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Therapeutic alliance

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https://www.readbyqxmd.com/read/28710056/health-related-coping-and-social-interaction-in-people-with-multiple-sclerosis-supported-by-a-social-network-pilot-study-with-a-new-methodological-approach
#1
Luigi Lavorgna, Antonio Russo, Manuela De Stefano, Roberta Lanzillo, Sabrina Esposito, Fatemeh Moshtari, Francesco Rullani, Kyrie Piscopo, Daniela Buonanno, Vincenzo Brescia Morra, Antonio Gallo, Gioacchino Tedeschi, Simona Bonavita
BACKGROUND: Social media are a vital link for people with health concerns who find in Web communities a valid and comforting source for information exchange, debate, and knowledge enrichment. This aspect is important for people affected by chronic diseases like multiple sclerosis (MS), who are very well informed about the disease but are vulnerable to hopes of being cured or saved by therapies whose efficacy is not always scientifically proven. To improve health-related coping and social interaction for people with MS, we created an MS social network (SMsocialnetwork...
July 14, 2017: Interactive Journal of Medical Research
https://www.readbyqxmd.com/read/28693922/shared-decision-making-and-outcomes-in-type-2-diabetes-a-systematic-review-and-meta-analysis
#2
REVIEW
Michael Saheb Kashaf, Elizabeth Tyner McGill, Zackary Dov Berger
OBJECTIVE: Type 2 diabetes is a chronic disease which necessitates the development of a therapeutic alliance between patient and provider. This review systematically examines the association between treatment shared decision-making (SDM) and outcomes in diabetes. METHODS: A range of bibliographic databases and gray literature sources was searched. Included studies were subjected to dual data extraction and quality assessment. Outcomes were synthesized using meta-analyses where reporting was sufficiently homogenous or alternatively synthesized in narrative fashion...
June 27, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28689386/surgical-informed-consent-process-in-neurosurgery
#3
REVIEW
Jaechan Park, Hyojin Park
The doctrine of informed consent, as opposed to medical paternalism, is intended to facilitate patient autonomy by allowing patient participation in the medical decision-making process. However, regrettably, the surgical informed consent (SIC) process is invariably underestimated and reduced to a documentary procedure to protect physicians from legal liability. Moreover, residents are rarely trained in the clinical and communicative skills required for the SIC process. Accordingly, to increase professional awareness of the SIC process, a brief history and introduction to the current elements of SIC, the obstacles to patient autonomy and SIC, benefits and drawbacks of SIC, planning of an optimal SIC process, and its application to cases of an unruptured intracranial aneurysm are all presented...
July 2017: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/28681928/practitioner-review-therapist-variability-patient-reported-therapeutic-alliance-and-clinical-outcomes-in-adolescents-undergoing-mental-health-treatment-a-systematic-review-and-meta-analysis
#4
REVIEW
Regina Murphy, Paul Hutton
BACKGROUND: Previous meta-analyses have only found small correlations (r = .10 to r = .19) between therapeutic alliance and clinical outcomes in samples of adolescents receiving psychological therapy. Although study-level variables have been found to moderate this, little is known about the impact of therapist variability. The present meta-analysis aimed to address this gap by using patient-therapist ratio as a moderator variable. METHODS: Contrary to previous reviews of adolescent alliance, individual effect sizes were extracted using a preregistered conceptual hierarchy...
July 6, 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/28681641/therapeutic-climate-within-a-treatment-program-for-categorical-deniers
#5
Jayson Ware
The purpose of this study was to examine whether the therapeutic climate within a sex offender "deniers" program, where denial was not challenged, would be equivalent to the therapeutic climate within a conventional program where sex offenders were admitting responsibility. Using a sample of 77 sex offenders, therapeutic alliance and group climate were measured early and late in treatment. As expected, therapeutic alliance was more difficult to attain with deniers early in treatment, particularly therapeutic bond; however, by the end of the treatment, there were no significant differences in therapeutic alliance...
July 1, 2017: International Journal of Offender Therapy and Comparative Criminology
https://www.readbyqxmd.com/read/28677200/the-nature-of-the-therapeutic-alliance-between-nurses-and-consumers-with-anorexia-nervosa-in-the-inpatient-setting-a-mixed-methods-study
#6
Joel S Zugai, Jane Stein-Parbury, Michael Roche
AIMS AND OBJECTIVES: To develop a greater understanding of the nature of the inpatient therapeutic alliance between nurses and consumers with Anorexia Nervosa (AN). BACKGROUND: Consumers with AN value interpersonal relationships with nurses, finding these relationships meaningful and therapeutic. It is established that the therapeutic alliance enhances outcomes for consumers with AN. However, establishing the therapeutic alliance in the inpatient setting is considered challenging...
July 5, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28659209/-approaching-psychological-problems-like-a-general-practitioner
#7
P L B J Lucassen, S Postma, T C Olde Hartman, H van Ravesteijn, M J Linssen, J Wolf, D L Gerritsen
An important cause of the high prescription levels of psychotropic medication for psychological symptoms is that these symptoms are assessed according to the same model as applied for physical symptoms, the disease model. This has led to a one-sided medical approach to psychological symptoms. A person-centred approach offers an alternative; the positive aspects of the disease-centred approach are retained and attention for the patient and his/her context become the central focal point for the general practitioner...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28649647/moonshots-and-metastatic-disease-the-need-for-a-multi-faceted-approach-when-studying-atypical-responses
#8
REVIEW
Kristine De La Torre, Elly Cohen, Anne Loeser, Marc Hurlbert
Clinical research generally focuses on results involving a statistical mean with little attention in trial design to patients who respond considerably better or worse than average. Exploring the reasons underlying an "atypical response" will increase understanding of the mechanisms involved in cancer progression and treatment resistance, accelerate biomarker identification, and improve precision medicine by allowing clinicians to prospectively select optimal treatments. Based on our review, we suggest two ways to move this field forward...
2017: NPJ Breast Cancer
https://www.readbyqxmd.com/read/28617252/patient-physician-alliance-from-hippocrates-to-post-genomic-era-commentary
#9
Simonetta Pulciani, Domenica Taruscio
Patients need clinical competence, appropriate diagnosis and therapies in overcoming their disease. Yet this is insufficient. The illness experience tends to frighten people and the resulting emotional aspects could become relevant factors in coping with a sickness and disability. Hippocrates was the first to urge physicians to look beyond the physical features of diseases and to consider the patient as a unique psychosomatic entity. Additionally, the scientist spurred physicians to make the patient an active participant in combating the disease...
April 2017: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/28609147/transference-and-countertransference-a-review
#10
Karoline Parth, Felicitas Datz, Charles Seidman, Henriette Löffler-Stastka
Originally a psychodynamic concept, the therapeutic relationship (also therapeutic alliance, helping alliance or simply alliance) has become a pan-theoretical model for the professional relationship between a therapist and his or her client (Kivlighan, 1995). With the development of this concept in the latter half of the 20th century, psychotherapeutic theory and practice saw a paradigm shift away from strict adherence to technique with little room for responsive, individual behavior from the therapist and toward the "authentic" human relationship at the core of therapy...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28590207/an-integrative-approach-to-treatment-resistant-obsessive-compulsive-disorder
#11
Luke Sy-Cherng Woon, Anita Kanapathy, Hazli Zakaria, César A Alfonso
Obsessive-compulsive disorder (OCD) is a debilitating psychiatric disorder that often runs a chronic unremitting course. Treatment outcomes can be unsatisfactory despite the availability of various somatic and psychological therapies. Psychodynamic psychotherapy in combination with cognitive behavioral therapy (CBT) with exposure and response prevention (ERP) could help patients with treatment-resistant OCD achieve better outcomes. An integrative approach can help patients gain insight, strengthen the therapeutic alliance, improve treatment adherence, and provide symptomatic relief when other treatments seem insufficient or have failed...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28586534/working-alliance-interpersonal-problems-and-depressive-symptoms-in-tele-interpersonal-psychotherapy-for-hiv-infected-rural-persons-evidence-for-indirect-effects
#12
Timothy Anderson, Andrew S McClintock, Shannon S McCarrick, Timothy G Heckman, Bernadette D Heckman, John C Markowitz, Mark Sutton
OBJECTIVE: Interpersonal psychotherapy (IPT) has demonstrated efficacy for the treatment of depression, yet little is known about its therapeutic mechanisms. As a specific treatment, IPT has been shown to directly reduce depressive symptoms, although it is unclear whether these reductions occur via interpersonal changes. Within IPT, the potential role of the working alliance, a common factor, as a predictor of depression and interpersonal changes is also unclear. METHOD: Participants were 147 depressed persons living with HIV in rural communities of 28 U...
June 6, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28581346/therapeutic-alliance-and-group-cohesion-in-an-online-support-program-for-adolescent-and-young-adult-cancer-survivors-lessons-from-recapture-life
#13
Brittany C McGill, Ursula M Sansom-Daly, Claire E Wakefield, Sarah J Ellis, Eden G Robertson, Richard J Cohn
Psychological support services for adolescent and young adults (AYAs) with cancer are moving online and are increasingly peer based. It is unclear whether online service delivery impacts critical therapeutic elements such as collaborative patient-therapist rapport and group cohesion. AYA cancer survivors (N = 39) participating in a six-week online cognitive-behavioral therapy group program-"Recapture Life"-rated their perception of therapeutic alliance and group cohesion. Participant-rated alliance and group cohesion were high throughout the program, and therapist-rated participant openness, trust, and motivation strengthened over time...
June 5, 2017: Journal of Adolescent and Young Adult Oncology
https://www.readbyqxmd.com/read/28581326/patients-crying-experiences-in-psychotherapy-relationship-with-the-patient-level-of-personality-organization-clinician-approach-and-therapeutic-alliance
#14
Pietro Zingaretti, Federica Genova, Francesco Gazzillo, Vittorio Lingiardi
The present study sought to further understand patients' crying experiences in psychotherapy. We asked 64 clinicians to randomly request one patient in their practice to complete a survey concerning crying in psychotherapy as well as a measure of therapeutic alliance. All clinicians provided information regarding their practice and patient diagnostic information. Fifty-five (85.93%) patients cried at least once, and 18 (28.1%) had cried during their most recent session. Patients' frequency of crying episodes in therapy was negatively related with psychotic level of personality organization, while patients' tendency to feel more negative feelings after crying was positively related to lower levels of personality organization...
June 2017: Psychotherapy
https://www.readbyqxmd.com/read/28581325/is-affect-experiencing-therapeutic-in-major-depressive-disorder-examining-associations-between-affect-experiencing-and-changes-to-the-alliance-and-outcome-in-intensive-short-term-dynamic-psychotherapy
#15
Joel M Town, Alison Salvadori, Fredrik Falkenström, Stacy Bradley, Gillian Hardy
Affect experiencing (AE), defined as the facilitation of client in-session bodily arousal and visceral experiencing of affect, is a distinct theoretical process presumed to contribute to therapeutic improvement. This study examined the role of AE in the treatment of major depressive disorder by exploring its association to client distress and therapeutic alliance on a session-by-session basis. A case series design was used to conduct an intensive analysis of the treatment process of 4 clients who received time-limited intensive short-term dynamic psychotherapy, 2 of whom were considered "recovered" and 2 who showed "no change" based upon posttreatment outcomes...
June 2017: Psychotherapy
https://www.readbyqxmd.com/read/28580884/specific-and-common-processes-as-mediators-of-the-long-term-effects-of-cognitive-behavioral-therapy-integrated-with-motivational-interviewing-for-generalized-anxiety-disorder
#16
Michael J Constantino, Henny A Westra, Martin M Antony, Alice E Coyne
OBJECTIVE: A trial of psychotherapy for generalized anxiety disorder (GAD) demonstrated that motivational interviewing (MI) integrated with cognitive-behavioral therapy (CBT) outperformed CBT alone on clients' worry reduction across a 12-month follow-up. In the present study, we hypothesized and tested that less client resistance and greater client-perceived therapist empathy (specific foci of MI) would account for MI's additive effect. Exploratory analyses assessed whether the common processes of homework completion and therapeutic alliance quality mediated the treatment effect...
June 5, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28572255/unmet-needs-in-clinical-research-in-breast-cancer-where-do-we-need-to-go
#17
EDITORIAL
Ann H Partridge, Lisa A Carey
This CCR Focus highlights areas in breast cancer research with the greatest potential for clinical and therapeutic application. The articles in this CCR Focus address the state of the science in a broad range of areas with a focus on "hot" although sometimes controversial topics, unanswered questions, and unmet need. From mutational signatures, the cancer genomic revolution, and new inroads in immunotherapy for breast cancer to unique concerns of vulnerable populations as well as national and global health disparities, these works represent much of the promise of breast cancer research as well as the challenges in the coming years...
June 1, 2017: Clinical Cancer Research: An Official Journal of the American Association for Cancer Research
https://www.readbyqxmd.com/read/28569534/family-caregivers-opinions-about-interaction-with-the-environment-in-consciousness-disorders
#18
Pasquale Moretta, Luigi Trojano, Orsola Masotta, Viviana Cardinale, Vincenzo Loreto, Anna Estraneo
OBJECTIVES: To assess family caregivers' opinions about level of interaction with the environment in their relatives with disorders of consciousness (DOCs) and to explore psychological features of caregivers whose opinions diverge from clinicians' diagnosis. METHOD: Forty-five family caregivers of 38 DOC inpatients without communication abilities answered 2 questions assessing their opinion about level of interaction with the environment in their relatives. Self-report questionnaires were used to evaluate caregivers' depression, anxiety, psychophysiological disturbances, prolonged grief disorder, coping strategies, quality of perceived needs and social support...
May 2017: Rehabilitation Psychology
https://www.readbyqxmd.com/read/28558746/characteristics-of-therapeutic-alliance-in-musculoskeletal-physiotherapy-and-occupational-therapy-practice-a-scoping-review-of-the-literature
#19
Folarin Babatunde, Joy MacDermid, Norma MacIntyre
BACKGROUND: Most conventional treatment for musculoskeletal conditions continue to show moderate effects, prompting calls for ways to increase effectiveness, including drawing from strategies used across other health conditions. Therapeutic alliance refers to the relational processes at play in treatment which can act in combination or independently of specific interventions. Current evidence guiding the use of therapeutic alliance in health care arises largely from psychotherapy and medicine literature...
May 30, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28557687/relating-therapist-characteristics-to-client-engagement-and-the-therapeutic-alliance-in-an-adolescent-custodial-group-substance-misuse-treatment-program
#20
Rachael Anne Daniels, Emma Holdsworth, Carlo Tramontano
BACKGROUND: Client engagement in substance misuse treatment programs is directly associated with positive treatment outcomes. The nature of these programs means there are often difficulties engaging and retaining clients, but authors have consistently found a strong therapeutic alliance is associated with client engagement. While research has focused on the association between the alliance and engagement, the factors that influence the therapeutic alliance have received less attention...
May 30, 2017: Substance Use & Misuse
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