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Avinadav Rubin, Tohar Dolev, Sigal Zilcha-Mano
: Approximately one in five patients drops out of treatment before its completion. Little is known about consistent predictors of dropout, and most studies focus on patients' demographic characteristics. A mass of information is collected daily at intake in clinical practice. Based on psychodynamic theoretical conceptualizations and accumulative clinical experience, this information may help predict dropout, and thereby expand the empirically based predictors of dropout. OBJECTIVE: The present study aims at bridging between scientific research and clinical practice by investigating potential predictors of unilateral termination collected at intake, before therapy, in addition to predictors already identified in the literature...
October 24, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
Elfrida Hartveit Kvarstein, Ola Nordviste, Lone Dragland, Theresa Wilberg
OBJECTIVES: Outpatient group psychotherapy is frequent within specialist services, recruits a mixed population, but effects are poorly documented. This study investigates long-term outcomes for patients with personality disorder (PD) treated in outpatient, psychodynamic groups within secondary mental health service. METHODS: A naturalistic study (N = 103) with repeated assessments of process and clinical outcomes. Longitudinal statistics are linear mixed models...
October 21, 2016: Personality and Mental Health
Susan G Goldberg
The lives of two 19th century cousins, both of whom changed their names to Bernard Berenson, are considered from historical and psychodynamic perspectives, using a psychobiographical method. The Jewish cousins immigrated separately to Boston from Lithuania in 1875 and 1882. One cousin, later calling himself simply B.B., became a world-renowned art historian. The other Bernard became a misanthrope after feeling deeply humiliated by his cousin's family in Boston. Many biographies were written about the famous B...
October 17, 2016: International Journal of Psycho-analysis
Erkki Heinonen, Tiia Heiskanen, Olavi Lindfors, Kristiina Härkäpää, Paul Knekt
OBJECTIVES: Dispositional optimism predicts various beneficial outcomes in somatic health and treatment, but has been little studied in psychotherapy. This study investigated whether an optimistic disposition differentially predicts patients' ability to benefit from short-term versus long-term psychotherapy. DESIGN: A total of 326 adult outpatients with mood and/or anxiety disorder were randomized into short-term (solution-focused or short-term psychodynamic) or long-term psychodynamic therapy and followed up for 3 years...
October 15, 2016: Psychology and Psychotherapy
Maria Teresa Gargano, Grazia Serantoni, Fiorella Ceppi, Marco D'Alema, Luisella Ferraris, Paola Innocente, Fiorella Lanzi, Andrea Narracci, Federico Russo, Marcella Venier
AIM: The main aim of this study is to investigate the burden in relatives of psychiatric patients attending long-term psychodynamic multifamily groups (18 months) of some Mental Health Departments of Lazio Region. A further aim is to verify if the decrease of the burden and the group participation are associated with a reduction of psychiatric symptoms in patients. METHODS: The sample consisted of 13 patients (10 men and 3 women) with severe personality disorder with at least one psychotic episode and 42 caregivers (15 men and 27 women)...
July 2016: Rivista di Psichiatria
Donna Gillies, Licia Maiocchi, Abhishta P Bhandari, Fiona Taylor, Carl Gray, Louise O'Brien
BACKGROUND: Children and adolescents who have experienced trauma are at high risk of developing post-traumatic stress disorder (PTSD) and other negative emotional, behavioural and mental health outcomes, all of which are associated with high personal and health costs. A wide range of psychological treatments are used to prevent negative outcomes associated with trauma in children and adolescents. OBJECTIVES: To assess the effects of psychological therapies in preventing PTSD and associated negative emotional, behavioural and mental health outcomes in children and adolescents who have undergone a traumatic event...
October 11, 2016: Cochrane Database of Systematic Reviews
Q Deeley
Suggestion in hypnosis has been applied to the treatment of functional neurologic symptoms since the earliest descriptions of hypnosis in the 19th century. Suggestion in this sense refers to an intentional communication of beliefs or ideas, whether verbally or nonverbally, to produce subjectively convincing changes in experience and behavior. The recognition of suggestion as a psychologic process with therapeutic applications was closely linked to the derivation of hypnosis from earlier healing practices. Animal magnetism, the immediate precursor of hypnosis, arrived at a psychologic concept of suggestion along with other ideas and practices which were then incorporated into hypnosis...
2017: Handbook of Clinical Neurology
D A Schmerler, A J Espay
Although currently lacking a sensitive and specific electrophysiologic battery test, functional (psychogenic) dystonia can sometimes be diagnosed with clinically definite certainty using available criteria. Certain regional phenotypes have been recognized as distinctive, such as unilateral lip and jaw deviation, laterocollis with ipsilateral shoulder elevation and contralateral shoulder depression, fixed wrist and finger flexion with relative sparing of the thumb and index fingers, and fixed foot plantar flexion and inversion...
2017: Handbook of Clinical Neurology
Rainer Fliedl, Petra Katzenschläger
BACKGROUND: The aim of this study was to compare the Operationalized Psychodynamic Diagnostics (OPD-CA) for children and adolescents with the modified version (OPD-CA-2) focusing on the mainly unchanged treatment conditions and the redesigned structure axis. METHODS: The patient sample consisted 371 inpatient children and adolescents with psychiatric disorders from 3 to 18 years. OPD-CA and OPD-CA-2 diagnostics were routinely performed by OPD-experienced raters...
September 2016: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
Pâmela Patricia Mariano, Lígia Carreira
Objective: To describe the defense strategies used by nurses working in long-stay institutions for the elderly when faced with work environment distress. Methodology: Descriptive, exploratory and qualitative research performed through interviews held with 27 nurses at long-stay institutions for the elderly between April and September 2013. Data analysis was performed through content analysis and the theory known as work psychodynamics. Results: The strategies used were: considering death as something natural, understanding death of those in critical condition as the end to a sufferable condition, understanding the patient's resistance as a symptom of disease and senility, limit the reach of work problems in their personal life, and restrict the affective involvement with patients...
September 29, 2016: Revista Gaúcha de Enfermagem
Linda R Watson
In the next decade, professionals in communication sciences and disorders will encounter a wealth of needs, opportunities, and challenges in research and practice related to autism spectrum disorder. What lies ahead will reflect both transformations of and continuities with past perspectives (psychodynamic, biological, and learning theory). Among our largest challenges as individuals and as a discipline will be to determine the most important needs to address and the most productive opportunities to seize. Interprofessional collaboration, community engagement, and partnerships among researchers, practitioners, and community stakeholder are all strategies that can better guide our selection of priorities...
November 2016: Seminars in Speech and Language
Silvia Minozzi, Rosella Saulle, Franco De Crescenzo, Laura Amato
BACKGROUND: Psychostimulant misuse is a continuously growing medical and social burden. There is no evidence proving the efficacy of pharmacotherapy. Psychosocial interventions could be a valid approach to help patients in reducing or ceasing drug consumption. OBJECTIVES: To assess the effects of psychosocial interventions for psychostimulant misuse in adults. SEARCH METHODS: We searched the Cochrane Drugs and Alcohol Group Specialised Register (via CRSLive); Cochrane Central Register of Controlled Trials (CENTRAL); MEDLINE; EMBASE; CINAHL; Web of Science and PsycINFO, from inception to November 2015...
September 29, 2016: Cochrane Database of Systematic Reviews
Martin J Dorahy, Roberto Lewis-Fernández, Christa Krüger, Bethany L Brand, Vedat Şar, Jan Ewing, Alfonso Martínez-Taboas, Pam Stavropoulos, Warwick Middleton
Controversy exists regarding the merits of exposure-based treatments for posttraumatic stress disorder (PTSD) versus a phased approach when prominent dissociative symptoms are present. The first aim of this study was to examine the degree to which diagnosing dissociation in two traumatized patients' vignettes influenced clinicians' preference for phase-oriented treatment and whether clinicians' treatment experience contributed to their treatment preference. The second aim was to assess the extent to which participants had observed traumatized patients worsen when treated with exposure therapy or phase-oriented therapy and whether the theoretical orientation and treatment experience of the clinician were related to the observed deterioration...
September 27, 2016: Journal of Trauma & Dissociation
Saeed Shoja Shafti
Vital to the contemporary exercise of psychiatry is the biopsychosocial approach, with psychotherapy as its well-defined, and requisite, constituent. The key objectives of psychoanalysis and other related therapies are the amelioration of symptoms and modification of character by probing the unconscious. But the practice of psychoanalysis and similar insight-oriented techniques is in developing nations is different from developed countries due to cultural and educational reasons, along with a shortage of required facilities...
2016: American Journal of Psychotherapy
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
Jeffrey Guina
The concept of earned security is important and has significant implications for psychotherapy. Understanding how individuals with insecure attachment styles can develop secure attachment styles through reparative relationships, such as the therapeutic relationship, can assist psychotherapists in helping patients to overcome the effects of early negative life experiences. Personality disorders are commonly associated with negative experiences, such as abuse, neglect, and other empathic failures. These disorders are particularly difficult to treat because of their pervasive nature and the resultant defense mechanisms that often thwart psychotherapy...
2016: American Journal of Psychotherapy
Kelley A Tompkins, Joshua K Swift, Tony G Rousmaniere, Jason L Whipple
The purpose of this study was to examine the relationship between clients' etiological beliefs for depression and treatment preferences, credibility beliefs, and outcome expectations for five different depression treatments-behavioral activation, cognitive therapy, interpersonal psychotherapy, pharmacotherapy, and psychodynamic psychotherapy. Adult psychotherapy clients (N = 98) were asked to complete an online survey that included the Reasons for Depression Questionnaire, a brief description of each of the five treatment options, and credibility, expectancy, and preference questions for each option...
September 19, 2016: Psychotherapy
David Kealy, John S Ogrodniczuk, William E Piper, Carlos A Sierra-Hernandez
Group psychotherapy provides unique opportunities for clinical errors in the selection of patients and composition of therapy groups. This article introduces some of the difficulties and complexities that can be associated with group composition and patient selection errors. Clinical vignettes from psychodynamic/interpersonal psychotherapy groups are used to illustrate three variations of group composition and selection errors. The first vignette depicts an error in selecting a disruptive patient into a fledgling group...
September 2016: Psychotherapy
Liat Leibovich, Sigal Zilcha-Mano
Although supportive-expressive (SE) psychotherapy is one of the most studied psychodynamic therapies today, little is known empirically about effective strategies in SE supervision, or in psychodynamic supervision in general (Diener & Mesrie, 2015; Watkins, 2011). One of the important questions in SE psychotherapy is how to decide when to use supportive and when to use expressive interventions. As a parallel process, this type of decision is relevant also to SE supervision. The present case study focuses on the decision-making process in an SE supervision session: when should supervisors use supportive as opposed to expressive strategies with their supervisees? Our aim is to develop decision rules that reliably support supervisors' decisions...
September 2016: Psychotherapy
Sharon Ziv-Beiman, Golan Shahar
Ascending to prominence in virtually all forms of psychotherapy, therapist self-disclosure (TSD) has recently been identified as a primarily integrative intervention (Ziv-Beiman, 2013). In the present article, we discuss various instances in which using TSD in integrative psychotherapy might constitute a clinical error. First, we briefly review extant theory and empirical research on TSD, followed by our preferred version of integrative psychotherapy (i.e., a version of Wachtel's Cyclical Psychodynamics [Wachtel, 1977, 1997, 2014]), which we title cognitive existential psychodynamics...
September 2016: Psychotherapy
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