{"title":"Integrative Psychotherapy with Culturally Diverse Clients","authors":"Jeff E. Harris, Natasha Shukla, A. Ivey","doi":"10.1093/med-psych/9780190690465.003.0015","DOIUrl":"https://doi.org/10.1093/med-psych/9780190690465.003.0015","url":null,"abstract":"When multiple cultural influences are acknowledged, all psychotherapy clients are recognized as culturally unique. Cultural assessment involves understanding the intersecting impact of race/ethnicity, gender, sexual orientation, socioeconomic status, disabilities, and other influences on clients. Case formulation often involves understanding the process of identity development related to important cultural identities. Processes of change include consciousness-raising, catharsis, choosing, and social justice. The therapy relationship can be adapted to the cultural expectations of clients, and differences can be discussed to reduce unintended therapy microaggressions and to repair ruptures. Four types of cultural methods and techniques are presented. In the integrative tradition, psychotherapists are encouraged to think about when to focus on group membership and when to explore the individual meaning of cultural influences.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114814349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Castonguay, M. Newman, T. Borkovec, M. Holtforth, G. G. Maramba
{"title":"Cognitive-Behavioral Assimilative Integration","authors":"L. Castonguay, M. Newman, T. Borkovec, M. Holtforth, G. G. Maramba","doi":"10.1093/MED:PSYCH/9780195165791.003.0011","DOIUrl":"https://doi.org/10.1093/MED:PSYCH/9780195165791.003.0011","url":null,"abstract":"The integrative approach described in this chapter represents the authors’ efforts to improve the efficacy of cognitive-behavioral therapy (CBT) via a systematic and theoretically cohesive assimilation of treatment procedures typically associated with other psychotherapy orientations. The primary emphasis is on an integrative therapy for generalized anxiety disorder which, based on treatment and psychopathology research, has added interpersonal- and emotional-focused interventions to CBT techniques. Other assimilative treatments aimed at increasing the efficacy of CBT for a number of clinical problems are also briefly described. The chapter further illustrates how the integration of other contributions may be implemented clinically.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125033182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cynthia L. Maeschalck, D. Prescott, Scott D. Miller
{"title":"Feedback Informed Treatment","authors":"Cynthia L. Maeschalck, D. Prescott, Scott D. Miller","doi":"10.1093/MED-PSYCH/9780190690465.003.0005","DOIUrl":"https://doi.org/10.1093/MED-PSYCH/9780190690465.003.0005","url":null,"abstract":"Feedback Informed Treatment (FIT) involves clinicians gathering on-going real time feedback from clients to determine what is working and what is not working in therapy. This chapter provides an overview of feedback informed treatment (FIT), including its historical evolution, guiding principles, and central tenets. It lays out how FIT is applied and integrated into practice, including how client feedback is obtained. The authors describe how it can guide treatment decisions in a variety of settings and with diverse populations. A case example illustrates FIT in practice. Finally, the authors review the outcome research on FIT and share ideas about its future directions.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129378247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Systematic Treatment Selection","authors":"L. Beutler","doi":"10.1093/med-psych/9780190690465.003.0007","DOIUrl":"https://doi.org/10.1093/med-psych/9780190690465.003.0007","url":null,"abstract":"Systematic treatment selection (STS) is an evidence-based, principle-driven, and culturally grounded psychotherapy that guides clinicians in their day-to-day work of helping clients change. Its key procedures start with an ongoing assessment of patients’ functional impairments, resistance levels, coping styles, and other empirically established moderators of change. The clinician then selects treatments that “fit” the individual client and develops a treatment plan based on the moderators identified in the first step. This chapter reviews STS’s fundamental tenets, assessment and formulation, applicability and structure, and the role of the therapy relationship. A detailed case example illustrates the key processes. The chapter also provides diversity considerations, discusses outcome research, and concludes with future directions of STS.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132606860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A History of Psychotherapy Integration","authors":"M. Goldfried, J. Pachankis, Brien J Goodwin","doi":"10.1093/med-psych/9780190690465.003.0002","DOIUrl":"https://doi.org/10.1093/med-psych/9780190690465.003.0002","url":null,"abstract":"In this chapter, the authors trace the history of psychotherapy integration from the first attempts at rapprochement in the early twentieth century to the recent developments in the twenty-first century. The authors briefly review major contributions to psychotherapy integration from the 1930s to the 1950s, and then focus on rapprochement beginning in the 1960s through the present. In addition to outlining conceptual and theoretical advances, the authors describe structural developments such as societies, journals, and conferences that have facilitated continued research and dissemination of various models of integration. Finally, the impact of ever-changing research, practice, and social climates on rapprochement is discussed.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123282733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cognitive Behavioral Analysis System of Psychotherapy for Chronic Depression","authors":"J. P. Mccullough, E. Schramm","doi":"10.1093/med-psych/9780190690465.003.0014","DOIUrl":"https://doi.org/10.1093/med-psych/9780190690465.003.0014","url":null,"abstract":"The cognitive behavioral analysis system of psychotherapy (CBASP) is designed specifically for chronic depression and is based on Donald Kiesler’s interpersonal model, with the role of the psychotherapist being administered from a disciplined personal involvement perspective. To achieve its learning goals, CBASP has been operationalized such that the two major goals are learned in an acquisition learning manner criterion. Patients are taught throughout treatment that the lessons of CBASP are intended to be “lifelong” lessons that must be practiced daily to reduce psychopathology. This chapter reviews CBASP’s fundamental tenets, assessment, applicability, change processes, therapy relationship, and key methods. The chapter concludes with a detailed case example, outcome research, and future directions.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"204 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116683983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrating Research and Practice","authors":"L. Castonguay, Michael J. Constantino, Henry Xiao","doi":"10.1093/MED-PSYCH/9780190690465.003.0020","DOIUrl":"https://doi.org/10.1093/MED-PSYCH/9780190690465.003.0020","url":null,"abstract":"This chapter reviews efforts to integrate psychotherapy research and practice through collaboration and information-sharing within naturalistic clinical settings. Specifically, the chapter focuses on three types of practice-oriented research that capitalize on the bidirectional partnership between researchers and practitioners: (1) patient-focused, (2) practice-based, and (3) practice-research networks. The authors provide examples of each type of integration, highlighting the ways in which the research is different, yet complementary to more traditional studies conducted in controlled settings. They submit that the researcher–practitioner partnership in an ecologically valid treatment context represents an optimal means to reduce the pervasive research–practice chasm and to promote genuine integration for enhancing the effectiveness and personalization of psychotherapy. The chapter also discusses future directions in this vein.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129676507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Transtheoretical Approach","authors":"J. Prochaska, C. DiClemente","doi":"10.1093/med:psych/9780195165791.003.0007","DOIUrl":"https://doi.org/10.1093/med:psych/9780195165791.003.0007","url":null,"abstract":"The transtheoretical model outlines important dimensions of intentional behavior change from an integrative perspective. Stages describe the motivational and temporal dimension and the critical multidimensional tasks involved in creating sustained change. Processes are an eclectic set of cognitive/experiential and behavioral coping activities that act as mechanisms or engines of change that drive completion of stage tasks. The chapter summarizes the origins of the approach, its applicability and structure, therapeutic relationship, and diversity considerations. A case example illustrates its assessment and treatment foundations. The transtheoretical approach has demonstrated utility in tailoring treatment and predicting outcomes across a variety of health, mental health, and addictive behaviors.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127857158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cyclical Psychodynamics and Integrative Relational Psychotherapy","authors":"P. Wachtel, Gregory Gagnon","doi":"10.1093/med-psych/9780190690465.003.0009","DOIUrl":"https://doi.org/10.1093/med-psych/9780190690465.003.0009","url":null,"abstract":"This chapter covers an integrative psychotherapy known as cyclical psychodynamics and features its origins, applicability, assessment, treatment, therapy relationship, case example, outcome research, and future directions. Cyclical psychodynamics is an approach to theory and therapy that centers on the repetitive interaction cycles that maintain adaptive and maladaptive patterns of living. Employing concepts and methods from psychodynamic, behavioral, cognitive-behavioral, systemic, and humanistic-experiential perspectives, the aim is to interrupt these cycles to enable the person not only to be relieved of distressing symptoms but to live more fully and richly. A key focus is on how the person unwittingly recruits “accomplices” in the maintenance of the pattern through the behaviors his actions evoke in others. Also central is attention to the ways that early attachment experiences lead some of our thoughts, wishes, and feelings to be cast into the background, rendered difficult to access consciously or to draw upon adaptively in one’s life. The therapy proceeds integratively, attending both to the expansion of subjective experience and to more adaptive daily behavior, as well as to how each promotes the other.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130920633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Primer on Psychotherapy Integration","authors":"J. Norcross, Erin F. Alexander","doi":"10.1093/med-psych/9780190690465.003.0001","DOIUrl":"https://doi.org/10.1093/med-psych/9780190690465.003.0001","url":null,"abstract":"This opening chapter explicates the broad context of psychotherapy integration and sets the stage for the subsequent chapters in the volume. As the chapter title indicates, the authors offer a primer on integration in the dual sense of a primer (soft i) as a small introduction to the subject and of a primer (hard i) as a basecoat or undercoat for the following applications. The authors describe the converging reasons for the growth of psychotherapy integration and then the four primary routes to integration. This segues into the varieties of integration, which includes summaries of recent studies on the prevalence, subtypes, and practices of integrative therapists. The chapter concludes with a discussion of recurrent obstacles to psychotherapy integration.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116212950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}