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Psychodynamic psychotherapy

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https://www.readbyqxmd.com/read/28421880/interactive-dynamics-among-therapist-interventions-therapeutic-alliance-and-metacognition-in-the-early-stages-of-the-psychotherapeutic-process
#1
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/28405700/-disorders-of-the-will-in-psychopathology
#2
REVIEW
T Fuchs, D Broschmann
At the beginning of modern psychopathology the notion of the will had a high significance. Thus, the works of Eugen Bleuler, Emil Krapelin and Karl Jaspers show an intensive study of disorders of the will, such as abulia, ambivalence or disorders of impulse control. Retrospectively, changes of the scientific paradigms in psychology could be one of the reasons for a break, which led to giving up the concept of the will in psychopathology. With increasing interest in issues of agency and free will, however, a reactivation of this central concept could close a gap in psychopathology as well as in therapeutic practice...
April 12, 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/28327079/patterns-of-practice-in-community-mental-health-treatment-of-adult-depression
#3
Cara C Lewis, C Nathan Marti, Brigid R Marriott, Kelli Scott, David Ayer
OBJECTIVE: Community mental health therapists often endorse an eclectic orientation, but few studies reveal how therapists utilize elements of evidence-based psychotherapies. This study aimed to characterize treatment as usual patterns of practice among therapists treating depressed adults in community mental health settings. METHOD: Therapists (N = 165) from the USA's largest not-for-profit provider of community-based mental health services completed surveys assessing their demographics and practice element use with depressed adult clients...
March 22, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
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
#4
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/28292331/the-ghent-psychotherapy-study-gps-on-the-differential-efficacy-of-supportive-expressive-and-cognitive-behavioral-interventions-in-dependent-and-self-critical-depressive-patients-study-protocol-for-a-randomized-controlled-trial
#5
Reitske Meganck, Mattias Desmet, Claudi Bockting, Ruth Inslegers, Femke Truijens, Melissa De Smet, Rosa De Geest, Kimberly Van Nieuwenhove, Vicky Hennissen, Goedele Hermans, Tom Loeys, Ufuoma Angelica Norman, Chris Baeken, Stijn Vanheule
BACKGROUND: Major depressive disorder is a leading cause of disease burden worldwide, indicating the importance of effective therapies. Outcome studies have shown overall efficacy of different types of psychotherapy across groups, yet large variability within groups. Although patient characteristics are considered crucial in understanding outcome, they have received limited research attention. This trial aims at investigating the interaction between therapeutic approach (pre-structured versus explorative) and the personality style of patients (dependent versus self-critical), which is considered a core underlying dimension of depressive pathology...
March 14, 2017: Trials
https://www.readbyqxmd.com/read/28291968/integrative-treatment-of-personality-disorder-part-i-psychotherapy
#6
Mirjana Divac Jovanovic, Dragan Svrakic
In this paper, we outline the concept of integrative therapy of borderline personality, also referred to as fragmented personality, which we consider to be the core psychopathology underlying all clinical subtypes of personality disorder. Hence, the terms borderline personality, borderline disorder, fragmented personality, and personality disorder are used interchangeably, as synonyms. Our integrative approach combines pharmacotherapy and psychotherapy, each specifically tailored to accomplish a positive feedback modulation of their respective effects...
March 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28288592/transfer-of-manualized-short-term-psychodynamic-psychotherapy-stpp-for-social-anxiety-disorder-into-clinical-practice-results-from-a-cluster-randomised-controlled-trial
#7
Jörg Wiltink, Christian Ruckes, Jürgen Hoyer, Falk Leichsenring, Peter Joraschky, Frank Leweke, Karin Pöhlmann, Manfred E Beutel
BACKGROUND: Despite growing evidence for manualized psychodynamic treatments, there is a lack of studies on their transfer to routine practice. This is the first study to examine the effects of an additional training in manualized Short Term Psychodynamic Psychotherapy (STPP) on the outcome in routine psychotherapy for social anxiety disorder (SAD). The study is an extension to a large RCT comparing STPP to Cognitive-Behavioral Therapy of SAD. METHODS: The manualized treatment was designed for a time limited approach with 25 individual sessions of STPP over 6 months...
March 14, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28266318/a-randomised-controlled-trial-of-intensive-short-term-dynamic-psychotherapy-for-treatment-resistant-depression-the-halifax-depression-study
#8
Joel M Town, Allan Abbass, Chris Stride, Denise Bernier
BACKGROUND: While short-term psychodynamic psychotherapies have been shown effective for major depression, it is unclear if this could be a treatment of choice for depressed patients, many of whom have chronic and complex health issues, who have not sufficiently responded to treatment. METHOD: This superiority trial used a single blind randomised parallel group design to test the efficacy of time-limited Intensive Short-Term Dynamic Psychotherapy (ISTDP) for treatment resistant depression (TRD)...
May 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28261907/significant-change-events-in-psychodynamic-psychotherapy-is-cognition-or-emotion-more-important
#9
Kye L McCarthy, Peter Caputi, Brin F S Grenyer
OBJECTIVE: Significant change events are helpful moments within a psychotherapy session that have been shown in previous research to relate strongly to outcome. They are special moments and therefore provide rich data for research into understanding therapeutic process. This study investigated clinical and linguistic features of these helpful moments using and comparing both human ratings and computerized text analysis strategies. METHOD: Significant change events versus non-event passages were studied within 1195 word blocks of transcribed psychotherapy for 20 participants with diagnoses of comorbid depression and personality disorder...
March 6, 2017: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/28249086/efficacy-of-psychotherapies-for-borderline-personality-disorder-a-systematic-review-and-meta-analysis
#10
Ioana A Cristea, Claudio Gentili, Carmen D Cotet, Daniela Palomba, Corrado Barbui, Pim Cuijpers
Importance: Borderline personality disorder (BPD) is a debilitating condition, but several psychotherapies are considered effective. Objective: To conduct an updated systematic review and meta-analysis of randomized clinical trials to assess the efficacy of psychotherapies for BPD populations. Data Sources: Search terms were combined for borderline personality and randomized trials in PubMed, PsycINFO, EMBASE, and the Cochrane Central Register of Controlled Trials (from database inception to November 2015), as well as the reference lists of earlier meta-analyses...
April 1, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/28248565/learning-psychodynamic-psychotherapy-in-southeast-asia
#11
Jiann Lin Loo, Jin Kiat Ang, Natasha Subhas, Brian Kong Wai Ho, Hazli Zakaria, César A Alfonso
The subjective nature of psychodynamic psychotherapy (PP) makes training and supervision more abstract compared to other forms of psychotherapy. The issues encountered in the learning and supervision process of PP of Malaysian psychiatry trainees are discussed in this article. Issues of preparation before starting PP, case selection, assessment of patients, dynamic formulations, supervision, anxieties in the therapy, countertransference, termination of therapy, the treatment alliance, transfer of care, the therapeutic setting, and bioethical considerations are explored...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28248562/breaking-through-to-the-other-side-a-resident-explores-the-benefits-of-time-limited-psychodynamic-therapy-for-patients-with-schizophrenia
#12
Zoë Thomas
This article recounts the case of a patient with schizophrenia engaged in time-limited psychodynamic psychotherapy with a psychiatry resident-the first case history of its type to the author's knowledge. This patient suffered from chronically debilitating schizophrenia with persistent positive and negative symptoms at the time of treatment, despite usual psychiatric management. He benefited significantly from 18 weekly sessions of weekly dynamic therapy, achieving symptom reduction, increased social involvement, and improved functioning-gains that were sustained at 9-month follow-up...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28248560/borderline-personality-disorder-treatment-from-the-contextual-perspective
#13
REVIEW
Michael H Stone
In relation to the psychotherapy of borderline personality disorder (BPD), the contextual model embraces the subjective components that operate alongside the more readily objectifiable elements of the medical model. The latter include the guidelines of the various psychodynamic and cognitive approaches, the randomized control trials of these approaches, follow-up studies, and data from MRI and other neurophysiological tests. The contextual model focuses on less easily measurable factors that comprise the real relationship between therapist and patient, including the heterogeneity in the BPD domain...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28152200/population-based-cost-offset-analyses-for-disorder-specific-treatment-of-anorexia-nervosa-and-bulimia-nervosa-in-germany
#14
Katharina Bode, Nina Maria Götz von Olenhusen, Eva-Maria Wunsch, Sören Kliem, Christoph Kröger
Previous research has shown that anorexia nervosa (AN) and bulimia nervosa (BN) are expensive illnesses to treat. To reduce their economic burden, adequate interventions need to be established. Our objective was to conduct cost-offset analyses for evidence-based treatment of eating disorders using outcome data from a psychotherapy trial involving cognitive behavioral therapy (CBT) and focal psychodynamic therapy (FPT) for AN and a trial involving CBT for BN. Assuming a currently running, ideal healthcare system using a 12-month, prevalence-based approach and varying the willingness to participate in treatment, we investigated whether the potential financial benefits of AN- and BN-related treatment outweigh the therapy costs at the population level...
March 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28147408/-psychodynamic-traumatherapy-of-refugees-with-ptsd-and-somatisation
#15
Ljiljana Joksimovic, Johannes Kruse
The medical care of refugees and asylum seekers requires culturally sensitive and diverse structuring of the healthcare. In the psychotherapeutic and psychosomatic treatment of these patients the culture-specific and social aspects and also the high ratio of patients with post traumatic stress disorders and somatoform disorders have to be considered. The principles of stabilizing psychodynamic traumatherapie of refugees will be introduced, which efficacy was determined by controlled study. The specific adaptations of the trauma-orientated psychotherapy to the specific situation of refugees and asylum seekers will be described...
April 2017: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/28135807/special-population-child-and-adolescent-psychotherapy
#16
George Halasz
OBJECTIVES: First, to outline the paradigm change of the past 20 years that has transformed the theory and practice of child and adolescent psychodynamic psychotherapy; second, to update aspects of the current Practice Parameters for Psychodynamic Psychotherapy with Children to align with the paradigm change driven by the principles of regulation theory, relational trauma and repair, and the critical need for clinicians' self-care in trauma informed psychotherapy. CONCLUSION: The emerging neuroscience-driven paradigm of psychotherapy poses challenges for the child and adolescent psychotherapist: to embrace the new conceptual reference points as organising principles leads to an urgent need to rethink traditional diagnostic formulations and time-honoured techniques for intervention...
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28128017/change-in-attachment-dimensions-in-women-with-binge-eating-disorder-following-group-psychodynamic-interpersonal-psychotherapy
#17
Hilary Maxwell, Giorgio A Tasca, Renee Grenon, Megan Faye, Kerri Ritchie, Hany Bissada, Louise Balfour
OBJECTIVE: To examine the role of attachment dimensions, including coherence of mind and reflective functioning, in developing and maintaining binge-eating disorder (BED) and in determining group psychotherapy outcomes for women with BED. We hypothesize that higher pre-treatment attachment dimension scores will predict better treatment outcomes for women with BED and will increase at follow-up. METHOD: Women with BED attended 16 sessions of group therapy and completed the Adult Attachment Interview (AAI) at pre-treatment...
January 27, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28124459/a-proposed-model-of-psychodynamic-psychotherapy-linked-to-erik-erikson-s-eight-stages-of-psychosocial-development
#18
Zelda Gillian Knight
Just as Freud used stages of psychosexual development to ground his model of psychoanalysis, it is possible to do the same with Erik Erikson's stages of development with regards to a model of psychodynamic psychotherapy. This paper proposes an eight-stage model of psychodynamic psychotherapy linked to Erik Erikson's eight stages of psychosocial development. Various suggestions are offered. One such suggestion is that as each of Erikson's developmental stages is triggered by a crisis, in therapy it is triggered by the client's search...
January 25, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28122424/psychodynamic-psychotherapy-for-functional-psychogenic-movement-disorders
#19
Vibhash D Sharma, Randi Jones, Stewart A Factor
OBJECTIVE: As the literature for the treatment of functional (psychogenic) movement disorders (FMD) is sparse, we assessed clinical outcomes in patients with FMD who underwent treatment with psychodynamic psychotherapy (PDP). METHODS: A retrospective analysis of the data of patients with FMD who were referred for PDP from 2008-2014 at Emory University Medical Center was performed. RESULTS: Thirty patients were included, mean age at presentation was 50 years (SD 13...
January 2017: Journal of Movement Disorders
https://www.readbyqxmd.com/read/28102111/applying-relationship-anecdotes-paradigm-interviews-to-study-client-therapist-relationship-narratives-core-conflictual-relationship-theme-analyses
#20
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
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