A Clinical Strategy to Strengthen the Connection Between Cognition, Emotion, and Behavior: From Philosophical Principles to Psychotherapy Practice

AbstractHelping clients gain insight into the ways in which their thinking influences the expression of emotional distress and maladaptive behavior is an important goal of CBT-based psychotherapies. However, efforts to establish this insight into the connection between dysfunctional beliefs and the consequences of having them (i.e., B –C connection) are often met with resistance. To address this issue in practice, therapists can draw upon certain existential principles underpinning CBT theory. More specifically, practitioners can use the concepts of existential freedom and responsibility, contained in the rational-humanistic vi ew of rational-emotive behavior therapy, to complement current disputation strategies in the object to establish the B–C connection and, importantly, to facilitate cognitive change. Employing in practice what is postulated in theory in such cases is apt to provide individuals with a larger context of human agency in which to consider cognitive mediation.
Source: Journal of Rational-Emotive and Cognitive-Behavior Therapy - Category: Psychiatry & Psychology Source Type: research

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Nature Reviews Gastroenterology &Hepatology, Published online: 26 June 2019; doi:10.1038/s41575-019-0174-2Telephone or web-based psychotherapy has been suggested to be as effective as face-to-face psychotherapy while lowering access restrictions and improving patient acceptability. A large new study in patients with IBS shows the superiority of such an approach in comparison with treatment as usual.
Source: Nature Reviews Gastroenterology and Hepatology - Category: Gastroenterology Authors: Source Type: research
We present the reader with the most recent evidence to support pharmacological, psychosocial, and neuromodulation interventions in PSD. We also discuss the relevance of using antidepressants and psychotherapy to prevent PSD and discuss evidence that antidepressant treatment may reduce mortality after stroke.Recent findingsNeuroinflammation and decrease neurogenesis and plasticity may play an important role in the mechanism of PSD. The strongest predictors of PSD are stroke severity, early physical disability, and severity of loss of functioning. Nevertheless, populations at risk for PSD are yet to be identified. Recent met...
Source: Current Treatment Options in Neurology - Category: Neurology Source Type: research
We examined the strength of the relationship between early response and remission in 82 patients who received naturalistic cognitive-behavior therapy in a private practice setting, and 158 patients who received protocol cognitive therapy in a research setting. We predicted that the relationship between early response and remission would be substantial enough to guide clinical decision making in both samples, and that a simple model of severity at Week 4 of treatment would predict remission as effectively as a more complex change score. Logistic regressions showed that a simple model based on the Week 4 Beck Depression Inve...
Source: Behavior Therapy - Category: Psychiatry & Psychology Authors: Tags: Behav Ther Source Type: research
Conclusions: This meta-analysis showed preliminary evidence for the benefits of RFTs and suggests an intensification of further research efforts. The evidence was most convincing for hypnotherapeutic-systemic interventions as an add-on for cognitive-behavioral therapy. PMID: 31154930 [PubMed - in process]
Source: Zeitschrift fur Psychosomatische Medizin und Psychotherapie - Category: Psychiatry Authors: Tags: Z Psychosom Med Psychother Source Type: research
ConclusionsNeurologists participating in CODES generally found it easy to recruit patients and perceived patient satisfaction as very high. However, 46.5% of neurologists could not offer psychotherapy once the trial had finished, suggesting that problems with lack of access to psychological treatment for dissociative seizures persist.
Source: Seizure - Category: Neurology Source Type: research
This study aimed to compare dialectical behavior therapy (DBT), mindfulness based cognitive therapy (MBCT) and positive psychotherapy (PPT) effects on perceived stress (PS) and quality of life (QOL) among patients with irritable bowel syndrome (IBS). Seventy six eligible patients with a Rome- IV diagnosis were randomly allocated in DBT (n = 18), MBCT (n = 20), PPT (n = 18), and control groups (n = 20). All the patients were evaluated for PS by perceived stress scale (PSS) and QOL by irritable bowel syndrome quality of life (IBS-QOL) on the studied groups at the time o...
Source: Psychiatric Quarterly - Category: Psychiatry Source Type: research
This article will explore the development of my dual professional roles, how my psychoanalytic orientation informed my work with juvenile sexual perpetrators, and how my work with perpetrators both informed and collided with my private psychoanalytic practice. I will provide clinical illustrations, using pseudonyms for my clients and deidentifying and disguising their material, while retaining their dynamics and clinical process. I will share some of what I learned about them and, ultimately, some surprising things I learned about myself in the process. These insights were transformative in that they shed light on both my ...
Source: Journal of Psychotherapy Integration - Category: Psychiatry & Psychology Source Type: research
Different forms of psychotherapy are effective for cluster C personality disorders, but we know less about what in-session processes promote change. Contrasting successful and unsuccessful cases may elucidate processes that facilitate or impede outcome and offer suggestions for clinical practice and future research. In this exploratory outcome–process study, 10 successful and 10 unsuccessful cases were selected from a randomized trial comparing cognitive therapy and short-term psychodynamic psychotherapy for cluster C personality disorders. Videotaped sessions were rated with the Psychotherapy Process Q-Set (PQS). Th...
Source: Psychotherapy: Theory, Research, Practice, Training - Category: Psychiatry & Psychology Source Type: research
You’ve been diagnosed with bipolar disorder, or maybe your loved one has. And you’re wondering, what’s the best treatment? What actually works? What the heck do I do? Because bipolar disorder is a chronic, complex condition, managing it can feel overwhelming and downright confusing. But thankfully there are effective, research-based treatments that really work. Medication is the mainstay of treatment. However, the best way to treat bipolar disorder is with a comprehensive approach, which includes “ongoing psychosocial interventions to help maintain health and to respond to breakthrough symptoms whe...
Source: Psych Central - Category: Psychiatry Authors: Tags: Bipolar Disorders General Psychotherapy Self-Help Treatment Bipolar Disorder bipolar disorder treatment Cbt IPSRT managing bipolar disorder opposite action Source Type: news
AbstractIn the current literature there is a general lack of research examining the impact of causal explanations on beliefs about psychotherapy, willingness to accept treatment, and treatment expectancies. The present study was aimed at experimentally investigating effects of causal explanations for depression on treatment-seeking behavior and beliefs. Participants at a large Southern university (N = 139; 78% female; average age 19.77) received bogus screening results indicating high depression risk, then viewed an explanation of depression etiology (fixed biological vs. malleable biopsychosocial) before rec...
Source: Cognitive Therapy and Research - Category: Psychiatry & Psychology Source Type: research
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