Orthogonal interaction: Motivational interviewing’s key ingredient.
Journal of Psychotherapy Integration, Vol 33(2), Jun 2023, 160-168; doi:10.1037/int0000287Motivational interviewing (MI), originally devised for the treatment of substance use disorders, was introduced by William Miller in 1983. Of the various attempts to explain its effectiveness, the best known is the “technical hypothesis” proposed by Arkowitz and colleagues (2015). It calls for clinicians to increase in-session change talk—client verbalizations that imply or suggest movement away from the status quo—and to soften sustain talk—client commitments to maintaining existing circumstances. Recently, however, the rel...
Source: Journal of Psychotherapy Integration - June 30, 2022 Category: Psychiatry & Psychology Source Type: research

The alliance-outcome correlation: Is there a halo effect?
This study examined the experimental effect of outcome knowledge on observer ratings of the therapeutic alliance. Consistent with the halo effect, it was hypothesized that positive outcome knowledge would yield higher alliance ratings and negative outcome knowledge would yield lower alliance ratings relative to the control group. All participants (N = 168) watched the same video of a therapy session, followed by a randomized voiceover in which they either heard a detailed account of a positive outcome, negative outcome, or received no outcome information, before rating the alliance. Analyses revealed that participants in t...
Source: Journal of Psychotherapy Integration - June 2, 2022 Category: Psychiatry & Psychology Source Type: research

Integrating the manual stimulation of acupuncture points into psychotherapy: A systematic review with clinical recommendations.
Journal of Psychotherapy Integration, Vol 33(1), Mar 2023, 47-67; doi:10.1037/int0000283The integration into psychotherapy of protocols using the stimulation of acupuncture points by tapping on them, a form of acupressure, is increasingly appearing in clinical practice. An underlying premise is that the procedure generates activating and deactivating signals which, in real time, impact brain areas aroused by a client’s focus of attention. This makes it possible for a therapist to rapidly facilitate cognitive and neurological changes by shifting the wording and images that accompany the tapping. The approach has been cont...
Source: Journal of Psychotherapy Integration - May 19, 2022 Category: Psychiatry & Psychology Source Type: research

The impact of client distress on alliance ratings: An experimental test.
The alliance-outcome relationship is typically interpreted to mean alliance contributes to client outcomes; however, it remains possible that when clients are feeling better, they provide more lenient or positive ratings of the alliance. The aim of this research was to test whether client mood states impact alliance perceptions by experimentally manipulating clients’ mood before they rated the alliance. Clients (N = 177) watched a randomized mood induction film clip that was either positive or negative. Then, clients completed the Working Alliance Inventory, the Alliance Negotiation Scale, and questions about alliance ru...
Source: Journal of Psychotherapy Integration - May 19, 2022 Category: Psychiatry & Psychology Source Type: research

Introduction to the special issue on pandemic impacts.
Within the first few months of the COVID-19 pandemic, JPI issued a call for scholarship to inform psychotherapy with those facing long-term adverse impacts (e.g., economic insecurity or deep poverty). This issue brings together a sampling of responses spanning the variety of ways in which psychotherapists and researchers are prepared to respond and underscores the need to attend to social determinants of health. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Journal of Psychotherapy Integration)
Source: Journal of Psychotherapy Integration - April 28, 2022 Category: Psychiatry & Psychology Source Type: research

Effectiveness of cognitive analytic therapy for mixed anxiety and depression in the context of borderline traits: A quasi-experimental single case design evaluation.
This study contributes by intensively studying change in two types of quantitative outcomes (ideographic and nomothetic) over treatment time. The study employed an A/B quasi-experimental single case design method with a 25-year old male patient with a diagnosis of mixed anxiety and depression in the context of borderline personality disorder (BPD) traits. Following the 21-day baseline period (A), treatment was delivered over 77 days (B). Scores on three ideographic measures (self-worth, ability to connect with emotions, and interpersonal connection) were collected daily throughout. Two nomothetic outcome measures (CORE-OM ...
Source: Journal of Psychotherapy Integration - March 10, 2022 Category: Psychiatry & Psychology Source Type: research

Of interventive doppelgangers and other barriers to evidence-based practice in psychotherapy.
Journal of Psychotherapy Integration, Vol 33(1), Mar 2023, 20-33; doi:10.1037/int0000279Despite a long history, psychotherapy research has been mired by sundry conflicts, the most vexing of which involves establishing the profession as an evidence-based practice. Beginning in the mid-1990s, and continuing today, psychotherapy has struggled to reach consensus regarding the meaning, methods, and implementation of evidence-based practice. Much of this struggle has centered on the overreliance on, and conflation of, random controlled trial research as the cynosure of evidence-based practice. This, in tandem with the proliferat...
Source: Journal of Psychotherapy Integration - March 10, 2022 Category: Psychiatry & Psychology Source Type: research

An integral analysis of the etiology and treatment of schizophrenia: Integrated pluralism in research and clinical practice.
Journal of Psychotherapy Integration, Vol 32(4), Dec 2022, 453-472; doi:10.1037/int0000277A major difficulty in integrating approaches to psychotherapy concerns the disparate epistemologies and methodologies of the research programs from which they originate. Moreover, integrated treatment of psychopathology presupposes an integrated formulation of many diverse etiological factors and the interactions between them. The present article uses a metatheoretical framework called Integral Theory to organize varied research on the origins of schizophrenia, demonstrating how the well-known neurobiological features of the disorder ...
Source: Journal of Psychotherapy Integration - March 10, 2022 Category: Psychiatry & Psychology Source Type: research

An integral analysis of the etiology and treatment of schizophrenia: Integrated pluralism in research and clinical practice.
A major difficulty in integrating approaches to psychotherapy concerns the disparate epistemologies and methodologies of the research programs from which they originate. Moreover, integrated treatment of psychopathology presupposes an integrated formulation of many diverse etiological factors and the interactions between them. The present article uses a metatheoretical framework called Integral Theory to organize varied research on the origins of schizophrenia, demonstrating how the well-known neurobiological features of the disorder relate to lesser-known biological, psychological, social, and phenomenological paradigms, ...
Source: Journal of Psychotherapy Integration - March 10, 2022 Category: Psychiatry & Psychology Source Type: research

Pragmatic applications for therapeutic engagement with marginalized men: An intersectional exploration of two emerging adult African American male clients.
High-quality and accessible mental health services, though integral to general health and well-being, continue to be overlooked and underfunded by society and especially to the detriment of people of color. A population that experiences notable difficulty accessing services and engaging in therapy due to stigma, discrimination, and resistance to help seeking is African American men. Some of the factors that hinder many African American men from pursuing or engaging in therapeutic services include rigid conformity to masculine norms; low socioeconomic status; lack of access; and cultural barriers, including a dearth of Afri...
Source: Journal of Psychotherapy Integration - March 10, 2022 Category: Psychiatry & Psychology Source Type: research

Conceptualizing the therapeutic relationship: Mediator or moderator of change?
Although the therapy relationship has long been recognized as an essential factor in the change process, there has been disagreement concerning whether the relationship is itself curative or rather supports the benefits of specific therapeutic techniques. To advance and clarify this conversation, this article conceptualizes the therapy relationship as both a mediator and/or moderator of change that can be used strategically in accord with case formulation for treatment goals. We begin with a brief overview of the relevant literature on the therapy relationship versus technique and the role of the therapy relationship as me...
Source: Journal of Psychotherapy Integration - March 10, 2022 Category: Psychiatry & Psychology Source Type: research

A randomized trial of group therapy for resource activation for patients with affective disorder.
This study can be understood as a preliminary effort to pave the way for further refinement and testing of GTRA for patients with affective disorders in addition to TAU in an inpatient care setting. Future research should focus on improving the efficacy of the GTRA by varying different therapy components (e.g., the duration of the GTRA). (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Journal of Psychotherapy Integration)
Source: Journal of Psychotherapy Integration - December 30, 2021 Category: Psychiatry & Psychology Source Type: research

Unconscious processes in psychoanalysis, CBT, and schema therapy.
Journal of Psychotherapy Integration, Vol 32(4), Dec 2022, 443-452; doi:10.1037/int0000276Identifying factors that are common across different approaches can facilitate exchange and integration between different psychotherapeutic paradigms. One such factor that has received little attention is unconscious processes—thoughts and emotions that are not normally available to introspection. In providing a preliminary account of how they might be considered a common factor, this article outlines commitments relating to unconscious processes in three different paradigms. First, psychoanalysis and cognitive behavioral therapy (C...
Source: Journal of Psychotherapy Integration - December 30, 2021 Category: Psychiatry & Psychology Source Type: research

Psychotherapy process in regulation focused psychotherapy for children.
This study examines psychotherapy process in Regulation Focused Psychotherapy for Children (RFP-C), a manualized and time-limited psychodynamic treatment designed for children with disruptive behavior disorders. Sixty child psychotherapy sessions, from 20 children (13 male, seven female; Mage = 8) diagnosed with oppositional defiant disorder, were coded using the Child Psychotherapy Q-Set. Results indicate that common factors characterized actual sessions of RFP-C to a greater degree than expected, with sessions adhering significantly to the RFP-C, Psychodynamic Therapy, Cognitive-Behavioral Therapy, Child-Centered Play Th...
Source: Journal of Psychotherapy Integration - December 30, 2021 Category: Psychiatry & Psychology Source Type: research