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Peter Fonagy

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https://www.readbyqxmd.com/read/29665515/a-naturalistic-longitudinal-study-of-extended-inpatient-treatment-for-adults-with-borderline-personality-disorder-an-examination-of-treatment-response-remission-and-deterioration
#1
J Christopher Fowler, Joshua D Clapp, Alok Madan, Jon G Allen, B Christopher Frueh, Peter Fonagy, John M Oldham
BACKGROUND: Experts express reluctance to hospitalize patients with borderline personality disorder (BPD) for more than a few days, arguing that extended inpatient care leads to deterioration and adverse events. To date, there is no empirical support for these assertions. AIMS: The current study examined the assumption of iatrogenic effects among BPD adults. METHODS: Clinically significant and reliable change in symptoms, functional capacities, and adverse events were quantified for both inpatients with BPD (n = 245) and a well-matched inpatient reference (n = 220) sample...
August 1, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29463590/which-patients-benefit-specifically-from-short-term-psychodynamic-psychotherapy-stpp-for-depression-study-protocol-of-a-systematic-review-and-meta-analysis-of-individual-participant-data
#2
Ellen Driessen, Allan A Abbass, Jacques P Barber, Mary Beth Connolly Gibbons, Jack J M Dekker, Marjolein Fokkema, Peter Fonagy, Steven D Hollon, Elise P Jansma, Saskia C M de Maat, Joel M Town, Jos W R Twisk, Henricus L Van, Erica Weitz, Pim Cuijpers
INTRODUCTION: Short-term psychodynamic psychotherapy (STPP) is an empirically supported treatment that is often used to treat depression. However, it is largely unclear if certain subgroups of depressed patients can benefit specifically from this treatment method. We describe the protocol for a systematic review and meta-analysis of individual participant data (IPD) aimed at identifying predictors and moderators of STPP for depression efficacy. METHOD AND ANALYSIS: We will conduct a systematic literature search in multiple bibliographic databases (PubMed, PsycINFO, Embase...
February 20, 2018: BMJ Open
https://www.readbyqxmd.com/read/29373967/personality-dimensions-emerging-during-adolescence-and-young-adulthood-are-underpinned-by-a-single-latent-trait-indexing-impairment-in-social-functioning
#3
Ela Polek, Peter B Jones, Pasco Fearon, Jeannette Brodbeck, Michael Moutoussis, Nspn Consortium, Ray Dolan, Peter Fonagy, Edward T Bullmore, Ian M Goodyer
BACKGROUND: Personality with stable behavioural traits emerges in the adolescent and young adult years. Models of putatively distinct, but correlated, personality traits have been developed to describe behavioural styles including schizotypal, narcissistic, callous-unemotional, negative emotionality, antisocial and impulsivity traits. These traits have influenced the classification of their related personality disorders. We tested if a bifactor model fits the data better than correlated-factor and orthogonal-factor models and subsequently validated the obtained factors with mental health measures and treatment history...
January 26, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29325701/developmental-cognitive-neuroscience-using-latent-change-score-models-a-tutorial-and-applications
#4
REVIEW
Rogier A Kievit, Andreas M Brandmaier, Gabriel Ziegler, Anne-Laura van Harmelen, Susanne M M de Mooij, Michael Moutoussis, Ian M Goodyer, Ed Bullmore, Peter B Jones, Peter Fonagy, Ulman Lindenberger, Raymond J Dolan
Assessing and analysing individual differences in change over time is of central scientific importance to developmental neuroscience. However, the literature is based largely on cross-sectional comparisons, which reflect a variety of influences and cannot directly represent change. We advocate using latent change score (LCS) models in longitudinal samples as a statistical framework to tease apart the complex processes underlying lifespan development in brain and behaviour using longitudinal data. LCS models provide a flexible framework that naturally accommodates key developmental questions as model parameters and can even be used, with some limitations, in cases with only two measurement occasions...
November 22, 2017: Developmental Cognitive Neuroscience
https://www.readbyqxmd.com/read/29276055/morphometric-similarity-networks-detect-microscale-cortical-organization-and-predict-inter-individual-cognitive-variation
#5
Jakob Seidlitz, František Váša, Maxwell Shinn, Rafael Romero-Garcia, Kirstie J Whitaker, Petra E Vértes, Konrad Wagstyl, Paul Kirkpatrick Reardon, Liv Clasen, Siyuan Liu, Adam Messinger, David A Leopold, Peter Fonagy, Raymond J Dolan, Peter B Jones, Ian M Goodyer, Armin Raznahan, Edward T Bullmore
Macroscopic cortical networks are important for cognitive function, but it remains challenging to construct anatomically plausible individual structural connectomes from human neuroimaging. We introduce a new technique for cortical network mapping based on inter-regional similarity of multiple morphometric parameters measured using multimodal MRI. In three cohorts (two human, one macaque), we find that the resulting morphometric similarity networks (MSNs) have a complex topological organization comprising modules and high-degree hubs...
January 3, 2018: Neuron
https://www.readbyqxmd.com/read/29275697/the-economic-cost-of-treatment-resistant-depression-in-patients-referred-to-a-specialist-service
#6
Paul McCrone, Felicitas Rost, Leonardo Koeser, Iakovina Koutoufa, Stephanie Stephanou, Martin Knapp, David Goldberg, David Taylor, Peter Fonagy
BACKGROUND: Patients with treatment-resistant depression (TRD) suffer very significant morbidity and are at a disadvantage concerning optimal clinical management. There are high associated societal costs. AIMS: A detailed analysis of health economic costs in the United Kingdom in a group manifesting a severe form of TRD in the 12 months before their participation in a major randomized controlled treatment trial. METHODS: The sample consisted of 118 participants from the Tavistock Adult Depression Study...
December 23, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/29274746/structural-covariance-networks-are-coupled-to-expression-of-genes-enriched-in-supragranular-layers-of-the-human-cortex
#7
Rafael Romero-Garcia, Kirstie J Whitaker, František Váša, Jakob Seidlitz, Maxwell Shinn, Peter Fonagy, Raymond J Dolan, Peter B Jones, Ian M Goodyer, Edward T Bullmore, Petra E Vértes
Complex network topology is characteristic of many biological systems, including anatomical and functional brain networks (connectomes). Here, we first constructed a structural covariance network from MRI measures of cortical thickness on 296 healthy volunteers, aged 14-24 years. Next, we designed a new algorithm for matching sample locations from the Allen Brain Atlas to the nodes of the SCN. Subsequently we used this to define, transcriptomic brain networks by estimating gene co-expression between pairs of cortical regions...
May 1, 2018: NeuroImage
https://www.readbyqxmd.com/read/29177462/cohort-profile-the-nspn-2400-cohort-a-developmental-sample-supporting-the-wellcome-trust-neuroscience-in-psychiatry-network
#8
Beatrix Kiddle, Becky Inkster, Gita Prabhu, Michael Moutoussis, Kirstie J Whitaker, Edward T Bullmore, Raymond J Dolan, Peter Fonagy, Ian M Goodyer, Peter B Jones
No abstract text is available yet for this article.
February 1, 2018: International Journal of Epidemiology
https://www.readbyqxmd.com/read/29135441/mentalizing-attachment-and-epistemic-trust-how-psychotherapy-can-promote-resilience
#9
Peter Fonagy, Chloe Campbell
No abstract available.
2017: Psychiatria Hungarica: A Magyar Pszichiátriai Társaság Tudományos Folyóirata
https://www.readbyqxmd.com/read/29135440/-peter-fonagy-on-epistemic-trust
#10
Mária Simon
No abstract available.
2017: Psychiatria Hungarica: A Magyar Pszichiátriai Társaság Tudományos Folyóirata
https://www.readbyqxmd.com/read/29107398/the-stress-reward-mentalizing-model-of-depression-an-integrative-developmental-cascade-approach-to-child-and-adolescent-depressive-disorder-based-on-the-research-domain-criteria-rdoc-approach
#11
REVIEW
Patrick Luyten, Peter Fonagy
The Research Domain Criteria (RDoC) propose a much-needed change in approach to the study of vulnerability factors implicated in mental disorders, shifting away from a categorical, disease-oriented model to a dimensional approach that focuses on underlying systems implicated in psychopathology. In this paper we illustrate this approach with a focus on the emergence of depression in childhood and adolescence. Based on evolutionary biological and developmental psychopathology considerations, we present an integrative developmental cascade model of depression that essentially suggests that depression emerges out of a three-pronged series of interacting impairments in the domains of stress regulation, reward, and mentalizing...
October 9, 2017: Clinical Psychology Review
https://www.readbyqxmd.com/read/29057596/the-anaclitic-introjective-depression-assessment-development-and-preliminary-validity-of-an-observer-rated-measure
#12
Felicitas Rost, Patrick Luyten, Peter Fonagy
BACKGROUND: The two-configurations model developed by Blatt and colleagues offers a comprehensive conceptual and empirical framework for understanding depression. This model suggests that depressed patients struggle, at different developmental levels, with issues related to dependency (anaclitic issues) or self-definition (introjective issues), or a combination of both. AIMS: This paper reports three studies on the development and preliminary validation of the Anaclitic-Introjective Depression Assessment, an observer-rated assessment tool of impairments in relatedness and self-definition in clinical depression based on the item pool of the Shedler-Westen Assessment Procedure...
March 2018: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28985628/a-mentalization-based-approach-to-common-factors-in-the-treatment-of-borderline-personality-disorder
#13
REVIEW
Anthony Bateman, Chloe Campbell, Patrick Luyten, Peter Fonagy
In this paper we conceptualize borderline personality disorder as a disorder of mentalizing, social cognition, and loss of resilience. Several treatment approaches are effective, and meta-analyses suggest that there are few substantive differences in effectiveness between them and between specialized and non-specialized approaches. We propose that these findings arise because of shared mechanisms of change, congruent with current thinking both about the existence of a general 'p' factor of psychopathology and a reconceptualization of personality disorders as involving a lack of resilience resulting from problems with epistemic trust and salutogenesis, the capacity to derive benefit from the social environment...
September 14, 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28968563/changes-in-interpersonal-problems-in-the-psychotherapeutic-treatment-of-depression-as-measured-by-the-inventory-of-interpersonal-problems-a-systematic-review-and-meta-analysis
#14
REVIEW
Tara McFarquhar, Patrick Luyten, Peter Fonagy
BACKGROUND: Interpersonal problems are commonly reported by depressed patients, but the effect of psychotherapeutic treatment on them remains unclear. This paper reviews the effectiveness of psychotherapeutic interventions for depression on interpersonal problems as measured by the Inventory of Interpersonal Problems (IIP). METHODS: An electronic database search identified articles reporting IIP outcome scores for individual adult psychotherapy for depression. A systematic review and, where possible, meta-analysis was conducted...
January 15, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28935341/conduct-problems-in-youth-and-the-rdoc-approach-a-developmental-evolutionary-based-view
#15
REVIEW
Peter Fonagy, Patrick Luyten
Problems related to aggression in young people are traditionally subsumed under the header of conduct problems, which include conduct disorder and oppositional defiant disorder. Such problems in children and adolescents are an important societal and mental health problem. In this paper we present an evolutionarily informed developmental psychopathology view of conduct problems inspired by the NIMH Research Domain Criteria (RDoC) initiative. We assume that while there are many pathways to conduct problems, chronic or temporary impairments in the domain of social cognition or mentalizing are a common denominator...
September 8, 2017: Clinical Psychology Review
https://www.readbyqxmd.com/read/28836679/commentary-a-refresh-for-evidence-based-psychological-therapies-reflections-on-marchette-and-weisz-2017
#16
Peter Fonagy, Elizabeth Allison
Is the introduction of evidence-based psychotherapy into mainstream child and adolescent mental health services (CAMHS) a breakthrough for a scientific approach to child mental health? Or are we still in the dark ages despite our best efforts to link evidence with practice (EBP)?
September 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/28803782/emotion-regulation-in-adolescents-an-erp-study
#17
Alex Desatnik, Tarik Bel-Bahar, Tobias Nolte, Michael Crowley, Peter Fonagy, Pasco Fearon
AIMS: The use of emotion regulation strategies can reduce the intensity of negative emotional experiences. Event related potentials (ERPs), specifically the late positive potential (LPP), are known to be sensitive to this modulation in adults. This is the first study to explore the neural correlates of expressive suppression in adolescents. We sought to replicate previous findings from emotion regulation studies with adult populations, show that the LPP can be modulated by expressive suppression in healthy adolescents, and examine the influence of age on LPP changes...
August 10, 2017: Biological Psychology
https://www.readbyqxmd.com/read/28803093/parental-reflective-functioning-as-a-moderator-of-child-internalizing-difficulties-in-the-context-of-child-sexual-abuse
#18
Karin Ensink, Michaël Bégin, Lina Normandin, Peter Fonagy
The objective was to examine pathways from child sexual abuse (CSA) and maternal mentalizing to child internalizing and externalizing difficulties and to test a model of MRF as a moderator of the relationships between CSA and child difficulties. The sample was comprised of 154 mothers and children aged 2-12 where 64 children had experienced CSA. To assess parental mentalizing the Parental Development Interview was rated with the Parental Reflective Functioning Scale. Child internalizing and externalizing difficulties were assessed with the Child Behavior Checklist (CBCL)...
July 26, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28748608/four-years-comparative-follow-up-evaluation-of-community-based-step-down-and-residential-specialist-psychodynamic-programmes-for-personality-disorders
#19
Marco Chiesa, Antonella Cirasola, Peter Fonagy
Although the fulcrum of service provision for personality disorder (PD) has shifted from hospital-based to psychodynamically- and cognitively-oriented outpatient programmes, very few studies have attempted to compare specialist moderate intensity outpatient programmes with specialist high-intensity residential models, or to explore whether a period of inpatient treatment may be necessary to improve outcome and prognosis. In this article, we prospectively compare changes over a 4-year period in 3 groups of patients with personality disorders (N = 162) treated in a specialist community-based (CBP, N = 30), a step-down (RT-CBP, N = 87), and a specialist residential programme (RT, N = 45) in psychiatric distress, deliberate self-injury, and suicide attempt using multilevel modelling and multivariate logistic regression analyses...
November 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28745146/disorganized-attachment-in-infancy-a-review-of-the-phenomenon-and-its-implications-for-clinicians-and-policy-makers
#20
Pehr Granqvist, L Alan Sroufe, Mary Dozier, Erik Hesse, Miriam Steele, Marinus van Ijzendoorn, Judith Solomon, Carlo Schuengel, Pasco Fearon, Marian Bakermans-Kranenburg, Howard Steele, Jude Cassidy, Elizabeth Carlson, Sheri Madigan, Deborah Jacobvitz, Sarah Foster, Kazuko Behrens, Anne Rifkin-Graboi, Naomi Gribneau, Gottfried Spangler, Mary J Ward, Mary True, Susan Spieker, Sophie Reijman, Samantha Reisz, Anne Tharner, Frances Nkara, Ruth Goldwyn, June Sroufe, David Pederson, Deanne Pederson, Robert Weigand, Daniel Siegel, Nino Dazzi, Kristin Bernard, Peter Fonagy, Everett Waters, Sheree Toth, Dante Cicchetti, Charles H Zeanah, Karlen Lyons-Ruth, Mary Main, Robbie Duschinsky
Disorganized/Disoriented (D) attachment has seen widespread interest from policy makers, practitioners, and clinicians in recent years. However, some of this interest seems to have been based on some false assumptions that (1) attachment measures can be used as definitive assessments of the individual in forensic/child protection settings and that disorganized attachment (2) reliably indicates child maltreatment, (3) is a strong predictor of pathology, and (4) represents a fixed or static "trait" of the child, impervious to development or help...
December 2017: Attachment & Human Development
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