ("deprexis")...
November 10, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29151846/examining-ethnic-disparities-in-provider-and-parent-in-session-participation-engagement
#7
Kelsey S Dickson, Sasha M Zeedyk, Jonathan Martinez, Rachel Haine-Schlagel
Purpose: Well-documented ethnic disparities exist in the identification and provision of quality services among children receiving community-based mental health services. These disparities extend to parent treatment engagement, an important component of effective mental health services. Currently, little is known about differences in how providers support parents' participation in treatment and the degree to which parents actively participate in it. The purpose of this paper is to examine potential differences in both provider and parent in-session participation behaviours...
2017: Journal of Children's Services
https://www.readbyqxmd.com/read/29120251/validity-of-the-flemish-working-alliance-inventory-in-a-dutch-physiotherapy-setting-in-patients-with-shoulder-pain
#8
Yasmaine Karel, Marloes Thoomes-De Graaf, Gwendolijne Scholten-Peeters, Paulo Ferreira, Dimitris Rizopoulos, Bart W Koes, Arianne P Verhagen
BACKGROUND: Working alliance is the interaction between the patient and therapist. It is a crucial part of the physiotherapeutic process. One instrument to measure working alliance is available in Dutch/Flemish language and validated in psychotherapy setting. OBJECTIVE: This study aims to validate the Working Alliance Inventory Short-Form in a Dutch physiotherapy setting. DESIGN: A prospective cohort study in primary-care physiotherapy. METHOD: To validate the Dutch/Flemish version of the working alliance inventory short-form (WAV-12) a RASCH analysis was used...
November 9, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29119956/-a-study-of-the-effective-psychotherapist-image-and-expectations-about-psychotherapy-among-the-employees-of-hazardous-occupations-policemen
#9
V A Agarkov, S A Bronfman, D Y Maltseva
BACKGRAUND: The objective of the present study was to estimate the expectations about psychotherapy in terms of social and medical rehabilitation among the employees of hazardous occupations suffering from the consequences of a psychological trauma. MATERIAL AND METHODS: A total of 100 subjects employed by various departments of the Russian Ministry of Internal Affairs (MIA) were recruited to participate in the study. Their age varied from 19 to 35 (mean 25.8±3...
2017: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://www.readbyqxmd.com/read/29064556/patients-and-therapists-experiences-of-general-change-mechanisms-during-bug-in-the-eye-and-delayed-video-based-supervised-cognitive-behavioral-therapy-a-randomized-controlled-trial
#10
Thomas Probst, Marion Jakob, Yvonne M Kaufmann, Julia M B Müller-Neng, Martin Bohus, Florian Weck
OBJECTIVE: This secondary analysis of a randomized controlled trial investigated whether bug-in-the-eye (BITE) supervision (live computer-based supervision during a psychotherapy session) affects the manner in which patients and therapists experience general change mechanisms (GCMs) during cognitive-behavioral therapy (CBT). METHOD: A total of 23 therapists were randomized either to the BITE condition or the control condition (delayed video-based [DVB] supervision)...
October 24, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28984633/homeopathy-as-boundary-object-and-distributed-therapeutic-agency-a-discussion-on-the-homeopathic-placebo-response
#11
Cosima Rughiniş, Alexandra Ciocănel, Sorina Vasile
BACKGROUND: We discuss homeopathy's placebo effect as the result of a distributed therapeutic agency involving humans, objects, and texts. Homeopathy has been involved in controversies for centuries, and the dispute whether it is therapy or quackery is as lively as ever. Still, homeopathy has retained significant popularity and acceptance within the medical establishment. AREAS OF UNCERTAINTY: We bracket the issue of biochemical effectiveness of homeopathic remedies as we only discuss homeopathy's potential to elicit a placebo response within its therapeutic alliance, in virtue of its social, symbolic, and material features...
September 27, 2017: American Journal of Therapeutics
https://www.readbyqxmd.com/read/28960601/does-an-emotion-focused-two-chair-dialogue-add-to-the-therapeutic-effect-of-the-empathic-attunement-to-affect
#12
Jan Reidar Stiegler, Helge Molde, Elisabeth Schanche
An increasing amount of research suggests that it is beneficial to work explicitly with emotions in psychotherapy. Emotion-focused therapy (EFT) utilizes interventions that are thought to enhance the evocativeness of emotional processing and facilitate explorations of new meaning. The purpose of this study was to examine the effect of such an intervention on therapeutic outcome. The intervention, a two-chair dialogue drawn from emotion-focused therapy, was added to the treatment conditions that consisted of empathically following the clients' emotional processes...
September 27, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28899230/research-on-the-alliance-knowledge-in-search-of-a-theory
#13
Adam O Horvath
OBJECTIVES: The aim of this review paper is to summarize the challenges facing research on the alliance now and going forward. The review begins with a brief overview of the development of the concept of the alliance in historical context. METHOD: A summary of what has been accomplished both within the psychotherapy research community and in other professions is presented. Current challenges facing this line of research are identified, including the existence of a wide range of operational definitions that results in a diffusion of the identity of the alliance concept...
September 13, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28898410/the-client-s-perspective-on-experiences-of-psychotherapy-a-practice-friendly-review
#14
Ladislav Timulak, Daragh Keogh
Recent decades have seen a significant increase in the number of studies exploring client perspectives on, and experiences of, psychotherapy. The present article provides a practice friendly overview of this research, identifying common domains of inquiry, and providing examples of findings relevant to practitioners. Research in this area can be categorized in terms of the client's perspective pertaining to theoretical constructs, studies of client satisfaction, and qualitative studies that are either open-ended or explore specific aspects of client experiences...
September 12, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28890703/observations-on-working-psychoanalytically-with-a-profoundly-amnesic-patient
#15
Paul A Moore, Christian E Salas, Suvi Dockree, Oliver H Turnbull
Individuals with profound amnesia are markedly impaired in explicitly recalling new episodic events, but appear to preserve the capacity to use information from other sources. Amongst these preserved capacities is the ability to form new memories of an emotional nature - a skill at the heart of developing and sustaining interpersonal relationships. The psychoanalytic study of individuals with profound amnesia might contribute to the understanding the importance of each memory system, including effects on key analytic processes such as transference and countertransference...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28873269/do-therapists-subjective-variables-impact-on-psychodynamic-psychotherapy-outcomes-a-systematic-literature-review
#16
Vittorio Lingiardi, Laura Muzi, Annalisa Tanzilli, Nicola Carone
BACKGROUND: Despite growing attention to the general therapist effects in a wide range of clinical settings, little is known about the individual, cross-situational, and therapy-nonspecific variables that impact on the differential effectiveness of clinicians. The current study is a systematic review of the evidence relating to the influence of therapist's subjective characteristics on outcomes of psychodynamic psychotherapies. METHOD: A multistage and systematic search of articles published between 1987 and 2017 identified 30 relevant studies, which were organized into 6 areas according to the specific therapist's variable considered...
September 5, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28873043/recovering-process-from-child-sexual-abuse-during-adulthood-from-an-integrative-approach-to-solution-focused-therapy-a-case-study
#17
Carolina Gonzalez
In recent times, strengths-based recovery approaches that focus on the present and build strategies that look toward the future have become popular. However, some cases require the consideration of experiences from previous stages of the clients' development. This single-case study explores the psychotherapeutic process of a middle-aged woman who presented with a history of child sexual abuse (incest) and a long-term adult diagnosis of depression that was treated in public health services. This psychotherapy involved an integrative approach to solution-focused therapy; specifically, the approach proposed by Yvonne Dolan to work with adult survivors of sexual abuse, in conjunction with techniques and strategies from the transtheoretical model...
October 2017: Journal of Child Sexual Abuse
https://www.readbyqxmd.com/read/28854445/-testing-the-psychometric-properties-of-the-helping-alliance-questionnaire-haq-in-different-health-care-settings
#18
Rüdiger Nübling, Maria Kraft, Jessica Henn, David Kriz, Wolfgang Lutz, Jürgen Schmidt, Werner Wittmann, Markus Bassler
Introduction The Helping Alliance Questionnaire developed by Luborsky was psychometricly examined for the first time and translated into German by Bassler et al. in the mid-1990s. It consists of 11 Items, which are summarized to the scales "relation to the therapist" and "satisfaction with therapeutic outcome". HAQ is now one of the most used instruments to measure therapeutic alliance. The goal of this study was to test the psychometric properties based on three large patient samples in different treatment settings...
November 2017: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/28846510/psychological-mindedness-and-psychotherapy-process-in-short-term-group-therapy
#19
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/28846507/assessing-distance-training-how-well-does-it-produce-psychoanalytic-psychotherapists
#20
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
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