Research in Psychotherapy-Psychopathology Process and Outcome最新文献

{"title":"The efficacy of transdiagnostic cognitive behavioural therapy on reducing negative affect, anxiety sensitivity and improving perceived control in children with emotional disorders - a randomized controlled trial","authors":"Elham Qanbari Alaee, O. Saed, S. Khakpoor, R. Ahmadi, Mahsa Ali Mohammadi, Majid Yoosefi Afrashteh, Zekrolah Morovati","doi":"10.4081/ripppo.2022.588","DOIUrl":"https://doi.org/10.4081/ripppo.2022.588","url":null,"abstract":"In response to the high rate of comorbidity among different types of emotional disorders in children, Transdiagnostic Unified Protocol of Emotional disorder in children (UP-C) was developed to address common underlying mechanisms in the development and maintenance of emotional disorders using empirically supported cognitive and behavioural strategies. Although, studies supported the effectiveness of this protocol in the treatment of wide range of emotional disorders, further studies are needed to examine its effect on transdiagnostic factors. The present study aimed to investigate the efficacy of the UP-C on negative affect, anxiety sensitivity and perceived control in children with emotional disorders. During this randomized controlled trial, 34 children aged 7 to 13 with emotional disorders were randomly assigned to treatment (n=18) and control (n=16) groups. The treatment group and their parents received 15 sessions of UP-C. Negative Affect Schedule for Children (PANASNA- C), Children’s Anxiety Sensitivity Index (CASI), Anxiety Control Questionnaire-Children (ACQ-C) were carried out in all phases (pre-treatment, post-treatment, 3 and 8 months follow- up). The results showed that following UP-C, negative affect (hedges’g=2.01) and anxiety sensitivity (hedges’g=1.05) were significantly reduced, and perceived control (hedges’g= – 2.36) was significantly improved. The results remained relatively constant during the follow-ups. Findings provide evidence that the UP-C has significant effect on negative affect, anxiety sensitivity and perceived control as roots of emotional disorders.","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"27 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2022-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82471495","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}

{"title":"A re-consideration of interpretation. A relational approach.","authors":"Zelda G Knight","doi":"10.4081/ripppo.2021.555","DOIUrl":"https://doi.org/10.4081/ripppo.2021.555","url":null,"abstract":"<p><p>This paper is a discussion paper and it seeks to re-consider the Freudian psychoanalytic concept of interpretation within the relational approach to psychoanalysis. As such, it aims to argue the Freudian approach to interpretation is rejected because it is not relational but involves only the analyst as interpreter of the patient's experience. Instead, within the relational approach, it is suggested that if interpretation, as a process of making meaning of experiences, is re-considered as the outcome of the intersubjective relationship in which the process of making-meaning is essentially a co-creational process of the patient's experience of the analyst in the here-and-now, interpretation can potentially be an agent of change. The clinical implication is that interpretation must be the construction of the patient's meaning of his experience but within the relational context. A clinical verbatim transcript is documented as it illustrates this relational process in interpretation.</p>","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"24 3","pages":"555"},"PeriodicalIF":2.7,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/08/8a/ripppo-24-3-555.PMC8715261.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39834486","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":"The forward edge transference within self-psychology and the activation of inborn capacity through interpretation and internalization.","authors":"Zelda G Knight","doi":"10.4081/ripppo.2021.550","DOIUrl":"https://doi.org/10.4081/ripppo.2021.550","url":null,"abstract":"<p><p>This paper builds on the ideas of self-psychologists Marian Tolpin and Richard Geist in two ways. Firstly, the idea of using forward edge transference as fostering the promotion of psychological health and well-being. I present two verbatim clinical examples showing the use of forward edge transference, and thus the intersubjective engagement between therapist and patient. I suggest that forward edge transference, rooted in healthy and self-affirming childhood experiences, can lie buried and forgotten. Secondly, using the same two examples, this paper adopts the notion of interpretation as a carrier of selfobject functions and shows how the interpretation of forward edge transferences has the potential to catalyse (forgotten) inborn capacity. Internalization, a part of selfobject function and psychic development, is re-thought of as a process in which an interaction between patient and therapist appears to (re)activate inborn potential/capacity for the patient rather than as something the patient 'takes in' from the other/selfobject.</p>","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"24 3","pages":"550"},"PeriodicalIF":2.7,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/30/b3/ripppo-24-3-550.PMC8715267.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39834484","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":"Family dynamics. An exploration of parental sensitivity and depressive symptoms among mothers and fathers of toddlers.","authors":"Antonia Muzard,&nbsp;Marcia Olhaberry,&nbsp;Nina Immel,&nbsp;Javier Moran-Kneer","doi":"10.4081/ripppo.2021.551","DOIUrl":"https://doi.org/10.4081/ripppo.2021.551","url":null,"abstract":"<p><p>In studies of maternal sensitivity, the influence of mothers' depressive symptomatology has been consistently highlighted. Additionally, the relevance of both maternal and paternal sensitive responses to children's development has been recognized. However, literature regarding the dynamics of the mother-father-toddler triad is scarce. This is particularly true when understanding how parental sensitivity may be bidirectionally shaped by both parents' (<i>i.e</i>., mothers' and fathers' depressive symptomatology) and children's characteristics (<i>i.e</i>., age). Hence, the present study aims to describe and analyse the associations between parental depression, paternal sensitivity and children's socioemotional difficulties and age with mothers' sensitive responses to highlight the appropriateness of considering fathers' depressive symptoms and sensitivity to better understand the impact of maternal depressive symptomatology on mothers' sensitivity. The participants included 80 Chilean mother-father-child triads in which all children were between 1 and 3 years of age and presented some degree of socioemotional difficulty. The results reveal no differences in maternal and paternal sensitivity or higher depressive symptomatology in mothers than in fathers. Additionally, while mothers' depression was significantly associated with their sensitivity, this was not the case for fathers. Paternal depressive symptomatology was associated with the mother's depression. Finally, paternal sensitivity emerged as a mediator between maternal depressive symptoms and sensitivity. This result calls attention to the use of paternal variables to understand how maternal depression impacts mothers' sensitivity and to thus develop appropriate interventions that expand the scope of such impacts from the dyad to the triad.</p>","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"24 3","pages":"551"},"PeriodicalIF":2.7,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f4/a7/ripppo-24-3-551.PMC8715268.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39834485","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":"The psychological impact of COVID-19 on people suffering from dysfunctional eating behaviours: a linguistic analysis of the contents shared in an online community during the lockdown.","authors":"Gaia Albano,&nbsp;Rubinia Celeste Bonfanti,&nbsp;Salvatore Gullo,&nbsp;Laura Salerno,&nbsp;Gianluca Lo Coco","doi":"10.4081/ripppo.2021.557","DOIUrl":"https://doi.org/10.4081/ripppo.2021.557","url":null,"abstract":"<p><p>The coronavirus disease 2019 (COVID-19) spread several months ago from China and it is now a global pandemic. The experience of lockdown has been an undesirable condition for people with mental health problems, including eating disorders. The present study has the aim of understanding the impact of the first wave of the COVID-19 pandemic on people with selfreported disordered eating behaviours. A linguistic analysis was carried out with regard to the online posts and comments published by 1971 individuals (86% women) in a Facebook online community focusing on EDs during the lockdown. A total of 244 posts and 3603 comments were collected during the 56 days of lockdown (from the 10^th of March until the 4^th of May 2020) in Italy and were analysed by Linguistic Inquiry and Word Count (LIWC) software. The results showed that words related to peer support decreased in posts over time, and that anxiety and anger increased in the published comments. Moreover, greater feelings of negativity and anxiety were found in posts and comments throughout the COVID-19 pandemic, as well as lesser use of words related to positive emotions. Thematic qualitative analysis revealed eight themes that described the main subjective components of ED symptomatology and distress during the first COVID-19 lockdown. The current findings can help in delivering tailored treatments to people with eating disorders during the COVID-19 pandemic.</p>","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"24 3","pages":"557"},"PeriodicalIF":2.7,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f4/cb/ripppo-24-3-557.PMC8715260.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39834487","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":"Esoteric power, useless, useful: considerations about dreams in cognitive-behavioural therapy.","authors":"Antonino Carcione,&nbsp;Marta Santonastaso,&nbsp;Francesca Sferruzza,&nbsp;Ilaria Riccardi","doi":"10.4081/ripppo.2021.543","DOIUrl":"https://doi.org/10.4081/ripppo.2021.543","url":null,"abstract":"<p><p>For a long time dreamwork in cognitive-behavioural therapy (CBT) was considered useless and as a technique specific to psychodynamic approaches, consequently overlooked in the treatment course. In the last twenty years, thanks to the contribution of neuroscience studies on sleep and dreams, dreams joined the attention and interest of authors belonging to the CBT field. The central feature of dreamwork in CBT is the abandonment of the exploration of latent meaning, which is instead considered in continuity with the waking life. Dreams reflect a patient's view of self, world, and future, and are subject to the same cognitive biases as the waking state. Consequently, the dreamwork can be used to get information about the patient, overcome impasses in therapy, restructure self and interpersonal schemas, and stimulate reflective functioning. Therefore, guidelines have been defined and models of well-articulated intervention in terms of process and content, replicable and teachable through specific training structured. This paper aims to provide an overview of theories regarding the use of dreams in CBT, from a clinical perspective, from Beck to more recent proposals.</p>","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"24 2","pages":"543"},"PeriodicalIF":2.7,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/0d/ripppo-24-2-543.PMC8451210.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39452930","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":"Exploration of psychometric properties of the Italian version of the <i>Core Young Person's Clinical Outcomes in Routine Evaluation</i> (YP-CORE).","authors":"Rosalba Di Biase,&nbsp;Chris Evans,&nbsp;Daniela Rebecchi,&nbsp;Flavia Baccari,&nbsp;Anna Saltini,&nbsp;Elena Bravi,&nbsp;Gaspare Palmieri,&nbsp;Fabrizio Starace","doi":"10.4081/ripppo.2021.554","DOIUrl":"https://doi.org/10.4081/ripppo.2021.554","url":null,"abstract":"<p><p>There is an increasing need of outcome measures for young people suitable to evaluate treatments and routine settings. However, measures must show suitable psychometric characteristics for such use. This is the first psychometric evaluation of the Italian version of the Core Young Person Clinical Outcomes in Routine Evaluation (YP-CORE). Data are reported for a clinical sample, aged 11-17 (n=175) and non-clinical sample, aged 11-17 (n=206). Analyses included acceptability, confirmatory factor analysis, internal reliability, influence of gender and age on cutoff scores and reliable change. The YP-CORE acceptability was good, with a very high completion rate (98.7% fully completed). Internal consistency was good: the overall Cronbach's alpha value (α) equal to 0.75 (95% confidence interval=0.69-0.80). The measure was sensitive to change (Cohen dz=1.35). The Italian version of the YP-CORE showed acceptable psychometric properties is suitable for use in services for young people as a change/outcome measure.</p>","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"24 2","pages":"554"},"PeriodicalIF":2.7,"publicationDate":"2021-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b9/1d/ripppo-24-2-554.PMC8451219.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39451794","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":"<i>DreamSenseMemory</i> - a Gestalt-based dream-work approach embracing all our senses.","authors":"Brigitte Holzinger,&nbsp;Franziska Nierwetberg,&nbsp;Larissa Cosentino,&nbsp;Lucille Mayer","doi":"10.4081/ripppo.2021.529","DOIUrl":"https://doi.org/10.4081/ripppo.2021.529","url":null,"abstract":"<p><p>Gestalt therapists believe that their task is to help their clients to experience repressed, ambivalent, and unpleasant things in order to accept and implement them in their whole self. To implement those 'things', those elements of the self, they need to be uncovered first, which is a process that often is achieved by dream work, as messages from the unconscious that are stuck in our dreams can be revealed by certain Gestalt-therapy methods. The method in focus is the newly developed DreamSenseMemory technique which is based on neurological findings on how the senses at play influence memory processing. Dream work with the <i>DreamSenseMemory</i> method has the advantage that by using this method on a regular basis, dream content will not only be remembered more often but also in more detail. Thus, effectively supporting dream work and its process of understanding the message of the unconscious, accepting the elements withing and implementing them in the self.</p>","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"24 2","pages":"529"},"PeriodicalIF":2.7,"publicationDate":"2021-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/dd/6e/ripppo-24-2-529.PMC8451216.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39454404","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":"Analysis of a dream series by the <i>Dream Coding System</i> developed by Ulrich Moser.","authors":"Gabriela Pap,&nbsp;Fritz Lackinger,&nbsp;Gerhard Kamp,&nbsp;Henriette Löffler-Stastka","doi":"10.4081/ripppo.2021.538","DOIUrl":"https://doi.org/10.4081/ripppo.2021.538","url":null,"abstract":"<p><p>This paper serves psychotherapeutic process research and shows the process of change in a psychodynamic, individual psychological psychotherapy by means of a theory-based content analysis of the dreams reported in this therapy. The analysis of the patient's dreams is carried out according to the dream coding method by Ulrich Moser and Vera Hortig (2019). The guiding question is about changes in positioning and interactions of the dream elements, how can they be determined and how (within the framework of the underlying dream generation theory) the influence of these changes on the patient's ability to regulate affect can be assessed. Dream coding according to Moser and Hortig uses only the manifest dream and can be regarded as a research tool that rests, among other things, on psychoanalytic concepts, while at the same time taking into account more recent findings in dream and affect research. Its focus is on the coding of the present dream experience and the transformation of dream elements both within individual dreams and in the course of an entire dream series. It allows, without knowledge of the biographical anamnesis and without using psychoanalytic interpretation methods, to recognize changes in the dream structure and the affect regulation produced by it. The coding system thus also offers the possibility of making comparisons regarding the therapeutic changes achieved and thus (at least potentially) the effectiveness of different treatment methods (cf. Leuzinger-Bohleber, 2008, p. 7 f.). The coding of several dreams, <i>i.e.</i> the manifest dream content as a dream series highlighted the patient's inner psychic change process: while the safety principle dominated the beginning, involvement increased and the use of the elements was more flexible and the interactions more mixed, to approach the initial dream again towards the end of the dream series. The coding indicates that the patient was able to increase her self-efficacy due to better containment of the emergent (dysfunctional) affects. This coding procedure serves as a promising empirical process assessment for carrying out single case studies.</p>","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"24 2","pages":"538"},"PeriodicalIF":2.7,"publicationDate":"2021-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/06/67/ripppo-24-2-538.PMC8451208.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39452926","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":"Nightmares and bad dreams among individuals with musculoskeletal pain: a link to vitamin D and calcium.","authors":"Khalid K Abdul-Razzak,&nbsp;Mohammad J Alkhatatbeh","doi":"10.4081/ripppo.2021.533","DOIUrl":"https://doi.org/10.4081/ripppo.2021.533","url":null,"abstract":"<p><p>Nightmares are frightening or disturbing dreams that awaken sleepers while bad dreams are disturbing dreams that do not awaken sleepers. Both types are known to be associated with psychological symptoms including anxiety and depression. Chronic pain is often comorbid with psychological symptoms and vitamin D deficiency increases risk of chronic musculoskeletal pain (MSP), which in turn is associated with increased risk of anxiety and depression. We aimed to investigate associations between types of dreams, psychological symptoms, vitamin D, and calcium intake in individuals with MSP. The study included 191 outpatients with MSP and 191 age/gender matched healthy controls. Psychological symptoms were assessed using Hospital Anxiety and Depression Scale. Serum vitamin D was measured and daily calcium intake was estimated. Participants were asked about types of their dreams (normal, bad, or nightmares) during the past month. Binary logistic regression was used to find predictors of MSP and bad dreams and nightmares. Bad dreams and nightmares, vitamin D deficiency, low calcium intake, anxiety, and depression were more prevalent in cases <i>versus</i> controls (Ps<0.001). Chi-square analyses showed that types of dreams were associated with anxiety, depression, and MSP (Ps<0.001). Participants with normal dreams had higher vitamin D (P<0.01) and calcium intake (P<0.001) and lower anxiety and depression scores (Ps<0.001) compared to participants with bad dreams and nightmares. Anxiety, depression and MSP were predictors for bad dreams and nightmares. Further studies are required to assess if vitamin D supplementation and increasing calcium intake may improve MSP, psychological symptoms and thus prevent nightmares and bad dreams.</p>","PeriodicalId":44262,"journal":{"name":"Research in Psychotherapy-Psychopathology Process and Outcome","volume":"24 2","pages":"533"},"PeriodicalIF":2.7,"publicationDate":"2021-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9c/5f/ripppo-24-2-533.PMC8451217.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39452923","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}