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Dynamic psychotherapy

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https://www.readbyqxmd.com/read/28598956/the-rate-of-improvement-in-long-term-dynamic-psychotherapy-for-borderline-personality-disorder
#1
J Christopher Perry, Michael Bond, Vera Békés
Controlled trials of psychotherapy and follow-up studies of borderline personality disorder (BPD) have shown significant, but usually limited, improvement. We examined the hypothesis that BPD changes more slowly than nonborderline disorders. In a study of long-term dynamic psychotherapy, 16 subjects with BPD and 35 with non-BPD disorders were treated for a median of 3 years with a follow-up of 5 years. From periodic assessments, we calculated the rate of change for each subject over the course of the study on each measure of symptoms and functioning...
June 8, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28581329/an-empirical-analysis-of-mental-state-talk-and-affect-regulation-in-two-single-cases-of-psychodynamic-child-therapy
#2
Sibel Halfon, Ozlem Bekar, Büşra Gürleyen
Literature has shown the importance of mentalizing techniques in symptom remission and emotional understanding; however, no study to date has looked at the dynamic relations between mental state talk and affect regulation in the psychotherapy process. From a psychodynamic perspective, the emergence of the child's capacity to regulate affect through the therapist's reflection on the child's mental states is a core aspect of treatment. In an empirical investigation of 2 single cases with separation anxiety disorder, who were treated in long-term psychodynamic play therapy informed with mentalization principles, the effect of therapists' and children's use of mental state talk on children's subsequent capacity to regulate affect in play was assessed...
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
#3
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/28530413/inverting-the-power-dynamic-the-process-of-first-sessions-of-psychotherapy-with-therapists-of-color-and-non-latino-white-patients
#4
Lia Okun, Doris F Chang, Gregory Kanhai, Jordan Dunn, Hailey Easley
The present study is the first to apply Trawalter, Richeson, and Shelton's (2009) stress and coping framework to qualitatively examine interracial interactions in initial sessions of psychotherapy. The sample included 22 dyads: 15 therapists of color administering various treatment modalities to 15 treatment-seeking non-Latino White (NLW) patients and a comparison group of 7 intraracial (NLW-NLW) dyads. In Phase 1, videorecordings of the first session of treatment were analyzed using inductive thematic analysis (TA) to describe patient and therapist behaviors...
May 22, 2017: Journal of Counseling Psychology
https://www.readbyqxmd.com/read/28522978/change-during-psychotherapy-through-sand-play-tray-in-children-that-have-been-sexually-abused
#5
María D L Angeles Tornero, Claudia Capella
This paper presents the results of a qualitative study on the use of sandplay, or sand tray therapy, in the psychotherapeutic process of children who have been sexually abused. A longitudinal study was carried out with seven participants between the ages of 7 and 10 years old. Data was produced during observation of the therapeutic activity over the course of three different phases of treatment, using a rubric created especially for this observation. Three sandplay sessions were recorded: one at the start of therapy, one at the 3-month mark, and the third and final session after 6 months of treatment...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28498581/the-contemporary-refugee-crisis-an-overview-of-mental-health-challenges
#6
Derrick Silove, Peter Ventevogel, Susan Rees
There has been an unprecedented upsurge in the number of refugees worldwide, the majority being located in low-income countries with limited resources in mental health care. This paper considers contemporary issues in the refugee mental health field, including developments in research, conceptual models, social and psychological interventions, and policy. Prevalence data yielded by cross-sectional epidemiological studies do not allow a clear distinction to be made between situational forms of distress and frank mental disorder, a shortcoming that may be addressed by longitudinal studies...
June 2017: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
https://www.readbyqxmd.com/read/28486880/process-oriented-dynamic-group-psychotherapy-for-depression-as-a-teaching-modality-in-a-family-medicine-residency-program-a-pilot-study
#7
Eric P Simon, Richard McClaflin, Rachel Zonca, Karen Mikuni, Willard Chung, Ethan Etnyre, Lindsey Faucette, David Oates, Chuck Merrill
Background and Objectives This pilot study provides a description and evaluation of process-oriented dynamic group psychotherapy for depression as a teaching modality for family medicine residents. The main purpose of using this modality was to teach family medicine residents a variety of psychological clinical skills. A secondary benefit of this modality was to provide in-house, primary care treatment to depressed patients, although the efficacy of this was not evaluated in the present study. Methods A 10-item, self-report, Likert-type questionnaire was administered to a convenience sample of family medicine residents who had participated in the program...
January 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/28484401/psychotherapy-is-chaotic-not-only-in-a-computational-world
#8
Günter K Schiepek, Kathrin Viol, Wolfgang Aichhorn, Marc-Thorsten Hütt, Katharina Sungler, David Pincus, Helmut J Schöller
Objective: The aim of this article is to outline the role of chaotic dynamics in psychotherapy. Besides some empirical findings of chaos at different time scales, the focus is on theoretical modeling of change processes explaining and simulating chaotic dynamics. It will be illustrated how some common factors of psychotherapeutic change and psychological hypotheses on motivation, emotion regulation, and information processing of the client's functioning can be integrated into a comprehensive nonlinear model of human change processes...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28459728/intensive-short-term-dynamic-psychotherapy-trial-therapy-effectiveness-and-role-of-unlocking-the-unconscious
#9
Allan Abbass, Joel Town, John Ogrodniczuk, Michel Joffres, Peter Lilliengren
This study examined the effects of trial therapy interviews using intensive short-term dynamic psychotherapy with 500 mixed sample, tertiary center patients. Furthermore, we investigated whether the effect of trial therapy was larger for patients who had a major unlocking of the unconscious during the interview compared with those who did not. Outcome measures were the Brief Symptom Inventory (BSI) and the Inventory of Interpersonal Problems (IIP), measured at baseline and at 1-month follow-up. Significant outcome effects were observed for both the BSI and the IIP with small to moderate preeffect/posteffect sizes, Cohen's d = 0...
June 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28435275/pathogenic-beliefs-among-patients-with-depressive-disorders
#10
Adam Neelapaijit, Tinakon Wongpakaran, Nahathai Wongpakaran, Kulvadee Thongpibul
INTRODUCTION: Pathogenic belief is a central construct within control-mastery theory, which is an integrated dynamic-cognitive-relational approach in psychotherapy. Pathogenic beliefs result from traumatic life experiences and are considered the root of any psychological disorders presented clinically. Nevertheless, how and what type of pathogenic beliefs are attributed to clinical depressive disorder is unknown. The present study aimed to examine this issue. PATIENTS AND METHODS: Thirty patients with depressive disorder, who came for psychotherapy at a psychotherapy clinic, were matched based on age and gender with healthy controls who were medical students...
2017: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/28421880/interactive-dynamics-among-therapist-interventions-therapeutic-alliance-and-metacognition-in-the-early-stages-of-the-psychotherapeutic-process
#11
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/28394170/dynamic-models-of-individual-change-in-psychotherapy-process-research
#12
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/28347152/-dieting-pitfalls-psychological-factors
#13
Mária Resch
INTRODUCTION: Eating is one of the fundamental sources of happiness. Slimming diets would deprive you of this very enjoyment without granting something else instead, for example, proper eating behaviours for life or a permanent solution for overweight-related problems. AIM: This paper aims to investigate the psycho-dynamic relationships that might be the reason for the failure of all diets and slimming diets. METHOD: Analysing overweight, obesity and the failure of slimming diets with the help of the cognitive behavioral therapeutic approach...
April 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/28332952/dying-for-love-an-attachment-problem-with-some-perpetrator-introjects
#14
Valerie Sinason
This paper focuses on some problematic victim-perpetrator dynamics in psychotherapy with patients with Dissociative Identity Disorder where there has been longstanding multi-perpetrator organized abuse described, which also involves family members. Additionally, in this specific sample, there have been reported experiences of serious assaults from attachment figures in which the patient felt close to death. The clinical concern is expressed that only in the nearness of death is a connection felt to the attachment figure and this leads to extra suicidality in the patient and extra vulnerability to secondary traumatization for the therapist...
May 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28321873/disintegration-of-the-self-and-the-regeneration-of-psychic-skin-in-the-treatment-of-traumatized-refugees
#15
Monica Luci
This paper presents a tentative understanding of the characteristics of the extreme traumas, elsewhere called 'complex PTSD', that some refugees and asylum-seekers bring into therapy. It suggests that these kinds of traumas suffered during adulthood may involve a disintegration of the self and a loss of 'psychic skin'. This conceptualization is derived from the treatment of a refugee who survived multiple extreme traumas and with whom efforts were made in therapy to identify a complex methodology making use of supplementary therapeutic tools in addition to individual psychotherapy...
April 2017: Journal of Analytical Psychology
https://www.readbyqxmd.com/read/28303109/the-effect-of-abuse-history-on-adolescent-patients-with-feeding-and-eating-disorders-treated-through-psychodynamic-therapy-comorbidities-and-outcome
#16
Annamaria M Strangio, Lucio Rinaldi, Gianluigi Monniello, Leuconoe Grazia Sisti, Chiara de Waure, Luigi Janiri
OBJECTIVES: The first aim of our study was to compare the characteristics and comorbidities of patients with eating disorders between those who suffered from a childhood abuse and those who did not. Our second aim was to analyze the differences in the outcome of the psychodynamic therapy between abused and not abused patients. METHODS: Twenty-six adolescent patients with eating disorders were assessed. Adolescent were evaluated by a single expert psychiatrist by checklists and questionnaires: EDI 3, SCL 90, BIS11, Dissociative Experiences Scale, Global Assessment of Functioning, SCID II, and CTQ-Self control (SF)...
2017: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/28300493/mother-child-incest-psychosis-and-the-dynamics-of-relatedness
#17
Joan Haliburn
Sexual abuse perpetrated by a parent particularly the mother creates turmoil in the child who has to depend on the very person who betrays their trust. A review of the literature confirms that there are only a few case studies of mother-child incest reported in the psychoanalytic literature; the incidence of such incest, however, is unknown. Considerably, more information is available in the forensic and child abuse literatures along with an increase in research; yet, there is a paucity of data. Child sexual abuse by women as highly prevalent is described in early societies, and that there is a bias in peoples' minds about the capacity of females to sexually abuse children is raised by many writers...
May 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28287345/the-role-of-emotion-in-psychotherapeutic-change-for-medically-unexplained-symptoms
#18
Joel M Town, Victoria Lomax, Allan A Abbass, Gillian Hardy
OBJECTIVES: Evidence of the contribution of emotional processes to the emergence, maintenance, and experience of medically unexplained symptoms (MUS) suggests that clinical approaches which target these processes could be beneficial. In this study, qualitative methods were used to examine patients' perspectives and subjective experiences of emotional processes in the context of a psychotherapy assessment and treatment service for MUS provided in a hospital emergency department (ED). METHODS: Seven semi-structured interviews were conducted with ED patients presenting with MUS who received a course of intensive short-term dynamic psychotherapy treatment...
March 13, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28279495/psychotherapy-for-medically-unexplained-pain-a-randomized-clinical-trial-comparing-intensive-short-term-dynamic-psychotherapy-and-cognitive-behavior-therapy
#19
Behzad Chavooshi, Mehdi Saberi, Seyed Abbas Tavallaie, Hedayat Sahraei
BACKGROUND: The efficacy of intensive short-term dynamic psychotherapy (ISTDP) for medically unexplained pain remains open to debate because of a paucity of high-quality studies. OBJECTIVES: This study sought to evaluate ISTDP as a treatment for medically unexplained pain in outpatients by comparing it with the established evidence-based cognitive-behavioral therapy (CBT) in a randomized clinical trial. METHODS: A total of 341 adults with medically unexplained pain were randomly assigned to 16 sessions of individual manualized CBT (N = 164) or ISTDP (N = 177)...
January 11, 2017: Psychosomatics
https://www.readbyqxmd.com/read/28277039/therapists-honesty-humor-styles-playfulness-and-creativity-as-outcome-predictors-a-retrospective-study-of-the-therapist-effect
#20
Refael Yonatan-Leus, Orya Tishby, Gaby Shefler, Hadas Wiseman
OBJECTIVE: This study examined whether therapists' honesty, humor style, playfulness, and creativity would retrospectively predict the outcomes of therapies ended five years earlier. METHOD: In the Jerusalem-Haifa study, 29 therapists treated 70 clients in dynamic psychotherapy for 1 year. The Outcome Questionnaire 45 scores were collected at five time points. Five years later, the therapists were contacted via email and asked to fill out honesty, humor styles, playfulness, and creativity self-report questionnaires...
February 24, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
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