A Qualitative Meta-analytic Review of the Therapist Responsiveness Literature: Guidelines for Practice and Training
AbstractPsychotherapy researchers have developed a body of research on the construct of therapist responsiveness. This literature seeks a clearer picture of how therapists adapt their relational and intervention strategies to their individual clients. The goal of this review was to summarize this literature and generate clinical recommendations. We used the PsycINFO database to identify theoretical papers, case studies, quantitative research, and qualitative research focused upon therapist responsiveness. After exclusion criteria were applied, 75 articles were included in the final thematic analysis. A thematic analysis or...
Source: Journal of Contemporary Psychotherapy - January 17, 2020 Category: Psychiatry & Psychology Source Type: research

Mentalization and Psychosis: A Rationale for the Use of Mentalization Theory to Understand and Treat Non-affective Psychotic Disorder
AbstractSocial functioning can be severely impaired in non-affective psychotic disorder (NAPD). Current models of psychosis pathogenesis do not tend to focus on social dysfunction and pharmacological treatment fails to ameliorate it. In this article, we propose that mentalization theory provides a valuable contribution to the understanding and treatment of NAPD. Impaired mentalizing may contribute to both positive and negatives symptoms as well as social dysfunction observed in NAPD. Furthermore, impaired mentalizing may help explain the relation between childhood abuse, insecure attachment and psychosis. Mentalization bas...
Source: Journal of Contemporary Psychotherapy - January 16, 2020 Category: Psychiatry & Psychology Source Type: research

Dialectical Behavior Therapy Skills and Behavioral Weight Loss for Emotional Eating and Obesity: A Case Study
AbstractLive FREE is a 16-week group intervention for adults with emotional eating and obesity that combines Dialectical Behavior Therapy skills (sessions 1 –9) with standard behavioral weight loss strategies (sessions 10–16). Traditionally, behavioral weight management programs yield inconsistent outcomes, particularly for emotional eaters. Live FREE is predicated on the premise that improved emotion regulation will facilitate greater success in ad opting weight management techniques among emotional eaters. Outcomes are presented with a case study of Amy, a woman who completed Live FREE. Amy reported a history...
Source: Journal of Contemporary Psychotherapy - January 14, 2020 Category: Psychiatry & Psychology Source Type: research

Imagery Rescripting and Exposure in Social Anxiety: A Randomized Trial Comparing Treatment Techniques
AbstractThis randomized trial compared the effects of imagery rescripting against in vivo exposure administered separately during a single session with 27 socially anxious individuals. Previous research shows that imagery rescripting is a promising treatment technique for various disorders including social anxiety, although imagery rescripting and exposure for social anxiety have not yet been compared. Social anxiety self-report measures (LSAS-SR and BFNE-II); the distress, vividness, and frequency of fear images (i.e., Imagery condition); and the levels of anxiety, avoidance, and the strength of convictions of a feared so...
Source: Journal of Contemporary Psychotherapy - December 21, 2019 Category: Psychiatry & Psychology Source Type: research

Young Women Treating Men with Borderline Personality Disorder: A Challenge for Psychotherapy Integration
AbstractYoung female therapists may struggle with treating heterosexual men who adhere to traditional masculine role norms. This challenge is exacerbated when these men present with borderline personality disorder. Certain evidence-based therapeutic interventions such as irreverent humor, confrontation, and teaching mentalization may require female therapists to violate typical female gender role expectations, which could be intimidating for some women. The authors use a clinical case study to demonstrate ways in which a young female therapist confronts her client ’s devaluing behaviors while working through her conf...
Source: Journal of Contemporary Psychotherapy - December 11, 2019 Category: Psychiatry & Psychology Source Type: research

Early Maladaptive Schemas and Cognitive Fusion on the Regulation of Psychological Needs
AbstractPrevious research had associated early maladaptive schemas, cognitive fusion and psychological needs. However, a deeper understanding of these relationships is needed regarding mediational effects of schemas on psychological needs and symptomatology. We aimed to explore the relationships between schema domains, cognitive fusion, psychological needs and symptoms.  Therefore a clinical sample composed of 58 individuals with psychiatric diagnosis, who filled self-reported questionnaires was reanalyzed on a cross-sectional design. Medium to strong correlations between schema domains and dialectical polarities of p...
Source: Journal of Contemporary Psychotherapy - December 7, 2019 Category: Psychiatry & Psychology Source Type: research

Relationships Between Categories: The Context of the Symptom in Practice
AbstractThe current paper introduces a clinical method for experience-near interpretation of transference patterns taking place in the symptom context. This research is a qualitative metasynthetic study. The method of Luborsky ’s Core Conflictual Relationship Themes was conducted here on 33 transference case studies published in peer-reviewed journals and sourced from an appropriate database. Case components were categorized and relationships between them were analyzed using the method of Relationship Between Categories . We found that transferential components observed in the context of the symptom were a powerful s...
Source: Journal of Contemporary Psychotherapy - November 28, 2019 Category: Psychiatry & Psychology Source Type: research

Peggilee Wupperman: Treating Impulsive, Addictive, and Self-Destructive Behaviors: Mindfulness and Modification Therapy
(Source: Journal of Contemporary Psychotherapy)
Source: Journal of Contemporary Psychotherapy - November 23, 2019 Category: Psychiatry & Psychology Source Type: research

Enhancing Empathy in Emotion-Focused Group Therapy for Adolescents with Autism Spectrum Disorder: A Case Conceptualization Model for Interpersonal Rupture and Repair
AbstractAdolescents with autism spectrum disorder (ASD) are vulnerable to trauma-related experiences due to difficulties in emotion recognition, including recognising their own and others ’ emotions, leading to interpersonal conflict and problems in making and maintaining friendships. There are limited intervention methodologies of how to work with interpersonal conflict and relational repair. This paper presents, for the first time, a case conceptualization model of relational rup ture and repair as a clinical strategy to guide therapists working therapeutically with clients with ASD. The model is constructed from a...
Source: Journal of Contemporary Psychotherapy - October 16, 2019 Category: Psychiatry & Psychology Source Type: research

Effects of Dialectical Behavior Therapy on Executive Functions, Emotion Regulation, and Mindfulness in Bipolar Disorder
AbstractBipolar disorder (BD) is a debilitating psychiatric disorder characterized by recurrent depression, manic, and hypomanic episodes. Patients with BD are also likely to experience difficulties with executive functions and emotion regulation. The literature review states that little research has been done on dialectical behavior therapy (DBT) for BD, and there has not been an examination of this therapy on BD patients ’ executive functions and emotion regulation. The present study addresses this absence of research with a pilot study on 60 BD patients. Participants in the intervention group received twelve 90-mi...
Source: Journal of Contemporary Psychotherapy - October 8, 2019 Category: Psychiatry & Psychology Source Type: research

50 Years of Psychotherapy: Erudition, Evolution, and Evaluation
AbstractThe field of psychotherapy has evolved tremendously over the last 50  years. In coordination with the publication of volume 50 of theJournal of Contemporary Psychotherapy, a historical review examines changes in the field. Most published articles have shifted their foundation from theoretical notions based on clinical case material to empirical studies based on treatment-outcome research. Along with these changes, the field has strengthened its scientific foundation, but weakened its clinical application. Overall, a historical review of the past 50  years results in a state of eudaimonia, the feeling of a...
Source: Journal of Contemporary Psychotherapy - September 27, 2019 Category: Psychiatry & Psychology Source Type: research

Emotion-Focused Therapy for Anxiety and Depression in Women with Breast Cancer
AbstractEmerging evidence supports the efficacy of transdiagnostic approaches in the treatment of comorbid conditions. Given that both depression and anxiety disorders have been consistently noted as the most common psychological presentation across site and stage of illness in patients with cancer, psycho-oncology as a specialty may benefit from approaches that implement transdiagnostic approaches to treatment. This paper presents an adaptation of emotion-focused therapy for comorbid anxiety and depression in women with breast cancer. The described approach outlines how the chronic problematic emotion schemes are triggere...
Source: Journal of Contemporary Psychotherapy - August 30, 2019 Category: Psychiatry & Psychology Source Type: research

An Examination of Hope, Symptom Severity, and Functioning Among Combat Veterans After Participation in an Intensive Outpatient Program for PTSD
AbstractImpairment in psychosocial functioning complicates readjustment to civilian life for many combat veterans with PTSD and is related to poorer quality of life. Hope theory posits that both a sense of agency and the ability to identify pathways toward achieving a goal underlie the process of behavior change. We developed an intensive outpatient program (the HOME program) in order to help combat veterans move toward values-driven activities and improve psychosocial functioning. We hypothesized that increased hope regarding veterans ’ ability to manage and recover from PTSD symptoms may facilitate improvements in ...
Source: Journal of Contemporary Psychotherapy - August 22, 2019 Category: Psychiatry & Psychology Source Type: research

Misophonia, Maladaptive Schemas and Personality Disorders: A Report of Three Cases
AbstractMisophonia is a chronic condition in which specific sounds cause intense negative emotions and autonomic arousal. Misophonia is considered a psychological disorder without any relationship with specific alterations of hearing receptors and independent from physical characteristics of the sound. Moreover if misophonia can be defined as a specific psychiatric disorder or a correlate of other conditions is still under debate. The patients were two women and one man. In this case series we first identified the presence of triggers sounds inducing misophonia as reported during the psychotherapy sessions. At a qualitativ...
Source: Journal of Contemporary Psychotherapy - August 8, 2019 Category: Psychiatry & Psychology Source Type: research

Psychotherapeutic Treatment of Depressive Symptoms in Patients with Narcissistic Disturbances: A Review
AbstractThis review sought to outline the common complicating and facilitating factors during treatment of depressive symptoms in patients with narcissistic pathology, including various specific treatment approaches. A systematic literature search was performed to identify literature describing the co-occurrence of depressive symptoms and narcissistic pathology along with psychotherapeutic considerations and methods used to treat depressive symptoms in such patients. Theory and research suggest that depressive symptoms often co-occur with narcissistic disturbances because depression may emerge when narcissistic defenses fa...
Source: Journal of Contemporary Psychotherapy - July 6, 2019 Category: Psychiatry & Psychology Source Type: research

The Common Process of Supervision Process: The Supervision Session Pyramid as a Teaching Tool in the Beginning Supervision Seminar
AbstractWe take up three fundamental considerations: (a) regardless of supervisory perspective adopted, there is a common process to supervision session process; (b) supervision is a cyclical affair across sessions and, oftentimes, even within sessions; and (c) beginning supervisor trainees, whatever the supervisory perspective to which they will eventually subscribe, can benefit from having a simple conceptual way of thinking about the commonalities of supervision session structure. Although the supervision process (e.g., supervision stages) is a widely considered topic, supervision session process —the workings of ...
Source: Journal of Contemporary Psychotherapy - June 24, 2019 Category: Psychiatry & Psychology Source Type: research

Panic-Focused Reflective Functioning and Comorbid Borderline Traits as Predictors of Change in Quality of Object Relations in Panic Disorder Treatments
AbstractThe aim of this study was to investigate whether (a) baseline levels of panic-specific reflection function (PSRF; i.e. patients ’ capacity to reflect on their panic symptoms) and improvement in this capacity over treatment, (b) baseline borderline personality disorder (BPD) traits and pre–post treatment improvement in BPD traits predict change in patients’ quality of object relations (QORs). A subsample of 102 patients diagnosed with panic disorder from a larger randomized controlled trial received either Cognitive-Behavioral Therapy or Panic-Focused Psychodynamic Psychotherapy. We investigated wh...
Source: Journal of Contemporary Psychotherapy - June 20, 2019 Category: Psychiatry & Psychology Source Type: research

Psychological Correlates of Change in Emotion Regulation Over 8  Months of Psychotherapy
This study explored the relations between changes in the capacity for emotion regulation over 8 months of psychotherapy, as defi ned by all subscales of the Difficulties for Emotion Regulation Scale, trait emotional intelligence and psychological distress. In addition, this study examined whether changes in the capacity for emotion regulation differed between patients reporting at least one regulation treatment goal and those reporting other goals. Data were collected as part of an ongoing program evaluation at an urban community-based mental health clinic. Self-report questionnaires were completed by 74 patients prio...
Source: Journal of Contemporary Psychotherapy - June 19, 2019 Category: Psychiatry & Psychology Source Type: research

Therapist Experience, Personal Therapy, and Distressing States of Mind: Regulation and Resonance as Dialectics of Therapeutic Empathy
We examined the impact of several moderators on the paths from attachment anxiety, shame-proneness, and the fear of invalidity to personal distress empathy; and, thus, on the indirect effect between attachment anxiety and personal distress empathy. For our first hypothesis, we expected therapist status to significantly moderate the paths in this proposed meditation. For our second hypothesis, we anticipated personal therapy sessions would significantly moderate this meditation. For our third hypothesis, we expected that both personal therapyand therapist experience level would moderate this mediation. Most notably, our res...
Source: Journal of Contemporary Psychotherapy - June 11, 2019 Category: Psychiatry & Psychology Source Type: research

“The Nominees for Best Article …”: Awards for the Most Valuable Papers on Psychotherapy in 2018
AbstractEach year, many important articles are published that make valuable contributions to the field of psychotherapy. It is helpful to remain informed about recent developments in the field, and respect the useful refinements that are being proposed in various journal articles. Unfortunately, with so many journals in the field, it can be challenging to find the best articles, and some important papers may be overlooked. In recent years, the situation has become even worse with the expansion of many new and often predatory journals, publishing inferior papers. TheJournal of Contemporary Psychotherapy awards program has t...
Source: Journal of Contemporary Psychotherapy - June 8, 2019 Category: Psychiatry & Psychology Source Type: research

The Role of Safety Behaviors in Panic Disorder Treatment: Self-Regulation or Self-Defeat?
This study differentiated between types of SBs and identified people-focused SBs as possible predictor of symptom change in CBT for PD—potentially relevant for efforts to improve treatment response. (Source: Journal of Contemporary Psychotherapy)
Source: Journal of Contemporary Psychotherapy - June 8, 2019 Category: Psychiatry & Psychology Source Type: research

Valued Living Before and After CBT
In this study we examined whether cognitive behavioral therapy, without explicit values work, enhanced value-oriented action. We also explored the role of change in valued action for subsequent life satisfaction and continued change after therapy. Addi tionally, data on the reliability and validity of the Valued Living Questionnaire (VLQ) are reported. We analyzed the pre-, post-, and 6-month-follow-up-data of 3687 patients of a university psychotherapy outpatient clinic, most of which suffered from reliably diagnosed anxiety and mood disorders. Q uestionnaires included the VLQ (with 10 items each on the “importance&...
Source: Journal of Contemporary Psychotherapy - April 27, 2019 Category: Psychiatry & Psychology Source Type: research

David H. Rosmarin: Spirituality, Religion, Cognitive-Behavioral Therapy: A Guide for Clinicians
(Source: Journal of Contemporary Psychotherapy)
Source: Journal of Contemporary Psychotherapy - April 23, 2019 Category: Psychiatry & Psychology Source Type: research

In Memoriam: Abraham W. Wolf, Ph.D.
(Source: Journal of Contemporary Psychotherapy)
Source: Journal of Contemporary Psychotherapy - April 19, 2019 Category: Psychiatry & Psychology Source Type: research

Patient-Made Videos as a Tool of Self-Observation Enhancing Self-Reflection in Psychotherapy
In this report, we describe the flow and functionality of the VideoTalk method through the case of a 24-year-old fem ale patient suffering from depression and social phobia. The self-mirroring from the video facilitates self-observations of the patient’s own facial expressions, voice and body posture. We hypothesize that this new information gradually changes emotional processing, leads to better self-awareness and strengthens more functional schemas. (Source: Journal of Contemporary Psychotherapy)
Source: Journal of Contemporary Psychotherapy - April 15, 2019 Category: Psychiatry & Psychology Source Type: research

The Assessment of Mentalization: Measures for the Patient, the Therapist and the Interaction
We report here on a critical evaluation of measurement approaches commonly used to conceptualize and assess mentalization and argue for the value of conversation analysis (CA) as an alternative approach. A variety of approaches have been shown to have utility in assessing mentalization as an individual capacity. We illustrate how conversation analysis allows for an in-depth-analysis of mentalization as it is co-created across different contexts in real-life therapy sessions. This method of analysis shifts the focus from content to process. Conversation analysis is a potentially valuable tool to support training, to assess ...
Source: Journal of Contemporary Psychotherapy - April 8, 2019 Category: Psychiatry & Psychology Source Type: research

Emotion-Focused Therapy: A Transdiagnostic Formulation
AbstractRecent years have seen the emergence of transdiagnostic psychotherapeutic treatments, typically targeting depression, anxiety and related disorders. The rationale for developing transdiagnostic protocols is based on a number of factors; shared etiology and maintenance mechanisms, high co-morbidity, hypothesising that discrete disorders may be underpinned by common psychological vulnerabilities, and the burden currently placed on clinicians to master multiple disorder-specific interventions. This paper describes a transdiagnostic model of emotion-focused therapy (EFT-T), which combines modular (targeting specific cl...
Source: Journal of Contemporary Psychotherapy - April 6, 2019 Category: Psychiatry & Psychology Source Type: research

Rejection Sensitivity and Self-Regulation of Daily Interpersonal Events
AbstractThe present research case sought to illustrate how self-regulatory patterns of interpersonal behavior manifest within a rejection sensitive individual at the daily level. Cross-sectional research has demonstrated negative relational outcomes associated with rejection sensitivity, but less attention has been paid to how this manifests in daily relational events. Expanding upon prior research evaluating the daily interpersonal functioning of those with high rejection sensitivity in a large sample, the research case study of Mary demonstrates how findings from research may manifest within a rejection sensitive individ...
Source: Journal of Contemporary Psychotherapy - March 28, 2019 Category: Psychiatry & Psychology Source Type: research

Resilience, Defense Mechanisms, and Implicit Emotion Regulation in Psychodynamic Child Psychotherapy
AbstractResilience is associated with the internal capacity for the regulation of unpleasant emotions in the face of adversity. These self-regulatory processes, linked with both explicit and implicit emotion regulation systems, have wide ranging implications for overall psychological health. Child psychotherapy can be conceptualized as helping children adapt more effectively to the external environment and develop a more comfortable sense of self as a result of improved emotion regulation and, thus, greater resilience. Most available treatments for youth promote resilience by addressing the explicit emotion regulation syst...
Source: Journal of Contemporary Psychotherapy - March 15, 2019 Category: Psychiatry & Psychology Source Type: research

Schematic Functioning, Interpersonal Dysfunctional Cycles and Cognitive Fusion in the Complementary Paradigmatic Perspective: Analysis of a Clinical Sample
AbstractPrevious research has shown that transdiagnostic variables, such as dysfunctional schemata, interpersonal cycles, and cognitive fusion, are strongly related to psychological disorders and mental health. In this sense, this study sought to clarify, identify, and differentiate to what extentearly maladaptive schemas, interpersonal dysfunctional cycles, andcognitive fusion relate to each other and to determine what are their differential contributions to theregulation of psychological needs, well-being, psychological distress, andsymptomatology. For this purpose, we assessed a clinical group (n  = 58) an...
Source: Journal of Contemporary Psychotherapy - March 14, 2019 Category: Psychiatry & Psychology Source Type: research

The Therapists ’ Training and Their Attitudes Towards Therapy as Predictors of Therapeutic Interventions
The objective of this study was to investigate whether the therapist ’s attitudes in therapeutic matters are a better predictor of interventions employed than the therapeutic method in which the therapist was trained. The relationships between various types of psychotherapeutic intervention and both predictors were tested by means of Markov Chain Monte Carlo simula tions. A total of 162 therapy sessions conducted by 18 therapists affiliated to 6 different therapeutic methods were analyzed. The interventions were classified according to the criteria of essentiality and commonality. The analysis showed that 40% of the ...
Source: Journal of Contemporary Psychotherapy - March 6, 2019 Category: Psychiatry & Psychology Source Type: research

The Relationship Between Client Regulatory Focus and Treatment Use Intentions, Attitudes, Credibility Beliefs, and Outcome Expectations for Psychotherapy
AbstractClient variables in psychotherapy have been shown to play an important role in psychotherapy, explaining a significant amount of variance in treatment engagement, the therapeutic alliance, and psychotherapy outcomes; however, little is known about how the client variables develop. Specifically, there may be internal characteristics of the client that underlie several client attitudinal variables that play a role in psychotherapy. The purpose of this study was to test one particular client internal characteristic (regulatory focus) as a predictor of the psychotherapy use intentions, attitudes, credibility beliefs, a...
Source: Journal of Contemporary Psychotherapy - March 6, 2019 Category: Psychiatry & Psychology Source Type: research

John C. Norcross and Gary R. VanderBos: Leaving It at the Office: A Guide to Psychotherapist ’s Self-Care (2nd ed.)
(Source: Journal of Contemporary Psychotherapy)
Source: Journal of Contemporary Psychotherapy - February 26, 2019 Category: Psychiatry & Psychology Source Type: research

Constructions of Nonagency in the Clients ’ Initial Problem Formulations at the Outset of Psychotherapy
AbstractThis multiple case study investigated how clients construct nonagentic positions when formulating their problems in the beginning of their first psychotherapy session. The initial problem formulations of nine clients entering psychotherapy were analyzed with a detailed model drawing on discursive methodology, the 10 Discursive Tools model (10DT). We found ten problem formulation categories, each one distinguished by the tool from the 10DT model primarily used to construct nonagency. All clients gave several problem formulations from different categories and constructed nonagentic positions with a variety of discurs...
Source: Journal of Contemporary Psychotherapy - February 11, 2019 Category: Psychiatry & Psychology Source Type: research

Metacognitive Therapy in Patients with Tinnitus: a Single Group Study
AbstractTinnitus is often in comorbidity with anxiety and depression, and several authors have proposed a reduced efficiency of the top-down executive control in its perception. This single-group study describes a novel application of the metacognitive therapy (MCT), which works on a top-down engagement of proactive attentional control mechanisms on a group of patients with tinnitus, to see its impact on the perception of tinnitus and its anxiety and depression correlates. Eight metacognitive therapy group-sessions were proposed to a group of nine patients, as part of a regional project conducted at the University General ...
Source: Journal of Contemporary Psychotherapy - February 11, 2019 Category: Psychiatry & Psychology Source Type: research

Murray, Christine, Pope, Amber, and Willis, Ben, Sexuality Counselling: Theory, Research, and Practice
(Source: Journal of Contemporary Psychotherapy)
Source: Journal of Contemporary Psychotherapy - January 24, 2019 Category: Psychiatry & Psychology Source Type: research

Battles of the Comfort Zone: Modelling Therapeutic Strategy, Alliance, and Epistemic Trust —A Qualitative Study of Mentalization-Based Therapy for Borderline Personality Disorder
AbstractWe propose a model for how therapeutic strategy, alliance, and epistemic trust interact to foster or hinder therapeutic processes. Four individual mentalization-based treatment (MBT) sessions were subjected to an in-depth qualitative comparison and interpretative phenomenological analysis. Two sessions had high adherence and quality ratings, and two exemplified low evaluations. The sessions were from an MBT program for patients with borderline personality disorder. The high-rated therapists were more prone to strategically identify and investigate maladaptive patterns, were more challenging, and brought the patient...
Source: Journal of Contemporary Psychotherapy - January 22, 2019 Category: Psychiatry & Psychology Source Type: research

The Integrative Positive Psychological Intervention for Depression (IPPI-D)
AbstractDespite the variety of empirically supported treatments for depression, many available evidence-based treatments do not satisfactorily promote or maintain clinically significant changes in patients. Moreover, treatments for depression have been primarily focused on reducing patients ’ symptoms or deficits and less concerned with building positive resources that seem to be of interest to depressed individuals. This paper describes a manualized protocol of a new empirically-validated positive psychological intervention for depression, the Integrative Positive Psychological Inte rvention for Depression, which in...
Source: Journal of Contemporary Psychotherapy - January 2, 2019 Category: Psychiatry & Psychology Source Type: research

Nicholas W. Gelbar (Ed.): Adolescents with Autism Spectrum Disorder: A Clinical Handbook
(Source: Journal of Contemporary Psychotherapy)
Source: Journal of Contemporary Psychotherapy - December 17, 2018 Category: Psychiatry & Psychology Source Type: research

The Psychodynamics of Performance Anxiety: Psychoanalytic Psychotherapy in the Treatment of Social Phobia/Social Anxiety Disorder
AbstractThe optimal treatment for Social Phobia/Social Anxiety Disorder (SP/SAD) remains an open question despite the existence of a variety of controlled studies, including randomized trials of cognitive behavioral and psychodynamic therapies. Moreover, individuals with Performance Anxiety, a colloquial term for SP/SAD, are typically treated by lay coaches and unlicensed practitioners, who focus on managing the symptoms of “stage fright.” This paper describes the psychodynamic (psychoanalytic psychotherapy) treatment of an individual with manifestations of SP/SAD in the realms of public speaking, musical perfo...
Source: Journal of Contemporary Psychotherapy - December 3, 2018 Category: Psychiatry & Psychology Source Type: research

Self-Awareness, Verbalization and New Meanings as the Heart and Soul of Significant Events in Existential Psychotherapy
This study aimed to qualitatively analyze the significant events that occur during existential psychotherapy sessions from the perspective of the patient. Ten patients completed the HAT —helpful aspects of therapy—shortly after existential psychotherapy sessions during existential psychotherapy treatment, which lasted 1 year and consisted of 48 sessions. The data were analyzed using grounded theory. The results emphasized the following categories: the promotion of self-awarenes s, the possibility of verbalizing experiences, and the deepening of meanings. In addition to emphasizing human relationships, the patie...
Source: Journal of Contemporary Psychotherapy - November 20, 2018 Category: Psychiatry & Psychology Source Type: research

Beyond the Borderline: Expanding Our Repertoire to Address Relational Patterns and Power Dynamics Attendant to Diverse Personality Disorders
AbstractA present challenge in our field is that diverse and frequently comorbid patterns of personality disorder are not sufficiently addressed by existing evidence-based treatments. Authors in the special section describe promising efforts to address this challenge, including case examples illustrating the utility of each approach. Each approach is consistent with evidence-based principles of change, suggesting the possibility of placing them together within a meta-theoretical integration frame (Magnavita and Anchin in Unifying psychotherapy: Principles, methods, and evidence from clinical science, Springer Publishing Co...
Source: Journal of Contemporary Psychotherapy - October 11, 2018 Category: Psychiatry & Psychology Source Type: research

Strategic Symptom Displacement in Therapy of a Motor Conversion Disorder Comorbid with PTSD: Case Presentation
We present a case of a motor conversion disorder comorbid with posttraumatic stress disorder, where we designed a psychotherapeutic approach based on the Bayesian model of brain functioning, specifically, the Bayesian model of functional neurologic symptoms. The model posits that such symptoms are produced as a result of hyper-precise prior beliefs (priors). Priors can be both conscious and unconscious and exist at different levels from perceptual to cognitive. Decreasing their precision/rigidity may then alleviate the related symptoms. In accord with this rationale, we used cognitive, experiential, and behavioral interven...
Source: Journal of Contemporary Psychotherapy - October 6, 2018 Category: Psychiatry & Psychology Source Type: research

David A. Treleaven, Trauma-Sensitive Mindfulness: Practices for Safe and Transformative Healing
(Source: Journal of Contemporary Psychotherapy)
Source: Journal of Contemporary Psychotherapy - September 24, 2018 Category: Psychiatry & Psychology Source Type: research

The Relationships Between Client Resistance and Attachment to Therapist in Psychotherapy
AbstractThrough the lens of contemporary views on client resistance and attachment theory, which underpins the role of security in psychotherapy, the present study examines the relation between client resistance and client attachment to therapist. Forty-six clients and 19 therapists in long-term psychotherapy completed the Client Attachment to Therapist Scale and a therapist-reported questionnaire for client resistance, respectively, in three different times including the therapist ’s summer holidays, so as to take into consideration the role of the therapist’s temporary absence as a real relationship component...
Source: Journal of Contemporary Psychotherapy - September 21, 2018 Category: Psychiatry & Psychology Source Type: research

Metacognitive Interpersonal Therapy for Personality Disorders: The Case of a Man with Obsessive –Compulsive Personality Disorder and Avoidant Personality Disorder
AbstractPersonality disorders have a deleterious impact on individual quality of life, and are associated with a significant social burden. Despite a broad range of presentations across the various personality disorders, clinical research has shown a strong bias toward borderline personality disorder. In contrast to the emotional dysregulation of borderline personality disorder, a number of personality disorders are characterised by emotional inhibition and alexithymia. Research increasingly suggests that these deficits in emotional regulation may be symptomatic of problems with metacognition —the ability to identify...
Source: Journal of Contemporary Psychotherapy - September 12, 2018 Category: Psychiatry & Psychology Source Type: research

Expanding the Conceptualization of Outcome and Clinical Effectiveness
AbstractThere is a need for studies that advance our knowledge of therapist effectiveness, expanding the definition of what constitutes therapeutic success. In the present study, four aspects of clinical outcome were analyzed using a sample of highly experienced psychotherapists (mean years of experience as therapy practitioners  = 30) who also serve as clinical teachers. The four aspects were: (1) overall change in different outcome domains, including long-term outcome; (2) outcome with clinically distressed clients (i.e. clients above the level of clinical disturbance at pretreatment); (3) level of drop-out...
Source: Journal of Contemporary Psychotherapy - September 10, 2018 Category: Psychiatry & Psychology Source Type: research