Plan-compatible termination in psychotherapy: Perspectives from control-mastery theory.
Termination processes in psychotherapy vary widely across patients, therapists, and therapies. While general guidelines on termination can inform ethical and responsible termination practices, termination decisions and processes are likely optimized using a case-specific approach. Control-mastery theory (CMT) provides a framework for considering the unique ways individual patients work in psychotherapy and can be applied to help therapists understand and facilitate optimal terminations. The present article provides a brief overview of CMT and outlines perspectives regarding the decision-making and discussion of psychothera...
Source: Psychotherapy: Theory, Research, Practice, Training - June 18, 2020 Category: Psychiatry & Psychology Source Type: research

What was helpful in today’s session? Responses of clients in two different psychotherapies for posttraumatic stress disorder.
The aim of this study was to qualitatively analyze and compare the written responses clients in treatment for posttraumatic stress disorder (PTSD) gave when asked about helpful and negative aspects of the previous session. Data were collected during a randomized quantitative study comparing dialogical exposure therapy (DET, a gestalt-based integrative therapy, n = 58) and cognitive processing therapy (CPT, a cognitive–behavioral therapy, n = 52). We developed a coding manual using Mayring’s (2015) qualitative content analysis approach and were able to code responses reliably. Five main categories emerged, unspecified a...
Source: Psychotherapy: Theory, Research, Practice, Training - June 18, 2020 Category: Psychiatry & Psychology Source Type: research

A pilot cultural adaptation of LGB-affirmative CBT for young Chinese sexual minority men’s mental and sexual health.
Young men who have sex with men (YMSM) represent one of the most at-risk groups for HIV infection and experience sexual minority stress especially in high-stigma settings, which affects their psychological health and increases likelihood of HIV-risk behaviors. The HIV epidemic in China is increasing rapidly among YMSM. However, no evidence-based intervention has specifically targeted Chinese YMSM’s minority stress to improve their mental and sexual health. Adaptation of evidence-based interventions to promote the mental and sexual health of YMSM is one promising way to achieve the global target of HIV epidemic control. T...
Source: Psychotherapy: Theory, Research, Practice, Training - June 15, 2020 Category: Psychiatry & Psychology Source Type: research

Termination in integrated primary care behavioral health.
This article discusses the process of termination in IPCBH and indicates with a case example how conversations around termination evolve throughout the brief treatment process. Suggestions for addressing termination in IPCBH are adapted from the literature on termination in more traditional psychotherapies. There is currently no published research on termination in the IPCBH setting, and research is needed to clarify how termination discussions affect treatment outcomes and patient satisfaction. As IPCBH models become more common, the meaning of termination in psychotherapy may change, with decreasing emphasis on the dyadi...
Source: Psychotherapy: Theory, Research, Practice, Training - June 11, 2020 Category: Psychiatry & Psychology Source Type: research

Group therapy for schizophrenia: A meta-analysis.
The effectiveness of group treatments for people with schizophrenia has not been examined on symptom-specific (positive and negative symptoms) outcomes, and the differential effects of the most popular group treatments remain unknown. We conducted a meta-analysis of randomized controlled trials that tested (a) the effectiveness of 7 frequently used group treatments on positive and negative symptoms and (b) if treatment-specific outcome improvement was associated with improvement on schizophrenia symptoms. Major databases were searched from 1990 to 2018 for randomized controlled trials of group treatment for people with sch...
Source: Psychotherapy: Theory, Research, Practice, Training - June 1, 2020 Category: Psychiatry & Psychology Source Type: research

Causes and consequences of burnout among mental health professionals: A practice-oriented review of recent empirical literature.
Burnout is a psychological syndrome characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. Due to the demands of treating people with psychological problems, burnout is prevalent among psychotherapists. In this article, we present a comprehensive review of 44 quantitative and qualitative studies from the past decade focusing on both the risk factors for, and effects of, burnout among psychotherapists. Factors influencing burnout include perceived job control, the nature of psychotherapists’ caseload, countertransference reactions, supervisory support, and psychotherapist...
Source: Psychotherapy: Theory, Research, Practice, Training - May 28, 2020 Category: Psychiatry & Psychology Source Type: research

Child skills training for attention-deficit/hyperactivity disorder (ADHD): A randomized controlled trial of structured dyadic behavior therapy (SDBT).
This pilot study examined structured dyadic behavior therapy (SDBT) as a novel, child skills training intervention for attention-deficit/hyperactivity disorder (ADHD). The purpose of this study was to (a) pilot the feasibility of SDBT, a manualized, child skills training intervention, (b) determine the potential clinical benefits of SDBT as an independent psychotherapy for ADHD, and (c) examine parents’ intervention acceptability. Children of 8–12 years of age with ADHD-combined type (N = 34) were randomly assigned to either SDBT or an “attention control” condition receiving child-centered dyadic therapy (CCDT). SD...
Source: Psychotherapy: Theory, Research, Practice, Training - May 21, 2020 Category: Psychiatry & Psychology Source Type: research

A qualitative study of psychotherapists’ in-session tears.
There is little empirical research on the topic of psychotherapists crying with or in front of clients (Blume-Marcovici, 2017); however, therapists crying in therapy appears to happen more frequently than previously believed (t’ Lam, Vingerhoets, & Bylsma, 2018). Although many clients believe that crying in session improves their relationship with their therapist (Zingaretti, Genova, Gazzillo, & Lingiardi, 2017), it is unclear how therapists’ tears impact the psychotherapy process. For example, as some research has suggested that tearful individuals may be seen as less competent (van de Ven, Meijs, & Vingerhoets, 2017)...
Source: Psychotherapy: Theory, Research, Practice, Training - May 14, 2020 Category: Psychiatry & Psychology Source Type: research

Does mindfulness practice promote psychological functioning or is it the other way around? A daily diary study.
Mindfulness-based interventions are commonly used to reduce psychological symptoms and enhance positive qualities of human functioning. However, the influence of mindfulness practice dosage remains poorly understood, limiting dissemination and implementation efforts. The current study examined the association between practice dosage and several constructs related to psychological functioning (positive and negative affect, state mindfulness) over the course of a standardized mindfulness-based intervention (Mindfulness-Oriented Recovery Enhancement). Twenty-five participants completed daily diary assessments for 12 weeks. Tw...
Source: Psychotherapy: Theory, Research, Practice, Training - April 30, 2020 Category: Psychiatry & Psychology Source Type: research

“We can work it out”: Working through termination ruptures.
Supportive-expressive (SE) psychodynamic treatment is based on the identification of and working through the patient’s signature core conflictual relationship theme. According to the SE framework, when termination is anticipated, separation conflict arises, and the actualization of the patient’s interpersonal wish in the relationship with the therapist is no longer possible. The disactualization of the patient’s wish in the relationship with the therapist may cause patients to regress to their maladaptive prototype responses (Nof, Leibovich, & Zilcha-Mano, 2017), which may manifest as a rupture in the therapeutic all...
Source: Psychotherapy: Theory, Research, Practice, Training - March 23, 2020 Category: Psychiatry & Psychology Source Type: research

Self-forgiving processes in therapy for romantic relationship infidelity: An evidence-based case study.
Self-forgiveness is related to positive connections with self and others and may be particularly important for clients who have hurt others. Relational hurt is heightened within the most intimate relationships and is particularly salient in cases of romantic relationship infidelity. Therefore, self-forgiveness may be indicated for romantic partners who have engaged in infidelity. This evidence-based case study examines the treatment of a Caucasian woman in her early 50s who presented with self-unforgiveness following marital infidelity. An 8-week manualized individual counseling program for self-forgiveness was used, which...
Source: Psychotherapy: Theory, Research, Practice, Training - March 16, 2020 Category: Psychiatry & Psychology Source Type: research

“Take a sad song and make it better”: What makes an interpretation growth facilitating for the patient?
Interpretations are considered to be an important active ingredient in psychodynamic treatment. Research shows mixed results regarding the empirical utility of interpretations, and continuing efforts are needed to investigate what makes interpretations helpful and effective. Our aim was to examine what allows an interpretation to facilitate growth, promoting the flourishing of the patient. We developed a coding system for evaluating the growth-facilitating elements of interpretation (GFI). The GFI is based on 3 scales: the optimal context for implementing the interpretation, the extent to which the interpretation includes ...
Source: Psychotherapy: Theory, Research, Practice, Training - March 5, 2020 Category: Psychiatry & Psychology Source Type: research

Metatherapeutic processing supports the emergence of flourishing in psychotherapy.
We describe how metatherapeutic processing can organically foster, from the bottom-up, positive feeling states labeled transformational affects, such as gratitude, love, hope, curiosity, and zest, freeing up these vital energies that were latent within the client. We go on to propose that although metatherapeutic processing was conceived of within the framework of AEDP, it is a technique that can be integrated into a wide variety of psychotherapies, to activate flourishing in session and beyond. (PsycInfo Database Record (c) 2020 APA, all rights reserved) (Source: Psychotherapy: Theory, Research, Practice, Training)
Source: Psychotherapy: Theory, Research, Practice, Training - March 5, 2020 Category: Psychiatry & Psychology Source Type: research

Factors contributing to symptom change in standardized and individualized Internet-based interventions for depression: A randomized-controlled trial.
Research suggests 4 categories of outcome predictors in face-to-face therapy (i.e., treatment expectations, extratherapeutic factors, relationship factors, and factors specific to a treatment approach/technique). However, it is unclear whether these factors are relevant in standardized and individualized Internet-based interventions. To investigate this question, a secondary analysis of data from 1,089 mildly to moderately depressed adults undergoing 6 weeks of cognitive–behavioral Internet-based intervention for depression randomized to receive either weekly written feedback individualized by a counselor or automated an...
Source: Psychotherapy: Theory, Research, Practice, Training - March 5, 2020 Category: Psychiatry & Psychology Source Type: research

Positivity pays off: Clients’ perspectives on positive compared with traditional cognitive behavioral therapy for depression.
[Correction Notice: An Erratum for this article was reported in Vol 57(3) of Psychotherapy (see record 2020-64984-001). In the article “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. Advance online publication. February 20, 2020. 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...
Source: Psychotherapy: Theory, Research, Practice, Training - February 20, 2020 Category: Psychiatry & Psychology Source Type: research