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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-class correlation coeffici...
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 super...
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 (Patallo in Training and...
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 (e.g., ...
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 (American Psycho...
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 to d...
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