AMERICAN JOURNAL OF PSYCHOTHERAPY最新文献

Guarding the Guidelines: Objectivity in Treatment Recommendations. 守护准则：治疗建议的客观性。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-11-06 DOI: 10.1176/appi.psychotherapy.20240009

John C Markowitz, Ari M Lowell

引用次数: 0

Trauma-Focused ACT: A Practitioner's Guide to Working With Mind, Body, and Emotion Using Acceptance and Commitment Therapy. 以创伤为重点的接纳与承诺疗法》（Trauma-Focused ACT：使用接纳与承诺疗法处理心灵、身体和情感的从业者指南》。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-11-06 DOI: 10.1176/appi.psychotherapy.20240018

Brandon Neisewander, Christopher Moreau

引用次数: 0

Problem-Oriented Integrative Therapy: Maximizing Clinical Flexibility in Treating Complex Psychiatric Conditions. 以问题为导向的综合疗法：以问题为导向的综合疗法：最大限度地提高治疗复杂精神疾病的临床灵活性》。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-10-15 DOI: 10.1176/appi.psychotherapy.20240010

Joel Yager, Jerald Kay

引用次数: 0

Implementing a Problem-Oriented Integrative Therapy: Flexible Care for Patients Experiencing Complex Psychiatric Conditions. 实施以问题为导向的综合疗法：为患有复杂精神疾病的患者提供灵活的护理。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-10-15 DOI: 10.1176/appi.psychotherapy.20240011

Joel Yager, Jerald Kay

引用次数: 0

Dialectical Behavior Therapy for Adolescents: Examining Preliminary Pretreatment Expectations and Preferences. 青少年辩证行为疗法：检查治疗前的初步预期和偏好。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-10-15 DOI: 10.1176/appi.psychotherapy.20230058

Hilary B Vidair, Jill H Rathus, Chani Goldfeder, Erika Rooney, Katerina Levy, Alexander Dorfman

{"title":"Dialectical Behavior Therapy for Adolescents: Examining Preliminary Pretreatment Expectations and Preferences.","authors":"Hilary B Vidair, Jill H Rathus, Chani Goldfeder, Erika Rooney, Katerina Levy, Alexander Dorfman","doi":"10.1176/appi.psychotherapy.20230058","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20230058","url":null,"abstract":"Objective: Dialectical behavior therapy for adolescents (DBT-A) is an evidence-based treatment for adolescents with multiple emotional and behavioral problems. Research has demonstrated the posttreatment acceptability of DBT-A by parents and adolescents. However, no study has systematically explored the expectations and preferences of adolescents before beginning DBT-A treatment. The goals of this study were to investigate adolescents' pretreatment expectations for DBT-A by developing the Adolescent Expectancies for Therapy Scale (AETS), adapted from the Parent Expectancies for Therapy Scale, and to explore their preferences regarding treatment delivery format.Methods: Participants were 21 adolescents (ages 13-18) with varying race-ethnicities who were referred for DBT-A in either a group private practice or a community mental health clinic. Participants completed the AETS and the Preferences Rating Form, which examined the extent to which participants preferred each of seven treatment modifications or preferred to keep DBT-A as is.Results: Findings indicated that, before beginning DBT-A, adolescents had moderate expectations for the outcome and process of the therapy, and approximately half reported that they preferred to be separate from their parents during multifamily skills group sessions (for at least part of the time) and to add weekly teen-only support groups to DBT-A. The AETS had adequate internal consistency (Cronbach's α=0.88).Conclusions: Understanding adolescents' pretreatment expectations and preferences for the format in which DBT-A is delivered can help clinicians better engage adolescents during the intake and orientation process.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20230058"},"PeriodicalIF":2.3,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477488","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

A Novel Approach to Examining Working Alliance Instability During Psychotherapy for Borderline Personality Disorder. 在对边缘型人格障碍进行心理治疗的过程中，研究工作联盟不稳定性的新方法。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-10-07 DOI: 10.1176/appi.psychotherapy.20230032

Haruka Notsu, Yogev Kivity, Kenneth N Levy, Stéphane Kolly, Ueli Kramer

{"title":"A Novel Approach to Examining Working Alliance Instability During Psychotherapy for Borderline Personality Disorder.","authors":"Haruka Notsu, Yogev Kivity, Kenneth N Levy, Stéphane Kolly, Ueli Kramer","doi":"10.1176/appi.psychotherapy.20230032","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20230032","url":null,"abstract":"Objective: This study aimed to quantify the instability of psychotherapy process variables by using a novel data-analytic approach. The study explored instability of the working alliance over 10 treatment sessions and its relationship with self-esteem.Methods: Data were extracted from a randomized controlled trial, conducted in Switzerland, of a short-term intervention for borderline personality disorder. Sixty clients diagnosed as having borderline personality disorder were randomly assigned to receive either 10 sessions of good psychiatric management-brief version (GPM-BV) or GPM-BV combined with a relational principle called motive-oriented therapeutic relationship. Square successive differences were calculated for client and therapist ratings of alliance instability. Multilevel models were used to test within- and between-person associations of alliance instability with self-esteem.Results: Although some preliminary analyses showed an association between a more stable alliance and higher self-esteem at the start of psychotherapy, the alliance did not become more stable over time. Alliance instability was not associated with self-esteem at either the within- or between-person level.Conclusions: This study highlights the advantages, procedures, and challenges of applying square successive differences to psychotherapy research data. The results suggest that the working alliance develops in complex ways and indicate the importance of continuing to use novel methods to capture dynamic psychotherapy processes.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20230032"},"PeriodicalIF":2.3,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381980","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

Epigenetic Regulation in Psychosomatics and Psychotherapy. 心身医学和心理疗法中的表观遗传调节。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-09-30 DOI: 10.1176/appi.psychotherapy.20230061

Karla Kroflin, Anthony S Zannas

{"title":"Epigenetic Regulation in Psychosomatics and Psychotherapy.","authors":"Karla Kroflin, Anthony S Zannas","doi":"10.1176/appi.psychotherapy.20230061","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20230061","url":null,"abstract":"Epigenetic modifications play a pivotal role in the regulation of gene expression and cell function, offering potential markers of disease states and therapeutic outcomes. Recent advancements in neuroscience have spurred interest in studying the epigenetic underpinnings of psychosomatic medicine. This review presents a new perspective on the role of epigenetic regulation in the realms of psychosomatics and psychotherapy. The authors first highlight epigenetic patterns associated with prevalent psychosomatic disorders, including irritable bowel syndrome, fibromyalgia, psoriasis, and lichen planus. For these conditions, psychotherapy serves as a treatment modality and can be conceptualized as an epigenetic intervention that beneficially affects the epigenome as part of the therapeutic process. Focusing on cognitive-behavioral and mindfulness-based therapies, the authors highlight evidence on psychotherapy-associated epigenetic signatures occurring at genes that are involved in stress response, inflammation, neurotransmission, neuroplasticity, and aging. Educating patients about the potential of psychotherapy to affect the epigenome may enhance patient engagement with and adherence to treatment, and psychotherapy-induced epigenetic changes have the potential to promote transgenerational disease prevention, underscoring the far-reaching implications of this therapeutic approach. Challenges persist in epigenetic studies, and this review aimed to catalyze further research in this burgeoning field, with the goal of enhancing patient care.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20230061"},"PeriodicalIF":2.3,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336818","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

The Relevance of Generalist Approaches to Early Intervention for Personality Disorder. 人格障碍早期干预综合方法的相关性。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-09-20 DOI: 10.1176/appi.psychotherapy.20230050

Kiran Boone, Lois Choi-Kain, Carla Sharp

引用次数: 0

Patients' Perceptions of Their Therapist: Effects of Race, Culture, and Cultural Competency on the Working Alliance. 患者对治疗师的看法：种族、文化和文化胜任力对工作联盟的影响。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-09-13 DOI: 10.1176/appi.psychotherapy.20230056

Mark R Lukowitsky, Jeffrey S Winseman, Elliot Feld, Steven M Kam, Victoria I Balkoski

{"title":"Patients' Perceptions of Their Therapist: Effects of Race, Culture, and Cultural Competency on the Working Alliance.","authors":"Mark R Lukowitsky, Jeffrey S Winseman, Elliot Feld, Steven M Kam, Victoria I Balkoski","doi":"10.1176/appi.psychotherapy.20230056","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20230056","url":null,"abstract":"Objective: The purpose of this study was to investigate the extent to which patients feel racially and culturally similar to their therapist, patients' perceptions of their therapist's cultural competence, and how these factors relate to the working alliance in a naturalistic treatment setting.Methods: Participants were 119 adult patients treated at a large outpatient clinic by clinicians with a range of professional backgrounds (e.g., psychiatric residents, psychologists in training, and staff therapists). Patients were asked to rate the level of racial and cultural similarity between themselves and their therapist and to provide their assessment of their therapist's cultural competency and of the working alliance.Results: Findings suggest that patients' ratings of perceived cultural and racial similarity were not significantly related to the working alliance. However, perceptions of racial and cultural similarity were significantly associated with perceived therapist cultural competence. Perceived cultural competence was also strongly related to the working alliance. Finally, patients' ratings of their therapist's cultural competencies in the areas of awareness and skill, but not knowledge, predicted a strong working alliance after analyses controlled for ratings of racial and cultural similarity.Conclusions: This study suggests the importance of heightening mental health clinicians' awareness of the influence of culture on the therapeutic relationship and the important role of a therapist's cultural competencies (specifically, awareness and skill) in the working alliance, which may matter more to patients than perceptions of racial or cultural similarity.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20230056"},"PeriodicalIF":2.3,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298477","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

Effective but Undertaught: Training Psychiatrists in Psychotherapy for Substance Use Disorders. 有效但教学不足：培训精神科医生对药物使用障碍进行心理治疗。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-09-13 DOI: 10.1176/appi.psychotherapy.20240001

Alëna A Balasanova, Anne Ruble, Alyson Nakamura, Souparno Mitra, Amber Frank

{"title":"Effective but Undertaught: Training Psychiatrists in Psychotherapy for Substance Use Disorders.","authors":"Alëna A Balasanova, Anne Ruble, Alyson Nakamura, Souparno Mitra, Amber Frank","doi":"10.1176/appi.psychotherapy.20240001","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20240001","url":null,"abstract":"Considering the escalating gap between the population-level need for substance use services and the availability of board-certified addiction specialty physicians, all psychiatrists must be equipped to treat substance use disorders. Residency training programs must therefore ensure that graduates are equipped with a sufficient knowledge base and skill set to treat substance use disorders, including an understanding of medications for addiction treatment and appropriate selection and utilization of psychotherapy for substance use disorders. Resources for teaching psychiatric residents about psychotherapeutic approaches to substance use disorders are often limited, and many programs may struggle to include this content in their curricula. The authors highlight the core evidence-based psychotherapeutic approaches relevant to the care of patients with substance use disorders and identify supervised experiential learning opportunities for psychiatric residents to practice psychotherapy for substance use disorders during existing clinical rotations within their general psychiatry residency programs.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20240001"},"PeriodicalIF":2.3,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298476","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