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Psychotherapy integration

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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
#1
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
#2
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
#3
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
#4
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
#5
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
https://www.readbyqxmd.com/read/27881113/psychotherapy-integration-under-scrutiny-investigating-the-impact-of-integrating-emotion-focused-components-into-a-cbt-based-approach-a-study-protocol-of-a-randomized-controlled-trial
#6
Anna Babl, Martin Grosse Holtforth, Sara Heer, Mu Lin, Annabarbara Stähli, Dominique Holstein, Martina Belz, Yvonne Egenolf, Eveline Frischknecht, Fabian Ramseyer, Daniel Regli, Emma Schmied, Christoph Flückiger, Jeannette Brodbeck, Thomas Berger, Franz Caspar
BACKGROUND: This currently recruiting randomized controlled trial investigates the effects of integrating components of Emotion-Focused Therapy (EFT) into Psychological Therapy (PT), an integrative form of cognitive-behavioral therapy in a manner that is directly mirroring common integrative practice in the sense of assimilative integration. Aims of the study are to understand how both, an existing therapy approach as well as the elements to be integrated, are affected by the integration and to clarify the role of emotional processing as a mediator of therapy outcome...
November 24, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27869470/terminating-supervision
#7
Alytia A Levendosky, Christopher J Hopwood
The focus of this paper is on the termination of clinical supervision. Although clinical supervision is considered the backbone of most mental health training programs, it gets relatively little theoretical or empirical attention. The termination of supervision has received even less attention. In this paper, we describe an approach to terminating supervision in our treatment team, which integrates intensive assessment with a relational perspective in a clinical science training program (Levendosky & Hopwood, 2016)...
November 21, 2016: Psychotherapy
https://www.readbyqxmd.com/read/27862293/a-meta-analysis-of-third-wave-mindfulness-based-cognitive-behavioral-therapies-for-older-people
#8
Naoko Kishita, Yuko Takei, Ian Stewart
OBJECTIVES: The aim of this study is to review the effectiveness of third wave mindfulness-based cognitive behavioral therapies (CBTs) for depressive or anxiety symptomatology in older adults across a wide range of physical and psychological conditions. METHODS: Electronic literature databases were searched for articles, and random-effects meta-analysis was conducted. RESULTS: Ten studies met the inclusion criteria, of which nine reported the efficacy of interventions on depressive symptoms and seven on anxiety symptoms...
November 11, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27854264/integrated-exposure-based-therapy-for-co-occurring-post-traumatic-stress-disorder-ptsd-and-substance-dependence-predictors-of-change-in-ptsd-symptom-severity
#9
Katherine L Mills, Emma L Barrett, Sabine Merz, Julia Rosenfeld, Philippa L Ewer, Claudia Sannibale, Amanda L Baker, Sally Hopwood, Sudie E Back, Kathleen T Brady, Maree Teesson
This paper examines factors associated with change in PTSD symptom severity among individuals randomised to receive an integrated exposure-based psychotherapy for PTSD and substance dependence-Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE). Outcomes examined include change in PTSD symptom severity as measured by the Clinician Administered PTSD Scale (CAPS), and the reliability and clinical significance of change in PTSD symptom severity. Factors examined include patient baseline characteristics, treatment characteristics, and events over follow-up...
November 15, 2016: Journal of Clinical Medicine
https://www.readbyqxmd.com/read/27853854/-dissemination-of-psychotherapy-modules-for-traumatized-refugees-experience-gained-from-trauma-work-in-crisis-and-conflict-regions
#10
T Elbert, S Wilker, M Schauer, F Neuner
With each additional accumulative exposure to severe and traumatic stressors, the likelihood of developing mental health problems and physical diseases increases. Displaced individuals have usually experienced a number of serious threats to health due to organized violence in their home country or attacks during the flight. Frequently, domestic violence adds additional strain to the stressors experienced. The resulting impairments in psychosocial functioning reduce the resources needed for social adjustment and integration...
November 16, 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27824635/predictive-neuroimaging-markers-of-psychotherapy-response-a-systematic-review
#11
Trisha Chakrabarty, John Ogrodniczuk, George Hadjipavlou
INTRODUCTION: Predictive neuroimaging markers of treatment response are increasingly sought in order to inform the treatment of major depressive and anxiety disorders. We review the existing literature regarding candidate predictive neuroimaging markers of psychotherapy response and assess their potential clinical utility. METHODS: We searched Embase, PsycINFO, and PubMed up to October 2014 for studies correlating pretreatment neuroimaging parameters with psychotherapy response in major depressive and anxiety disorders...
November 2016: Harvard Review of Psychiatry
https://www.readbyqxmd.com/read/27804900/resource-activation-for-treating-post-traumatic-stress-disorder-co-morbid-symptoms-and-impaired-functioning-a-randomized-controlled-trial-in-cambodia
#12
C Steinert, P J Bumke, R L Hollekamp, A Larisch, F Leichsenring, H Mattheß, S Sek, U Sodemann, M Stingl, T Ret, H Vojtová, W Wöller, J Kruse
BACKGROUND: Mental health morbidity in post-conflict settings is high. Nevertheless, randomized controlled trials of psychotherapy on site are rare. Our aim was to integrate rigorous research procedures into a humanitarian programme and test the efficacy of resource activation (ROTATE) in treating post-traumatic stress disorder (PTSD), co-morbid symptoms and impaired functioning in Cambodia. METHOD: A total of 86 out-patients with PTSD were randomly assigned to five sessions of ROTATE (n = 53) or a 5-week waiting-list control (WLC) condition (n = 33)...
November 2, 2016: Psychological Medicine
https://www.readbyqxmd.com/read/27804007/general-overview-of-psychotherapeutic-practice-in-poland-results-from-a-nationwide-survey
#13
Hubert Suszek, Lidia Grzesiuk, Rafał Styła, Krzysztof Krawczyk
A total of 1196 persons conducting psychotherapy in Poland fully completed a nationwide online survey (or, alternatively, a paper and pencil enquiry) concerning their education, training, experience, and clinical work (professional environment, patients treated). The results are described in detail and compared with findings of similar studies from other countries. Among the primary findings were: (1) psychotherapy in Poland is conducted mostly by women (80 %); (2) almost all participants have an MA degree (91 %), including 75...
November 2, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27797546/uncontrolled-pilot-study-of-an-acceptance-and-commitment-therapy-and-health-at-every-size-intervention-for-obese-depressed-women-accept-yourself
#14
Margit I Berman, Stephanie N Morton, Mark T Hegel
Depression and obesity frequently co-occur, but providing adequate treatment to depressed obese women is challenging because existing treatments for each problem in isolation are suboptimal, and treatments to address one problem may exacerbate the other. This study used an uncontrolled, pretreatment-to-posttreatment design, with 3-month follow-up, to evaluate the feasibility and outcome of a novel, self-acceptance-based treatment for obese women with depression, "Accept Yourself!" Accept Yourself! is an 11-week manualized, group-based intervention that integrates Health At Every Size (an evidence-based paradigm to enhance physical health) and Acceptance and Commitment Therapy (an evidence-based psychotherapy often used to treat depression and eating-related concerns) to improve the physical and mental health of obese, depressed women without encouraging weight loss...
December 2016: Psychotherapy
https://www.readbyqxmd.com/read/27783865/implementation-and-sustainability-of-child-parent-psychotherapy-the-role-of-reflective-consultation-in-the-learning-collaborative-model
#15
Carmen Rosa Noroña, Michelle L Acker
Recent implementation science in mental health has focused on identifying the most effective strategies to disseminate and implement evidence-based treatments (EBTs) into real-world practice settings. The learning collaborative training methodology and its use of expert trainers/consultants have become increasingly popular as one of these approaches. Moreover, there is preliminary evidence that ongoing expert consultation may increase the adoption, learning, and sustainability of EBTs by an already practicing workforce and, consequently, help trainers, practitioners, and organizations address implementation barriers...
November 2016: Infant Mental Health Journal
https://www.readbyqxmd.com/read/27772015/the-narrative-emotion-process-coding-system-2-0-a-multi-methodological-approach-to-identifying-and-assessing-narrative-emotion-process-markers-in-psychotherapy
#16
Lynne E Angus, Tali Boritz, Emily Bryntwick, Naomi Carpenter, Christianne Macaulay, Jasmine Khattra
OBJECTIVE: Recent studies suggest that it is not simply the expression of emotion or emotional arousal in session that is important, but rather it is the reflective processing of emergent, adaptive emotions, arising in the context of personal storytelling and/or Emotion-Focused Therapy (EFT) interventions, that is associated with change. METHOD: To enhance narrative-emotion integration specifically in EFT, Angus and Greenberg originally identified a set of eight clinically derived narrative-emotion integration markers were originally identified for the implementation of process-guiding therapeutic responses...
October 24, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27766698/narrative-changes-predict-a-decrease-in-symptoms-in-cbt-for-depression-an-exploratory-study
#17
Miguel M Gonçalves, Joana Ribeiro Silva, Inês Mendes, Catarina Rosa, António P Ribeiro, João Batista, Inês Sousa, Carlos F Fernandes
OBJECTIVE: Innovative moments (IMs) are new and more adjusted ways of thinking, acting, feeling and relating that emerge during psychotherapy. Previous research on IMs has provided sustainable evidence that IMs differentiate recovered from unchanged psychotherapy cases. However, studies with cognitive behavioural therapy (CBT) are so far absent. The present study tests whether IMs can be reliably identified in CBT and examines if IMs and symptoms' improvement are associated. METHODS: The following variables were assessed in each session from a sample of six cases of CBT for depression (a total of 111 sessions): (a) symptomatology outcomes (Outcome Questionnaire-OQ-10) and (b) IMs...
October 20, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27745536/enhancing-the-reach-of-cognitive-behavioral-therapy-targeting-posttraumatic-stress-in-acute-care-medical-settings
#18
Doyanne Darnell, Stephen O'Connor, Amy Wagner, Joan Russo, Jin Wang, Leah Ingraham, Kirsten Sandgren, Douglas Zatzick
OBJECTIVE: Injured patients presenting to acute care medical settings have high rates of posttraumatic stress disorder (PTSD) and comorbidities, such as depression and substance use disorders. Integrating behavioral interventions that target symptoms of PTSD and comorbidities into the acute care setting can overcome common barriers to obtaining mental health care. This study examined the feasibility and acceptability of embedding elements of cognitive-behavioral therapy (CBT) in the delivery of routine postinjury care management...
October 17, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27744529/course-of-psychiatric-comorbidity-and-utilization-of-mental-health-care-after-laryngeal-cancer-a-prospective-cohort-study
#19
J Keszte, H Danker, A Dietz, E Meister, F Pabst, O Guntinas-Lichius, J Oeken, S Singer, A Meyer
In a German multi-center prospective cohort study, we wanted to assess the course of psychiatric comorbidity, utilization of mental health care and psychosocial care needs in laryngeal cancer patients during the first year after partial laryngectomy (PRL). Structured interviews with patients were conducted before surgery, 1 week (1 w), 3 months (3 m) and 1 year (12 m) after PRL. Psychiatric comorbidity was assessed using the Structured Clinical Interview for DSM-IV (SCID). Psychosocial care needs and utilization of mental health care were evaluated with standardized face-to-face interviews...
October 15, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27719859/functional-voice-disorders-clinical-presentations-and-differential-diagnosis
#20
J Baker
In this chapter, an overview of the heterogeneous group of functional voice disorders is given, including the psychogenic voice disorder (PVD) and hyperfunctional or muscle tension voice disorder (MTVD) subgroups. Reference is made to prevalence and demographic data, with empiric evidence for psychosocial factors commonly associated with the onset and maintenance of these disorders. Clinical features that distinguish between the different presentations of PVD and MTVD are described. While there are some shared characteristics, key differences between these two subgroups indicate that PVD more closely resembles the psychogenic movement disorders and a range of other functional neurologic disorders...
2017: Handbook of Clinical Neurology
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