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Process and Beyond 过程及其他
IF 2
JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-06-04 DOI: 10.1007/s10879-024-09629-7
Leslie S. Greenberg
{"title":"Process and Beyond","authors":"Leslie S. Greenberg","doi":"10.1007/s10879-024-09629-7","DOIUrl":"https://doi.org/10.1007/s10879-024-09629-7","url":null,"abstract":"<p>In ths paper I outline my development over fifty years as a therapist, researcher and theorist. I started with empathy as a core helping process seeing it as a moment-bymoment information processing aid as well as a provision of the curative effects of human understanding. Over the years I added a focus on emotion as central to change, and proposed a number of necessary distinctions that needed to be made when working with emotion and concluded that one of the best ways to change emotion was with another emotion. In addition to my focus on moment by moment process I saw that identification of in-session experiential states and case formulation went beyond just being in the moment and helped provide more focus to an essentially phenomenologically based experiential approach.</p>","PeriodicalId":46994,"journal":{"name":"JOURNAL OF CONTEMPORARY PSYCHOTHERAPY","volume":"69 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141259732","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
Working Alliance Instability in the Inpatient Treatment of Borderline Personality Disorder 边缘型人格障碍住院治疗中工作联盟的不稳定性
IF 2
JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-06-03 DOI: 10.1007/s10879-024-09630-0
Leonhard Kratzer, Josefine Moultrie, Günter Schiepek
{"title":"Working Alliance Instability in the Inpatient Treatment of Borderline Personality Disorder","authors":"Leonhard Kratzer, Josefine Moultrie, Günter Schiepek","doi":"10.1007/s10879-024-09630-0","DOIUrl":"https://doi.org/10.1007/s10879-024-09630-0","url":null,"abstract":"<p>Borderline personality disorder (BPD) is characterized by a pathognomonic instability of interpersonal relationships. Therefore, a good working alliance in the treatment of BPD may go beyond qualitative aspects like agreement on goals and mutual trust, and in particular depend on a balancing of instability. Yet, little is known about working alliance dynamics in the treatment of BPD. Using daily ratings of the Therapy Process Questionnaire, we retrospectively investigated assessments of the stability of the therapeutic alliance during inpatient treatment in 51 patients with BPD and 66 patients with major depressive disorder. Regression analyses were used to investigate whether working alliance was more unstable in patients with BPD and how it was associated to outcome. The working alliance was found to be significantly more unstable in patients with BPD. Yet, a high dynamic complexity of the working alliance was found to be linked to better outcomes in BPD, possibly hinting at the importance of rupture and repair.</p>","PeriodicalId":46994,"journal":{"name":"JOURNAL OF CONTEMPORARY PSYCHOTHERAPY","volume":"28 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141257317","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
My Evolution as a Psychotherapist 我的心理治疗师之路
IF 2
JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-06-03 DOI: 10.1007/s10879-024-09627-9
Paul L. Wachtel
{"title":"My Evolution as a Psychotherapist","authors":"Paul L. Wachtel","doi":"10.1007/s10879-024-09627-9","DOIUrl":"https://doi.org/10.1007/s10879-024-09627-9","url":null,"abstract":"<p>Psychotherapy has evolved over the past 50 years and many seasoned psychotherapists have evolved as well. In the current paper, Dr Paul Wachtel summarizes his evolution as a psychotherapist. Dr. Wachtel is a Distinguished Professor in the Doctoral Training Program in clinical psychology at the City University of New York. For the past 50 years, Dr. Wachtel has been a prolific writer, a skilled clinician, and the chief advocate for integrating different theoretical orientations to enhance the field of psychotherapy. His extensive training in psychoanalysis provided a strong foundation on which to build a comprehensive and integrative view of psychotherapy. The paper provides a fascinating view of a skilled and prolific integrationist [N.B. Abstract created by the journal editor].</p>","PeriodicalId":46994,"journal":{"name":"JOURNAL OF CONTEMPORARY PSYCHOTHERAPY","volume":"1 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141257308","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
Chair Work with the Empathic Other: Providing Basic Need Support for Resolving Unfinished Business 与移情他人一起开展主席工作：为解决未竟事务提供基本需求支持
IF 2
JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-06-01 DOI: 10.1007/s10879-024-09632-y
Édua Holmström, Virpi-Liisa Kykyri, Frank Martela
{"title":"Chair Work with the Empathic Other: Providing Basic Need Support for Resolving Unfinished Business","authors":"Édua Holmström, Virpi-Liisa Kykyri, Frank Martela","doi":"10.1007/s10879-024-09632-y","DOIUrl":"https://doi.org/10.1007/s10879-024-09632-y","url":null,"abstract":"<p>In this case study we present an example of a modification of the chair work technique, called ‘chair work with the empathic other’, and examine the process of emotional change of the participant. We find that talking directly to the empathic other supports the participant’s emotional engagement with the task and guides her emotional processing through the four necessary components of successful empty chair work, specified in previous research: experiential access and intense expression of primary adaptive emotion, expression of thwarted need, and a shift in the representation of self and the other. Drawing on self-determination theory, we conceptualize the trainer’s person-centered communication as a basic need-supporting therapeutic action. Throughout the chair work process, the need-supporting positioning of the ‘empathic other’, provided by the trainer, consistently engages the participant in the emotional processing of unfinished business: it deepens and widens her emotional exploration, leads her to express thwarted need, and finally, to change representation of self and other. We discuss the findings within the framework of self-determination theory and in relation to research on emotional change and therapeutic practice. Previous research has pointed out the difficulties many clients face with engaging in chair work. Introducing need-supportive communication, drawing on self-determination theory, we suggest that the modified technique is a possible intervention to facilitate engagement in chair work and emotional change.</p>","PeriodicalId":46994,"journal":{"name":"JOURNAL OF CONTEMPORARY PSYCHOTHERAPY","volume":"2012 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141195170","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
Group-Based Acceptance and Commitment Therapy for PTSD in a HMO Psychiatry Clinic: An Open Trial 在一家 HMO 精神科诊所开展的以小组为基础的接受与承诺疗法治疗创伤后应激障碍：公开试验
IF 2
JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-05-13 DOI: 10.1007/s10879-024-09628-8
Shay T. Loftus, Kathryn Wetzler, Kelly Paquette, Cody D. Christopherson, Michael C. Skolnik, Ross S. Nelson
{"title":"Group-Based Acceptance and Commitment Therapy for PTSD in a HMO Psychiatry Clinic: An Open Trial","authors":"Shay T. Loftus, Kathryn Wetzler, Kelly Paquette, Cody D. Christopherson, Michael C. Skolnik, Ross S. Nelson","doi":"10.1007/s10879-024-09628-8","DOIUrl":"https://doi.org/10.1007/s10879-024-09628-8","url":null,"abstract":"<p>Mindfulness and acceptance-based approaches have shown promise as alternative interventions to trauma-focused therapies for PTSD. This open trial examined the potential effectiveness of an 8-session Acceptance and Commitment Therapy (ACT) group in reducing psychiatric symptoms and improving quality of life in outpatient adults (<i>N</i> = 86, 79% female) receiving treatment for PTSD in a health maintenance organization (HMO) psychiatry clinic. The group therapy was an adjunct to usual care and utilized the six core processes of ACT: acceptance, cognitive defusion, mindfulness, self-as-context, values, and committed action. Participants completed self-report measures of PTSD symptoms, depression, anxiety and quality of life; and self-report ACT-specific process measures of acceptance, cognitive defusion and mindfulness at pretreatment, posttreatment and 3-month follow-up. Repeated measures analyses of variance conducted with a completer sample (<i>n</i> = 55) demonstrated significant improvements on all variables with medium to large effect sizes at posttreatment and follow-up. The study findings support further investigation in a randomized controlled trial.</p>","PeriodicalId":46994,"journal":{"name":"JOURNAL OF CONTEMPORARY PSYCHOTHERAPY","volume":"130 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140930187","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
Psychological Treatment with Youth: Style, Informed by Science 青少年心理治疗：以科学为依据的风格
IF 2
JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-04-20 DOI: 10.1007/s10879-024-09626-w
Philip C. Kendall
{"title":"Psychological Treatment with Youth: Style, Informed by Science","authors":"Philip C. Kendall","doi":"10.1007/s10879-024-09626-w","DOIUrl":"https://doi.org/10.1007/s10879-024-09626-w","url":null,"abstract":"<p>Following statements about preferences for terminology, I describe three therapist characteristics (i.e., diagnostician educator, collaborator) deemed of value when providing psychological treatment for youth. Implementing an empirically supported treatment (EST) is a therapist decision, and while most therapists are aware of an EST that can fit for a specific client, many therapists ask “But is it right for my client?” This paper discusses therapist’s mental processes that may misinform decisions when answering this key question. To assist optimal decision making, and with an eye on maladaptive anxiety in youth as the exemplar, the active components of successful treatments are described, along with illustrations of flexibility within treatment fidelity (Flexibility within fidelity: Breathing life into a psychological treatment manual. Oxford University Press, 2022). Flexibility in implementing active components (e.g. rapport, psychoeducation, cognitive change, exposure tasks), as well as flexibility across modalities of treatment (e.g., in person, online) and working with parents are described.</p>","PeriodicalId":46994,"journal":{"name":"JOURNAL OF CONTEMPORARY PSYCHOTHERAPY","volume":"100 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140628982","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
Digitization and its Discontents: The Promise and Limitations of Digital Mental Health Interventions 数字化及其不满：数字化心理健康干预措施的前景与局限性
IF 2
JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-04-09 DOI: 10.1007/s10879-024-09620-2
Jordan A. Conrad
{"title":"Digitization and its Discontents: The Promise and Limitations of Digital Mental Health Interventions","authors":"Jordan A. Conrad","doi":"10.1007/s10879-024-09620-2","DOIUrl":"https://doi.org/10.1007/s10879-024-09620-2","url":null,"abstract":"<p>There is a mental health crisis in the United States that shows no signs of abating. Prevalence rates of mental disorders among both adults and children are rising and there are simply not enough mental health professionals to meet the growing demand. To address this problem, digital programs are being designed to diagnose and treat mental health conditions either adjunctively to a human clinician or as stand-alone treatments. Such developments hold great promise in ameliorating the mental health professional supply shortage. However, certain limitations of digital programs may prevent many users from desiring a digital psychotherapist. This paper surveys both the promise, and limitations, of digital psychotherapies.</p>","PeriodicalId":46994,"journal":{"name":"JOURNAL OF CONTEMPORARY PSYCHOTHERAPY","volume":"22 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140575358","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 Relationship Between the Self and The World in Psychotherapy for Psychosis: Contributions From a Metacognitive Approach 精神病心理治疗中自我与世界的关系：元认知方法的贡献
IF 2
JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-04-08 DOI: 10.1007/s10879-024-09625-x
Courtney N. Wiesepape, Hugo Phulpin, Kelsey Huling, Paul H. Lysaker
{"title":"The Relationship Between the Self and The World in Psychotherapy for Psychosis: Contributions From a Metacognitive Approach","authors":"Courtney N. Wiesepape, Hugo Phulpin, Kelsey Huling, Paul H. Lysaker","doi":"10.1007/s10879-024-09625-x","DOIUrl":"https://doi.org/10.1007/s10879-024-09625-x","url":null,"abstract":"<p>Henri Grivois has posited that psychosis involves the subjective experience of oneself as the center or focal point of the world. In this experience, the world that is typically unrelated to oneself becomes incomprehensible, and in its place is the sense that all life events are directly related to oneself or that one is perpetually at the center of all noteworthy activity. We suggest that this experience of centrality can be understood through the lens of the integrated model of metacognition. Specifically, we explore the idea that the metacognitive domain of decentration, or the ability to form ideas about the larger community one is a part of, can be used to operationalize and measure centrality. We propose a three-phase approach to addressing centrality within an integrative psychotherapy focused on subjective and experiential aspects of recovery. These phases focus on the patient’s experience of centrality and include (1) inviting the therapist to join one’s centrality, (2) acknowledging others as different from oneself, and (3) recognizing alternative perspectives in the world. We provide case examples and explore the metacognitive tasks and potential barriers associated with each phase.</p>","PeriodicalId":46994,"journal":{"name":"JOURNAL OF CONTEMPORARY PSYCHOTHERAPY","volume":"22 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140575168","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
Principles over Process: Fifty Years a Cognitive Therapist 原则重于过程：认知治疗师五十年
IF 2
JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-03-13 DOI: 10.1007/s10879-024-09619-9
Steven D. Hollon
{"title":"Principles over Process: Fifty Years a Cognitive Therapist","authors":"Steven D. Hollon","doi":"10.1007/s10879-024-09619-9","DOIUrl":"https://doi.org/10.1007/s10879-024-09619-9","url":null,"abstract":"<p>The most important lesson that I have learned in my half century as a therapist (and therapy researcher) is that principles matter more than processes. I had the great good fortune to arrive in Philadelphia at a time when Beck and colleagues were just beginning to test the efficacy of cognitive therapy for depression and what I learned was that helping clients (and myself) get the better of depression involved two main principles: (1) when in doubt do whatever you would have done if you were not depressed (behavioral); and (2) do not believe everything you think - check it out (cognitive). A third major principle is that the most powerful way to test an existing belief is to use one’s own behaviors to test its accuracy, which usually means doing whatever you least want to do in that situation (opposite action). I find that focusing on these principles is wholly liberating in the therapy process; I am free to be myself, to follow any line of inquiry, to respond to any request and to comport myself much as I would with any friend outside of therapy. This focus on principles has been good for my clients and even better for me.</p>","PeriodicalId":46994,"journal":{"name":"JOURNAL OF CONTEMPORARY PSYCHOTHERAPY","volume":"287 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140114993","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
Psychological Dynamics in the Development Process of Panic Disorder: A Qualitative Study on a Family Therapy Case 恐慌症发展过程中的心理动态：家庭治疗案例的定性研究
IF 2
JOURNAL OF CONTEMPORARY PSYCHOTHERAPY Pub Date : 2024-03-03 DOI: 10.1007/s10879-024-09616-y
{"title":"Psychological Dynamics in the Development Process of Panic Disorder: A Qualitative Study on a Family Therapy Case","authors":"","doi":"10.1007/s10879-024-09616-y","DOIUrl":"https://doi.org/10.1007/s10879-024-09616-y","url":null,"abstract":"<h3>Abstract</h3> <p>Panic disorder (PD) affects family members and can be influenced by familial factors. Adverse family events may contribute to anxiety and PD. We examined a family therapy case of a client with PD in South Korea. We used a thematic analysis to analyze therapy transcripts and video recordings and displayed our findings using a network. We identified five stages of the psychological process in the development of PD: (1) formation of anxiety, (2) sheltered life, (3) crisis, (4) loss of haven, and (5) inner breakdown. External situations, family dynamics, and psychological experiences at each stage are examined. Family dynamics that occurred as the family coped with external situations contributed to the client’s psychological experiences, which triggered anxiety that led to PD. This study suggests family dynamics can be associated with one’s internal experiences that could lead to PD, highlighting the importance of functional family dynamics and coping when facing crises.</p>","PeriodicalId":46994,"journal":{"name":"JOURNAL OF CONTEMPORARY PSYCHOTHERAPY","volume":"15 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140026321","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
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