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Parental reflective function and children’s attachment-based mental state talk as predictors of outcome in psychodynamic child psychotherapy.
This study aimed to investigate whether baseline parental reflective function (PRF) and children’s mental state talk (MST) predicted changes in emotional and behavioral problems in psychodynamic child psychotherapy. The sample included 60 Turkish school-age children (Mage = 7.90, SD = 1.35, 43.3% girls) with internalizing (18.3%), externalizing (5%), and comorbid (56.7%) problems, and 20% of the children were in the nonclinical range. The mothers were interviewed using the Parent Development Interview, which was coded for PRF (self- and child-focused). Children were administered an attachment-based story stem task, coded...
Source: Psychotherapy: Theory, Research, Practice, Training - October 29, 2020 Category: Psychiatry & Psychology Source Type: research

Patients’ crying experiences in psychotherapy and relationship with working alliance, therapeutic change and attachment styles.
This study explored the relationships between patients’ crying experience in therapy, their perception of working alliance and therapeutic change, as well as considering the role of attachment styles. One hundred six patients completed a survey about crying in psychotherapy and self-report measures for assessing working alliance, therapeutic change, and attachment styles. Concerning general crying experiences, results showed that when patients’ crying (even if painful) was followed by more positive or less negative emotions (i.e., a sense of relief), they perceived the working alliance more positively and therapeutic c...
Source: Psychotherapy: Theory, Research, Practice, Training - October 15, 2020 Category: Psychiatry & Psychology Source Type: research

The effects of lesbian, gay, and bisexual experiences and internal beliefs on lesbian, gay, and bisexual affirmative counselor competence among Chinese counselors.
Lesbian, gay, and bisexual (LGB) affirmative counselor competence is important for counselors to work effectively with sexual minority clients, but the level of competence is unclear among counselors in China, given the more conservative sociocultural climate. To understand the factors that contribute to Chinese counselors’ LGB affirmative counselor competence, this study examined how situational (e.g., LGB experiences) and cognitive factors (e.g., internal beliefs) contribute to such competence in light of cultural learning theory. A total of 672 counselors (79.40% female; Mage = 36.33 years, SD = 7.87) from Mainland Ch...
Source: Psychotherapy: Theory, Research, Practice, Training - October 5, 2020 Category: Psychiatry & Psychology Source Type: research

The effectiveness of accelerated experiential dynamic psychotherapy (AEDP) in private practice settings: A transdiagnostic study conducted within the context of a practice-research network.
Accelerated experiential dynamic psychotherapy (AEDP) is an integrative model of psychotherapy that brings together relational and experiential work, with the aim of not only alleviating suffering but also bringing about flourishing. The present study took place within a developing AEDP practice research network and examined outcomes for 62 self-referred adults treated using a 16-session format of AEDP treatment. Participants completed self-report measures before and following treatment. Measures assessed a variety of psychological problems, subjective distress, as well as aspects of positive psychological functioning. Tre...
Source: Psychotherapy: Theory, Research, Practice, Training - September 24, 2020 Category: Psychiatry & Psychology Source Type: research

Termination in 16-session accelerated experiential dynamic psychotherapy (AEDP): Together in how we say goodbye.
This article explores key aspects of the termination process in a 16-session treatment protocol of accelerated experiential dynamic psychotherapy (AEDP). AEDP theory and its empirical support are described; interventions used throughout termination are demonstrated with verbatim clinical exchanges; and potential challenges faced during termination are addressed. Congruent with AEDP’s healing orientation, termination is reframed as completion and launching: Although treatment ends, the change process begun in therapy can continue, as does the therapist’s care for the patient. AEDP interventions during termination includ...
Source: Psychotherapy: Theory, Research, Practice, Training - September 10, 2020 Category: Psychiatry & Psychology Source Type: research

The impact of a deliberate practice workshop on therapist demand and support behavior with community volunteers and simulators.
In this study, 68 trainees interviewed both an ambivalent community volunteer and an ambivalent simulator 4 month post workshop. The DP group was found to exhibit significantly fewer Demand behaviors than the Traditional group, with the latter also being significantly quicker to use Demand in the interviews. Moreover, the simulator evoked significantly greater Demand from therapists, regardless of the Training group, suggesting the simulators were more resistant. Although therapist use of Support was equal for community volunteers across training groups, Traditional workshop trainees decreased Support when interviewing the...
Source: Psychotherapy: Theory, Research, Practice, Training - September 10, 2020 Category: Psychiatry & Psychology Source Type: research

A clinical practice review of crying research.
The goal of this clinical practice review is to assess the current state of the theoretical and empirical literature on emotional crying (i.e., crying in response to an emotional stimulus), a topic that has received surprisingly limited attention of behavioral scientists and clinicians. Although the empirical research on emotional crying remains in a nascent state, we draw upon the existing scientific knowledge to provide preliminary suggestions for clinicians on how to interpret and respond to crying in clinical contexts. We also identify research gaps and provide recommendations for further research to improve our unders...
Source: Psychotherapy: Theory, Research, Practice, Training - September 7, 2020 Category: Psychiatry & Psychology Source Type: research

Repeated terminations: Transferring therapists in psychotherapy.
This article concludes by offering recommendations for supervisors of students in training settings and detailing some of the unique benefits for clients who experience multiple transfer terminations in treatment. (PsycInfo Database Record (c) 2020 APA, all rights reserved) (Source: Psychotherapy: Theory, Research, Practice, Training)
Source: Psychotherapy: Theory, Research, Practice, Training - September 3, 2020 Category: Psychiatry & Psychology Source Type: research

Correction to Geschwind et al. (2020).
Reports an error in "Positivity pays off: Clients’ perspectives on positive compared with traditional cognitive behavioral therapy for depression" by Nicole Geschwind, Emke Bosgraaf, Fredrike Bannink and Frenk Peeters (Psychotherapy, Advanced Online Publication, Feb 20, 2020, np). In the article http://dx.doi.org/10.1037/pst0000288), the second to last sentence does not appear correctly and should appear instead as follows: The conclusion emerging from this study is that exploring better moments and building positivity efficiently counters depressive symptoms and builds well-being. (The following abstract of the original...
Source: Psychotherapy: Theory, Research, Practice, Training - September 3, 2020 Category: Psychiatry & Psychology Source Type: research

The role of mentalization in child psychotherapy, interpersonal trauma, and recovery: A scoping review.
Children who are exposed to trauma often develop difficulties with reflective functioning, affect, and emotion regulation. These problems are thought to arise from and are reflective of disruptions in the process of mentalization, or the human capacity to interpret and reflect upon the thoughts, feelings, wishes, and intentions of oneself and others. This scoping review sought to describe the empirical support for focusing on mentalization processes in psychotherapy for children who have been exposed to trauma. Two independent researchers searched electronic databases, Psychology and Behavioral Sciences Collection, MEDLINE...
Source: Psychotherapy: Theory, Research, Practice, Training - September 3, 2020 Category: Psychiatry & Psychology Source Type: research

A first look at the working alliance in psychotherapy with American Indians.
We could find no published studies measuring the working alliance in outpatient psychotherapy with American Indians. Given that the working alliance has been shown to be one of the most reliable and robust predictors of outcome across psychotherapeutic modalities, we sought to understand the working alliance in this population. Eight psychotherapists in an urban outpatient clinic rated their working alliance with American Indian patients (n = 112) immediately after treatment delivery using the Working Alliance Inventory, 12-item short form (Tracey & Kokotovic, 1989). Working alliance data from 112 sessions were collected a...
Source: Psychotherapy: Theory, Research, Practice, Training - August 6, 2020 Category: Psychiatry & Psychology Source Type: research

Testing a deliberate practice workshop for developing appropriate responsivity to resistance markers.
This study compared an adapted DP workshop to the same traditional, non-DP workshop for managing ambivalence and resistance. The same presenter delivered the workshops to 88 randomly assigned community psychotherapists. The DP workshop involved repeated interaction with multiple recreations of resistance, with consistent group feedback especially on ideal expert performance. The control workshop was more didactic, with fewer opportunities for practice and feedback. We assessed video vignette performance and coded 20-min interviews with ambivalent interviewees from the community. Both workshops produced equivalent trainee s...
Source: Psychotherapy: Theory, Research, Practice, Training - July 16, 2020 Category: Psychiatry & Psychology Source Type: research

Using termination as an intervention (UTAI): A view from an integrative, cognitive-existential psychodynamics perspective.
Treatment termination is, arguably, one of the most important events in the course of psychotherapy. In the present article, we present an approach to termination that views the latter as a key intervention. Developed from an integrated, cognitive-existential psychodynamics (CEP) perspective (Shahar & Govrin, 2017), Using Termination as an Intervention (UTAI) is a prescheduled, albeit tentative, treatment termination that may be used as an intervention for patients’ remoralization (Howard, Kopta, Krause, & Orlinsky, 1986). Specifically, for some psychotherapy patients, prescheduling a treatment termination is useful in i...
Source: Psychotherapy: Theory, Research, Practice, Training - July 13, 2020 Category: Psychiatry & Psychology Source Type: research

Client attachment and change in mental health during psychotherapy.
In the current study, we used a naturalistic design to examine how client attachment orientations affect changes in client mental health over the course of treatment. We evaluated session-by-session changes in overall maladjustment levels (derived from the Outcome Questionnaire 45.2) in a sample of 105 adult clients who were seeking therapy at a large, university-based, outpatient psychology training clinic. The primary goal of this study was to investigate how client attachment orientations affected patterns of change in client overall maladjustment scores across time. Because previous findings have suggested that client ...
Source: Psychotherapy: Theory, Research, Practice, Training - July 2, 2020 Category: Psychiatry & Psychology Source Type: research

Longitudinal effects of psychotherapy with transgender and nonbinary clients: A randomized controlled pilot trial.
Minority stress has been determined to contribute to some mental health concerns for transgender, nonbinary, and gender nonconforming individuals, yet little is known regarding interventions to decrease the effects of minority stress. The purpose of this pilot study was to assess the feasibility and relative effectiveness of two interventions developed for work with transgender clients. Transgender individuals (N = 20) were recruited to participate in a randomized controlled trial comparing two psychotherapy interventions for transgender adults seeking psychotherapy for a variety of concerns: (a) transgender affirmative ps...
Source: Psychotherapy: Theory, Research, Practice, Training - June 22, 2020 Category: Psychiatry & Psychology Source Type: research