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https://www.readbyqxmd.com/read/28613133/irvin-yalom-s-experiment-revisited-applying-robert-langs-s-listening-process-to-a-psychotherapy-classic
#1
Richard L Russell
In a case now famous for its unconventionality, Irvin Yalom had his financially strapped patient submit written reports of the experience of her therapy sessions rather than pay a monetary fee. He also wrote reports of each session, and the two of them shared royalties from the book, Every Day Gets a Little Closer, eventually produced. The arrangement yielded enough process detail to warrant examination through Robert Langs's method of listening and formulating. From that perspective, it seems Yalom did not understand the encoded messages from his patient in reaction to the frame deviations, which resulted in a deterioration of the communicative field and treatment alliance...
June 2017: Psychoanalytic Review
https://www.readbyqxmd.com/read/28590207/an-integrative-approach-to-treatment-resistant-obsessive-compulsive-disorder
#2
Luke Sy-Cherng Woon, Anita Kanapathy, Hazli Zakaria, César A Alfonso
Obsessive-compulsive disorder (OCD) is a debilitating psychiatric disorder that often runs a chronic unremitting course. Treatment outcomes can be unsatisfactory despite the availability of various somatic and psychological therapies. Psychodynamic psychotherapy in combination with cognitive behavioral therapy (CBT) with exposure and response prevention (ERP) could help patients with treatment-resistant OCD achieve better outcomes. An integrative approach can help patients gain insight, strengthen the therapeutic alliance, improve treatment adherence, and provide symptomatic relief when other treatments seem insufficient or have failed...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28586534/working-alliance-interpersonal-problems-and-depressive-symptoms-in-tele-interpersonal-psychotherapy-for-hiv-infected-rural-persons-evidence-for-indirect-effects
#3
Timothy Anderson, Andrew S McClintock, Shannon S McCarrick, Timothy G Heckman, Bernadette D Heckman, John C Markowitz, Mark Sutton
OBJECTIVE: Interpersonal psychotherapy (IPT) has demonstrated efficacy for the treatment of depression, yet little is known about its therapeutic mechanisms. As a specific treatment, IPT has been shown to directly reduce depressive symptoms, although it is unclear whether these reductions occur via interpersonal changes. Within IPT, the potential role of the working alliance, a common factor, as a predictor of depression and interpersonal changes is also unclear. METHOD: Participants were 147 depressed persons living with HIV in rural communities of 28 U...
June 6, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28581326/patients-crying-experiences-in-psychotherapy-relationship-with-the-patient-level-of-personality-organization-clinician-approach-and-therapeutic-alliance
#4
Pietro Zingaretti, Federica Genova, Francesco Gazzillo, Vittorio Lingiardi
The present study sought to further understand patients' crying experiences in psychotherapy. We asked 64 clinicians to randomly request one patient in their practice to complete a survey concerning crying in psychotherapy as well as a measure of therapeutic alliance. All clinicians provided information regarding their practice and patient diagnostic information. Fifty-five (85.93%) patients cried at least once, and 18 (28.1%) had cried during their most recent session. Patients' frequency of crying episodes in therapy was negatively related with psychotic level of personality organization, while patients' tendency to feel more negative feelings after crying was positively related to lower levels of personality organization...
June 2017: Psychotherapy
https://www.readbyqxmd.com/read/28581325/is-affect-experiencing-therapeutic-in-major-depressive-disorder-examining-associations-between-affect-experiencing-and-changes-to-the-alliance-and-outcome-in-intensive-short-term-dynamic-psychotherapy
#5
Joel M Town, Alison Salvadori, Fredrik Falkenström, Stacy Bradley, Gillian Hardy
Affect experiencing (AE), defined as the facilitation of client in-session bodily arousal and visceral experiencing of affect, is a distinct theoretical process presumed to contribute to therapeutic improvement. This study examined the role of AE in the treatment of major depressive disorder by exploring its association to client distress and therapeutic alliance on a session-by-session basis. A case series design was used to conduct an intensive analysis of the treatment process of 4 clients who received time-limited intensive short-term dynamic psychotherapy, 2 of whom were considered "recovered" and 2 who showed "no change" based upon posttreatment outcomes...
June 2017: Psychotherapy
https://www.readbyqxmd.com/read/28580884/specific-and-common-processes-as-mediators-of-the-long-term-effects-of-cognitive-behavioral-therapy-integrated-with-motivational-interviewing-for-generalized-anxiety-disorder
#6
Michael J Constantino, Henny A Westra, Martin M Antony, Alice E Coyne
OBJECTIVE: A trial of psychotherapy for generalized anxiety disorder (GAD) demonstrated that motivational interviewing (MI) integrated with cognitive-behavioral therapy (CBT) outperformed CBT alone on clients' worry reduction across a 12-month follow-up. In the present study, we hypothesized and tested that less client resistance and greater client-perceived therapist empathy (specific foci of MI) would account for MI's additive effect. Exploratory analyses assessed whether the common processes of homework completion and therapeutic alliance quality mediated the treatment effect...
June 5, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28558746/characteristics-of-therapeutic-alliance-in-musculoskeletal-physiotherapy-and-occupational-therapy-practice-a-scoping-review-of-the-literature
#7
Folarin Babatunde, Joy MacDermid, Norma MacIntyre
BACKGROUND: Most conventional treatment for musculoskeletal conditions continue to show moderate effects, prompting calls for ways to increase effectiveness, including drawing from strategies used across other health conditions. Therapeutic alliance refers to the relational processes at play in treatment which can act in combination or independently of specific interventions. Current evidence guiding the use of therapeutic alliance in health care arises largely from psychotherapy and medicine literature...
May 30, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28556022/predictors-of-premature-termination-from-psychotherapy-for-anorexia-nervosa-low-treatment-credibility-early-therapy-alliance-and-self-transcendence
#8
Jennifer Jordan, Virginia V W McIntosh, Frances A Carter, Peter R Joyce, Christopher M A Frampton, Suzanne E Luty, Janice M McKenzie, Janet D Carter, Cynthia M Bulik
OBJECTIVE: Failure to complete treatment for anorexia nervosa (AN) is- common, clinically concerning but difficult to predict. This study examines whether therapy-related factors (patient-rated pretreatment credibility and early therapeutic alliance) predict subsequent premature termination of treatment (PTT) alongside self-transcendence (a previously identified clinical predictor) in women with AN. METHODS: 56 women aged 17-40 years participating in a randomized outpatient psychotherapy trial for AN...
May 29, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28553911/-effect-of-using-an-interpreter-in-psychotherapy
#9
Rikke Sander Jensen, Trine Maria Nørregaard, Jessica Carlsson
An evaluation of the effect of using an interpreter in psychotherapy is quite complex. In the few existing studies on the use of interpreters in psychotherapy no significant difference was found in treatment outcome related to whether an interpreter was used or not. On the other hand, the inclusion of an interpreter affects the therapeutic alliance and the relationships between the parties. The role of the interpreter in psychotherapy is characterized by diversity, and the included studies indicate the need for training to improve the cooperation between the interpreter and the therapist...
May 22, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28514865/therapeutic-alliance-in-youth-with-autism-spectrum-disorder-receiving-cognitive-behavioral-treatment-for-anxiety
#10
Connor M Kerns, Amanda Collier, Adam B Lewin, Eric A Storch
Symptoms of autism spectrum disorder may influence alliance in psychotherapy. This study examined therapeutic alliance and its relationship with child characteristics and anxiety treatment outcomes in youth with autism spectrum disorder. Youth ( N = 64) with autism spectrum disorder and co-occurring anxiety (7-16 years, IQ > 70) received 16 sessions of modular cognitive-behavioral therapy. Post-treatment therapist, youth and parent ratings of alliance as well as pre- and post-treatment ratings of child behavior were gathered...
May 1, 2017: Autism: the International Journal of Research and Practice
https://www.readbyqxmd.com/read/28511238/-subjective-adverse-effects-during-outpatient-cbt-associations-to-patient-and-therapist-variables-and-to-the-therapeutic-alliance
#11
Anne Grüneberger, Franziska Einsle, Jürgen Hoyer, Bernhard Strauß, Michael Linden, Samia Härtling
Background Empirical data on variety, frequency, and prerequisites for unwanted side effects of psychotherapies are important regarding the planning, realization, and quality assurance of treatment. The study describes adverse effects of outpatient psychotherapy treatment and their association with patient, therapist and treatment characteristics. Methods To reduce memory bias, 70 outpatient psychotherapy patients fulfilled the Inventory for the Assessment of Negative Effects of Psychotherapy (INEP). Data on patients' characteristics (sex, age, impairment), therapists' sex, and therpeutic alliance were collected...
May 16, 2017: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/28509624/the-role-of-evidence-based-therapy-relationships-on-treatment-outcome-for-adults-with-trauma-a-systematic-review
#12
Amy E Ellis, Vanessa Simiola, Laura Brown, Christine Courtois, Joan M Cook
OBJECTIVE: The purpose of this paper was to systematically review and synthesize the empirical literature on the effects of evidence-based therapy relationship (EBR) variables in the psychological treatment for adults who experienced trauma-related distress. METHOD: Studies were identified using comprehensive searches of PsycINFO, Medline, Published International Literature on Traumatic Stress, and Cumulative Index to Nursing and Allied Health Literature databases...
May 16, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28497909/the-therapeutic-alliance-in-different-mental-disorders-a-comparison-of-patients-with-depression-somatoform-and-eating-disorders
#13
Johannes Mander, Andreas B Neubauer, Angelika Schlarb, Martin Teufel, Hinrich Bents, Martin Hautzinger, Stephan Zipfel, Andreas Wittorf, Isa Sammet
OBJECTIVE: The therapeutic alliance is intensively investigated in psychotherapy research. However, there is scarce research on the role of the specific diagnosis of the patient in the formation of the therapeutic alliance. Hence, the aim of this study was to address this research gap by comparing the alliance in different mental disorders. DESIGN: Our sample comprised 348 patients (mean age = 40 years; 68% female; 133 patients with depression, 122 patients with somatoform disorders, and 93 patients with eating disorders)...
May 12, 2017: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/28481559/self-reported-interpersonal-problems-and-impact-messages-as-perceived-by-significant-others-are-differentially-associated-with-the-process-and-outcome-of-depression-therapy
#14
David Altenstein-Yamanaka, Johannes Zimmermann, Tobias Krieger, Nadja Dörig, Martin Grosse Holtforth
Interpersonal factors play a major role in causing and maintaining depression. This study sought to investigate how patients' self-perceived interpersonal problems and impact messages as perceived by significant others are interrelated, change over therapy, and differentially predict process and outcome in psychotherapy of depression. For the present study, we used data from 144 outpatients suffering from major depression that were treated within a psychotherapy study. Interpersonal variables were assessed pre- and posttherapy with the self-report Inventory of Interpersonal Problems-Circumplex Scale (IIP-32; Thomas, Brähler, & Strauss, 2011) and with the informant-based Impact Message Inventory (Caspar, Berger, Fingerle, & Werner, 2016)...
May 8, 2017: Journal of Counseling Psychology
https://www.readbyqxmd.com/read/28456025/relationships-among-alexithymia-therapeutic-alliance-and-psychotherapy-outcome-in-major-depressive-disorder
#15
Lena C Quilty, Graeme J Taylor, Carolina McBride, R Michael Bagby
Previous studies have found that alexithymia predicts process and outcome of psychodynamic psychotherapy across a range of psychiatric disorders. There is preliminary evidence that alexithymia may exert its effects on outcome through the therapist. Other studies have found that alexithymia does not influence outcome of cognitive-behavioral therapy (CBT). The aim of the current study was to investigate the capacity of alexithymia to predict therapist- and patient-rated therapeutic alliance and response to CBT and interpersonal psychotherapy (IPT) for major depressive disorder...
April 24, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28451956/therapeutic-alliance-and-treatment-outcome-in-psychodynamic-psychotherapy-of-depressed-breast-cancer-patients-the-same-old-story-or-different-from-other-populations
#16
Katja Leuteritz, Gregor Weißflog, Yvette Barthel, Elmar Brähler, Rüdiger Zwerenz, Jörg Wiltink, Manfred E Beutel
BACKGROUND: A good therapeutic alliance is associated with better treatment outcomes in diverse types of psychotherapy and patient populations, but little is known about therapeutic alliance in psychotherapies with cancer patients. This study examines the association of therapeutic alliance and treatment outcome in short term psychodynamic psychotherapy (STPP) for breast cancer patients. METHODS: Within a randomized controlled trial, 47 completers of STPP could be included in the analyses...
April 28, 2017: Breast Cancer: the Journal of the Japanese Breast Cancer Society
https://www.readbyqxmd.com/read/28421880/interactive-dynamics-among-therapist-interventions-therapeutic-alliance-and-metacognition-in-the-early-stages-of-the-psychotherapeutic-process
#17
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
#18
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
#19
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
#20
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
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