Advancing the assessment of emotional change: A matrix of processes by methods.
Journal of Psychotherapy Integration, Vol 33(4), Dec 2023, 341-347; doi:10.1037/int0000312Emotional change is an emerging common factor for explaining outcome in psychotherapy. Its measurement is becoming increasingly important for advancing and integrating psychotherapy research. The aim in the special series of 2023 Journal of Psychotherapy Integration was to provide an integrative roadmap for psychotherapy researchers to advance the field of emotional change: The authors believe that the type of measurement is crucial for this effort and ultimately for developing evidence-based theories about the mechanisms of change ac...
Source: Journal of Psychotherapy Integration - January 8, 2024 Category: Psychiatry & Psychology Source Type: research

Using values interventions to improve exposure therapy engagement in specific phobias.
Journal of Psychotherapy Integration, Vol 34(1), Mar 2024, 75-87; doi:10.1037/int0000320Exposure therapy is the gold standard for treating specific phobias (SPs). However, most individuals never seek treatment, refuse treatment, or prematurely drop out. This integrative review brings together literature from the fields of SPs, other anxiety and related disorders, exposure therapy, and acceptance and commitment therapy (ACT) to identify reasons for limited engagement and to provide a potential solution. Operant processes involved in maintaining SPs are first discussed as drivers of limited willingness to engage with treatme...
Source: Journal of Psychotherapy Integration - December 7, 2023 Category: Psychiatry & Psychology Source Type: research

Observer and client perceptions of therapist multicultural orientation in a jail setting.
This study contributes to existing literature on jail-based psychotherapy and therapist MCO by investigating client and observer perspectives of therapists’ demonstration of cultural humility, missed cultural opportunities (i.e., a therapist’s engagement in cultural discussions during session), and therapeutic alliance. Fifty-eight adult (M = 35.18 years; SD = 10.52) clients participated in this study. Participants were predominately men (84.5%) and self-identified as White (27.6%), Multiracial (24.1%), African American/Black (20.7%), or Latine/Hispanic (20.7%). Results indicated that both clients and observers indicat...
Source: Journal of Psychotherapy Integration - December 7, 2023 Category: Psychiatry & Psychology Source Type: research

Assessing interpersonal impact of veterans with posttraumatic stress disorder and moral injury: A case study of how significant others perceive veterans undergoing a positive psychology intervention.
Journal of Psychotherapy Integration, Vol 34(1), Mar 2024, 88-101; doi:10.1037/int0000317Given the risk for posttraumatic stress disorder (PTSD) and moral injury to negatively impact relationships of veterans, researchers have increasingly focused on social functioning assessment. However, extant studies have often relied on self-report methods and relatively broad relational measures. To better understand the dynamic process of social functioning, it is important to determine how others perceive those veterans and their interactions. Interpersonal circumplex assessments, such as the Impact Message Inventory-Circumplex (IM...
Source: Journal of Psychotherapy Integration - November 2, 2023 Category: Psychiatry & Psychology Source Type: research

Therapeutic presence, working alliance, and clients’ attitudes toward online therapy.
Journal of Psychotherapy Integration, Vol 33(4), Dec 2023, 439-456; doi:10.1037/int0000314The pandemic forced changes that had to be implemented quickly. One of them was the shift from face-to-face to online psychological counseling. When this change occurred, many clients, psychologists, and psychotherapists were not prepared for it and did not intend to make it. The present study aims to understand clients’ perspectives on the online (a) therapeutic presence and (b) working alliance as well as (c) clients’ attitudes toward online therapy and, finally, (d) the influence of clients’ previous experience with online th...
Source: Journal of Psychotherapy Integration - October 12, 2023 Category: Psychiatry & Psychology Source Type: research

Clinician reports of the motivation to change and the therapeutic alliance in patients with anorexia nervosa: Countertransference as a mediator.
Conclusions: Increasing patients’ motivation to change might facilitate alliance development. Furthermore, more attention should be given to therapists’ countertransference to account for the motivation to change–TA relationship as perceived by therapists. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Journal of Psychotherapy Integration)
Source: Journal of Psychotherapy Integration - September 28, 2023 Category: Psychiatry & Psychology Source Type: research

Brief transactional analysis psychotherapy for depression: The systematic development of a treatment manual.
This article addresses that apparent gap by describing the systematic development of a semistructured treatment manual for Brief Transactional Analysis Psychotherapy for depression, in order to enable its use in practice and research. The manual was based on an international survey of TA therapists, a systematic literature review of TA psychometric instruments, and meta-analyses of TAP clinical trials, which fed into the development of the evidence-based integrated conceptual model. This model formed an operational definition of TAP and the basis of a 16-session treatment manual for mild to moderate depression. The manual ...
Source: Journal of Psychotherapy Integration - August 10, 2023 Category: Psychiatry & Psychology Source Type: research

Integrative parent psychotherapy: Using the cyclical psychodynamics approach.
This article explores the ways in which the cyclical psychodynamics framework can be applied to parent psychotherapy to ameliorate a child’s symptomatology. It is argued that working therapeutically with parents calls for an integrative approach that uses multiple concepts and different intervention modalities to address the bidirectional interplay between the intrapersonal sphere of the parent, the intrapersonal sphere of the child, and the interpersonal parent–child interactions, where the behavioral and relational spheres of both are expressed. Using this framework can serve to conceptualize how the child’s sympto...
Source: Journal of Psychotherapy Integration - August 3, 2023 Category: Psychiatry & Psychology Source Type: research

Feasibility of multimodal group treatment for veterans with PTSD, depression, and high-risk drinking: A pilot study.
We report pilot data from 50 veterans who participated in this program and completed a posttreatment follow-up survey and program evaluation. Scores on measures of posttraumatic stress, depression, and high-risk drinking were significantly reduced at posttreatment follow-up. The dropout rate for this program (2.9%) was lower than veterans’ average dropout rate across all types of PTSD treatment (36%). Veterans’ perceptions of the program are discussed. Based on these findings, we discuss implications for working with veterans in brief MMGTs and conducting research on these interventions. (PsycInfo Database Record (c) 2...
Source: Journal of Psychotherapy Integration - July 27, 2023 Category: Psychiatry & Psychology Source Type: research

New skills for distance regulation: Therapists’ experiences of remote psychotherapy following the COVID-19 pandemic.
Journal of Psychotherapy Integration, Vol 34(1), Mar 2024, 27-44; doi:10.1037/int0000310Social distancing during the COVID-19 pandemic forced many therapists to shift from in-person sessions to the use of communication technology. This shift actualizes the issue of for whom and when remote therapy is suitable and how the therapeutic technique should be adjusted. Our study explored therapists’ long-term experiences of remote psychotherapy after this transition. Data were collected about 2 years after World Health Organization’s (WHO’s) declaration of the COVID-19 pandemic. Semistructured interviews with 10 therapists ...
Source: Journal of Psychotherapy Integration - July 20, 2023 Category: Psychiatry & Psychology Source Type: research

Considerations in adapting cognitive-behavioral conjoint therapy for posttraumatic stress disorder to a family setting.
Journal of Psychotherapy Integration, Vol 34(1), Mar 2024, 102-113; doi:10.1037/int0000305Cognitive-behavioral conjoint therapy (CBCT) for posttraumatic stress disorder (PTSD) is a manualized therapy for couples designed to simultaneously decrease PTSD symptoms and improve relationship functioning. CBCT has only been tested in couples, not families of three or more members. Family therapy for PTSD may have merit given that there is a bidirectional relationship between PTSD symptoms and poor family adjustment. Adapting CBCT for families has the potential to broaden the impact of CBCT on multiple family members. We review th...
Source: Journal of Psychotherapy Integration - June 12, 2023 Category: Psychiatry & Psychology Source Type: research

Integration of memory specificity training and acceptance and commitment therapy techniques for older adult’s depression treatment.
Journal of Psychotherapy Integration, Vol 33(2), Jun 2023, 201-212; doi:10.1037/int0000301Memory specificity training (MeST) was developed in 2009 to improve the memory specificity of depressed patients. Given its brevity, ease of use, and effectiveness, MeST can be mixed with other existing psychotherapies with relative ease. Accordingly, this study aimed to evaluate the effectiveness of an intervention that integrated MeST with acceptance and commitment therapy (ACT) MeST in the treatment of depression among older adults living in Kerman, Iran. MeST to assess the effectiveness of the integrated MeST and ACT intervention ...
Source: Journal of Psychotherapy Integration - June 8, 2023 Category: Psychiatry & Psychology Source Type: research

The effectiveness of psychotherapy for anxiety in private practice: Benchmarking outcomes and examining predictors.
Journal of Psychotherapy Integration, Vol 34(1), Mar 2024, 62-74; doi:10.1037/int0000306Anxiety disorders are highly prevalent conditions that can be successfully treated with psychotherapy. This effectiveness, however, has rarely been examined in private practice. Thus, this is an important gap in the literature. The present study was designed to address this omission by examining treatment outcomes from a sample of 2,826 clients receiving psychotherapy for an anxiety disorder. The average age of clients was 32.91 years (SD = 11.77 years, range = 18–86 years) and most identified as women (74.0%). Treatment was delivered...
Source: Journal of Psychotherapy Integration - May 11, 2023 Category: Psychiatry & Psychology Source Type: research

Change in satisfaction with social support as a common outcome in interpersonal psychotherapy and cognitive behavioral therapy for depression.
Journal of Psychotherapy Integration, Vol 33(4), Dec 2023, 457-464; doi:10.1037/int0000303As facets of social support can correlate positively with depressive symptoms, it follows that increases in such support are a clinically pertinent proximal outcome in depression-focused therapies. Yet, most research on social support subtypes in psychotherapy has treated them as statically assessed predictors of other therapy outcomes and has largely neglected to examine the degree to which they change over treatment. Addressing this gap, some work has shown that one subtype—patients’ subjective satisfaction with social support (...
Source: Journal of Psychotherapy Integration - May 11, 2023 Category: Psychiatry & Psychology Source Type: research

A relational ecology for crisis prevention among unhoused indigenous peoples in Albuquerque.
Journal of Psychotherapy Integration, Vol 33(4), Dec 2023, 384-401; doi:10.1037/int0000308The purpose of this study was to inform the development of a crisis prevention process model focusing on the qualities present in relationships among unhoused Indigenous peoples and integrated healthcare providers when crisis is prevented. The scope of the study is on multidisciplinary healthcare teams (MHT) and removing barriers for clients to access the resources they need. This key-informant study conducted 24 semistructured interviews including (14) unhoused Indigenous people and (10) members of their MHT in 2021. The study consis...
Source: Journal of Psychotherapy Integration - May 11, 2023 Category: Psychiatry & Psychology Source Type: research