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Replicating patient-level moderators of CBT and IPT’s comparative efficacy for depression.
Psychotherapy, Vol 59(4), Dec 2022, 616-628; doi:10.1037/pst0000458Although evidence-based psychotherapies, such as cognitive behavioral therapy (CBT) and interpersonal psychotherapy (IPT), produce comparable average outcomes, it is plausible that some patients who possess one or more specific characteristics may respond better to one over the other. Addressing this what works best for whom question, researchers have tested the moderating influence of patient characteristics on comparative treatment effects (viz. aptitude–treatment interactions [ATIs]). However, few ATIs have emerged or replicated, thereby providing litt...
Source: Psychotherapy: Theory, Research, Practice, Training - September 1, 2022 Category: Psychiatry & Psychology Source Type: research

Disaggregating between- and within-patient effects of ruptures and resolutions on the therapeutic alliance and symptom severity.
Psychotherapy, Vol 59(4), Dec 2022, 567-571; doi:10.1037/pst0000457The therapeutic alliance is considered a robust predictor of psychotherapy outcome. Ruptures and resolutions in the alliance have been the focus of recent alliance literature. Most previous studies investigated their between-patient effects. We used hierarchical linear models to disaggregate the between- and within-patient effects of ruptures on the alliance from patient- and therapist perspective and symptom severity. Further, the moderating effects of rupture resolutions were analyzed. The sample consisted of 56 patients diagnosed with depressive or anxie...
Source: Psychotherapy: Theory, Research, Practice, Training - September 1, 2022 Category: Psychiatry & Psychology Source Type: research

Centering and decentering client disclosures: A qualitative study of therapists’ responses to clients’ experiences of discrimination.
In this study, 66 participants watched two brief videos of fictitious clients disclosing experiences of covert and overt discrimination. Participants watched one of two video vignettes, with one focusing on a White lesbian woman client and another focusing on a Black woman client. After watching each video, participants were asked to respond to clients as if they were the clients’ therapist. We used reflexive thematic analysis to code participant responses, which spanned three themes: (a) invalidation and decentering of client’s emotions, appraisals, and experiences; (b) incongruence and avoidance of client’s languag...
Source: Psychotherapy: Theory, Research, Practice, Training - September 1, 2022 Category: Psychiatry & Psychology Source Type: research

“Psychological treatments for persistent depression: A systematic review and meta- analysis of quality of life and functioning outcomes:” Correction to McPherson and Senra (2022).
Psychotherapy, Vol 59(3), Sep 2022, 459; doi:10.1037/pst0000455Reports an error in "Psychological treatments for persistent depression: A systematic review and meta-analysis of quality of life and functioning outcomes" by Susan McPherson and Hugo Senra (Psychotherapy, Advanced Online Publication, Jun 27, 2022, np). In the article, there were errors in the abstract. The confidence interval in the sentence Quality of life at follow-up: pooled g = 0.21 should appear as follows: 95% CI, 0.10–0.32. In the sentence The psychological interventions were associated with improvements in patients’ functioning at end-of-treatment,...
Source: Psychotherapy: Theory, Research, Practice, Training - August 29, 2022 Category: Psychiatry & Psychology Source Type: research

“Psychological treatments for persistent depression: A systematic review and meta- analysis of quality of life and functioning outcomes:” Correction to McPherson and Senra (2022).
Reports an error in "Psychological treatments for persistent depression: A systematic review and meta-analysis of quality of life and functioning outcomes" by Susan McPherson and Hugo Senra (Psychotherapy, Advanced Online Publication, Jun 27, 2022, np). In the article, there were errors in the abstract. The confidence interval in the sentence Quality of life at follow-up: pooled g = 0.21 should appear as follows: 95% CI, 0.10–0.32. In the sentence The psychological interventions were associated with improvements in patients’ functioning at end-of-treatment, the pooled g should appear as g = 0.35. The confidence interva...
Source: Psychotherapy: Theory, Research, Practice, Training - August 29, 2022 Category: Psychiatry & Psychology Source Type: research

Patients’ experiences of being “ghosted” by their psychotherapists.
Psychotherapy, Vol 59(4), Dec 2022, 545-553; doi:10.1037/pst0000454Psychotherapist ghosting is a type of inappropriate, therapist-initiated termination of treatment in which the therapist ceases communication with their patient without prior notice. A total of 77 patients (M age = 34) who reported being ghosted by their therapist completed a web-based therapist ghosting survey (TGS) that assessed their perceptions of multiple aspects of this event. Results indicated that these patients, on average, unsuccessfully attempted to contact their therapist four times following being ghosted but that the great majority never again...
Source: Psychotherapy: Theory, Research, Practice, Training - August 4, 2022 Category: Psychiatry & Psychology Source Type: research

Trauma-informed inpatient care for marginalized women.
This article extends the literature on trauma-informed care by drawing from existing models for working with trauma and providing culturally responsive treatment to apply an integrated approach to the inpatient care setting with a focus on the unique needs and experiences of marginalized survivors of gender-based violence and racial trauma. It details the rationale for and key elements of three related frameworks for trauma-informed care and then offers recommendations for guiding its conceptualization and implementation. Ideally, these practices will be embraced on all inpatient units and particularly with women from marg...
Source: Psychotherapy: Theory, Research, Practice, Training - August 4, 2022 Category: Psychiatry & Psychology Source Type: research

Therapeutic immediacy in psychodynamic psychotherapy for depression: A mixed-method study.
Psychotherapy, Vol 59(4), Dec 2022, 554-566; doi:10.1037/pst0000452This exploratory study assesses the use and quality of therapeutic immediacy in short-term psychodynamic psychotherapy for depression. We aimed to identify what constitutes effective here-and-now discussions of the therapeutic relationship by examining a sample of four treatment cases drawn from a previous randomized clinical trial for depression. Transcripts of 16 treatment sessions (four time points per treatment) were analyzed using the consensual qualitative research for case study method. The therapists’ contributions to therapeutic immediacy were as...
Source: Psychotherapy: Theory, Research, Practice, Training - August 1, 2022 Category: Psychiatry & Psychology Source Type: research

Enhancing the evidence base for spiritually integrated psychotherapies: Progressing the paradigm of practice-based evidence.
Psychotherapy, Vol 59(3), Sep 2022, 303-306; doi:10.1037/pst0000438Spiritually integrated approaches to psychological therapies enable practitioners to be responsive to clients’ religious and spiritual concerns and have been combined with most mainstream therapeutic approaches. As such, although evidence is required regarding their efficacy, with randomized controlled trials having a privileged status, a single research paradigm is unlikely to deliver both a robust and relevant evidence base for the psychological therapies, that is, embedded in routine practice. The research paradigm of practice-based evidence provides a...
Source: Psychotherapy: Theory, Research, Practice, Training - August 1, 2022 Category: Psychiatry & Psychology Source Type: research