Clinical Psychology in Europe最新文献_第5页

Mental flexibility and epistemic trust through implicit social learning – A meta-model of change processes in psychotherapy with personality disorders 通过内隐社会学习实现心理灵活性和认识信任--人格障碍心理治疗变化过程的元模型

Clinical Psychology in Europe Pub Date : 2024-04-26 DOI: 10.32872/cpe.12433

Svenja Taubner, Carla Sharp

{"title":"Mental flexibility and epistemic trust through implicit social learning – A meta-model of change processes in psychotherapy with personality disorders","authors":"Svenja Taubner, Carla Sharp","doi":"10.32872/cpe.12433","DOIUrl":"https://doi.org/10.32872/cpe.12433","url":null,"abstract":"This position paper follows the call for transtheoretical meta-models of general clinical change by concentrating on severe mental illness such as Personality Disorders (PDs). We have identified a core process of change related to mental flexibility through implicit learning and propose recommendations for stance and technique that are informed by research on Mentalization-Based-Treatment (MBT) and the learning components as represented in the Mediational Intervention for Sensitizing Caregivers (MISC). While the idea of corrective emotional experience as a general change mechanism involves discriminating between an old and new relationship to update relationship knowledge, the capacity to understand and process corrective emotional experiences may be limited and even iatrogenic in patients with PDs. By integrating MBT and MISC, a meta-model of change is created that allows training in and observation of the granular-level, behaviorally anchored, actions taken by the therapist to open up social learning. Here, social learning is conceptualized as epistemic trust, increasing the client’s reflective functioning during sessions to ultimately enhance cognitive flexibility outside the therapy room. This opens the possibility to implement and observe micro changes in what should be termed now implicit cognitive and emotional corrective experiences. Thus, we propose to shift towards implicit learning within professional relationships; that is, internalizing a new way of thinking about any life-event that requires adaption thereby creating adaptive capacities via mental flexibility as the general change mechanism of Personality Disorder (PD) treatment.","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140652289","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}

引用次数: 1

Four versions of transtheoretical stances, and the Bernese view 跨理论立场的四个版本和伯尔尼观点

Clinical Psychology in Europe Pub Date : 2024-04-26 DOI: 10.32872/cpe.12453

F. Caspar, Thomas Berger

引用次数: 1

Case conceptualization in clinical practice and training 临床实践和培训中的病例概念化

Clinical Psychology in Europe Pub Date : 2024-04-26 DOI: 10.32872/cpe.12103

Eva Gilboa-Schechtman

引用次数: 2

Psychological Clinical Science: Meeting the Challenge of Public Mental Health. 心理临床科学：迎接公共心理健康的挑战。

Clinical Psychology in Europe Pub Date : 2024-04-26 eCollection Date: 2024-04-01 DOI: 10.32872/cpe.12067

Richard J McNally

引用次数: 0

Thinking transtheoretically about alliance and rupture: Implications for practice and training 从跨理论角度思考联盟与破裂：对实践和培训的影响

Clinical Psychology in Europe Pub Date : 2024-04-26 DOI: 10.32872/cpe.12439

S. Zilcha-Mano, J. Muran

引用次数: 1

Needs, modes, and stances: Three cardinal questions for psychotherapy practice and training 需求、模式和立场：心理治疗实践和培训的三个基本问题

Clinical Psychology in Europe Pub Date : 2024-04-26 DOI: 10.32872/cpe.12753

Eshkol Rafaeli, Alexandra K. Rafaeli

{"title":"Needs, modes, and stances: Three cardinal questions for psychotherapy practice and training","authors":"Eshkol Rafaeli, Alexandra K. Rafaeli","doi":"10.32872/cpe.12753","DOIUrl":"https://doi.org/10.32872/cpe.12753","url":null,"abstract":"\u0000 Background\u0000 Advances in motivational science (Dweck, 2017), personality dynamics (Lazarus & Rafaeli, 2023), and process-based psychotherapy (Hofmann & Hayes, 2019) converge into a pragmatic, integrative, and transtheoretical model of practice and training.\u0000 \u0000 \u0000 Method\u0000 The model comprises three elements: a formulation centered on clients’ psychological needs which provides guidance regarding the goals and processes most profitable to pursue; a recognition that such pursuit frequently requires contending with a multiplicity of clients’ internal self-states (i.e., modes); and an enumeration of pragmatic therapeutic stances likely to help address clients’ need-related goals in light of their modes.\u0000 \u0000 \u0000 Results\u0000 We distill these elements into three cardinal questions: What needs does this client have that are not currently met, and what are the most profitable ways of remedying that frustration? What mode or modes does this client manifest – both generally and at this very moment? and What stance should I adopt in response to the client’s current mode? We suggest that clinicians should be trained to continually pose these questions and seek to answer them collaboratively with their clients.\u0000 \u0000 \u0000 Conclusion\u0000 This model – illustrated here using schema therapy terms – offers a process-based approach which serves as a theoretically integrative starting point but is general enough to provide an assimilative integration roadmap for therapists anchored in most primary orientations. Integrative or assimilative therapists trained to attend to needs, modes, and stances are likely to be (and be perceived as) particularly responsive, and thus, to enact “common factor” practices known to be conducive to therapeutic alliance and gains.\u0000","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140652318","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}

引用次数: 1

Between-session homework in clinical training and practice: A transtheoretical perspective 临床培训和实践中的课间作业：跨理论视角

Clinical Psychology in Europe Pub Date : 2024-04-26 DOI: 10.32872/cpe.12607

T. Ryum, Nikolaos Kazantzis

{"title":"Between-session homework in clinical training and practice: A transtheoretical perspective","authors":"T. Ryum, Nikolaos Kazantzis","doi":"10.32872/cpe.12607","DOIUrl":"https://doi.org/10.32872/cpe.12607","url":null,"abstract":"\u0000 Background\u0000 This paper defines and illustrates the ways in which Between-Session Homework (BSH) may be integrated into clinical work with clients across various treatment approaches. In line with the focus of this special issue, we explore how clinical training and supervision can enhance therapist skills and competence in the use of BSH.\u0000 \u0000 \u0000 Method\u0000 After providing a brief historical overview and an integrative perspective on BSH, along with a review of empirical research supporting its efficacy, we delve into the discussion of BSH as a transtheoretical clinical method with heuristic value across different treatment approaches, such as cognitive-behavioral, psychodynamic, and humanistic-experiential therapies.\u0000 \u0000 \u0000 Results\u0000 There exists diversity in how BSH is incorporated into distinct treatment approaches. Furthermore, we emphasize the significance of therapist skills and competence in utilizing BSH to facilitate client engagement and achieve positive treatment outcomes. Finally, we address how clinical training and supervision contribute to the development of these essential skills and competence.\u0000 \u0000 \u0000 Conclusions\u0000 Our findings highlight three main points: (1) substantial empirical support for the integration of BSH within cognitive-behavioral therapies, (2) the potential of BSH as a promising transtheoretical clinical method, even though research beyond cognitive-behavioral therapies remains limited, and (3) the imperative need for further research into how clinical training and supervision can effectively enhance therapist skills and competence in implementing BSH.\u0000","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"4 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140652799","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}

引用次数: 2

A 21st century principle-based training approach to psychotherapy: A contribution to the momentum of transtheoretical work 21 世纪基于原则的心理治疗培训方法：为推动跨理论工作做出贡献

Clinical Psychology in Europe Pub Date : 2024-04-26 DOI: 10.32872/cpe.11925

Anna Babl, Catherine F. Eubanks, M. Goldfried

{"title":"A 21st century principle-based training approach to psychotherapy: A contribution to the momentum of transtheoretical work","authors":"Anna Babl, Catherine F. Eubanks, M. Goldfried","doi":"10.32872/cpe.11925","DOIUrl":"https://doi.org/10.32872/cpe.11925","url":null,"abstract":"\u0000 Background\u0000 Despite the finding that the majority of psychotherapists adopt a rather process-oriented and integrative stance, it is uncommon that psychotherapy trainings are transtheoretical and transdiagnostic. Considering principles of change that cut across different schools of therapy holds promise for developing truly research-informed psychotherapy trainings. Common principles of change may answer the question what should be trained. Another important question is how to train. In current psychotherapy training programs, transfer of theory into practice relies mainly on role-playing exercises and supervised practice, both of which have their limitations.\u0000 \u0000 \u0000 Aims\u0000 A fantasy for the future would be the development, implementation, and evaluation of a complementary 21st century online principle-based and marker-led psychotherapy training: incorporating the concepts of deliberate practice as well as expert training, the huge potential of technologies, and considering the importance of (context) responsiveness.\u0000 \u0000 \u0000 Conclusion\u0000 To illustrate this idea, we present a training that we are currently developing, an online Alliance-Focused Training.\u0000","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"2 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140652618","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}

引用次数: 1

A process-based approach to transtheoretical clinical research and training 基于过程的跨理论临床研究和培训方法

Clinical Psychology in Europe Pub Date : 2024-04-26 DOI: 10.32872/cpe.11987

Stefan G. Hofmann, Steven C. Hayes

{"title":"A process-based approach to transtheoretical clinical research and training","authors":"Stefan G. Hofmann, Steven C. Hayes","doi":"10.32872/cpe.11987","DOIUrl":"https://doi.org/10.32872/cpe.11987","url":null,"abstract":"\u0000 Background\u0000 The science and practice of psychopathology and psychological intervention of today is more like an island archipelago than it is a single land mass, and connections between different traditions are both limited and fraught with misunderstanding.\u0000 \u0000 \u0000 Method\u0000 Our analysis and solution to the problem is process-based therapy (PBT). PBT defines psychopathology as failed adaptation processes to a given context. Therapy involves adaptation through context-dependent or context-altering applications of biopsychosocial strategies that allows a goal to be met.\u0000 \u0000 \u0000 Results\u0000 This coherent approach to more transtheoretical and integrative concepts of clinical training and practice provides a firm foundation by targeting biopsychosocial processes of change, analyzing these processes using an idiographic complex network analytic approach, and organizing findings on the intellectual agora of multi-dimensional and multi-level evolutionary science.\u0000 \u0000 \u0000 Conclusion\u0000 PBT is a new empirical form of functional analysis, resulting in interventions and trainings that are built on elements or kernels of direct relevance to client’s specific needs. In PBT, case formulation continues as long as treatment persists.\u0000","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 41","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140653114","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}

引用次数: 1

From Theory to Practice: A Transtheoretical Treatment and Training Model (4TM). 从理论到实践：跨理论治疗和培训模式 (4TM)。

Clinical Psychology in Europe Pub Date : 2024-04-26 eCollection Date: 2024-04-01 DOI: 10.32872/cpe.12421

Wolfgang Lutz, Brian Schwartz, Anne-Katharina Deisenhofer, Jana Schaffrath, Steffen T Eberhardt, Jana Bommer, Antonia Vehlen, Danilo Moggia, Kaitlyn Poster, Birgit Weinmann-Lutz, Julian A Rubel, Miriam I Hehlmann

{"title":"From Theory to Practice: A Transtheoretical Treatment and Training Model (4TM).","authors":"Wolfgang Lutz, Brian Schwartz, Anne-Katharina Deisenhofer, Jana Schaffrath, Steffen T Eberhardt, Jana Bommer, Antonia Vehlen, Danilo Moggia, Kaitlyn Poster, Birgit Weinmann-Lutz, Julian A Rubel, Miriam I Hehlmann","doi":"10.32872/cpe.12421","DOIUrl":"10.32872/cpe.12421","url":null,"abstract":"Background: In this paper, we present the conceptual background and clinical implications of a research-based transtheoretical treatment and training model (4TM).Method: The model implements findings from psychotherapy outcome, process, and feedback research into a clinical and training framework that is open to future research.Results: The framework is based on interventions targeting patient processes on a behavioral, cognitive, emotional, motivational, interpersonal, and systemic/socio-cultural level. The 4TM also includes a data-based decision support and feedback system called the Trier Treatment Navigator (TTN).Conclusion: We discuss important problems associated with clinical orientations solely based on one school of thought. We then contrast these concerns with a clinical and training framework that embraces ongoing research, serving as a guiding structure for process-based transtheoretical interventions. Such research-based psychological therapy can take both traditional and novel clinical developments as well as findings from psychotherapy research into account and be adaptively disseminated to a variety of patient populations.","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 Spec","pages":"e12421"},"PeriodicalIF":0.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11303928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141907829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0