AMERICAN JOURNAL OF PSYCHOTHERAPY最新文献_第9页

Object Relations-Informed Psychotherapy: Introduction to Festschrift Honoring Otto F. Kernberg, M.D. 客体关系-知情心理治疗:介绍费斯契夫纪念奥托F.克恩伯格，医学博士

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2023-03-01 DOI: 10.1176/appi.psychotherapy.20220068

Jill C Delaney, John F Clarkin

引用次数: 0

Changes in Attachment Representation and Personality Organization in Transference-Focused Psychotherapy. 移情心理治疗中依恋表征与人格组织的变化。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2023-03-01 DOI: 10.1176/appi.psychotherapy.20220018

Diana Diamond, John R Keefe, Susanne Hörz-Sagstetter, Melitta Fischer-Kern, Stephan Doering, Anna Buchheim

{"title":"Changes in Attachment Representation and Personality Organization in Transference-Focused Psychotherapy.","authors":"Diana Diamond, John R Keefe, Susanne Hörz-Sagstetter, Melitta Fischer-Kern, Stephan Doering, Anna Buchheim","doi":"10.1176/appi.psychotherapy.20220018","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20220018","url":null,"abstract":"Objective: The aim of this article was to construct an empirical bridge between object relations theory and attachment theory by investigating how researchers in both traditions have contributed to understanding and assessing identity diffusion (a keystone of personality pathology) and object relations in patients with borderline personality disorder during 1 year of transference-focused psychotherapy (TFP).Methods: The Adult Attachment Interview (AAI) and the Structured Interview of Personality Organization (STIPO) were administered to patients (N=104, all women) before and after 1 year of treatment. This study was part of a randomized controlled trial in which 104 patients with borderline personality disorder were randomly assigned to receive either TFP (a manualized, structured psychodynamic treatment approach) or treatment by experienced community psychotherapists. Changes on the AAI in attachment representations, narrative coherence, and reflective function were examined for their associations with changes on the STIPO in identity, object relations, and aggression.Results: Patients who shifted from disorganized (unresolved) to organized attachment on the AAI after 1 year of TFP (but not treatment by experienced community psychotherapists) showed hypothesized improvements in domains of personality organization on the STIPO, including identity, object relations, and aggression. Those who did not change from disorganized (unresolved) to organized attachment improved only in the domain of aggression.Conclusions: These findings highlight the centrality of identity diffusion to borderline personality disorder pathology and the importance of targeting it in treatment. Furthermore, the results suggest that identity may be indexed by measures of attachment security, narrative coherence, and personality organization.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":"76 1","pages":"31-38"},"PeriodicalIF":2.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9636196","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: 6

Narcissistic Personality Disorder Studied the Long Way: Predicting Change in Narcissistic Pathology During College. 自恋型人格障碍的长期研究:预测大学期间自恋病理的变化。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2023-03-01 DOI: 10.1176/appi.psychotherapy.20220020

Mark F Lenzenweger

{"title":"Narcissistic Personality Disorder Studied the Long Way: Predicting Change in Narcissistic Pathology During College.","authors":"Mark F Lenzenweger","doi":"10.1176/appi.psychotherapy.20220020","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20220020","url":null,"abstract":"Objective: Otto F. Kernberg pioneered the description, understanding, and treatment of pathological narcissism. Narcissism has emerged as a clinical construct of considerable interest in clinical psychology, psychiatry, and psychoanalysis and has often been featured in the literature on personality and social psychology. Considerable discussion in recent years has focused on whether levels of narcissism seen among young adults have been increasing. Nearly all of that discussion has been focused on changes in successive cohorts in normative (normal-range) expressions of narcissism. No direct prospective longitudinal study of the same individuals has assessed for pathological narcissism during college, the period that has been the specific focus of such lively debate. This study aimed to fill that gap in the literature.Methods: This multiwave, longitudinal study explored pathological narcissism during college by enrolling first-year undergraduate students (N=250) from the Longitudinal Study of Personality Disorders and by using individual growth curve (IGC) analysis. Participants were assigned to either a possible personality disorder or no personality disorder group, according to results from the International Personality Disorder Examination.Results: By the third wave of assessments, 16% of the sample received a probable or definite diagnosis of at least one axis II personality disorder. IGC analysis revealed that pathological narcissism declined across the first 4 years of college. Personality predictors of this pattern of change are also discussed.Conclusions: This study highlights the need for a fine-grained prospective study of the same participants over time to illuminate patterns of change in narcissism.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":"76 1","pages":"15-25"},"PeriodicalIF":2.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9469969","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

The Practitioner's Guide to the Science of Psychotherapy. 心理治疗科学实践者指南。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2023-02-01 DOI: 10.1176/appi.psychotherapy.20220051

Brandon Neisewander, Kyle McGinty

引用次数: 0

Pilot Study of Blended-Format Interpersonal Psychotherapy for Major Depressive Disorder. 混合式人际心理治疗治疗重度抑郁症的初步研究。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2023-02-01 DOI: 10.1176/appi.psychotherapy.20210061

Digna J F van Schaik, Amrah Y Schotanus, Els Dozeman, Marcus J H Huibers, Pim Cuijpers, Tara Donker

{"title":"Pilot Study of Blended-Format Interpersonal Psychotherapy for Major Depressive Disorder.","authors":"Digna J F van Schaik, Amrah Y Schotanus, Els Dozeman, Marcus J H Huibers, Pim Cuijpers, Tara Donker","doi":"10.1176/appi.psychotherapy.20210061","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20210061","url":null,"abstract":"Objective: Blended-format interpersonal psychotherapy (IPT) is an integrated approach consisting of alternating face-to-face (in person or videoconferencing) and online sessions, and this format may increase access to care, empower patients, and improve quality and cost-effectiveness of care. This study, conducted in the Netherlands, was one of the first to investigate the feasibility of blended-format IPT in specialized mental health care.Methods: Participants (ages 18-64, N=21) with a unipolar depressive episode were recruited at an outpatient mood disorder clinic. In this pre-post nonrandomized pilot study, the blended IPT consisted of six online sessions alternated with six to 10 in-person or videoconferencing sessions. Feasibility (defined as >60% of the participants having completed >50% of the online sessions), usability (via the System Usability Scale [SUS]), satisfaction (via the Client Satisfaction Questionnaire-8 [CSQ-8] and qualitative interviewing), and symptom reduction (via the nine-item Patient Health Questionnaire [PHQ-9]) were assessed.Results: Of the participants, 90% (95% CI=70%-99%) completed all online sessions. Mean±SD scores were 25.12±3.55 (of 32) on the CSQ-8 and 66.0±12.4 (of 100) on the SUS. PHQ-9 scores (N=21) decreased significantly, from 17.48±5.41 at baseline to 11.90±6.45 postintervention, indicating improvement (t=4.86, df=20, p=0.001). Hedges' g was 0.90 (95% CI=0.44-1.41), indicating a large effect size. The treatment response rate was 33% (95% CI=15%-57%); the remission rate was 19% (95% CI=6%-42%).Conclusions: Blended-format IPT was feasible, and patients were satisfied with the intervention. The therapy described here may serve as a starting point for cost-effectiveness research on this promising format.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":"76 2","pages":"69-74"},"PeriodicalIF":2.5,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9634904","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

Intent to Understand the Meaning of Psychotic Symptoms During Patient-Psychiatrist Interactions. 理解精神病患者-精神科医生互动过程中精神病症状意义的意图。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2023-02-01 DOI: 10.1176/appi.psychotherapy.20220034

Jeremy M Ridenour, Michael Garrett

{"title":"Intent to Understand the Meaning of Psychotic Symptoms During Patient-Psychiatrist Interactions.","authors":"Jeremy M Ridenour, Michael Garrett","doi":"10.1176/appi.psychotherapy.20220034","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20220034","url":null,"abstract":"Research confirms that although patients experiencing psychosis want to speak about their symptoms with psychiatrists, psychiatrists are often hesitant to engage them directly in such conversations because of their fear of colluding, promoting defensiveness, or rupturing the therapeutic alliance. As a result, patients are often left to contend with confusing psychotic experiences, such as hallucinations and delusions, that they cannot make sense of on their own. In this article, the common barriers that prevent engagement in conversations about psychosis are described, and the conventional wisdom about the futility of talking with patients about delusions is challenged. The article suggests that instead of avoiding conversations about psychotic ideas, psychiatrists should embrace an \"intent to understand,\" an inquisitive state of mind even in the face of seemingly incomprehensible symptoms. Such a stance can promote the therapeutic alliance, deepen an understanding of the patient as a person, and facilitate an integrative recovery style. Finally, the article offers clinical pointers, including the importance of behaving courteously and respectfully, listening to the affect expressed in the symptom, and looking for connections between the symptom and painful life experiences. Maintaining an intent to understand may help psychiatric residents-in-training, as well as experienced clinicians, to foster an empathic understanding that builds a positive therapeutic alliance and contributes to more successful pharmacotherapy and psychotherapeutic interventions.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":"76 2","pages":"57-61"},"PeriodicalIF":2.5,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9688912","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

Artificial Intelligence (AI) Psychotherapy: Coming Soon to a Consultation Room Near You? 人工智能(AI)心理治疗:即将来到你身边的诊室?

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2023-02-01 DOI: 10.1176/appi.psychotherapy.20230018

Holly A Swartz

引用次数: 0

A Psychodynamic Approach to Co-occurring Borderline Personality and Substance Use Disorders in the Emergency Department. 急诊科边缘性人格和物质使用障碍共同发生的心理动力学方法。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2023-02-01 DOI: 10.1176/appi.psychotherapy.20220041

Bernadine H Han, Giselle Appel, Jonathan D Avery, Richard Hersh

引用次数: 0

Multifamily Group Psychotherapy for Patients With Nonepileptic Seizures and Their Families. 非癫痫性发作患者及其家属的多家庭团体心理治疗。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2023-02-01 DOI: 10.1176/appi.psychotherapy.20210060

Randi Libbon, Brian Rothberg, Sarah Baker, Alison Heru

{"title":"Multifamily Group Psychotherapy for Patients With Nonepileptic Seizures and Their Families.","authors":"Randi Libbon, Brian Rothberg, Sarah Baker, Alison Heru","doi":"10.1176/appi.psychotherapy.20210060","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20210060","url":null,"abstract":"Objective: Multifamily group (MFG) psychotherapy is widely used for mental and general medical conditions. MFG therapy engages family members in caring for a loved one experiencing illness and helps clarify the impact of illness on family. Use of MFG therapy for patients with nonepileptic seizures (NES) and their families to explore satisfaction with treatment and family functioning is described.Methods: MFG therapy for patients with NES and their participating family members was incorporated into an existing interdisciplinary group-based psychotherapy treatment program. The Family Assessment Device and a novel feedback questionnaire were used to understand the effect of MFG therapy on this population.Results: Patients with NES (N=29) and their corresponding family members (N=29) indicated on the feedback questionnaire their satisfaction with having MFG therapy as part of their treatment; satisfaction was also evidenced by a 79% (N=49 of 62) patient participation rate. Patients and family members reported enhanced understanding of the impact of illness on the family and believed MFG therapy would help them communicate about illness and reduce family conflict. Scores on the Family Assessment Device indicated that family members perceived better family functioning than did patients (average scores of 1.84 and 2.99, respectively).Conclusions: The discrepancy in perceived family functioning supports the idea of integrating family members in treatment for patients experiencing NES. The group treatment modality was satisfactory to participants and may prove useful for other kinds of somatic symptom disorders, which are often external manifestations of internal distress. Family members can become treatment allies in psychotherapy when included in treatment.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":"76 2","pages":"62-68"},"PeriodicalIF":2.5,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9636211","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

Development of Psychiatric Residents as Psychotherapists: Effectiveness of a Psychotherapy Pathway. 精神科住院医师作为心理治疗师的发展:心理治疗途径的有效性。

IF 2.5

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2023-02-01 DOI: 10.1176/appi.psychotherapy.20220036

Stephanie K Chang, Laurel D Pellegrino, Barbara S McCann

{"title":"Development of Psychiatric Residents as Psychotherapists: Effectiveness of a Psychotherapy Pathway.","authors":"Stephanie K Chang, Laurel D Pellegrino, Barbara S McCann","doi":"10.1176/appi.psychotherapy.20220036","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20220036","url":null,"abstract":"Objective: This study aimed to assess the effectiveness and impact of participation by psychiatric residents in an academic institution's tiered psychotherapy pathway.Methods: The authors invited pathway graduates who earned an area of distinction between 2013 and 2020 (N=22) to complete an anonymous online survey about their pathway experiences.Results: Thirteen graduates (59%) responded to the survey. Most respondents (92%) agreed that participating in the pathway exposed them to many psychotherapy modalities, and most (92%) agreed that their participation facilitated an in-depth understanding of one or more psychotherapy modalities of personal interest. In written comments, respondents practicing across different settings noted that pathway participation had positively influenced their career development.Conclusions: The survey results highlight the educational and professional benefits of developing a psychotherapy pathway for psychiatric residents with varying career plans.","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":"76 2","pages":"87-90"},"PeriodicalIF":2.5,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9627127","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