Research in Psychotherapy-Psychopathology Process and Outcome最新文献

{"title":"Self-assessment of patterns of subjective experience: development and psychometric study of the States of Mind Questionnaire.","authors":"Bruno Faustino,&nbsp;António Branco Vasco,&nbsp;Giancarlo Dimaggio,&nbsp;Ana Nunes da Silva,&nbsp;Sophie Seromenho","doi":"10.4081/ripppo.2020.465","DOIUrl":"https://doi.org/10.4081/ripppo.2020.465","url":null,"abstract":"<p><p>States of mind are forms of subjective experience that involve cognitions, emotions, needs, desires and physical sensations, subjectively, some charged with emotional suffering and some charged with well-being. This study presents a new questionnaire designed of States of Mind Questionnaire (SMQ), focused on the self-assessment of recurring patterns of subjective experience. We first review the literature leading to the development of SMQ and then we investigate its psychometric properties. We conducted an exploratory factor analysis (EFA), internal reliability, inter-correlations between subscales, test-retest reliability, convergent and divergent validity. Finally, we explored the relationship between states of mind and symptoms. The sample was composed of 427 individuals (M age=32; SD=11.49). EFA did not showed a theoretically coherent structure. Internal consistency was good for the 24 subscales (Cronbach's α of 0.62 to 0.96) and test-retest reliability was adequate. States of mind converged and diverged with maladaptive schemas and predicted symptomatology. Overall results indicate that SMQ may be a valuable tool to help clinicians and patients to assess different and diverse states of mind. However, more research it is required to explore and enhance SMQ psychometric properties in non-clinical clinical groups and in psychotherapy outcomes.</p>","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"23 3","pages":"465"},"PeriodicalIF":2.7,"publicationDate":"2021-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/41/64/ripppo-23-3-465.PMC7875075.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25372425","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}

{"title":"Characteristics of effective online interventions: implications for adolescents with personality disorder during a global pandemic.","authors":"Samantha Reis,&nbsp;Emily L Matthews,&nbsp;Brin F S Grenyer","doi":"10.4081/ripppo.2020.488","DOIUrl":"https://doi.org/10.4081/ripppo.2020.488","url":null,"abstract":"<p><p>In recent years, the necessity of providing online interventions for adolescents, as an alternative to face-to-face interventions, has become apparent due to several barriers some adolescents face in accessing treatment. This need has become more critical with the coronavirus disease 2019 (COVID-19) global pandemic impacting the delivery of psychotherapy and limiting accessibility of face-to-face therapy. Whilst it has been established that face-to-face psychotherapy for adolescents with personality disorder can be effective in reducing the impact these complex mental illnesses have on functioning, online interventions for adolescents are rare, and to our knowledge there are no empirically validated online interventions for personality disorder. The development of novel online interventions are therefore necessary. To inform the development of online interventions for adolescents with personality disorder or symptoms of emerging personality disorder, a two-phase rapid review was conducted. Phase one consisted of a search and examination of existing online mental health programs for adolescents with symptoms of personality disorder, to understand how to best use online platforms. Phase two consisted of a rapid review of empirical literature examining online interventions for adolescents experiencing symptoms of personality disorder to identify characteristics that promote efficacy. There were no online programs specific to personality disorder in adolescence. However, 32 online mental health programs and 41 published empirical studies were included for analysis. Common intervention characteristics included timeframes of one to two months, regular confidential therapist contact, simple interactive online components and modules, and the inclusion of homework or workbook activities to practice new skills. There is an urgent need for online interventions targeting personality dysfunction in adolescence. Several characteristics of effective online interventions for adolescents were identified. These characteristics can help inform the development and implementation of novel online treatments to prevent and reduce the burden and impact of personality disorder, or symptoms of emerging personality disorder, in adolescents. This has implications for the COVID-19 pandemic when access to effective online interventions has become more urgent.</p>","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"23 3","pages":"488"},"PeriodicalIF":2.7,"publicationDate":"2021-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d7/6f/ripppo-23-3-488.PMC7875074.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25367526","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}

{"title":"Living under lockdown in the shadow of the COVID-19 pandemic in South Africa: anxious voices from the unplanned shift to online therapy.","authors":"Zelda Gillian Knight","doi":"10.4081/ripppo.2020.487","DOIUrl":"https://doi.org/10.4081/ripppo.2020.487","url":null,"abstract":"<p><p>This paper is a narrative, phenomenological description of the themes of experiences of some of my South African patients that collectively elicit anxious voices from the unplanned shift to online therapy while living under the world's longest lockdown in the shadow of the coronavirus 2019 (COVID-19) pandemic. This paper thus presents a thematic description of <i>moments in therapy</i>, which illustrate the influence of lockdown on their sense of self, and the emergence of new anxieties not encountered before. Such themes are: i) new anxieties about death and dying; ii) new anxieties about loss of contact with friends and family and the emergence of existential anxiety; iii) new anxieties about current household relationships and the emergence of object loss; iv) new anxieties about the unplanned shift to online therapy and the threat of internet dis-connection, and finally; v) new anxieties about missing body parts of online therapy: Part-body-on-the-screen relating versus what-was-once-whole-body relating. As this paper is based on psychoanalytic theory, and the notion of intersubjectivity, my own experiences and thoughts are included in the therapeutic engagement. The core contribution of this paper is that it adds a voice to the other voices of other patients around the world who are also living under lockdown. Without this kind of narrative documentation, the world-wide therapeutic community may not know the extent of the anxieties of living under lockdown in the shadow of the COVID-19 pandemic.</p>","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"23 3","pages":"487"},"PeriodicalIF":2.7,"publicationDate":"2021-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/eb/07/ripppo-23-3-487.PMC7875068.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25371909","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}

{"title":"My story in response to the stories of my patients' experience of the impact of the COVID-19 pandemic: a relational psychoanalytic approach.","authors":"Zelda Gillian Knight","doi":"10.4081/ripppo.2020.490","DOIUrl":"https://doi.org/10.4081/ripppo.2020.490","url":null,"abstract":"<p><p>The hallmark of being human is to tell stories. The stories told give meaning to the experience, and it is in telling stories about our experience, that we begin the process of meaning-making. Psychotherapy is storytelling, and in our consultation room we, as psychotherapists, listen to the tales told. This paper documents my story in response to some of the stories of my patients' experience of the impact of the unprecedented impact of the coronavirus disease 2019 (COVID-19) pandemic. While there have been pandemics before, this pandemic is arguable unique because of social media and the number of people across the world who can share their experience. It is said that more than 4 billion people have self-isolated at home together at the same time as a collective humanity in response to their country's lockdown rules. For psychotherapists, the shift to online therapy has allowed for a continuation of psychotherapy, and the telling of stories of COVID-19. Some of their stories are sad stories of loss and uncertainty. Some of their stories are more positive and inspiring. In this paper, three patients' stories have been selected that illustrate both the positive and negative reactions to the COVID-19 pandemic. As the conceptual framework is relational psychoanalytic with its focus on the dynamics of the intersubjective relationship, my story, as counter-transference reactions are incorporated.</p>","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"23 3","pages":"490"},"PeriodicalIF":2.7,"publicationDate":"2021-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6f/c7/ripppo-23-3-490.PMC7875064.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25371908","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}

{"title":"Facets of the psychotherapy relationship: a metaphorical approach.","authors":"Tomáš Řiháček,&nbsp;Jan Roubal,&nbsp;Katarína Motalová","doi":"10.4081/ripppo.2020.468","DOIUrl":"https://doi.org/10.4081/ripppo.2020.468","url":null,"abstract":"<p><p>Although many separate aspects of the psychotherapy relationship have been studied, including empathy, working alliance, and self-disclosure, a metaphorical approach has the potential to generate a more holistic perspective of this phenomenon. Hence, the goal of this study was to explore the nature of the psychotherapy relationship from the psychotherapists' perspective using a metaphorical approach. In an online survey, a sample of N=373 Czech psychotherapists and counselors rated a set of relational metaphors in terms of how accurately they depicted their roles in their relationships with their clients. The single most endorsed metaphor for the practitioner's role was a guide. Furthermore, the principal component analysis identified three relational components, namely, Mentor, Resource Supplier, and Remedy Distributor. The associations among these components and multiple practitioners' variables, including demographic and practice-related variables and theoretical orientation, were explored. These three components represent general dimensions of the psychotherapy relationship that cut across various theoretical orientations and, thus, define psychotherapy relationships in a general sense.</p>","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"23 3","pages":"468"},"PeriodicalIF":2.7,"publicationDate":"2021-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/99/89/ripppo-23-3-468.PMC7875073.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25371910","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}

{"title":"After more than sixty years we are still unclear whether LSD has a place in clinical psychiatry.","authors":"Arthur Saniotis","doi":"10.4081/ripppo.2020.464","DOIUrl":"https://doi.org/10.4081/ripppo.2020.464","url":null,"abstract":"","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"23 2","pages":"464"},"PeriodicalIF":2.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/ripppo.2020.464","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38517171","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}

{"title":"Emergency department and early detection of adolescents and young adults at risk of developing mental disorders: an exploratory study.","authors":"Marco Solmi,&nbsp;Foscarina Della Rocca,&nbsp;Vito Cianci,&nbsp;Alessandro Giacometti,&nbsp;Chiara Alexopulos,&nbsp;Umberto Granziol,&nbsp;Angela Favaro,&nbsp;Paolo Fusar-Poli,&nbsp;Miranda Zoleo,&nbsp;Carla Cremonese","doi":"10.4081/ripppo.2020.459","DOIUrl":"https://doi.org/10.4081/ripppo.2020.459","url":null,"abstract":"<p><p>The objective of this study is to assess the potential role of Emergency Department (ED) for early detection of mental disorders. Two cohorts (6,759 subjects aged 14 to 24 accessing ED, 165 subjects with mental disorders) were matched by ID and merged. Primary outcome was the proportion of individuals accessing ED before receiving a diagnosis of mental disorder in Mental Health Service (MHS). Secondary outcomes were age of first access to ED in subjects later accessing to MHS, and time from first ED access to receiving a diagnosis of mental disorder at MHS. We assessed whether gender, severity of ED presentation, and number of ED accesses predicted primary outcome. Almost half of individuals who later developed mental disorders (49.7%) accessed ED before access to MHS. Mean age of first ED contact among those later accessing to MHS was 17.34 (2.1), and ED access preceded access to MHS by 3.68 (2.11) years. Gender and severity of ED presentation were not associated with the access to MHS, while higher number of ED accesses was associated with later access to MHS (OR range: 1.17-1.36, p<0.05). Despite its limitations, the present study suggests ED might represent a contact point for individuals who later access to MHS. Future early detection programs should involve ED in their outreach and screening approaches. Additional studies are needed to assess if subjects earlier accessing to ED are at risk-of-developing or already suffer from a mental disorder, and to validate screening instruments specifically designed for ED.</p>","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"23 2","pages":"459"},"PeriodicalIF":2.7,"publicationDate":"2020-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/ripppo.2020.459","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38462521","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}

{"title":"Empathy as core to the development of holding and recognition: the case of Garret.","authors":"Zelda Gillian Knight","doi":"10.4081/ripppo.2020.457","DOIUrl":"https://doi.org/10.4081/ripppo.2020.457","url":null,"abstract":"<p><p>Heinz Kohut investigated empathy in psychoanalysis in the mid-1950s and found it to be a powerful way to connect to, and be with, his patients. Since then, relatively few recent clinical cases of empathy have emerged, while theoretical discussion of empathy seems to be the norm. Moreover, empathy has not been linked to the development of holding and recognition. The Winnicottian notion of the holding metaphor, which describes the mother holding her infant, has been controversial but continues to be used in therapy. Revised by relational theorists, holding is now viewed as co-created within the intersubjective space. Few recent clinical cases exist showing how and what holding looks like in therapy. The concept of recognition, also used in therapy, is defined as the ability to recognize and experience the other as a separate other. Clinical cases showing recognition in therapy are few in number. As far as I know, no clinical cases suggest that empathy is necessary before holding and recognition can emerge. In this paper, identifying these clinical case gaps in the literature, I describe a small verbatim section of a session with my patient, Garret, in which I attempt to; i) show the empathic process, thus adding to the scarcity of clinical cases, and, ii) show the experience of holding and recognition as they emerge in this case, and iii) suggest that empathy is a necessary core process to the development of the experience of holding and recognition.</p>","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"23 2","pages":"457"},"PeriodicalIF":2.7,"publicationDate":"2020-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/ripppo.2020.457","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38462520","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}

{"title":"Relationships between Emotional Schemas, Mindfulness, Self-Compassion and Unconditional Self-Acceptance on the Regulation of Psychological Needs.","authors":"Bruno Faustino,&nbsp;António Branco Vasco,&nbsp;Ana Nunes Silva,&nbsp;Telma Marques","doi":"10.4081/ripppo.2020.442","DOIUrl":"https://doi.org/10.4081/ripppo.2020.442","url":null,"abstract":"<p><p>Emotional schemas are pervasive mental structures associated with a wide array of psychological symptoms, while mindfulness, self-compassion, and self-acceptance are viewed as adaptive psychological constructs. Psychological needs may be described as the cornerstone of mental health and well-being. However, a study of the relationships between emotional schemas, mindfulness, self-compassion, and self-acceptance with psychological needs was not performed. For this purpose, 250 subjects (M=20.67, SD=4.88, Male=33, Female=217), were evaluated through self-report questionnaires, in a cross-sectional design. Negative correlations were found between emotional schemas, mindfulness, self-compassion, unconditional self-acceptance, and psychological needs. Symptomatology was positively correlated with emotional schemas. Mindfulness, self-compassion, and unconditional self-acceptance predicted the regulation of psychological needs and mediated the relationship between emotional schemas and psychological needs. Emotional schemas may be associated with a tendency for experiential avoidance of internal reality, self-rejection/shame and self-criticism which may impair the regulation of psychological needs. These variables may be targets of integrative case conceptualization and clinical decision making focused on patient's timings, styles of communication and needs.</p>","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"23 2","pages":"442"},"PeriodicalIF":2.7,"publicationDate":"2020-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/ripppo.2020.442","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38462041","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}

{"title":"DBT-informed treatment in a partial hospital and intensive outpatient program: the role of step-down care.","authors":"Kirk D Mochrie,&nbsp;John Lothes Ii,&nbsp;Eric Guender,&nbsp;Jane St John","doi":"10.4081/ripppo.2020.461","DOIUrl":"https://doi.org/10.4081/ripppo.2020.461","url":null,"abstract":"<p><p>Few studies to date have examined Partial Hospital (PH) and Intensive Outpatient (IOP) programs that utilize a Dialectical Behavior Therapy (DBT)-informed model. Preliminary findings suggest that DBT-informed PH programs are effective in reducing clinical symptoms; however, less is known about IOP programs as well as step-down care models. The present study utilized clinically relevant outcome indices and included a heterogeneous clinical sample. Specifically, the present study assessed pre-post data to examine changes in symptoms of depression, anxiety, hopelessness, and overall degree of suffering from intake to discharge in DBT-informed PH and IOP programs as well as a step-down condition (PH to IOP). Participants included 205 adults (ages <i>M</i> = 35.28, <i>SD</i> = 12.49). The sample was predominantly female (N = 139, 67.8%) and Caucasian (N = 181, 88.3%). The sample was divided into three distinct groups: PH program patients, PH to IOP program step-down patients, and IOP patients. Findings indicated significant symptom reduction from intake to discharge for all three conditions. There were no significant differences in mean change scores in symptom reduction between the three groups. Severity of depression symptoms at intake predicted program placement. However, type of program did not predict significant changes in symptoms from intake to discharge. This DBT-informed PH and IOP program was successful at reducing various psychiatric symptoms in the sample. Clinicians might consider the advantages of placing patients with higher symptoms of depression into PH programs with the intention of transitioning to step-down care through IOP programs that utilize DBT.</p>","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"23 2","pages":"461"},"PeriodicalIF":2.7,"publicationDate":"2020-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/ripppo.2020.461","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38462522","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}