Psychodynamic Psychiatry最新文献

Can Graduate Students Rate Personality Reliably in Psychoanalytic Treatments Using the Shedler-Westen Assessment Procedure (SWAP-200)?

Psychodynamic Psychiatry Pub Date : 2025-03-01 DOI: 10.1521/pdps.2025.53.1.102

Daniel S Spina, Katie Aafjes-van Doorn, Sarah J Horne, Francesco Gazzillo, Federica Genova, Bernard S Gorman, Karl Stukenberg, Sherwood Waldron

{"title":"Can Graduate Students Rate Personality Reliably in Psychoanalytic Treatments Using the Shedler-Westen Assessment Procedure (SWAP-200)?","authors":"Daniel S Spina, Katie Aafjes-van Doorn, Sarah J Horne, Francesco Gazzillo, Federica Genova, Bernard S Gorman, Karl Stukenberg, Sherwood Waldron","doi":"10.1521/pdps.2025.53.1.102","DOIUrl":"https://doi.org/10.1521/pdps.2025.53.1.102","url":null,"abstract":"Introduction: Psychotherapy researchers often recruit students to code psychotherapy process and outcome variables on individual therapy sessions. To do so, graduate students read verbatim psychotherapy transcripts, listen to audio or watch video of psychotherapy sessions, and then rate process and outcome measures on these sessions. Although prior studies have investigated the reliability and validity of graduate student ratings of personality dysfunction, no current study has investigated the reliability and validity of these ratings made on the basis of psychotherapy transcripts and audio. In this study, we evaluated the degree to which graduate students can reliably and validly code observer-rated personality assessments on the Shedler-Westen Assessment Procedure-200 (SWAP-200). Methods: We related graduate student and experienced clinician-researcher's SWAP-200 scores in an existing dataset of 27 patients undergoing psychoanalytic psychotherapy at early and late phases of treatment. Results: Using truth and bias multilevel models, we found that graduate students tended to underestimate personality pathology at the early phase of treatment and overestimate pathology at the late phase in treatment. These responses resulted in smaller effect sizes in the graduate student ratings, such that patients' personality functioning did not appear to change following treatment. By contrast, the experienced clinician's scores supported moderate to large effect sizes in personality change. Discussion: These deviations from expert judgment may have significant ramifications for evaluating pre and post effect sizes in psychotherapy process studies using graduate student coding. Suggestions for research and practice are discussed.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 1","pages":"102-120"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651206","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: 0

Erratum.

Psychodynamic Psychiatry Pub Date : 2025-03-01 DOI: 10.1521/pdps.2025.53.1.140

引用次数: 0

"Doctor I would like to die. Please help."

Psychodynamic Psychiatry Pub Date : 2025-03-01 Epub Date: 2025-01-22 DOI: 10.1521/pdps.2025.53.1.001

Philip R Muskin

引用次数: 0

A Process for Development of a Psychodynamic Psychotherapy for Borderline Personality Disorder Learning Module for Psychiatry Residents.

Psychodynamic Psychiatry Pub Date : 2025-03-01 DOI: 10.1521/pdps.2025.53.1.79

Petrin Redayani Lukman, Tjhin Wiguna, Diantha Soemantri, Sri Linuwih Menaldi, Sylvia Detri Elvira, Limas Sutanto, Tuti Wahmurti A Sapiie, Aria Kekalih, Reina Rahma Noviasari, Hukma Shabiyya Rizki, Kharisma Zatalini Giyani

{"title":"A Process for Development of a Psychodynamic Psychotherapy for Borderline Personality Disorder Learning Module for Psychiatry Residents.","authors":"Petrin Redayani Lukman, Tjhin Wiguna, Diantha Soemantri, Sri Linuwih Menaldi, Sylvia Detri Elvira, Limas Sutanto, Tuti Wahmurti A Sapiie, Aria Kekalih, Reina Rahma Noviasari, Hukma Shabiyya Rizki, Kharisma Zatalini Giyani","doi":"10.1521/pdps.2025.53.1.79","DOIUrl":"https://doi.org/10.1521/pdps.2025.53.1.79","url":null,"abstract":"Introduction: Psychodynamic psychotherapy is an effective treatment for borderline personality disorder (BPD), but few specific curricula for psychiatric residents currently exist. The authors developed an online learning module to teach psychodynamic psychotherapy for BPD to psychiatry residents, based on the following educational methods: the ADDIE (analysis, design, development, implementation, evaluation) design process, the Morrison, Ross, and Kemp instructional design model, and the 4C/ID (four-components instructional design) model. Methods: Indonesian residents, psychiatrists, and psychotherapy teaching staff participated in a needs analysis to identify the competencies, subject content, and learning methods that the module should address, through focus group discussions and Delphi survey methodology. The module then underwent content validation. Results: The psychodynamic psychotherapy for BPD learning module was designed as a 12-session online training program. The module addresses three main subjects: phenomenology and pathogenesis of BPD, basic principles of psychodynamic psychotherapy, and the practice of psychodynamic psychotherapy with patients with BPD. It is taught through lectures, case discussions, video discussions, psychodynamic formulation learning assignments, and a review of residents' process notes of psychodynamic psychotherapy sessions. Discussion: Implementation of this module could enhance residents' competency to treat BPD with psychodynamic psychotherapy and fill the current gaps in the field of psychotherapy education, especially in areas of the world with limited access to expert faculty.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 1","pages":"79-101"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651186","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: 0

Moving beyond Personality Disorders: A Challenge for the DSM-6.

Psychodynamic Psychiatry Pub Date : 2025-03-01 DOI: 10.1521/pdps.2025.53.1.22

Jacob E Perlson, Claire Koljack, Jack Drescher, Deborah L Cabaniss

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Anger in the Therapeutic Space: Healing through the Attitude of Equanimity.

Psychodynamic Psychiatry Pub Date : 2025-03-01 DOI: 10.1521/pdps.2025.53.1.39

Michael Uebel

引用次数: 0

Who's Afraid of Murderous Rage? When Euthanasia Colludes with Self-Destructiveness.

Psychodynamic Psychiatry Pub Date : 2025-03-01 Epub Date: 2025-01-22 DOI: 10.1521/pdps.2025.53.1.002

Ardalan Najjarkakhaki, Jon Frederickson, Gerrie Bloothoofd

{"title":"Who's Afraid of Murderous Rage? When Euthanasia Colludes with Self-Destructiveness.","authors":"Ardalan Najjarkakhaki, Jon Frederickson, Gerrie Bloothoofd","doi":"10.1521/pdps.2025.53.1.002","DOIUrl":"10.1521/pdps.2025.53.1.002","url":null,"abstract":"The impact of intense countertransference affects in working with patients experiencing complex trauma can have a critical effect on decisions about euthanasia, especially when such decisions are made solely on the grounds of a psychiatric condition. These countertransference dynamics become particularly significant in the context of the rising number of euthanasia requests by psychiatric patients in the Netherlands. We contend that for a subgroup of patients with complex trauma, attachment trauma, and personality disorders, the label \"treatment-resistant\" may be applied prematurely and incorrectly. This may occur when highly complex transference-countertransference dynamics are not properly assessed, and tertiary treatment options like intensive short-term dynamic psychotherapy (ISTDP) are not considered, particularly in cases of chronic and severe childhood trauma leading to an unconscious reservoir of murderous rage that is directed at the self. A long-term therapeutic relationship can activate unconscious transferences, leading to the reenactment of previous attachment trauma. We propose that assessments for euthanasia must include a psychological analysis of the unconscious transference, enactment, and countertransference involved. This article presents a hypothetical case example to illustrate how a patient labeled as \"treatment-resistant\" can be supported through a psychodynamic formulation and proposes further pathways for clinical decision-making.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":" ","pages":"45-60"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024887","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}

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2024 Reviewers for Psychodynamic Psychiatry.

Psychodynamic Psychiatry Pub Date : 2025-03-01 DOI: 10.1521/pdps.2025.53.1.139

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Artificial Intelligence and the Future of Psychotherapy: A Medical Student Perspective.

Psychodynamic Psychiatry Pub Date : 2025-03-01 DOI: 10.1521/pdps.2025.53.1.33

Christopher Campbell

引用次数: 0

Communication Paradoxes in Borderline Personality Disorder.

Psychodynamic Psychiatry Pub Date : 2025-03-01 DOI: 10.1521/pdps.2025.53.1.27

Mark L Ruffalo

引用次数: 0