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Effectiveness of a brief dialectical behavior therapy intensive-outpatient community health program.
This study provides support for future investigations of brief, intensive community health programs. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Psychotherapy: Theory, Research, Practice, Training)
Source: Psychotherapy: Theory, Research, Practice, Training - December 20, 2021 Category: Psychiatry & Psychology Source Type: research

Alliance-focused safety planning and suicide risk management.
This article proposes that the principles put forth by the Alliance-Focused Training (AFT; Eubanks-Carter et al., 2015; Muran & Eubanks, 2020), which view the therapeutic alliance both as a precondition to therapy and as an active change mechanism, present an ideal framework for addressing patients’ interpersonal challenges in the context of safety planning and suicide risk management. After discussing the relevance of AFT principles to safety planning, we will propose an approach to incorporate AFT techniques into evidence-based safety planning interventions and to monitor their impact on the therapeutic alliance and tr...
Source: Psychotherapy: Theory, Research, Practice, Training - December 16, 2021 Category: Psychiatry & Psychology Source Type: research

Jungian psychotherapy, spirituality, and synchronicity: Theory, applications, and evidence base.
Psychotherapy, Vol 59(3), Sep 2022, 339-350; doi:10.1037/pst0000402The aim of this article is to give an introduction to the theoretical model of Jungian psychotherapy (JP) and the role of spirituality in it, with a special focus on the concept of synchronicity (meaningful coincidences), by which the application of a spiritual viewpoint in JP will be exemplified. The paper gives an overview of the empirical studies of the effectiveness of JP and then focuses on the results of an empirical study on the occurrence of synchronistic events in psychotherapy and how they are integrated in the therapeutic process. JP can be calle...
Source: Psychotherapy: Theory, Research, Practice, Training - December 9, 2021 Category: Psychiatry & Psychology Source Type: research

Jungian psychotherapy, spirituality, and synchronicity: Theory, applications, and evidence base.
The aim of this article is to give an introduction to the theoretical model of Jungian psychotherapy (JP) and the role of spirituality in it, with a special focus on the concept of synchronicity (meaningful coincidences), by which the application of a spiritual viewpoint in JP will be exemplified. The paper gives an overview of the empirical studies of the effectiveness of JP and then focuses on the results of an empirical study on the occurrence of synchronistic events in psychotherapy and how they are integrated in the therapeutic process. JP can be called the prototype of a spiritually integrated psychotherapy, since Ju...
Source: Psychotherapy: Theory, Research, Practice, Training - December 9, 2021 Category: Psychiatry & Psychology Source Type: research

A randomized controlled feasibility trial of internet-delivered guided self-help for generalized anxiety disorder (GAD) among university students in India.
Online guided self-help may be an effective and scalable intervention for symptoms of generalized anxiety disorder (GAD) among university students in India. Based on an online screen for GAD administered at 4 Indian universities, 222 students classified as having clinical (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria) or subthreshold (Generalized Anxiety Disorder Questionnaire, Fourth Edition, score ≥ 5.7) GAD were randomly assigned to receive either 3 months of guided self-help cognitive–behavioral therapy (n = 117) or a waitlist control condition (n = 105). Guided self-help participa...
Source: Psychotherapy: Theory, Research, Practice, Training - December 9, 2021 Category: Psychiatry & Psychology Source Type: research

Therapeutic factors in nature-based therapies: Unraveling the therapeutic benefits of integrating nature in psychotherapy.
This article focuses on the distinct therapeutic factors that characterize NBTs, from the perspective of practitioners from various NBTs, shedding light on the therapeutic value of psychotherapy conducted in the natural environment. To gain a general understanding of the distinct therapeutic factors, currently lacking in the broad field of NBTs, grounded theory methodology was applied. Data included in-depth interviews conducted with 26 nature-based practitioners from five countries, with various professional backgrounds, and six field observations of multiday nature-based group interventions. The findings of this study il...
Source: Psychotherapy: Theory, Research, Practice, Training - December 9, 2021 Category: Psychiatry & Psychology Source Type: research

How patients with borderline personality disorder experience the skill opposite action in the context of dialectical behavior therapy–A qualitative study.
Dialectical behavior therapy (DBT) is currently the most researched therapy method to treat borderline personality disorder (BPD). A major component of DBT is learning and practicing specific skills to regulate emotions. Qualitative studies found that patients perceived DBT skills as helpful in dealing with emotions. However, DBT consists of more than 60 different skills, and earlier qualitative studies had a broad focus. The present study explores patients’ experience with a specific skill, opposite action (OA). The skill is one of the major DBT skills assumed to play an important role in symptom improvement. OA means d...
Source: Psychotherapy: Theory, Research, Practice, Training - December 9, 2021 Category: Psychiatry & Psychology Source Type: research

Anxiety-related difficulties in goal-directed behavior predict worse treatment outcome among adolescents treated for suicidal ideation and depressive symptoms.
Although treatments for youth at risk for suicide have been successful, they are not similarly effective for everyone. Anxiety may interfere with adolescents’ ability to engage with therapy and explain why some adolescents do not respond as well as others to treatment. The current study tested whether an anxiety diagnosis predicted treatment outcome among a sample of adolescents with suicidal ideation and depressive symptoms participating in either attachment-based family therapy or family-enhanced nondirective supportive therapy (N = 129; M age = 14.87, SD = 1.68; 81.9% female). The data set that the current study used ...
Source: Psychotherapy: Theory, Research, Practice, Training - December 9, 2021 Category: Psychiatry & Psychology Source Type: research

The influence of vocal synchrony on outcome and attachment anxiety/avoidance in treatments of social anxiety disorder.
This study investigates the relationship between vocal synchrony and outcome/attachment dimensions, controlling for therapeutic alliance and movement synchrony. Our sample consisted of 64 patients with social anxiety disorder. Symptom severity was assessed with the Liebowitz Social Anxiety Scale and the Inventory of Interpersonal Problems, whereas attachment was assessed with the Experiences in Close Relationships Questionnaire at the beginning and end of therapy. Therapeutic alliance was measured with the Helping Alliance Questionnaire II. We determined vocal synchrony of the median and range of the fundamental frequency ...
Source: Psychotherapy: Theory, Research, Practice, Training - December 9, 2021 Category: Psychiatry & Psychology Source Type: research

Nonverbal synchrony as a marker of alliance ruptures.
Findings from the past 5 decades of empirical research on the working alliance suggest its importance in psychotherapy. Recent studies have sought to identify markers of the alliance, of which one of the most promising candidates is nonverbal synchrony. Delving into processes that constitute the alliance, such as alliance ruptures, may shed light on underlying mechanisms of the association between nonverbal synchrony and the therapeutic relationship. The present study examines whether nonverbal synchrony can serve as a marker of alliance ruptures. To achieve this aim, 418 sessions of 75 therapeutic dyads were coded for rup...
Source: Psychotherapy: Theory, Research, Practice, Training - December 9, 2021 Category: Psychiatry & Psychology Source Type: research

Patient–therapist congruence and incongruence of process expectations during psychotherapy.
This study was aimed to assess whether patients and therapists view expected processes similarly, and whether these beliefs change over time to become more congruent or more dissimilar. Patients (N = 75) were assessed for process expectations at baseline and at 3 months into treatment, and their therapists (N = 17) reported on their general expectations only once, prior to the initiation of treatment. Multilevel models were fitted to assess differences between patients’ and therapists’ process expectations at baseline and after 3 months and changes in level of congruence. The results indicated that at baseline, therapi...
Source: Psychotherapy: Theory, Research, Practice, Training - December 9, 2021 Category: Psychiatry & Psychology Source Type: research

Negative mood regulation as a mechanism of change in cognitive therapy for depression.
The present study investigates the effects of negative mood regulation expectancies (NMRE) on symptom severity of depression in 2 cognitive therapies for depression. The sample included the first 146 consecutively recruited patients from a randomized controlled trial. Patients received 22 sessions of either cognitive-behavioral therapy or exposure-based cognitive therapy. They completed the Beck Depression Inventory and Negative Mood Regulation Scale at baseline and treatment termination, as well as after Sessions 7 and 14. Multilevel modeling was applied. We found a significant between-patient effect of NMRE on symptom se...
Source: Psychotherapy: Theory, Research, Practice, Training - December 9, 2021 Category: Psychiatry & Psychology Source Type: research

Zoom-in to zone-out: Therapists report less therapeutic skill in telepsychology versus face-to-face therapy during the COVID-19 pandemic.
This study examined mental health providers’ perceptions of the differences between in-person therapy and teletherapy in common therapeutic attributes and identified therapist characteristics that predicted differences. A sample of 440 therapists and trainees completed an online survey that assessed their provision of clinical services since the outbreak of COVID-19. Therapists provided ratings for having used 28 therapeutic attributes (e.g., empathy, emotional expression) and skills for in-person therapy and teletherapy. Those attributes were clustered into three factors via exploratory factor analysis (EFA) and confirm...
Source: Psychotherapy: Theory, Research, Practice, Training - December 9, 2021 Category: Psychiatry & Psychology Source Type: research

Determined to improve: An exploration of therapist perspectives about their development.
Scholars note that therapist performance is one of many factors that contribute to client treatment outcomes. Given that the performance of therapists matters, researchers have identified several methods and models for improving therapist effectiveness. However, scholars have yet to explore highly effective therapists’ perspectives on their motivation to develop, the methods they use, and the impact of their efforts to develop. The present study used a consensual qualitative research (Hill & Knox, 2021) approach to explore dynamics underlying therapist development of expertise. Semistructured interviews were conducted wi...
Source: Psychotherapy: Theory, Research, Practice, Training - December 9, 2021 Category: Psychiatry & Psychology Source Type: research

To conceal or not to conceal: Supervisee and client identity processes in clinical supervision.
This article sought to understand the extent to which supervisees engage in a process of concealment or nondisclosure about culture while in supervision. Cultural concealment (operationalized by Drinane, et al., 2018) was measured on 2 levels: one focused on if the supervisee concealed their own culture and one focused on if the supervisee concealed aspects of their clients’ cultural identities. First, we found significant negative associations between each of these levels of cultural concealment and satisfaction with supervision and the supervisory working alliance. We then computed a residual score whereby supervisee c...
Source: Psychotherapy: Theory, Research, Practice, Training - December 9, 2021 Category: Psychiatry & Psychology Source Type: research