Psychotherapy最新文献

{"title":"Therapist personality factors as predictors of between-therapist effectiveness differences.","authors":"Michael J Constantino, Averi N Gaines, Alice E Coyne, Henricus L Van, Anuj H P Mehta, Jaap Peen, Frank J Don, Jack J M Dekker, Ellen Driessen","doi":"10.1037/pst0000591","DOIUrl":"https://doi.org/10.1037/pst0000591","url":null,"abstract":"<p><p>Abundant research across various treatments indicates that therapists can differ in their general, caseload-level effectiveness. However, relatively little is known about therapist factors that predict such \"performance\" variability. Moreover, most of the limited existing work on this topic has relied on demographic and professional convenience variables, which have demonstrated low predictive power. Thus, it is possible that therapist effectiveness differences would be better explained by personality characteristics that are inescapably present in a clinician's work. Addressing this question, the present preregistered study preliminarily explored whether more versus less effective therapists possess more adaptive personality traits among the \"big five,\" defense style maturity, and psychological mindedness. Data were derived from a randomized clinical trial comparing the efficacy of 16 sessions of cognitive behavioral therapy and psychodynamic therapy for depression (Driessen et al., 2013). Effective sample participants were 142 adult outpatients treated by 32 therapists nested within the treatment condition. Therapists completed multiple personality measures, and patients' depression and global distress symptoms were assessed (via self-report or observer ratings) at baseline and posttreatment. Despite there being significant between-therapist effectiveness differences (on their average patient's posttreatment outcome), multilevel models revealed no significant associations between personality characteristics and such differences on any outcome. It may be that therapists' overall effectiveness has more to do with their transferable actions <i>in the room</i> versus traits they bring into their work. Alternatively, certain traits may predict between-therapist effects but only in specific treatment, patient, and/or cultural contexts that differ from the ones herein. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultivating religious and spiritual competencies in students of every faith and no faith in a university doctoral psychology program.","authors":"Theresa Clement Tisdale","doi":"10.1037/pst0000590","DOIUrl":"https://doi.org/10.1037/pst0000590","url":null,"abstract":"<p><p>This article is a practical contribution to the literature focused on developing competencies in addressing religion and spirituality in clinical practice, particularly with students in education and training programs. Details of a course in an American Psychological Association accredited doctoral program in clinical psychology are provided, illustrating the ways and means through which students are engaged in exploring, identifying, and articulating a conceptual and theoretical framework as well as developing methods and competencies that will be ethical and efficacious in the conduct of their clinical work. The course described is the third in a four-course required sequence that is focused on acquiring knowledge, skills, and attitudes that are consistent with competencies identified in the American Psychological Association Accreditation Standards as well as in the program's defined areas of special emphasis, one of which is addressing religion and spirituality in clinical practice. Key aspects of pedagogy related to readings, assignments, and classroom engagement are presented. Methods used to assess competencies are included as well as quantitative and qualitative data from student ratings of course effectiveness. Suggestions for future teaching, training, and research are offered. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychotherapy trainees' perspectives on the impact, usability, and feasibility of an online program to increase multicultural orientation toward religious and spiritual clients.","authors":"Stephanie Winkeljohn Black, Sanskriti Shrivastava, Dana Awlia, Marcus Crede","doi":"10.1037/pst0000589","DOIUrl":"https://doi.org/10.1037/pst0000589","url":null,"abstract":"<p><p>Given that spiritual and religious (S/R) topics can elicit discomfort and countertransference among psychotherapists, training frameworks that promote introspection and opportunities for repeated practice, or exposure, may be ideal starting points to develop S/R competencies. The current deliberate practice informed training program targeted cultural comfort and associated multicultural orientation constructs, aligning with prescribed attitude/awareness and broaching S/R competencies. This quasi-experimental, mixed method investigation analyzed whether a new S/R training program informed by deliberate practice principles was associated with changes in participants' (graduate students in graduate clinical/counseling psychology programs in the United States; <i>N</i> = 126) cultural comfort, self-perceived clinical performance, and self-perceived difficulty when engaging S/R video vignettes using specification curve analyses and a content analysis of follow-up interviews. Analyses indicated that all specifications had positive effects for the treatment (training condition, <i>n</i> = 65) for comfort (<i>B</i>_median = .46, range: .36-.58; 24 of 36 specifications were significant) and self-perceived performance (<i>B</i>_median = .48, range: .45-.55; all specifications significant). Analyses indicated that all specifications for treatment had an inverse association with self-rated difficulty, but all specifications were nonsignificant, suggesting no difference between training and control (<i>n</i> = 61) participants. Training condition participants indicated in a survey that the training was high quality, useful, and had no technology issues; the follow-up interviews with a smaller number of training condition participants provided insights into the training's strengths and weaknesses. The data in full create a roadmap for further study and training program modifications. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obtaining religious and spiritual competencies for relationship therapy: Outcomes of Competency Addressing Religion and Spirituality (CARS) training.","authors":"Jennifer S Ripley, James N Sells, Logan Battaglini, Sarah Haught, Zhuo Job Chen, Vanessa Kent, Reema Smith, Caitlin Overfelt, Joyce Tan, Jared Tan, Francisco Villate, Joyelle Saunders, Daniel Waldheim, Rebekah Rose, Kaitlin Wray","doi":"10.1037/pst0000595","DOIUrl":"https://doi.org/10.1037/pst0000595","url":null,"abstract":"<p><p>Family Competency addressing religion and spirituality in relationships is based on principles of systems theory applied to diversity training in religion and spirituality. Relational spirituality and family systems theory are the theoretical bases for training clinicians to address religion and spirituality (R/S) competently. Relational issues of R/S include religious differences and conflicts in close relationships, spiritual impairment due to relationship distress, and the use of spiritual resources for coping in a family or community. Principles of cultural humility and comfort, clinical assessment of R/S, nonanxious presence, multidirected partiality, and differentiation were used to train clinicians. Participants (<i>N</i> = 174) were graduate students and professionals in mental health care who engaged in a 5-hr online training with switching replication measurement at three points before and after the training at 2-week intervals. Measurement included a newly validated six-item global measure of couple and family spiritual and religious competency (J. S. Ripley et al., 2024) and the Religious/Spiritually Integrated Practice Assessment Scale (Oxhandler, 2019). Mixed-effects models with two-way cross-level interactions of Treatment Condition (Immediate Treatment, Delayed Treatment) × Time (T1, T2, T3) supported change based on the intervention, especially for measures of self-efficacy, attitude, increased frequency of R/S integrated practice, and global relational R/S competency. Qualitative analysis of interviews with some participants (<i>n</i> = 10) identified several experiential themes. The models showed significant change after the training and maintenance of gains for the immediate treatment group. In conclusion, this demonstrated the efficacy of the relationally based training model in improving R/S competency in training graduate students and professionals. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144708577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying a theory of change approach to evaluating evidence for circle of security interventions: A systematic review.","authors":"Erinn Hawkins, Brittnee Byron, Anna Huber, Nicole Perry, Catherine McMahon, Neil W Boris","doi":"10.1037/pst0000592","DOIUrl":"https://doi.org/10.1037/pst0000592","url":null,"abstract":"<p><p>Circle of Security (COS) interventions aim to improve parent-child relationships. Preliminary evidence of the effectiveness of COS interventions has been positive, but recent studies suggest mixed results that may be due to a lack of differentiation between different versions of COS interventions. This systematic review used a theory of change/program logic approach to summarize the evidence for COS interventions and to explore the conditions under which each protocol was most effective. A comprehensive systematic literature search was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for studies administering a verified COS intervention protocol with parents/caregivers of children aged 0-8 years. Studies were coded for study design, protocol type, sample characteristics, treatment fidelity, dose, risk of bias, and type of outcome. Nineteen eligible studies were included; seven were randomized controlled trials. Studies of the higher dose protocols (i.e., COS-Intensive, COS-Intensive-Revised Hybrid, COS-Perinatal Protocol) showed promising results across primary and secondary parent outcomes, longer term relationship and child outcomes, and clinical samples. Results showed mixed evidence for the efficacy of the more scalable COS-Parenting. Reviewing studies according to the theory of change/program logic suggested three sources of variability in COS-Parenting studies compared to the higher dose COS interventions that could impact outcome: treatment dose/strategies, sample type, and treatment fidelity. Differential effectiveness of COS interventions tested in seven randomized controlled trials, two nonrandomized controlled trials, and 10 single-arm trials suggests that different COS variants may be better suited to different target populations. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maintaining therapeutic presence and empathy when engaging with a client's existential concerns.","authors":"Gianina Frediani, Mart De Henau, Isabelle De Pooter, Peter Rober, Siebrecht Vanhooren","doi":"10.1037/pst0000588","DOIUrl":"https://doi.org/10.1037/pst0000588","url":null,"abstract":"<p><p>Research shows how therapists struggle to stay present with their clients' existential concerns. Our goal was to explore what hinders and enables therapists to stay present and engaged when existential concerns surface in the session. We invited 22 therapists (12 novice and 10 experienced) to engage in a role-play with a client expressing her existential concerns using a standardized script. Subsequently, the therapists were interviewed using a videotape-assisted recall procedure. Data were analyzed according to the descriptive-interpretive qualitative research approach. When confronted with existential themes in the session, novice therapists experienced overwhelming feelings of powerlessness and uncertainty, blocking their ability to remain open to the client's existential experiences. Lack of knowledge and encountering their own existential vulnerability were mentioned as triggers. For experienced therapists, the main challenge was to stay present while feeling impacted by the existential topic, which they managed by grounding and reanchoring themselves. Our findings support the idea that embracing one's own existential issues and being at ease with existential themes may be essential conditions for staying present and fostering an authentic therapeutic encounter. Furthermore, our findings suggest that gaining knowledge about the existential process and learning to ground and reanchor oneself are essential for therapists. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes among therapists who do (or do not) implement feedback-informed treatment.","authors":"Joanna M Drinane, Rochelle C Cassells, Scott D Miller, JiSoo Park, David Brown","doi":"10.1037/pst0000587","DOIUrl":"https://doi.org/10.1037/pst0000587","url":null,"abstract":"<p><p>Studies of psychotherapy efficacy have highlighted the importance of feedback-informed treatment (FIT), which involves the routine collection of client process and outcome data to inform intervention formulation and clinical decision making. Despite the relative ease with which FIT measures can be integrated into therapeutic practices, many providers do not use these information-gathering tools. The present study analyzed survey responses from therapists whose use of FIT was systemically incentivized and structurally supported. Within this sample, two groups of providers emerged: one (<i>n</i> = 30) that remained engaged in the use of FIT and another (<i>n</i> = 19) that discontinued its use despite its implementation being facilitated. There were some significant differences between the groups. Clinicians who persisted with FIT perceived it as more valid and reported more openness to information from an outside source, whereas clinicians who disengaged from FIT endorsed more antagonistic views about measurement. In addition, clinicians who discontinued FIT reported having a greater belief in the predictive validity of their own judgments without the use of FIT data than did current FIT users. There were statistically significant differences between the two groups in terms of their reliance on intuition, but not on their feedback propensities. These findings contribute to the growing literature regarding the effect of attitudes on the use of measurement in therapy when structural barriers to implementation are reduced. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rumination in response to repugnant obsessions: Catching the sneakiest of compulsions.","authors":"Jean-Philippe Gagné, Shiu F Wong","doi":"10.1037/pst0000585","DOIUrl":"https://doi.org/10.1037/pst0000585","url":null,"abstract":"<p><p>Rumination is a mental process characterized by the repetitive analysis of concerns without taking concrete or helpful action. It has been shown to be transdiagnostic, contributing to the maintenance and exacerbation of symptoms across various mental disorders, including obsessive-compulsive disorder (OCD). Historically conceptualized as part of the obsessional domain due to its repetitive and intrusive qualities, rumination is now better understood as a covert compulsion-one that reinforces the overimportance of otherwise normal, unwanted intrusions, particularly in the case of repugnant obsessions. Consequently, it is crucial for clinicians to frame rumination as a mental habit or behavior in which individuals with OCD attempt to understand the causes, meaning, and consequences of their thoughts. This unproductive and time-consuming process not only amplifies intrusive doubts but also worsens mood, placing individuals at high risk for comorbid depression. This article outlines how rumination fits within the cognitive-behavioral model of OCD and, more importantly, offers practical refinements to standard cognitive-behavioral therapy interventions, drawing from evidence-based strategies for OCD and related disorders as well as from behavioral activation. The aim is to better equip clinicians with tools to effectively target rumination in OCD, particularly in presentations involving repugnant obsessions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A randomized controlled trial of emotionally focused individual therapy (EFIT) for depression and anxiety.","authors":"Stephanie A Wiebe, Susan M Johnson, Robert Allan, T Leanne Campbell, Paul S Greenman, David R Fairweather, Mariam Ismail, Giorgio A Tasca","doi":"10.1037/pst0000586","DOIUrl":"https://doi.org/10.1037/pst0000586","url":null,"abstract":"<p><p>Emotionally focused individual therapy (EFIT; Johnson, 2019) is a newly developed therapeutic modality. In this study, we used a randomized controlled trial (Clinical Trial Registration NCT04719780) intent-to-treat design to examine the effects of 15 sessions of EFIT in comparison with a 15-week wait-list control on general symptom distress and symptoms of depression and anxiety. Eighty-eight participants who met the diagnostic criteria for major depressive disorder and comorbid anxiety, as determined by the Anxiety and Related Disorders Interview Schedule for the <i>Diagnostic and Statistical Manual of Mental Disorders, fifth edition</i>, were randomized to an EFIT treatment group (<i>n</i> = 44) or to a wait-list control group (<i>n</i> = 44). Average age was 35.73 years (<i>SD</i> = 12.28). Sixty-three percent identified as women, and 37% identified as male. In terms of ethnicity, 73% identified as White, 1.3% as Black, 7.7% as Southeast Asian, 7.7% as East Asian, 3.8% as Latinx, and 2.6% as First Nation. Participants completed the Outcome Questionnaire-30.2, the Patient-Reported Outcomes Measurement Information System (PROMIS)-Depression scale, and the PROMIS-Anxiety scale. Multilevel modeling results confirmed a significant difference in growth curves between the treatment group and controls on all measures. Follow-up analyses demonstrated significant reductions in symptom distress (Outcome Questionnaire-30.2) and symptoms of depression and anxiety (PROMIS-Depression and PROMIS-Anxiety) across 15 weeks. Overall, the results of this study suggest that EFIT leads to significant symptom reduction among people with depression and anxiety. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving psychotherapists' spiritual and religious competencies: Evaluation of a live videoconferencing training program.","authors":"P Scott Richards, Russell S Jones, Peter W Sanders","doi":"10.1037/pst0000584","DOIUrl":"https://doi.org/10.1037/pst0000584","url":null,"abstract":"<p><p>This study evaluated the effectiveness of a live videoconferencing training program in spiritually integrated psychotherapy offered by ACPE: The Standard for Spiritual Care and Education (ACPE). We used a quasi-experimental one-group pretest-posttest group design to investigate whether participants' religious/spiritual competencies (self-efficacy, attitudes, and skills) improved and whether their use of spiritual interventions increased after completing the training program. We also assessed whether their perceptions of the barriers to practicing spiritually integrated treatment in their practice setting changed after training. The research participants were 84 adult men and women from diverse spiritual backgrounds, mental health specialties, and geographic locations who completed the measures before and after the training program. A repeated measures multivariate analysis of variance and follow-up t-tests revealed that the participants' spiritual competency and usage of spiritual interventions during treatment sessions significantly increased after the training program. Most Cohen's <i>d</i> effect sizes were large or moderately large, indicating that the improvements were educationally and clinically meaningful. The study provides preliminary evidence that ACPE's live, videoconferencing spiritually integrated psychotherapy training program enhanced the spiritual competencies of the participating mental health and pastoral professionals. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}