The role of the supervisory working alliance in experiential supervision-of-supervision training: A mixed design and multiple perspective study.
The supervisory working alliance is an essential element in the supervisor–supervisee relationship. Qualitative and quantitative methods were used to explore the role that the supervisory working alliance plays in the supervision training process and its relationship in the professional development of supervisors in training. Thirty-three practicum students, 29 supervisors in training, and 20 supervisors-mentors participated in this exploratory study. Quantitative data were collected at a minimum of one time and a maximum of three different times during a 12-month supervision-of-supervision (SOS) experiential training be...
Source: Journal of Psychotherapy Integration - October 25, 2021 Category: Psychiatry & Psychology Source Type: research

A phenomenological case study of accelerated experiential dynamic psychotherapy: The experience of change in the initial session from a client perspective.
We present a single case phenomenological study of a client’s subjective experience of the initial session of accelerated experiential dynamic psychotherapy (AEDP; Fosha, 2021). It investigates the AEDP phenomenon of healing from the get-go, therapeutic experiences that can begin in the very first session, by examining an example in which the client felt particularly impacted by the very first session. The client was an adult male in his 40s experiencing emotional “deadness.” The therapist was the originator of AEDP. The client was interviewed for 2 hr about his subjective experience in the initial session of therapy...
Source: Journal of Psychotherapy Integration - October 21, 2021 Category: Psychiatry & Psychology Source Type: research

A phenomenological case study of accelerated experiential dynamic psychotherapy: The experience of change in the initial session from a client perspective.
We present a single case phenomenological study of a client’s subjective experience of the initial session of accelerated experiential dynamic psychotherapy (AEDP; Fosha, 2021). It investigates the AEDP phenomenon of healing from the get-go, therapeutic experiences that can begin in the very first session, by examining an example in which the client felt particularly impacted by the very first session. The client was an adult male in his 40s experiencing emotional “deadness.” The therapist was the originator of AEDP. The client was interviewed for 2 hr about his subjective experience in the initial session of therapy...
Source: Journal of Psychotherapy Integration - October 21, 2021 Category: Psychiatry & Psychology Source Type: research

Clients’ perceptions of the working alliance as a predictor of increases in positive affect.
The working alliance is routinely touted, and empirically supported, as a common factor and robust predictor of decreases in psychological distress. However, advances in more balanced, positively-oriented perspectives in psychotherapy have led to calls to conceptualize therapeutic success as both the decrease of distress and the increase of positive factors. One such positive characteristic that may be enhanced during psychotherapy is positive affect. Engendering positive affect has been considered a common process to psychotherapy but remains underexplored in relation to therapeutic processes common across. If the allianc...
Source: Journal of Psychotherapy Integration - October 21, 2021 Category: Psychiatry & Psychology Source Type: research

How do novice therapists manage the process of assimilative integration? A qualitative interview study about the application of implicit heuristics.
Integration of different psychotherapeutic approaches and interventions has become a crucial aspect in psychotherapy practice. Although different conceptual models exist, the experiences of integrative therapists are often ignored. The aim of the present study is to reach a better understanding of therapists’ experiences and challenges while integrating new therapy elements. Twenty-six relatively inexperienced therapists took part in the interview study, which was embedded in a randomized control trial. The goal was to carry out 3 psychotherapies while integrating either components of Emotion-Focused Therapy (EFT) or Sel...
Source: Journal of Psychotherapy Integration - October 21, 2021 Category: Psychiatry & Psychology Source Type: research

The assessment of effectiveness by therapists of online therapy during the COVID-19 pandemic era in Israel.
This study aims to examine the transition from face-to-face (FtF) to online psychotherapy during the COVID-19 pandemic. Specifically, we appraised the effectiveness of online psychotherapy (OT) during the COVID-19 pandemia. We assessed the implementation of the major components of the helping process and studied the factors that can predict this positive assessment, all from the point of view of the therapist. Participants were 192 psychotherapists recruited through a convenience sample, from three different regions in the country. Therapists were asked to assess three measures: the Effectiveness of Online Therapy (EOT), O...
Source: Journal of Psychotherapy Integration - October 21, 2021 Category: Psychiatry & Psychology Source Type: research

The therapeutic alliance in psychotherapy for adolescent depression: Differences between treatment types and change over time.
This study investigated whether the mean strength of the alliance, as well as its trajectory over time, differed between three equally effective psychological treatments for adolescent depression. Data were drawn from the IMPACT study, a randomized controlled trial comparing cognitive-behavioral therapy (CBT) and short-term psychoanalytic psychotherapy (STPP) versus a brief psychosocial intervention (BPI) in the treatment of adolescent depression. Adolescents’ (N = 338) and therapists’ (n = 159) ratings of the alliance were collected using the Working Alliance Inventory short form at 6, 12, and 36 weeks after randomiza...
Source: Journal of Psychotherapy Integration - October 18, 2021 Category: Psychiatry & Psychology Source Type: research

Treatment principles for pathological narcissism and narcissistic personality disorder.
This article focuses on 5 domains of PN, that is: (a) maladaptive self–other schemas, (b) poor self-reflection and intellectualizing, (c) disturbed agency, (d) maladaptive coping and defenses, and (e) poor theory of mind and empathy. With this background, I offer specific treatment suggestions that can be applied in an integrative spirit and are formulated in a way that lends them to empirical investigation. With this and other recent efforts, the hope is to increase clinicians’ and researchers’ awareness of how PN can be treated and possibly increase the amount of empirical studies aimed at showing what principles o...
Source: Journal of Psychotherapy Integration - September 2, 2021 Category: Psychiatry & Psychology Source Type: research

Treatment principles for pathological narcissism and narcissistic personality disorder.
This article focuses on 5 domains of PN, that is: (a) maladaptive self–other schemas, (b) poor self-reflection and intellectualizing, (c) disturbed agency, (d) maladaptive coping and defenses, and (e) poor theory of mind and empathy. With this background, I offer specific treatment suggestions that can be applied in an integrative spirit and are formulated in a way that lends them to empirical investigation. With this and other recent efforts, the hope is to increase clinicians’ and researchers’ awareness of how PN can be treated and possibly increase the amount of empirical studies aimed at showing what principles o...
Source: Journal of Psychotherapy Integration - September 2, 2021 Category: Psychiatry & Psychology Source Type: research

Beyond the conditioned fear model: Narrative reconstruction for a woman with posttraumatic stress disorder.
Although fear is considered to be the dominant affect associated with posttraumatic stress disorder (PTSD), recent changes in diagnostic criteria have resulted in the addition of anger, guilt, and shame as significant emotional states linked with the disorder. The presence of these other emotions is associated with poorer prognosis, slower recovery, and more residual symptoms. However, treatment strategies for these other kinds of PTSD presentation have been less well explored than fear. Narrative reconstruction—an integrative treatment for PTSD—combines components of cognitive behavioral therapy, such as exposure and ...
Source: Journal of Psychotherapy Integration - August 16, 2021 Category: Psychiatry & Psychology Source Type: research

Therapeutic courage in novice therapists in Japan: A qualitative study.
The concept of therapeutic courage is considered to be an essential therapist variable and is now at a stage of accumulating empirical support. The present study examined the subjective experience of therapeutic courage in Japanese novice therapists in order to gain insight into how culture and clinical experience contribute to the conceptualization and exercise of therapeutic courage. A total of 15 therapists with an average of 4.2 years of clinical experience were interviewed about therapy situations in which they were able or unable to exercise courage. The data was analyzed using grounded theory approach, which generat...
Source: Journal of Psychotherapy Integration - August 12, 2021 Category: Psychiatry & Psychology Source Type: research

Termination in psychotherapy: Contributions of an integrative metamodel.
In this article, we discuss the process of terminating psychotherapy based on an integrative perspective—the paradigmatic complementarity metamodel (PCM). One of the research fronts in PCM is the temporal sequence of phases structuring strategic objectives. The temporal sequencing of the therapeutic work in terms of phases, stages, or steps is believed to be a general principle of change among different theoretical orientations, both of an integrative and nonintegrative nature (Vasco, 2006; Vasco et al., 2018). According to the PCM, the therapeutic process unfolds as the client and therapist progress along 7 phases regar...
Source: Journal of Psychotherapy Integration - August 12, 2021 Category: Psychiatry & Psychology Source Type: research

Therapists’ discovery: A systematic review of therapists’ intersession experiences.
Therapists’ and clients’ unplanned, spontaneous experiences in the time between therapy sessions have been defined as intersession experiences (ISE). This systematic literature review aims to inform clinical practice and future research by quality appraising and synthesizing empirical evidence relating to therapists’ ISE. Searches of electronic databases identified 1,499 articles; 6 met the selection criteria, with a further 6 articles identified through citation and hand searching, resulting in 12 articles in total: 6 were qualitative, 4 quantitative, and 2 were mixed-method. To assess methodological quality, an ada...
Source: Journal of Psychotherapy Integration - August 5, 2021 Category: Psychiatry & Psychology Source Type: research