Addressing health in psychotherapy: Future directions from a community wellness lens.
Building off insight provided by authors in this special section and in the broader literature, this closing article describes future directions in health in psychotherapy. We use the community wellness model (CWM; Prilleltensky, 2005) sites of personal, relational, and collective to highlight psychotherapy constructs that offer future directions for more fully embracing a community and social justice perspective in health in psychotherapy. Within each level, we describe implications for researchers and clinicians: the personal level focuses on individual psychotherapy, including theoretical orientation, interventions, and...
Source: Psychotherapy: Theory, Research, Practice, Training - June 6, 2022 Category: Psychiatry & Psychology Source Type: research

Addressing health in psychotherapy from a community wellness framework: Introduction to the special section.
This introductory article to the special section on addressing health in psychotherapy offers the Community Wellness Model (CWM) as a useful framework for addressing illness in the context of therapy at the sites of personal, relational, and collective well-being. We provide information on the prevalence of health concerns in the general public and clients seeking psychotherapy, and how health psychology intervention research largely focuses on outcomes without attending to therapeutic processes. In this introductory article, we then highlight the nine articles that comprise the following two parts in the special section: ...
Source: Psychotherapy: Theory, Research, Practice, Training - June 6, 2022 Category: Psychiatry & Psychology Source Type: research

Introduction to the special section on suicide and crisis management in clinical practice: Theoretical and practical integration.
Clinical Impact Statement Question: How can knowledge from various theoretical models and clinical settings advance the practical application and scientific study for the assessment and management of crisis behavior? Findings: Clinical applications and the scientific study of standardized methods of crisis and suicide management can be advanced through a variety of theoretical models and within multiple clinical settings. Meaning: Innovation and creativity in the practical application and scientific investigation of standardized methods of suicide and crisis management can best be improved through theoretical frameworks th...
Source: Psychotherapy: Theory, Research, Practice, Training - June 6, 2022 Category: Psychiatry & Psychology Source Type: research

A scientific response to Moritz et al. (2022).
This brief response addresses questions and concerns raised by Moritz and colleagues regarding our Burlingame et al.’s (2020) meta-analysis of group protocols effectiveness with patients diagnosed with schizophrenia (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Psychotherapy: Theory, Research, Practice, Training)
Source: Psychotherapy: Theory, Research, Practice, Training - June 6, 2022 Category: Psychiatry & Psychology Source Type: research

Group therapy for schizophrenia: Why Burlingame et al. (2020) should redo their meta-analysis.
Comments on the meta-analysis by G. M. Burlingame et al. (see record 2020-37337-001) on group therapy in schizophrenia. The commenting authors explain why they think that the meta-analysis is seriously flawed and should be recalculated and updated. First, however, they briefly reflect on the role of meta-analyses in contemporary research to emphasize that this discussion is not merely an academic debate but may have significant implications for the psychotherapeutic landscape as a whole. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Psychotherapy: Theory, Research, Practice, Training)
Source: Psychotherapy: Theory, Research, Practice, Training - June 6, 2022 Category: Psychiatry & Psychology Source Type: research

The long-term outcome of accelerated experiential dynamic psychotherapy: 6- and 12-month follow-up results.
This study sought to address AEDP’s long-term effectiveness. As previously reported, 63 adult patients completed a 16-session AEDP treatment with qualified therapists in private practice in the United States, Canada, Israel, Japan, and Sweden. Forty patients responded to 6-month follow-up and 52 responded to 12-month follow-up. Results indicate that patients maintained their posttreatment therapeutic gains, both 6 and 12 months later. Large effect sizes (d = 0.74 to d = 1.60) both for reductions on measures of psychopathology (e.g., depression, negative automatic thoughts, experiential avoidance) and improvements on meas...
Source: Psychotherapy: Theory, Research, Practice, Training - June 2, 2022 Category: Psychiatry & Psychology Source Type: research

The long-term outcome of accelerated experiential dynamic psychotherapy: 6- and 12-month follow-up results.
This study sought to address AEDP’s long-term effectiveness. As previously reported, 63 adult patients completed a 16-session AEDP treatment with qualified therapists in private practice in the United States, Canada, Israel, Japan, and Sweden. Forty patients responded to 6-month follow-up and 52 responded to 12-month follow-up. Results indicate that patients maintained their posttreatment therapeutic gains, both 6 and 12 months later. Large effect sizes (d = 0.74 to d = 1.60) both for reductions on measures of psychopathology (e.g., depression, negative automatic thoughts, experiential avoidance) and improvements on meas...
Source: Psychotherapy: Theory, Research, Practice, Training - June 2, 2022 Category: Psychiatry & Psychology Source Type: research

“Therapy can be restorative, but can also be really harmful”: Therapy experiences of QTBIPOC clients.
Psychotherapy, Vol 59(4), Dec 2022, 498-510; doi:10.1037/pst0000443Research suggests that queer and/or trans Black people, Indigenous people, and other People of Color (QTBIPOC) generally experience higher levels of psychological distress and depression, leading to poorer mental health outcomes (e.g., Lim & Hewitt, 2018; Sutter et al., 2018). However, little is known about the experiences of QTBIPOC individuals in therapy. The purpose of this grounded theory study was to understand the nuanced narratives of QTBIPOC individuals in therapy. Twelve QTBIPOC individuals were interviewed about their experiences in therapy, as we...
Source: Psychotherapy: Theory, Research, Practice, Training - May 26, 2022 Category: Psychiatry & Psychology Source Type: research

The relationship between clients’ expectation of therapist support and challenge and treatment outcome: A response surface analysis.
This study sought to examine clients’ treatment expectations, specifically, their role expectations, which represent their beliefs of how their therapists will act in session. Data for this study included 1,233 clients participating in individual counseling with 49 therapists at a university counseling center. Multilevel polynomial regression and response surface analysis were used to test congruent and discrepant effects of clients’ pretreatment support and challenge expectancy on reductions in their psychological distress over the course of treatment. Results indicated that reductions in clients’ psychological dist...
Source: Psychotherapy: Theory, Research, Practice, Training - May 23, 2022 Category: Psychiatry & Psychology Source Type: research

The relationship between clients’ expectation of therapist support and challenge and treatment outcome: A response surface analysis.
This study sought to examine clients’ treatment expectations, specifically, their role expectations, which represent their beliefs of how their therapists will act in session. Data for this study included 1,233 clients participating in individual counseling with 49 therapists at a university counseling center. Multilevel polynomial regression and response surface analysis were used to test congruent and discrepant effects of clients’ pretreatment support and challenge expectancy on reductions in their psychological distress over the course of treatment. Results indicated that reductions in clients’ psychological dist...
Source: Psychotherapy: Theory, Research, Practice, Training - May 23, 2022 Category: Psychiatry & Psychology Source Type: research

Patient–therapist expectancy convergence and outcome in naturalistic psychotherapy.
Psychotherapy, Vol 59(4), Dec 2022, 584-593; doi:10.1037/pst0000437Research on close relationships demonstrates that dyadic convergence, or two people becoming more similar in their experiences and/or beliefs over time, is commonplace and adaptive. As psychotherapy involves a close relationship, patient–therapist convergence processes may influence treatment-specific outcomes. Although prior research supports that patients and therapists tend to converge on their alliance perspectives over time, which associates with subsequent patient improvement, no research has similarly examined belief convergence during therapy. Acc...
Source: Psychotherapy: Theory, Research, Practice, Training - April 21, 2022 Category: Psychiatry & Psychology Source Type: research

Spiritually incorporating couple therapy in practice: Christian-accommodated couple therapy as an illustration.
Psychotherapy, Vol 59(3), Sep 2022, 382-391; doi:10.1037/pst0000411Spiritually incorporating couple therapy (SICT)—couple therapy that incorporates spiritual interventions—has a growing research base. Information is limited on how spiritual interventions are used in practice; thus we studied treatment-as-usual (TAU). SICT is treatment that, at a couple’s request, sometimes draws upon spiritual resources when addressing relational issues. We tracked 65 couples from 29 couple therapists (who advertised as spiritually incorporating therapists) over 402 sessions of SICT. Couple spirituality predicted use of spiritual int...
Source: Psychotherapy: Theory, Research, Practice, Training - March 24, 2022 Category: Psychiatry & Psychology Source Type: research

Spiritually incorporating couple therapy in practice: Christian-accommodated couple therapy as an illustration.
Spiritually incorporating couple therapy (SICT)—couple therapy that incorporates spiritual interventions—has a growing research base. Information is limited on how spiritual interventions are used in practice; thus we studied treatment-as-usual (TAU). SICT is treatment that, at a couple’s request, sometimes draws upon spiritual resources when addressing relational issues. We tracked 65 couples from 29 couple therapists (who advertised as spiritually incorporating therapists) over 402 sessions of SICT. Couple spirituality predicted use of spiritual interventions more than did therapist spirituality. The most used spir...
Source: Psychotherapy: Theory, Research, Practice, Training - March 24, 2022 Category: Psychiatry & Psychology Source Type: research