AMERICAN JOURNAL OF PSYCHOTHERAPY最新文献

{"title":"Interpersonal Psychotherapy for Autistic Individuals Experiencing Depression: An Adapted Clinical Framework.","authors":"Joy Benatov","doi":"10.1176/appi.psychotherapy.20240069","DOIUrl":"10.1176/appi.psychotherapy.20240069","url":null,"abstract":"<p><p>Rates of depression among individuals with autism are notably high. Mental health services are often inaccessible, and very few interventions are adapted to their needs. Interpersonal psychotherapy (IPT) can be relevant to treating autistic individuals' depression but needs to be adapted. This article presents an adapted IPT framework for treating autistic individuals who have depressive symptoms (IPT-Au). The framework integrates a neurodiversity-informed approach with the classic IPT model along with several key adaptations. IPT-Au accounts for the tridirectional dynamics of interpersonal interactions, depressive symptoms, and autistic lived experience. This model provides a framework for implementing IPT with autistic individuals who have verbal skills suitable for brief psychotherapy.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"84-90"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330436","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":"Evidence-Based Psychotherapy Training in Residency and Graduate Programs: A Multidisciplinary Survey.","authors":"Luis E Flores, Danielle M Novick, Kelsey A Bonfils, Sarah E Bledsoe, Meredith Spada, Talia van der Vyver, Myrna M Weissman, Laura Mufson, John C Markowitz","doi":"10.1176/appi.psychotherapy.20250015","DOIUrl":"10.1176/appi.psychotherapy.20250015","url":null,"abstract":"<p><strong>Objective: </strong>Training in evidence-based psychotherapies (EBPs) in clinical programs is crucial for increasing their use in practice. Twenty years ago, the National Psychotherapy Training Survey-I (NPTS-I) examined whether U.S. training programs required didactic training and clinical supervision in EBPs. Almost all psychiatry (96%) programs, but only 56% of clinical psychology Ph.D., 33% of clinical psychology Psy.D., and 38% of social work (i.e., M.S.W.) programs, required EBP training. After years of dissemination efforts, the authors reexamined EBP training levels across those disciplines as well as counseling psychology and psychiatric-mental health nurse practitioner (PMHNP) programs by conducting the NPTS-II.</p><p><strong>Methods: </strong>Half of accredited training programs in each discipline were randomly selected for an online survey of training requirements and electives, whether all trainees receive EBP training, and associated barriers and facilitators. Of 574 invited programs, 253 (44%) program directors completed responses: 48 psychiatry (37%), 44 clinical psychology Ph.D. (53%), 14 clinical psychology Psy.D. (36%), 34 counseling psychology (58%), 38 PMHNP (35%), and 75 M.S.W. (49%) programs.</p><p><strong>Results: </strong>At least 75% of programs across disciplines offered didactic and clinical supervision EBP training. Required training rates were higher in psychiatry (90%) and clinical psychology Ph.D. (81%) programs than in clinical psychology Psy.D. (59%), PMHNP (48%), counseling psychology (28%), and M.S.W. (27%) programs. A similar pattern emerged in estimations of all trainees receiving EBP training.</p><p><strong>Conclusions: </strong>EBP training requirements held steady in psychiatry and increased in clinical psychology programs. Low EBP training rates persist in other disciplines, possibly contributing to the continuing gap between EBP research efficacy evidence and practice.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"54-62"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702397","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":"Progress Hidden Beneath the Scores: Two-Chair Dialogue Assessment for a Client With Borderline Personality Disorder.","authors":"José Luis Blanco Machinea, Loris Grandjean, Hélène Beuchat, Ueli Kramer","doi":"10.1176/appi.psychotherapy.20250011","DOIUrl":"10.1176/appi.psychotherapy.20250011","url":null,"abstract":"","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"95-100"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144153","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 Effectiveness of Dialectical Behavior Therapy With Adolescents in a Psychiatric Residential Treatment Center.","authors":"Nicholas Williams, Maya L Hubbard, Edmund Fanslau, Xinxin Wu, Justin Romano, Geoffrey Allison, Lark Reasoner, Allie Burt, Michelle E Roley-Roberts","doi":"10.1176/appi.psychotherapy.20250014","DOIUrl":"10.1176/appi.psychotherapy.20250014","url":null,"abstract":"<p><strong>Objective: </strong>This study focused on the implementation of dialectical behavior therapy (DBT), an evidence-based treatment for youths with nonsuicidal self-injury and suicidal ideation, in a psychiatric residential treatment center (RTC) for children and adolescents who have complex psychological, psychiatric, substance use, and developmental disorders.</p><p><strong>Methods: </strong>In a pilot hybrid effectiveness-implementation trial, the authors compared functioning scores of adolescent patients who received DBT (N=113) with the scores of those who received treatment as usual (N=114) in an RTC. Data were collected from 227 adolescents admitted to the RTC over a 2-year period (July 2018-June 2020). Chi-square and t-test analyses were used to explore demographic differences and differences in functioning between the two groups.</p><p><strong>Results: </strong>Adolescents in the DBT group demonstrated improved overall functioning between admission and discharge, but analyses indicated a nonsignificant difference between adolescents who received DBT and those who received treatment as usual.</p><p><strong>Conclusions: </strong>This nonrandomized study suggests that DBT may be a useful psychotherapeutic treatment for adolescents, although findings are preliminary.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"63-68"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272407","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":"Telemedicine in Mental Health Care: Therapists' Perspectives on Remote Appointments.","authors":"Vicki Myers, Arad Kodesh, Clara Singer","doi":"10.1176/appi.psychotherapy.20250006","DOIUrl":"10.1176/appi.psychotherapy.20250006","url":null,"abstract":"<p><strong>Objective: </strong>The use of telemedicine has soared in recent years. In this study, the authors explored perspectives of Israeli mental health professionals on the use of telemedicine for mental health services.</p><p><strong>Methods: </strong>Semistructured interviews were conducted with 10 mental health professionals recruited from a health maintenance organization (HMO) in Israel's public health system. The interviews were transcribed and analyzed in an iterative method to code and identify themes and categories.</p><p><strong>Results: </strong>Most of the participants viewed telemedicine positively, as a way to enable care when in-person visits were not possible, and favored its implementation alongside in-person visits. The providers agreed that video appointments were superior to telephone appointments. Difficulties raised included technical and privacy issues; benefits included the ability to see patients in their home environments. The therapists who set minimal guidelines for video appointments found the process to be effective; those who did not set guidelines found that their patients were less focused. The participants felt that they could effectively connect with their patients via video, particularly once a relationship had been established in person. Whereas some of the providers had received training specific to telemedicine, others had learned on the job.</p><p><strong>Conclusions: </strong>The results highlighted the growing acceptance and effectiveness of telemedicine in facilitating continuity of mental health care, particularly when combined with in-person appointments. HMOs may consider a hybrid model, offering telemedicine to patients who may benefit from it. Continued training and support for providers is crucial to optimize delivery of mental health care via telemedicine.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"69-77"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453518","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 ACT on the Executive Function and Emotional Distress of Older Adults With Subjective Cognitive Decline.","authors":"Haihong Liu, Xiaolei Zhang, Sheau Tsuey Chong, Eugene Koh Boon Yau, Abdul Rahman Ahmad Badayai, Haining Liu, Changming Wang","doi":"10.1176/appi.psychotherapy.20250040","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20250040","url":null,"abstract":"<p><strong>Objective: </strong>Subjective cognitive decline (SCD) is often considered an early phase of dementia and is associated with emotional distress, without approved treatments. This study in China aimed to evaluate the effects of acceptance and commitment therapy (ACT) on cognitive and emotional distress among older adults with SCD.</p><p><strong>Methods: </strong>The study used an experimental design of two sequential phases. First, the authors screened 158 older adults with a cross-sectional survey that used standardized SCD criteria and enrolled 34 individuals (mean±SD age=65.66±5.02 years, range 60-77 years) who met the inclusion criteria (SCD with emotional distress). Second, they implemented a two-group randomized controlled trial with repeated measures (baseline and posttest) over 7 weeks to compare the outcomes of ACT with the waitlist control group. The intervention group (N=15 after two participants dropped out) received weekly ACT sessions; the control group (N=17) received the intervention after the experiment. Outcomes included executive function, emotional distress, and psychological flexibility, which were assessed at baseline and posttest.</p><p><strong>Results: </strong>Compared with the waitlist control group, participants in the intervention group showed significant improvement in executive function, emotional distress, and psychological flexibility. No significant changes were observed in the control group in these areas.</p><p><strong>Conclusions: </strong>The findings support the efficacy of ACT compared with a waitlist condition, but the design limits causal inference regarding ACT-specific mechanisms. Future trials incorporating active control conditions are needed to determine the mechanisms underlying ACT-related improvement.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20250040"},"PeriodicalIF":2.5,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044162","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 Impact of Race-Based Stress on Black Mental Health: A Biopsychosocial Perspective.","authors":"Eugena K Griffin","doi":"10.1176/appi.psychotherapy.20250041","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20250041","url":null,"abstract":"<p><p>Racism-the practices within a society that are intended to disenfranchise a racial or ethnic group and perpetuate inequality-has a long history in the United States, and exposure to it continues to be a source of stress for Blacks. In this Brief Report, the author reviews the negative effects of racism on general and mental health, conceptualizing racism as a form of traumatic and generational stress. The benefits of using the biopsychosocial model to address patients' health concerns are discussed. Compared with the biomedical model, this framework can help clinicians address patients' symptoms more holistically, taking into account the influence of different aspects of a person's life on their health, including the impact of racism as a chronic stressor.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20250041"},"PeriodicalIF":2.5,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044199","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":"It Takes a Village: Association of Family Social Engagement With Reduced Postpartum Depression During Psychotherapy.","authors":"Leah Susser, Aliayah Himelfarb, Heather Doherty, Delaney Callaghan, Victoria M Wilkins, Justin Chen, Oded Bein, Nili Solomonov","doi":"10.1176/appi.psychotherapy.20250056","DOIUrl":"10.1176/appi.psychotherapy.20250056","url":null,"abstract":"<p><strong>Objective: </strong>Social disconnection increases risk for and persistence of postpartum depression (PPD). This study examined which social activities reduce PPD during psychotherapy designed to improve social engagement with significant others.</p><p><strong>Methods: </strong>Women with PPD (N=38) received 9 weeks of Engage & Connect, a behavioral activation psychotherapy that aims to increase social engagement. They completed weekly social activities with friends, their partner, their infant, family, or alone in a social setting. The study examined rates of engagement in each category and tested which social activities predicted PPD reduction.</p><p><strong>Results: </strong>Women most often engaged in social activities with friends (χ²=36.83, df=4, p<0.001, N=30); however, only engagement with family predicted PPD reduction during psychotherapy (F=5.81, df=1 and 265, p=0.02, N=30).</p><p><strong>Conclusions: </strong>Women were most likely to choose social activities with friends. Engagement with family was the most beneficial for reducing PPD. These results can be used to inform future clinical recommendations.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20250056"},"PeriodicalIF":2.5,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875867","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":"Engaging Persistent Delusions of a Patient With Schizophrenia: A Reflection on Building the Therapeutic Alliance.","authors":"John M Pothen","doi":"10.1176/appi.psychotherapy.20250013","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20250013","url":null,"abstract":"","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20250013"},"PeriodicalIF":2.5,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785342","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":"Caring for Trauma in Underserved Communities: Enhancing Psychotherapy.","authors":"Trenton L James, Kevin Shird, Pamela Y Collins","doi":"10.1176/appi.psychotherapy.20250069","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20250069","url":null,"abstract":"<p><p>Underserved communities-especially communities of color in the United States-face disproportionate exposure to trauma because of social and structural inequalities. These factors give rise to intergenerational transmission of trauma and inform cultural beliefs about psychotherapy and mental health care more broadly. Increasingly, individual psychotherapies developed in diverse settings, as well as community-based psychosocial interventions, show evidence of client engagement, acceptability, and efficacy. The authors describe upstream and immediate factors that increase vulnerability to trauma among U.S. Black communities facing adversity. Vulnerabilities and strengths shaped by colonialism and enslavement are also examined across communities of color. Although psychotherapy for communities of color can play a vital role in healing personal harms shaped by structural threats, it is insufficient without additional resources. Providers and communities must collaborate in order to understand and reduce structural stigmas that are sources of trauma and barriers to care.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20250069"},"PeriodicalIF":2.5,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147521925","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}