Counselling & Psychotherapy Research最新文献

{"title":"Perspectives of Psychotherapists Regarding Psychedelic Assisted Therapy","authors":"Seán Kinahan,&nbsp;Elizabeth Wilson","doi":"10.1002/capr.12881","DOIUrl":"https://doi.org/10.1002/capr.12881","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study explored the perspectives of trainees, recently qualified and experienced psychotherapists regarding psychedelic assisted therapy (PAT).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The aim was to capture meaning, concerns and opportunities of PAT and understand what it means for the field of psychotherapy and to contribute to the growing body of literature on its development and inform subsequent research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>The study was based on qualitative research capturing the perspectives of a range of counsellors via a questionnaire, two interviews and a focus group comprised of five people, with the dataset being analysed using reflexive thematic analysis (TA; Thematic Analysis—A Practical Guide, Sage, Thousand Oaks, CA, 2022) to capture meaning, experiences and perceptions and to identify descriptive and interpretive themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Themes relating to therapeutic relationship, safety, ownership and professionalisation were identified within the dataset.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The findings from this study reveal a complex and multi-layered understanding of PAT, where a range of factors, such as the therapist's experience, the therapeutic relationship, safety concerns and issues of ownership and professionalisation, are all central. The themes demonstrated how counsellors are already aware of, interested in and curious about development in PAT and indicated a sense of inevitability of PAT becoming a professionalised part of the field of psychotherapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study concludes that while there are understandable and relevant concerns about safety, there is also a growing body of quality research and recommendations for safe and harm reducing processes and opportunities for psychotherapy bodies to lead the way and ensure the approach of PAT is a professional one underpinned by research, harm reduction, ethical standards and a sensitivity towards its Indigenous roots.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12881","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143114510","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}

{"title":"Brief Report: Emotion Regulation in Autism Is Improved in a Single-N Pilot Intervention Study Combining Child-Centered Play Therapy and Rhythmic Relating","authors":"Stuart Daniel,&nbsp;Jan Blacher,&nbsp;Abbey Eisenhower,&nbsp;Lauren Berkovits","doi":"10.1002/capr.12890","DOIUrl":"https://doi.org/10.1002/capr.12890","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;&lt;i&gt;Rhythmic Relating&lt;/i&gt; is an approach to supporting social timing in therapeutic play with autistic children (Daniel, Laurie and Delafield-Butt, 2024) and can be used as a stand-alone approach or to augment child-centered therapies.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aims&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A combination of &lt;i&gt;Child-Centered Play Therapy&lt;/i&gt; and &lt;i&gt;Rhythmic Relating&lt;/i&gt; is evaluated in its therapeutic potential to enhance Emotion Regulation outcomes (over 10 months; 32 weekly sessions), in a case study of a 5-year-old autistic girl.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Materials and Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Mean Start and Finish scores were recorded for the parent-rated &lt;i&gt;Emotion Regulation Checklist&lt;/i&gt; (Shields and Cicchetti, 1997). For all subscales, we calculate percentage-change-over-time values and, using percentiles, these values are compared and statistically ranked with respect to two different comparison groups:&lt;/p&gt;\u0000 \u0000 &lt;p&gt;1. “&lt;i&gt;Autistic children without concurrent cognitive impairment, not receiving psychological or behavioral therapies&lt;/i&gt;” (&lt;i&gt;n&lt;/i&gt; = 77).&lt;/p&gt;\u0000 \u0000 &lt;p&gt;2. “&lt;i&gt;Autistic girls without concurrent cognitive impairment, not receiving psychological or behavioral therapies&lt;/i&gt;” (&lt;i&gt;n&lt;/i&gt; = 9).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;As compared to both Comparison Groups 1 and 2, our participant's overall Emotion Regulation improvements (over 10 months) are statistically &lt;i&gt;highly likely&lt;/i&gt; to be due to her participation in therapy (&lt;i&gt;p&lt;/i&gt; &lt; 0.01).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Practical implications for therapeutic practice with autistic children are discussed, including the emphasis on &lt;i&gt;good-enough&lt;/i&gt; self-regulation as outcome priority, the emphasis on social timing for co-regulation as route to good-enough self-regulation, and the emphasis on Emotion Regulation as outcome measure in accordance with outcome priority. Possibilities for future larger-scale intervention studies addressing scalability and generalizability issues are discussed, including current modality-combination studies (i.e., Rhythmic Relating and Child-Centered Play Therapy) - multi-site/practitioner, multiple baseline single case design, or considerably larger N intervention groups compared with the current ERC comparison groups, or generating new comparison groups - and/or studying the efficacy of other potential modality combinations (Rhythmic Relating combined with Music Therapy, Dance Movement Therapy, DIRFloortime etc.).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;se","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143114462","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 Effect of Parental Education on Children's Digital Device Usage and Sleep Patterns: A Randomised Controlled Trial","authors":"Mehmet Bulduk,&nbsp;Fatma Güdücü Tüfekci","doi":"10.1002/capr.12886","DOIUrl":"https://doi.org/10.1002/capr.12886","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study was to examine the effects of education given to parents with children between the ages of 6 months and 2 years on children's digital device use time and sleep status.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was conducted as a randomised controlled trial and was carried out in a Family Health Centre in Turkey between July 2020 and April 2021. The population consisted of parents (<i>N</i> = 166) who met the inclusion criteria. No sampling method was used and the entire population was studied. Parents were given education on the use of digital devices for their children. Data were obtained with a personal information form, digital device use form and child sleep form. The data were analysed with SPSS V23. Ethical principles were followed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>While the majority of the children in the experimental group watched TV for 60 min or more in the pretest, this rate decreased significantly in the posttest (<i>p</i> &lt; 0.001), and in the comparison between the groups, it was found that the TV watching duration of the children in the posttest showed a significant difference in favour of the experimental group (<i>p</i> &lt; 0.001). A significant difference was found in favour of the experimental group in terms of the effects of digital devices on children's sleep (<i>p</i> &lt; 0.001). A significant difference was found in favour of the experimental group in terms of children's sleep time (<i>p</i> &lt; 0.001), time to fall asleep (<i>p</i> &lt; 0.001), night-time (<i>p</i> &lt; 0.05) and daytime sleep characteristics (<i>p</i> &lt; 0.05) and total daily sleep duration (<i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The education provided to the parents about the negative effects of digital device use on children's sleep status met the need for information; thus, it was effective in the formation of positive knowledge and views. Routine implementation of educational programmes for parents about children's use of digital devices may provide good results for healthy generations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143112812","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":"Getting Better, Together: An Integrated, Online Group Psychotherapy Programme for Mental and Physical Health","authors":"Brent Lang,&nbsp;Kara Williams,&nbsp;Michael Wiblishauser,&nbsp;Steal Adcock","doi":"10.1002/capr.12883","DOIUrl":"https://doi.org/10.1002/capr.12883","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Social distancing during the COVID-19 pandemic was associated with increases in sedentary behaviours, alcohol and illicit substance use and weight gain. Early lockdowns and mandated social distancing also led to increases in symptoms of anxiety, depression and other mental health symptoms. During the pandemic, a major shift in healthcare service delivery to telehealth occurred and group psychotherapy delivered online was effective in decreasing mental health symptoms and loneliness.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The overall goal of this study was to assess the initial effectiveness of an eight-session, comprehensive group psychotherapy programme delivered online to improve mental and physical health for adults who were impacted by the COVID-19 pandemic. This pilot programme promoted physical activity, nutrition, behavioural health and overall healthy living.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Method&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;After creating our eight-session, multidisciplinary programme, we partnered with the local health department, community mental health centre and local media to recruit &lt;i&gt;N&lt;/i&gt; = 53 community members from southern Texas, USA. We thoroughly screened participants using a structured clinical interview and standardised assessments. A total of &lt;i&gt;n&lt;/i&gt; = 50 were eligible and placed into groups based on availability and &lt;i&gt;n&lt;/i&gt; = 41 completed all sessions. Most participants were female and between the ages of 18 and 40 years, and of Caucasian or Hispanic descent. The sample included both those who met criteria for a mental health diagnosis and those who did not. Groups, on average, had 5–7 participants and began in August 2020 and ended in February 2021. Future clinicians and researchers may wish to use or adapt the treatment programme (including the treatment manual) from this study to guide future research or clinical efforts.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Compared to baseline, participants reported significant reductions in anxiety and loneliness and improved satisfaction in their level of participation in social activities. Participants reported enjoying the socialisation of the group format.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Our pilot programme demonstrated initial evidence supporting effectiveness of a multidisciplinary, biopsychosocial group delivered online to improve mental health outcomes. Future randomised controlled trials are needed to establish efficacy and inform potential, broader implementation of the programme.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 ","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143110469","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":"Examining Artificial Intelligence Policies in Counsellor Education","authors":"Laurie O. Campbell,&nbsp;Caitlin Frawley,&nbsp;Glenn W. Lambie,&nbsp;Karina S. Cabrera,&nbsp;Bryanna D. Vizcarra","doi":"10.1002/capr.12880","DOIUrl":"https://doi.org/10.1002/capr.12880","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study investigated counsellor education Council for Accreditation of Counseling and Related Educational Programs (CACREP) programs generative artificial intelligence (AI) policies in doctoral-level counselor education programs. We aimed to contribute to emerging research on the use of generative AI within counselor education.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A content analysis of the policies was conducted along with a linguistic analysis of the policies to determine the authenticity, tone, and analytical nature of the University, and program policies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A content analysis of generative artificial intelligence usage policies within doctoral counselor education programs indicated that only five programs had program-specific generative artificial intelligence policies. Most programs utilized University policies or usage guidance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Suggestions for practice include providing definitional clarity of the different types of AI to reduce potential frustration for learners. Further, programs should consider developing a program-specific policy since the counseling profession requires a high level of ethical responsibility to best serve clients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143110816","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":"A comparative exploration of eye movement desensitisation and reprocessing versus cognitive behavioural therapy for post-traumatic stress disorder in Pakistan: Insights from a full-fledged randomised controlled trial","authors":"Anwar Khan,&nbsp;Amalia bt Madihie,&nbsp;Faseeh Ullah,&nbsp;Omer Abid,&nbsp;Khizra Hafeez Awan","doi":"10.1002/capr.12870","DOIUrl":"https://doi.org/10.1002/capr.12870","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aim</h3>\u0000 \u0000 <p>Post-traumatic stress disorder (PTSD) is a psychiatric disorder, triggered by traumatic events. Modern evidence-based psychotherapies, such as eye movement desensitisation and reprocessing (EMDR) and cognitive behavioural therapy (CBT), have been widely used for the treatment of PTSD. However, limited evidence is available regarding their comparative efficacy, especially in the context of Pakistan. Given this context, a single-blinded, two-group randomised controlled trial was conducted to compare the efficacy of EMDR and CBT in treating patients with PTSD in Pakistan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A consecutive sample of 80 patients was selected. Patients were randomly allocated to EMDR and CBT in accordance with covariate-adaptive stratified randomisation. This study was carried out at two mental health rehabilitation centres in the capital city of Peshawar, Pakistan. Data on PTSD symptoms and other related aspects were collected through the Clinician-Administered PTSD Scale for DSM-5. Data were analysed using descriptive statistics, non-inferiority analysis and a general linear model repeated measures ANOVA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results regarding treatment fidelity revealed that both therapies were carried out in adherence to treatment protocols. Treatment efficacy results showed that PTSD symptoms were high during the baseline stage of therapy (CAPS-5 mean score of 98.80 for EMDR and 100.50 for CBT) but decreased to low in the follow-up stage (CAPS-5 mean score of 30.20 for EMDR and 34.20 for CBT); however, overall, EMDR therapy was found to be non-inferior and more efficacious than CBT.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings of this study hold significant implications at both individual and policy levels. EMDR therapy emerges as a viable alternative to CBT for the treatment of PTSD in Pakistan. Therefore, the study recommends the adoption of EMDR therapy as an effective treatment option for PTSD in Pakistan.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143110823","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":"Haven schools: A pilot evaluation of a school-based programme to reduce anxiety in young people","authors":"Dominique Grohmann,&nbsp;Claire Banham,&nbsp;Silvana Mengoni,&nbsp;David Wellsted,&nbsp;Karen Irvine","doi":"10.1002/capr.12873","DOIUrl":"https://doi.org/10.1002/capr.12873","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The aim of this study was to conduct a pilot evaluation of a novel six-week school-based intervention (‘Haven Schools’) on young people's psychological wellbeing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>One hundred and forty-one students (ages 12–16 years) from 11 schools in England attended up to six sessions of the intervention at their school during the day. Psychological wellbeing was evaluated at each session using the overall score on the Young Person's Core-10 (YP CORE-10) outcome measure, and anxiety and self-harm were evaluated using individual questions in the YP CORE-10.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants' psychological wellbeing was significantly better at their last session compared to their first session. Anxiety and thoughts of self-harm were also significantly lower in last sessions compared to first sessions. Attendance was good, with 64% attending at least four sessions (<i>M</i> = 3.99 sessions attended).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The Haven Schools programme appears to have promising initial results; however, further investigation using a control group and longer-term follow up are warranted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patient Consent Statement</h3>\u0000 \u0000 <p>This was an analysis of secondary data used to evaluate the programme, and therefore did not fall within the remit required for ethical review. Each school managed the issue of parental consent differently depending on their own rules. One school felt that it was not necessary to get parental consent as they felt it could be a barrier to some young people attending as they may not want their parents to know. However, most schools sent parents of students who indicated an interest an information letter, and asked parents to email the school with consent.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12873","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143110822","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}

{"title":"Rethinking psychological interventions in autism: Toward a neurodiversity-affirming approach","authors":"Sandra Graf-Kurtulus,&nbsp;Omar C. G. Gelo","doi":"10.1002/capr.12874","DOIUrl":"https://doi.org/10.1002/capr.12874","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Autism is characterised by unique patterns of social interaction, communication and repetitive behaviours, often accompanied by comorbid conditions such as mood disorders and anxiety. Standard psychological interventions, such as applied behaviour analysis (ABA) and social skill training (SST), are commonly used but remain controversial due to their focus on aligning autistic individuals with societal norms.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aims&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This paper critically evaluates standard approaches targeting core autistic traits and explores the therapeutic potential of prioritising comorbidities coherently with neurodiversity-affirming strategies.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Materials and Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A critical analysis of clinical and empirical literature was conducted to evaluate the efficacy, ethical issues and broader implications of interventions such as ABA and SST. Particular emphasis was placed on synthesising findings relevant to mental health outcomes, autistic identity formation and the potential of neurodiversity-affirming interventions to reduce distress and promote well-being.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Standard approaches often contribute to adverse effects, such as social camouflaging and increased mental health challenges. Conversely, interventions addressing comorbid conditions such as depression and anxiety, combined with neurodiversity-affirming strategies that support autistic identity and adapt the environment, demonstrate improved mental health outcomes and greater self-acceptance.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;We highlight the importance of shifting the therapeutic focus from modifying core autistic traits to addressing comorbidities while fostering a coherent autistic identity. Such a dual approach aligns with the neurodiversity paradigm and emphasises the need for interventions that enhance well-being by reducing distress caused by comorbid conditions without suppressing autistic characteristics.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Prioritising comorbid conditions while fostering autistic identity through neurodiversity-affirming strategies offers a more ethical and effective approach to improving mental health and self-acceptance in autistic individuals. This dual approach advocates for therapeutic practices that align wit","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12874","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143119672","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}

{"title":"Case conceptualisations used by psychodynamic psychotherapists seeking insurance reimbursement in Germany","authors":"Susanne Singer,&nbsp;Julian Blanck,&nbsp;Ramona Böhme,&nbsp;Lena Dotzauer","doi":"10.1002/capr.12875","DOIUrl":"https://doi.org/10.1002/capr.12875","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study investigated which working models psychodynamic psychotherapists use to conceptualise their approach to working with individual patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We randomly selected 1000 samples from a larger pool of reimbursement applications clinicians submitted to health insurance providers. From these, we extracted whether one or more of the following theories were used: drive theory, object relations theory, Winnicott's, Bion's and attachment theory. We also tracked whether the concepts of the unconscious, the super-ego and regression appeared.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The most frequently used theory was object relations theory, followed by drive theory. The concepts developed by Bion and Winnicott were rarely used. The following concepts did not appear in any of the reports: reverie, alpha-function, beta-elements and pathological organisation. A fifth of the reports did not mention any of the concepts investigated. Therapists trained in psychoanalysis used drive theory, object relations theory, Bion's theory and regression more often than those trained in low-frequency psychodynamic psychotherapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We conclude that case conceptualisations for psychodynamic therapies with adult patients nowadays most frequently cite the use of object relations theory and drive theory, whereas Bion's and Winnicott's concepts are rarely explicitly mentioned. On average, therapists trained in psychoanalysis use more theories than those with psychodynamic training.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12875","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143119244","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}

{"title":"Initial evaluation of an AI-augmented progress monitoring and outcome assessment","authors":"Scott T. Meier","doi":"10.1002/capr.12869","DOIUrl":"https://doi.org/10.1002/capr.12869","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Most mental health providers have yet to adopt progress monitoring and outcome assessment (PMOA) measures. Although a variety of explanations have been proposed in the literature, a key reason is the burden of time and effort necessary for clients and clinicians to complete, interpret and apply the results of PMOA measures. This evaluation explores the feasibility and initial results of employing ChatGPT to analyse clinicians' unstructured session progress notes for PMOA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using a simulated patient with 17 trainee therapists, the study examined whether artificial intelligence (AI) can assist in generating thematic summaries relevant to clinical progress and outcomes. Therapists' session summaries were combined to evaluate the continuation of key clinical themes across four sessions for a simulated patient. Trainees also provided brief quantitative ratings per session about the patient's working alliance, negative affect (NA), avoidance of NA and levels of distress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>AI-generated results found a (a) persistent focus across sessions regarding the patient's relationship issues with an abusive caretaker, reluctance to disclose and avoidance of NA, and (b) substantial convergence between human-generated and AI-generated thematic summaries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Overall, the use of AI to analyse clinical progress notes appears feasible and psychometrically sound. By minimising resources needed by patients and clinicians to produce clinically relevant data, an AI-augmented approach can reduce a major obstacle to clinicians' adoption of PMOA measures for feedback purposes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143119673","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}