Clinical psychology & psychotherapy最新文献

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Mentalization-Based Therapy for Borderline Personality Disorder: State-Of-The-Science and Future Directions 边缘型人格障碍的心理治疗:科学进展与未来方向
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2025-07-14 DOI: 10.1002/cpp.70120
Mie Sedoc Jørgensen, Stine Steen Høgenhaug, Carla Sharp, Sune Bo
{"title":"Mentalization-Based Therapy for Borderline Personality Disorder: State-Of-The-Science and Future Directions","authors":"Mie Sedoc Jørgensen,&nbsp;Stine Steen Høgenhaug,&nbsp;Carla Sharp,&nbsp;Sune Bo","doi":"10.1002/cpp.70120","DOIUrl":"https://doi.org/10.1002/cpp.70120","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Mentalization-based therapy (MBT) is an evidence-based treatment for borderline personality disorder (BPD) and the second most studied psychotherapeutic intervention for this disorder. Despite its growing prominence, there is a lack of focused reviews summarizing the evidence base from randomized clinical trials (RCTs). This review aims to address this gap and highlight directions for future research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This narrative review synthesizes findings from RCTs evaluating MBT for BPD. Building on the seven studies identified in the Cochrane review by Storebø et al. (2020), we conducted an updated search to incorporate RCTs published to 1st April 2025, expanding the evidence base to 14 trials. Eligible studies were assessed for effectiveness outcomes and methodological quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>While some trials report improvements in BPD symptoms and interpersonal functioning, significant limitations exist. Research has largely focused on symptom reduction, despite concerns about the validity of categorical PD diagnoses. The trials were predominantly conducted in European settings, involving primarily female participants, and did not sufficiently account for BPD severity, comorbidities, or developmental stages. All identified RCTs were at high risk of bias, with significant issues involving attention, attrition, and allegiance bias.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>MBT shows promise, but methodological shortcomings and limited generalizability constrain its evidence base. Future research should prioritize rigorously designed trials with diverse samples, assess core personality dysfunction using dimensional models, and explore adaptations for adolescents, older adults, and comorbid mental disorders to improve and broaden the clinical utility of MBT for BPD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144624386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transference Assessment in Psychotherapy: A Systematic Review 心理治疗中的移情评估:系统回顾
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2025-07-10 DOI: 10.1002/cpp.70118
Francesca Marazzi, Alberto Stefana, Arianna Vecchio, Martina Maria Mensi
{"title":"Transference Assessment in Psychotherapy: A Systematic Review","authors":"Francesca Marazzi,&nbsp;Alberto Stefana,&nbsp;Arianna Vecchio,&nbsp;Martina Maria Mensi","doi":"10.1002/cpp.70118","DOIUrl":"https://doi.org/10.1002/cpp.70118","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>Transference, initially introduced by Sigmund Freud, represents a crucial concept in psychoanalysis, referring to the displacement of feelings, fantasies, and desires from past relationships onto the therapist. Though central to psychoanalytic therapies, transference is acknowledged across many psychotherapeutic approaches, albeit with differing views on its clinical relevance. Empirical research has shown that transference phenomena occur in all close relationships, including therapeutic settings, and are influenced by factors like the patient's attachment style. While the relationship between transference and therapy outcomes remains ambiguous, insights gained from transference work—particularly through its interpretation—are seen as beneficial to therapeutic progress, enhancing patient's awareness and improving treatment results. This systematic review examines the development and validation of 15 assessment tools for measuring transference, offering a comprehensive overview of instruments used across various psychotherapies. The tools vary in their method of data collection, including observational ratings, clinician reports, and patient self-reports. The review highlights the need for further studies comparing these instruments, exploring their effectiveness across different patient populations, and addressing the relationship between transference and therapeutic alliance to improve clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70118","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144598660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Facial Emotion Recognition Trainings for Children and Adolescents: A Transdiagnostic Systematic Review and Meta-Analysis 儿童和青少年的面部情绪识别训练:一个跨诊断的系统回顾和荟萃分析
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2025-07-09 DOI: 10.1002/cpp.70116
Rebecca Revilla, Cailee M. Nelson, Meagan Heilman, Kalyn Prothro, Ashlan Cheever, Janae Hersey, Breanna Dede, Caitlin M. Hudac
{"title":"Facial Emotion Recognition Trainings for Children and Adolescents: A Transdiagnostic Systematic Review and Meta-Analysis","authors":"Rebecca Revilla,&nbsp;Cailee M. Nelson,&nbsp;Meagan Heilman,&nbsp;Kalyn Prothro,&nbsp;Ashlan Cheever,&nbsp;Janae Hersey,&nbsp;Breanna Dede,&nbsp;Caitlin M. Hudac","doi":"10.1002/cpp.70116","DOIUrl":"https://doi.org/10.1002/cpp.70116","url":null,"abstract":"<p>Facial emotion recognition is a crucial aspect of social interaction and follows a typical developmental trajectory. However, youth with neurodevelopmental and psychological disorders often exhibit difficulties in this domain, making it a potential transdiagnostic intervention target. Extending a meta-analysis focused on autistic samples, this study systematically reviewed and compared the efficacy of facial emotion recognition training programmes for autistic and nonautistic children and adolescents between 4 and 18 years old. On 16 August 2024, PsychInfo, PubMed and Web of Science were searched for studies that (1) implemented a training to teach a clinical sample of youth how to accurately read and label facial emotions, (2) had a premeasure and postmeasure of facial emotion recognition for a training group and a control group and (3) were peer-reviewed and available in English. Twenty-nine studies met the inclusion criteria. Training characteristics, such as session intensity, facial stimuli, format and setting, were extracted and synthesized. A random-effects meta-analysis, sensitivity analysis and publication bias estimate were conducted. Although training characteristics varied across studies, meta-analytic results indicated that both autistic (SMD = 0.681, 95% CI [0.513, 0.848]) and nonautistic (SMD = 0.773, 95% CI [0.001, 1.535]) clinical groups demonstrated improvements in facial emotion recognition following training. Yet, few studies tested the long-term maintenance of these effects. These findings suggest that facial emotion recognition training can be efficacious across clinical populations, though they highlight the need for future research to examine how training characteristics affect training efficacy, long-term maintenance of improvements and social and clinical outcomes.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70116","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HERE-Bi: Feasibility and Acceptability of a Self-Esteem Intervention for Young Bisexual People to Reduce Non-Suicidal Self-Injury HERE-Bi:青少年双性恋者自尊干预减少非自杀性自伤的可行性和可接受性
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2025-07-09 DOI: 10.1002/cpp.70117
Jade Wilkinson, Peter J. Taylor, Brendan J. Dunlop
{"title":"HERE-Bi: Feasibility and Acceptability of a Self-Esteem Intervention for Young Bisexual People to Reduce Non-Suicidal Self-Injury","authors":"Jade Wilkinson,&nbsp;Peter J. Taylor,&nbsp;Brendan J. Dunlop","doi":"10.1002/cpp.70117","DOIUrl":"https://doi.org/10.1002/cpp.70117","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Bisexual youth are at a disproportionate risk of non-suicidal self-injury (NSSI). Unique stressors, such as biphobia and bi-erasure, and their impact on self-esteem, identity and a sense of belonging may help explain this disproportionate risk. Affirmative therapies promote self-acceptance and identity affirmation and may therefore be effective in boosting self-esteem and reducing NSSI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to assess the feasibility and acceptability of a cognitive behavioural therapy-based, self-esteem intervention for young bisexual people (aged 16–25) with experience of NSSI thoughts, urges and behaviour. Secondarily, this study examined indicators of change on measures of self-esteem, NSSI, identity and belongingness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A case series design was used with eight participants who experienced NSSI urges, thoughts or behaviours in the previous 6 months. Participants received an affirmative, 8-week, self-esteem intervention and completed measures of self-esteem, NSSI, belongingness and identity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six participants attended all eight therapy sessions, and two opted out before completion. There were no serious adverse events. The intervention was deemed to be acceptable and feasible, and evidence of improvements on measures of self-esteem, NSSI, positive identity and thwarted belongingness was observed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The results suggest that this intervention is a safe, acceptable and feasible intervention, warranting further evaluation. Revisions and considerations for future trials of this affirmative therapy are proposed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70117","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adverse Childhood Experiences and Emotional Exhaustion in Therapists: The Mediating Role of Early Maladaptive Schemas 不良童年经历与心理治疗师情绪耗竭:早期适应不良图式的中介作用
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2025-07-09 DOI: 10.1002/cpp.70115
Matilda Fitzhardinge, Lauren Blackman, Pamela D. Pilkington
{"title":"Adverse Childhood Experiences and Emotional Exhaustion in Therapists: The Mediating Role of Early Maladaptive Schemas","authors":"Matilda Fitzhardinge,&nbsp;Lauren Blackman,&nbsp;Pamela D. Pilkington","doi":"10.1002/cpp.70115","DOIUrl":"https://doi.org/10.1002/cpp.70115","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Therapist burnout is prevalent and can negatively impact both therapists and their clients. This study aimed to investigate whether (a) therapists who report more adverse childhood experiences report higher levels of emotional exhaustion and (b) whether this is explained by the extent to which they endorse early maladaptive schemas relating to feeling unlovable or flawed and prioritising achievement and the desires of others over one's emotions, preferences and needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A cross-sectional survey was completed by therapists recruited online. Eligible participants were 18 years or older, fluent in English, currently practising as therapists and had been practising for at least 1 year. Hierarchical regression analyses and the PROCESS macro were used to investigate the defectiveness shame, unrelenting standards, self-sacrifice and subjugation schemas as parallel mediators of the relationship between childhood adversity and emotional exhaustion in therapists.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The sample comprised 383 therapists (<i>M</i><sub><i>age</i></sub> = 46.0 years, SD<sub><i>age</i></sub> = 12.79; 89% women). Cumulative adverse childhood experiences scores were positively associated with emotional exhaustion in therapists. The unrelenting standards and subjugation schemas mediated this relationship, whilst the self-sacrifice and defectiveness shame schemas did not.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This preliminary research indicates that schemas relating to excessively high personal standards and subjugating one's emotions and needs to avoid negative consequences may play an important role in the link between childhood adversity and therapist burnout. Future research is necessary to gather longitudinal evidence and examine whether targeting these schemas in self-reflective practice, personal therapy or consultation could reduce emotional exhaustion in therapists.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70115","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sudden Gains in Cognitive Behavioural Therapy and Metacognitive Therapy for Complex Anxiety Disorders 认知行为疗法和元认知疗法治疗复杂焦虑症的突然进展
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2025-07-09 DOI: 10.1002/cpp.70111
Kenneth M. Pålerud, Marieke A. Helmich, Asle Hoffart, Omid V. Ebrahimi, Therese R. Snuggerud, Sverre U. Johnson
{"title":"Sudden Gains in Cognitive Behavioural Therapy and Metacognitive Therapy for Complex Anxiety Disorders","authors":"Kenneth M. Pålerud,&nbsp;Marieke A. Helmich,&nbsp;Asle Hoffart,&nbsp;Omid V. Ebrahimi,&nbsp;Therese R. Snuggerud,&nbsp;Sverre U. Johnson","doi":"10.1002/cpp.70111","DOIUrl":"https://doi.org/10.1002/cpp.70111","url":null,"abstract":"<div>\u0000 \u0000 <p>The present study investigated the prevalence of sudden gains in a large sample of patients with complex anxiety disorders, that is, long-lasting and treatment-resistant anxiety disorders. The properties of these gains were explored in a longitudinal design from two treatment modalities: cognitive behavioural therapy (CBT) and metacognitive therapy (MCT). Participants were 404 adults with a primary diagnosis of anxiety disorder, receiving a standardized 8 weeks of inpatient treatment with CBT or MCT. Symptom severity was measured weekly with the Beck Anxiety Inventory (BAI) and additionally during the first assessment session, pre-treatment, post-treatment and 1-year follow-up. Sudden gains were identified as between-session symptom changes of ≥ 9 points on the BAI, which were relatively large (≥ 25% difference) and stable (did not reverse) in the weeks after the gain. The prevalence of sudden gains during treatment was 19%. Individuals experiencing sudden gains had significantly lower levels of anxiety immediately after treatment and at 1-year follow-up compared to those without. Sudden gains were present in both CBT and MCT, showing similar magnitudes and prevalence, but patients treated with MCT tended to experience sudden gains earlier than those with CBT. This study demonstrates that sudden gains also occur in a long-lasting and treatment-resistant anxiety disorder population treated with CBT and MCT.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative Effectiveness of Individual, Group, Family and Combined Therapy Formats on Suicidality: A Meta-Analysis 个体、团体、家庭和联合治疗形式对自杀的比较效果:一项meta分析
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2025-07-02 DOI: 10.1002/cpp.70112
Nikki Lyka van Eijk, Renske Gilissen, Daan Creemers, Lizanne J. S. Schweren, Wouter van Ballegooijen
{"title":"Comparative Effectiveness of Individual, Group, Family and Combined Therapy Formats on Suicidality: A Meta-Analysis","authors":"Nikki Lyka van Eijk,&nbsp;Renske Gilissen,&nbsp;Daan Creemers,&nbsp;Lizanne J. S. Schweren,&nbsp;Wouter van Ballegooijen","doi":"10.1002/cpp.70112","DOIUrl":"https://doi.org/10.1002/cpp.70112","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;p&gt;Through carefully choosing psychotherapeutic interventions based on treatment characteristics, we may increase the relatively small effect sizes for suicidal outcomes. This study aims to evaluate the efficacy of different psychotherapy formats in reducing suicidal ideation and attempts, including individual, group and family-based therapies, as well as combined modalities involving individual and group or individual and family interventions. We conducted a meta-analysis after systematically searching databases for randomised controlled trials up to April 1, 2024. Included studies targeted any mental health issue, were delivered in any setting, compared with any control group, and reported on suicidal ideation or attempts. Data extraction and quality assessment were performed independently by two researchers, and a mixed-effects model was used for data synthesis. One hundred and seventy-two studies were eligible, totalling 198 comparisons with a total of 22,440 participants. Individual therapy significantly reduced suicidal ideation (&lt;i&gt;g&lt;/i&gt; = −0.33, &lt;i&gt;p&lt;/i&gt; &lt; 0.001, &lt;i&gt;k&lt;/i&gt; = 72 comparisons), as did group therapy (&lt;i&gt;g&lt;/i&gt; = −0.39, &lt;i&gt;p&lt;/i&gt; &lt; 0.001, &lt;i&gt;k&lt;/i&gt; = 27 comparisons). For reducing suicide attempts, individual therapy (RR = 0.75, &lt;i&gt;p&lt;/i&gt; &lt; 0.001, &lt;i&gt;k&lt;/i&gt; = 63 comparisons), and notably, combinations of individual with group (RR = 0.42, &lt;i&gt;p&lt;/i&gt; = 0.010, &lt;i&gt;k&lt;/i&gt; = 7 comparisons) and individual with family-based therapy (RR = 0.59, &lt;i&gt;p&lt;/i&gt; = 0.041, &lt;i&gt;k&lt;/i&gt; = 8 comparisons) were effective. Subgroup analysis showed that combined therapies were associated with larger effect sizes compared to single modalities in reducing suicide attempts (&lt;i&gt;p&lt;/i&gt; &lt; 0.001). This meta-analysis highlights that combined psychotherapy approaches, integrating individual sessions with group or family sessions, yields significantly higher effect sizes, reducing the risk of suicide attempts by 50%. These findings support the adoption of combined therapeutic strategies in clinical settings to effectively address suicidality.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Summary&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 \u0000 &lt;ul&gt;\u0000 \u0000 \u0000 &lt;li&gt;Individual or group therapy is effective for reducing suicidal ideation. Family therapy seems less effective than other formats.&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;Individual therapy, or combining individual therapy with group therapy or family therapy, is effective for preventing suicide attempts.&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;A combination of individual therapy with group or family therapy seems more effective at preventing suicide attempts than other formats.&lt;/li&gt;\u0000 &lt;/ul&gt;\u0000 ","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144524699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Self and Its Intersubjective Synchrony in Psychotherapy: A Systematic Review 心理治疗中的自我及其主体间共时性:系统回顾
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2025-07-01 DOI: 10.1002/cpp.70110
Lorenzo Lucherini Angeletti, Bianca Ventura, Ferdinando Galassi, Giovanni Castellini, Valdo Ricca, Andrea Scalabrini, Georg Northoff
{"title":"The Self and Its Intersubjective Synchrony in Psychotherapy: A Systematic Review","authors":"Lorenzo Lucherini Angeletti,&nbsp;Bianca Ventura,&nbsp;Ferdinando Galassi,&nbsp;Giovanni Castellini,&nbsp;Valdo Ricca,&nbsp;Andrea Scalabrini,&nbsp;Georg Northoff","doi":"10.1002/cpp.70110","DOIUrl":"https://doi.org/10.1002/cpp.70110","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;p&gt;The self is pivotal in psychotherapy, integrating internal (interoexteroceptive) and external (exteroproprioceptive) layers of experience necessary to create an intersubjective space in psychotherapeutic relationship to foster self-reorganization. Patient–therapist intersubjective experience of synchrony seems to be core in better alliance and connectedness, favouring therapeutic progresses. However, the biobehavioural aspects of intersubjective synchrony are often disconnected from the self, leaving gaps in understanding its role in shaping therapy processes and outcomes. Following PRISMA guidelines, 32 studies measuring intersubjective synchrony during psychotherapy sessions were identified, covering interoexteroceptive (&lt;i&gt;n&lt;/i&gt; = 11), exteroproprioceptive (&lt;i&gt;n&lt;/i&gt; = 18) and interbrain (&lt;i&gt;n&lt;/i&gt; = 4) synchrony. Exteroproprioceptive synchrony, particularly nonverbal, was primarily associated with the therapeutic alliance: This was further supported by interbrain studies, whereas interoexteroceptive synchrony was mainly linked to moment-to-moment emotional experience. On the other hand, we found mixed findings on the associations of exteroproprioceptive synchrony with overall therapy outcomes, whereas interoexteroceptive synchrony seemed to be positively associated with session-level outcomes. Moreover, pre-session intra-subjective traits (e.g., patients' well-being and psychopathology, therapists' attachment and expertise) influenced intersubjective synchrony patterns. Finally, we found that degrees of synchrony varied across patients suggesting different experiences of optimal psychotherapeutic relationship. Findings highlighted the layered dynamics of synchrony in psychotherapy. Achieving effective therapeutic engagement involves balancing context-sensitive synchrony at different layers through intersubjective interaction for a self-reorganization of the patients' dynamics. Future research should further explore how distinct layers and dynamics interact both at intrasubjective and intersubjective levels. A spatiotemporally informed emphasis on self-related dynamics can illuminate common therapeutic factors and clarify their role in short- and long-term outcomes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Summary&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 \u0000 &lt;ul&gt;\u0000 \u0000 \u0000 &lt;li&gt;The self is a dynamic, multilayered system that underlies coregulation processes within the therapeutic relationship. In this context, intersubjective synchrony reflects the encounter of self-dynamics between patient and therapist, fostering alliance and emotional resonance.&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;Physiological synchrony (interoexteroceptive) supports moment-to-moment affective attunement, ","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144520000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction to ‘Validation and Refinement of the Short Version of Perinatal Grief Scale in Chinese Women Who Experience Perianal Loss: A Psychometric Study’ 修正“中国肛周失禁妇女围产期悲伤量表的验证与改进:一项心理测量学研究”
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2025-07-01 DOI: 10.1002/cpp.70119
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引用次数: 0
Relapse in Eating Disorders: A Systematic Review and Thematic Synthesis of Individuals' Experiences 饮食失调的复发:个人经验的系统回顾和专题综合
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2025-07-01 DOI: 10.1002/cpp.70101
Natasha Heal-Cohen, Sophie M. Allan, Nieve Gauvain, Rachel Nabirinde, Aaron Burgess
{"title":"Relapse in Eating Disorders: A Systematic Review and Thematic Synthesis of Individuals' Experiences","authors":"Natasha Heal-Cohen,&nbsp;Sophie M. Allan,&nbsp;Nieve Gauvain,&nbsp;Rachel Nabirinde,&nbsp;Aaron Burgess","doi":"10.1002/cpp.70101","DOIUrl":"https://doi.org/10.1002/cpp.70101","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Relapse is common in eating disorders (EDs); however, it has received significantly more attention within quantitative research. This systematic review aimed to synthesize qualitative findings regarding the experiences of relapse for people with EDs.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Method&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A search for studies reporting qualitative data that included experiences of relapse in individuals with EDs was conducted. This included a systematic search of MEDLINE, CINAHL, PsycInfo, Scopus, SSCI, and PQDT Global along with supplementary searching. A total of 1594 titles and abstracts and 168 full texts were screened for eligibility. Sixteen studies were included in the review. Quality appraisal was conducted using the CASP checklist. Data were extracted from each paper and thematic synthesis of relevant data from study findings/discussion was completed in NVivo.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Most included studies involved female participants in the United States, Canada, and United Kingdom with anorexia and bulimia nervosa. Five analytical themes were generated: 1) “I wasn't letting go”: Relapse as enticing; 2) “Bound to lose”: Relapse as unstoppable; 3) “If the going gets tough I've always got this”: Relapse as protective; 4) “Coming back with your tail between your legs”: Relapse as destructive; 5) “So much of this journey … is learning”: Relapse as instructive.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Findings highlight the gap between psychological and behavioral improvements that precede relapse, and the contrasting ways relapse is described and experienced. They support a focus on motivational factors and underlying psychological difficulties in treatment, extending beyond a behavioral focus. Further research is needed to understand relapse experiences among males and individuals from the global majority.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Summary&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 \u0000 &lt;ul&gt;\u0000 \u0000 \u0000 &lt;li&gt;Individuals with EDs who relapsed described desiring or feeling powerless to control relapse. Findings suggest the need for greater emphasis on developing intrinsic motivation and self-efficacy in order to sustain recovery.&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;Residual ED cognitions and unaddressed psychological vulnerabilities were implicated in relapse. Findings caution against premature ","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144525027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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