Psychotherapy Research最新文献

Adolescent, caregivers, and therapists' experiences of youth and family suicide intervention: A qualitative study. 青少年、照顾者和治疗师对青少年和家庭自杀干预的体验：定性研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-11-04 DOI: 10.1080/10503307.2024.2415991

Di Simes, Ian Shochet, Kate Murray, Isobel G Sands

{"title":"Adolescent, caregivers, and therapists' experiences of youth and family suicide intervention: A qualitative study.","authors":"Di Simes, Ian Shochet, Kate Murray, Isobel G Sands","doi":"10.1080/10503307.2024.2415991","DOIUrl":"https://doi.org/10.1080/10503307.2024.2415991","url":null,"abstract":"Objective: This study explores the experience of an individual and family therapy youth suicide intervention from the perspectives of seven psychotherapy triads (young people aged 12-18, their parents/caregivers and therapists).Method: Data were collected through semi-structured individual interviews and analyzed using consensual qualitative research methods.Results: Four domains were identified: Focusing on the youth-parent relationship, individual therapy for young people and their parents, conjoint therapy, and public service structures and systemic practice that facilitated tailored treatment. All participant groups valued intervention that improved the youth-parent relationship; however, they held different views about its influence on suicidality and recovery. Separate youth and parent therapy was crucial for facilitating the tailoring of treatment and enhancing the reparative potential of conjoint therapy. Barriers to productive intervention included inaccessible, fragmented, and siloed treatment that excluded parents, stigmatizing clinician responses, and acute care that was not attuned to need or developmental context. Helpful intervention was systemically and attachment-informed, multi-disciplinary, individually tailored, and integrated freely available specialist therapy with crisis and inpatient care.Conclusion: A relational, nuanced, and flexible approach is needed to tailor youth suicide treatment in the context of the complexity of youth-parent relationships.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Therapist responsiveness in psychotherapy: Introduction to the special issue. 心理治疗中治疗师的反应能力：特刊简介。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-11-04 DOI: 10.1080/10503307.2024.2417401

Ueli Kramer, Jan R Boehnke, Giovanna Esposito

引用次数: 0

Therapists' experiences of negative effects in intensive short-term dynamic psychotherapy: A qualitative interview study. 治疗师在短期强化动态心理治疗中对负面影响的体验：定性访谈研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-11-04 DOI: 10.1080/10503307.2024.2420717

Tomas Lindegaard, Lovisa Persson, Maria Thorängen, Alexander Rozental

{"title":"Therapists' experiences of negative effects in intensive short-term dynamic psychotherapy: A qualitative interview study.","authors":"Tomas Lindegaard, Lovisa Persson, Maria Thorängen, Alexander Rozental","doi":"10.1080/10503307.2024.2420717","DOIUrl":"https://doi.org/10.1080/10503307.2024.2420717","url":null,"abstract":"Objective: Negative effects of psychotherapy are a broad term that encompasses events such as non-response, deterioration, and novel symptoms. The aim of the present study was to explore experiences with negative effects among clinicians working within an intensive short-term dynamic psychotherapy (ISTDP) framework.Method: Eight ISTDP clinicians consented to participate and were interviewed using semi-structured video interviews. Data were transcribed and analyzed using a reflexive thematic analysis framework.Results: The thematic analysis resulted in five themes. Overall, the clinicians found it difficult to define negative effects, but that negative effects, regardless of cause, could be used therapeutically. Inaccurate assessment was seen as the main cause of negative effects. Other themes concerned the connection between dropout and negative effects, patient feedback, and the ISTDP community's relationship to negative effects.Conclusions: The results are largely in line with qualitative studies of CBT clinicians' views of negative effects although clinicians in the present study emphasized more strongly the therapeutic potential of these events. The research field could be further improved by using mixed-method designs while including both patients and therapists.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sudden gains in PTSD symptoms and social functioning in cognitive processing therapy for posttraumatic stress disorder. 创伤后应激障碍认知处理治疗中PTSD症状和社会功能的突然改善。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-11-01 Epub Date: 2023-10-17 DOI: 10.1080/10503307.2023.2265046

Iris Antonopoulos, Alison E Carney, Shannon Wiltsey Stirman, Candice M Monson

{"title":"Sudden gains in PTSD symptoms and social functioning in cognitive processing therapy for posttraumatic stress disorder.","authors":"Iris Antonopoulos, Alison E Carney, Shannon Wiltsey Stirman, Candice M Monson","doi":"10.1080/10503307.2023.2265046","DOIUrl":"10.1080/10503307.2023.2265046","url":null,"abstract":"Objective: Sudden gains (SGs) are rapid symptom improvements between two consecutive therapy sessions that predict treatment outcomes. This study investigated SGs in posttraumatic stress disorder (PTSD) symptoms, interpersonal relationship functioning, and social role functioning in Cognitive Processing Therapy (CPT).Method: Participants were 121 patients and 81 therapists involved in a parent randomized controlled hybrid implementation-effectiveness trial of CPT. Descriptive analyses examined the frequency and timing of different forms of SGs. Multilevel modeling examined the impact of the three SGs on outcomes.Results: PTSD SGs occurred more often and at different sessions than SGs in facets of social functioning. Most individuals experienced only one form of SG and there were no significant clinical or demographic differences in those who had PTSD only SGs, social functioning only SGs, or both SGs. PTSD SGs and interpersonal relationship functioning SGs both predicted changes in PTSD symptoms and interpersonal difficulties over time, but not changes in social role functioning. SGs in social role functioning predicted all three forms of outcomes.Conclusions: The findings suggest that there are multiple forms of SGs in CPT beyond primary symptom changes that are predictive of patient outcomes. Clinicians should highlight various SGs that patients experience to further enhance outcomes.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A longitudinal view of an approach to responsiveness: Principles followed and lessons learned. 响应性方法的纵向观点:遵循的原则和吸取的教训。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-11-01 Epub Date: 2023-11-14 DOI: 10.1080/10503307.2023.2275627

Franz Caspar

{"title":"A longitudinal view of an approach to responsiveness: Principles followed and lessons learned.","authors":"Franz Caspar","doi":"10.1080/10503307.2023.2275627","DOIUrl":"10.1080/10503307.2023.2275627","url":null,"abstract":"AbstractResponsiveness is currently a hot topic in the psychotherapy literature with a large variation in what the term means to colleagues of various orientations. This adds to its popularity but limits the scope of whatever is written or said about responsiveness. The fact that the meaning of responsiveness has developed over time within the approaches adds also to the variation, while an understanding of development has the potential of deepening the understanding of each approach. As a fair description and comparison of even just the most important approaches is by far out of reach for a page-limited article, the development of one approach, which may be termed the \"Bernese\" approach is described here, along with lessons learnt and general comments. The approach includes Plan Analysis case formulations, the concept of complementary or Motive-Oriented Relationship, a description of a combined qualitative and quantitative assessment, and many methodological and conceptual considerations. Personal development is woven in. Overall, it seems fair to say that this approach, at its core developed long before responsiveness became popular, has turned out to still be useful, with a gain in depth as far as concepts and assessment are concerned.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Statement of Retraction: Therapist Immediacy: The association with Working Alliance, Real Relationship, Session Quality and Time in Psychotherapy. 撤回声明：治疗师的即时性：与心理治疗中的工作联盟、真实关系、疗程质量和时间的关系。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-11-01 Epub Date: 2024-03-25 DOI: 10.1080/10503307.2024.2333703

引用次数: 0

Do treatments for mental disorders affect relationship satisfaction? A systematic review and meta-analysis. 精神障碍治疗会影响人际关系满意度吗？系统回顾和荟萃分析。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-11-01 Epub Date: 2023-08-23 DOI: 10.1080/10503307.2023.2249215

Tapan A Patel, Sophie R Abber, Jesse R Cougle

{"title":"Do treatments for mental disorders affect relationship satisfaction? A systematic review and meta-analysis.","authors":"Tapan A Patel, Sophie R Abber, Jesse R Cougle","doi":"10.1080/10503307.2023.2249215","DOIUrl":"10.1080/10503307.2023.2249215","url":null,"abstract":"Objective: Psychiatric disorders have been linked to poor social functioning, including deficits in relationship satisfaction. Treatments have shown strong effectiveness in reducing clinical symptoms for a range of disorders, though less is known of the effects disorder-focused treatments have on relationship satisfaction.Methods: The present study describes a systematic review that was conducted to determine the efficacy of treatments for specific psychiatric disorders in improving relationship satisfaction. Surprisingly, only seventeen studies were identified and included in the review.Results: We found that a majority of these studies reported modest improvement in relationship satisfaction among people who completed treatment. However, studies were severely hampered by methodological limitations, and all therapy-related improvements could be attributable to placebo effects or the passage of time.Conclusion: Important gaps in the literature were found that future research should seek to address to maximize treatment outcomes and psychosocial functioning.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10055777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Applying precision methods to treatment selection for moderate/severe depression in person-centered experiential therapy or cognitive behavioral therapy. 应用精确方法选择以人为中心的体验疗法或认知行为疗法治疗中重度抑郁症。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-11-01 Epub Date: 2023-11-02 DOI: 10.1080/10503307.2023.2269297

Danilo Moggia, David Saxon, Wolfgang Lutz, Gillian E Hardy, Michael Barkham

{"title":"Applying precision methods to treatment selection for moderate/severe depression in person-centered experiential therapy or cognitive behavioral therapy.","authors":"Danilo Moggia, David Saxon, Wolfgang Lutz, Gillian E Hardy, Michael Barkham","doi":"10.1080/10503307.2023.2269297","DOIUrl":"10.1080/10503307.2023.2269297","url":null,"abstract":"Objective: To develop two prediction algorithms recommending person-centered experiential therapy (PCET) or cognitive-behavioral therapy (CBT) for patients with depression: (1) a full data model using multiple trial-based and routine variables, and (2) a routine data model using only variables available in the English NHS Talking Therapies program.Method: Data was used from the PRaCTICED trial comparing PCET vs. CBT for 255 patients meeting a diagnosis of moderate or severe depression. Separate full and routine data models were derived and the latter tested in an external data sample.Results: The full data model provided the better prediction, yielding a significant difference in outcome between patients receiving their optimal vs. non-optimal treatment at 6- (Cohen's d = .65 [.40, .91]) and 12 months (d = .85 [.59, 1.10]) post-randomization. The routine data model performed similarly in the training and test samples with non-significant effect sizes, d = .19 [-.05, .44] and d = .21 [-.00, .43], respectively. For patients with the strongest treatment matching (d ≥ 0.3), the resulting effect size was significant, d = .38 [.11, 64].Conclusion: A treatment selection algorithm might be used to recommend PCET or CBT. Although the overall effects were small, targeted matching yielded somewhat larger effects.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Between- and within-person effects of affective experiences on coping in CBT: Direct effects and interplay with therapeutic alliance and resource activation. CBT中情感体验对应对的人际影响：与治疗联盟和资源激活的直接影响和相互作用。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-11-01 Epub Date: 2023-11-03 DOI: 10.1080/10503307.2023.2277290

Nicolas Wrede, Nils F Töpfer, Gabriele Wilz

{"title":"Between- and within-person effects of affective experiences on coping in CBT: Direct effects and interplay with therapeutic alliance and resource activation.","authors":"Nicolas Wrede, Nils F Töpfer, Gabriele Wilz","doi":"10.1080/10503307.2023.2277290","DOIUrl":"10.1080/10503307.2023.2277290","url":null,"abstract":"Objective: The role of affective experiences (AE) in cognitive-behavioral therapy (CBT) has rarely been investigated. We examined between- and within-person effects of AE on coping in CBT for family caregivers and interactions with therapeutic alliance and resource activation.Methods: 67 family caregivers rated AE, therapeutic alliance, resource activation, and coping after each of 12 sessions of telephone-based CBT. We examined direct session-to-session effects of AE on coping in structural equation modeling and interactions of AE with therapeutic alliance and resource activation in multilevel models.Results: AE did not directly predict coping. Instead, within-person effects of AE interacted with simultaneous within-person emotional bond. Given strong emotional bond, AE positively predicted coping, whereas given weak emotional bond, AE negatively predicted coping. Further, cross-level interactions of between-person AE and within-person agreement on collaboration and resource activation indicated that these positively predicted coping only in dyads with high between-person AE.Conclusion: AE may enhance coping when complemented with strong emotional bond. Further, within-person effects of agreement on collaboration and resource activation seem to rely on a certain degree of between-person AE. Results are discussed in relation to current findings on emotional processing in CBT.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71434778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Countertransference in the treatment of patients with personality disorders: A longitudinal study. 反移情在人格障碍患者治疗中的作用:一项纵向研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-11-01 Epub Date: 2023-11-14 DOI: 10.1080/10503307.2023.2279645

R B Øvstebø, G Pedersen, T Wilberg, J I Røssberg, H S J Dahl, E H Kvarstein

{"title":"Countertransference in the treatment of patients with personality disorders: A longitudinal study.","authors":"R B Øvstebø, G Pedersen, T Wilberg, J I Røssberg, H S J Dahl, E H Kvarstein","doi":"10.1080/10503307.2023.2279645","DOIUrl":"10.1080/10503307.2023.2279645","url":null,"abstract":"Objective: This study examines how therapist emotional response/countertransference (CT) develops during treatment for patients with personality disorders (PDs) and how pre-treatment patient factors (severity of personality pathology, PD category, level of symptom distress) predict CT responses. Secondly, we explored associations between patient clinical outcome and CT.Method: A longitudinal, observational study including 1956 patients with personality pathology treated at psychotherapy units within specialist mental health services. Therapists' emotional response was repeatedly assessed by the Feeling Word Checklist-Brief Version (FWC-BV) with three subscales-Inadequate, Confident, and Idealized.Results: Levels of Inadequate CT were lowest and stable over time while Confident and Idealized increased over time. Greater severity of personality pathology and borderline PD predicted higher initial Inadequate, lower initial Confident and decreasing Inadequate over time. Antisocial PD predicted decreasing Confident. Number of PD criteria had higher impact on therapist CT than level of symptom distress. Clinical improvement was associated with decreasing Inadequate.Conclusion: Therapists reported predominantly Confident CT when working with PD patients. More severe personality pathology, and borderline PD, specifically, predicted more negative CT initially, but the negative CT decreased over time. Patients who did not improve were associated with increasing Inadequate.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0