JOURNAL OF CONTEMPORARY PSYCHOTHERAPY最新文献

Transdiagnostic Emotion-Focused Therapy for Couples with Co-Morbid Relational and Mood, Anxiety and Related Difficulties 针对同时存在关系、情绪、焦虑和相关困难的夫妇的跨诊断情感焦点疗法

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JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-09-02 DOI: 10.1007/s10879-024-09645-7

Ladislav Timulak, Jessica Dailey, Jessica Lunn, Jessica McKnight

{"title":"Transdiagnostic Emotion-Focused Therapy for Couples with Co-Morbid Relational and Mood, Anxiety and Related Difficulties","authors":"Ladislav Timulak, Jessica Dailey, Jessica Lunn, Jessica McKnight","doi":"10.1007/s10879-024-09645-7","DOIUrl":"https://doi.org/10.1007/s10879-024-09645-7","url":null,"abstract":"There is a clear association between relational dissatisfaction in romantic relationships and elevated mental health issues such as depression and anxiety. The association can run in both directions and adds complexity to both relationship and individual difficulties. One of the most studied relationship therapy approaches, emotion-focused therapy (EFT) for couples, focuses on the interactional cycle between partners and also stresses the importance of soothing individual vulnerabilities in order to transform troublesome relational interactions. Thus far, there has not been an attempt to describe a systematic framework for using EFT to work with couples with co-morbid mental health issues. This paper aims to address this gap. It builds upon both recent work in transdiagnostic EFT for individuals, and the EFT for couples framework as optimal scaffolding for a transdiagnostic EFT approach that targets relational issues as well as depression- and anxiety-related presentations in couples. The paper outlines several ways how individual’s chronic emotional vulnerability has the potential to rise to clinical levels of distress and complicate a romantic relationship. The paper then outlines specific therapeutic strategies how to work with individual’s emotional vulnerability and symptom distress it may bring, in the context of the couple relationship. The individual’s emotional vulnerability work is tracked along with relational interactions, in an effort to provide healing and transformational interactions and emotional experiences. A case example from a current research project is outlined to illustrate the use of specific therapeutic strategies and the clinical application of the transdiagnostic EFT approach to couple therapy.","PeriodicalId":46994,"journal":{"name":"JOURNAL OF CONTEMPORARY PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142203276","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

An Integrative Model to Increase Client Motivation During the Psychotherapy Process 在心理治疗过程中提高客户积极性的综合模式

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JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-07-27 DOI: 10.1007/s10879-024-09642-w

Ali Eryılmaz, Ceymi Doenyas

{"title":"An Integrative Model to Increase Client Motivation During the Psychotherapy Process","authors":"Ali Eryılmaz, Ceymi Doenyas","doi":"10.1007/s10879-024-09642-w","DOIUrl":"https://doi.org/10.1007/s10879-024-09642-w","url":null,"abstract":"An effective psychotherapy process includes multiple elements, one of which is the client’s motivation. While psychotherapy theories propose models to increase the functionality and well-being of clients, little is said about how to motivate clients along this process. Although client motivation is relevant for all major therapeutic approaches, there are not many investigations focusing mainly on this motivation, and especially exploring it in connection with the stages of the therapeutic process. Therefore, there is a need to understand the factors that motivate the clients in each stage of the psychotherapy and psychological counseling process. Many psychotherapy theories include these factors in their models, though they do not explicitly state them. This paper unravels these factors by presenting and integrating tools and strategies from multiple psychotherapy perspectives to increase and maintain client motivation during the therapeutic process. Using these tools and strategies is important, given that many clients skip or quit their psychotherapy sessions, which end up hindering or completely blocking the possibility to achieve the positive outcomes intended with the therapeutic process. The contribution of the present paper is synthesizing these tools and strategies within a single, staged therapeutic process model, which can be followed by therapists to increase therapy adherence and effectiveness.","PeriodicalId":46994,"journal":{"name":"JOURNAL OF CONTEMPORARY PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141770303","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

Are Therapist Effects More Crucial than We Thought? 治疗师的影响比我们想象的更重要吗？

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JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-07-26 DOI: 10.1007/s10879-024-09641-x

Refael Yonatan-Leus, Rena Cooper-Kazaz

{"title":"Are Therapist Effects More Crucial than We Thought?","authors":"Refael Yonatan-Leus, Rena Cooper-Kazaz","doi":"10.1007/s10879-024-09641-x","DOIUrl":"https://doi.org/10.1007/s10879-024-09641-x","url":null,"abstract":"One of the main limitations of routine outcomes psychotherapy studies is the lack of random assignment to treatment conditions, which precludes causal inference. At the same time, therapist effects and empirically supported therapy relationships have proven to be important and even more influential than the type of treatment. In this theoretical study, we propose using therapist effects estimation, which refers to the systematic differences in the effectiveness of improving patient outcomes between therapists, to mitigate this limitation. The theoretical rationale for treating different therapists’ treatments as different treatment conditions is presented in depth while referring to practical methods of examining therapist effects estimation at the individual sample level. The current study demonstrates how variation in the results obtained by therapists in field studies holds the potential to approximate a causal relationship between therapy and outcomes. In light of this, we recommend performing significance testing for the therapist effect in every psychotherapy study where this is possible, as well as advocating investing resources in the personal development of the therapist and giving room for clinical experience in decision-making.","PeriodicalId":46994,"journal":{"name":"JOURNAL OF CONTEMPORARY PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141770339","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 Timelessness of the Scar in the Borderline Personality Disorder BPD: A Systemic Intervention in a Case of Child Sexual Abuse 边缘型人格障碍 BPD 中疤痕的永恒性：对儿童性虐待案例的系统干预

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JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-06-27 DOI: 10.1007/s10879-024-09636-8

Danilo Dominguez, Carles Pérez-Testor, Aina Casarramona, Berta Aznar-Martínez

引用次数: 0

The 7th Annual Psyche Awards: Honoring the Most Valuable Papers in Mental Health Care 第七届年度心理奖：表彰心理保健领域最有价值的论文

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JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-06-21 DOI: 10.1007/s10879-024-09635-9

James C. Overholser

引用次数: 0

Responsiveness and Clinical Judgment as an Alternative to Drifting: A Narrative Update 反应能力和临床判断力是漂移的替代方案：最新叙述

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JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-06-20 DOI: 10.1007/s10879-024-09638-6

Refael Yonatan-Leus, Orya Tishby

{"title":"Responsiveness and Clinical Judgment as an Alternative to Drifting: A Narrative Update","authors":"Refael Yonatan-Leus, Orya Tishby","doi":"10.1007/s10879-024-09638-6","DOIUrl":"https://doi.org/10.1007/s10879-024-09638-6","url":null,"abstract":"This manuscript challenges the notion of “therapist drift”—the deviation from evidence-based practices due to the partial application or non-adherence to treatment protocols—proposing that such deviations often reflect good clinical judgment and a commitment to personalized patient care. Drawing on recent research, we argue against the conventional wisdom that adherence to empirically supported treatments based on narrow diagnostic criteria guarantees superior therapeutic outcomes. We highlight the “dodo bird verdict,” which suggests the equivalence of different psychotherapy approaches in effectiveness, and scrutinize the American Psychological Association’s endorsements of empirically supported treatment relationships, emphasizing the move towards personalized psychotherapy. We argue that due to validity concerns of prevalent diagnostic taxonomies and the heterogeneity of desired therapy outcomes across diverse methods and patient needs, randomized controlled trials comparing treatments for fixed diagnoses are inadequate for guiding clinical decisions. We propose adjusting therapy to the patient’s unique characteristics and desired outcomes—not strict protocol adherence—indicates responsiveness and clinical acumen, necessitating a shift toward more nuanced, patient-centered therapeutic models.","PeriodicalId":46994,"journal":{"name":"JOURNAL OF CONTEMPORARY PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141504592","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

Cognitive Behavioral Therapy for Suicidal Ideation: Extending the Stepped Care Model 认知行为疗法治疗自杀意念：扩展阶梯护理模式

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JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-06-19 DOI: 10.1007/s10879-024-09639-5

Abdulmalik Fareeq Saber, Ahmed Ali, Hardi Abdulqadir Hasan, Sirwan Khalid Ahmed, Safin Hussein

{"title":"Cognitive Behavioral Therapy for Suicidal Ideation: Extending the Stepped Care Model","authors":"Abdulmalik Fareeq Saber, Ahmed Ali, Hardi Abdulqadir Hasan, Sirwan Khalid Ahmed, Safin Hussein","doi":"10.1007/s10879-024-09639-5","DOIUrl":"https://doi.org/10.1007/s10879-024-09639-5","url":null,"abstract":"Cognitive behavioral therapy (CBT) demonstrates clear efficacy in addressing suicidal thoughts and behaviors. However, considerable barriers limit the accessibility of CBT interventions for those experiencing suicidal crises. As a solution to these limitations, a stepped care model is adapted which presents a stratified framework attuned to suicidal ideation severity that may expand access and optimize outcomes. Through four levels - basic, intermediate, advanced, critical - calibrated to match intensity of therapeutic support to patient risk profiles and clinical needs, the Stepped Care Model promotes efficient, responsive care. Basic levels focus on community education, crisis lines, screening to enable early intervention for mild cases; while critical levels feature emergency hospitalization and stabilization care plans for individuals facing severe, acute suicidality. Challenges include gaps in assessing suicide risk complicating level assignments, ethical complexities in involuntary interventions, workforce preparedness in terms of CBT and suicidology competencies, and promoting interdisciplinary coordination. Recommendations include specialized clinical training, localized adaptation within health systems, technological integration to bolster care continuity, and ongoing collection of patient outcomes data. Refining implementation guidance will support sites in transforming service delivery models to be more preemptive, patient-centered and evidence-based - contributing significantly to suicide prevention while maximizing scarce resources. Success requires balancing clinical responsiveness, practical feasibility and scientific rigor in this Stepped Care Model approach for one of healthcare’s most vulnerable populations. Therefore, the aim of this review article was to explore and review the considerations for successfully implementing a Stepped Care Model approach that is optimized for treating suicidal ideation and behaviors.","PeriodicalId":46994,"journal":{"name":"JOURNAL OF CONTEMPORARY PSYCHOTHERAPY","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141504593","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

An Integrative Model of Psychotherapeutic Interventions Based on a Predictive Processing Framework 基于预测处理框架的心理治疗干预综合模型

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JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-06-15 DOI: 10.1007/s10879-024-09637-7

Daniel Villiger

引用次数: 0

“Close to the Problem” or “Close to Your Problem”? The Contribution of Bond to the Structure of Early and Advanced Therapeutic Alliance "接近问题 "还是 "接近你的问题"？纽带对早期和高级治疗联盟结构的贡献

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JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-06-12 DOI: 10.1007/s10879-024-09633-x

Tomasz Prusiński

引用次数: 0

Living the Language of Psychotherapy: How Therapists Use Their Experiences from Being Patients 活用心理疗法的语言：治疗师如何利用自己的病人经验

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JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-06-08 DOI: 10.1007/s10879-024-09634-w

M. Råbu, P. Binder, C. Moltu

引用次数: 0