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Pragmatic Case Studies in Psychotherapy最新文献

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When Skill and Wisdom Merge 当技能和智慧融合
Pragmatic Case Studies in Psychotherapy Pub Date : 2018-02-25 DOI: 10.14713/pcsp.v13i4.2021
L. McMullen
{"title":"When Skill and Wisdom Merge","authors":"L. McMullen","doi":"10.14713/pcsp.v13i4.2021","DOIUrl":"https://doi.org/10.14713/pcsp.v13i4.2021","url":null,"abstract":"Sam Hamburg's (2018) case studies of the use of metaphoric tasks in psychotherapy take us into the storied course of therapy with \"Margie\" and with \"Amy.\" In the nuances of Hamburg's accounts of these two sometimes similar, often different case studies, we see how metaphoric tasks can be conceived, implemented, and understood, and how the sensory-evoking, relationship-enhancing potential of metaphor can be enacted. We also see at work a deeply committed, thoughtful, and skilled practitioner-researcher who is, at once, cautious in his claims about the relation between metaphor use and therapy outcome, confident in what he knows about the practice of psychotherapy, and wise in his integration of the two.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"329-337"},"PeriodicalIF":0.0,"publicationDate":"2018-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42522322","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: 2
Metaphoric Tasks in Psychotherapy: Case Studies of "Margie's" Self-Image and "Amy's" Pain 心理治疗中的隐喻任务:“玛吉”自我形象与“艾米”痛苦的个案研究
Pragmatic Case Studies in Psychotherapy Pub Date : 2018-02-25 DOI: 10.14713/PCSP.V13I4.2020
S. R. Hamburg
{"title":"Metaphoric Tasks in Psychotherapy: Case Studies of \"Margie's\" Self-Image and \"Amy's\" Pain","authors":"S. R. Hamburg","doi":"10.14713/PCSP.V13I4.2020","DOIUrl":"https://doi.org/10.14713/PCSP.V13I4.2020","url":null,"abstract":"Metaphor exists not simply as figurative language but as a fundamental organizing principle of human thought. Given the appropriate context, anything can function metaphorically. In the presently described cases of \"Margie\" and \"Amy,\" which differed in many ways, a common theme was the effective incorporation of simple tasks, assigned as homework, which were used metaphorically in successful psychotherapy. In Margie's case, the task was not self-consciously conceived as a metaphor by the therapist, but it functioned that way. The therapeutic power of that metaphoric task was confirmed by the client many years later. In the second case, the task was deliberately formulated as a metaphor. Whether this metaphoric task contributed to the case's initially positive outcome is uncertain. To provide background for understanding the integrative psychotherapy model that I bring to these two cases, a statement on my development as a psychotherapist is included as Appendix 1.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"284-328"},"PeriodicalIF":0.0,"publicationDate":"2018-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42691119","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: 2
Case Studies of Clinician-Guided, Online Therapy: Towards a Fuller Understanding of How and Under What Conditions Such Therapy Works 临床医生指导的在线治疗案例研究：更全面地了解这种治疗是如何以及在什么条件下进行的
Pragmatic Case Studies in Psychotherapy Pub Date : 2017-11-12 DOI: 10.14713/PCSP.V13I3.2014
F. Caspar
{"title":"Case Studies of Clinician-Guided, Online Therapy: Towards a Fuller Understanding of How and Under What Conditions Such Therapy Works","authors":"F. Caspar","doi":"10.14713/PCSP.V13I3.2014","DOIUrl":"https://doi.org/10.14713/PCSP.V13I3.2014","url":null,"abstract":"Ciuca, Berger, and Miclea (2017) and Schulz, Vincent, & Berger (2017) each present a pair of process-focused, systematic case studies, one with good outcome and one with a poorer outcome. These cases were drawn from a randomized controlled trial (RCT) of an Online self-help therapy for panic disorder and social anxiety disorder, respectively. In both instances the cases were drawn from the clinician-guided arm of the RCT. This commentary reviews the kind of knowledge emerging from these pairs of case studies from a variety of perspectives, including: the practical advantages of online, clinician-guided treatment; client readiness for treatment; the role of the therapist alliance; the broad reach of online therapy; and the important complementary role that systematic case studies play in enhancing the knowledge that emerges from RCTs.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"265-270"},"PeriodicalIF":0.0,"publicationDate":"2017-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49465566","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: 1
Maria and Andrea: Comparing Positive and Negative Outcome Cases in an Online, Clinician-Guided, Self-Help Intervention for Panic Disorder 玛丽亚和安德里亚:在临床医生指导下，对恐慌症进行在线自助干预，比较积极和消极结果案例
Pragmatic Case Studies in Psychotherapy Pub Date : 2017-11-12 DOI: 10.14713/PCSP.V13I3.2011
A. Ciuca, T. Berger, Mircea Miclea
{"title":"Maria and Andrea: Comparing Positive and Negative Outcome Cases in an Online, Clinician-Guided, Self-Help Intervention for Panic Disorder","authors":"A. Ciuca, T. Berger, Mircea Miclea","doi":"10.14713/PCSP.V13I3.2011","DOIUrl":"https://doi.org/10.14713/PCSP.V13I3.2011","url":null,"abstract":"Hundreds of clinical trials offer strong efficacy evidence that Internet-Based Cognitive-Behavioral Treatment (ICBT) interventions can contribute substantially to reducing the gap between mental health care needs and service use by providing better access to quality treatments. However, in order to use these interventions more efficiently, we need to find the best ways to tailor the interventions according to individual client characteristics, such as severity of symptoms, comorbidity problems, personality traits, life context, and position on the stage-of-change continuum. In line with this, this article documents how the individual process of psychological treatment unfolds during a specific IBCT program for Panic Disorder, called \"PAXonline,\" with therapist guidance via Skype. The challenges and progress made by the two clients","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"173-216"},"PeriodicalIF":0.0,"publicationDate":"2017-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44716787","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: 8
Strengths and Limitations of Internet-Based Cognitive-Behavioral Treatments for Anxiety Disorders 基于网络的焦虑障碍认知行为治疗的优势与局限性
Pragmatic Case Studies in Psychotherapy Pub Date : 2017-11-12 DOI: 10.14713/PCSP.V13I3.2015
Alexandra Woods, Christopher B. Stults, Rachel Terry, S. Rego
{"title":"Strengths and Limitations of Internet-Based Cognitive-Behavioral Treatments for Anxiety Disorders","authors":"Alexandra Woods, Christopher B. Stults, Rachel Terry, S. Rego","doi":"10.14713/PCSP.V13I3.2015","DOIUrl":"https://doi.org/10.14713/PCSP.V13I3.2015","url":null,"abstract":"This commentary discusses the strengths and limitations of internet-based cognitive-behavioral treatments (ICBT) for anxiety disorders, as highlighted by the case studies described in Ciuca, Berger, and Miclea (2017), and in Schulz, Vincent, and Berger (2017). In comparing the course of treatment for patients with contrasting clinical outcomes, the authors offer insights into the many benefits and challenges of ICBT. Suggestions for improving ICBT interventions for anxiety disorders, implications for implementation and dissemination, and ethical considerations are discussed.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"271-283"},"PeriodicalIF":0.0,"publicationDate":"2017-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43183363","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: 5
Why Do Some Psychotherapy Clients Get Better Than Others 为什么一些心理治疗客户变得比其他人更好
Pragmatic Case Studies in Psychotherapy Pub Date : 2017-11-12 DOI: 10.14713/PCSP.V13I3.2013
T. Eells
{"title":"Why Do Some Psychotherapy Clients Get Better Than Others","authors":"T. Eells","doi":"10.14713/PCSP.V13I3.2013","DOIUrl":"https://doi.org/10.14713/PCSP.V13I3.2013","url":null,"abstract":"This commentary explores reasons why one client’s outcome was better than the other’s in two comparative case studies: the cases of \"Maria\" and \"Andrea,” involving panic disorder (Ciuca, Berger, & Miclea, 2017); and the cases of \"Daydreamer\" and \"Night Owl,\" involving social anxiety (Schulz, Vincent, & Berger, 2017). Findings suggest that both specific and common factors may explain the difference. Specific factors include the extent to which exteroceptive exposure was implemented and avoidant behaviors were relaxed. Common factors that may explain the difference in outcome include acceptance of the treatment model, number of success \u0000experiences, perceived self-efficacy, and the logical link between the client’s explanation of problems and the treatment offered.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"253-264"},"PeriodicalIF":0.0,"publicationDate":"2017-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42007135","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
Stepped-Care Approaches to Posttraumatic Stress Disorder: Sharpening Tools for the Clinician’s Toolbox 创伤后应激障碍的阶梯式护理方法:临床医生工具箱的锐化工具
Pragmatic Case Studies in Psychotherapy Pub Date : 2017-07-20 DOI: 10.14713/PCSP.V13I2.2004
J. Cigrang, A. Peterson
{"title":"Stepped-Care Approaches to Posttraumatic Stress Disorder: Sharpening Tools for the Clinician’s Toolbox","authors":"J. Cigrang, A. Peterson","doi":"10.14713/PCSP.V13I2.2004","DOIUrl":"https://doi.org/10.14713/PCSP.V13I2.2004","url":null,"abstract":"Austern (2017) presents three composite Veteran case studies using Written Exposure Therapy (WET; Sloan, Lee, Litwack, Sawyer, & Marx, 2013) as a first-level intervention in a larger stepped-care model for PTSD.  The relatively minimalist WET intervention may be appealing to Veterans with PTSD who have opted not to seek out more time and therapist-intensive treatments.  In addition, writing has been used effectively in other protocols as a method of achieving exposure to memories of traumatic experiences.  Austern’s three cases demonstrate a range of success in using WET to engage Veterans in evidence-based treatment and reduce suffering associated with PTSD.  We comment on the current status of the research literature on stepped-care models for PTSD, the potential value of incorporating Motivational Interviewing principles and specific homework tasks into these efforts, and the promise that abbreviated interventions and stepped-care approaches may hold for helping clinicians manage their clinical caseloads and avoid burnout.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"142-153"},"PeriodicalIF":0.0,"publicationDate":"2017-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45357357","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: 2
On the Implementation of Written Exposure Therapy (WET) with Veterans Diagnosed with PTSD 创伤后应激障碍退伍军人书面暴露疗法的实施
Pragmatic Case Studies in Psychotherapy Pub Date : 2017-07-20 DOI: 10.14713/PCSP.V13I2.2005
D. Sloan, B. Marx
{"title":"On the Implementation of Written Exposure Therapy (WET) with Veterans Diagnosed with PTSD","authors":"D. Sloan, B. Marx","doi":"10.14713/PCSP.V13I2.2005","DOIUrl":"https://doi.org/10.14713/PCSP.V13I2.2005","url":null,"abstract":"We provide commentary on the article by Austern (2017) in which several composite PTSD treatment cases with veteran clients are presented. Written Exposure Therapy (WET) was implemented in each case, with varying levels of success. We provide additional background on the development of WET to provide readers with a better understanding of how this treatment was created. We also describe the available efficacy data supporting the use of WET as well as describe efficacy studies that are currently underway. Lastly, we comment on Austern’s use of WET in the three composite veteran cases that are described.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"154-164"},"PeriodicalIF":0.0,"publicationDate":"2017-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46052427","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: 9
Written Exposure Therapy as Step One in Reducing the Burden of PTSD: The Composite Cases of "Alex," "Bruno," and "Charles" 书面暴露疗法是减轻创伤后应激障碍负担的第一步:“亚历克斯”、“布鲁诺”和“查尔斯”的复合案例
Pragmatic Case Studies in Psychotherapy Pub Date : 2017-07-20 DOI: 10.14713/PCSP.V13I2.2003
David J. Austern
{"title":"Written Exposure Therapy as Step One in Reducing the Burden of PTSD: The Composite Cases of \"Alex,\" \"Bruno,\" and \"Charles\"","authors":"David J. Austern","doi":"10.14713/PCSP.V13I2.2003","DOIUrl":"https://doi.org/10.14713/PCSP.V13I2.2003","url":null,"abstract":"The purpose of this study is to explore the effects of a stepped-care model of treatment on Posttraumatic Stress Disorder (PTSD) symptomatology and sequelae in United States' Veterans. The study provides a literature review of the burden of PTSD, describes current best treatment practices, and illustrates key processes in the service-delivery of these treatments. Treatment considerations are demonstrated via three hybrid case examples, which serve as vivid portrayals of Veteran clients who struggle with research-consistent PTSD symptomatology and difficulties engaging in psychotherapy. In addition to being informed by clinical examples in relevant psychological literature, these composite cases, \"Alex,\" \"Bruno,\" and \"Charles,\" contain disguised aspects drawn from psychotherapy clients who have been in my caseload in a PTSD clinic. Demonstrating these clients","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"82-141"},"PeriodicalIF":0.0,"publicationDate":"2017-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46458599","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: 4
Beyond Binary Thinking: Providing Best Practice Treatment to Veterans with PTSD 超越二元思维:为患有创伤后应激障碍的退伍军人提供最佳治疗
Pragmatic Case Studies in Psychotherapy Pub Date : 2017-07-20 DOI: 10.14713/pcsp.v13i2.2006
David J. Austern
{"title":"Beyond Binary Thinking: Providing Best Practice Treatment to Veterans with PTSD","authors":"David J. Austern","doi":"10.14713/pcsp.v13i2.2006","DOIUrl":"https://doi.org/10.14713/pcsp.v13i2.2006","url":null,"abstract":"In \"Written Exposure Therapy as Step One in Reducing the Burden of PTSD: The Composite Cases of \"Alex,' 'Bruno,' and 'Charles'\"(Austern, 2017), I presented three composite case study examples of how veterans suffering from PTSD may benefit from written exposure to their trauma memories. For one case (Bruno), Written Exposure Therapy (WET) was the initial treatment in a stepped-care approach that culminated in Prolonged Exposure therapy. However, for the two others, WET became a standalone treatment. In two commentaries on the cases, Cigrang and Peterson (2017) and Sloan and Marx (2017) discuss the development and efficacy of WET, WET implementation strategies, and practice implications of WET (e.g., the potential to reduce clinician burnout). In my response to these commentaries, I aim to contribute to the bourgeoning discussion of how mental health providers can best incorporate this promising writing-based treatment (WET) into their existing approaches to working with veterans suffering from Post-Traumatic Stress Disorder (PTSD). My response will address themes raised by my composite case studies and by the commentaries, including how stepped-care service delivery models may have the potential to make PTSD care more efficient.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"154-172"},"PeriodicalIF":0.0,"publicationDate":"2017-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47096623","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: 2
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