PsychotherapyPub Date : 2023-06-01DOI: 10.1037/pst0000485
Cameron Alldredge, Gary Burlingame, Jenny Rosendahl
{"title":"Group psychotherapy for chronic pain: A meta-analysis.","authors":"Cameron Alldredge, Gary Burlingame, Jenny Rosendahl","doi":"10.1037/pst0000485","DOIUrl":"https://doi.org/10.1037/pst0000485","url":null,"abstract":"<p><p>Chronic pain is common among adults and frequently interferes with regular functioning while reducing quality of life. Though pharmacological approaches are used most frequently to treat pain-related issues, the side effects often lead to other problems. Group therapy has been used and studied for decades in treating pain although its general efficacy in this is not clear. We conducted a meta-analysis to determine group therapy's effectiveness in reducing pain intensity and improving adjacent issues. Potential randomized clinical trials were selected from various databases and included if published between 1990 and 2020, investigated group treatment's efficacy for pain-related concerns, measured pain intensity, included a comparison condition, and reported sufficient data in each trial arm at the first postassessment. We included 29 studies representing 4,571 participants in group therapy being treated for pain. The analysis yielded a significant, small effect when group was contrasted against passive control groups (<i>g</i> = 0.26, 95% CI [0.11, 0.41], <i>p</i> = .001) on the reduction of pain intensity. Two variables were found to moderate group therapy's efficacy: gender composition of groups and theoretical orientation. Although effects on reducing pain intensity are small, group psychotherapy should be considered a viable treatment option for chronic pain patients given the lower risks of side effects compared to pharmaceutical analgesics and comparable effects compared to other chronic conditions. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"60 2","pages":"194-205"},"PeriodicalIF":2.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9949308","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}
PsychotherapyPub Date : 2023-06-01DOI: 10.1037/pst0000491
Lirit Yaffe-Herbst, Maya Joffe, Galit Peysachov, Aviv Nof, Mary Beth Connolly Gibbons, Paul Crits-Christoph, Sigal Zilcha-Mano
{"title":"The development of a comprehensive coding system for evaluating insight based on a clinical interview: The SUIP-I coding system.","authors":"Lirit Yaffe-Herbst, Maya Joffe, Galit Peysachov, Aviv Nof, Mary Beth Connolly Gibbons, Paul Crits-Christoph, Sigal Zilcha-Mano","doi":"10.1037/pst0000491","DOIUrl":"https://doi.org/10.1037/pst0000491","url":null,"abstract":"<p><p>Gaining insight is considered a cornerstone of psychodynamic psychotherapy. Existing tools used to measure insight mainly include patients' self-report questionnaires and external coding of therapy sessions. To expand on the available tools, the present study developed a comprehensive coding system for the Self-Understanding of Interpersonal Patterns Scales-Interview (SUIP-I; Gibbons & Crits-Christoph, 2017). A total of 55 patients enrolled in a randomized controlled trial received psychodynamic psychotherapy for depression and were interviewed using the SUIP-I at baseline. A comprehensive coding system was developed for rating the interviews, based on a Likert scale for each of the six levels of insight. The content validity, psychometric properties, and the reliability and validity of the coding system were examined. The new SUIP-I coding system demonstrated interrater reliability in the \"excellent\" range, ICC (1, 1) = .91-.97, for all the six levels, and adequate internal consistency (Cronbach's α = .81). Support for convergent validity was gained, as manifested in a significant positive association of the SUIP-I with alliance expectation and affiliation, and a significant negative association with avoidance attachment. Support for discriminant validity was also gained, as manifested in a weak, nonsignificant association between the SUIP-I and self-esteem. The proposed comprehensive coding system shows good initial reliability and validity. Research is needed to further establish the psychometric properties of the new SUIP-I coding system. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"60 2","pages":"225-230"},"PeriodicalIF":2.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9586323","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}
PsychotherapyPub Date : 2023-06-01DOI: 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, Patrick Luyten, 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":"60 2","pages":"171-181"},"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}
PsychotherapyPub Date : 2023-04-06DOI: 10.1037/pst0000489.supp
{"title":"Supplemental Material for Consensus on the Perceived Presence of Transtheoretical Principles of Change in Routine Psychotherapy Practice: A Survey of Clinicians and Researchers","authors":"","doi":"10.1037/pst0000489.supp","DOIUrl":"https://doi.org/10.1037/pst0000489.supp","url":null,"abstract":"","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"60 25 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80810916","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}
PsychotherapyPub Date : 2023-03-13DOI: 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":"40 1","pages":""},"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}
PsychotherapyPub Date : 2023-03-01DOI: 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, D Martin Kivlighan, 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":"60 1","pages":"51-62"},"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}
PsychotherapyPub Date : 2023-03-01Epub Date: 2023-01-09DOI: 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":"60 1","pages":"119-129"},"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}
PsychotherapyPub Date : 2023-03-01DOI: 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":"60 1","pages":"76-85"},"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}
PsychotherapyPub Date : 2023-03-01DOI: 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, Zachary Richardson, Wendy Rasmussen, Douglas Newton, 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":"60 1","pages":"20-23"},"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}
PsychotherapyPub Date : 2023-03-01DOI: 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, 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":"60 1","pages":"17-19"},"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}