AMERICAN JOURNAL OF PSYCHOTHERAPY最新文献

{"title":"Gender and Age Differences in Psychotherapy Use Among U.S. Adults With Depression and Anxiety.","authors":"Lauren Kleidermacher, Millicent Warner, Mark Olfson","doi":"10.1176/appi.psychotherapy.20250050","DOIUrl":"10.1176/appi.psychotherapy.20250050","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine whether psychotherapy use varies by gender and age among U.S. adults with depression or daily anxiety.</p><p><strong>Methods: </strong>Data were from the 2021-2023 National Health and Nutrition Examination Survey. The sample included adults ages ≥18 who screened positive for depression (Patient Health Questionnaire-9 score ≥10, N=728) or reported daily anxiety symptoms (N=1,708). Psychotherapy use was defined as self-reported receipt of therapy from a mental health professional in the past year. Survey-weighted logistic regression estimated associations between gender and psychotherapy use within age strata, and the margins produced predicted probabilities and gender gaps. Secondary analyses examined differences by race-ethnicity.</p><p><strong>Results: </strong>When the full analytic sample was considered, psychotherapy use was higher among women than men for both depression and anxiety. For depression, the gender gap was largest among adults ages 18-25 (22 percentage points), smaller for ages 26-49 (12 points), and reversed at ages ≥50 (-1 point); young men had the lowest use (27%). For anxiety, gender gaps were 13, 12, and 4 percentage points for ages 18-25, 26-49, and ≥50, respectively. Men in the youngest and oldest age groups had the lowest psychotherapy use (24% and 23%, respectively). Mexican American adults had the lowest psychotherapy use for both depression (19%) and anxiety (27%).</p><p><strong>Conclusions: </strong>Gender disparities in psychotherapy use are greatest among younger adults, particularly for depression, and are less pronounced for anxiety. Young men show especially low use. Findings highlight opportunities for targeted outreach, referral pathways, and service models tailored to men, especially younger men, and to Mexican American adults to reduce underuse of psychotherapy.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"114-118"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487896","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":"Misguided: A Commentary on the 2025 American Psychological Association PTSD Treatment Guideline for Adults.","authors":"John C Markowitz, Kevin S McCarthy, Barbara Milrod","doi":"10.1176/appi.psychotherapy.20250053","DOIUrl":"10.1176/appi.psychotherapy.20250053","url":null,"abstract":"","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"107-110"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624138","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":"Therapist Empathy and the Therapist's Feelings.","authors":"Juan Pablo Kalawski, Leonor Irarrázaval","doi":"10.1176/appi.psychotherapy.20250068","DOIUrl":"10.1176/appi.psychotherapy.20250068","url":null,"abstract":"<p><p>This article seeks to clarify and distinguish how phenomenological definitions of empathy may be applied in psychotherapy. It argues that effective therapeutic practice relies not only on narrative engagement but also on embodied attunement, often referred to as empathic resonance. Rather than viewing the therapist's feelings as passive emotional mirroring of the client, the authors propose a critical and situated perspective in which these feelings are understood as embodied responses that emerge within the therapeutic relationship. In doing so, the authors aim to contribute to the enhancement of clinical training in psychotherapy. They specifically advocate for a stepwise approach to training, in which narrative tracking and bodily self-awareness are developed and cultivated as separate skills in the early phases of psychotherapy training. The progressive integration of these skills eventually enables therapists to use their feelings as instruments of empathy rather than sources of interference. Thus, empathic therapists do not limit themselves to a purely cognitive, intellectual understanding of a client's story. Instead, they cultivate a comprehensive form of empathy, allowing themselves to resonate with the client's experience at a bodily, prereflexive level.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"143-147"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522070","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":"Interpersonal Psychotherapy in the Chinese Cultural Context: Exploring the Problem Areas With Cultural Specificity.","authors":"Xiaoyu Chen, Yuting Wu, Chunyan Zhang, Peixuan Tan, Anqiao Li, Xuesong Lin, Yuexin Zhang, Chaochao Lu, Manal Abdulrahman Al-Matary, Wenjian Wu, Weihui Li","doi":"10.1176/appi.psychotherapy.20250042","DOIUrl":"10.1176/appi.psychotherapy.20250042","url":null,"abstract":"<p><p>This study explored the culturally specific manifestations of interpersonal psychotherapy's (IPT's) four problem areas within the Chinese cultural context. Synthesizing qualitative feedback from IPT training and clinical supervision involving approximately 500 Chinese mental health professionals (2018-2025), the analysis aimed to highlight how traditional values-such as collectivism, filial piety (<i>xiao</i>), and face (<i>mianzi,</i> or social reputation and dignity)-profoundly shape interpersonal distress. The specific cultural nuances examined included how complicated grief is often masked by male stoicism or compounded by the <i>shidu</i> (loss of only child) stigma; how role transitions are intensified by rapid urbanization, affecting both migrants and left-behind elders; how role disputes are navigated through indirect communication; and how interpersonal deficits are linked to systemic pressures from exam-oriented education. The authors argue that successful implementation of IPT necessitates cultural contextualization rather than structural alteration. Therapists are encouraged to act as cultural navigators, cultivating sensitivity to these internal social norms. By validating somatic expressions and reconstructing culturally resonant support systems, IPT can achieve clinical efficacy and social relevance to foster interpersonal recovery in China.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"136-142"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875551","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":"Disclosing a Parental Leave to Patients Via Telehealth.","authors":"Alyson Gorun","doi":"10.1176/appi.psychotherapy.20250073","DOIUrl":"10.1176/appi.psychotherapy.20250073","url":null,"abstract":"","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"111-113"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272395","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 Role of the Psychologist in the Era of Psychoeducation, Skill-Building, and Symptom-Focused Treatments.","authors":"Michael Pica","doi":"10.1176/appi.psychotherapy.20260010","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20260010","url":null,"abstract":"","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20260010"},"PeriodicalIF":1.7,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841767","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":"Masculinity-Informed Therapeutic Discussions: Strengthening Father Engagement and Family Mental Health Systems.","authors":"Ali Giusto, Savannah Johnson, Florence Jaguga, Mercy Korir, Wilter Rono, Juan Carlos Gonzalez, Dan Aburi, Winnie Mania","doi":"10.1176/appi.psychotherapy.20250070","DOIUrl":"10.1176/appi.psychotherapy.20250070","url":null,"abstract":"<p><strong>Objective: </strong>Men underuse mental health services in part because of masculine norms. Few interventions focus on masculinity in therapeutic contexts, especially in low- and middle-income countries. This study analyzed transcripts from masculinity-focused therapeutic sessions with fathers in Kenya to explore masculine norms and intersections with the therapeutic process.</p><p><strong>Methods: </strong>The study examined transcripts from fathers (N=9) who participated in a pilot trial of LEAD (Learn, Engage, Act, Dedicate), a five-session father-focused intervention addressing alcohol use, depression, and family engagement in Kenya. Applied thematic content analysis was conducted to explore themes of masculinity, fatherhood, and facilitators or barriers to clinical processes guided by the gender role strain theory and motivational interviewing research.</p><p><strong>Results: </strong>Fathers described four core scripts shaping masculine identity: financial provision, intergenerational models of authority and alcohol use, fatherhood as an earned identity, and emotional suppression. Facilitators of engagement (e.g., openness) that emerged in transcripts included peer-father counselors' shared identity, masculinity-aligned affirmations, structured reflection that seemed to create emotional safety, and reframing of vulnerability as a strength. Counselors flexibly balanced fidelity with responsiveness, pausing manual content to support fathers' processing of grief and trauma. These processes appeared to scaffold change talk, values clarification, and redefinition of masculine identity, aligning with documented reductions in alcohol use, depression, and family conflict from the original pilot trial.</p><p><strong>Conclusions: </strong>The findings demonstrate how masculinity-informed discussions can function as intervention and engagement strategies. The results suggest practical strategies for adapting evidence-based treatments to better engage men globally and in family-focused settings.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20250070"},"PeriodicalIF":1.7,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841642","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":"Modalities of Integration in Psychotherapy: Addressing Loneliness Among Older Adults.","authors":"Bruno Faustino","doi":"10.1176/appi.psychotherapy.20250080","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20250080","url":null,"abstract":"<p><strong>Objective: </strong>Loneliness has emerged as one of the most pressing public health challenges in older adulthood, exerting profound effects on mental, cognitive, and general medical health. Defined as the subjective perception of social disconnection, loneliness is associated with depression, anxiety, sleep disturbances, cognitive decline, cardiovascular disease, and increased mortality. Despite decades of intervention research, the multifaceted nature of loneliness remains a challenge to clinicians and researchers. With this review, the author aimed to provide a conceptual overview of how modalities of psychotherapy integration can inform the clinical understanding and treatment of loneliness among older adults.</p><p><strong>Methods: </strong>Relevant literature was identified through targeted searches in major academic databases, including PubMed and Scopus. Five principal modalities of psychotherapy integration-theoretical integration, assimilative integration, technical eclecticism, common factors integration, and metatheoretical unification-were reviewed, and their relevance for geropsychology was critically analyzed.</p><p><strong>Results: </strong>The review suggests that integrative psychotherapy offers a promising framework for conceptualizing and treating loneliness among older adults. By situating loneliness within an integrative framework, clinicians can better address its developmental, relational, cognitive, and existential dimensions.</p><p><strong>Conclusions: </strong>This review highlights not only the conceptual strengths of integrative psychotherapy but also its clinical applicability in promoting belonging, resilience, and meaning in older adulthood. Future directions include refining integrative models specific to loneliness, advancing process research, and embedding training in geropsychology within integrative paradigms.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20250080"},"PeriodicalIF":1.7,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841754","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":"Interpersonal Psychotherapy for Autistic Individuals: A Case Report.","authors":"Joy Benatov","doi":"10.1176/appi.psychotherapy.20260014","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20260014","url":null,"abstract":"","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20260014"},"PeriodicalIF":1.7,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799515","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":"Acceptability of AI-Assisted Psychotherapy to Prospective Patients and Their Intent to Continue Treatment: A Vignette Study.","authors":"Sidney Shaw, Darin Bell","doi":"10.1176/appi.psychotherapy.20260007","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20260007","url":null,"abstract":"<p><strong>Objective: </strong>The authors examined how transparency of artificial intelligence (AI) use (transparent vs. covert) and modality of therapy (telehealth vs. text based) influenced prospective patients' perceived acceptability of AI assistance and intent to continue psychotherapy. A secondary objective was to assess whether age, AI familiarity, and prior psychotherapy experience predicted these perceptions.</p><p><strong>Methods: </strong>A preregistered, cross-sectional vignette study was conducted with 201 U.S. adults recruited from an online survey platform. Participants evaluated five psychotherapy scenarios varying by modality and disclosure, including a control scenario with no AI use. After each vignette, participants rated acceptability and intent to continue treatment. Linear mixed-effects models were used to assess vignette effects, participant characteristics, and interactions involving age and AI familiarity.</p><p><strong>Results: </strong>Across all models, therapist use of AI substantially reduced perceived acceptability and continuation intent compared with the control scenario (all p<0.001). Covert use consistently produced the strongest declines. Participant characteristics did not attenuate vignette effects. Older age and greater chatbot familiarity predicted slightly higher ratings and moderated transparent conditions, reducing penalties modestly.</p><p><strong>Conclusions: </strong>Prospective patients showed strong anticipated preferences for psychotherapy without therapist use of AI. Transparency reduced, but did not eliminate, negative reactions. The findings suggest that potential implementation of AI-assisted psychotherapy requires explicit consent and careful attention to therapeutic relationship concerns.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20260007"},"PeriodicalIF":1.7,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799396","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}