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https://www.readbyqxmd.com/read/28303109/the-effect-of-abuse-history-on-adolescent-patients-with-feeding-and-eating-disorders-treated-through-psychodynamic-therapy-comorbidities-and-outcome
#1
Annamaria M Strangio, Lucio Rinaldi, Gianluigi Monniello, Leuconoe Grazia Sisti, Chiara de Waure, Luigi Janiri
OBJECTIVES: The first aim of our study was to compare the characteristics and comorbidities of patients with eating disorders between those who suffered from a childhood abuse and those who did not. Our second aim was to analyze the differences in the outcome of the psychodynamic therapy between abused and not abused patients. METHODS: Twenty-six adolescent patients with eating disorders were assessed. Adolescent were evaluated by a single expert psychiatrist by checklists and questionnaires: EDI 3, SCL 90, BIS11, Dissociative Experiences Scale, Global Assessment of Functioning, SCID II, and CTQ-Self control (SF)...
2017: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/28292331/the-ghent-psychotherapy-study-gps-on-the-differential-efficacy-of-supportive-expressive-and-cognitive-behavioral-interventions-in-dependent-and-self-critical-depressive-patients-study-protocol-for-a-randomized-controlled-trial
#2
Reitske Meganck, Mattias Desmet, Claudi Bockting, Ruth Inslegers, Femke Truijens, Melissa De Smet, Rosa De Geest, Kimberly Van Nieuwenhove, Vicky Hennissen, Goedele Hermans, Tom Loeys, Ufuoma Angelica Norman, Chris Baeken, Stijn Vanheule
BACKGROUND: Major depressive disorder is a leading cause of disease burden worldwide, indicating the importance of effective therapies. Outcome studies have shown overall efficacy of different types of psychotherapy across groups, yet large variability within groups. Although patient characteristics are considered crucial in understanding outcome, they have received limited research attention. This trial aims at investigating the interaction between therapeutic approach (pre-structured versus explorative) and the personality style of patients (dependent versus self-critical), which is considered a core underlying dimension of depressive pathology...
March 14, 2017: Trials
https://www.readbyqxmd.com/read/28291968/integrative-treatment-of-personality-disorder-part-i-psychotherapy
#3
Mirjana Divac Jovanovic, Dragan Svrakic
In this paper, we outline the concept of integrative therapy of borderline personality, also referred to as fragmented personality, which we consider to be the core psychopathology underlying all clinical subtypes of personality disorder. Hence, the terms borderline personality, borderline disorder, fragmented personality, and personality disorder are used interchangeably, as synonyms. Our integrative approach combines pharmacotherapy and psychotherapy, each specifically tailored to accomplish a positive feedback modulation of their respective effects...
March 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28291035/borderline-or-schizotypal-differential-psychodynamic-assessment-in-severe-personality-disorders
#4
Laura VAN Riel, Theo J M Ingenhoven, Quin D VAN Dam, Marike G Polak, Meinte G Vollema, Anne E Willems, Han Berghuis, Harold VAN Megen
Considerable overlap in symptoms between patients with borderline personality disorder (BPD) and schizotypal personality disorder (STPD) complicates personality diagnostics. Yet very little is known about the level of psychodynamic functioning of both personality disorders. Psychodynamic assessment procedures may specify personality characteristics relevant for differential diagnosis and treatment planning. In this cross-sectional study we explored the differences and similarities in level of personality functioning and psychodynamic features of patients with severe BPD or STPD...
March 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28288592/transfer-of-manualized-short-term-psychodynamic-psychotherapy-stpp-for-social-anxiety-disorder-into-clinical-practice-results-from-a-cluster-randomised-controlled-trial
#5
Jörg Wiltink, Christian Ruckes, Jürgen Hoyer, Falk Leichsenring, Peter Joraschky, Frank Leweke, Karin Pöhlmann, Manfred E Beutel
BACKGROUND: Despite growing evidence for manualized psychodynamic treatments, there is a lack of studies on their transfer to routine practice. This is the first study to examine the effects of an additional training in manualized Short Term Psychodynamic Psychotherapy (STPP) on the outcome in routine psychotherapy for social anxiety disorder (SAD). The study is an extension to a large RCT comparing STPP to Cognitive-Behavioral Therapy of SAD. METHODS: The manualized treatment was designed for a time limited approach with 25 individual sessions of STPP over 6 months...
March 14, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28287191/-history-of-clinical-psychiatry-of-sapienza-university-of-rome-in-policlinico-umberto-i
#6
Maria Antonietta Coccanari De' Fornari, Angela Iannitelli, Massimo Biondi
The present article intends to go over the history of the Psychiatric Clinic of the Sapienza University of Rome, starting from the beginning of the teaching of Psychiatry at Santa Maria della Pietà mental hospital, back in 1871, to the eventual founding, at the University "La Sapienza" and the Umberto I general hospital, of the Institute of Psychiatric Clinic and next of the Nervous and Mental Diseases' Clinic with the enclosed specialization school in Psychiatry. A detailed overview is supplied on the characters of the eminent scientists who have succeeded over time at the head of the Clinic and on the description of its different organization, conceived by each of them because of their educational and cultural roots...
January 2017: Rivista di Psichiatria
https://www.readbyqxmd.com/read/28266318/a-randomised-controlled-trial-of-intensive-short-term-dynamic-psychotherapy-for-treatment-resistant-depression-the-halifax-depression-study
#7
Joel M Town, Allan Abbass, Chris Stride, Denise Bernier
BACKGROUND: While short-term psychodynamic psychotherapies have been shown effective for major depression, it is unclear if this could be a treatment of choice for depressed patients, many of whom have chronic and complex health issues, who have not sufficiently responded to treatment. METHOD: This superiority trial used a single blind randomised parallel group design to test the efficacy of time-limited Intensive Short-Term Dynamic Psychotherapy (ISTDP) for treatment resistant depression (TRD)...
March 2, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28263650/supportive-expressive-interventions-in-working-through-treatment-termination
#8
Aviv Nof, Liat Leibovich, Sigal Zilcha-Mano
Supportive-expressive (SE) psychodynamic treatment has been receiving much empirical support. It is based on conceptualizing and working through the patients' Core Conflictual Relationship Theme, which includes their main wish (W) in the context of an interpersonal relationship, an actual or anticipated subjective response from the other (RO) in relation to the W, and the subsequent emotional and behavioral response from the self (RS) to the RO. Studies suggest that the RO and RS components show the greatest change as a result of effective SE treatment...
March 2017: Psychotherapy
https://www.readbyqxmd.com/read/28261907/significant-change-events-in-psychodynamic-psychotherapy-is-cognition-or-emotion-more-important
#9
Kye L McCarthy, Peter Caputi, Brin F S Grenyer
OBJECTIVE: Significant change events are helpful moments within a psychotherapy session that have been shown in previous research to relate strongly to outcome. They are special moments and therefore provide rich data for research into understanding therapeutic process. This study investigated clinical and linguistic features of these helpful moments using and comparing both human ratings and computerized text analysis strategies. METHOD: Significant change events versus non-event passages were studied within 1195 word blocks of transcribed psychotherapy for 20 participants with diagnoses of comorbid depression and personality disorder...
March 6, 2017: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/28251242/-delusions-current-psychodynamic-and-neurocognitive-approaches
#10
REVIEW
R Knorr, K Hoffmann
BACKGROUND: The symptom "delusions" is a central psychopathological symptom in psychiatric diseases. Since the beginning of psychiatry various disciplines have attempted to explain and understand delusions but even now no generally accepted definition of this phenomenon exists. AIM: A comprehensive review of current psychopathological and neurobiological theories of delusions is given. MATERIAL AND METHODS: PubMed and Google scholar searches were performed using the keywords "delusion", "psychodynamic" and "neurobiology", both in English and German...
March 1, 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/28249086/efficacy-of-psychotherapies-for-borderline-personality-disorder-a-systematic-review-and-meta-analysis
#11
Ioana A Cristea, Claudio Gentili, Carmen D Cotet, Daniela Palomba, Corrado Barbui, Pim Cuijpers
Importance: Borderline personality disorder (BPD) is a debilitating condition, but several psychotherapies are considered effective. Objective: To conduct an updated systematic review and meta-analysis of randomized clinical trials to assess the efficacy of psychotherapies for BPD populations. Data Sources: Search terms were combined for borderline personality and randomized trials in PubMed, PsycINFO, EMBASE, and the Cochrane Central Register of Controlled Trials (from database inception to November 2015), as well as the reference lists of earlier meta-analyses...
March 1, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/28248567/physician-psychodynamic-psychiatrist-psychoanalyst-academic-editor-and-artist-in-recognition-of-the-contributions-of-joseph-silvio
#12
César A Alfonso
No abstract text is available yet for this article.
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28248565/learning-psychodynamic-psychotherapy-in-southeast-asia
#13
Jiann Lin Loo, Jin Kiat Ang, Natasha Subhas, Brian Kong Wai Ho, Hazli Zakaria, César A Alfonso
The subjective nature of psychodynamic psychotherapy (PP) makes training and supervision more abstract compared to other forms of psychotherapy. The issues encountered in the learning and supervision process of PP of Malaysian psychiatry trainees are discussed in this article. Issues of preparation before starting PP, case selection, assessment of patients, dynamic formulations, supervision, anxieties in the therapy, countertransference, termination of therapy, the treatment alliance, transfer of care, the therapeutic setting, and bioethical considerations are explored...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28248563/promoting-behavioral-change-in-psychoanalytic-treatments
#14
Fredric N Busch
One of the shibboleths of psychoanalysis is that treatment should not target behavioral change, focusing instead on gaining insight and the therapeutic relationship (Freud, 1917; 1923; Gabbard, 2014; Greenson, 1967). Such an approach is believed to be accompanied by disruptions of exploration or problematic distortions of the transference (Freud, 1917; 1923; Gabbard, 2014; Greenson, 1967). However, ignoring behavioral change can put patients at increased risk for stalemates in treatment and persistent problematic behaviors that interfere with improvement and impair relationships...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28248562/breaking-through-to-the-other-side-a-resident-explores-the-benefits-of-time-limited-psychodynamic-therapy-for-patients-with-schizophrenia
#15
Zoë Thomas
This article recounts the case of a patient with schizophrenia engaged in time-limited psychodynamic psychotherapy with a psychiatry resident-the first case history of its type to the author's knowledge. This patient suffered from chronically debilitating schizophrenia with persistent positive and negative symptoms at the time of treatment, despite usual psychiatric management. He benefited significantly from 18 weekly sessions of weekly dynamic therapy, achieving symptom reduction, increased social involvement, and improved functioning-gains that were sustained at 9-month follow-up...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28248560/borderline-personality-disorder-treatment-from-the-contextual-perspective
#16
REVIEW
Michael H Stone
In relation to the psychotherapy of borderline personality disorder (BPD), the contextual model embraces the subjective components that operate alongside the more readily objectifiable elements of the medical model. The latter include the guidelines of the various psychodynamic and cognitive approaches, the randomized control trials of these approaches, follow-up studies, and data from MRI and other neurophysiological tests. The contextual model focuses on less easily measurable factors that comprise the real relationship between therapist and patient, including the heterogeneity in the BPD domain...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28220660/sarcoma-survivors-perspectives-on-their-body-image-and-functional-quality-of-life-post-resection-limb-salvage-surgery
#17
Myra F Taylor, Julie A Pooley
Sarcomas often occur in patients' extremities and treatment typically involves bone resection/limb salvage surgery. Such treatments leave survivors with physical disfigurements, functional disabilities, and/or emotional traumas. Our post-surgery psychological intervention investigated how these experiences impinge on sarcoma survivors' lives. Twenty-three survivors aged 19-60 years (M = 36 years) participated in a tri-disciplinary (rehabilitative exercise, plastic surgery and psychological) intervention...
February 21, 2017: European Journal of Cancer Care
https://www.readbyqxmd.com/read/28219288/the-human-figure-and-urban-ground-cyborgs-and-the-city
#18
Aaron Parkhurst
Recent years have seen developments in cyborgian movements in which people play and experiment with the boundaries of human flesh and aesthetic realities. Some individuals develop novel intimate relationships with devices that, each in their own way, interfere with human subjectivity. Public dissemination of these movements often proposes notions of transcendence, therapy, post-humanism and trans-humanism, but often fails to outline the lived-experience of those who explore cyborgian identity as an alternative mode of being in the world...
July 2016: New Bioethics: a Multidisciplinary Journal of Biotechnology and the Body
https://www.readbyqxmd.com/read/28210235/clinical-case-studies-in-psychoanalytic-and-psychodynamic-treatment
#19
REVIEW
Jochem Willemsen, Elena Della Rosa, Sue Kegerreis
This manuscript provides a review of the clinical case study within the field of psychoanalytic and psychodynamic treatment. The method has been contested for methodological reasons and because it would contribute to theoretical pluralism in the field. We summarize how the case study method is being applied in different schools of psychoanalysis, and we clarify the unique strengths of this method and areas for improvement. Finally, based on the literature and on our own experience with case study research, we come to formulate nine guidelines for future case study authors: (1) basic information to include, (2) clarification of the motivation to select a particular patient, (3) information about informed consent and disguise, (4) patient background and context of referral or self-referral, (5) patient's narrative, therapist's observations and interpretations, (6) interpretative heuristics, (7) reflexivity and counter-transference, (8) leaving room for interpretation, and (9) answering the research question, and comparison with other cases...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28184315/mental-capacity-and-borderline-personality-disorder
#20
Karyn Ayre, Gareth S Owen, Paul Moran
The use of the Mental Capacity Act 2005 in assessing decision-making capacity in patients with borderline personality disorder (BPD) is inconsistent. We believe this may stem from persisting confusion regarding the nosological status of personality disorder and also a failure to recognise the fact that emotional dysregulation and characteristic psychodynamic abnormalities may cause substantial difficulties in using and weighing information. Clearer consensus on these issues is required in order to provide consistent patient care and reduce uncertainty for clinicians in what are often emergency and high-stakes clinical scenarios...
February 2017: BJPsych Bulletin
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