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https://www.readbyqxmd.com/read/28194599/common-factors-in-community-mental-health-intervention-a-scoping-review
#1
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
#2
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
#3
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
#4
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
#5
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...
January 23, 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
#6
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
#7
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
#8
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
https://www.readbyqxmd.com/read/27998800/patients-in-session-experiences-and-symptom-change-session-to-session-effects-on-a-within-and-between-patient-level
#9
Julian A Rubel, David Rosenbaum, Wolfgang Lutz
OBJECTIVE: Knowledge of patients' in-session experiences that lead to symptom change in psychotherapy is limited. This study aims to investigate the within- and between-patient relationships between three in-session processes in psychotherapy (coping skills, therapeutic relationship quality, and emotional involvement) and symptom change on a session-by-session level. METHOD: Participants (n = 1550) with various disorders, including primarily depression and anxiety, were treated with CBT in a German outpatient clinic...
March 2017: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/27991813/therapist-effects-on-outcome-and-alliance-in-inpatient-psychotherapy-the-contribution-of-patients-symptom-severity
#10
Ulrike Dinger, Johannes Zimmermann, Oliver Masuhr, Carsten Spitzer
Therapists differ in their effectiveness regarding their patients' symptomatic improvement as well as their therapeutic alliances, but little is known about influencing factors. The current study aimed to investigate therapist effects on outcome and alliance in inpatient psychotherapy and to estimate the influence of patient severity on the magnitude of therapist effects in this specific setting. We examined differences between individual psychotherapists in their patients' early alliance and outcome at discharge in a psychotherapy setting of a psychiatric hospital...
December 19, 2016: Psychotherapy
https://www.readbyqxmd.com/read/27977847/the-social-present-the-duration-of-the-shared-now-in-dyads-is-linked-with-personality
#11
Wolfgang Tschacher, Fabian Ramseyer, Sander L Koole
OBJECTIVE: The social present is a novel descriptor of dyadic nowness and social sharing, extending research on individual nowness (James' specious present) to the interpersonal and intersubjective domain. We wished to connect this descriptor to personality attributes. METHOD: We define the social present by the duration of significant nonverbal synchrony, based on the phenomenon of movement synchrony that generally emerges in social interactions. It is thus an implicit and objective measure that can be implemented by automated video analyses...
December 15, 2016: Journal of Personality
https://www.readbyqxmd.com/read/27938524/how-to-modify-psychopathological-states-hypotheses-based-on-complex-systems-theory
#12
Hermann Haken, Wolfgang Tschacher
In mathematical analysis based on the assumptions of complexity science, the emergence of a pattern is the result of a competition of modes, which each have a parameter value attached. In the context of visual pattern recognition, a specific connectionist system (the synergetic computer SC) was developed, which was derived from the assumptions of synergetics, a theory of complex systems. We adapted the processes of visual pattern recognition performed by the SC to a different context, psychopathology and therapeutic interventions, assuming these scenarios are analogous...
January 2017: Nonlinear Dynamics, Psychology, and Life Sciences
https://www.readbyqxmd.com/read/27924694/dimensions-of-activity-in-countertransference-and-therapist-reactions-therapist-reactions-during-sessions-with-depressed-patients
#13
Felicitas Datz, Karoline Parth, Christine Rohm, Simon Madanoglu, Charles Seidman, Henriette Löffler-Stastka
OBJECTIVES: This paper presents the interaction structure between the therapist's countertransference and the patient's affect based on identified dimensions of how therapists feel and react during sessions with depressed patients. METHODS: 639 sessions were audio-recorded and rated by trained raters. These recordings were obtained from the Munich Psychotherapy Study and analyzed with the PQS, the AREQ, and the TRQ/CTQ. RESULTS: Seven components with good to excellent internal consistency (Cronbach α = ...
December 2016: Zeitschrift Für Psychosomatische Medizin und Psychotherapie
https://www.readbyqxmd.com/read/27917128/what-role-can-avatars-play-in-e-mental-health-interventions-exploring-new-models-of-client-therapist-interaction
#14
REVIEW
Imogen C Rehm, Emily Foenander, Klaire Wallace, Jo-Anne M Abbott, Michael Kyrios, Neil Thomas
In the burgeoning field of e-mental health interventions, avatars are increasingly being utilized to facilitate online communication between clients and therapists, and among peers. Avatars are digital self-representations, which enable individuals to interact with each other in computer-based virtual environments. In this narrative review, we examine the psychotherapeutic applications of avatars that have been investigated and trialed to date. Five key applications were identified (1) in the formation of online peer support communities; (2) replicating traditional modes of psychotherapy by using avatars as a vehicle to communicate within a wholly virtual environment; (3) using avatar technology to facilitate or augment face-to-face treatment; (4) as part of serious games; and (5) communication with an autonomous virtual therapist...
2016: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/27898280/what-defense-mechanisms-do-therapists-interpret-in-session
#15
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
#16
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-2-therapies-for-gynecological-cancer-patients
#17
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 2 types of therapy. METHODS: Two hundred twenty five women newly diagnosed with gynecological cancer were randomly assigned to receive 8 sessions of a coping and communication intervention or a client-centered supportive therapy...
November 21, 2016: Psycho-oncology
https://www.readbyqxmd.com/read/27861977/collaborating-with-the-fortress-around-early-childhood-trauma-a-depth-psychotherapy-process
#18
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
#19
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
#20
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
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