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Alliance psychotherapy

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https://www.readbyqxmd.com/read/29755154/expectancies-working-alliance-and-outcome-in-transdiagnostic-and-single-diagnosis-treatment-for-anxiety-disorders-an-investigation-of-mediation
#1
Shannon Sauer-Zavala, James F Boswell, Kate H Bentley, Johanna Thompson-Hollands, Todd J Farchione, David H Barlow
Patients' outcome expectancies and the working alliance are two psychotherapy process variables that researchers have found to be associated with treatment outcome, irrespective of treatment approach and problem area. Despite this, little is known about the mechanisms accounting for this association, and whether contextual factors (e.g., psychotherapy type) impact the strength of these relationships. The primary aim of this study was to examine whether patient-rated working alliance quality mediates the relationship between outcome expectancies and pre- to post-treatment change in anxiety symptoms using data from a recent randomized clinical trial comparing a transdiagnostic treatment (the Unified Protocol [UP]; Barlow et al...
April 2018: Cognitive Therapy and Research
https://www.readbyqxmd.com/read/29739525/the-overall-diagnosis-psychodynamic-psychiatry-six-minute-psychotherapy-and-patient-centered-care
#2
REVIEW
Elizabeth Weinberg, David Mintz
Optimal patient care in psychiatry necessitates attention to the treatment relationship and to the patient's experience as an individual. The growth of patient-centered medicine has led to an increased appreciation of the importance of the biopsychosocial formulation, the personhood of both the patient and the physician, the autonomy and authority of the patient, and the therapeutic alliance. Patient-centered medicine, developed by the seminal psychoanalytic theorist Michael Balint, has its roots in psychodynamic concepts...
June 2018: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29730874/psychometric-properties-of-the-turkish-working-alliance-inventory-short-form
#3
I Volkan Gülüm, Sait Uluç, Gonca Soygüt
OBJECTIVE: This study aimed to build and examine the Turkish Working Alliance Inventory (WAI) short form which was originally developed by Horvath and Greenberg (1989) based on Bordin's pan-theoretical conceptualization of therapeutic alliance. METHOD: The Hacettepe University Psychotherapy Research Laboratory data set which included the masters's or doctoral level clinical psychology practitioners- patient pairs (83 sessions from 58 therapist and 83 patient). Short forms (e...
2018: Türk Psikiyatri Dergisi, Turkish Journal of Psychiatry
https://www.readbyqxmd.com/read/29722105/a-therapist-version-of-the-alliance-negotiation-scale
#4
Jennifer M Doran, Juan Martín Gómez-Penedo, Jeremy D Safran, Andrés Roussos
The aim of the current study was to design and evaluate a therapist version of the Alliance Negotiation Scale (ANS). The ANS was created in order to operationalize the construct of dyadic negotiation in psychotherapy and to augment existing conceptualizations of the working alliance. The ANS has existed only as a client self-report form since its inception and has demonstrated promise as a psychotherapy process measure. This research intended to develop a complementary therapist self-report version of the measure...
May 2, 2018: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/29685124/the-german-version-of-the-helping-alliance-questionnaire-psychometric-properties-in-patients-with-persistent-depressive-disorder
#5
Hannah Sophie Eich, Levente Kriston, Elisabeth Schramm, Josef Bailer
BACKGROUND: The Helping Alliance Questionnaire (HAQ) is a frequently used and highly relevant instrument to assess the therapeutic alliance. The questionnaire was translated into German by Bassler and colleagues (1995) and is available for patients (HAQ-P) and therapists (HAQ-T). Whereas the HAQ-P has been tested regarding psychometrics, the HAQ-T has not. This study aimed at further investigating the psychometric properties of both the HAQ-P and HAQ-T. We hypothesized that the instrument is reliable and shows factorial as well as convergent validity...
April 23, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29667270/dimensional-measure-of-self-and-interpersonal-functioning-comparisons-with-treatment-alliance-and-readiness-for-inpatient-psychotherapy
#6
Greg Haggerty, Michelle Stein, Caleb Siefert, Jennifer Zodan, Ashwin Mehra, Kelechi Ogbuji, Jaspreet Sangha, Michael Habib, Samuel J Sinclair, Mark A Blais
The social cognition and object relations scale-global rating method is a clinical rating system assessing 8 domains of self and interpersonal functioning. It can be applied to score numerous forms of narrative data. In this study, we investigate the SCORS-G relationship to measures of alliance and readiness for psychotherapy with an adolescent inpatient sample. Seventy-two psychiatrically hospitalized adolescents were consented and subsequently rated by their individual and group therapist using the SCORS-G...
April 17, 2018: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/29651196/resolving-alliance-ruptures-from-an-attachment-informed-perspective
#7
Madeleine Miller-Bottome, Alessandro Talia, Jeremy D Safran, J Christopher Muran
In this article, we examine how the different attachment patterns enable or hinder the resolution of ruptures in the therapeutic alliance. We try to show that secure and insecure patients alike may experience ruptures in the therapeutic alliance, but that their ability to participate in resolving such ruptures differ markedly. Recent findings with the Patient Attachment Coding System (PACS) show that attachment classifications manifest in psychotherapy as distinct ways of communicating about present internal experience...
April 2018: Psychoanalytic Psychology
https://www.readbyqxmd.com/read/29648858/the-effect-of-alliance-focused-training-on-a-cognitive-behavioral-therapy-for-personality-disorders
#8
J Christopher Muran, Jeremy D Safran, Catherine F Eubanks, Bernard S Gorman
OBJECTIVE: To improve success rates in psychotherapy, we developed and evaluated an alliance-focused training (AFT) protocol with regard to patient-therapist interpersonal behavior in a 30-session protocol of cognitive-behavioral therapy (CBT) for outpatients comorbid with Axis I and II conditions. METHOD: Participants included 40 patients treated by 40 therapists in a multiple baseline design in which novice therapists trained to fidelity standards in CBT were introduced to AFT at different time intervals (after either 8 or 16 sessions) during a 30-session CBT protocol...
April 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29614992/a-research-study-review-of-effectiveness-of-treatments-for-psychiatric-conditions-common-to-end-stage-cancer-patients-needs-assessment-for-future-research-and-an-impassioned-plea
#9
Ralph J Johnson
BACKGROUND: Rates of psychiatric conditions common to end-stage cancer patients (delirium, depression, anxiety disorders) remain unchanged. However, patient numbers have increased as the population has aged; indeed, cancer is a chief cause of mortality and morbidity in older populations. Effectiveness of psychiatric interventions and research to evaluate, inform, and improve interventions is critical to these patients' care. This article's intent is to report results from a recent review study on the effectiveness of interventions for psychiatric conditions common to end-stage cancer patients; the review study assessed the state of research regarding treatment effectiveness...
April 3, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29573351/client-and-therapist-match-on-gender-age-and-income-does-match-within-the-therapeutic-dyad-predict-early-growth-in-the-therapeutic-alliance
#10
Alex Behn, Antonella Davanzo, Paula Errázuriz
OBJECTIVE: Because of the importance of the therapeutic alliance across psychotherapeutic treatments, it is important to study variables that predict the development of a positive therapeutic alliance. This study investigates if different levels of gender, age, and income match between therapists and clients predict early development of the therapeutic alliance. METHOD: The sample consisted of 28 therapists and 547 adult clients receiving individual psychotherapy for depressive symptoms...
March 24, 2018: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/29565626/the-multicultural-orientation-framework-a-narrative-review
#11
Don E Davis, Cirleen DeBlaere, Jesse Owen, Joshua N Hook, David P Rivera, Elise Choe, D R Van Tongeren, Everett L Worthington, Vanessa Placeres
After several decades of slow progress, researchers are beginning to make advances in linking constructs based on the multicultural competencies tradition-especially those focused on qualities of the therapist-to therapy outcomes. The multicultural orientation framework was developed in response to several trends within the multicultural competencies tradition, with a particular emphasis on integrating the multicultural competencies tradition into research on psychotherapy process. We provide a narrative review of studies that include one of the three constructs (i...
March 2018: Psychotherapy
https://www.readbyqxmd.com/read/29565618/therapist-effects-due-to-client-racial-ethnic-status-when-examining-linear-growth-for-client-and-therapist-rated-working-alliance-and-real-relationship
#12
Katherine Morales, Brian TaeHyuk Keum, Dennis M Kivlighan, Clara E Hill, Charles J Gelso
Using data from 3,263 sessions nested within 144 clients, nested within 19 therapists, we examined client- and therapist-rated working alliance (WA) and real relationship (RR) at Session 3 and growth in WA and RR across the course of open-ended psychodynamic psychotherapy for clients who identified as racial/ethnic minority (REM) or as White. To be included in the analyses, therapists had to work with at least 2 REM and 2 White clients. There were no significant therapist effects for the interaction between client- or therapist-rated WA and client REM status at Session 3, or for client- or therapist-rated RR and client REM status at Session 3...
March 2018: Psychotherapy
https://www.readbyqxmd.com/read/29565617/extending-the-context-responsive-psychotherapy-integration-framework-to-cultural-processes-in-psychotherapy
#13
Brien J Goodwin, Alice E Coyne, Michael J Constantino
Psychotherapist competence in attending to cultural processes has long been considered an ingredient of successful treatment. Although some research findings support a positive association between clinician multicultural competence (MCC) and client improvement, others suggest that MCC may not be a skill that therapists uniformly acquire and then stably maintain. Rather, MCC is likely more fluid and contextualized, potentially rendering within-therapist variability across their patients and within-dyad variability across different moments in a given case...
March 2018: Psychotherapy
https://www.readbyqxmd.com/read/29543330/-clowns-to-the-left-of-me-jokers-to-the-right-politics-and-psychotherapy-2018
#14
Barry A Farber
The election and postelection policies of Donald Trump have seeped into the psychotherapy sessions of many clients, in ways that are somewhat unique but also somewhat reminiscent of the ways that other dramatic social-political events, including 9/11 and the social divisions that were characteristic of the 1960s, were brought into the treatment room. The nine articles within this issue-seven papers from practicing psychotherapists, one from an executive coach, and one empirical paper-suggest strongly that the political events surrounding the election of 2016 have become a significant part of psychotherapeutic discourse for many clients, that many therapists have been willing participants in such discussions, and that a focus on political issues (broadly speaking) can have important clinical benefits, facilitating the therapeutic alliance and leading to greater understanding of long-standing client problems and interpersonal functioning...
March 15, 2018: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/29537076/patients-perspectives-on-political-self-disclosure-the-therapeutic-alliance-and-the-infiltration-of-politics-into-the-therapy-room-in-the-trump-era
#15
Nili Solomonov, Jacques P Barber
The primary aim of this study was to investigate the effects of the 2016 United States presidential election and ensuing political climate on patients' experiences in psychotherapy. A sample of 604 self-described Democrat and Republican patients from 50 states participated in the study. Results showed that most therapists disclosed their political stance (explicitly or implicitly) and most patients discussed politics with their therapists. 64% of Clinton supporters and 38% of Trump supporters assumed political similarity with their therapist...
March 14, 2018: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/29515647/treatment-expectancy-working-alliance-and-outcome-of-trauma-focused-cognitive-behavioral-therapy-with-children-and-adolescents
#16
Veronica Kirsch, Ferdinand Keller, Dunja Tutus, Lutz Goldbeck
Background: It has been shown that positive treatment expectancy (TE) and good working alliance increase psychotherapeutic success in adult patients, either directly or mediated by other common treatment factors like collaboration. However, the effects of TE in psychotherapy with children, adolescents and their caregivers are mostly unknown. Due to characteristics of the disorder such as avoidant behavior, common factors may be especially important in evidence-based treatment of posttraumatic stress symptoms (PTSS), e...
2018: Child and Adolescent Psychiatry and Mental Health
https://www.readbyqxmd.com/read/29495377/embodied-cognition-and-the-direct-induction-of-affect-as-a-compliment-to-cognitive-behavioural-therapy
#17
Tania Pietrzak, Christina Lohr, Beverly Jahn, Gernot Hauke
We make the case for the possible integration of affect experience induced via embodiment techniques with CBT for the treatment of emotional disorders in clinical settings. Theoretically we propose a possible integration of cognitive behavioural theory, neuroscience, embodied cognition and important processes of client change outcomes such as the therapeutic alliance to enhance client outcomes. We draw from evidence of bidirectional effects between embodiment modes of bottom-up (sensory-motor simulations giving rise to important basis of knowledge) and top-down (abstract mental representations of knowledge) processes such as CBT in psychotherapy...
February 26, 2018: Behavioral Sciences
https://www.readbyqxmd.com/read/29480786/the-role-of-psychoeducation-in-psychodynamic-psychotherapy
#18
Fredric N Busch, Elizabeth L Auchincloss
Psychoanalysts have generally avoided discussion of psychoeducational interventions in the context of psychodynamic psychotherapy, despite education being a component of many psychoanalytic techniques. This wariness stems from Freud's early concerns about interventions that could be deemed "suggestion," and a misunderstanding of various aspects of neutrality, including viewing psychoeducational comments as over-gratifying or siding with the ego. Although potential pitfalls exist, the authors review clinical evidence and research that indicate the value of psychoeducational approaches for engaging patients in psychodynamic psychotherapy, considering alternative treatments, providing a psychodynamic formulation, and enhancing the therapeutic alliance...
2018: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29480781/race-in-supervision-let-s-talk-about-it
#19
Cathy R Schen, Alecia Greenlee
Addressing race and racial trauma within psychotherapy supervision is increasingly important in psychiatry training. A therapist's ability to discuss race and racial trauma in psychotherapy supervision increases the likelihood that these topics will be explored as they arise in the therapeutic setting. The authors discuss the contextual and sociocultural dynamics that contributed to their own avoidance of race and racial trauma within the supervisory relationship. The authors examine the features that eventually led to a robust discussion of race and culture within the supervisory setting and identify salient themes that occurred during three phases of the conversation about race: pre-dialogue, the conversation, and after the conversation...
2018: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29480022/a-phenomenological-study-of-the-office-environments-of-clinical-social-workers
#20
Jamie K Jones
OBJECTIVE: The purpose of this study was to explore the meaning and uses of the office space among licensed clinical social workers in private practice. BACKGROUND: Previous research suggests the importance of the office space in clinical practice in regard to therapeutic alliance, client behavior, and the well-being of the therapist. However, therapist offices contain much variation in design. This study looked further into specifically how the therapy room is important through the perspective of the licensed clinical social workers in order to identify common themes...
January 1, 2018: HERD
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