AMERICAN JOURNAL OF PSYCHOTHERAPY最新文献_第9页

Using the Achievement of Therapeutic Objectives Scale to Operationalize "Unlocking" of the Unconscious. 使用治疗目标实现量表来实现无意识的“解锁”。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2022-12-01 DOI: 10.1176/appi.psychotherapy.20200040

Pejman Hoviatdoost, Robert Schweitzer, Siavash Bandarian-Balooch, Stephen Arthey, Zahra Izadikhah

{"title":"Using the Achievement of Therapeutic Objectives Scale to Operationalize \"Unlocking\" of the Unconscious.","authors":"Pejman Hoviatdoost, Robert Schweitzer, Siavash Bandarian-Balooch, Stephen Arthey, Zahra Izadikhah","doi":"10.1176/appi.psychotherapy.20200040","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20200040","url":null,"abstract":"Objective: Intensive short-term dynamic therapy (ISTDP) is an evidence-based psychotherapy supported by a growing literature base. \"Unlocking\" of the unconscious is a central process in ISTDP. This study sought to operationalize the concept of unlocking by adopting a detailed process analysis of the early phase of therapy for four patients by using a structured measure, the Achievement of Therapeutic Objectives Scale (ATOS).Methods: The ATOS is a measure of psychotherapy processes. A profile of the scale's cutoff scores was developed to identify episodes of unlocking in videos of 28 ISTDP therapy sessions. Expert raters assessed for episodes of unlocking for up to the first 10 recorded psychotherapy sessions of four participants in a naturalistic private practice setting. Sessions were then rated with the ATOS profile, and these ratings were compared with expert ratings to assess the sensitivity of the ATOS in identifying episodes of unlocking.Results: Using the profile of subscale cutoff scores, the ATOS successfully identified seven of 11 episodes of unlocking. A visual analysis of descriptive data indicated that average ATOS subscale scores consistently identified episodes of unlocking and the presence of complex feelings of rage and guilt about the rage. Expert ratings of unlocking and the ATOS ratings were found to have high interrater reliability.Conclusions: This pilot study suggests that the ATOS may be adapted to provide a profile that can identify episodes of unlocking of the unconscious. The proposed measure is worthy of further study, representing an initial step toward operationalizing a central process associated with positive outcomes in ISTDP.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":"75 4","pages":"161-167"},"PeriodicalIF":2.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10782743","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

Appreciation to Reviewers. 感谢审稿人。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2022-12-01 DOI: 10.1176/appi.psychotherapy.22075002

引用次数: 0

Comparing Heart Rate Analytical Methods to Examine Engagement During Imaginal Prolonged Exposure Therapy: Multicase Study. 比较心率分析方法在影像学长时间暴露治疗中的应用:多病例研究。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2022-12-01 DOI: 10.1176/appi.psychotherapy.20210044

Alexandra H Cowden Hindash, Allison Diamond Altman, Julia Levitan, Sabra S Inslicht

{"title":"Comparing Heart Rate Analytical Methods to Examine Engagement During Imaginal Prolonged Exposure Therapy: Multicase Study.","authors":"Alexandra H Cowden Hindash, Allison Diamond Altman, Julia Levitan, Sabra S Inslicht","doi":"10.1176/appi.psychotherapy.20210044","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20210044","url":null,"abstract":"Objective: As mobile health technologies proliferate, their use during exposure-based therapies has the potential to illuminate treatment mechanisms. The primary purpose of this study was to examine three approaches to using continuously collected physiological data of patients with posttraumatic stress disorder during prolonged exposure (PE) therapy, in an effort to examine physiological markers of treatment response.Methods: Photoplethysmogram-measured heart rates from three non-Hispanic White male veterans, during clinic-based PE therapy sessions, were analyzed to assess three potential therapeutic mechanisms: emotional engagement (examined via correlation analysis between self-reported peak distress ratings and objectively measured peak heart rate in the minute prior to distress ratings), initial emotion activation (examined through time to peak heart rate and peak self-reported distress), and extinction processes within and between therapy sessions (examined via multilevel modeling of within- and between-person changes in heart rate over time and across imaginal PE therapy sessions).Results: Results for each analytical approach with each patient are presented, and benefits and limitations of each approach are discussed. Treatment outcomes were as follows: one participant with overengagement did not benefit from PE, one participant with initial underengagement demonstrated clinical improvement, and one participant with optimal engagement had associated clinical improvements.Conclusions: Mobile health technologies may provide a new avenue toward unveiling treatment mechanisms in psychotherapy. Use of standardized analytical approaches will enable cross-study comparison and greater understanding of treatment mechanisms, ultimately leading to increased treatment response.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":"75 4","pages":"168-176"},"PeriodicalIF":2.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10348959","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

Technological Advances in Cognitive-Behavioral Therapy and Clinical Practice: Challenges in an Evolving Field. 认知行为治疗和临床实践的技术进步:一个不断发展的领域的挑战。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2022-12-01 DOI: 10.1176/appi.psychotherapy.20220003

Lisa A O'Donnell, Daphne M Brydon, Antonio González-Prendes

{"title":"Technological Advances in Cognitive-Behavioral Therapy and Clinical Practice: Challenges in an Evolving Field.","authors":"Lisa A O'Donnell, Daphne M Brydon, Antonio González-Prendes","doi":"10.1176/appi.psychotherapy.20220003","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20220003","url":null,"abstract":"Technological innovations in cognitive-behavioral therapy (CBT) provide excellent opportunities for mental health clinicians to expand access to mental health treatment among culturally diverse and marginalized populations. This brief report highlights challenges that mental health clinicians encounter as they integrate technological innovations in CBT into their work with diverse clients and provides recommendations for addressing them. The authors identify five key challenges of using technology-driven CBT: development of the therapeutic alliance; potential fit for clients from culturally diverse backgrounds and marginalized groups; geographic and economic access; ethical and legal concerns; and competency in CBT practice, training, and supervision. Technological advances in CBT allow clinicians to treat more individuals from underserved communities. Existing challenges compel clinicians across disciplines to ensure that their practice is congruent with CBT practice values and ethics, policy, and research and that the best available CBT intervention can be integrated into all aspects of mental health practice.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":"75 4","pages":"186-190"},"PeriodicalIF":2.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10348956","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

Examining Expectations Among Polynesian Americans About Seeking Psychotherapy. 研究波利尼西亚美国人对寻求心理治疗的期望。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2022-12-01 DOI: 10.1176/appi.psychotherapy.20210031

G E Kawika Allen, Aki Masuda, Derek Griner, Mark Beecher, Jared Cline, Cameron Hee, Mason Ming

{"title":"Examining Expectations Among Polynesian Americans About Seeking Psychotherapy.","authors":"G E Kawika Allen, Aki Masuda, Derek Griner, Mark Beecher, Jared Cline, Cameron Hee, Mason Ming","doi":"10.1176/appi.psychotherapy.20210031","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20210031","url":null,"abstract":"Objective: Research on culturally diverse clients has investigated expectations about psychotherapy and intention to seek counseling. However, few studies have investigated how these factors may be linked to specific client expectations, such as advice-seeking (the client expecting the therapist to give advice) and audience-seeking (the client expecting to lead the sessions) behaviors, particularly for U.S. racial-ethnic minority populations.Methods: This study used a survey to investigate 593 Polynesian Americans' gender and ethnic preferences for therapists, as well as the mediating effects of advice- and audience-seeking behaviors and their associations with intention to seek counseling and expectations about psychotherapy.Results: Results indicated that audience-seeking behavior mediated the association between expectations about the psychotherapy process and intention to seek counseling for psychological and interpersonal concerns and between expectations about psychotherapy outcomes and intention to seek counseling for academic concerns.Conclusions: Culturally competent counseling for Polynesian Americans, a fast-growing yet understudied population in the United States, is needed, particularly by psychotherapists working with these individuals. Expectations about the process of therapy, such as audience-seeking behavior, may be important to consider in working with this population.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":"75 4","pages":"154-160"},"PeriodicalIF":2.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10409863","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 Substitute Therapist. 替代治疗师。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2022-12-01 DOI: 10.1176/appi.psychotherapy.20220006

Fairouz Ali

引用次数: 0

How We Got Here: The Demise of Psychotherapy Clinical Trials in America. 我们是如何走到这一步的:美国心理治疗临床试验的消亡。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2022-12-01 DOI: 10.1176/appi.psychotherapy.20220064

Holly A Swartz

引用次数: 0

Multicultural Streaming in Group Psychotherapy Supervision: Orientation to and Preparation for Culturally Humble Practice. 团体心理治疗监督中的多元文化流:文化谦卑实践的导向与准备。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2022-09-01 Epub Date: 2021-11-24 DOI: 10.1176/appi.psychotherapy.20210021

C Edward Watkins, Shiho Toyama, Melissa Briones, Gabriella Gaskin-Cole, Sabrina Zuniga, Julian Yoon, Hannah Hwang, Faraha Hasan, Dominique Doty, Justin R Harker, Joshua N Hook, Chiachih D C Wang, Melanie M Wilcox

{"title":"Multicultural Streaming in Group Psychotherapy Supervision: Orientation to and Preparation for Culturally Humble Practice.","authors":"C Edward Watkins, Shiho Toyama, Melissa Briones, Gabriella Gaskin-Cole, Sabrina Zuniga, Julian Yoon, Hannah Hwang, Faraha Hasan, Dominique Doty, Justin R Harker, Joshua N Hook, Chiachih D C Wang, Melanie M Wilcox","doi":"10.1176/appi.psychotherapy.20210021","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20210021","url":null,"abstract":"How do psychotherapy supervisors most effectively integrate issues and concerns about multiculturalism and social justice (MSJ) into the supervisory experience? Concrete examples of how to best address this integration are needed, and this article provides one such example. The authors propose multicultural streaming as one approach to orient supervisees about, and prepare them for, incorporation of MSJ matters into group supervision and to foster their evolving sense of culturally humble practice. This article defines multicultural streaming, presents a plan for its implementation at the group's outset, and identifies implementation guideposts for consideration. A set of cultural humility guidelines adapted for group supervision is also proposed for group facilitation. This perspective is presented with the hope of generating further discussion about integrating MSJ issues into the group supervisory experience.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":"75 3","pages":"129-133"},"PeriodicalIF":2.5,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39741209","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: 1

Seventy-Five Years and Counting: The Legacy of The American Journal of Psychotherapy. 《七十五年与数数：美国心理治疗杂志的遗产》。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2022-06-15 DOI: 10.1176/appi.psychotherapy.20220039

H. Swartz

引用次数: 0

Connection During COVID-19: Pilot Study of a Telehealth Group Parenting Intervention. COVID-19 期间的连接：远程医疗小组育儿干预试点研究。

IF 2.3

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2022-06-15 Epub Date: 2021-09-16 DOI: 10.1176/appi.psychotherapy.20210005

Amanda Zayde, Anna Kilbride, Audrey Kucer, Henry A Willis, Adella Nikitiades, Jonathan Alpert, Vilma Gabbay

{"title":"Connection During COVID-19: Pilot Study of a Telehealth Group Parenting Intervention.","authors":"Amanda Zayde, Anna Kilbride, Audrey Kucer, Henry A Willis, Adella Nikitiades, Jonathan Alpert, Vilma Gabbay","doi":"10.1176/appi.psychotherapy.20210005","DOIUrl":"10.1176/appi.psychotherapy.20210005","url":null,"abstract":"Objective: The COVID-19 pandemic has resulted in considerable stress for families, placing parents at risk for heightened psychological distress, while prompting widespread changes in mental health service delivery. This study evaluated treatment engagement, acceptability, and psychiatric distress among participants in the telehealth adaptation of the Connecting and Reflecting Experience (CARE) program after the onset of COVID-19.Methods: CARE is a transdiagnostic, bigenerational, mentalizing-focused group parenting intervention based out of an outpatient child mental health clinic in an underserved urban community. Individuals participating in CARE during the clinic's transition to telehealth services were recruited for participation in this pre-post design pilot study. Participants (N=12) completed self-report surveys before and after their first telehealth group session and at their 20-week follow-up. Quantitative and qualitative measures were used to evaluate psychiatric symptoms, treatment engagement, and preliminary acceptability of the adaptation.Results: Self-reported mood and anxiety symptoms decreased significantly after 20 weeks of telehealth therapy. Participants reported high levels of therapeutic alliance and group cohesion in the telehealth format. Results also showed minimal participant-reported privacy concerns and a trend toward increased treatment engagement.Conclusions: These findings have implications regarding the acceptability of teletherapy interventions for caregivers of children during this period of heightened vulnerability and limited access to social support and health services. They also are relevant to establishing the preliminary acceptability of mentalizing-focused parenting inventions delivered via telehealth.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":"75 2","pages":"67-74"},"PeriodicalIF":2.3,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9490759/pdf/nihms-1829442.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9589169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0