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Therapeutic alliance

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
Yoong Mei Theng, Suzaily Wahab, Noor Alaudin Wahab, Hatta Sidi, Srijit Das
Nicotine dependence has progressively become a foremost community health interest in the both developed and developing nations due to the economic burden and health-related problem. Smoking was significantly higher among patients with schizophrenia in comparison to the general population. Nicotine dependence is not only associated with public stress, but among patients with schizophrenia, smoking brings major challenges to the management. Nicotine may diminish the therapeutic efficacy of the bioavailability of the psychopharmacological agents in-vivo...
October 17, 2017: Current Drug Targets
Stephanie Winkeljohn Black, Jesse Owen, Norah Chapman, Kelly Lavin, Joanna M Drinane, Patty Kuo
The use of client feedback, via self-report measures of psychological functioning and working alliance, is an effective way to improve therapy outcomes. Despite this progress, there are many questions about the mechanisms of change for these systems. The current study employed a case study approach to examine the effectiveness of feedback informed treatment within a psychodynamic therapy. We examined the case based on therapy outcomes, alliance processes, and verbatim dialogue of in-session exchanges. We also conducted a semistructured interview with the therapist to understand how she used and interpreted the feedback within her psychodynamic approach...
November 2017: Journal of Clinical Psychology
Fritz Renner, Robert DeRubeis, Arnoud Arntz, Frenk Peeters, Jill Lobbestael, Marcus J H Huibers
BACKGROUND AND OBJECTIVES: The underlying mechanisms of symptom change in schema therapy (ST) for chronic major depressive disorder (cMDD) have not been studied. The aim of this study was to explore the impact of two potentially important mechanisms of symptom change, maladaptive schemas (proxied by negative idiosyncratic core-beliefs) and the therapeutic alliance. METHODS: We drew data from a single-case series of ST for cMDD. Patients with cMDD (N = 20) received on average 78 repeated weekly assessments over a course of up to 65 individual sessions of ST...
October 6, 2017: Journal of Behavior Therapy and Experimental Psychiatry
Zunyu Ke, Yu Zhao, Chuanling Wang, Zhiyou Cai
Anemia is closely associated with the occurrence and development of ischemic stroke. However, the clinical association between anemia and ischemic stroke remains unclear. We evaluated the clinical features of adult patients of acute cerebral infarction with anemia, and to provide a reference in the treatment of the anemia patients of acute cerebral infarction, and seek a better treatment different from the other non-anemia causes. We found that anemia has rendered valuable service to neuronal damage and subsequent deterioration of acute cerebral infarction in the adults...
October 15, 2017: International Journal of Neuroscience
Craig Mackie, Nicole Dunn, Sarah MacLean, Valerie Testa, Marnin Heisel, Simon Hatcher
BACKGROUND: Blended therapy describes the use of computerised therapy combined with face-to-face therapy to extend the depth, range and nature of the face-to-face therapy. We wanted to develop a treatment manual for a randomised trial of blended therapy combining face-to-face problem solving and a smartphone app in men who present to hospital with self-harm. OBJECTIVE: To develop a treatment manual and to describe the experience of receiving and delivering a blended therapy...
October 13, 2017: Evidence-based Mental Health
Niels Hannibal, Maria Rodrigo Domingo, Jan B Valentin, Rasmus W Licht
Background: No specific instrument has been developed for measuring alliance during music therapy. Objective: To evaluate the feasibility of using the Helping Alliance Questionnaire II (HAq-II) as a self-report measure for individuals receiving treatment for a psychiatric disorder. Specifically, we examined the percent of patients who filled out the questionnaire, and when completed, whether there were any missing items. We also examined internal consistency and associations between patient variables and HAq-II scores...
September 11, 2017: Journal of Music Therapy
Margaret H Sibley, Jonathan S Comer, Jaife Gonzalez
Adolescents with ADHD demonstrate notoriously poor treatment utilization. Barriers to access have been partially addressed through tailored therapy content and therapist delivery style; yet, additional challenges to engaging this population remain. To leverage modern technology in support of this aim, the current study investigates parent-teen therapy for ADHD delivered over a videoconferencing format. In this preliminary feasibility study, teens and parents (N=20) received an empirically supported dyadic therapy that incorporates skills-based modules with motivational interviewing...
September 2017: Journal of Psychopathology and Behavioral Assessment
Cosima Rughiniş, Alexandra Ciocănel, Sorina Vasile
BACKGROUND: We discuss homeopathy's placebo effect as the result of a distributed therapeutic agency involving humans, objects, and texts. Homeopathy has been involved in controversies for centuries, and the dispute whether it is therapy or quackery is as lively as ever. Still, homeopathy has retained significant popularity and acceptance within the medical establishment. AREAS OF UNCERTAINTY: We bracket the issue of biochemical effectiveness of homeopathic remedies as we only discuss homeopathy's potential to elicit a placebo response within its therapeutic alliance, in virtue of its social, symbolic, and material features...
September 27, 2017: American Journal of Therapeutics
Kate Hodgson, Marcia Darling, Douglas Freeman, Alan Monavvari
This research explored whether asking patients about their pets would enable better environmental/social history taking, and improve patient communication/care. Primary health care providers (PHPs) were surveyed about prevalence of patients living with pets, the health impact of pets, and influences on patient communication. Following an educational intervention, they committed to asking patients about their pets. A follow-up survey was conducted electronically. PHPs were recruited at a continuing medical education (CME) conference and at CME workshops...
January 1, 2017: Inquiry: a Journal of Medical Care Organization, Provision and Financing
Marie Louise Rimestad, Mia Skytte O'Toole, Esben Hougaard
OBJECTIVE: The aim was to explore mediators of change in parent training (PT) for 3- to 8-year-old children with ADHD difficulties. METHOD: Parents of 64 children received PT with Incredible Years® and assessed child ADHD symptoms and conduct problems and their parenting strategies, parental self-efficacy, and therapeutic alliance before, during, and after PT. Product-of-coefficients mediation analyses in multilevel models were applied, and causal relations between mediators and outcome were investigated in time-lagged analyses...
September 1, 2017: Journal of Attention Disorders
Lucy Shattock, Katherine Berry, Amy Degnan, Dawn Edge
Therapeutic alliance is a key predictor of therapy outcomes. Alliance may be particularly pertinent for people with schizophrenia as this group often have a history of interpersonal trauma and relationship difficulties including difficult relationships with mental health staff. This review aimed to determine (a) the quality of therapeutic alliance between people with schizophrenia and their therapists; (b) whether alliance predicts therapeutic outcomes; and (c) variables associated with alliance. Databases were searched from inception up to April 2015...
September 29, 2017: Clinical Psychology & Psychotherapy
Nili Solomonov, Kevin S McCarthy, John R Keefe, Bernard S Gorman, Mark Blanchard, Jacques P Barber
OBJECTIVE: The aim of this study was twofold: (a) Investigate whether therapists are consistent in their use of therapeutic techniques throughout supportive-expressive therapy (SET) and (b) Examine the bi-directional relation between therapists' use of therapeutic techniques and the working alliance over the course of SET. METHOD: Thirty-seven depressed patients were assigned to 16 weeks of SET as part of a larger randomized clinical trial (Barber, Barrett, Gallop, Rynn, & Rickels, )...
September 29, 2017: Clinical Psychology & Psychotherapy
Jan Reidar Stiegler, Helge Molde, Elisabeth Schanche
An increasing amount of research suggests that it is beneficial to work explicitly with emotions in psychotherapy. Emotion-focused therapy (EFT) utilizes interventions that are thought to enhance the evocativeness of emotional processing and facilitate explorations of new meaning. The purpose of this study was to examine the effect of such an intervention on therapeutic outcome. The intervention, a two-chair dialogue drawn from emotion-focused therapy, was added to the treatment conditions that consisted of empathically following the clients' emotional processes...
September 27, 2017: Clinical Psychology & Psychotherapy
David Turgoose, Rachel Ashwick, Dominic Murphy
Introduction Despite increases in the number of ex-service personnel seeking treatment for post-traumatic stress disorder (PTSD), there remain a number of barriers to help-seeking which prevents many veterans from accessing psychological therapies. Tele-therapy provides one potential method of increasing the number of veterans accessing support. This review aimed to systematically review the literature in order to summarise what lessons have been learned so far from providing trauma-focused tele-therapies to veterans with PTSD...
January 1, 2017: Journal of Telemedicine and Telecare
C Cipriani, J Pepe, F Bertoldo, G Bianchi, F P Cantatore, A Corrado, M Di Stefano, B Frediani, D Gatti, A Giustina, T Porcelli, G Isaia, M Rossini, L Nieddu, S Minisola, G Girasole, M Pedrazzoni
PURPOSE: The study was aimed at evaluating the prevalence of osteoporosis, defined by BMD and the National Bone Health Alliance (NBHA) criteria, and the prevalence of clinical risk factors for fractures in Italian postmenopausal women. METHODS: This is a cross-sectional, multicenter, cohort study evaluating 3247 postmenopausal women aged ≥ 50 and older in different areas of Italy in the period 2012-2014. All the participants were evaluated as far as anthropometrics; questionnaires for FRAX(®) and DeFRA calculation were administered and bone mineral density was measured at lumbar spine, femoral neck and total hip by DXA...
September 27, 2017: Journal of Endocrinological Investigation
Saskia Spillekom-van Koulil, Maaike Ferwerda, Sylvia van Beugen, Henrià T van Middendorp, Peter C M van de Kerkhof, Piet L C M An Riel, Andrea W M Evers
Chronic somatic conditions, such as psoriasis, arthritis psoriatica and rheumatoid arthritis, have a large impact on patients’ lives. Tailored therapist-guided internet-based cognitive-behavioural therapy (ICBT) has been shown to be effective in improving physical and psychological well-being in these patients. Two cases are presented here, in order to provide an in-depth illustration of the course and content of this novel treatment and to investigate the therapeutic alliance in an online treatment...
September 27, 2017: Acta Dermato-venereologica
Christine M Wienke Totura, Sherecce A Fields, Marc S Karver
OBJECTIVE: Patient nonadherence to psychopharmacological treatment is a significant barrier to effective treatment. The therapeutic relationship is known to be a critical component of effective psychological treatment, but it has received limited study. A meta-analysis was conducted to examine the role of the therapeutic relationship in the delivery of effective psychopharmacological treatment. METHODS: PubMed, PsycINFO, CINAHL, Google Scholar, Ingenta, and the Web of Science-Science Citation Index were searched, including reference lists of found articles...
September 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
Brenda Geiger, Michael Fischer
This study invited 10 of the 22 sex offenders enrolled in a prison-based rehabilitation program in one of the prisons in Israel to engage in the two first of the 4-D ( Discover, Dream, Design, and Deliver) stages of the Appreciative Inquiry . Consistent with the responsivity principle, and the IA tenets, program participants were interviewed to Discover components to which they were responsive and Dream/envision additional ones that would increase engagement and progress. Content analysis of the interviews indicated that despite the initial decision to enrol based on external incentives, participants eventually engaged in group therapy and expressed the desire to understand and regulate their sexual behaviour...
September 1, 2017: International Journal of Offender Therapy and Comparative Criminology
Matteo Cella, Til Wykes
BACKGROUND: Cognitive Remediation (CR) is an evidence based treatment targeting cognitive and functional difficulties in people with psychosis. Despite the large number of effectiveness studies, only limited evidence exists for the active ingredients of this therapy. This study begins to fill this gap by exploring the relationship between CR ingredients, including alliance with a therapist, and therapy outcomes. METHOD: This is a secondary analysis based on data from a published randomised controlled trial comparing CR+treatment-as-usual (TAU) to TAU alone...
September 14, 2017: Schizophrenia Research
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