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Short-Term Inpatient DBT Combined with Metacognitive Interventions for Personality Disorders: A Pilot Acceptability and Effectiveness Study
In conclusion, intensive 1-month residential DBT combined with metacognitive interventions can be effective in treating patients with any PD presenting with severe global suffering, prominent self-harm and suicidal risk. (Source: Journal of Contemporary Psychotherapy)
Source: Journal of Contemporary Psychotherapy - March 22, 2022 Category: Psychiatry & Psychology Source Type: research

Description and First Steps Toward the Empirical Validation of the Plan Formulation Method for Couples
AbstractThe aim of this paper is to empirically assess the reliability of the plan formulation method for couples, a procedure for formulating the case, planning, and monitoring the couple therapies according to control-mastery theory. We hypothesized that when couples are looking for couple therapy, they have anunconscious couple ’s plan for the therapy, which includes thecouple ’s goals; thepathogenic beliefs that the partners want to disprove; thetraumas from which these beliefs originated and that the partners want to master; thevicious relational circles that make the couple suffer and that the couple wants to bre...
Source: Journal of Contemporary Psychotherapy - March 13, 2022 Category: Psychiatry & Psychology Source Type: research

Patients ’ Tests and Clinicians’ Emotions: A Clinical Illustration
AbstractPsychotherapists can experience various kinds of emotions in response to their patients ’ communications and behaviors over the course of therapy. These may be understood in the context of interpersonal dynamics associated with patients’ testing activity. The concept of testing, as part of the patient’s plan for therapy, is explained from the perspective of Control-Mastery Theory . Different kinds of testing behaviors, aimed at disconfirming the patient’s pathogenic beliefs, may evoke different emotions in the therapist. Understanding the patient’s testing strategies can help to make sense of the therapis...
Source: Journal of Contemporary Psychotherapy - March 13, 2022 Category: Psychiatry & Psychology Source Type: research

A Framework for MBT Formulations: The Narrative Formulation and MBT Passport
This article therefore proposes a diagrammatic formulation (the “MBT passport”), the elements of which can also be used to construct a narrative MBT formulation. Two fictional case studies exemplify the approach. We consider factors around co-production of MBT formulations and the use of the MBT Passport to manage ruptures within therapy. Common challenges a re a therapist/client reluctance to share in a group, that formulations are overly focused on the past to the exclusion of the present, and that formulations are delivered to (rather than ‘owned by’) the client. Processes to mitigate or remedy these situations ...
Source: Journal of Contemporary Psychotherapy - March 9, 2022 Category: Psychiatry & Psychology Source Type: research

Using Motivational Monitoring to Evaluate the Efficacy of Self-disclosure and Self-involving Interventions
AbstractSelf-disclosures and self-interventions are generally considered useful, although their role remains controversial. This is mainly due to the heterogeneity of research findings on this topic, characterized by the lack of a clear definition of self-disclosure and of systematic and effective methods to evaluate the short- and long-term effects of such interventions. To clarify the concept of self-disclosure, it is essential to understand whether its definition comprehends different interventions, which may have different effects. An accurate and reliable evaluation of such effects may allow clinicians and researchers...
Source: Journal of Contemporary Psychotherapy - February 28, 2022 Category: Psychiatry & Psychology Source Type: research

End-of-Life Case Study: The Use of Narrative Therapy on a Holocaust Survivor with Lifelong Depression
AbstractEnd-of-life is associated with several physical and existential challenges that may necessitate and yet limit intervention. However, there is limited scholarly exploration of various therapeutic techniques that support the unique individual and family needs that arise during this often-challenging time. This case study examines the use of narrative therapy techniques from a lens of illness-informed social work practice to provide examples of how this theoretical approach and its techniques can be helpful for clients and families at the end of their lives. In this case, narrative therapies, guided by a hospice socia...
Source: Journal of Contemporary Psychotherapy - February 15, 2022 Category: Psychiatry & Psychology Source Type: research

Patient Perspectives on Co-Therapists ’ Behaviors in Group CBT
This study explores patients ’ experiences of therapist behaviour and how it is helpful and hindering for progress in cognitive behavioural therapy groups for anxiety and depression. We interviewed 23 patients from 17 different CBT groups. The fully transcribed texts were analyzed using Braun& Clarke ’s thematic analysis with blinded double coding of 26% of the material. The resulting themes were (1)the co-therapists, (2)the way to communicate, (3)the session structure, and (4)the therapists as group facilitators. Helpful and hindering aspects were highlighted in each theme. A novel finding of the study was the imp...
Source: Journal of Contemporary Psychotherapy - January 20, 2022 Category: Psychiatry & Psychology Source Type: research

Support for Returning to Work for a Patient of Social Behavior Disorder with Impaired Self-awareness
In this study, we performed a long-term client-centered approach to help the patient diagnosed with a social behavior disorder and impaired self-awareness return to work. Cognitive rehabilitation, cognitive-behavioral treatment, and positive behavioral support were provided while assessing the self-awareness using the Japanese version of the Self-Regulation Skills Interview. This patient exemplifies the importance of establishing methods for self-monitoring and rebuilding a positive self-identity while considering the complexities of self-awareness when helping patients with impaired self-awareness. The patient took the in...
Source: Journal of Contemporary Psychotherapy - January 8, 2022 Category: Psychiatry & Psychology Source Type: research

Do Positive Psychology Interventions Impact on the Subjective Wellbeing and Depression of Clients? A Systematic Methodological Review
AbstractMental health services are placing a greater emphasis on wellbeing and recovery. The current research investigated if positive psychology interventions (PPIs) increase peoples ’ subjective wellbeing and reduce clinical depression. A systematic methodological review was conducted on randomized-control-trials with people attending clinical services. Five databases were searched. A hand search was then completed on the reference lists of the identified articles and the ass ociated journals. Eleven research interventions were reviewed. PPIs were found to significantly increase wellbeing, relative to controls and ther...
Source: Journal of Contemporary Psychotherapy - November 26, 2021 Category: Psychiatry & Psychology Source Type: research

The Impact of Clients ’ and Therapists’ Characteristics on Therapeutic Alliance and Outcome
This article investigates distances between therapists and their clients in their experience of the therapeutic alliance across the duration of the psychotherapeutic treatments in a naturalistic study. We looked at the working alliances from different vantage points —rupture, repair of ruptures, distances in the alliance impressions of both clients and therapists—and their correlation with treatment outcome. The only predictive variable of alliance ruptures was the inability of therapists to bond sufficiently with their clients regarding a sustainable worki ng atmosphere, which could be identified through a continuous ...
Source: Journal of Contemporary Psychotherapy - November 10, 2021 Category: Psychiatry & Psychology Source Type: research

Treatment Fidelity of a Randomized Controlled Trial for Suicidal Risk
AbstractTreatment fidelity is a crucial consideration within randomized controlled trials (RCTs). The present study relies on data from a feasibility RCT conducted with 62 treatment-seeking suicidal college students. Issues of experimental fidelity were germane in this investigation because the same clinicians provided both the experimental (the Collaborative Assessment and Management of Suicidality —CAMS) and the control (treatment as usual—TAU) care. The first aim of the current study was to determine adherence to the CAMS model within the experimental (CAMS) and control (TAU) treatment conditions. A second explorato...
Source: Journal of Contemporary Psychotherapy - October 29, 2021 Category: Psychiatry & Psychology Source Type: research

Assessing Resources in a Population of Hemodialysis Patients: A New Approach to Improve Quality of Care
AbstractHemodialysis patients constitute a vulnerable population. Their health needs are considerable and they often present psychological symptoms such as depression and anxiety. Empirical studies have demonstrated the efficacy of positive psychology interventions to enhance the well-being of patients and alleviate their depressive symptoms. One such intervention consists in identifying and mobilizing patient resources to activate their recovery. An intervention of the sort was implemented in Switzerland with hemodialysis nurses using AERES, a novel self-assessment instrument. AERES covers 31 domains under three dimension...
Source: Journal of Contemporary Psychotherapy - October 27, 2021 Category: Psychiatry & Psychology Source Type: research

Psychoeducation for Adults with Post-Traumatic Stress Symptomatology: A Systematic Review and Meta-Analysis
AbstractPost-traumatic stress disorder (PTSD) is a condition that can develop after experiencing a traumatic event. Psychoeducation is a treatment approach often used for mental health and PTSD. The aim of this systematic review and meta-analysis was to provide a comprehensive evaluation of randomized controlled trials (RCTs) of psychoeducational interventions for PTSD symptoms in adults. We systematically searched PubMed and Scopus databases for articles published from inception until October 2019. Eight studies that collectively included 719 subjects met the inclusion criteria. Random effects meta-analyses showed a small...
Source: Journal of Contemporary Psychotherapy - October 25, 2021 Category: Psychiatry & Psychology Source Type: research

Feeling Good Despite EDS: The Effects of a 5-Week Online Positive Psychology Programme for Ehlers –Danlos-Syndromes Patients
AbstractEhlers –Danlos-Syndromes (EDS) is a group of hereditary, chronic and potentially disabling conditions. Few studies have tested the effects of psychological interventions to increase well-being in this population. We hypothesized that Positive Psychology Interventions (PPI), first applied to healthy and m entally ill subjects, can also be useful for people with somatic conditions and conducted a study to evaluate the efficacy of a 5-week online PPI designed to improve well-being in EDS patients. A sample of 132 EDS patients were allocated to three groups: assigned PPI, self-selected PPI, and waitlist control-group...
Source: Journal of Contemporary Psychotherapy - October 15, 2021 Category: Psychiatry & Psychology Source Type: research

The Role of Signature Strengths in Treatment Outcome: Initial Results from a Large and Diverse University Sample
This study utilized a large and diverse sample of treatment-seeking university students to examine three specific questions: 1) what are the relationships between character strengths and symptom, social role, and interpersonal relationship impairment at intake? 2) do character strengths predict treatment outcome? 3) do signature strengths predict number of sessions completed? Participants completed a measure of strengths at intake and an outcome-based measure at intake and at every subsequent psychotherapy session. Results demonstrated the importance of Zest in relation to all subscales, being an excellerator of treatment ...
Source: Journal of Contemporary Psychotherapy - October 15, 2021 Category: Psychiatry & Psychology Source Type: research