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Therapeutic alliance

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https://www.readbyqxmd.com/read/29222630/-there-s-so-much-to-it-the-ways-physiotherapy-students-and-recent-graduates-experience-practice
#1
S Barradell, T Peseta, S Barrie
Health science courses aim to prepare students for the demands of their chosen profession by learning ways appropriate to that profession and the contexts they will work and live in. Expectations of what students should learn become re-contextualised and translated into entry-level curriculum, with students operating as a connection between what is intended and enacted in curriculum, and required in the real world. Drawing on phenomenology, this paper explores how students understand practice-the collective, purposeful knowing, doing and being of a community-in entry-level physiotherapy programs...
December 8, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29214229/feasibility-trial-of-a-psychoeducational-intervention-for-parents-with-personality-difficulties-the-helping-families-programme
#2
Crispin Day, Jackie Briskman, Mike J Crawford, Lucy Harris, Paul McCrone, Mary McMurran, Paul Moran, Lou Morgan, Stephen Scott, Daniel Stahl, Paul Ramchandani, Timothy Weaver
The Helping Families Programme is a psychoeducational parenting intervention that aims to improve outcomes and engagement for parents affected by clinically significant personality difficulties. This is achieved by working collaboratively with parents to explore ways in which their emotional and relational difficulties impact on parenting and child functioning, and to identify meaningful and realistic goals for change. The intervention is delivered via one-to-one sessions at weekly intervals over a period of 16 weeks...
December 2017: Contemporary Clinical Trials Communications
https://www.readbyqxmd.com/read/29208008/-i-just-feel-comfortable-out-here-there-s-something-about-the-place-staff-and-client-perceptions-of-a-remote-australian-aboriginal-drug-and-alcohol-rehabilitation-service
#3
Alice Munro, Julaine Allan, Anthony Shakeshaft, Courtney Breen
BACKGROUND: The need for effective, culturally safe residential rehabilitation services for Aboriginal people is widely acknowledged, however the combination of treatment components that is optimally effective, is not well defined. Most existing Aboriginal residential rehabilitation research has focused on describing client characteristics, and largely ignored the impact of treatment and service factors, such as the nature and quality of therapeutic components and relationships with staff...
December 6, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/29193417/transforming-nurse-patient-relationships-a-qualitative-study-of-nurse-self-disclosure-in-mental-health-care
#4
Jeanette Varpen Unhjem, Solfrid Vatne, Marit Helene Hem
AIMS AND OBJECTIVES: To describe what and why nurses self-disclose to patients in mental health care. BACKGROUND: Self-disclosure is common, but controversial and difficult to delineate. Extant research suggests that self-disclosure might have several potentially beneficial effects on therapeutic alliance and treatment outcome for patients in mental health care, but results are often mixed and limited by definitional inconsistencies. METHOD: Qualitative descriptive study including data from 16 nurses taking part in participant observation, individual interviews and focus group interviews...
November 29, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29189035/processes-of-change-after-a-sudden-gain-and-relation-to-treatment-outcome-evidence-for-an-upward-spiral
#5
Felix Wucherpfennig, Julian A Rubel, Stefan G Hofmann, Wolfgang Lutz
OBJECTIVE: Sudden gains are sudden symptom improvements from 1 psychotherapy session to the next. This study investigates the processes that may facilitate treatment outcome after a sudden gain occurred. METHOD: A sample of 211 depressed patients who underwent cognitive-behavioral therapy was analyzed. Sudden gains were identified using a session-by-session self-report symptom measure. Patient ratings of general change factors (therapeutic alliance; coping skills) in the sessions before and after a sudden gain were investigated as predictors of outcome...
December 2017: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29181500/perinatal-diagnosis-management-and-follow-up-of-cystic-renal-diseases-a-clinical-practice-recommendation-with-systematic-literature-reviews
#6
Charlotte Gimpel, Fred E Avni, Carsten Bergmann, Metin Cetiner, Sandra Habbig, Dieter Haffner, Jens König, Martin Konrad, Max C Liebau, Lars Pape, Georg Rellensmann, Andrea Titieni, Constantin von Kaisenberg, Stefanie Weber, Paul J D Winyard, Franz Schaefer
Importance: Prenatal and neonatal cystic kidney diseases are a group of rare disorders manifesting as single, multiple unilateral, or bilateral cysts or with increased echogenicity of the renal cortex without macroscopic cysts. They may be accompanied by grossly enlarged kidneys, renal oligohydramnios, pulmonary hypoplasia, extrarenal abnormalities, and neonatal kidney failure. The prognosis is extremely variable from trivial to very severe or even uniformly fatal, which poses significant challenges to prenatal counseling and management...
November 27, 2017: JAMA Pediatrics
https://www.readbyqxmd.com/read/29178338/disorder-and-treatment-specific-therapeutic-competence-scales-for-posttraumatic-stress-disorder-intervention-development-and-psychometric-properties
#7
Clara Dittmann, Meike Müller-Engelmann, Ulrich Stangier, Kathlen Priebe, Thomas Fydrich, Nora Görg, Sophie Rausch, Patricia A Resick, Regina Steil
Although the assessment of therapeutic competence in psychotherapy research is essential for examining its possible associations with treatment outcomes, it is often neglected due to high costs and a lack of valid instruments. This study aimed to develop two therapeutic competence scales that assess disorder-specific and treatment-specific therapeutic competence, and to examine these scales' psychometric properties along with those of the already established Cognitive Therapy Scale (CTS) in a posttraumatic stress disorder (PTSD) sample...
November 27, 2017: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/29169293/qualitative-analysis-of-faith-community-nurse-led-cognitive-behavioral-and-spiritual-counseling-for-dementia-caregivers
#8
Michelle M Kazmer, Robert L Glueckauf, Gabriel Schettini, Jinxuan Ma, Michelle Silva
This article presents themes emerging from semistructured interviews with dementia family caregivers in rural communities who participated in an integrative, cognitive-behavioral and spiritual counseling intervention, and with faith community nurses (FCNs) who delivered the intervention. The primary objectives of the counseling intervention were to ameliorate dementia caregivers' depressive affect and the severity of their self-identified caregiving and self-care problems. The qualitative portion of the study was intended to elicit caregivers' and FCNs' perceptions of the benefits and drawbacks of the intervention...
November 1, 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/29166548/an-exploratory-study-into-therapeutic-alliance-defeat-entrapment-and-suicidality-on-mental-health-wards
#9
Charlotte Dunster, Katherine Berry, Laura Wainwright, Gill Haddock
INTRODUCTION: Suicidality is prevalent worldwide, particularly in people who access mental health services. The quality of therapeutic alliance between people with mental health difficulties and staff has been associated with suicidality but only in community settings. Defeat and entrapment are correlated with suicidality and may mediate any relationship between alliance and suicidality. Therefore this exploratory study explored these relationships in people admitted to mental health wards...
November 22, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/29149891/how-do-occupational-rehabilitation-clinicians-approach-participants-on-long-term-sick-leave-in-order-to-facilitate-return-to-work-a-focus-group-study
#10
M Eftedal, A M Kvaal, E Ree, I Øyeflaten, S Maeland
BACKGROUND: The objective of this study was to explore occupational rehabilitation clinicians' experiences on how to approach their participants on long-term sick leave in order to facilitate return to work (RTW). METHODS: An exploratory qualitative design was used. Four focus groups were conducted with 29 clinicians working on interdisciplinary inpatient and outpatient occupational rehabilitation teams in Norway. The clinicians shared narratives from clinical practice...
November 17, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29148892/impact-of-prognostic-discussions-on-the-patient-physician-relationship-prospective-cohort-study
#11
Joshua J Fenton, Paul R Duberstein, Richard L Kravitz, Guibo Xing, Daniel J Tancredi, Kevin Fiscella, Supriya Mohile, Ronald M Epstein
Purpose Some research has suggested that discussion of prognosis can disrupt the patient-physician relationship. This study assessed whether physician discussion of prognosis is associated with detrimental changes in measures of the strength of the patient-physician relationship. Methods This was a longitudinal cohort study of 265 adult patients with advanced cancer who visited 38 oncologists within community- and hospital-based cancer clinics in Western New York and Northern California. Prognostic discussion was assessed by coding transcribed audio-recorded visits using the Prognostic and Treatment Choices (PTCC) scale and by patient survey at 3 months after the clinic visit...
November 17, 2017: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/29136397/psychiatric-inpatient-nurses-perceptions-of-using-motivational-interviewing
#12
Karen M Ragaisis
BACKGROUND: Motivational interviewing (MI) is an evidence-based intervention that may help inpatient psychiatric nurses understand patient beliefs about medication while simultaneously strengthening the therapeutic alliance. OBJECTIVE: Investigate nurses' perceptions regarding use of motivational interviewing after an educational program. DESIGN: A prospective intervention project. RESULTS: Agreement with consistent use of MI skills declined at one month...
November 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/29119956/-a-study-of-the-effective-psychotherapist-image-and-expectations-about-psychotherapy-among-the-employees-of-hazardous-occupations-policemen
#13
V A Agarkov, S A Bronfman, D Y Maltseva
BACKGRAUND: The objective of the present study was to estimate the expectations about psychotherapy in terms of social and medical rehabilitation among the employees of hazardous occupations suffering from the consequences of a psychological trauma. MATERIAL AND METHODS: A total of 100 subjects employed by various departments of the Russian Ministry of Internal Affairs (MIA) were recruited to participate in the study. Their age varied from 19 to 35 (mean 25.8±3...
2017: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://www.readbyqxmd.com/read/29117458/telephone-based-cbt-and-the-therapeutic-relationship-the-views-and-experiences-of-iapt-practitioners-in-a-low-intensity-service
#14
J Turner, J C Brown, D T Carpenter
INTRODUCTION: Over-the-Telephone (OTT) delivered psychological therapies as an alternative method to face-to-face (F2F) are becoming more prevalent in mental healthcare. Research suggests a range of benefits of OTT use in therapy but there are growing concerns about its consequences for the therapeutic relationship. This paper presents new knowledge regarding psychological practitioners' experience and views of OTT work and its potential effects on the therapeutic relationship in the context of the UK's Increasing Access to Psychological Therapy (IAPT) programme...
November 8, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/29113447/patient-or-person-centred-practice-in-medicine-a-review-of-concepts
#15
Jakobus M Louw, Tessa S Marcus, Johannes F M Hugo
BACKGROUND: Person-centred practice in medicine may provide solutions to several pressing problems in health care, including the cost of services, poor outcomes in chronic care and the rise in litigation. It is also an ethical imperative in itself. However, patient- or person-centred care is not well researched partly because of a lack of conceptual and definitional clarity. AIM: The aim of this review was to analyse essential elements, ethical principles, logic and the practical application of person-centred practice described in clinician- and researcher-defined conceptual frameworks, terms and practices...
October 19, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29105536/the-pseudokinases-sgk269-and-sgk223-a-novel-oncogenic-alliance-in-human-cancer
#16
Rachelle L O'Rourke, Roger J Daly
Sugen kinases (SgK)269 (also known as PEAK1), and SgK223, an orthologue of rat pragmin and mouse NACK, are human pseudokinases that are implicated in the progression of several cancers. Both are scaffolding proteins that recruit distinct repertoires of signalling proteins and regulate a variety of biological endpoints including cell migration and invasion. To date, SgK269 and SgK223 have been largely studied as separate signalling entities. However, recent work has demonstrated that SgK269 and SgK223 undergo homo- and heterotypic association that determines signal output and biological response...
November 6, 2017: Cell Adhesion & Migration
https://www.readbyqxmd.com/read/29066426/techniques-for-improving-communication-of-emotional-content-in-text-only-web-based-therapeutic-communications-systematic-review
#17
Christine Louise Paul, Martine Elizabeth Cox, Hannah Julie Small, Allison W Boyes, Lorna O'Brien, Shiho Karina Rose, Amanda L Baker, Frans A Henskens, Hannah Naomi Kirkwood, Della M Roach
BACKGROUND: Web-based typed exchanges are increasingly used by professionals to provide emotional support to patients. Although some empirical evidence exists to suggest that various strategies may be used to convey emotion during Web-based text communication, there has been no critical review of these data in patients with chronic conditions. OBJECTIVES: The objective of this review was to identify the techniques used to convey emotion in written or typed Web-based communication and assess the empirical evidence regarding impact on communication and psychological outcomes...
October 24, 2017: JMIR Mental Health
https://www.readbyqxmd.com/read/29058453/long-term-acupuncture-therapy-for-low-income-older-adults-with-multimorbidity-a-qualitative-study-of-patient-perceptions
#18
Rachel Pagones, Janet L Lee, Samantha Hurst
OBJECTIVES: Multimorbidity is common, but often poorly managed, among the rapidly growing population of older adults. The existing guidelines followed by physicians frequently lead to polypharmacy and a complex treatment burden. The objective of this study was to explore what benefits are perceived by older adults with multimorbidity as a result of long-term, regular acupuncture treatment. DESIGN: A qualitative design with inductive thematic analysis of semistructured interviews...
October 23, 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/29055854/perceptions-of-socratic-and-non-socratic-presentation-of-information-in-cognitive-behaviour-therapy
#19
Louise E Heiniger, Gavin I Clark, Sarah J Egan
Socratic Method is a style of inquiry used in cognitive behavioural therapy (CBT) that encourages clients to reflect on their problems and draw conclusions from newly-gained insights. However, assumptions about the superior efficacy of Socratic Method over non-Socratic (didactic) approaches remain largely untested. The aim of this study was to compare the perceived helpfulness of therapists' questions, autonomy supportiveness, likelihood of engaging in therapeutic tasks and preference for Socratic Method versus a didactic approach using a video analogue and ratings of lay observers...
September 21, 2017: Journal of Behavior Therapy and Experimental Psychiatry
https://www.readbyqxmd.com/read/29048974/strengthening-the-working-alliance-through-a-clinician-s-familiarity-with-the-12-step-approach
#20
Cory B Dennis, Brian D Roland, Barry M Loneck
BACKGROUND: The working alliance plays an important role in the substance use disorder treatment process. Many substance use disorder treatment providers incorporate the 12-Step approach to recovery into treatment. With the 12-Step approach known among many clients and clinicians, it may well factor into the therapeutic relationship. OBJECTIVE: We investigated how, from the perspective of clients, a clinician's level of familiarity with and in-session time spent on the 12-Step approach might affect the working alliance between clients and clinicians, including possible differences based on a clinician's recovery status...
October 19, 2017: American Journal of Drug and Alcohol Abuse
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