Psychotherapy最新文献_第6页

Meaning reconstruction 70 years later: Processing older adults' unfinished business in a drama therapy group. 70 年后的意义重建：在戏剧治疗小组中处理老年人的未竟事业。

IF 2.5 2区心理学

Psychotherapy Pub Date : 2023-12-01 Epub Date: 2023-09-04 DOI: 10.1037/pst0000497

Shoshi Keisari, Dani Yaniv, Anat Gesser-Edelsburg, Yuval Palgi, Robert A Neimeyer

{"title":"Meaning reconstruction 70 years later: Processing older adults' unfinished business in a drama therapy group.","authors":"Shoshi Keisari, Dani Yaniv, Anat Gesser-Edelsburg, Yuval Palgi, Robert A Neimeyer","doi":"10.1037/pst0000497","DOIUrl":"10.1037/pst0000497","url":null,"abstract":"Unfinished business (UB), when individuals appraise their relationship with others or themselves as incomplete or unresolved, entails difficult emotions such as regret, remorse, and guilt. UB is often associated with bereavement and is considered to be a predictor of complicated grief. Here we report two case studies describing the processing of the sudden death of a significant other in the context of a randomized controlled study of 12-week drama therapy groups for older adults. The intervention followed the format of Playback Theater, an improvised form of theater based on personal stories, and a life review paradigm. A mixed-methods approach explored the course of individual therapy within the group and potential mechanisms of change. The participants completed mental health questionnaires in a pre-post-follow-up design. The qualitative data included video recordings and postintervention interviews. One participant reported a clinically significant (CS) change in depressive symptoms and psychological well-being on the post and follow-up measurement indices. The second reported a CS change in self-esteem and relationship satisfaction at the end of the intervention, but not at follow-up. The findings suggest that the drama therapy contributed to the resolution of UB through restorative work in the three domains defined in meaning reconstruction theory: the \"event story\" of the loss, the \"back story\" of the relationship with the deceased, and the \"personal story\" of self. The results point to the need for additional research on meaning reconstruction in the context of drama therapy and encourage the broader application of performative techniques to treat complicated bereavement. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"573-586"},"PeriodicalIF":2.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10152531","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

Prospective psychotherapists' bias and accuracy in assessing their own facilitative interpersonal skills. 前瞻性心理治疗师在评估自身促进性人际交往技能方面的偏见和准确性。

IF 2.5 2区心理学

Psychotherapy Pub Date : 2023-12-01 Epub Date: 2023-10-05 DOI: 10.1037/pst0000506

Merle Longley, Denise Kästner, Anne Daubmann, Constance Hirschmeier, Bernhard Strauß, Antje Gumz

{"title":"Prospective psychotherapists' bias and accuracy in assessing their own facilitative interpersonal skills.","authors":"Merle Longley, Denise Kästner, Anne Daubmann, Constance Hirschmeier, Bernhard Strauß, Antje Gumz","doi":"10.1037/pst0000506","DOIUrl":"10.1037/pst0000506","url":null,"abstract":"We aimed to investigate prospective psychotherapists' bias in assessing their own facilitative interpersonal skills (FIS) and predictors of high self-assessments. In this cross-sectional observational study, we examined 132 psychology students and trainee psychotherapists. Therapists' demographic variables and self-concepts were assessed through self-report questionnaires, and their therapeutic skills were assessed with the German version of the \"FIS\" task. A truth-and-bias model approach was applied in three different hierarchical linear models to test self-assessment bias of FIS, and to identify factors associated with overly positive self-assessments of therapeutic skills. Significantly higher self-assessments of skills were found in comparison to observer ratings for overall FIS and for the FIS dimensions hope, emotional expression, warmth, acceptance, and understanding, empathy, alliance bond capacity, and rupture-repair responsiveness. Despite this discrepancy, there was a significant congruence between self- and observer ratings. A greater self-assessed ego-strength and attractiveness were associated with self-assessments of skills that were higher than the observer-rated average. Age, gender, experience, and other self-concept variables showed no significant association with self-assessments. This present study demonstrates self-assessment bias in prospective therapists. However, when participants rated their own FIS to be high, observers also tended to rate participants' skills higher. Especially therapists who generally feel more confident and attractive tend to estimate themselves positively. Supervisors and trainees should be aware of the ubiquity of self-assessment bias. Future research is necessary to test the effect of self-assessment bias on patient outcomes and process variables. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"525-535"},"PeriodicalIF":2.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41139256","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

Experiential training of mental health graduate students in emotional processing skills: A randomized, controlled trial. 对心理健康研究生进行情绪处理技能的体验式培训：随机对照试验

IF 2.5 2区心理学

Psychotherapy Pub Date : 2023-12-01 Epub Date: 2023-06-29 DOI: 10.1037/pst0000495

Jolin B Yamin, Ciara N Cannoy, Katey M Gibbins, Shoshana Krohner, Lisa J Rapport, Christopher J Trentacosta, Lori Lackman Zeman, Mark A Lumley

{"title":"Experiential training of mental health graduate students in emotional processing skills: A randomized, controlled trial.","authors":"Jolin B Yamin, Ciara N Cannoy, Katey M Gibbins, Shoshana Krohner, Lisa J Rapport, Christopher J Trentacosta, Lori Lackman Zeman, Mark A Lumley","doi":"10.1037/pst0000495","DOIUrl":"10.1037/pst0000495","url":null,"abstract":"Emotional processing interventions for trauma and psychological conflicts are underutilized. Lack of adequate training in emotional processing techniques and therapists' lack of confidence in utilizing such interventions are barriers to implementation. We developed and tested an experiential training to improve trainees' performance in a set of transtheoretical emotional processing skills: eliciting patient disclosure of difficult experiences, responding to defenses against disclosure, and eliciting adaptive emotions. Mental health trainees (N = 102) were randomized to experiential or standard training, both of which presented a 1-hr individual session administered remotely. Before and after training and at 5-week follow-up, trainees were videorecorded as they responded to videos of challenging therapy situations, and responses were coded for demonstrated skill. Trainees also completed measures of therapeutic self-efficacy, anxiety, and depression at baseline and follow-up. Repeated-measures analysis of variance indicated all three skills increased from pre- to posttraining for both conditions, which were maintained at follow-up. Importantly, experiential training led to greater improvements than standard training in the skills of eliciting disclosure (η² = .05, p = .03), responding to defenses (η² = .04, p = .05), and encouraging adaptive emotions (η² = .23, p < .001) at posttraining, and the training benefits for eliciting disclosure were maintained at follow-up. Both conditions led to improved self-efficacy. Trainees' anxiety decreased in the standard training, but not in the experiential. One session of experiential training improved trainees' emotional processing therapy skills more than didactic training, although more training and practice likely are needed to yield longer lasting skills. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"512-524"},"PeriodicalIF":2.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9701681","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

Words count in psychotherapy: Differentiating language characteristics of cognitive behavioral therapy and focal psychodynamic therapy for anorexia nervosa. 心理治疗中的字数统计：区分神经性厌食症认知行为疗法和焦点心理动力疗法的语言特征。

IF 2.5 2区心理学

Psychotherapy Pub Date : 2023-12-01 Epub Date: 2023-10-12 DOI: 10.1037/pst0000499

Simon Palmer, Timo Brockmeyer, Stephan Zipfel, Beate Wild, Gaby Resmark, Martin Teufel, Katrin Giel, Martina de Zwaan, Andreas Dinkel, Stephan Herpertz, Markus Burgmer, Bernd Löwe, Sefik Tagay, Eva Rothermund, Almut Zeeck, Wolfgang Herzog, Hans-Christoph Friederich

{"title":"Words count in psychotherapy: Differentiating language characteristics of cognitive behavioral therapy and focal psychodynamic therapy for anorexia nervosa.","authors":"Simon Palmer, Timo Brockmeyer, Stephan Zipfel, Beate Wild, Gaby Resmark, Martin Teufel, Katrin Giel, Martina de Zwaan, Andreas Dinkel, Stephan Herpertz, Markus Burgmer, Bernd Löwe, Sefik Tagay, Eva Rothermund, Almut Zeeck, Wolfgang Herzog, Hans-Christoph Friederich","doi":"10.1037/pst0000499","DOIUrl":"10.1037/pst0000499","url":null,"abstract":"It is generally assumed that psychodynamic therapy and cognitive behavioral therapy (CBT) differ in terms of applied techniques and processes. To date, however, little is known about whether and how such differences can actually be observed at a basic linguistic level and in what the two treatment approaches differ most strongly (i.e., how psychodynamic and CBT therapists differ in what they actually say word-by-word in therapy sessions). Building on theoretical models and previous research that used observer ratings, we formulated specific hypotheses regarding which word categories psychodynamic and CBT therapists who treat patients with an eating disorder should differ in. To investigate these hypotheses, we used verbatim transcripts from 297 therapy sessions of a randomized controlled trial in which patients with anorexia nervosa (n = 88) received either focal psychodynamic therapy (FPT) or CBT. These transcripts were then examined using computerized quantitative text analysis. In line with our hypotheses, we found that CBT therapists overall spoke more than their FPT counterparts and that they used more words related to eating. Also in line with our hypotheses, FPT therapists used more words related to social processes. Contrary to our expectations, CBT therapists did not show a stronger focus on the future but talked more about emotions than FPT therapists. The latter effect, however, appears to be driven by a stronger focus on positive emotions. These findings suggest that computerized quantitative text analysis can differentiate meaningful language characteristics of CBT and FPT on spoken-word level and that it holds potential as a tool for researchers and therapists. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"488-496"},"PeriodicalIF":2.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41210905","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

The effects of intensive short-term dynamic psychotherapy on depressive symptoms, negative affect, and emotional repression in single treatment-resistant depression: A randomized controlled trial. 强化短期动态心理治疗对单一治疗难治性抑郁症患者抑郁症状、负面影响和情绪抑制的影响：一项随机对照试验。

IF 2.5 2区心理学

Psychotherapy Pub Date : 2023-12-01 Epub Date: 2023-10-16 DOI: 10.1037/pst0000500

Rasoul Heshmati, Frederik J Wienicke, Ellen Driessen

{"title":"The effects of intensive short-term dynamic psychotherapy on depressive symptoms, negative affect, and emotional repression in single treatment-resistant depression: A randomized controlled trial.","authors":"Rasoul Heshmati, Frederik J Wienicke, Ellen Driessen","doi":"10.1037/pst0000500","DOIUrl":"10.1037/pst0000500","url":null,"abstract":"Intensive short-term dynamic psychotherapy (ISTDP) is theorized to reduce negative affect by challenging patients' defense mechanisms so that they can experience and work through attachment-trauma-related emotions. While ISTDP has been shown to decrease depressive symptoms in single treatment-resistant depression (TRD), it has not been established whether negative affect and emotional repression are reduced, as theorized. Next to depressive symptoms, this retrospectively registered (https://osf.io/v46gy) randomized controlled trial, therefore, examined the effects of ISTDP on emotional repression and negative affect in adults with TRD. Eighty-six adults with major depressive disorder, who had not responded to at least one trial of antidepressants were randomized to 20 sessions of ISTDP (N = 43) or a waitlist control condition (N = 43). Mixed-effect models on the intention-to-treat sample showed that compared to the control condition, ISTDP resulted in significantly lower posttreatment levels of depressive symptoms (d = -1.73), emotional repression (d = -1.91), and negative affect (d = -1.45). Similarly, ISTDP resulted in significantly lower levels of depressive symptoms (d = -2.67), emotional repression (d = -2.69), and negative affect (d = -1.85) at the 3-month follow-up. These results support the evidence base of ISTDP by showing that it can decrease depressive symptoms, emotional repression, and negative affect in TRD. Future studies should assess whether these effects are specific to ISTDP. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":" ","pages":"497-511"},"PeriodicalIF":2.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41238150","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

Supplemental Material for Validation of the German Version of the Comparative Psychotherapy Process Scale 比较心理治疗过程量表德文版验证补充材料

IF 2.5 2区心理学

Psychotherapy Pub Date : 2023-11-27 DOI: 10.1037/pst0000510.supp

引用次数: 0

Supplemental Material for Chinese Counseling Trainees’ Trait and State Mindfulness and Client Symptom Outcome: A Longitudinal Examination With Multilevel and Random-Intercept Cross-Lagged Panel Models 中国咨询学员特质、状态正念与来访者症状结果的补充材料:多水平随机截距交叉滞后面板模型的纵向检验

2区心理学

Psychotherapy Pub Date : 2023-11-13 DOI: 10.1037/pst0000515.supp

引用次数: 0

Supplemental Material for Repairing Alliance Ruptures in Psychodynamic Psychotherapy With Young People: The Development of a Rational–Empirical Model to Support Youth Therapists 青年心理动力心理治疗中修补联盟破裂的补充材料:一个支持青年治疗师的理性-经验模型的发展

2区心理学

Psychotherapy Pub Date : 2023-11-13 DOI: 10.1037/pst0000514.supp

引用次数: 0

Supplemental Material for Alexithymia and Treatment Response for Prolonged Exposure Therapy: An Evaluation of Outcomes and Mechanisms 长期暴露治疗的述情障碍和治疗反应的补充材料:结果和机制的评估

2区心理学

Psychotherapy Pub Date : 2023-11-02 DOI: 10.1037/pst0000512.supp

引用次数: 0

Facilitating children’s in-session involvement in child and family therapies: A dynamic framework of clinical practices. 促进儿童参与儿童和家庭治疗:临床实践的动态框架。

2区心理学

Psychotherapy Pub Date : 2023-11-02 DOI: 10.1037/pst0000511

Kristina Edman, Anna W. Gustafsson, Carin B. Cuadra

{"title":"Facilitating children’s in-session involvement in child and family therapies: A dynamic framework of clinical practices.","authors":"Kristina Edman, Anna W. Gustafsson, Carin B. Cuadra","doi":"10.1037/pst0000511","DOIUrl":"https://doi.org/10.1037/pst0000511","url":null,"abstract":"Children's in-session involvement in child and family therapies correlates with both positive and negative treatment outcomes. Thus, it is important to gain a better understanding of the clinical practices that facilitate children’s involvement in therapy sessions so that practitioners can employ them with greater precision. To address this need, we conducted a study to answer the following question: What clinical practices facilitate children’s in-session involvement in child and family therapies? The data consisted of 16 extant audiovisual recordings of child and family therapy sessions and 24 stimulated-recall interviews with the participants in the recordings. Following constructivist grounded theory and incorporating storyline as an additional analytical technique, we have constructed a framework consisting of four involvement-enhancing practices: managing time, staying relevant, adjusting intensity, and facilitating inclusion. Furthermore, by detailing some of the complex processes that practitioners navigate when they facilitate children’s involvement, our study adds a multi-layered and dynamic dimension to the list of already established involvement facilitators. It may be used to moderate an over-standardized work culture that continues to characterize services that address children’s needs. The results may be applied to other institutional encounters, providing resonance beyond the analyzed therapy sessions.","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":"14 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135972761","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