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Psychodynamic psychotherapy

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https://www.readbyqxmd.com/read/29320382/two-new-psychotherapy-studies-back-to-the-future
#1
Eric M Plakun
This column reviews 2 recent high-quality psychotherapy research studies. One study by Steinert and colleagues suggests that psychodynamic therapy is equivalent to cognitive behavioral therapy (CBT) (or medication when this was the comparator) for a range of disorders. A second study by Barlow and colleagues finds Unified Protocol CBT targeting underlying emotional dysregulation to be equivalent to single disorder-specific CBT for a range of anxiety disorders. Taken together, these studies help bridge the gap between CBT and psychodynamic therapy and refocus us on the realities of clinical settings, where most patients present with multiple comorbid disorders...
January 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29303042/testing-a-mediation-model-of-psychotherapy-process-and-outcome-in-psychodynamic-psychotherapy-previous-client-distress-psychodynamic-techniques-dyadic-working-alliance-and-current-client-distress
#2
Dennis M Kivlighan, Clara E Hill, Katherine Ross, Kathryn Kline, Amy Furhmann, Elizabeth Sauber
To test a sequential model of psychotherapy process and outcome, we included previous client distress, therapist psychodynamic techniques, dyadic working alliance, and current client distress. For 114 sets of eight-session segments in 40 cases of psychodynamic psychotherapy, clients completed the Outcome Questionnaire-45 and Inventory of Interpersonal Problems-32 after the first and final session, judges reliably coded one middle sessions on the Psychodynamic subscale of the Multitheoretical List of Therapeutic Interventions, and clients and therapists completed the Working Alliance Inventory after every session...
January 5, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29301139/space-and-time-in-the-obsessive-compulsive-phenomenon
#3
Otto Doerr-Zegers
Following the tradition of researchers of the phenomenological-anthropological school such as Straus, von Gebsattel, Tellenbach, and Blankenburg, the author attempts to approach the obsessive-compulsive disorder from a phenomenological perspective. This means setting aside any previous ideas about the phenomenon in question, including genetic, neurobiological, and clinical-statistical considerations. He takes as his starting point a clinically typical case he studied and treated with psychoanalytically oriented psychotherapy for many years...
January 5, 2018: Psychopathology
https://www.readbyqxmd.com/read/29277973/psychodynamic-technique-early-in-treatment-related-to-outcome-for-depressed-patients
#4
Michael Katz, Mark J Hilsenroth
We examined the relationship between psychodynamic techniques early in treatment with reliable change in depressive symptomatology. Forty-six patients admitted for individual psychodynamic psychotherapy who received a diagnosis representative of a depressive spectrum disorder were assessed pretreatment and posttreatment through self-report of depressive symptoms. Videotapes from two early treatment sessions (3rd and 9th) were independently rated on the Comparative Psychotherapy Process Scale for use of psychodynamic-interpersonal and cognitive-behavioural techniques, with excellent interrater reliability (intraclass correlation coefficient > ...
December 25, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/29244627/attachment-in-the-psychiatric-curriculum
#5
Jeffrey Katzman, Anilla Del Fabbro
Psychiatric trainees are expected to learn the fundamental concepts of psychodynamic psychotherapy, but they often struggle to understand and appreciate the relevance of this work. An introduction to attachment theory can go a long way toward assisting our trainees in understanding the relevance of psychodynamic psychiatry. To help programs develop this component of their curriculum, we summarize the history of the development of the attachment paradigm including the Strange Situation and Adult Attachment Interview (AAI), useful tools to teach these concepts, as well as ramifications of this work...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29239627/clinical-severity-as-a-moderator-of-outcome-in-psychodynamic-and-dialectical-behavior-therapies-for-borderline-personality-disorder
#6
Zeynep Sahin, Bo Vinnars, Bernard S Gorman, Alexander Wilczek, Marie Åsberg, Jacques P Barber
The aim of the present study was to assess the effect of initial level of psychiatric severity on treatment outcome in psychodynamic therapy and dialectical behavior therapy (DBT) for borderline personality disorder (BPD). It was hypothesized that DBT would lead to better outcome for patients with high psychiatric severity, whereas dynamic treatment would lead to better outcome for patients with lower psychiatric severity. Data from the 5th-year follow-up of the Stockholm City Council's and the Karolinska Institute's Psychotherapy Project were used in the present study...
December 14, 2017: Personality Disorders
https://www.readbyqxmd.com/read/29212422/growth-curves-of-clients-emotional-experience-and-their-association-with-emotion-regulation-and-symptoms
#7
Hadar Fisher, Dana Atzil-Slonim, Eran Bar-Kalifa, Eshkol Rafaeli, Tuvia Peri
OBJECTIVE: Emotional experience during psychotherapy is considered a core mechanism of change. Yet the sheer experience itself may not necessarily be beneficial; instead, the trajectories of emotional experience need to be explored as possible predictors of treatment outcomes. This study investigated whether clients' pre-treatment levels of emotion regulation and symptoms predicted patterns of session-to-session change in emotional experience. We also explored which patterns better predict clients' improvement in emotion regulation and symptoms from pre- to post treatment...
December 6, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29212135/what-is-the-effect-on-comorbid-personality-disorder-of-brief-panic-focused-psychotherapy-in-patients-with-panic-disorder
#8
John R Keefe, Barbara L Milrod, Robert Gallop, Jacques P Barber, Dianne L Chambless
BACKGROUND: No studies of psychotherapies for panic disorder (PD) have examined effects on comorbid personality disorders (PersD), yet half such patients have a PersD. METHODS: In a randomized trial for PD with and without agoraphobia comparing Cognitive-Behavioral Therapy (CBT) and Panic-Focused Psychodynamic Psychotherapy (PFPP), PersD was assessed pre-to-post treatment with the Structured Clinical Interview for the Diagnosis of Axis-II Disorders (SCID-II). For patients completing therapy (n = 118, 54 with PersD), covariance between panic and SCID-II criteria improvements was analyzed...
December 6, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/29211270/-children-s-psychiatric-hospital-dr-juan-n-navarro-50-years-of-attention-to-the-mental-health-of-children-and-adolescents-in-mexico
#9
Maria Elena Márquez-Caraveo, Eduardo Arroyo-García, Armida Granados-Rojas, Angélica Ángeles-Llerenas
The activities concerning mental health care of psychiatric disorders during more than 50 years of service (1966-2016) at the Children's Psychiatric Hospital "Dr. Juan N. Navarro" (HPI), as well as the progressive development of teaching and research, have contributed to its positioning as a leading institution in medical care of high specialization. This has been possible through the training of human resources that focus the quality of care to the children and their families. The hospital has progressed towards diagnostic and therapeutic care of outpatients through the creation of specialized clinics (emotions, behavior, development, adolescence, among others) and the development of more actualized and integral therapeutic programs (behavioral psychotherapy, cognitive behavioral, psychodynamic; individual, group, family, etc...
July 2017: Salud Pública de México
https://www.readbyqxmd.com/read/29165722/-healthier-after-psychotherapy-analysis-of-claims-data-lower-saxony-germany-on-sickness-absence-duration-before-and-after-outpatient-psychotherapy
#10
Jelena Epping, Martina de Zwaan, Siegfried Geyer
Introduction In employed populations sickness absence can be used as a good indicator of health status. In the present study, it was examined how periods of sickness absence are developing within one year before and after psychotherapy under comparison of three types of psychotherapy (behavior therapy, psychodynamic psychotherapy, and psychoanalysis), all fully covered by statutory health insurance. Methods and data The analyses were performed with pseudonymized claims data from the AOK Niedersachsen, a statutory health insurance (N=2,900,065 insured)...
November 17, 2017: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/29131090/online-self-help-as-an-add-on-to-inpatient-psychotherapy-efficacy-of-a-new-blended-treatment-approach
#11
Rüdiger Zwerenz, Jan Becker, Rudolf J Knickenberg, Martin Siepmann, Karin Hagen, Manfred E Beutel
BACKGROUND: Depression is one of the most frequent and costly mental disorders. While there is increasing evidence for the efficacy of online self-help to improve depression or prevent relapse, there is little evidence in blended care settings, especially combined with inpatient face-to-face psychotherapy. Therefore, we evaluated whether an evidence-based online self-help program improves the efficacy of inpatient psychotherapy. METHODS: A total of 229 depressed patients were randomly allocated either to an online self-help program (intervention group [IG]; Deprexis) or an active control group (CG; weekly online information on depression) in addition to inpatient psychodynamic psychotherapy...
November 3, 2017: Psychotherapy and Psychosomatics
https://www.readbyqxmd.com/read/29120205/university-counseling-service-for-improving-students-mental-health
#12
Francesca Vescovelli, Paolo Melani, Chiara Ruini, Pio Enrico Ricci Bitti, Fiorella Monti
The main aims of this study were to provide an initial sociodemographic and clinical characterization of university students' academic and psychological functioning and to investigate and compare the feasibility and clinical utility of psychotherapies (cognitive behavior vs. psychodynamic) delivered at a large University in Northern Italy for improving university students' mental health, using self and observer-report measures. One hundred forty-9 students (102 women; MAge = 24.55, SD = 3.35) were consecutively interviewed and extensively assessed by independent clinicians of the Service before and after the intervention, using the Clinical Outcomes in Routine Evaluation and the Global Assessment Scale...
November 2017: Psychological Services
https://www.readbyqxmd.com/read/29038094/transdiagnostic-psychodynamic-web-based-self-help-intervention-following-inpatient-psychotherapy-results-of-a-feasibility-study-and-randomized-controlled-trial
#13
Rüdiger Zwerenz, Jan Becker, Robert Johansson, Ronald J Frederick, Gerhard Andersson, Manfred E Beutel
BACKGROUND: Mental disorders have become a major health issue, and a substantial number of afflicted individuals do not get appropriate treatment. Web-based interventions are promising supplementary tools for improving health care for patients with mental disorders, as they can be delivered at low costs and used independently of time and location. Although psychodynamic treatments are used frequently in the face-to-face setting, there has been a paucity of studies on psychodynamic Web-based self-help interventions...
October 16, 2017: JMIR Mental Health
https://www.readbyqxmd.com/read/29021766/a-randomized-controlled-trial-on-functional-relaxation-as-an-adjunct-to-psychoeducation-for-stress
#14
Claas Lahmann, Maria Gebhardt, Heribert Sattel, Andreas Dinkel, Christoph Pieh, Thomas Probst
This randomized controlled trial investigated whether adding the psychodynamically based body-oriented psychotherapy "Functional Relaxation" (FR) to psychoeducation (PE) is more effective than PE alone to reduce stress and stress-associated complaints. Eighty-one participants with elevated stress-levels, ≥50 points on the global scale of the Perceived Stress Questionnaire (PSQ), received either 10 sessions of manualized FR + PE (n = 42) or two sessions of manualized PE alone (n = 39) in a group setting. Six FR trainers took part in this study...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28987054/the-effects-of-short-term-group-psychodynamic-psychotherapy-on-the-personality-traits-of-patients-treated-in-a-day-ward
#15
Adrian Sieradzki, Marcin Szechiński, Krzysztof Małyszczak
OBJECTIVES: In the literature, there is no research that would indicate how a change in specific personality elements may affect the therapeutic effect of short-term group psychodynamic psychotherapy (STGP). The aim of the study was to evaluate the effect of short-term group psychodynamic psychotherapy on personality traits in apopulation of patients with neurotic and personality disorders in a day ward of neurosis treatment. METHODS: The study involved 139 people with anxiety and personality disorders, including 110 who participated in the control measurements...
August 29, 2017: Psychiatria Polska
https://www.readbyqxmd.com/read/28974183/-nonverbal-behavior-of-patients-with-social-phobia-and-their-therapists-in-psychodynamic-psychotherapies-part-of-the-sopho-net-project
#16
Irina Kreyenbrink, Peter Joraschky, Ippokrates Konstantinidis, Niklas Neumann, Hedda Lausberg
No abstract text is available yet for this article.
September 2017: Zeitschrift Für Psychosomatische Medizin und Psychotherapie
https://www.readbyqxmd.com/read/28961666/bias-toward-psychodynamic-therapy-framing-the-problem-and-working-toward-a-solution
#17
Eric M Plakun
Although psychodynamic therapy (PDT) is an evidence-based intervention for a broad spectrum of psychiatric conditions, there is often notable bias in the way PDT is depicted both in the popular media and in the scientific literature. This has contributed to a negative view of PDT, which hampers both patient access to this treatment and researcher access to funding for further research on PDT. The adverse effects of these distortions and biases are detrimental not only to PDT but also to the overall field of psychotherapy, raising questions about its credibility...
September 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28961665/bias-toward-psychodynamic-therapy-framing-the-problem-and-working-toward-a-solution
#18
Allan Abbass, Patrick Luyten, Christiane Steinert, Falk Leichsenring
Although psychodynamic therapy (PDT) is an evidence-based intervention for a broad spectrum of psychiatric conditions, there is often notable bias in the way PDT is depicted both in the popular media and in the scientific literature. This has contributed to a negative view of PDT, which hampers both patient access to this treatment and researcher access to funding for further research on PDT. The adverse effects of these distortions and biases are detrimental not only to PDT but also to the overall field of psychotherapy, raising questions about its credibility...
September 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28953804/guidelines-for-individual-and-group-psychodynamic-psychotherapy-for-the-treatment-of-persons-diagnosed-with-psychosis-and-or-schizophrenia
#19
Slađana Štrkalj Ivezić, Branka Restek Petrović, Ivan Urlić, Majda Grah, Nina Mayer, Dubravka Stijačić, Tihana Jendričko, Sanja Martić-Biočina
The hereby presented guidelines for the use of psychodynamic psychotherapy are based on references and research in the field of individual and group therapy and they refer to psychotherapy for patients suffering from the first psychotic episode, schizophrenia, schizoaffective psychosis, bipolar disorder and paranoid psychosis. The aim was to provide an overview of present literature and to give recommendations based on current knowledge. Clinical experience and research of the outcomes of psychodynamic psychotherapy encourage positioning of such treatments among recommendations for treating various mental disorders, as well as in the field of psychotherapy of patients with psychotic disorders (PD)...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28922005/behavioral-activation-in-tfp-the-role-of-the-treatment-contract-in-transference-focused-psychotherapy
#20
Frank E Yeomans, Jill C Delaney, Kenneth N Levy
Transference-focused psychotherapy (TFP) is a manualized evidence-based treatment for borderline and other severe personality disorders that is based on psychoanalytic object relations theory. Similar to other psychodynamic psychotherapies, TFP focuses on changing psychological structures, but also focuses on symptom and behavioral change, particularly the importance of being active (e.g., obtaining a job or involvement in similar activities). In TFP, the establishment of the treatment contract, also known as the treatment frame, is where goals such as work and other activities are agreed upon...
September 2017: Psychotherapy
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