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Dynamic psychotherapy

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https://www.readbyqxmd.com/read/27893346/the-preoedipal-and-oedipal-structure-of-termination-an-in-depth-case-study
#1
Trevor Lubbe
Much has been written about the Oedipus complex as a central organizing focus for the understanding of early developmental attainments as well as for the structuring of the personality, but nowhere are triangular forces more vitally active, clinically, than in the termination phase. The decision to end, once agreed upon, typically sets in motion a symmetrical process in which two dynamics occur concurrently. First, what drives the termination is a mourning process in which the primary task is to relinquish the analyst as a transference object and to establish the analyst as an internal object...
December 2016: Psychoanalytic Review
https://www.readbyqxmd.com/read/27869472/patients-affective-processes-within-initial-experiential-dynamic-therapy-sessions
#2
Katie Aafjes-van Doorn, Peter Lilliengren, Angela Cooper, James Macdonald, Fredrik Falkenström
Research has indicated that patients' in-session experience of previously avoided affects may be important for effective psychotherapy. The aim of this study was to investigate patients' in-session levels of affect experiencing in relation to their corresponding levels of insight, motivation, and inhibitory affects in initial Experiential Dynamic Therapy (EDT) sessions. Four hundred sixty-six 10-min video segments from 31 initial sessions were rated using the Achievement of Therapeutic Objectives Scale. A series of multilevel growth models, controlling for between-therapist variability, were estimated to predict patients' adaptive affect experiencing (Activating Affects) across session segments...
November 21, 2016: Psychotherapy
https://www.readbyqxmd.com/read/27869470/terminating-supervision
#3
Alytia A Levendosky, Christopher J Hopwood
The focus of this paper is on the termination of clinical supervision. Although clinical supervision is considered the backbone of most mental health training programs, it gets relatively little theoretical or empirical attention. The termination of supervision has received even less attention. In this paper, we describe an approach to terminating supervision in our treatment team, which integrates intensive assessment with a relational perspective in a clinical science training program (Levendosky & Hopwood, 2016)...
November 21, 2016: Psychotherapy
https://www.readbyqxmd.com/read/27819782/-dynamic-long-term-and-institutional-psychotherapy-to-treat-persistent-depressive-disorders
#4
Jorge Garibay
BACKGROUND: Major depression is a public health problem that threatens to become the second leading cause of disability in the world. In this study we show the results obtained once we applied a psychodynamic psychotherapeutic and long-term process in patients with major depressive disorder, attending a public health institution (PHI). METHODS: From a list of female volunteers, we randomly selected 30 patients who met the diagnostic criteria of major depression...
November 2016: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/27812338/systemic-case-formulation-individualized-process-monitoring-and-state-dynamics-in-a-case-of-dissociative-identity-disorder
#5
Günter K Schiepek, Barbara Stöger-Schmidinger, Wolfgang Aichhorn, Helmut Schöller, Benjamin Aas
Objective: The aim of this case report is to demonstrate the feasibility of a systemic procedure (synergetic process management) including modeling of the idiographic psychological system and continuous high-frequency monitoring of change dynamics in a case of dissociative identity disorder. The psychotherapy was realized in a day treatment center with a female client diagnosed with borderline personality disorder (BPD) and dissociative identity disorder. Methods: A three hour long co-creative session at the beginning of the treatment period allowed for modeling the systemic network of the client's dynamics of cognitions, emotions, and behavior...
2016: Frontiers in Psychology
https://www.readbyqxmd.com/read/27801404/-the-application-of-the-biological-feedback-technique-for-the-treatment-of-the-patients-presenting-with-chronic-somatic-diseases
#6
T A Aivazyan, V P Zaitsev
: The objective of the present work was to study the influence of the application of the biological feedback (BFB) technique on the dynamics of the psychological and clinical status of the patients presenting with various chronic somatic diseases (CSD) and to identify the predictors of the effectiveness of the treatment by this method. PATIENTS AND METHODS: The study included 337 patients suffering from CSD who were interviewed with the use of the concise standardized multifactorial personality inventory (SMPI), the Spielberger State-Trait Anxiety Inventory (STAI), and the Beck depression inventory (BDI) scales...
2016: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://www.readbyqxmd.com/read/27777561/the-non-linear-trajectory-of-change-in-play-profiles-of-three-children-in-psychodynamic-play-therapy
#7
Sibel Halfon, Alev Çavdar, Franco Orsucci, Gunter K Schiepek, Silvia Andreassi, Alessandro Giuliani, Giulio de Felice
Aim: Even though there is substantial evidence that play based therapies produce significant change, the specific play processes in treatment remain unexamined. For that purpose, processes of change in long-term psychodynamic play therapy are assessed through a repeated systematic assessment of three children's "play profiles," which reflect patterns of organization among play variables that contribute to play activity in therapy, indicative of the children's coping strategies, and an expression of their internal world...
2016: Frontiers in Psychology
https://www.readbyqxmd.com/read/27747887/multi-family-therapy-with-a-reflecting-team-a-preliminary-study-on-efficacy-among-opiate-addicts-in-methadone-maintenance-treatment
#8
Miguel Garrido-Fernández, Juan A Marcos-Sierra, Ana López-Jiménez, Iñigo Ochoa de Alda
In this study, we evaluate the efficacy of multi-family therapy at reducing the addiction severity and at improving the psychological and family dynamics of opiate addicts receiving methadone treatment at a public treatment center. The study compares multi-family therapy with a reflecting team (MFT-RT) and a standard treatment following a methadone maintenance treatment program. The results show that multi-family therapy with a reflecting team effectively reduces the addiction severity in several of the areas evaluated and noted that this effect is superior to standard treatment...
October 17, 2016: Journal of Marital and Family Therapy
https://www.readbyqxmd.com/read/27742757/animal-assisted-dyadic-therapy-a-therapy-model-promoting-development-of-the-reflective-function-in-the-parent-child-bond
#9
Liat Shani
Animal-assisted psychotherapy (AAP) inherently incorporates standpoints, interventions, and ways of action promoting the development of the reflective function and mentalization, and thus has special value for parent-child psychotherapy. Two central tools in AAP contribute to this process. The first is the ethical stance of the therapist, who sees the animals as full partners in the therapy situation, respecting them as subjects with needs, desires, and thoughts of their own. The second tool combines nonverbal communication with animals together with the relating, in the here and now, to the understanding and decoding of body language of everyone in the setting...
October 14, 2016: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/27688940/cbt-reduces-cbf-cognitive-behavioral-therapy-reduces-cerebral-blood-flow-in-fear-relevant-brain-regions-in-spider-phobia
#10
Leila M Soravia, Ariane Orosz, Simon Schwab, Masahito Nakataki, Roland Wiest, Andrea Federspiel
BACKGROUND: Imaging studies have provided evidence that cognitive-behavioral therapy (CBT) is able to change brain activation in phobic patients in response to threatening stimuli. The changes occurred in both emotion-generating and modulatory regions. In this study, we use a data-driven approach to explore resting state cerebral blood flow (CBF) measured by arterial spin labeling (ASL), before and after CBT. METHODS: Eight female patients with spider phobia were scanned before and 1 month after an exposure-based group therapy for spider phobia...
September 2016: Brain and Behavior
https://www.readbyqxmd.com/read/27662571/daily-affect-dynamics-predict-early-response-in-cbt-feasibility-and-predictive-validity-of-ema-for-outpatient-psychotherapy
#11
K Husen, E Rafaeli, J A Rubel, E Bar-Kalifa, W Lutz
BACKGROUND: Previous studies have shown that individual differences in affect dynamics during depressed patients' everyday lives allow the prediction of treatment outcome and of symptom reoccurrence in remitted patients. In this study, we analyze whether understanding patients' affective states and their fluctuation patterns helps predict early treatment response (until session 5). METHODS: Ecological Momentary Assessment (EMA) strategies allow in-depth analyses of real-time affective states and of their dynamics...
September 9, 2016: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27662045/the-cardiac-rhythm-of-the-unconscious-in-a-case-of-panic-disorder
#12
Gilles Fleury, Benjamin Fortin-Langelier, Imen Ben-Cheikh
The field of psychodynamic psychotherapy would benefit from a comprehensive model that integrates its constructs with neurobiology. Research on the autonomic nervous system activity during the psychotherapeutic process is necessary because it is key in affective experiences and defensive behavior. The current case study reports physiological findings on heart rate dynamics in a patient suffering from panic disorder during two therapeutic sessions in which we used Davanloo's Intensive Short-term Dynamic Psychotherapy...
2016: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/27652164/identifying-attachment-ruptures-underlying-severe-music-performance-anxiety-in-a-professional-musician-undertaking-an-assessment-and-trial-therapy-of-intensive-short-term-dynamic-psychotherapy-istdp
#13
Dianna T Kenny, Stephen Arthey, Allan Abbass
INTRODUCTION: Kenny has proposed that severe music performance anxiety that is unresponsive to usual treatments such as cognitive-behaviour therapy may be one manifestation of unresolved attachment ruptures in early life. Intensive Short-Term Dynamic Psychotherapy specifically targets early relationship trauma. Accordingly, a trial of Intensive Short-Term Dynamic Psychotherapy with severely anxious musicians was implemented to assess whether resolution of attachment ruptures resulted in clinically significant relief from music performance anxiety...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27606942/facets-of-object-representation-process-and-outcome-over-the-course-of-psychodynamic-psychotherapy
#14
Anthony S J Mullin, Mark J Hilsenroth, Jerold Gold, Barry A Farber
This study explores the effectiveness of psychodynamic psychotherapy in improving facets of object relations (OR) functioning over the course of treatment. The sample consisted of 75 outpatients engaged in short-term dynamic psychotherapy at a university-based psychological services clinic. Facets of OR functioning were assessed at pre- and posttreatment by independent raters using the Social Cognition and Object Relations Scale-Global rating method (SCORS-G; Stein, Hilsenroth, Slavin-Mulford, & Pinsker, 2011 ; Westen, 1995 ) from in-session patient relational narratives...
September 8, 2016: Journal of Personality Assessment
https://www.readbyqxmd.com/read/27541836/a-pilot-study-of-reduction-in-healthcare-costs-following-the-application-of-intensive-short-term-dynamic-psychotherapy-for-psychogenic-nonepileptic-seizures
#15
Leo A Russell, Allan A Abbass, Steven J Allder, Steve Kisely, Bernd Pohlmann-Eden, Joel M Town
PURPOSE: The purpose of this study was to examine preliminary evidence of intensive short-term dynamic psychotherapy (ISTDP) as a treatment option for psychogenic nonepileptic seizures (PNES) in terms of impact on healthcare costs, emotional wellbeing, and somatic symptoms. METHOD: Drawn from a sample of patients treated in a tertiary psychiatric service over a nine-year period, this naturalistic pilot study compared within-group changes from pretreatment with each year up to three years posttreatment, in physician visits, physician costs, hospital admissions, and overall hospital costs...
October 2016: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/27487573/comparative-effectiveness-of-cognitive-therapy-and-dynamic-psychotherapy-for-major-depressive-disorder-in-a-community-mental-health-setting-a-randomized-clinical-noninferiority-trial
#16
Mary Beth Connolly Gibbons, Robert Gallop, Donald Thompson, Debra Luther, Kathryn Crits-Christoph, Julie Jacobs, Seohyun Yin, Paul Crits-Christoph
IMPORTANCE: Dynamic psychotherapy (DT) is widely practiced in the community, but few trials have established its effectiveness for specific mental health disorders relative to control conditions or other evidence-based psychotherapies. OBJECTIVE: To determine whether DT is not inferior to cognitive therapy (CT) in the treatment of major depressive disorder (MDD) in a community mental health setting. DESIGN, SETTING, AND PARTICIPANTS: From October 28, 2010, to July 2, 2014, outpatients with MDD were randomized to treatment delivered by trained therapists...
September 1, 2016: JAMA Psychiatry
https://www.readbyqxmd.com/read/27467033/-online-counselling-the-prospect-of-a-therapeutic-connection
#17
O Giotakos, E Papadomarkaki
Over the last few years, Internet has become an integral part of daily life. An abundant source of information and a principal gateway of communication between individuals, Internet has been continuously gaining considerable ground as a tool of awareness and intervention in the area of public health. With regard to the field of mental health, Internet exhibits a credible potential in facilitating dialogue not only between experts and their beneficiaries but also between stakeholders. Moreover and with regard to various aspects of public concern, it can serve as a circulation portal of educational material between students and teachers...
April 2016: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/27456221/effectiveness-of-short-term-dynamic-group-psychotherapy-in-primary-care-for-patients-with-depressive-symptoms
#18
Ignasi Bros, Pere Notó, Antoni Bulbena
: An open prospective controlled study was designed to compare the efficacy of short-term dynamic group psychotherapy with the standard treatment in patients with depressive symptoms attended in the primary care setting. A total of 115 patients with depressive symptoms were assigned to receive psychotherapy (75 min) over 9 months (37 to 39 sessions) (n = 70) or the standard care (n = 45). Outcome measures were the differences between baseline and post-treatment in the 17-item Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HAM-A) and the Short-Form Health Survey (SF-12) questionnaire in the two study groups...
July 25, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27404772/psychotherapy-psychoanalysis-and-urban-poverty-in-argentina
#19
Maria Esther Epele
Based on ethnographic research carried out in the Buenos Aires Metropolitan Area, this paper examines the views of social actors on the psychoanalytically-oriented psychotherapy focused on marginalized populations. From Foucault's perspective on the forms of truth-telling, the aim of this paper is to analyze, as a preliminary research report, treatments according to the native ways of speaking and listening, which dominate the description of therapeutic experiences of patients who come to the treatment without any professional intermediation...
July 12, 2016: Anthropology & Medicine
https://www.readbyqxmd.com/read/27329405/naturalistic-outcomes-of-evidence-based-therapies-for-borderline-personality-disorder-at-a-medical-university-clinic
#20
COMPARATIVE STUDY
Robert J Gregory, Shilpa Sachdeva
Dialectical behavior therapy (DBT) and dynamic deconstructive psychotherapy (DDP) are listed in the National Registry of Evidence-Based Programs and Practices based on their performances in randomized controlled trials. However, little is known about their effectiveness in real-world settings. In the present study, the authors observed the naturalistic outcomes of 68 clients with borderline personality disorder (BPD) who were treated at a medical university clinic by experienced therapists using either comprehensive DBT (n = 25) or DDP (n = 27), with 16 clients treated with unstructured psychotherapy serving as a control...
2016: American Journal of Psychotherapy
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