Metaphors in Mentalization-Based Treatment: Reintroducing the Language of Change in “Plain Old Therapy”
AbstractMetaphors, a central conduit of change in psychotherapy, have not been taken adequately into account in Mentalization-Based Treatment (MBT). Despite successfully utilized by other evidence-based treatments for borderline personality disorder (BPD), MBT considers metaphors confusing for patients with low mentalizing abilities. For metaphors and teaching stories to stimulate growth within the window of tolerance, interventions should be responsively tailored (e.g., explained). Metaphors might be a route to making spoken matter more apprehensible, and bridge emotions with cognitive content. They hold the potential for...
Source: Journal of Contemporary Psychotherapy - June 23, 2021 Category: Psychiatry & Psychology Source Type: research

A Solution-Focused Brief Therapy (SFBT) Intervention Model to Facilitate Hope and Subjective Well-being Among Trauma Survivors
AbstractThere are increasing calls for brief, strength-based trauma interventions. We propose a Solution-Focused Brief Therapy (SFBT) intervention model that may facilitate hope and subjective well-being among trauma survivors. Based on our research among South African trauma survivors, the proposed model, “Journey of Possibilities”, focuses on eliciting clients’ desired outcome, describing the presence of their desired outcome, and utilising clients’ resources to move towards the desired outcome. It is distinct from other SFBT models, as it explicitly identifies the therapeutic relationship a nd co...
Source: Journal of Contemporary Psychotherapy - June 3, 2021 Category: Psychiatry & Psychology Source Type: research

Correction to: The 4th Annual & quot;Psyche & quot; Awards for Valuable Contributions to Psychotherapy: Encouraging the Integration of Science and Practice
A correction to this paper has been published: https://doi.org/10.1007/s10879-021-09509-4 (Source: Journal of Contemporary Psychotherapy)
Source: Journal of Contemporary Psychotherapy - May 31, 2021 Category: Psychiatry & Psychology Source Type: research

Progress in Resolving Splitting Tendencies: A Qualitative Case Report of Facing Conflicting Fears with Relationality, Humility, and Patience
AbstractSplitting as a psychological defence by patients who struggle to process dichotomies remains an important focus in current therapy trials. Such case research done in a cross-cultural context of therapist and patient is limited. The present qualitative case report involves a 44-year-old male who had two conflicting fears, inherently making those fears inaccessible since resolving one fear exacerbated the other opposing fear. We provide a narrative discussion of the case learning from the therapist-in-training and her supervisor. Building a solid relational focus grounded in a social constructionist approach played a...
Source: Journal of Contemporary Psychotherapy - May 21, 2021 Category: Psychiatry & Psychology Source Type: research

The 4th Annual & quot;Psyche & quot; Awards for Valuable Contributions to Psychotherapy: Encouraging the Integration of Science and Practice
AbstractPsychotherapy relies on a strong integration of theory, empirical research, and clinical experience. Furthermore, publishing journal articles on the diagnosis and treatment of mental illness requires creativity, persistence and a scientific approach. The present article examines recent publications on assessment and diagnosis, case conceptualization and treatment planning and generic issues related to the therapeutic alliance. The article includes a review of papers on common diagnostic problems including anxiety disorders, depression, eating disorders, addictions, and personality pathology. In each of ten categori...
Source: Journal of Contemporary Psychotherapy - May 18, 2021 Category: Psychiatry & Psychology Source Type: research

Guided Goal Setting in Therapy Towards Being Fully Functioning
AbstractThis qualitative study considered whether the provision of a framework of potential goals based on Rogers ’ idea of the fully functioning person would be of any benefit to therapy clients in their goal setting process. It also considered addressed whether client goal setting was methodologically acceptable to integrative therapists who used Rogers’ non-directive principles as the foundation to their approach. We provided a goal setting instrument to 9 therapists and 23 of their clients, enabling them to define therapy goals, and feedback on the process. The clients set their goals using the instruments,...
Source: Journal of Contemporary Psychotherapy - May 11, 2021 Category: Psychiatry & Psychology Source Type: research

Unification: The Fifth Pathway to Psychotherapy Integration
AbstractUnified psychotherapy is an emerging trend in psychotherapy integration. This paper describes how and why unification constitutes a fifth pathway in the psychotherapy integration literature, and it delineates its key elements, and how it is practiced. The defining feature of unification is that it adopts a metatheoretical perspective that allows for the major psychotherapy paradigms and their interrelations to be seen from a more comprehensive vantage point. Such approaches facilitate holistic understandings of patients and treatment. The practice of unified psychotherapy includes comprehensive assessment, clinical...
Source: Journal of Contemporary Psychotherapy - April 29, 2021 Category: Psychiatry & Psychology Source Type: research

Correction to: Training Public Sector Clinicians in Competency-Based Clinical Supervision: Methods, Curriculum, and Lessons Learned
A correction to this paper has been published: https://doi.org/10.1007/s10879-021-09504-9 (Source: Journal of Contemporary Psychotherapy)
Source: Journal of Contemporary Psychotherapy - April 24, 2021 Category: Psychiatry & Psychology Source Type: research

Telepsychotherapy During the COVID-19 Pandemic: The Experience of Lebanese Mental Health Professionals
This study set out to explore the predictors of the use of online consultations and the perceived level of comfort using telepsychotherapy in a sample of 73 Lebanese mental health professionals. Data was collected via online dissemination of a survey. Results show that 82% of participants made use of online consultations in the past few days, reflecting the adaptation of Lebanese mental health professionals to the atypical newly imposed situation triggered by the COVID-19 pandemic and its consequent lockdown. Having previous experience in the use of online consultations and perceived level of telepresence were significant ...
Source: Journal of Contemporary Psychotherapy - April 22, 2021 Category: Psychiatry & Psychology Source Type: research

Patients ’ and Psychotherapists’ Combined and Separate Evaluations of the Psychotherapeutic Relationship: The Structure of Working Alliance and Polish Versions of the WAI
AbstractThe aim of the present research was (a) to investigate the structure of working alliance assessed by means of the Working Alliance Inventory (WAI, two versions: WAI-PA for patients and WAI-PT for psychotherapists) in adult psychotherapy and (b) to present the Polish version of the 36-item WAI and its psychometric properties. The sample consisted of 428 subjects: 262 patients attending individual psychotherapy and 166 psychotherapists. Data were analyzed using confirmatory factor analysis (CFA) and classical (Cronbach ’s α, Jöreskog’s CR) and nonclassical (Aranowska’s γ, ϱ2 intra-...
Source: Journal of Contemporary Psychotherapy - April 16, 2021 Category: Psychiatry & Psychology Source Type: research

Metamotivation Therapy: Is it time to Focus on Metamotivation in Severe Mental Illness?
AbstractMetamotivation Therapy targets motivational deficits in severe mental illness (SMI) by using the novel approach of enhancing meta-motivation and executive functioning skills. The current naturalistic, uncontrolled cohort study provides the rational for the Metamotivation Therapy approach and program evaluation data on pilot feasibility and efficacy. Pilot feasibility was assessed through utilization data and Client Satisfaction Survey (CSS-8). Pilot effectiveness was assessed using the Barkley Deficits in Executive Functioning for Adults and Quality of Life Enjoyment and Satisfaction Questionnaire. On average, part...
Source: Journal of Contemporary Psychotherapy - April 15, 2021 Category: Psychiatry & Psychology Source Type: research

Clinical Case of a Schizotypal Personality Disorder: Rumination-Focused CBT for Anger Rumination
AbstractAnger dysregulation is part of a broad range of clinical disorders, and as a dynamic risk factor for aggression anger is highly relevant in clinical populations. Problems of anger and reactive aggression are trans-diagnostic and treatments should target the mechanisms involved in problematic anger across disorders. There is empirical evidence that anger rumination is associated with anger as well as aggression. Because rumination-focused CBT (RfCBT) has shown that reduction in rumination seems to be associated with transdiagnostic reductions in symptoms, the present study aimed at extending the applicability of the...
Source: Journal of Contemporary Psychotherapy - April 8, 2021 Category: Psychiatry & Psychology Source Type: research

Training Public Sector Clinicians in Competency-Based Clinical Supervision: Methods, Curriculum, and Lessons Learned
This article describes an initiative to train public sector clinicians in competency-based clinical supervision. It was delivered as an 18-session course taught online to clinicians employed in departments of behavioral health in nine Southern California counties. The curriculum was co-constructed by a team of clinical supervision scholars and leaders who then served as instructors. Each two-hour meeting addressed a specific topic for which a training video had been prepared, usually featuring a member of the training team who had expertise in that topic. The second part of each meeting focused on a class member ’s s...
Source: Journal of Contemporary Psychotherapy - April 7, 2021 Category: Psychiatry & Psychology Source Type: research

The Reflective Model of Triadic Supervision as a Means of Fostering Cultural Humility
AbstractOur increasingly diverse world of clinical practice and supervision necessitates clinical supervisors foster supervisees ’ abilities to attend to clients’ cultural contexts, lenses, and frameworks (Patallo in Training and Education in Professional Psychology, 13(3), 227–232, 2019). Equally relevant is promoting clinicians’ own critique of accepted clinical practices (Hardin et al. in American Psychologist, 69( 7), 656–668, 2014). Such a stance is now being referred to as embodying cultural humility. It is emerging as central to culturally responsive and competent clinical practice (Pat...
Source: Journal of Contemporary Psychotherapy - April 5, 2021 Category: Psychiatry & Psychology Source Type: research

Unsatisfactory Supervisory Experiences Reported by South Korean Supervisors: Types, Responses, and Cultural Context
AbstractEleven Korean supervisors were interviewed about their unsatisfactory supervisory experiences (USEs) and the interview data were analyzed using a grounded theory approach. These results were presented within a broader framework that considered the cultural context in which the supervision was occurring and its effects on relationship dynamics, as well as the supervisory context in which those supervisors were working. Supervisors reported a range of USEs, including supervisee ’s failure to learn and supervisees’ negative reactions to the supervisors as well as coping strategies they employed in response...
Source: Journal of Contemporary Psychotherapy - March 31, 2021 Category: Psychiatry & Psychology Source Type: research

Practicing Clinical Supervision in Chile: Lessons from 28 Years of Training
This article describes a model of supervision developed by Centro MIP in Santiago, Chile. This model is situated in the cultural history and legal context of psychotherapeutic practice in Chile, as well as in the unique pioneering spirit governing the institute since its founding in 1992. This psychotherapy-based model draws from constructivist and strategic orientations and includes elements of structural, solution-focused, and client-centered practice. The work has an overarching goal of serving the therapeutic growth of the supervisee and is guided by three primary principles: unwavering leadership (liderazgo irrenuncia...
Source: Journal of Contemporary Psychotherapy - March 26, 2021 Category: Psychiatry & Psychology Source Type: research

Considerations and Strategies for Enhancing the Supervision and Training of Foreign-Born Spanish-Speaking Supervisees
This article proposes a set of strategies for the supervision of foreign-born supervisees who were raised and educated in Spanish outside of the U.S. mainland. The considerations for such strategies include mentorship, use of a new language in a new country, supervisory relationship, fostering community, racial/ethnic identity, cultural adaptation process, and professional identity and practice conventions. A case example is presented to illustrate how considerations and strategies can be incorporated into the supervision experience. Psychologists who demonstrate competency in the provision of bilingual supervision promote...
Source: Journal of Contemporary Psychotherapy - March 23, 2021 Category: Psychiatry & Psychology Source Type: research

Lens on International Clinical Supervision: Lessons Learned from a Cross-National Comparison of Supervision
AbstractClinical supervision is an essential mechanism for training psychologists internationally. But although it is performed globally, scholarship has primarily addressed it through the lens of Western supervision practices. The authors of this manuscript aspired to an alternative lens, that of enlightened globalization (Kim and Park in Korea J 44(2):30 –51, 2007), to compare supervision practices in the U.S. and six countries that have been less studied—China, Guatemala, Mexico, South Korea, Turkey, and the United Arab Emirates. Although theGuidelines for Supervision of Health Service Psychologists (America...
Source: Journal of Contemporary Psychotherapy - March 20, 2021 Category: Psychiatry & Psychology Source Type: research

Addressing Concealed Suicidality: A Flexible and Contextual Approach to Suicide Risk Assessment in Adults
AbstractConcealed suicidality can be a major impediment for clinicians conducting a suicide risk assessment. Client minimization and denial of suicidal thoughts can lead clinicians to undertreat and under-monitor clients experiencing a suicidal crisis. Five recommendations are given to address potential weak areas of suicide assessment with adults including routinized processes and a reliance on assessment instruments that may underestimate risk when individuals have no prior attempts or significant mental illness. Specifically, the authors highlight the importance of continued training and education in suicide assessment,...
Source: Journal of Contemporary Psychotherapy - March 17, 2021 Category: Psychiatry & Psychology Source Type: research

Will We Ever Again Conduct in-Person Psychotherapy Sessions? Factors Associated with the Decision to Provide in-Person Therapy in the Age of COVID-19
AbstractThe COVID-19 pandemic has forced a new reality on the delivery of psychotherapeutic services. Therapists have had to rapidly adapt to telehealth therapy using various video conferencing technologies while working from spaces that were not necessarily designed for delivering therapy sessions. While COVID-19 continues to be present in therapists ’ lives and shapes how they provide services, answering the question of whether to meet with clients in person again is a decision laden with complexity and ambivalence. In this mixed-method study, surveys with 169 therapists and interviews with 17 therapists were used ...
Source: Journal of Contemporary Psychotherapy - March 13, 2021 Category: Psychiatry & Psychology Source Type: research

An Archival Study of Suicide Status Form Responses Among Crisis Stabilization Center Consumers
AbstractSuicide is a persistent leading cause of death in the United States (U.S.A.). Following a stepped-care approach, Crisis Stabilization Centers have positioned themselves as a viable treatment option for many patients experiencing suicidal crises. These centers are staffed by an array of clinicians with varied professional backgrounds and clinical preferences. Thus, some treatments may hold greater flexibility and potential for broad implementation than others. In various settings, the Collaborative Assessment and Management of Suicidality (CAMS) has served as an effective and flexible therapeutic framework. Research...
Source: Journal of Contemporary Psychotherapy - February 23, 2021 Category: Psychiatry & Psychology Source Type: research

Positive Personality Traits as Predictors of Psychotherapy Progress
The objectives of this paper were to study if the traits of the Positive Personality Model (PPM; de la Iglesia and Castro Solano, in Front Psychol 9:2025,2018) were stable throughout time, if patients perceived change in psychotherapy process, and if positive traits at the beginning of the treatment (Time 1) predicted psychotherapy progress after 3 (Time 2) and 6 (Time 3) months of psychological treatment. The sample was composed of 38 subjects, with a mean age of 38.82 (SD = 12.76; 63.2% female; 36.8% male), who had just initiated psychotherapy treatment (Time 1). Results of a repeated measures ANOVA indicat...
Source: Journal of Contemporary Psychotherapy - February 12, 2021 Category: Psychiatry & Psychology Source Type: research

The Use of Standard Parenting Management Training in Addressing Disruptive Mood Dysregulation Disorder: A Pilot Study
AbstractParent management training has demonstrated effectiveness in the treatment of child behavioural issues and associated conduct difficulties. Anger, aggression, and irritability are common symptoms amongst children presenting with disruptive mood dysregulation disorder. Currently, there are no well-established evidence-based interventions for children presenting with symptoms of disruptive mood dysregulation disorder. This pilot study aims to assess if a standard, well-established, parent management training program (group Triple P) may be effective in addressing disruptive mood dysregulation disorder symptoms. Thirt...
Source: Journal of Contemporary Psychotherapy - February 9, 2021 Category: Psychiatry & Psychology Source Type: research

Effects of Dialectical Behavior Therapy on Emotion Regulation, Distress Tolerance, Craving, and Depression in Patients with Opioid Dependence Disorder
AbstractMethadone maintenance treatment (MMT) is a common drug treatment for opioid dependence disorder. This treatment, with positive results, has many physical and psychological complications. The purpose of this study was to evaluate the effectiveness of dialectical behavioral therapy (DBT) on emotional regulation, distress tolerance, craving, and depression in patients under MMT. The present study was a randomized controlled clinical trial with two groups of intervention (MMT with Dialect-Behavioral Therapy (DBT)) and control group (MMT). Initial evaluations were performed by clinical psychiatrist at the clinic. 50 men...
Source: Journal of Contemporary Psychotherapy - February 4, 2021 Category: Psychiatry & Psychology Source Type: research

Psychodynamic Factor as Predictor of Outcome in the Treatment of a Psychosomatic Spectrum Patient
AbstractTo investigate through the prototype methodology as well as the interaction structures methodology which are the factors involved in the psychotherapeutic progress in the treatment of a patient with chronic diseases and somatic symptoms. 62 of the total 120 videotaped sessions were analysed by independent judges using the Psychotherapy Process Q-Set. The interaction structures as well as the extent to which each session conformed to the ideal psychodynamic, cognitive behavioural therapy (CBT) and reflective function prototypes were evaluated through multiple regression analysis, in order to test which factors were ...
Source: Journal of Contemporary Psychotherapy - January 21, 2021 Category: Psychiatry & Psychology Source Type: research

How Does Grief Lead to Change? Understanding the Process of Change in Three Contemporary Psychotherapies
AbstractThere is an increased interest in emotions across the psychotherapy field, but a lack of theoretical work on how emotions are understood in different affect-oriented psychotherapies. In this article, we investigate the role of grief and grieving in three contemporary affect-oriented psychotherapies, that emphasize emotional processing as a pathway to change. Within Emotion-Focused Therapy (EFT), grieving is related to the development of acceptance and agency. Intensive Short-Term Dynamic Psychotherapy (ISTDP) postulates that grieving without defenses enables recognition and acceptance of painful losses. In Compassi...
Source: Journal of Contemporary Psychotherapy - January 5, 2021 Category: Psychiatry & Psychology Source Type: research

Brief Mindfulness Therapy and Mental Health in People Exposed to a Recent Stressful Event: A Study of Multiple Cases with Follow-Up
AbstractStressful events have important consequences for mental health, among the most frequent are posttraumatic and depressive symptoms. Brief mindfulness-based interventions are currently of great research interest as preventive interventions. In this sense, the objective of this research was to evaluate the effectiveness of a four-sessions mindfulness program in reducing posttraumatic and depressive symptoms, in people that have been exposed to a recent stressful event. A mixed qualitative-quantitative design was used. Qualitatively, a phenomenological method was used. On the other hand, an A-B type intra-subject case ...
Source: Journal of Contemporary Psychotherapy - January 4, 2021 Category: Psychiatry & Psychology Source Type: research

How do Psychotherapists Develop a Case Conceptualisation? Thematic Analysis of Conceptual Maps
AbstractThe purpose of this study was to reconstruct the main ideas —universal but grounded in particular diagnostic experiences—used by psychotherapists during the case conceptualisation process. Authors focus on the process of diagnostic thinking expressed in graphic conceptual maps of a specific case. Two main questions were posed: (1) how do psychotherapists build patient understanding (a model of a patient)? (2) With what conceptual tools (categories, assumptions, ideas) do they think? The sample of fourteen conceptual maps from psychotherapists was used for the study presented here. The psychotherapists w...
Source: Journal of Contemporary Psychotherapy - January 3, 2021 Category: Psychiatry & Psychology Source Type: research

Motivational Monitoring: How to Identify Ruptures and Impasses and Enhance Interpersonal Attunement
AbstractAttachment theory is useful, but per se it may not be sufficient to understand the complexity of human relationships. For this reason, we believe that there is the need to refer to a broader (evolutionary theory of motivation; Liotti, Psychoanal Inquiry 37(5):319 –331,2017) that considers normal functioning as the result of the harmonious activation of various motivational systems, each aimed at achieving an objective of high evolutionary value (adaptive for the individual, the social group, and the species). In this approach, pathology results from the disharmonious and dysfunctional activation of one or mor...
Source: Journal of Contemporary Psychotherapy - January 3, 2021 Category: Psychiatry & Psychology Source Type: research

Cognitive-Behavioral and Existential Therapies for Marital Satisfaction in Women: A Comparative Investigation of the Efficacy, Stability and Mechanisms of Changes
AbstractDue to limited of comparative studies on Cognitive Behavioral Therapy (CBT), as an objective approach, and Existential Therapy (ET), as a subjective approach, on marital relationship, the current study investigates the efficacy of these two types of group psychotherapy on marital satisfaction in women. Hence, the main objects of this study are: comparative study on the efficacy of ET and CBT on marital satisfaction, stability of the intervention after 2 months, and assessing the mechanisms of changes. 16 eligible women who enrolled in the study were randomly assigned to ET or CBT groups. They were requested to fill...
Source: Journal of Contemporary Psychotherapy - January 2, 2021 Category: Psychiatry & Psychology Source Type: research

The Brief Strategic Treatment of Cardiophobia: A Clinical Case Study
This article presents a case of cardiophobia treated in an outpatient cardiac rehabilitation unit and, for the first time, describes the application of brief strategic therapy for the treatment of this condition. In the case reported, the first therapeutic encounter and the key elements of the strategic approach are described in detail with the aim to explain how brief strategic therapy works and how it can be used to identify and address cardiophobia-related behaviors. A 64-year-old male presented to cardiac rehabilitation reporting intense anxiety-provoking heart palpitations, and believing he was at risk of dying from a...
Source: Journal of Contemporary Psychotherapy - November 23, 2020 Category: Psychiatry & Psychology Source Type: research

The Effect of Mindfulness, Psychological Flexibility, and Emotional Intelligence on Self-Efficacy and Functional Outcomes Among Chronic Pain Clients
This study investigated whether better functional outcomes (physical and psychosocial daily functioning) and greater self-efficacy among persons with chronic pain is associated with mindfulness, psychological flexibility, and emotional intelligence (N = 148). Two multiple regression analyses, each controlling for demographic factors, indicated that psychological flexibility predicted both daily functioning and self-efficacy, and emotional intelligence predicted self-efficacy among chronic pain clients. Mental health benefits of psychological flexibility and emotional intelligence can therefore potentially be us...
Source: Journal of Contemporary Psychotherapy - November 21, 2020 Category: Psychiatry & Psychology Source Type: research

Descriptions and Reflections on the Cognitive Apprenticeship Model of Psychotherapy Training & amp; Supervision
AbstractThis paper offers a detailed description of a Cognitive Apprenticeship Model for psychotherapy training and supervision. This form of training has been utilized in a novel psychotherapy training program developed for psychiatric trainees, enrolled in a specialized psychotherapy scholars track, embedded in an adult psychiatric residency training program. The paper offers new elaborations of the model, reflections on the apprenticeship supervision and implementation, and clinical lessons learned. The four dimensions of this model include: (1) acquisition of psychotherapy content knowledge; (2) an application of the C...
Source: Journal of Contemporary Psychotherapy - November 20, 2020 Category: Psychiatry & Psychology Source Type: research

From Pandemic to Progression: An Educational Framework for the Implementation of Virtual Mental Healthcare for Children and Youth as a Response to COVID-19
AbstractCOVID-19 restrictions have necessitated child/youth mental health providers to shift towards virtually delivering services to patients ’ homes rather than hospitals and community mental health clinics. There is scant guidance available for clinicians on how to address unique considerations for the virtual mental healthcare of children and youth as clinicians rapidly shift their practices away from in-person care in the context of the COVID-19 pandemic. Therefore, we bridge this gap by discussing a six-pillar framework developed at Hospital for Sick Children (SickKids) in Toronto, Ontario, Canada, fo...
Source: Journal of Contemporary Psychotherapy - October 23, 2020 Category: Psychiatry & Psychology Source Type: research

Pilot Study of a Treatment Using Dialectical Behavioral Therapy Skills for Adults with Overweight/Obesity and Emotional Eating
AbstractThe current study was a preliminary investigation of Live FREE, a pilot study of a treatment that included a combination of Dialectical Behavioral Therapy (DBT) and behavioral weight loss techniques for overweight/obese adult emotional eaters. Live FREE was based on the premise that impaired emotion regulation skills promote emotional eating behavior and lead to weight gain. Consistent with the ORBIT model of behavioral treatment development, the primary study aim was to refine the treatment protocol. Adults with overweight/obesity (n  = 10) who self-identified as emotional eaters were enrolled in Liv...
Source: Journal of Contemporary Psychotherapy - October 13, 2020 Category: Psychiatry & Psychology Source Type: research

Helping Clients Victimized by Intimate Partners Through Stages of Change: An Emotion-Focused Approach
AbstractIntimate partner violence results in extensive negative mental health outcomes including depression, posttraumatic stress, and anxiety. Moreover, victimized partners who experience cumulative episodes of abuse over time can also present severe affect dysregulation and interpersonal difficulties. Preliminary evidence for existing psychological treatments shows that these are globally effective on a symptomatic level and in reducing revictimization. Nonetheless, systematic reviews show high attrition rates and suggest that future interventions need to address a wider range of emotional difficulties and contextual cha...
Source: Journal of Contemporary Psychotherapy - September 30, 2020 Category: Psychiatry & Psychology Source Type: research

Maintaining the Therapeutic Alliance When Reporting Child Maltreatment: Recommendations for Mental Health Clinicians
AbstractChild maltreatment is a significant public health issue often resulting in long-term physical and mental health difficulties among the affected youth. The first steps in promoting child safety require the accurate identification and prompt reporting of suspected child maltreatment. However, mandated reporters, including mental health clinicians, often struggle to know how to identify and when to report child maltreatment, especially due to concerns that a report will disrupt or end the therapeutic alliance, a core component of the therapeutic process that is strongly related to successful psychotherapy outcomes. To...
Source: Journal of Contemporary Psychotherapy - September 29, 2020 Category: Psychiatry & Psychology Source Type: research

Examining DBT Day Treatment in Treating Mood Dysregulation Expectancy and Anxiety in Women Diagnosed with Eating Disorders
AbstractEating disorders (EDs), particularly anorexia nervosa (AN) and bulimia nervosa (BN), are characterized by emotional and behavioral disturbances in eating patterns and body image that result in significant distress and functional impairment (as reported by APA, (APA dictionary of psychology, American Psychological Association, Washington, DC, 2015)). Ben-Porath and colleagues (Journal of Contemporary Psychotherapy 40:115-123, 2010) have researched the effectiveness of dialectical behavioral therapy (DBT) day treatment program in reducing negative mood regulation and anxiety among women diagnosed with AN, BN, and eat...
Source: Journal of Contemporary Psychotherapy - September 27, 2020 Category: Psychiatry & Psychology Source Type: research

A Review of Empirical Studies Investigating Narrative, Emotion and Meaning-Making Modes and Client Process Markers in Psychotherapy
The objective  is to review the studies about client narrative and narrative-emotional processes in psychotherapy that used the Narrative Process Coding System or the Narrative-Emotion Process Coding System (1.0 and 2.0). To identify the studies, we searched The Book Collection, PsycINFO, PsycARTICLES, PsycBOOK S, PEP Archive, Psychology and Behavioral Sciences Collection, Academic Search Complete and the Web of Knowledge databases. We found 27 empirical studies using one of the three coding systems. The studies applied the Narrative Process Coding System and the Narrative-Emotion Process Coding System to differe...
Source: Journal of Contemporary Psychotherapy - September 17, 2020 Category: Psychiatry & Psychology Source Type: research

David A. Clark: Cognitive-Behavioral Therapy for OCD and Its Subtypes: Second Edition
(Source: Journal of Contemporary Psychotherapy)
Source: Journal of Contemporary Psychotherapy - September 10, 2020 Category: Psychiatry & Psychology Source Type: research

The Effects of Drug Camp in Treatment of Methamphetamine Use with a New Behavioral Change Model: A Quasi-Experimental Study
This study explored the drug camp’s effects by comparing a drug camp model, developed based on 12-Step, cognitive–behavioral theory, and group psychotherapy theory with one that currently has been used in drug camps in T hailand. One drug camp in Nakhon Ratchasima was selected as an area of study. Drug attendants who lived in Khong district were assigned into a 12-Step group, which used the new model (n = 35). Meanwhile, other attendants who lived in other districts in Nakhon Ratchasima were assigned into a treatment-as-usual group (n = 57). Methamphetamine use behavior was assessed ...
Source: Journal of Contemporary Psychotherapy - August 30, 2020 Category: Psychiatry & Psychology Source Type: research

Curriculum-Based Animal-Assisted Therapy in an Acute Outpatient Mental Health Setting
This study examined the utility of this manualized curriculum as a supplemental component of a pediatric intensive behavioral health treatment program for children with a range of psychiatric conditions. Patients, psychiatrists, and caregivers completed assessments o f children’s (N = 22) symptoms before and after treatment, with analyses investigating the difference in symptoms for patients who received animal-assisted therapy (AAT) as a part of their treatment and patients who did not. Patients also completed mood scores before and after group sessions w ith and without a therapy dog present. Results ...
Source: Journal of Contemporary Psychotherapy - August 11, 2020 Category: Psychiatry & Psychology Source Type: research

Exploratory Study of Common Changes in Client Behaviors Following Routine Psychotherapy: Does Psychological Flexibility Typically Change and Predict Outcomes?
This study explored the degree to which aspects of clients’ psychological flexibility, specifically acceptance-and-mindfulness and commitment-and-behavioral activation, changed after episodes of routine psychotherapy and were predictors of outcome changes for a clinically heterogeneous sample (n = 197) in a naturalistic treatment setting. Results showed statistically significant and small improvements in acceptance-and-mindfulness (d = 0.22) and commitment-and-behavioral activation (d = 0.24) and that changes in psychological flexibility were significant predictors of changes...
Source: Journal of Contemporary Psychotherapy - July 29, 2020 Category: Psychiatry & Psychology Source Type: research

People Engaging Each Other: A Dual-Perspective Study of Interpersonal Processes in Useful Therapy
AbstractTo explore how clients and therapists experience and engage in a therapeutic relationship which the client can make use of. We explored 11 psychotherapy dyads using in-depth qualitative methods. Selected dyads were ones in which the client experienced the therapy as useful. The data collection method was serial interviews with both therapists and clients. Therapists and clients were interviewed separately, four and two times, respectively, about their personal development, their views on and experiences with therapy, and their collaboration in the concrete therapeutic dyad. Transcripts of interviews were analyzed u...
Source: Journal of Contemporary Psychotherapy - July 28, 2020 Category: Psychiatry & Psychology Source Type: research

CBT-Informed Interventions for Essential Workers During the COVID-19 Pandemic
AbstractEssential workers during the COVID-19 pandemic face heightened levels of anxiety and depression due to increased work demands, lack of adequate personal protective equipment, fear of contracting the virus, and fear of spreading it to loved ones. This is a time of urgent need for mental health support for workers affected by the pandemic crisis. Clinicians may employ empirically supported interventions derived from cognitive behavioral therapy (CBT) and related therapies. Psychological First Aid, an evidence-based crisis intervention, may be utilized to emphasize basic needs and support, but is intended as an acute ...
Source: Journal of Contemporary Psychotherapy - July 17, 2020 Category: Psychiatry & Psychology Source Type: research

Containing the Anxieties of Children, Parents and Families from a Distance During the Coronavirus Pandemic
AbstractThe coronavirus pandemic and the move to teletherapy has created uncertainty among both clinicians and patients. As therapists who work with children, we have heard from parents who are desperate for support and advice about how to respond to their children ’s behavioral changes, as well as those who feel too overwhelmed to continue their children’s sessions at the moment and want to take a break from treatment. We have had to rethink the frame in concrete ways, reimagine how to play, and renegotiate parameters around confidentiality. At a time whe n fear and uncertainty make mentalizing difficult, the ...
Source: Journal of Contemporary Psychotherapy - July 13, 2020 Category: Psychiatry & Psychology Source Type: research

Fidgeting Behavior During Psychotherapy: Hand Movement Structure Contains Information About Depressive Symptoms
AbstractFidgeting may be a motor sign reflecting self-regulation processes in patients with social anxiety disorder (SAD) and depressive patients. Since SAD co-occurs with comorbid depression, the question arises whether fidgeting is a disorder-unspecific phenomenon or a specific and therefore diagnostically relevant sign of depression. 33 SAD patients with (n  = 12) and without (n = 21) depression from the Social Phobia Psychotherapy Research Network project were compared regarding their nonverbal behavior. Four video sequences of a psychotherapy session with each patient were analyzed using a ...
Source: Journal of Contemporary Psychotherapy - July 6, 2020 Category: Psychiatry & Psychology Source Type: research

What is Morita Therapy? The Nature, Origins, and Cross-Cultural Application of a Unique Japanese Psychotherapy
AbstractMorita Therapy is a Japanese psychotherapy which contrasts with established Western approaches in teaching, through behavioural experience, that symptoms are part of the natural ecology of human experience. Morita Therapy has received increasing international interest over the decades, and the first randomized controlled trial of Morita Therapy to be published outside of China has recently demonstrated the promise of the approach in treating Western patients. To respond to the resulting interest in Morita Therapy from patients and practitioners, and facilitate further Morita Therapy research, it is necessary to pro...
Source: Journal of Contemporary Psychotherapy - July 6, 2020 Category: Psychiatry & Psychology Source Type: research

The Nature and Treatment of Pandemic-Related Psychological Distress
AbstractThe COVID-19 crisis has created a “mental health pandemic” throughout the world. Scientific data are not available to fully understand the nature of the resulting mental health impact given the very recent onset of the pandemic, nevertheless, there is a need to act immediately to develop psychotherapeutic strategies that may all eviate pandemic-related distress. The psychological distress, in particular fear and sadness, is a function of the pandemic’s negative impact upon people’s ability to meet their most basic needs (e.g., physical safety, financial security, social connection, participa...
Source: Journal of Contemporary Psychotherapy - June 26, 2020 Category: Psychiatry & Psychology Source Type: research

Study of Dialectical Behavior Therapy Versus Cognitive Behavior Therapy on Emotion Regulation and Mindfulness in Patients with Generalized Anxiety Disorder
AbstractAlthough the effectiveness of dialectical behavior therapy (DBT) in the treatment of generalized anxiety disorder (GAD) has not been addressed to date, cognitive behavior therapy (CBT) is the gold-standard psychotherapy for GAD patients. The present study investigated effects of DBT versus CBT on emotion regulation and mindfulness in GAD patients. Conducted in Iran, 68 GAD patients were randomly assigned to one of two groups: CBT or DBT. Assessment was performed at pre-treatment, post-treatment, and at 3  months follow-up. Evaluation included the Generalized Anxiety Disorder scale (GAD-7), Structured Clinical ...
Source: Journal of Contemporary Psychotherapy - June 15, 2020 Category: Psychiatry & Psychology Source Type: research