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Psychodynamic psychotherapy

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https://www.readbyqxmd.com/read/29792242/testing-a-stepped-care-model-for-binge-eating-disorder-a-two-step-randomized-controlled-trial
#1
Giorgio A Tasca, Diana Koszycki, Agostino Brugnera, Livia Chyurlia, Nicole Hammond, Kylie Francis, Kerri Ritchie, Iryna Ivanova, Genevieve Proulx, Brian Wilson, Julie Beaulac, Hany Bissada, Erin Beasley, Nancy Mcquaid, Renee Grenon, Benjamin Fortin-Langelier, Angelo Compare, Louise Balfour
BACKGROUND: A stepped care approach involves patients first receiving low-intensity treatment followed by higher intensity treatment. This two-step randomized controlled trial investigated the efficacy of a sequential stepped care approach for the psychological treatment of binge-eating disorder (BED). METHODS: In the first step, all participants with BED (n = 135) received unguided self-help (USH) based on a cognitive-behavioral therapy model. In the second step, participants who remained in the trial were randomized either to 16 weeks of group psychodynamic-interpersonal psychotherapy (GPIP) (n = 39) or to a no-treatment control condition (n = 46)...
May 24, 2018: Psychological Medicine
https://www.readbyqxmd.com/read/29768272/modulation-of-gamma-band-activity-and-late-positive-potential-in-patients-with-chronic-depression-after-psychodynamic-psychotherapy
#2
Anna Buchheim, Karin Labek, Svenja Taubner, Henrik Kessler, Dan Pokorny, Horst Kächele, Manfred Cierpka, Gerhard Roth, Oliver Pogarell, Susanne Karch
No abstract text is available yet for this article.
May 16, 2018: Psychotherapy and Psychosomatics
https://www.readbyqxmd.com/read/29740361/-gold-standards-plurality-and-monocultures-the-need-for-diversity-in-psychotherapy
#3
Falk Leichsenring, Allan Abbass, Mark J Hilsenroth, Patrick Luyten, Thomas Munder, Sven Rabung, Christiane Steinert
For psychotherapy of mental disorders, presently several approaches are available, such as interpersonal, humanistic, systemic, psychodynamic or cognitive behavior therapy (CBT). Pointing to the available evidence, proponents of CBT claim that CBT is the gold standard. Some authors even argue for an integrated CBT-based form of psychotherapy as the only form of psychotherapy. CBT undoubtedly has its strengths and CBT researchers have to be credited for developing and testing treatments for many mental disorders...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29739528/innovative-educational-initiatives-to-train-psychodynamic-psychiatrists-in-underserved-areas-of-the-world
#4
REVIEW
César A Alfonso, Marco Christian Michael, Sylvia Detri Elvira, Hazli Zakaria, Rasmon Kalayasiri, Aida Syarinaz A Adlan, Mahdieh Moinalghorabaei, Petrin Redayani Lukman, Mohammad San'ati, Katerina Duchonova, Timothy B Sullivan
Psychodynamic psychiatry remains a challenging subject to teach in underserved areas, where enthusiasm to learn is substantial. Besides logistical and psychiatric workforce shortcomings, sensible cultural adaptations to make psychodynamic psychiatry relevant outside of high-income countries require creative effort. Innovative pedagogical methods that include carefully crafted mentoring and incorporate videoconferencing in combination with site visits can be implemented through international collaborations. Emphasis on mentoring is essential to adequately train future psychodynamic psychotherapy supervisors...
June 2018: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29739527/advocacy-for-psychodynamic-psychotherapy-challenges-and-benefits
#5
REVIEW
Katherine G Kennedy
Psychodynamic psychotherapy, also called psychodynamic therapy (PDT), is an effective mental health treatment that is currently under siege on several fronts. It is at risk of being effectively excluded from the future of American health care. Psychiatrists need to learn how to advocate for a future mental health care delivery system that assures their patients have access to PDT. This article examines the stigma against both psychiatrists and PDT, identifies some of the challenges to advocacy that psychiatrists face, and offers an approach to developing the necessary skills that psychiatrists need to advocate effectively for PDT...
June 2018: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29739526/trauma-focused-psychodynamic-psychotherapy
#6
REVIEW
Fredric N Busch, Barbara L Milrod
The authors describe a psychodynamic psychotherapeutic approach to posttraumatic stress disorder (PTSD), trauma-focused psychodynamic psychotherapy. This psychotherapy addresses disruptions in narrative coherence and affective dysregulation by exploring the psychological meanings of symptoms and their relation to traumatic events. The therapist works to identify intrapsychic conflicts, intense negative affects, and defense mechanisms related to the PTSD syndrome using a psychodynamic formulation that provides a framework for intervention...
June 2018: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29739525/the-overall-diagnosis-psychodynamic-psychiatry-six-minute-psychotherapy-and-patient-centered-care
#7
REVIEW
Elizabeth Weinberg, David Mintz
Optimal patient care in psychiatry necessitates attention to the treatment relationship and to the patient's experience as an individual. The growth of patient-centered medicine has led to an increased appreciation of the importance of the biopsychosocial formulation, the personhood of both the patient and the physician, the autonomy and authority of the patient, and the therapeutic alliance. Patient-centered medicine, developed by the seminal psychoanalytic theorist Michael Balint, has its roots in psychodynamic concepts...
June 2018: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29739522/a-psychodynamic-approach-for-the-general-psychiatrist-using-transference-focused-psychotherapy-principles-in-acute-care-settings
#8
REVIEW
Richard G Hersh
Transference-focused psychotherapy (TFP) is one of the empirically validated treatments for patients with borderline personality disorder. TFP has roots in psychoanalytically informed psychotherapy, although important elements of the treatment have been adapted and refined for patients with significant personality disorder pathology. TFP's assessment process is informed by the structural interview, an approach that synthesizes standard DSM-5 nosology with the psychodynamic concept of the personality organization...
June 2018: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29739521/the-psychodynamic-treatment-of-borderline-personality-disorder-an-introduction-to-transference-focused-psychotherapy
#9
REVIEW
Barry L Stern, Frank Yeomans
The authors describe the application of a twice-weekly exploratory psychotherapy, transference-focused psychotherapy (TFP), to patients with borderline personality disorder. The article describes the pathology of internal object relations that provides a framework for understanding borderline personality and how TFP establishes a treatment framework to address such pathology and set the stage for working at the level of internal psychological structure. An outline of the assessment and treatment protocol is described along with a case example to illustrate the same...
June 2018: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29722177/the-iowa-personality-disorder-screen-a-validation-study-in-a-psychiatric-population-that-receives-long-term-group-psychotherapy-for-personality-related-problems
#10
S G Selvik, B Hummelen, U Romild, D R Langbehn, G Pedersen
Personality disorder (PD) is common among psychiatric patients, and diagnosing such disorders is of great importance for the choice of treatment. Diagnosing PD is a demanding and time-consuming process. The utilities of several PD screening instruments have been studied in different populations, but not in a population who receives long-term group psychotherapy. In the current study, we investigate the predictive properties of the Iowa Personality Disorder Screen (IPDS) in a sample of 694 psychiatric outpatients with and without PD who were admitted for psychodynamic long-term group therapy from 2012 to 2014...
May 3, 2018: Personality and Mental Health
https://www.readbyqxmd.com/read/29704419/changes-in-ego-strength-in-patients-with-neurotic-and-personality-disorders-treated-with-a-short-term-comprehensive-psychodynamic-psychotherapy
#11
Katarzyna Cyranka, Krzysztof Rutkowski, Michał Mielimąka, Jerzy A Sobański, Katarzyna Klasa, Łukasz Müldner-Nieckowski, Edyta Dembińska, Bogna Smiatek-Mazgaj, Paweł Rodziński
OBJECTIVES: Analysis of changes in ego strength in the course of group psychotherapy in patients treated with neurotic and selected personality disorders (F40-F61, ICD-10). METHODS: 82 patients (61 women and 21 men) participated in the study. They underwent intensive short-term group psychotherapy treatment in a day hospital for neurotic and behavioural disorders. The assessment of the patients' personality functioning was carried out at the onset and the end of the psychotherapy...
February 28, 2018: Psychiatria Polska
https://www.readbyqxmd.com/read/29695992/empathy-challenge-and-psychophysiological-activation-in-therapist-client-interaction
#12
Liisa Voutilainen, Pentti Henttonen, Mikko Kahri, Niklas Ravaja, Mikko Sams, Anssi Peräkylä
Two central dimensions in psychotherapeutic work are a therapist's empathy with clients and challenging their judgments. We investigated how they influence psychophysiological responses in the participants. Data were from psychodynamic therapy sessions, 24 sessions from 5 dyads, from which 694 therapist's interventions were coded. Heart rate and electrodermal activity (EDA) of the participants were used to index emotional arousal. Facial muscle activity (electromyography) was used to index positive and negative emotional facial expressions...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29689505/childhood-adversities-as-predictors-of-improvement-in-psychiatric-symptoms-and-global-functioning-in-solution-focused-and-short-and-long-term-psychodynamic-psychotherapy-during-a-5-year-follow-up
#13
Erkki Heinonen, Paul Knekt, Tommi Härkänen, Esa Virtala, Olavi Lindfors
BACKGROUND: Childhood adversities are frequent among adults who seek treatment for depression or anxiety. These disorders are commonly treated by psychotherapy. Yet it is not known if specific types or durations of psychotherapy are particularly suited for patients who have suffered various early adversities. METHODS: 221 depressed and anxious adult outpatients from community, student, occupational, and private healthcare services filled the Childhood Family Atmosphere Questionnaire...
April 7, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29667870/focus-is-key-panic-focused-interpretations-are-associated-with-symptomatic-improvement-in-panic-focused-psychodynamic-psychotherapy
#14
John R Keefe, Nili Solomonov, Robert J Derubeis, Alexander C Phillips, Fredric N Busch, Jacques P Barber, Dianne L Chambless, Barbara L Milrod
OBJECTIVE: This study examines whether, in panic-focused psychodynamic psychotherapy (PFPP), interpretations of conflicts that underlie anxiety (panic-focused or PF-interpretations) are specifically associated with subsequent panic disorder (PD) symptom improvement, over and above the provision of non-symptom-focused interpretations. METHOD: Technique use in Sessions 2 and 10 of a 24-session PFPP protocol was assessed for the 65 patients with complete outcome data randomized to PFPP in a two-site trial of psychotherapies for PD...
April 18, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29601274/revisiting-the-safe-place-method-and-regulatory-aspects-in-psychotherapy-when-easing-allostatic-overload-in-traumatized-patients
#15
Anna Gerge
Safe-place inductions are considered important altered states of consciousness (ASC) to be (re)installed during trauma-informed psychotherapy. Coregulation aimed at changing implicit relational knowing and increasing integration and coherence through relational work and hypnotic techniques is crucial, as clients' abilities to self-soothe and regulate have become seriously impaired. Thus, resource-oriented metaphors as inner strength imagery is advocated. Also, methods such as creative-arts therapy and neurofeedback will induce ASCs, as most methods used with complex traumatized clients, due to their high hypnotizability...
April 2018: International Journal of Clinical and Experimental Hypnosis
https://www.readbyqxmd.com/read/29565618/therapist-effects-due-to-client-racial-ethnic-status-when-examining-linear-growth-for-client-and-therapist-rated-working-alliance-and-real-relationship
#16
Katherine Morales, Brian TaeHyuk Keum, Dennis M Kivlighan, Clara E Hill, Charles J Gelso
Using data from 3,263 sessions nested within 144 clients, nested within 19 therapists, we examined client- and therapist-rated working alliance (WA) and real relationship (RR) at Session 3 and growth in WA and RR across the course of open-ended psychodynamic psychotherapy for clients who identified as racial/ethnic minority (REM) or as White. To be included in the analyses, therapists had to work with at least 2 REM and 2 White clients. There were no significant therapist effects for the interaction between client- or therapist-rated WA and client REM status at Session 3, or for client- or therapist-rated RR and client REM status at Session 3...
March 2018: Psychotherapy
https://www.readbyqxmd.com/read/29536819/the-association-between-patient-therapist-matrix-congruence-and-treatment-outcome
#17
Shlomo Mendlovic, Amit Saad, Uri Roll, Ariel Ben Yehuda, Rivka Tuval-Mashiah, Dana Atzil-Slonim
OBJECTIVE: The present study aimed to examine the association between patient-therapist micro-level congruence/incongruence ratio and psychotherapeutic outcome. METHOD: Nine good- and nine poor-outcome psychodynamic treatments (segregated by comparing pre- and post-treatment BDI-II) were analyzed (N = 18) moment by moment using the MATRIX (total number of MATRIX codes analyzed = 11,125). MATRIX congruence was defined as similar adjacent MATRIX codes. RESULTS: the congruence/incongruence ratio tended to increase as the treatment progressed only in good-outcome treatments...
March 14, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29522960/towards-an-evidence-based-unified-psychodynamic-protocol-for-emotional-disorders
#18
REVIEW
Falk Leichsenring, Christiane Steinert
BACKGROUND: In psychotherapy research unified, transdiagnostic and modular treatments have emerged. This is true for both cognitive-behavioral therapy and psychodynamic therapy. Recently, two unified psychodynamic protocols were presented, one for anxiety disorders, another for depressive disorders. Integrating the treatment principles for these two highly prevalent disorder groups into one protocol for "emotional disorders" may be useful for both clinical practice and training in psychotherapy...
May 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29520726/refining-suicide-prevention-a-narrative-review-on-advances-in-psychotherapeutic-tools
#19
REVIEW
Raffaella Calati, Philippe Courtet, Jorge Lopez-Castroman
PURPOSE OF REVIEW: Since psychotherapies for suicide prevention are receiving increasing attention, our purpose was to evaluate the related literature [meta-analyses and reviews on their effect on suicidal outcomes (A), perspective reviews concerning specific socio-demographic and clinical features (B), original studies with particular interest (C)] published over the last 3 years. RECENT FINDINGS: (A) Across different diagnoses, particularly, efficacious psychotherapies were cognitive behavioral therapy-based ones and interventions directly addressing suicidal thoughts and behaviors during the treatment...
March 8, 2018: Current Psychiatry Reports
https://www.readbyqxmd.com/read/29518077/changes-of-attachment-characteristics-during-psychotherapy-of-patients-with-social-anxiety-disorder-results-from-the-sopho-net-trial
#20
Bernhard Strauß, Uwe Altmann, Susanne Manes, Anne Tholl, Susan Koranyi, Tobias Nolte, Manfred E Beutel, Jörg Wiltink, Stephan Herpertz, Wolfgang Hiller, Jürgen Hoyer, Peter Joraschky, Björn Nolting, Viktoria Ritter, Ulrich Stangier, Ulrike Willutzki, Simone Salzer, Eric Leibing, Falk Leichsenring, Helmut Kirchmann
OBJECTIVES: Within a randomized controlled trial contrasting the outcome of manualized cognitive-behavioral (CBT) and short term psychodynamic therapy (PDT) compared to a waiting list condition (the SOPHO-Net trial), we set out to test whether self-reported attachment characteristics change during the treatments and if these changes differ between treatments. RESEARCH DESIGN AND METHODS: 495 patients from the SOPHO-Net trial (54.5% female, mean age 35.2 years) who were randomized to either CBT, PDT or waiting list (WL) completed the partner-related revised Experiences in Close Relationships Questionnaire (ECR-R) before and after treatment and at 6 and 12 months follow-up...
2018: PloS One
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