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Psychotherapy integration

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https://www.readbyqxmd.com/read/28185977/the-central-role-of-relationships-to-trauma-informed-integrated-care-for-children-and-youth
#1
Jonathan D Brown, Melissa A King, Lawrence S Wissow
OBJECTIVE: Primary care plays an essential role in the primary and secondary prevention of children's mental health problems. A growing series of trials have demonstrated the capacity of primary care providers to deliver care that specifically addresses risks to healthy social and emotional development by incorporating mental health services into their routines and integrating their work with the mental health care system. This paper describes elements common to various integration schemes that seem essential to their success...
February 6, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28159142/group-psychotherapy-with-transgender-and-gender-nonconforming-adults-evidence-based-practice-applications
#2
REVIEW
Nicholas C Heck
Although there are descriptions of transgender-affirmative group psychotherapy services in the literature, there is limited research on the topic. Mental health professionals who plan to offer such services should draw on evidence-based treatments, where appropriate, and have a working knowledge of current standards of care, practice guidelines, and counseling competencies. This article reviews and synthesizes the existing research and scholarship on this topic, placing an emphasis on group-specific competencies and intervention components that can be integrated into psychotherapy groups for transgender and gender nonconforming clients...
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28152083/group-qigong-for-adolescent-inpatients-with-anorexia-nervosa-incentives-and-barriers
#3
Juliette Gueguen, Marie-Aude Piot, Massimiliano Orri, Andrea Gutierre, Jocelyne Le Moan, Sylvie Berthoz, Bruno Falissard, Nathalie Godart
BACKGROUND: Qigong is a mind-body intervention focusing on interoceptive awareness that appears to be a promising approach in anorexia nervosa (AN). In 2008, as part of our multidimensional treatment program for adolescent inpatients with AN, we began a weekly qigong workshop that turned out to be popular among our adolescent patients. Moreover psychiatrists perceived clinical benefits that deserved further exploration. METHODS AND FINDINGS: A qualitative study therefore sought to obtain a deeper understanding of how young patients with severe AN experience qigong and to determine the incentives and barriers to adherence to qigong, to understanding its meaning, and to applying it in other contexts...
2017: PloS One
https://www.readbyqxmd.com/read/28143760/pretreatment-biomarkers-predicting-ptsd-psychotherapy-outcomes-a-systematic-review
#4
REVIEW
Peter J Colvonen, Lisa H Glassman, Laura D Crocker, Melissa M Buttner, Henry Orff, Dawn M Schiehser, Sonya B Norman, Niloofar Afari
Although our understanding of the relationship between posttraumatic stress disorder (PTSD), brain structure and function, neural networks, stress-related systems, and genetics is growing, there is considerably less attention given to which biological markers predict evidence-based PTSD psychotherapy outcomes. Our systematic PRISMA-informed review of 20 studies examined biomarkers as predictors of evidence-based PTSD psychotherapy outcomes. Results provide preliminary evidence that specific structural and functional neural systems (involved in information processing), glucocorticoid sensitivity and metabolism (part of the hypothalamic-pituitary-adrenal axis and the response to stress), heart rate (involved with fear habituation), gene methylation, and certain genotypes (associated with serotonin and glucocorticoids) predicted positive response to PTSD treatment...
January 28, 2017: Neuroscience and Biobehavioral Reviews
https://www.readbyqxmd.com/read/28117906/the-effects-of-psychotherapy-treatment-on-outcome-in-bulimia-nervosa-examining-indirect-effects-through-emotion-regulation-self-directed-behavior-and-self-discrepancy-within-the-mediation-model
#5
Carol B Peterson, Kelly C Berg, Ross D Crosby, Jason M Lavender, Erin C Accurso, Anna C Ciao, Tracey L Smith, Marjorie Klein, James E Mitchell, Scott J Crow, Stephen A Wonderlich
OBJECTIVE: The purpose of this investigation was to examine the indirect effects of Integrative Cognitive-Affective Therapy (ICAT-BN) and Cognitive-Behavioral Therapy-Enhanced (CBT-E) on bulimia nervosa (BN) treatment outcome through three hypothesized maintenance variables: emotion regulation, self-directed behavior, and self-discrepancy. METHOD: Eighty adults with BN were randomized to 21 sessions of ICAT-BN or CBT-E. A regression-based bootstrapping approach was used to test the indirect effects of treatment on outcome at end of treatment through emotion regulation and self-directed behavior measured at mid-treatment, as well as the indirect effects of treatment at follow-up through emotion regulation, self-directed behavior, and self-discrepancy measured at end of treatment...
January 24, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28110087/internal-and-external-attention-and-the-default-mode-network
#6
Hannah J Scheibner, Carsten Bogler, Tobias Gleich, John-Dylan Haynes, Felix Bermpohl
Focused attention meditations have been shown to improve psychological health and wellbeing and are nowadays an integral part of many psychotherapies. While research on the neural correlates of focused attention meditation is increasing, findings vary on whether meditations are associated with high or low activity in the default mode network (DMN). To clarify the relationship between focused attention meditation and the activity in DMN regions, it may be helpful to distinguish internal and external attention as well as different phases within one meditation: During focused attention meditation, the practitioner switches between mindful attention, mind-wandering and refocusing...
January 18, 2017: NeuroImage
https://www.readbyqxmd.com/read/28080123/treating-adult-survivors-of-childhood-emotional-abuse-and-neglect-a-new-framework
#7
Frances K Grossman, Joseph Spinazzola, Marla Zucker, Elizabeth Hopper
This article provides the outline of a new framework for treating adult survivors of childhood emotional abuse and neglect. Component-based psychotherapy (CBP) is an evidence-informed model that bridges, synthesizes, and expands upon several existing schools, or theories, of treatment for adult survivors of traumatic stress. These include approaches to therapy that stem from more classic traditions in psychology, such as psychoanalysis, to more modern approaches including those informed by feminist thought...
2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/28078729/achieving-full-scope-of-practice-readiness-using-evidence-for-psychotherapy-teaching-in-web-and-hybrid-approaches-in-psychiatric-mental-health-advanced-practice-nursing-education
#8
Kathleen T McCoy
: Radical changes in role, education, and practice have affected how education of advance practice nurses and practice deliverables occur. PURPOSE: This article examines the effects of distance education upon the teaching/learning of psychotherapy in integrating Web-based technology and platforms. DESIGN AND METHODS: With the advent and proliferation of online programs of study, the question begs: How do distance-linked programs successfully introduce, practice, and supervise one-to-one and group psychotherapy training? FINDINGS: By employing evidence-based education strategies, technology, and strong interpersonal skills and evidence-based therapies, a charter Psychiatric Mental Health Nurse Practitioner Doctor of Nursing Practice program paved an innovative and successful path...
January 12, 2017: Perspectives in Psychiatric Care
https://www.readbyqxmd.com/read/28076671/a-randomized-trial-of-collaborative-care-for-perinatal-depression-in-socioeconomically-disadvantaged-women-the-impact-of-comorbid-posttraumatic-stress-disorder
#9
Nancy K Grote, Wayne J Katon, Joan E Russo, Mary Jane Lohr, Mary Curran, Erin Galvin, Kathy Carson
OBJECTIVE: The comorbidity of posttraumatic stress disorder (PTSD) with antenatal depression poses increased risks for postpartum depression and may delay or diminish response to evidence-based depression care. In a secondary analysis of an 18-month study of collaborative care for perinatal depression, the authors hypothesized that pregnant, depressed, socioeconomically disadvantaged women with comorbid PTSD would show more improvement in the MOMCare intervention providing Brief Interpersonal Psychotherapy and/or antidepressants, compared to intensive public health Maternity Support Services (MSS-Plus)...
November 2016: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/28045351/primary-care-mental-health-integration-in-the-va-health-system-associations-between-provider-staffing-and-quality-of-depression-care
#10
Debra S Levine, John F McCarthy, Brittany Cornwell, Laurie Brockmann, Paul N Pfeiffer
OBJECTIVES: The study examined whether staffing of Primary Care-Mental Health Integration (PCMHI) services in the Department of Veterans Affairs (VA) health system is related to quality of depression care. METHODS: Site surveys and administrative data from 349 VA facilities for fiscal year 2013 were used to calculate PCMHI staffing (full-time equivalents) per 10,000 primary care patients and discipline-specific staffing proportions for PCMHI psychologists, social workers, nurses, and psychiatric medication prescribers...
January 3, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27995840/storm-impact-and-depression-among-older-adults-living-in-hurricane-sandy-affected-areas
#11
Jo Anne Sirey, Jacquelin Berman, Ashley Halkett, Nancy Giunta, Janice Kerrigan, Elmira Raeifar, Amanda Artis, Samprit Banerjee, Patrick J Raue
OBJECTIVE: Research on the impact of natural disasters on the mental health of older adults finds both vulnerabilities and resilience. We report on the rates of clinically significant depression among older adults (aged ≥60 years) living in areas affected by Hurricane Sandy in 2012 and the factors associated with mental health need. METHODS: The Sandy Mobilization, Assessment, Referral and Treatment for Mental Health (SMART-MH) program integrates community outreach and needs assessments to identify older adults with mental health and aging service needs...
December 20, 2016: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/27990326/brain-mechanisms-of-change-in-addictions-treatment-models-methods-and-emerging-findings
#12
Tammy Chung, Antonio Noronha, Kathleen M Carroll, Marc N Potenza, Kent Hutchison, Vince D Calhoun, John D E Gabrieli, Jon Morgenstern, Sara Jo Nixon, Bruce E Wexler, Judson Brewer, Lara Ray, Francesca Filbey, Timothy J Strauman, Hedy Kober, Sarah W Feldstein Ewing
Increased understanding of "how" and "for whom" treatment works at the level of the brain has potential to transform addictions treatment through the development of innovative neuroscience-informed interventions. The 2015 Science of Change meeting bridged the fields of neuroscience and psychotherapy research to identify brain mechanisms of behavior change that are "common" across therapies, and "specific" to distinct behavioral interventions. Conceptual models of brain mechanisms underlying effects of Cognitive Behavioral Therapy, mindfulness interventions, and Motivational Interviewing were discussed...
September 2016: Current Addiction Reports
https://www.readbyqxmd.com/read/27977277/integration-in-psychotherapy-reasons-and-challenges
#13
Héctor Fernández-Álvarez, Andrés J Consoli, Beatriz Gómez
Although integration has been formally influencing the field of psychotherapy since the 1930s, its impact gained significant momentum during the 1980s. Practical, theoretical, and scientific reasons help to explain the growing influence of integration in psychotherapy. The field of psychotherapy is characterized by many challenges which integration may change into meaningful opportunities. Nonetheless, many obstacles remain when seeking to advance integration. To appreciate the strength of integration in psychotherapy we describe an integrative, comprehensive approach to service delivery, research, and training...
November 2016: American Psychologist
https://www.readbyqxmd.com/read/27977276/2016-award-for-distinguished-contributions-to-the-international-advancement-of-psychology-h%C3%A3-ctor-fern%C3%A3-ndez-%C3%A3-lvarez
#14
(no author information available yet)
The Award for Distinguished Contributions to the International Advancement of Psychology is given to individuals who have made sustained and enduring contributions to international cooperation and the advancement of knowledge in psychology. The 2016 award winner is Héctor Fernández-Álvarez, who "has woven a sophisticated network of international cooperation in psychotherapy research, training, and service provision throughout Latin America, Europe, and the United States." He was selected for his outstanding, innovative contributions to psychotherapy integration, clinical supervision, and the personal style of the therapist...
November 2016: American Psychologist
https://www.readbyqxmd.com/read/27936901/psychosomatic-patients-in-integrated-care-which-treatment-mediators-do-we-have-to-focus-on
#15
Karoline Parth, Ania Rosar, Kurt Stastka, Timo Storck, Henriette Löffler-Stastka
The field of psychosomatics has gained increasing significance; it has been struggling to establish its position as either an independent discipline or a subdomain of specific areas such as internal medicine or psychiatry. However, the rise of psychosomatic syndromes and disease patterns as well as an increase of specific integrated psychosomatic wards is a clear indication for the growing importance of interdisciplinary approaches to psychosomatic disorders. The study presents data from an 8-week inpatient treatment at a psychosomatic facility and investigates whether patients improved in their subjective symptom experience...
2016: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/27909877/association-between-mental-health-staffing-level-and-primary-care-mental-health-integration-level-on-provision-of-depression-care-in-veteran-s-affairs-medical-facilities
#16
Denise C Cooper, Christian D Helfrich, Stephen M Thielke, Ranak B Trivedi, Karin M Nelson, Gayle E Reiber, Evercita C Eugenio, Kristine Beaver, Julie Nugent-Carney, Vincent S Fan
We examined the association of mental health staffing and the utilization of primary care/mental health integration (PCMHI) with facility-level variations in adequacy of psychotherapy and antidepressants received by Veterans with new, recurrent, and chronic depression. Greater likelihood of adequate psychotherapy was associated with increased (1) PCMHI utilization by recurrent depression patients (AOR 1.02; 95% CI 1.00, 1.03); and (2) staffing for recurrent (AOR 1.03; 95% CI 1.01, 1.06) and chronic (AOR 1.02; 95% CI 1...
December 1, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27893529/the-role-of-theory-specific-techniques-and-therapeutic-alliance-in-promoting-positive-outcomes-integrative-psychotherapy-for-world-trade-center-responders
#17
Peter Tejas Haugen, Aditi Sinha Werth, Alyce Lauren Foster, Jesse Owen
World Trade Center responders demonstrate high symptom burden, underscoring the importance of refining treatment approaches for this cohort. One method is examining the impact of therapy techniques on outcomes, and the interactions between technique and alliance on outcomes. This study a) examined the interaction of early treatment techniques on integrative psychotherapy outcomes and b) explored whether associations differed at varying levels of alliance. Twenty-nine adult responders diagnosed with partial or full posttraumatic stress disorder received outpatient psychotherapy and completed weekly measures of alliance, technique, and symptom distress...
December 2016: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/27893346/the-preoedipal-and-oedipal-structure-of-termination-an-in-depth-case-study
#18
Trevor Lubbe
Much has been written about the Oedipus complex as a central organizing focus for the understanding of early developmental attainments as well as for the structuring of the personality, but nowhere are triangular forces more vitally active, clinically, than in the termination phase. The decision to end, once agreed upon, typically sets in motion a symmetrical process in which two dynamics occur concurrently. First, what drives the termination is a mourning process in which the primary task is to relinquish the analyst as a transference object and to establish the analyst as an internal object...
December 2016: Psychoanalytic Review
https://www.readbyqxmd.com/read/27893345/quo-vadis-the-future-of-psychoanalysis
#19
Mauricio Cortina
Although contemporary psychoanalysis is split into different schools and traditions, there is growing support for some of the main tenets of contemporary psychodynamic thinking from attachment theory, infant research, developmental psychopathology, new models of motivation, the neuroscience of emotions and emotional regulation, and the discovery of different implicit and explicit memory systems. These tenets, which psychodynamic clinicians of all stripes encounter in their daily work with clients, are the following: (1) that large footprints are left over from infancy and childhood which involved insensitive, intrusive, frightening, or shaming care; (2) the carryover of these relational experiences into adulthood are expressed as unconscious expectations and attributions we make of others (transference and countertransference; (3) defensive processes and emotional regulation and deregulatory patterns develop to cope with these unhealthy relations...
December 2016: Psychoanalytic Review
https://www.readbyqxmd.com/read/27893150/client-accounts-of-corrective-experiences-in-psychotherapy-implications-for-clinical-practice
#20
Lynne Angus, Michael J Constantino
The Patient Perceptions of Corrective Experiences in Individual Therapy (PPCEIT; Constantino, Angus, Friedlander, Messer, & Moertl, 2011) posttreatment interview guide was developed to provide clinical researchers with an effective mode of inquiry to identify and further explore clients' firsthand accounts of corrective and transformative therapy experiences and their determinants. Not only do findings from the analysis of client corrective experience (CE) accounts help identify what and how CEs happen in or as a result of psychotherapy, but the measure itself may also provide therapists with an effective tool to further enhance clients' awareness, understanding, and integration of transformative change experiences...
November 28, 2016: Journal of Clinical Psychology
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