Todaya Asor, Lillian Glushka, Michael J Constantino, Dana Elberg, Mark B Weiser, Dana Tzur Bitan
{"title":"Patients' General Versus Personal Expectations About Psychotherapy Change Processes.","authors":"Todaya Asor, Lillian Glushka, Michael J Constantino, Dana Elberg, Mark B Weiser, Dana Tzur Bitan","doi":"10.1176/appi.psychotherapy.20250079","DOIUrl":"10.1176/appi.psychotherapy.20250079","url":null,"abstract":"<p><strong>Objective: </strong>People have different beliefs about what leads to therapeutic success; however, not much is known about differences between individuals' general change process expectations (CPEs) and the way those expectations operate during their own therapy experience (i.e., personal CPEs). The primary aim of this study was to examine these differences; a secondary aim was to evaluate whether a person's previous therapeutic experience and distress level moderate these differences.</p><p><strong>Methods: </strong>Individuals currently engaged in psychotherapy (N=270) completed the Expectations of Active Processes in Psychotherapy Scale twice, first with reference to their general CPEs and then with reference to their own therapy.</p><p><strong>Results: </strong>For each therapy process, participants reported significantly higher general CPEs compared with CPEs for their own therapy. The highest gap was observed in the expectation that therapy will provide tools for cognitive control (t=8.17, df=269, p<0.001), whereas the lowest gap was observed in the expectation that therapy will allow for the exploration of unexpressed content (t=4.02, df=269, p<0.001). Prior therapy experience (F=3.73, df=2 and 267, p=0.025, η<sup>2</sup>=0.029) and distress level (F=3.10, df=2 and 267, p=0.040, η<sup>2</sup>=0.020) significantly moderated this disparity, such that highly experienced and highly distressed individuals reported greater gaps (in the same direction) between their general and personal CPEs.</p><p><strong>Conclusions: </strong>The results suggest that patients, especially those with more severe problems, may require strong, personalized efforts to instill confidence in the therapeutic process.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20250079"},"PeriodicalIF":1.7,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149064897","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}
Liat Haruvi-Catalan, Shira Barzilay, Gil Zalsman, Alexandra Klein Rafaeli, Ika Vine, Anat Brunstein Klomek
{"title":"A Transdiagnostic IPT-Based Intervention for Global Crises.","authors":"Liat Haruvi-Catalan, Shira Barzilay, Gil Zalsman, Alexandra Klein Rafaeli, Ika Vine, Anat Brunstein Klomek","doi":"10.1176/appi.psychotherapy.20250086","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20250086","url":null,"abstract":"<p><p>This Psychotherapy Tools article presents an ultra-brief, transdiagnostic crisis intervention protocol designed for use during national emergencies such as war, natural disasters, or pandemics. Based on interpersonal psychotherapy (IPT) and integrating skills from cognitive-behavioral therapy and dialectical behavior therapy, the protocol addresses acute psychological distress, fosters resilience, and guides ongoing care. The intervention was adapted after the October 7, 2023, events in Israel and consists of five flexible sessions targeting emotional, interpersonal, behavioral, cognitive, physical, and spiritual domains. It is transdiagnostic and suitable for diverse populations, including individuals with anxiety, posttraumatic stress disorder, and depression. The protocol emphasizes rapid assessment, safety planning, skill development, and follow-up, aiming to reduce symptoms and prevent long-term psychopathology. Delivered by trained mental health professionals, this approach increases access to care, supports early intervention, and can be adapted for nonspecialist providers. Preliminary clinical experience suggests feasibility, although further research is needed to establish efficacy.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20250086"},"PeriodicalIF":1.7,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978283","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":"Navigating Countertransference: Reflections on Treating South Asian Women Facing Intimate Partner Violence.","authors":"Sitara Soundararajan","doi":"10.1176/appi.psychotherapy.20250004","DOIUrl":"10.1176/appi.psychotherapy.20250004","url":null,"abstract":"","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"158-159"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514386","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":"The RFP-C Triangle of Conflict: Listening to Countertransference Helps Listening to Children With Disruptive Behaviors.","authors":"Leon Hoffman, Pamela McPherson","doi":"10.1176/appi.psychotherapy.20250058","DOIUrl":"10.1176/appi.psychotherapy.20250058","url":null,"abstract":"<p><p>Countertransference is universal in the treatment of children with disruptive behaviors. Clinicians must be aware of their countertransference in order to use those feelings as therapeutically as possible. Understanding their countertransference can help clinicians understand and address the defensive aspects of disruptive behaviors that protect children from consciously experiencing painful emotions. Regulation-focused psychotherapy for children (RFP-C), the first manualized psychodynamic treatment for children with disruptive behaviors, uses the RFP-C triangle of conflict as a heuristic to help clinicians reflect on their countertransference, address children's emotional dysregulation, and guide parents to curiosity and a deeper understanding of their child's behavior. A composite case vignette illustrates the triangle's usefulness in meeting challenges of countertransference as well as listening to children when they can express emotions via only actions.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"126-130"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147366934","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}
Julie M Petersen, Olivia F Petersen, Sandra S Pimentel
{"title":"Initial Acceptability and Outcomes of Group Acceptance and Commitment Therapy for Adolescent Anxiety.","authors":"Julie M Petersen, Olivia F Petersen, Sandra S Pimentel","doi":"10.1176/appi.psychotherapy.20250034","DOIUrl":"10.1176/appi.psychotherapy.20250034","url":null,"abstract":"<p><strong>Objective: </strong>Anxiety among adolescents is pervasive, necessitating novel treatment approaches, such as DNA-v (Discoverer, Noticer, Advisor, along with values), a developmental adaptation of acceptance and commitment therapy (ACT).</p><p><strong>Methods: </strong>This study was a preliminary test of group DNA-v with a racially diverse sample of youths (N=7; mean age=16.28 years) already receiving mental health services for anxiety. Treatment comprised eight 90-minute weekly group sessions. Participants completed measures of psychological flexibility weekly, as well as anxiety and psychological inflexibility at pretreatment, posttreatment, and follow-up. Data were analyzed at the individual and aggregate level via means, percentage change, and reliable change indices.</p><p><strong>Results: </strong>Psychological flexibility remained relatively stable, and psychological inflexibility and anxiety decreased slightly. Participants rated the treatment as acceptable and positive.</p><p><strong>Conclusions: </strong>This study offers initial promise for DNA-v as an intervention for racially diverse adolescents with anxiety and points to the need for more research on DNA-v.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"148-151"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144117","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":"Canine-Assisted Intervention in the Inpatient Psychiatric Hospital Setting: Staff's Perception of the Benefits of Pet Therapy.","authors":"Michelle Geiss, Lorna Scoggins, Shelby Whaley, Tamsyn Weaver, Renae Hale, Albert Botchway","doi":"10.1176/appi.psychotherapy.20250082","DOIUrl":"10.1176/appi.psychotherapy.20250082","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this qualitative study was to evaluate the therapeutic role of canine-assisted intervention (CAI) as an adjunct to multimodal treatment in inpatient psychiatry, develop an implementation framework for an animal-assisted therapy program, and examine staff perceptions of its benefits as a complementary modality in psychiatric care.</p><p><strong>Methods: </strong>The authors conducted a 20-minute semistructured interview with 17 psychiatric nursing staff members who were current employees in an adult inpatient psychiatric unit and who had worked with pet therapy services over the past 4 years.</p><p><strong>Results: </strong>Analysis of interviews revealed that participants perceived CAI as a beneficial adjunct to psychiatric care. Staff reported that therapy sessions improved patient mood, reduced anxiety, enhanced socialization, and encouraged engagement among individuals who were often withdrawn. Interactions with therapy dogs contributed to a calmer unit environment and strengthened therapeutic relationships between patients and staff. Participants experienced personal enjoyment and stress relief during therapy visits and recommended increasing the frequency and structure of the program to further support both patient and staff well-being.</p><p><strong>Conclusions: </strong>CAI was perceived by staff as a valuable complementary therapy in the inpatient psychiatric setting, offering emotional, social, and therapeutic benefits for both patients and staff. Findings highlight improvements in mood, socialization, coping, and overall patient experience, with strong support for expanding and structuring such programs. These results suggest that CAI can play a meaningful role in enhancing multimodal psychiatric care.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"131-135"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624146","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":"Effects of Psychotherapies for Posttraumatic Stress Disorder on Anger: An Exploratory Study.","authors":"John C Markowitz, Bradley Tao, Jie Lu, Xi Zhu","doi":"10.1176/appi.psychotherapy.20250062","DOIUrl":"10.1176/appi.psychotherapy.20250062","url":null,"abstract":"<p><strong>Objective: </strong>Psychiatric treatment research has too frequently neglected anger. \"Anger management\" is widely used to tamp anger down. Yet understanding and expressing anger often have clinical and interpersonal value. Few data address anger in the context of treating patients with posttraumatic stress disorder (PTSD). The authors hypothesized the clinical utility of anger expression rather than suppression, particularly using interpersonal psychotherapy (IPT), which focuses on interpersonal handling of emotions. IPT effects on anger have barely been researched.</p><p><strong>Methods: </strong>Secondary data analyses examined anger items from a randomized, 14-week trial of prolonged exposure (PE), IPT, and relaxation therapy (RT) for 110 unmedicated patients with PTSD (ClinicalTrials.gov: NCT00739765). Anger-related variables from the Clinician-Administered PTSD Scale (CAPS), Beck Depression Inventory-II (BDI-II), and Inventory of Interpersonal Problems (IIP) were analyzed with limited mixed-effects models.</p><p><strong>Results: </strong>Anger decreased across treatments, with greater reductions in IPT compared with RT on CAPS anger when analyses controlled for overall PTSD improvement (p=0.035). The PE group × time interaction approached significance, suggesting less CAPS anger reduction over time for PE than for IPT. RT (vs. IPT) patients reported higher end-point BDI-II irritability (p=0.046) and less IIP reduction in anger-related interpersonal difficulties (p=0.017). Men had consistently higher CAPS anger scores than women (p=0.042).</p><p><strong>Conclusions: </strong>In this secondary data exploratory study lacking a primary anger scale, anger levels on several instruments improved across PTSD treatments with improvement in PTSD. The effect was greatest for IPT, which focuses on negative affect and its useful expression, and least for RT, which uses typical anger management techniques.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"119-125"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147874996","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}
Stephanie M Woolridge, Nitha A Vincent, Talia Leibovitz, Shreya Jagtap, Jessica D'Arcey, Sylvia Romanowska, Robert Aidelbaum, Marie Kessaris, Hanna V Hamzai, Aqsa Zahid Ibrahim, Felicia Martins, Lynn Rutledge, Michael W Best
{"title":"The Questionnaire About the Process of Recovery as a Sessional Measure in Cognitive-Behavioral Therapy for Psychosis.","authors":"Stephanie M Woolridge, Nitha A Vincent, Talia Leibovitz, Shreya Jagtap, Jessica D'Arcey, Sylvia Romanowska, Robert Aidelbaum, Marie Kessaris, Hanna V Hamzai, Aqsa Zahid Ibrahim, Felicia Martins, Lynn Rutledge, Michael W Best","doi":"10.1176/appi.psychotherapy.20250059","DOIUrl":"10.1176/appi.psychotherapy.20250059","url":null,"abstract":"<p><strong>Objective: </strong>Cognitive-behavioral therapy for psychosis (CBTp) is a frontline psychological intervention, yet there is no widely used tool for sessional measurement. Using data from two clinical trials, the authors examined the feasibility of using the Questionnaire About the Process of Recovery (QPR) as a sessional outcome measurement tool throughout CBTp.</p><p><strong>Methods: </strong>Sixty-two participants with schizophrenia spectrum disorders received up to 26 sessions of CBTp and were instructed to complete the QPR at each session.</p><p><strong>Results: </strong>On average, participants attended 21.56 CBTp sessions and completed the QPR for 95% of the sessions. Two participants did not complete the QPR because of symptomatic or functional limitations, and one additional participant did not reliably complete the QPR.</p><p><strong>Conclusions: </strong>The QPR is a feasible tool for measuring therapeutic progress and subjective recovery for people with schizophrenia spectrum disorders who are receiving CBTp. Because measurement-based care is underused in this population, these findings demonstrate the potential utility of a personal recovery measure for capturing sessional data in CBTp.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"152-155"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487839","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":"The Computational Psychotherapist: A Brief Bayesian Perspective to Psychotherapy.","authors":"Tarik Hawkins, Andrea V Covaci","doi":"10.1176/appi.psychotherapy.20250018","DOIUrl":"10.1176/appi.psychotherapy.20250018","url":null,"abstract":"","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"156-157"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145806015","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":"Career Development Awards for Clinical Trialists: A Training Pathway Under Threat.","authors":"Holly A Swartz","doi":"10.1176/appi.psychotherapy.26079001","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.26079001","url":null,"abstract":"","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":"79 3","pages":"105-106"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971768","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}