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Therapeutic alliance

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https://www.readbyqxmd.com/read/29446195/attachment-and-therapeutic-alliance-in-psychological-therapy-for-people-with-recent-onset-psychosis-who-use-cannabis
#1
Katherine Berry, Tom Palmer, Lynsey Gregg, Christine Barrowclough, Fiona Lobban
We examine associations between client attachment style and therapeutic alliance in a 3-arm randomized controlled trial of brief motivational interviewing and cognitive-behavioural therapy compared with longer term motivational interviewing and cognitive-behavioural therapy or standard care alone. Client self-report measures of attachment style were completed at baseline, and both clients and therapists in the treatment arms of the trial completed alliance measures 1 month into therapy. We found that insecure-anxious attachment was positively associated with therapist-rated alliance, whereas clients with insecure-avoidant attachment were more likely to report poorer bond with therapist...
February 15, 2018: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/29443562/engaging-young-minority-fathers-in-research-basic-needs-psychological-needs-culture-and-therapeutic-alliance
#2
Cristina Mogro-Wilson, Judith Fifield
No abstract text is available yet for this article.
February 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29439794/-touch-and-care-skills-to-develop-in-a-team
#3
Évelyne Malaquin-Pavan
The relationship with the body requires constant adjustment between the patient, the caregiver and the team. A learning organisation supporting the use of touch at the heart of care favours the therapeutic alliance with the patient and the inter-disciplinary implementation of this approach.
January 2018: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/29436769/what-the-patient-wants-addressing-patients-treatment-targets-in-an-integrative-group-psychotherapy-programme
#4
David Kealy, Anthony S Joyce, Rainer Weber, Johannes C Ehrenthal, John S Ogrodniczuk
OBJECTIVES: Limited empirical attention has been devoted to individualized treatment objectives in intensive group therapy for personality dysfunction. This study investigated patients' ratings of distress associated with individual therapy goals - referred to as target object severity - in an intensive Evening Treatment Programme for patients with personality dysfunction. DESIGN: Change in target objective severity was examined in a sample of 81 patients who completed treatment in an intensive, integrative group therapy programme...
February 13, 2018: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/29436162/therapeutic-alliance-in-dietetic-practice-for-weight-loss-insights-from-health-coaching
#5
Annaliese Nagy, Anne McMahon, Linda Tapsell, Frank Deane, Danielle Arenson
AIM: The psychological construct of 'therapeutic alliance' can be used to better understand the effectiveness of consultations, particularly goal setting for weight management. We analysed audio-recorded health coaching sessions during a weight loss trial to explore relationships between therapeutic alliance and various contextual factors. METHODS: Audio recordings of 50 health coaching sessions were analysed. After assessing fidelity to the protocol, therapeutic alliance was measured using an adapted Working Alliance Inventory Observer-rated Short Version (WAI-O-S), and examined by (i) identifying relationships between contextual factors and WAI-O-S scores (Spearman's coefficients); (ii) testing the impact of preparatory exercises and body mass index on WAI-O-S scores (one-way analysis of variance and least-squared differences tests) and (iii) comparing differences in WAI-O-S scores based on relationship status, gender and follow-up session completion (independent samples t-tests)...
February 13, 2018: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/29430052/-i-didn-t-pay-her-to-teach-me-how-to-fix-my-back-a-focused-ethnographic-study-exploring-chiropractors-and-chiropractic-patients-experiences-and-beliefs-regarding-exercise-adherence
#6
Peter Stilwell, Katherine Harman
Aim: To inform future research and exercise prescription for patients with chronic low back pain (CLBP), this study explored chiropractors' and chiropractic patients' experiences and beliefs regarding the barriers and facilitators to prescribed exercise adherence. Methods: A focused ethnographic approach was used involving 16 semi-structured interviews, including pilot interviews (n = 4) followed by interviews with chiropractors (n = 6) and chiropractic patients with CLBP (n = 6)...
December 2017: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/29422717/teaching-counseling-microskills-to-audiology-students-recommendations-from-professional-counseling-educators
#7
REVIEW
Kelly Beck, Jamie Kulzer
To provide the highest quality services, audiologists incorporate counseling into their professional practice. This article, written by professional counselors, highlights the distinction between services provided by professional counselors (i.e., psychotherapy) and counseling microskills used by all health and rehabilitation professionals. Effective application of counseling microskills facilitates a strong therapeutic alliance, which research shows contributes to positive therapeutic outcomes. Counseling microskills should be taught early in graduate programs, because they serve as the foundation for the therapeutic alliance and allow for more effective application of other therapeutic interventions...
February 2018: Seminars in Hearing
https://www.readbyqxmd.com/read/29415852/two-brief-valid-measures-of-therapeutic-alliance-in-counseling-for-tobacco-dependence
#8
Craig Warlick, Kimber P Richter, Delwyn Catley, Byron J Gajewski, Laura E Martin, Laura M Mussulman
Behavioral counseling is effective for smoking cessation and the psychotherapy literature indicates therapeutic alliance is key to counseling effectiveness. However, no tobacco-counseling specific measures of alliance exist that are suitable in most tobacco counseling contexts. This hinders assessment of counseling components in research and clinical practice. Based on the Working Alliance Inventory, and external expert review, we developed two alliance instruments: the 12-item and 3-item Working Alliance Inventory for Tobacco (WAIT-12 and WAIT-3)...
March 2018: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29409394/major-developments-in-methods-addressing-for-whom-psychotherapy-may-work-and-why
#9
Sigal Zilcha-Mano
Significant progress has been achieved in the last decades in studying two central questions in psychotherapy research: what treatment works for which patient and why does treatment work. This paper delineates central developments in the methods used to study each of these questions. Through targeted examples, the paper discusses several phenomena and trends in psychotherapy research. Regarding the question of what works for whom, the discussion focuses on the progress from the search for one moderator to guide clinical decision-making to the search for a set of such moderators and their interactive effects, to best answer this question...
February 7, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29400593/the-role-of-the-therapeutic-alliance-on-pain-relief-in-musculoskeletal-rehabilitation-a-systematic-review
#10
Ana Carolina Taccolini Manzoni, Naiane Teixeira Bastos de Oliveira, Cristina Maria Nunes Cabral, Natalia Aquaroni Ricci
The aim of this systematic review was to investigate the role of therapeutic alliance in pain relief in patients with musculoskeletal disorders treated by physiotherapy. Manual and database searches (Medline, Embase, ISI Web of Knowledge, CINAHL, PEDro, Lilacs, Cochrane Library, and PsycINFO) were performed with no restrictions of language and publication date. We included prospective studies with samples of patients undergoing physiotherapy for musculoskeletal conditions, with one measure of therapeutic alliance and the outcome pain...
February 5, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29399956/mentalizing-countertransference-a-model-for-research-on-the-elaboration-of-countertransference-experience-in-psychotherapy
#11
João F Barreto, Paula Mena Matos
As a construct, the elaboration of countertransference experience (ECE) is intended to depict the implicit and explicit psychological work to which therapists submit their experiences with clients. Through ECE, defined as a mentalizing process of a particular kind, therapists' experiences are presumed to acquire and increase in mental quality and become available for meaning-making and judicious clinical use. In this paper, we claim that such an ongoing process facilitates engagement with common therapeutic factors, such as the therapeutic alliance and countertransference management, enhancing therapist responsiveness in psychotherapy...
February 4, 2018: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/29363427/gt-wgs-an-efficient-and-economic-tool-for-large-scale-wgs-analyses-based-on-the-aws-cloud-service
#12
Yiqi Wang, Gen Li, Mark Ma, Fazhong He, Zhuo Song, Wei Zhang, Chengkun Wu
BACKGROUND: Whole-genome sequencing (WGS) plays an increasingly important role in clinical practice and public health. Due to the big data size, WGS data analysis is usually compute-intensive and IO-intensive. Currently it usually takes 30 to 40 h to finish a 50× WGS analysis task, which is far from the ideal speed required by the industry. Furthermore, the high-end infrastructure required by WGS computing is costly in terms of time and money. In this paper, we aim to improve the time efficiency of WGS analysis and minimize the cost by elastic cloud computing...
January 19, 2018: BMC Genomics
https://www.readbyqxmd.com/read/29354990/-spasmodic-hemiplegia-after-stroke-treated-with-scalp-acupuncture-music-therapy-and-rehabilitation-a-randomized-controlled-trial
#13
Chengjie Jia, Hongru Zhang, Guangxia Ni, Yinan Zhang, Bin Su, Xinlei Xu
OBJECTIVE: To evaluate the differences in the clinical therapeutic effects on spasmodic hemiplegia after stroke among the alliance therapy of scalp acupuncture, music therapy combined with rehabilitation, the simple rehabilitation therapy and the combination of music therapy and rehabilitation. METHODS: A total of 76 patients of post-stroke spasmodic hemiplegia were randomized into a rehabilitation group (25 cases), a combination group with music therapy and rehabilitation (25 cases) and an alliance therapy group with scalp acupuncture, music therapy and rehabilitation (26 cases)...
December 12, 2017: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29352540/insight-in-schizophrenia-spectrum-disorders-relationship-with-behavior-mood-and-perceived-quality-of-life-underlying-causes-and-emerging-treatments
#14
Paul H Lysaker, Michelle L Pattison, Bethany L Leonhardt, Scott Phelps, Jenifer L Vohs
Poor insight in schizophrenia is prevalent across cultures and phases of illness. In this review, we examine the recent research on the relationship of insight with behavior, mood and perceived quality of life, on its complex roots, and on the effects of existing and emerging treatments. This research indicates that poor insight predicts poorer treatment adherence and therapeutic alliance, higher symptom severity and more impaired community function, while good insight predicts a higher frequency of depression and demoralization, especially when coupled with stigma and social disadvantage...
February 2018: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
https://www.readbyqxmd.com/read/29349881/speech-and-language-therapists-perspectives-of-therapeutic-alliance-construction-and-maintenance-in-aphasia-rehabilitation-post-stroke
#15
Michelle Lawton, Karen Sage, Gillian Haddock, Paul Conroy, Laura Serrant
BACKGROUND: Therapeutic alliance refers to the interactional and relational processes operating during therapeutic interventions. It has been shown to be a strong determinant of treatment efficacy in psychotherapy, and evidence is emerging from a range of healthcare and medical disciplines to suggest that the construct of therapeutic alliance may in fact be a variable component of treatment outcome, engagement and satisfaction. Although this construct appears to be highly relevant to aphasia rehabilitation, no research to date has attempted to explore this phenomenon and thus consider its potential utility as a mechanism for change...
January 18, 2018: International Journal of Language & Communication Disorders
https://www.readbyqxmd.com/read/29345224/therapy-interventions-for-children-with-neurodisabilities-a-qualitative-scoping-study
#16
Bryony Beresford, Susan Clarke, Jane Maddison
BACKGROUND: Therapy interventions emerged four times in the top 10 research priorities in a James Lind Alliance research prioritisation exercise for children with neurodisabilities (Morris C, Simkiss D, Busk M, Morris M, Allard A, Denness J, et al. Setting research priorities to improve the health of children and young people with neurodisability: a British Academy of Childhood Disability-James Lind Alliance Research Priority Setting Partnership. BMJ Open 2015;5:e006233). The National Institute for Health Research (NIHR) commissioned this study as part of an information-gathering exercise in response to this...
January 2018: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29343158/placebo-effects-in-traumatic-brain-injury
#17
Ginger Polich, Mary Alexis Iaccarino, Ted J Kaptchuk, Leon Morales-Quezada, Ross Zafonte
In recent years, several randomized controlled trials evaluating pharmaceutical treatments for traumatic brain injury (TBI) have failed to demonstrate efficacy over placebo, with both active and placebo arms improving at comparable rates. These findings could be viewed in opposing ways, suggesting on the one hand failure of the tested outcome, but representing on the other, evidence of robust placebo effects in TBI. In this article, we examine several of the primary psychological processes driving placebo effects (verbal suggestion, cognitive re-framing, interpersonal interactions, conditioning, therapeutic alliance, anxiety reduction) as well as placebo neurobiology (top-down cortical regulation, reward system activation, dopaminergic and serotonergic neurotransmission)...
January 17, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29331185/-patients-and-caregivers-in-the-treatment-of-addictions
#18
Anne Coppel
Since the 1980s, risk and harm reduction has been a public health issue in the area of addictions. A new approach has been adopted with drug users, who are considered as patients like any other and players in their own health care. The therapeutic alliance with the caregiver is therefore essential.
January 2018: Revue de L'infirmière
https://www.readbyqxmd.com/read/29330176/therapists-experiences-with-a-new-treatment-combining-physical-exercise-and-dietary-therapy-the-ped-t-for-eating-disorders-an-interview-study-in-a-randomised-controlled-trial-at-the-norwegian-school-of-sport-sciences
#19
Maria Bakland, Jorunn Sundgot-Borgen, Rolf Wynn, Jan H Rosenvinge, Annett Victoria Stornæs, Gunn Pettersen
OBJECTIVES: The aim of the current study is to explore how therapists running a guided physical exercise and dietary therapy programme (PED-t) experience their contribution to the treatment of patients with bulimia nervosa and binge eating disorder. METHODS: Ten therapists running the PED-t were semistructurally interviewed and the transcribed interviews were analysed using a systematic text condensation approach. SETTING: The study was run within the context of a randomised controlled trial at the Norwegian School of Sport Sciences...
January 11, 2018: BMJ Open
https://www.readbyqxmd.com/read/29327405/from-non-encounters-to-autonomic-agency-conceptions-of-patients-with-low-back-pain-about-their-encounters-in-the-health-care-system
#20
Riikka Holopainen, Arja Piirainen, Ari Heinonen, Jaro Karppinen, Peter O'Sullivan
Low back pain is a considerable health problem which affects people around the world, causing major healthcare costs. The use of qualitative research methods enables us to describe and understand patients' experience of, and attitudes to, healthcare. The aim of the present phenomenographic study was to identify and describe the contextual nature of the conceptions of patients with low back pain of their encounters in the HCS. Seventeen patients with chronic or episodic low back pain classified as "high risk" were interviewed in open recall interviews, using videos of patients' initial physiotherapy sessions that had been recorded previously...
January 12, 2018: Musculoskeletal Care
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