Psychotherapy: Theory, Research, Practice, Training 
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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.Elaboration of countertransference experience and the workings of the working alliance.
In conclusion, ECE dimensions appear to be involved in alliance formation, both in initial differences between dyads and in changes over time within the same case. ECE seems particularly important with more personality-disturbed clients. Future research should disentangle therapist and client contributions and examine the participation of ECE in the resolution of alliance ruptures. (PsycInfo Database Record (c) 2020 APA, all rights reserved) (Source: Psychotherapy: Theory, Research, Practice, Training)
Source: Psychotherapy: Theory, Research, Practice, Training - August 29, 2019 Category: Psychiatry & Psychology Source Type: research
Deliberate practice for the skill of immediacy: A multiple case study of doctoral student therapists and clients.
We examined the effects of deliberate practice training focused on immediacy (Im) for 7 doctoral student trainees. Training included an 8-hr workshop, 4 individual 50-min sessions, and 4 individual 30-min homework sessions. Qualitative results indicated that trainees found the deliberate practice training to be effective, especially in helping them become aware of and manage emotions and countertransference, which had inhibited them from using Im. In addition, there was a moderate and significant effect of training on the trainee’s self-efficacy for using Im, a small and significant effect on therapist-rated working alli...
Source: Psychotherapy: Theory, Research, Practice, Training - August 26, 2019 Category: Psychiatry & Psychology Source Type: research
The process and outcome of psychodynamic psychotherapy for pregnancy after loss: A case study analysis.
This is an evidence-based case study examining the process and outcome of 22 prenatal sessions and 1 postpartum follow-up session of psychodynamic therapy for a woman pregnant after a history of repeated pregnancy losses. Self-report measures of depression, anxiety, pregnancy-specific anxiety, prenatal attachment, trauma, and perinatal grief were completed prior to each session. A session quality item was completed after each session and a therapy outcome measure at termination and follow-up. The therapist and the patient completed an exit interview on the therapy relationship, which focused on moments of tension or misund...
Source: Psychotherapy: Theory, Research, Practice, Training - August 26, 2019 Category: Psychiatry & Psychology Source Type: research
Evaluating “mentalizing positive affect” as an intervention for enhancing positive affectivity in borderline personality disorder using a single-case multiple-baseline design.
Evidence-based treatments for borderline personality disorder (BPD), including mentalization-based treatment (MBT), have not adequately examined changes in positive affect (PA) in the treatment of BPD. Therefore, we developed a new intervention, “mentalizing positive affect,” and evaluated its effect on PA, negative affect, BPD severity, ego-resiliency, and quality of life during MBT treatment for BPD. In a single-case multiple-baseline design, 4 female BPD patients received 6 months of individual MBT, after which they were followed up for 2 months. Intensive repeated measurements data were subjected to hierarchical li...
Source: Psychotherapy: Theory, Research, Practice, Training - August 8, 2019 Category: Psychiatry & Psychology Source Type: research
Is there an optimal level of positive and negative feedback in group therapy? A response surface analysis.
Interpersonal feedback is an important process in group therapy. Feedback can be both positive and negative, and group researchers have noted the importance of both positive and negative feedback in fostering cohesive groups and evoking behavioral change (Yalom & Leszcz, 2005). However, there is a paucity of research examining the amount and valence (i.e., positive and negative) of interpersonal feedback on group therapy process and outcomes. Therefore, this study tested the proposition that congruent and high levels of members’ perceptions of positive and negative feedback was optimal for member’s perceptions of cohes...
Source: Psychotherapy: Theory, Research, Practice, Training - July 25, 2019 Category: Psychiatry & Psychology Source Type: research
Facilitating client collaboration and insight through interpretations and probes for insight in psychodynamic psychotherapy: A case study of one client with three successive therapists.
We investigated therapist interpretations (Ints) and probes for insight (PIs) in relation to changes in client collaboration and insight for 1 male client paired with 3 successive doctoral student therapists in psychodynamic psychotherapy for 192 sessions over 5 years. Judges coded client collaboration and insight in the antecedent and subsequent 3 min for all Ints and PIs in each of 6 middle sessions for each treatment. Qualitative analyses showed that PIs were more helpful than Ints for this defended client. More gains in collaboration were found when antecedent client collaboration was high, antecedent client insight wa...
Source: Psychotherapy: Theory, Research, Practice, Training - July 18, 2019 Category: Psychiatry & Psychology Source Type: research
Implications of the American Psychological Association’s posttraumatic stress disorder treatment guideline for trauma education and training.
There is a shortage of clinicians who have been trained in treating traumatized clients, despite the high prevalence of trauma exposure and its frequent link with psychopathology. To address this need, professional guidelines and resources have been developed, including a core set of trauma competencies that professionals must develop to provide trauma-informed services to clients and several treatment guidelines. We discuss The New Haven Competencies for Trauma Training and Practice, then review recently developed clinical and professional practice guidelines, with an emphasis on the American Psychological Association (AP...
Source: Psychotherapy: Theory, Research, Practice, Training - July 8, 2019 Category: Psychiatry & Psychology Source Type: research
Trauma training: Competencies, initiatives, and resources.
Traumatic stress is currently not a required component of the standard curricula in graduate-level education in clinical and counseling psychology. However, due to the high prevalence of trauma and its potentially deleterious physical and mental health effects in the general and clinical populations, it is imperative that psychology graduate students and practitioners understand the relevance of trauma in their clients’ lives and its impact in clinical research. A comprehensive model of trauma-focused empirically informed competencies (knowledge, skills, and attitudes) was developed at a national consensus conference in ...
Source: Psychotherapy: Theory, Research, Practice, Training - July 8, 2019 Category: Psychiatry & Psychology Source Type: research
The cultural context of trauma recovery: Considering the posttraumatic stress disorder practice guideline and intersectionality.
The American Psychological Association’s (2017) Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder (PTSD) in Adults endorsed by the American Psychological Association notes that attention to cultural context is a required component of trauma-informed mental health care provision. Despite the inclusion of this statement, the Treatment of PTSD Guideline does not give adequate attention to culture in the defining of trauma, review of the trauma literature, the criteria adopted for evaluation of PTSD treatments, and, resultantly, the determination of treatment recommendations. Culture plays a sign...
Source: Psychotherapy: Theory, Research, Practice, Training - July 8, 2019 Category: Psychiatry & Psychology Source Type: research
Clinical practice guidelines for posttraumatic stress disorder: Are they still clinical?
This article traces the evolution of clinical practice guidelines (CPGs) for the treatment of Posttraumatic Stress Disorder (PTSD) to illustrate how their construction and use have become intertwined and often conflated with other pressing clinical and scientific controversies. This review locates critical analysis of key documents regarding PTSD CPG construction within the context of longstanding tensions and frank competition about the relative value of science and clinical experience in the effort to establish best practices. As is true of so many dichotomies, the competition between science and clinical practice is mor...
Source: Psychotherapy: Theory, Research, Practice, Training - July 8, 2019 Category: Psychiatry & Psychology Source Type: research
Potential ethical pitfalls and dilemmas in the promotion and use of American Psychological Association-recommended treatments for posttraumatic stress disorder.
A variety of potential unrecognized ethical concerns arise from the American Psychological Association’s (APA, 2017) Clinical Practice Guideline for the Treatment of PTSD in Adults. In privileging short-term treatments that underscore symptom reduction as the predominant index of outcome, such as cognitive processing therapy and prolonged exposure, there is a susceptibility to mislead mental health professionals and clients alike to believe that lasting improvements in socioemotional well-being, and a time-intensive approach, are unrealistic, rather than realistic psychotherapy expectations. There are ethical implication...
Source: Psychotherapy: Theory, Research, Practice, Training - July 8, 2019 Category: Psychiatry & Psychology Source Type: research
A guide to guidelines for the treatment of posttraumatic stress disorder in adults: An update.
Clinical practice guidelines (CPGs) are used to support clinicians and patients in diagnostic and treatment decision-making. Along with patients’ preferences and values, and clinicians’ experience and judgment, practice guidelines are a critical component to ensure patients are getting the best care based on the most updated research findings. Most CPGs are based on systematic reviews of the treatment literature. Although most reviews are now restricted to randomized controlled trials, others may consider nonrandomized effectiveness trials. Despite a reliance on similar procedures and data, methodological decisions and...
Source: Psychotherapy: Theory, Research, Practice, Training - July 8, 2019 Category: Psychiatry & Psychology Source Type: research
An appraisal of the American Psychological Association’s Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder.
In 2017, the American Psychological Association published the Clinical Practice Guidelines for the Treatment of Posttraumatic Stress Disorder (PTSD) in Adults. Although the Guideline Development Panel aimed to produce guidelines based on the best available scientific evidence, concerns were raised that the guidelines would constrain the implementation of some effective psychotherapies and limit clinician autonomy, potentially leading to coverage for only manualized, time-limited, cognitive–behavioral treatments. The following article reviews the PTSD guidelines in light of the evidence-based practice in psychology policy...
Source: Psychotherapy: Theory, Research, Practice, Training - July 8, 2019 Category: Psychiatry & Psychology Source Type: research
Advantages of developing clinical practice guidelines using international standards.
We describe the need for CPGs and the APA’s reasons for following the rigorous procedures recommended by the IOM. We also describe our hope that future CPGs will consider a broader range of scientific evidence and better integrate clinical expertise in the guideline text to provide context for applying their recommendations. This will enable discussion of treatments that are often excluded from systematic reviews and recognize the importance of individualizing care. These proposed updates to the guideline development process would allow CPGs to stay true to the rigor reflected in the IOM standards, while more fully recog...
Source: Psychotherapy: Theory, Research, Practice, Training - July 8, 2019 Category: Psychiatry & Psychology Source Type: research
Guideline orthodoxy and resulting limitations of the American Psychological Association’s Clinical Practice Guideline for the Treatment of PTSD in Adults.
This article introduces the special issue in which we explore problems and limitations inherent both in the development and implementation of the American Psychological Association’s (APA) Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder in Adults. As Chair (Christine A. Courtois) and member (Laura S. Brown) of the guideline development panel, we were in a unique position to observe how certain decisions made by the APA regarding how this guideline should be produced led to flaws in the final product. In this special issue, we address problems that may be inherent in many clinical practice g...
Source: Psychotherapy: Theory, Research, Practice, Training - July 8, 2019 Category: Psychiatry & Psychology Source Type: research
