AMERICAN JOURNAL OF PSYCHOTHERAPY最新文献

Tailoring Interpersonal Psychotherapy for Gender-Expansive Journeys. 为充满性别挑战的旅程量身定制人际心理疗法。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-08-30 DOI: 10.1176/appi.psychotherapy.20230055

Shaina Siber-Sanderowitz, Anne R Limowski

引用次数: 0

Psychotherapy Supervision: An Invitational, Clarifying, Educational, Empowering, and Transparent (ICEE-T) Written Agreement. 心理治疗督导：邀请、澄清、教育、赋权和透明（ICEE-T）书面协议。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-08-30 DOI: 10.1176/appi.psychotherapy.20230048

C Edward Watkins, Ioana-Eva Cădariu, Loredana-Ileana Vîşcu, Rima Viliūnienė

引用次数: 0

A Meta-Analysis of Interpersonal and Psychodynamic Psychotherapies for Posttraumatic Stress Disorder. 针对创伤后应激障碍的人际心理疗法和心理动力学心理疗法的元分析。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-08-06 DOI: 10.1176/appi.psychotherapy.20230043

John R Keefe, Duncan Kimmel, Erica Weitz

{"title":"A Meta-Analysis of Interpersonal and Psychodynamic Psychotherapies for Posttraumatic Stress Disorder.","authors":"John R Keefe, Duncan Kimmel, Erica Weitz","doi":"10.1176/appi.psychotherapy.20230043","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20230043","url":null,"abstract":"Objective: Established trauma-focused cognitive-behavioral therapies for posttraumatic stress disorder (PTSD) have remission rates of approximately 30%-40%. Alternatively, interpersonal psychotherapy (IPT) and psychodynamic psychotherapy (PDT) focus on disrupted attachment, mentalization, and social connection in PTSD and may help some patients. The authors conducted a meta-analysis on these interpersonal and affect-oriented approaches to treating PTSD.Methods: Building on a prior meta-analysis, the authors searched for randomized controlled trials (RCTs) comparing IPT or PDT with other established PTSD treatments or control conditions for adults diagnosed as having PTSD. Random-effects meta-analyses were conducted to assess outcome effect sizes and dropout rates. RCTs were rated via the Randomized Controlled Trial Psychotherapy Quality Rating Scale.Results: Ten RCTs (eight of IPT) comparing IPT or PDT with control (k=7) or active treatment (k=4) conditions were identified, nine of which were of adequate quality. IPT (k=5) and PDT (k=2), when analyzed together, were superior to control conditions overall (g=-1.14, p=0.011 [as was IPT alone: g=-0.88, p=0.034]) and to waitlist (g=-1.49) and treatment-as-usual (g=-0.70) groups. Effect sizes, however, may have been inflated by outliers or publication bias. IPT (k=3) and PDT (k=1), when analyzed together, were equally efficacious compared with other active PTSD treatments (primarily exposure-based psychotherapies), as was IPT alone, and had lower dropout rates (relative risk=0.63, p=0.049 for IPT and PDT analyzed together; relative risk=0.61, p=0.098 for IPT alone).Conclusions: Affect-focused therapies hold promise in the treatment of PTSD. IPT has demonstrated efficacy in multiple trials, whereas the evidence base for PDT is sparse.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894533","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

Umwelt-A New Strategy for Mentalizing Patient Experience. Umwelt--患者体验心理化的新战略。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-08-06 DOI: 10.1176/appi.psychotherapy.20240003

Jonathan Hunter

引用次数: 0

Childhood Trauma and Panic Disorder: The Impact of History of Child Abuse on Illness Severity and Treatment Response. 童年创伤与恐慌症：儿童虐待史对疾病严重程度和治疗反应的影响》（The Impact of History of Child Abuse on Illness Severity and Treatment Response.

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-08-06 DOI: 10.1176/appi.psychotherapy.20230060

Sarah J Kay, John R Keefe, Barbara L Milrod, Jacques P Barber

{"title":"Childhood Trauma and Panic Disorder: The Impact of History of Child Abuse on Illness Severity and Treatment Response.","authors":"Sarah J Kay, John R Keefe, Barbara L Milrod, Jacques P Barber","doi":"10.1176/appi.psychotherapy.20230060","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20230060","url":null,"abstract":"Objective: Patients who have experienced child abuse often have complex clinical presentations; whether a history of child abuse (HCA) affects psychotherapy outcomes is unclear. The authors examined relationships between HCA, clinical baseline variables, and change in these variables after three different psychotherapies for panic disorder (PD).Methods: Two hundred adults with PD (with or without agoraphobia) were randomly assigned to one of three treatments across two sites: panic-focused psychodynamic psychotherapy (PFPP), cognitive-behavioral therapy (CBT), or applied relaxation training (ART). Differences in demographic and clinical variables between those with and without HCA were compared. The primary analysis addressed odds of meeting clinical response criteria on the Panic Disorder Severity Scale (PDSS) between treatments, as moderated by HCA. This effect was examined via continuous outcomes on the PDSS and psychosocial functioning (Sheehan Disability Scale).Results: Compared with patients without HCA (N=154), patients with HCA (N=46) experienced significantly more severe symptoms of PD (d=0.60), agoraphobia (d=0.47), and comorbid depression (d=0.46); significantly worse psychosocial impairment (d=0.63) and anxiety sensitivity (d=0.75); greater personality disorder burden (d=0.45)-particularly with cluster C disorders (d=0.47)-and more severe interpersonal problems (d=0.54). HCA significantly moderated the likelihood of clinical response, predicting nonresponse to ART (B=-2.05, 95% CI=-4.17 to -0.30, OR=0.13, z=-2.14, p=0.032) but not CBT or PFPP. HCA did not interact with treatment condition to predict slopes of PDSS change.Conclusions: The results of this study highlight the importance of HCA in formulating treatment recommendations. Increased awareness of HCA's effects on severity of PD and treatment responsiveness among patients with PD may improve outcomes.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894534","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

General Psychiatric Management for Adolescents With Borderline Personality Disorder and Eating Disorders. 对患有边缘型人格障碍和进食障碍的青少年进行一般精神病学管理》（General Psychiatric Management for Adolescents with Borderline Personality Disorder and Eating Disorders）。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-07-31 DOI: 10.1176/appi.psychotherapy.20230045

Marcos S Croci, Marcelo J A A Brañas, Kristin N Javaras, Esther Dechant, Julia Jurist, Georgia Steigerwald, Lois W Choi-Kain

{"title":"General Psychiatric Management for Adolescents With Borderline Personality Disorder and Eating Disorders.","authors":"Marcos S Croci, Marcelo J A A Brañas, Kristin N Javaras, Esther Dechant, Julia Jurist, Georgia Steigerwald, Lois W Choi-Kain","doi":"10.1176/appi.psychotherapy.20230045","DOIUrl":"10.1176/appi.psychotherapy.20230045","url":null,"abstract":"Borderline personality disorder and eating disorders frequently co-occur among youths. These disorders emerge in adolescence, during the critical developmental period of building an independent sense of self and the capacity to relate to one's community. Because of core differences in the development and psychopathology of borderline personality disorder and eating disorders, adjustments are required when treating these disorders when they co-occur. Few established treatment approaches can address these disorders simultaneously. Evidence-based psychotherapies for borderline personality disorder, such as dialectical behavior therapy and mentalization-based treatment, have been adapted to accommodate the shared vulnerabilities and features of the two disorders. However, these approaches are specialized, intensive, and lengthy and are therefore poorly suited to implementation in general psychiatric or primary health care, where most frontline mental health care is provided. Generalist approaches can fill this public health gap, guiding nonspecialists in structuring informed clinical management for these impairing and sometimes fatal disorders. In this overview, the authors describe the adjustment of good (or general) psychiatric management (GPM) for adolescents with borderline personality disorder to incorporate the prevailing best practices for eating disorder treatment. The adjusted treatment relies on interventions most clinicians already use (diagnostic disclosure, psychoeducation, focusing on life outside treatment, managing patients' self-destructive behaviors, and conservative psychopharmacology with active management of comorbid conditions). Limitations of the adjusted treatment, as well as guidelines for referring patients to specialized and general medical treatments and for returning them to primary generalist psychiatric care, are discussed.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856823","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

Access to Psychotherapy Notes: Review of Legal Standards for Mental Health Clinicians. 获取心理治疗笔记：心理健康临床医生法律标准审查》。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-07-23 DOI: 10.1176/appi.psychotherapy.20230036

Shariful A Syed, Spencer Eth, Rodrigo Fontenele, Judith Regan

{"title":"Access to Psychotherapy Notes: Review of Legal Standards for Mental Health Clinicians.","authors":"Shariful A Syed, Spencer Eth, Rodrigo Fontenele, Judith Regan","doi":"10.1176/appi.psychotherapy.20230036","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20230036","url":null,"abstract":"Patients' access to their psychotherapy records may be assumed to be well protected; however, the matter is intricately regulated. In fact, the statutes and rights pertaining to patient access to psychotherapy notes vary across states. Taken together, federal and state laws indirectly and inconsistently delineate lawful access-as well as clinical exceptions to providing access-to psychotherapy notes. Federal law defers to state laws when the latter afford individuals greater access to their notes. Both federal and individual state levels vary in providing for possible conditions under which access may be restricted. Right of access to psychotherapy notes is a matter of importance for all mental health clinicians in the United States. Awareness and integration of pertinent laws and regulations allow clinicians to manage such matters without a negative impact on their clinical care. Further consideration of how clinical practice interacts with other dimensions of health care administration (clinical, ethical, and legal) may serve to enhance the integrity of a clinician's work and the ability to adapt to difficult clinical circumstances with confidence.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749188","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

Considerations for Psychological Debriefing in the Context of Prolonged Disaster Response. 在长期救灾过程中进行心理汇报的注意事项。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-07-15 DOI: 10.1176/appi.psychotherapy.20230033

Hannah Pressley, Aliza Polkes, Cassondra L Feldman

引用次数: 0

Trauma and Dream Work: Mending Tears in the Fabric of Time. 创伤与梦想工作：修补时间结构中的撕裂。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-07-02 DOI: 10.1176/appi.psychotherapy.20230051

Cory K Chen, Nicole Nehrig

引用次数: 0

Good Psychiatric Management of Borderline Personality Disorder: Foundations and Future Challenges. 边缘型人格障碍的良好精神治疗：基础与未来挑战》。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-07-02 DOI: 10.1176/appi.psychotherapy.20230044

Paul S Links, James Ross

{"title":"Good Psychiatric Management of Borderline Personality Disorder: Foundations and Future Challenges.","authors":"Paul S Links, James Ross","doi":"10.1176/appi.psychotherapy.20230044","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20230044","url":null,"abstract":"Borderline personality disorder is a common condition characterized by numerous comorbid conditions, frequent use of clinical services, and an elevated lifetime risk for suicide. Good psychiatric management (GPM) was developed for patients with borderline personality disorder with the purpose of supporting wider community adoption and dissemination compared with existing therapies. The authors aimed to review the foundations and development of GPM, in particular the initial Canadian study assessing the therapy. They then reviewed the progress in research arising from the initial study and explored the research and educational opportunities needed to further the development of GPM for patients with borderline personality disorder. Research has indicated that patients with borderline personality disorder with complex comorbid conditions and impulsivity may benefit from GPM. Future research needs include noninferiority and equivalence studies comparing GPM with another evidence-based treatment; studies demonstrating that evidence-based therapies for borderline personality disorder improve functioning; and research on more accessible therapies, mechanisms of action for evidence-based therapies, extending therapies to patients with borderline personality disorder and significant comorbid conditions, and modifying therapies for men with borderline personality disorder. Attention should be directed toward testing stepped care models and integrating therapies such as GPM into psychiatric training programs. GPM is in development but shows promise as a therapy that is effective and accessible and that can be widely disseminated.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477694","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