Psychotherapy最新文献

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A typology for the interpersonal affective focus in dynamic interpersonal therapy based on a contemporary interpersonal approach. 基于当代人际关系方法的动态人际治疗中人际情感焦点的类型学。
IF 2.5 2区 心理学
Psychotherapy Pub Date : 2023-06-01 DOI: 10.1037/pst0000462
Tara McFarquhar, Patrick Luyten, Peter Fonagy
{"title":"A typology for the interpersonal affective focus in dynamic interpersonal therapy based on a contemporary interpersonal approach.","authors":"Tara McFarquhar,&nbsp;Patrick Luyten,&nbsp;Peter Fonagy","doi":"10.1037/pst0000462","DOIUrl":"https://doi.org/10.1037/pst0000462","url":null,"abstract":"<p><p>Dynamic Interpersonal Therapy (DIT) is a brief, time-limited psychodynamic individual therapy in which depressive and anxious symptoms are understood as responses to interpersonal difficulties. Problematic interpersonal representations of the self and others are conceptualized in DIT as the interpersonal affective focus (IPAF), a predominant and recurring interpersonal pattern that is connected to the symptoms and becomes the foundation of treatment. This article reports the development of a typology for classifying IPAFs, which characterizes the predominant style based on contemporary interpersonal approaches. If such a typology can be shown to have validity in a clinical setting, it could have multiple uses that would improve understanding of how DIT works and for whom it might be effective, for example, assisting the therapist in formulating the IPAF, allowing investigations of treatment outcome and process research, and informing training. An IPAF typology was developed by means of a hybrid method of qualitative analysis of transcriptions of audio recordings of DIT sessions using data from a randomized control and feasibility trial. Results revealed four themes, that is, patterns of relating, which could be described as hostile-dominant, hostile-submissive, friendly-dominant, or friendly-submissive. Limitations include the sample size and diversity, the impact of the inclusion and exclusion criteria of the pilot feasibility trial, and the clinical need to titrate the IPAF. Future research should focus on the reliability and validity of the typology and whether it can be employed in outcome and process research. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9590999","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}
引用次数: 1
Supplemental Material for Consensus on the Perceived Presence of Transtheoretical Principles of Change in Routine Psychotherapy Practice: A Survey of Clinicians and Researchers 关于常规心理治疗实践中感知到的跨理论变化原则的共识补充材料:对临床医生和研究人员的调查
IF 2.5 2区 心理学
Psychotherapy Pub Date : 2023-04-06 DOI: 10.1037/pst0000489.supp
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引用次数: 0
Supplemental Material for Group Psychotherapy for Chronic Pain: A Meta-Analysis 慢性疼痛群体心理治疗补充材料:一项荟萃分析
IF 2.5 2区 心理学
Psychotherapy Pub Date : 2023-03-13 DOI: 10.1037/pst0000485.supp
{"title":"Supplemental Material for Group Psychotherapy for Chronic Pain: A Meta-Analysis","authors":"","doi":"10.1037/pst0000485.supp","DOIUrl":"https://doi.org/10.1037/pst0000485.supp","url":null,"abstract":"","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81578089","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}
引用次数: 0
Decentering the use of police: An abolitionist approach to safety planning in psychotherapy. 分散警察的使用:在心理治疗中废除安全计划的方法。
IF 2.5 2区 心理学
Psychotherapy Pub Date : 2023-03-01 DOI: 10.1037/pst0000422
David Drustrup, D Martin Kivlighan, Saba Rasheed Ali
{"title":"Decentering the use of police: An abolitionist approach to safety planning in psychotherapy.","authors":"David Drustrup,&nbsp;D Martin Kivlighan,&nbsp;Saba Rasheed Ali","doi":"10.1037/pst0000422","DOIUrl":"https://doi.org/10.1037/pst0000422","url":null,"abstract":"<p><p>The dominant narrative in much of the world, but especially the West, is that public safety and security are provided by policing. Psychotherapy invests in this dominant narrative via its reliance on emergency services provided by the state, such as 911 and police, to pursue the safety of clients and the larger society. However, the long-documented history of oppressive systems of policing suggest that these dominant narratives operate to protect powerful groups while surveilling and policing marginalized people, but particularly Black and Brown communities. As such, critical and abolitionist movements have rejected the idea that policing provides safety and have sought out alternative methods for ensuring community wellness and safety. Although the field of psychology has broadly expressed interest in growing its critical lens and interrupting systems of power, very little has directly addressed how carceral logics influence psychotherapy practice, and how this influences the client's sense of safety in therapy. This manuscript argues for an abolitionist approach to informed consent and safety planning in psychotherapy to address the disparate ways that clients, and especially marginalized clients such as Black and Brown people, experience psychotherapy's traditional use of systems of policing and state authority. Clinical illustrations are provided and future directions are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9707953","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}
引用次数: 0
V-episodes in the alliance: A single-case application of multiple methods to identify rupture repair. 联盟中的 V 型发作:应用多种方法识别破裂修复的单一案例。
IF 2.5 2区 心理学
Psychotherapy Pub Date : 2023-03-01 Epub Date: 2023-01-09 DOI: 10.1037/pst0000469
Lauren M Lipner, Di Liu, Sophie Cassell, Elaine Hunter, Catherine F Eubanks, J Christopher Muran
{"title":"V-episodes in the alliance: A single-case application of multiple methods to identify rupture repair.","authors":"Lauren M Lipner, Di Liu, Sophie Cassell, Elaine Hunter, Catherine F Eubanks, J Christopher Muran","doi":"10.1037/pst0000469","DOIUrl":"10.1037/pst0000469","url":null,"abstract":"<p><p>The therapeutic alliance has been consistently found to be a robust predictor of therapeutic outcome across various modalities of psychotherapy. Alliance ruptures are thought to occur commonly within each therapeutic dyad and, if left unresolved, are associated with premature termination and worsened psychotherapy outcome. Research efforts have identified V-shaped shifts in the alliance, characterized by a high-low-high pattern of postsession alliance scores, as a meaningful method of operationalizing rupture-repair episodes, but these efforts rarely evaluate the within-session process of the identified sessions. As a result, it is often unclear whether these sessions identified by methods based on postsession alliance measures are reflective of clinically meaningful within-session rupture process. This article aims to further explore the V-episode operationalization of rupture-repair episodes by assessing for convergence between rupture process identified by between-session measures and the within-session observer-based Rupture Resolution Rating Scale (3RS) in a single patient-therapist dyad in a 30-session brief relational therapy. V-episodes were operationalized using various previously utilized methods to identify ruptures based on postsession measures of alliance. Results of this case study demonstrate that postsession patient-rated V-episodes in the therapeutic alliance can be indicative of within-session rupture process, demonstrating convergence between within- and between-session measures of alliance process. Implications of these results for methodological approaches for identifying alliance ruptures are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10038834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9724196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Oppression is not "culture": The need to center systemic and structural determinants to address anti-Black racism and racial trauma in psychotherapy. 压迫不是“文化”:需要集中系统和结构的决定因素,以解决心理治疗中的反黑人种族主义和种族创伤。
IF 2.5 2区 心理学
Psychotherapy Pub Date : 2023-03-01 DOI: 10.1037/pst0000446
Melanie M Wilcox
{"title":"Oppression is not \"culture\": The need to center systemic and structural determinants to address anti-Black racism and racial trauma in psychotherapy.","authors":"Melanie M Wilcox","doi":"10.1037/pst0000446","DOIUrl":"https://doi.org/10.1037/pst0000446","url":null,"abstract":"<p><p>Psychology, and the United States more broadly, finds itself at yet another reckoning point with White supremacy and anti-Black racism. The <i>American Psychological Association</i> has even recently apologized for psychology's role in upholding systemic racism and White supremacy, and articulated expectations for psychology's role in dismantling systemic racism and White supremacy throughout psychology. Yet, the norms of White supremacy pervade our professional and individual consciousness, resulting in our radical movements toward a \"culturally responsive psychotherapy\" seeking to adapt to, and ultimately becoming quashed by, the very oppressive systems it seeks to upend. In this article, I argue first that to address anti-Black racism and racial trauma in psychotherapy, it is imperative to move beyond notions of \"culture\" and \"identity\" to a structural competency model of psychotherapy and psychotherapy training. Structural competency and examples of its integration are briefly discussed. I then offer and expand upon two additional recommendations: That we must learn about and incorporate the incredible work of Black, Indigenous, and people of color scholars who have offered robust guidance in how to engage in healing racial trauma in individual and family psychotherapy; and, that to ethically engage in and develop an antiracist psychotherapy equipped to heal racial trauma, we must individually and collectively engage in our own conscientization and radical racial healing. Throughout, I emphasize the importance of prioritizing the work of scholars of color, whose work I seek here to integrate and build upon, but do so as a low socioeconomic status-origin, White woman with disabilities scholar situated at complex axes of both privilege and oppression. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9352256","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}
引用次数: 5
Measurement-based care professional practice guideline: Don't forget the therapists! 基于测量的护理专业实践指南:不要忘记治疗师!
IF 2.5 2区 心理学
Psychotherapy Pub Date : 2023-03-01 DOI: 10.1037/pst0000464
Matteo Bugatti, Zachary Richardson, Wendy Rasmussen, Douglas Newton, Jesse Owen
{"title":"Measurement-based care professional practice guideline: Don't forget the therapists!","authors":"Matteo Bugatti,&nbsp;Zachary Richardson,&nbsp;Wendy Rasmussen,&nbsp;Douglas Newton,&nbsp;Jesse Owen","doi":"10.1037/pst0000464","DOIUrl":"https://doi.org/10.1037/pst0000464","url":null,"abstract":"<p><p>Boswell et al. (2022) professional practice guideline builds an excellent, evidence-driven argument in favor of the routine implementation of measurement-based care (MBC). Nonetheless, as learned from the attempted implementation of evidence-based psychotherapies, presenting empirical evidence does not affect therapist behavior. As such, we argue for an actionable and practical professional practice guideline. We review some of the most hindering barriers to the implementation of MBC, and we offer guidance introducing some of the efforts needed to overcome them. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9412658","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}
引用次数: 0
Measurement-based care professional practice guideline: Fine, but guidelines do not make good therapy. 以测量为基础的护理专业实践指南:很好,但指南不能成为好的治疗方法。
IF 2.5 2区 心理学
Psychotherapy Pub Date : 2023-03-01 DOI: 10.1037/pst0000450
Bruce E Wampold, Scott D Miller
{"title":"Measurement-based care professional practice guideline: Fine, but guidelines do not make good therapy.","authors":"Bruce E Wampold,&nbsp;Scott D Miller","doi":"10.1037/pst0000450","DOIUrl":"https://doi.org/10.1037/pst0000450","url":null,"abstract":"<p><p>Boswell et al. (2022) persuasively make the case for and propose professional practice guidelines (PPG) for measurement-based care (MBC). Although the evidence for MBC is robust, implementing MBC effectively in practice requires skills and processes not discussed in the PPG. We discuss five problems with the PPG for MBC: The \"what's in a name?\" problem, lack of actionable actions problem, the stopwatch problem, the stock market problem, and looking for the keys under the light problem. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9412657","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}
引用次数: 0
Radical healing in psychotherapy: Addressing the wounds of racism-related stress and trauma. 心理治疗中的激进治疗:解决与种族主义有关的压力和创伤的伤口。
IF 2.5 2区 心理学
Psychotherapy Pub Date : 2023-03-01 DOI: 10.1037/pst0000435
Hector Y Adames, Nayeli Y Chavez-Dueñas, Jioni A Lewis, Helen A Neville, Bryana H French, Grace A Chen, Della V Mosley
{"title":"Radical healing in psychotherapy: Addressing the wounds of racism-related stress and trauma.","authors":"Hector Y Adames,&nbsp;Nayeli Y Chavez-Dueñas,&nbsp;Jioni A Lewis,&nbsp;Helen A Neville,&nbsp;Bryana H French,&nbsp;Grace A Chen,&nbsp;Della V Mosley","doi":"10.1037/pst0000435","DOIUrl":"https://doi.org/10.1037/pst0000435","url":null,"abstract":"<p><p>There is a large body of research on the importance of addressing culture in psychotherapy. However, less is known about providing critically conscious and racially affirmative therapy for Black, Indigenous, and People of Color (BIPOC) clients in the context of ongoing systemic racism and racism-related stress and trauma, especially in the sociopolitical context of the United States. This article introduces and illustrates the <i>Keeping Radical Healing in Mind Therapeutic Approach</i> using a sample therapy session. To contextualize the therapeutic approach, we outline the need for antiracist and liberatory approaches to psychotherapy and describe in detail the <i>Psychology of Radical Healing</i> theoretical framework. The clinical stance that underpins the <i>Keeping Radical Healing in Mind Therapeutic Approach</i> includes helping clients develop, internalize, and nurture (a) Critical Consciousness, (b) Cultural Authenticity and Self-Knowledge, (c) Radical Hope and Envisioning Possibilities, (d) Collectivism, and (e) Strength and Resistance. To better meet the needs of BIPOC clients, the stance requires clinicians to develop their critical consciousness of systemic racism and interlocking forms of oppression. The clinical case of \"Brenda,\" a Black woman experiencing the effects of racism-related stress while raising a young Black boy, is presented. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9372325","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}
引用次数: 16
Intersections of gendered racial trauma and childbirth trauma: Clinical interventions for Black women. 性别、种族创伤和分娩创伤的交叉点:黑人妇女的临床干预。
IF 2.5 2区 心理学
Psychotherapy Pub Date : 2023-03-01 DOI: 10.1037/pst0000403
Rayna D Markin, M Nicole Coleman
{"title":"Intersections of gendered racial trauma and childbirth trauma: Clinical interventions for Black women.","authors":"Rayna D Markin,&nbsp;M Nicole Coleman","doi":"10.1037/pst0000403","DOIUrl":"https://doi.org/10.1037/pst0000403","url":null,"abstract":"<p><p>Studies suggest that racism affects the type and quality of health care that patients who are Black receive, perhaps in part because poorer patient-provider communication and less provider encouragement of patient involvement have been consistently reported for patients of color. In particular, Black women are 3-4 times more likely to experience dangerous and even life-threatening complications, and more likely to report mistreatment and neglect from medical providers and staff, during childbirth. Experiences with gendered racism during childbirth, which in itself is a vulnerable, intense, and potentially traumatic experience when proper support is absent, may lead to posttraumatic stress reactions. Psychotherapy can help affected clients to process gendered racial and childbirth traumas through: (a) the establishment of a safe, trusting, and collaborative therapeutic relationship, in which careful attention is paid to repairing alliance ruptures caused by cultural misunderstandings or gendered racial microaggressions, and (b) framing experiences and \"symptoms\" as understandable reactions to gendered race-based traumatic stress during childbirth. In addition to direct therapeutic intervention, therapists should collaborate with doulas and/or medical providers on patient care, and, separately, advocate for systemic-level change, supporting clients' lived experiences outside of the therapy room. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9589182","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}
引用次数: 8
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