AMERICAN JOURNAL OF PSYCHOTHERAPY最新文献

The Private Loss of Dr. M.

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2025-02-14 DOI: 10.1176/appi.psychotherapy.20240058

Anita Kumar Chang

引用次数: 0

Benefits of Using Intensive Short-Term Dynamic Psychotherapy in Psychiatric Practice.

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2025-02-14 DOI: 10.1176/appi.psychotherapy.20240040

Anna Hofner, Jordan Bawks

{"title":"Benefits of Using Intensive Short-Term Dynamic Psychotherapy in Psychiatric Practice.","authors":"Anna Hofner, Jordan Bawks","doi":"10.1176/appi.psychotherapy.20240040","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20240040","url":null,"abstract":"Psychiatry residency programs in the United States and Canada currently require trainees to demonstrate competency in psychodynamic therapy. Developed by Habib Davanloo, intensive short-term dynamic psychotherapy (ISTDP) is a brief psychodynamic therapy with emerging evidence to support its efficacy as an evidence-based, cost-effective treatment for various common psychiatric disorders and personality pathologies. Davanloo's metapsychology of the unconscious offers a way to understand the psychodynamic processes that maintain patients' psychiatric symptoms. Some key clinical processes unique to ISTDP facilitate conceptualization of patients' problems and allow for effective interventions. ISTDP skills can be especially helpful when working with populations with complex and treatment-resistant conditions that are commonly encountered in psychiatric secondary- and tertiary-care settings. This article aims to examine the value of ISTDP training for psychiatrists. First, the benefits of being able to offer formal treatment with ISTDP are examined. Second, the unique skills acquired through ISTDP training, which can be used in general psychiatric care, are reviewed. Finally, the personal and systemic benefits of ISTDP training, including clinician self-monitoring, management of burnout, and team leadership, are discussed.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20240040"},"PeriodicalIF":2.3,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415820","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

Repairing Cultural Ruptures in Psychotherapy: Strategies to Enhance the Therapeutic Alliance.

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2025-02-04 DOI: 10.1176/appi.psychotherapy.20240045

Nicholas Boswell, Ruby Barghini, Seamus Bhatt-Mackin, Aimee Murray, David Topor, Alyson Nakamura, Laurel Pellegrino, Anne E Ruble

引用次数: 0

Enhancing the Social Network: Multimodal Treatment for Comorbid Borderline Personality Disorder and Alcohol Use Disorder.

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2025-02-04 DOI: 10.1176/appi.psychotherapy.20230046

Edward H Patzelt, Stephen Conway, Sam A Mermin, Julia Jurist, Lois W Choi-Kain

{"title":"Enhancing the Social Network: Multimodal Treatment for Comorbid Borderline Personality Disorder and Alcohol Use Disorder.","authors":"Edward H Patzelt, Stephen Conway, Sam A Mermin, Julia Jurist, Lois W Choi-Kain","doi":"10.1176/appi.psychotherapy.20230046","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20230046","url":null,"abstract":"More than half of all people with borderline personality disorder will develop alcohol use disorder in their lifetime. These disorders mutually reinforce each other, with a higher risk for treatment failure and poor outcomes, including suicide, yet no widely available treatments have been found to be effective for both diagnoses concurrently, leaving patients and clinicians alike stranded between two clinical domains that rarely overlap despite shared features. In the absence of alternatives, good psychiatric management (GPM) capitalizes on standard-of-care interventions using generic clinical tools that do not require specialization. In an effort to broaden and stabilize the social networks of connections for patients with interpersonal hypersensitivity, GPM relies on a multimodal approach that combines the indicated pharmacological and psychosocial interventions for the treatment of alcohol use disorder with a common-factors approach for borderline personality disorder. This multimodal approach emphasizes psychoeducation, social rehabilitation, management of suicidality, and active management of these frequently comorbid conditions. In this article, the authors describe GPM's strategy of stabilizing and broadening the patient's social network to target the core interpersonal and stress hypersensitivity. To do this, clinicians can use interventions for significant others combined with empirically supported and widely available mutual-help groups, such as Alcoholics Anonymous, that structure and regulate relational instabilities with community norms, standards, roles, and procedures. GPM also promotes family interventions for both conditions to reduce conflict and increase support within existing relationships, thereby strengthening patients' capacity to work on their sobriety and borderline personality disorder by mitigating aloneness and its effects.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"0"},"PeriodicalIF":2.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123617","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

Good Psychiatric Management of Borderline Personality Disorder and Co-Occurring Autism Spectrum Disorder.

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2025-01-29 DOI: 10.1176/appi.psychotherapy.20230049

Robert B Dudas, Lukas Cheney

引用次数: 0

Intensive Short-Term Dynamic Psychotherapy for Complex, Chronic, and Treatment-Resistant Conditions.

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2025-01-29 DOI: 10.1176/appi.psychotherapy.20240024

Allan Abbass, Joel Town

{"title":"Intensive Short-Term Dynamic Psychotherapy for Complex, Chronic, and Treatment-Resistant Conditions.","authors":"Allan Abbass, Joel Town","doi":"10.1176/appi.psychotherapy.20240024","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20240024","url":null,"abstract":"Over the past 50 years, intensive short-term dynamic psychotherapy (ISTDP) has been developed, implemented, and evaluated with respect to the treatment of a broad spectrum of complex, chronic, and treatment-resistant conditions. This therapy was developed specifically to treat a range of patients, including those who are highly defensive, those who experience the repression of emotions, and those who have cognitive-perceptual disruptions along with primitive defenses. These three groups of patients are characterized by patterns of attachment trauma and deficits related to neglect. Among the many categories of mental illness with these features that ISTDP can treat, personality disorders, treatment-resistant depression, and somatic symptoms have been the most frequently studied. In this article, the authors provide an overview of the ISTDP treatment method with regard to complex, chronic, and treatment-resistant conditions and summarize evidence for its effectiveness for diverse patient populations. On the basis of the available evidence, ISTDP warrants consideration as a tool for the management of diverse populations who have chronic and complex conditions and have not responded to other treatments.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20240024"},"PeriodicalIF":2.3,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061099","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

Psychodynamic Psychopharmacology and Christianity: Understanding Patients' Relationships With Medications. 精神动力学、精神药理学和基督教：理解病人与药物的关系。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2025-01-16 DOI: 10.1176/appi.psychotherapy.20240006

Spencer M Gardner, Breyauna M Spencer

引用次数: 0

A Pilot Study for an Interactive Activity Educating First-Year Medical Students on How (Not What) to Prescribe. 教育一年级医学生如何（而不是什么）开处方的互动活动的试点研究。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2025-01-09 DOI: 10.1176/appi.psychotherapy.20240004

Kaylie O'Connell, David Mintz

{"title":"A Pilot Study for an Interactive Activity Educating First-Year Medical Students on How (Not What) to Prescribe.","authors":"Kaylie O'Connell, David Mintz","doi":"10.1176/appi.psychotherapy.20240004","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20240004","url":null,"abstract":"Objective: Pharmacotherapy outcomes may be influenced as much by psychosocial factors as by medication. Comprehensive discussion of such factors may contribute to better patient outcomes and may counter aspects of a curriculum that prioritizes efficiency and that has the potential to undermine clinician empathy. This pilot study aimed to explore the benefits of teaching psychosocial aspects of prescribing and student acceptance of such teaching.Methods: First-year medical students (N=22) at Quinnipiac University were surveyed after completing an online module explaining psychosocial principles of pharmacology and participating in role-plays.Results: Nineteen participants (86%) strongly agreed that how they prescribe was as important as what they prescribe, and 17 participants (77%) strongly agreed that they would benefit from additional education.Conclusions: An interactive activity can enhance first-year medical students' interest in and knowledge of the impact of integrating psychosocial factors into medical education on treatment adherence.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20240004"},"PeriodicalIF":2.3,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956882","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

Exploring Therapeutic Outcomes Through Dyadic Interactions: The Role of Patient-Avatar Dynamics in Avatar Therapy. 通过二元相互作用探索治疗结果：病人-化身动力学在化身治疗中的作用。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-12-17 DOI: 10.1176/appi.psychotherapy.20240016

Alexandre Hudon, Sabrina Quilliam, Kingsada Phraxayavong, Stéphane Potvin, Alexandre Dumais

{"title":"Exploring Therapeutic Outcomes Through Dyadic Interactions: The Role of Patient-Avatar Dynamics in Avatar Therapy.","authors":"Alexandre Hudon, Sabrina Quilliam, Kingsada Phraxayavong, Stéphane Potvin, Alexandre Dumais","doi":"10.1176/appi.psychotherapy.20240016","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20240016","url":null,"abstract":"Objective: Despite the efficacy of current therapies, a significant proportion of patients with schizophrenia, a complex mental disorder marked by both positive (present) and negative (absent) symptoms, are considered to have treatment-resistant schizophrenia. Avatar therapy (AT) allows patients to interact with a three-dimensional representation of their most distressing voices in a virtual reality setting. The therapy shows promise in reducing impairments and improving quality of life through the establishment of a therapeutic alliance and the exploration of dyadic interactions (verbal exchanges) between patients and their avatar. The purpose of this study was to investigate differences in dyadic interactions throughout the immersive sessions of AT and to clarify the relationship between these interactions and therapeutic success by analyzing dyads as predictive indicators of positive outcomes in AT.Method: Mean frequencies for the 10 most prevalent dyads identified in previous AT research were reported for 35 patients. A logistic regression model was implemented, and these dyads were used to predict variances in Psychotic Symptom Rating Scales-auditory hallucination scores 1 month after the completion of AT.Results: Variances in mean frequencies were reported for the dyads. A positive relation between the avatar (provocation)-patient (self-affirmation) dyad and the therapeutic outcome was found to be significant (OR=2.29, p=0.049).Conclusion: This research is pioneering in its in-depth examination of therapeutic interactions in AT, with a particular focus on dyadic interactions. Future studies should prioritize the quality rather than quantity of these interactions to more accurately forecast their effects on potential indicators of positive outcomes in AT.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20240016"},"PeriodicalIF":2.3,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839966","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

Addressing Spiritual and Religious Experiences in Borderline Personality Disorder With Good Psychiatric Management. 通过良好的精神治疗，解决边缘型人格障碍患者的精神和宗教体验问题。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-12-17 DOI: 10.1176/appi.psychotherapy.20230047

Brandon T Unruh

引用次数: 0