Journal of Psychotherapy Integration This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

“It’s a hell of a journey”: Student, graduate, and trainer views on the integrative process in psychotherapy training.
This qualitative study explored how the process of becoming an integrative psychotherapist is experienced, understood and facilitated during psychotherapy training. Semistructured individual interviews were used to capture the perspectives of students undergoing integrative training, recent graduates, and current trainers of integrative psychotherapy programs in Ireland and the United Kingdom (N = 12). Thematic analysis revealed 2 major themes, “finding meaning” and “the right ingredients.” The first theme describes how becoming an integrative psychotherapist was experienced as a complex and challenging yet rewardi...
Source: Journal of Psychotherapy Integration - October 15, 2020 Category: Psychiatry & Psychology Source Type: research

Profiles of adherence and flexibility in psychodynamic psychotherapy: A cluster analysis.
We used cluster analysis, a mixed dimensional-categorical design (Ward, 1963), to provide profiles of technique adherence and flexibility in psychodynamic therapy to examine the relationship between such profiles and outcome. A 4-cluster solution representing a 2 × 2 categorical model was predicted. Forty-six outpatients were consecutively enrolled in individual psychodynamic psychotherapy and received a DSM–IV Axis I diagnosis of a depressive spectrum disorder. Patients were assessed pre- and posttreatment through self-report of depressive symptoms. Treatment was videotaped, two early sessions were independently rated ...
Source: Journal of Psychotherapy Integration - October 15, 2020 Category: Psychiatry & Psychology Source Type: research

The role of enhanced emotional awareness in promoting change across psychotherapy modalities.
Although there is widespread agreement that emotion plays an important role in effecting change in psychotherapy, exactly how it plays a role is uncertain. A way forward is to draw upon the preclinical literature for guidance in bridging basic science with clinical application. Here we focus on the promotion of emotional awareness, the recognition and description of one’s own emotional experiences, as foundational to change across a variety of psychotherapy approaches. We begin by focusing on emotion from a preclinical perspective, highlighting how automatic emotional responses provide instantaneous adaptation to changes...
Source: Journal of Psychotherapy Integration - September 17, 2020 Category: Psychiatry & Psychology Source Type: research

“Yes, there is actually hope!”—A qualitative investigation of how patients experience mentalization-based psychoeducation tailored for borderline personality disorder.
This study aimed to explore their experience of the group-based psychoeducation. Twelve patients who had attended the introductory group-based psychoeducation in MBT participated. Qualitative interviews were analyzed using Interpretative Phenomenological Analysis. MBT psychoeducation was found helpful in itself and in the further treatment process. Identified experiences related to the group (feeling less ashamed, learning from others, feeling different from others), acquisition of “tools” for better personal management (the psychoeducational content; putting new knowledge into practice), preparation for longer term th...
Source: Journal of Psychotherapy Integration - September 17, 2020 Category: Psychiatry & Psychology Source Type: research

Systematic review of mindfulness-based cognitive therapy and mindfulness-based stress reduction via group videoconferencing: Feasibility, acceptability, safety, and efficacy.
This article reports a systematic review exploring the feasibility, acceptability, safety, and efficacy of delivering MBCT/MBSR by videoconferencing (MBCT/MBSR-VC). No restrictions were made about population or study design. Eleven online databases were searched and 10 studies met inclusion criteria. Narrative synthesis was used because of study heterogeneity. Articles featured physical health and nonclinical samples, but not mental health. Three studies had moderate-strong methodological quality. Results supported the feasibility and acceptability of MBCT/MBSR-VC. Considerations of safety were largely unreported. MBCT/MBS...
Source: Journal of Psychotherapy Integration - September 14, 2020 Category: Psychiatry & Psychology Source Type: research

Patients’ and therapists’ actions on the precipice of change: Session processes before sudden gains and sudden losses.
In the present study, sessions prior to sudden gains, sudden losses, and neutral control sessions were examined regarding the processes of change resource activation, problem actuation and therapeutic alliance. With respect to these change processes, we examined whether pregain, preloss, and neutral sessions are distinguishable by particular patterns. For the current project, videos of 30 pregain, 29 preloss, and 30 neutral control sessions from n = 89 patients receiving integrative cognitive–behavioral therapy were rated minute-by-minute using Resource-Oriented Microprocess Analysis. The sample was drawn from a total of...
Source: Journal of Psychotherapy Integration - August 6, 2020 Category: Psychiatry & Psychology Source Type: research

“Suddenly you are King Solomon”: Multiplicity, transformation and integration in compassion focused therapy chairwork.
This study explores self-multiplicity in a CFT chairwork intervention for self-criticism. Twelve participants with depression were interviewed following the intervention and the resultant data were analyzed using interpretative phenomenological analysis. Three superordinate themes were identified: differentiating selves; mental imagery of selves; and integrating and transforming selves with compassion. The results highlight how the intervention enabled clients to differentiate internal aspects of themselves in a way that was accessible and helpful, increasing self-complexity and introducing the potential to observe and cha...
Source: Journal of Psychotherapy Integration - July 16, 2020 Category: Psychiatry & Psychology Source Type: research

Processing of positive memories technique (PPMT) for posttraumatic stress disorder: A primer.
Despite substantial evidence linking posttraumatic stress disorder (PTSD) and positive memory processes, existing trauma research and clinical work focuses primarily on trauma memories. In light of this limitation, Contractor and colleagues proposed a conceptual model linking PTSD to positive memories; this provided the backdrop to develop a manualized positive memory therapy protocol for trauma-exposed individuals (Processing of Positive Memories Technique [PPMT]). In the current study, we first present justification for developing PPMT by outlining the role of positive memories in PTSD’s symptomatology according to tra...
Source: Journal of Psychotherapy Integration - July 6, 2020 Category: Psychiatry & Psychology Source Type: research

Think again: Adaptive repetitive thought as a transdiagnostic treatment for individuals predisposed to repetitive thinking styles.
Maladaptive repetitive thought (RT) is a transdiagnostic construct associated with several psychopathological disorders, including major depressive disorder and anxiety disorders. However, not all forms of RT are maladaptive. Adaptive RT is characterized by primarily positive and concrete thought content, is usually focused on the present rather than the past or future, and frequently from a self-distanced perspective. From a behavioral therapy perspective, interventions that promote adaptive RT may interrupt or decrease engagement in maladaptive RT. In this review, we explore the distinction between adaptive and maladapti...
Source: Journal of Psychotherapy Integration - June 25, 2020 Category: Psychiatry & Psychology Source Type: research

Telepsychotherapy in the age of COVID-19: A commentary.
This is a commentary on 15 articles addressing some of the major emergent challenges in provision of mental health services during the COVID-19 pandemic crisis, offering telepsychology as a viable and elegant solution to maintaining psychotherapy within and after the pandemic. The papers in the special issue both build on existing telepsychotherapy initiatives and offer rapid responses to the early phase of COVID-19. Two papers explore the relative effectiveness of in-person supervision and telesupervision, proposing telesupervision as a feasible alternative; and extending practical considerations to maintain effective cli...
Source: Journal of Psychotherapy Integration - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

Comparing in-person supervision and telesupervision: A multiple baseline single-case study.
This study (completed before the COVID-19 pandemic) used a multiple baseline single-case design to compare the relative effectiveness of in-person supervision and telesupervision. For the small sample of supervisee participants, in-person supervision and telesupervision had equivalent outcomes; there was no significant decrease in participant-rated supervision satisfaction or supervisory working alliance after participants switched from the initial in-person supervision format to telesupervision. In follow-up interviews, participants discussed 4 themes which may be relevant to mental health care professionals adopting tele...
Source: Journal of Psychotherapy Integration - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

Development of a virtual partial hospital program for an acute psychiatric population: Lessons learned and future directions for telepsychotherapy.
This article describes the development of a virtual PHP that serves acute psychiatric patients stepping down from inpatient hospitalization. First, we provide an overview of the original in-person PHP and then discuss the process of its transition to a virtual format. Next, we describe in detail the components of our newly developed virtual PHP, highlighting adaptations necessitated by patients and staff being remote from our physical hospital. Finally, we present preliminary evidence of our virtual PHP’s acceptability and feasibility, based on experiences with our 23 patients to date; discuss lessons learned from this p...
Source: Journal of Psychotherapy Integration - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

Navigating uncharted waters: Considerations for training clinics in the rapid transition to telepsychology and telesupervision during COVID-19.
The COVID-19 pandemic offers both challenges and opportunities for those who provide and receive psychological services. For training clinics tasked with educating the next generation of health service psychologists, providing vital mental health care to the community, and conducting clinical research, the pandemic offers an opportunity to consider how best to fulfill these crucial missions during a time of global uncertainty. The present paper reviews the recent, rapid move to telepsychology among North American university training clinics in response to the COVID-19 pandemic and offers relevant suggestions for mental hea...
Source: Journal of Psychotherapy Integration - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

Telepsychotherapy with children and families: Lessons gleaned from two decades of translational research.
We describe adaptation for international contexts and strategies for troubleshooting technological challenges and working with families of varying socioeconomic strata. The extensive research literature reviewed and synthesized provides considerable support for the utility of telepsychotherapy with children with neurological conditions and their families and underscores its high level of acceptability with both diverse clinical populations and providers. During this period of heightened vulnerability and stress and reduced access to usual supports and services, telepsychotherapy approaches such as online family problem-sol...
Source: Journal of Psychotherapy Integration - June 8, 2020 Category: Psychiatry & Psychology Source Type: research

Telepsychotherapy with youth at clinical high risk for psychosis: Clinical issues and best practices during the COVID-19 pandemic.
Early detection and prevention of psychosis has become an international priority. Much of this work has focused on youth presenting with attenuated symptoms of psychosis—those at clinical high risk for psychosis (CHR)—given their elevated probability of developing the full disorder in subsequent years. Individuals at CHR may be prone to exacerbated psychological distress during the coronavirus 2019 (COVID-19) pandemic and its subsequent physical isolation measures, as a result of heightened stress sensitivity and comorbid mental health problems. Telepsychotherapy holds promise for reaching this population, especially d...
Source: Journal of Psychotherapy Integration - June 8, 2020 Category: Psychiatry & Psychology Source Type: research