Counselling & Psychotherapy Research最新文献

{"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":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This paper critically evaluates standard approaches targeting core autistic traits and explores the therapeutic potential of prioritising comorbidities coherently with neurodiversity-affirming strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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}

{"title":"Childhood maltreatment and depression in adult patients: The mediator role of personality functioning","authors":"Stephanie Vaccarezza,&nbsp;Sebastián Opazo,&nbsp;Adrian P. Mundt,&nbsp;Alejandra Cortázar,&nbsp;Paula Errázuriz","doi":"10.1002/capr.12866","DOIUrl":"https://doi.org/10.1002/capr.12866","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Childhood maltreatment (CM), including emotional neglect, physical neglect, emotional abuse, physical abuse and sexual abuse, is associated with an increased risk of adult depression, particularly emotional abuse and neglect. Personality impairment is a significant mediator in the relationship between CM and adult depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This naturalistic cross-sectional study aimed to examine the mediating role of personality functioning in the association between CM types and depressive symptoms in a clinical sample of adults. We assessed the two dimensions of personality functioning proposed by Section III of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), specifically self-functioning and interpersonal functioning. The participants were 335 adult patients starting individual psychotherapy who completed intake self-report questionnaires to evaluate experiences of CM, personality functioning, depression, and comorbidity of depression and anxiety. Bootstrap mediation analyses were performed to examine the mediating role of personality functioning in the relation between each CM type and depressive symptoms, as well as the comorbidity of depression and anxiety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Personality functioning explained half (53%) of the total effect of CM on depressive symptoms and comorbidity. Regarding the different CM types, only the total effects of emotional abuse and neglect on depressive symptoms were significant, evidencing their direct and indirect effect on adult depression. Both personality functioning dimensions were significant mediators, yet self-functioning had a larger mediating effect, underscoring its critical role.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Psychotherapeutic interventions addressing impairments in personality functioning may be crucial in the treatment of depressive symptoms in adult patients with CM.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143118925","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":"Exploring anxiety, uncertainty perception, treatment experiences and coping strategies: An interpretative phenomenological analysis","authors":"Aysun Parlar-Yazıcı,&nbsp;Alyson Norman,&nbsp;Alison Bacon","doi":"10.1002/capr.12872","DOIUrl":"https://doi.org/10.1002/capr.12872","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Stress and anxiety are considered a major causative factor of various behavioural outcomes, such as insomnia, debilitating psychological and psychosomatic symptoms, and certain physiological ill-health. The individual's appraisal process heavily influences a stress response, with the interpretation of the stressful situation being more important than the situation itself. This study aimed to examine the experiences and perceptions of stress and anxiety among individuals with anxiety. This included their coping mechanisms and experiences of treatment for anxiety. The concept of intolerance of uncertainty, a cognitive mechanism influencing anxiety, was also investigated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A qualitative interpretative phenomenological analysis (IPA) was applied as a suitable method to gain a deep understanding of individuals' lived experiences of anxiety. Ten participants were selected to participate in a semi-structured interview.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>Three main themes were identified from participants' testimonies: (1) anxious narratives, (2) navigating anxiety and (3) healing journeys. The study revealed that participants experienced significant levels of stress and anxiety in their lives, with these conditions being perceived as substantial burdens. The coping mechanisms employed by participants predominantly centred around interpersonal support, particularly through engaging in conversations with loved ones. Common treatments for anxiety included antidepressants, private cognitive behavioural therapy (CBT) sessions and counselling provided by general practitioners. However, accessibility issues and dissatisfaction with outcomes were reported concerning both CBT and antidepressant treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings underscore the need for further research on effective interventions for stress- and anxiety-related disorders and emphasise the importance of personalised treatments based on intolerance of uncertainty and resilience factors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12872","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143118802","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":"Effects of humour-logotherapy tailored to rural college students: A quasi-experimental study","authors":"Eunna Do,&nbsp;Sunhee Cho","doi":"10.1002/capr.12865","DOIUrl":"https://doi.org/10.1002/capr.12865","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to examine the effects of humour-logotherapy (HL) on meaning in life, perceived stress and depressive symptoms among rural college students in South Korea.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Measures</h3>\u0000 \u0000 <p>The sample for a non-randomised quasi-experimental study comprised 40 college students. HL was operated in six sessions, lasted 90 min and included 10 min of humorous activities. The data were analysed using the IBM SPSS/WIN 23.0 for the <i>χ</i>² test with Fisher's exact test, a <i>t</i>-test, the Shapiro–Wilk test and a repeated measurement ANOVA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>HL was effective in enhancing meaning in life (<i>F</i> = 6.52, <i>p</i> = .002) and reducing stress (<i>F</i> = 3.71, <i>p</i> = .029) and depressive symptoms (<i>F</i> = 3.26, <i>p</i> = .044). The effects of enhancing meaning in life and reducing stress persisted for 4 weeks; however, the effect of reducing depressive symptoms persisted for less than 4 weeks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results suggest that HL can be used as an effective intervention for enhancing meaning in life, reducing stress and alleviating depression among rural college students.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143118801","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":"Psychotherapists' interoceptive awareness and accuracy","authors":"Satu Halonen,&nbsp;Aarno Laitila,&nbsp;Tiina Parviainen,&nbsp;Virpi-Liisa Kykyri","doi":"10.1002/capr.12864","DOIUrl":"https://doi.org/10.1002/capr.12864","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study examined the different dimensions of interoception in psychotherapists to better understand the significance of interoception in therapeutic work.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data on objectively defined interoceptive accuracy, response confidence and subjectively assessed interoceptive awareness were collected from psychotherapists. Forty Finnish psychotherapists varying in work experience and theoretical orientation participated in this field study. The interoceptive awareness of their clients (<i>n</i> = 67) in individual psychotherapy was also assessed. The psychotherapists' interoceptive accuracy was compared with that of a reference sample of working adults (<i>n</i> = 38). Data were analysed using mixed methods. The research approach was descriptive and pragmatic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results showed statistically significantly higher interoceptive awareness in the psychotherapists than clients, which showed a large effect size: Cohen's <i>d</i> = 1.54, 95% CI [1.10, 1.99]. However, the therapists' interoceptive accuracy did not differ from that of a reference sample of persons without therapy training, <i>d</i> = 0.06, CI [−0.40, 0.53].</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Expanding knowledge on interoception can help psychotherapists to develop professionally while supporting their psychological well-being. This study contributes to research on the role of interoceptive accuracy and awareness in embodied interaction in psychotherapy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 4","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12864","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145135238","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":"An evaluation of compassion-focused therapy groups for women accessing a specialist perinatal service in England","authors":"Kate Lawrence,&nbsp;Hannah Nicholson,&nbsp;Magdalena Iwanow,&nbsp;Tara Johnston,&nbsp;Lucy Skelhorn,&nbsp;Emily Toole,&nbsp;Ruth O'Shaughnessy","doi":"10.1002/capr.12860","DOIUrl":"https://doi.org/10.1002/capr.12860","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The perinatal period is a potentially vulnerable time for new mothers and infants, and can trigger self-criticism and feelings of shame or blame. Compassion-focussed therapy (CFT) focusses on developing an alternative to shame and self-criticism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study was to evaluate a transdiagnostic CFT group for women accessing a specialist perinatal service.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Quantitative data were obtained from 114 people who engaged in the intervention. Participants completed a range of pre- and post-group self-report outcome measures that assessed self-criticism and self-compassion, mental health, parent–infant bonding and personalised goals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Statistically significant improvements were found on all measures, suggesting that attending the CFT group resulted in meaningful change.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results suggest that CFT groups are feasible and efficacious for women in the perinatal period across a range of clinical presentations. Limitations of this study are considered together with future directions for research into perinatal CFT.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786922","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}