The Journal of psychotherapy practice and research最新文献

{"title":"Presence and enactment as a vehicle of psychotherapeutic change.","authors":"M Viederman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article addresses an aspect of psychoanalytic and psychotherapeutic process that leads to change. Focusing on an aspect of the patient-therapist interaction that the author calls \"presence\" of the therapist, it demonstrates how the experience of this may lead the patient to unconscious enactment of early wishful fantasies concerning the good parent. The gratification of these wishes implicit in the interaction influences the therapist-patient relationship and plays a significant role in change.</p>","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"8 4","pages":"274-83"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330563/pdf/274.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21384647","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":"Teaching psychodynamic psychiatry to students on general medical rotations.","authors":"M Tasini","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"8 3","pages":"204-9"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330547/pdf/204.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21280399","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":"Psychotherapy research: new findings and implications for training and practice.","authors":"P Høglend","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The last decade has seen progress in psychotherapy research, despite the methodological complexity in this field. However, empirical research has influenced training and clinical practice to only a limited extent. This article is a brief evaluation of trends and some findings in modern psychotherapy research that may influence professional psychotherapy training and practice.</p>","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"8 4","pages":"257-63"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330564/pdf/257.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21385363","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":"Projective identification, countertransference, and the struggle for understanding over acting out.","authors":"R T Waska","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Projective identification is examined as an intrapsychic and interpersonal phenomenon that draws the analyst into various forms of acting out. The therapist struggles to use understanding and interpretation as the method of working through the mutual desire to act out the patient's core fantasies and feelings. Clinical material is used to illustrate the ways in which projective identification affects the analytic relationship. The focus is on methods of using interpretation to shift from mutual acting out to mutual understanding.</p>","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"8 2","pages":"155-61"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330531/pdf/155.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20952453","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":"Therapist interventions in early sessions of brief supportive-expressive psychotherapy for depression.","authors":"M B Connolly, P Crits-Christoph, S Shappell, J P Barber, L Luborsky","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although psychotherapy manuals provide treatment guidelines, detailed descriptions of therapist interventions in manual-guided therapies are lacking. The purpose of the present investigation was to evaluate the types of therapist interventions in Supportive-Expressive (SE) psychotherapy for depression by using a molecular method of assessment and then to compare the results with those attained with a molar method. Four percent of therapist statements per session early in treatment were interpretations, which most often focused on the patient's parents, significant others, and self in the present time frame. This molecular method for assessing therapist interventions did converge with the molar adherence/competence method.</p>","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"7 4","pages":"290-300"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330510/pdf/290.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20665941","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":"Differential effects of interventions on the therapeutic alliance with patients with personality disorders.","authors":"M Bond,&nbsp;E Banon,&nbsp;M Grenier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The goal of this study was to examine the relationship between clearly defined therapist interventions and the therapeutic alliance with personality-disordered patients. Transcripts of one psychotherapy session for each of 5 subjects taking part in a long-term psychotherapy research project were rated for therapist interventions and therapeutic alliance to determine if specific interventions were followed by enhanced or diminished therapeutic work. Transference interpretations were followed by a deterioration in the therapeutic alliance when the alliance was weak, but by enhanced work when the alliance was solid. In patients with both strong and weak alliances, defense interpretations and supportive interventions enhanced therapeutic work without increasing defensiveness. Supportive interventions seemed to prepare the way for exploration and to repair ruptured alliances.</p>","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"7 4","pages":"301-18"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330513/pdf/301.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20665942","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":"Developmentally Based Psychotherapy","authors":"A. Beeber","doi":"10.5860/choice.34-5372","DOIUrl":"https://doi.org/10.5860/choice.34-5372","url":null,"abstract":"Stanley Greenspan's book details a new developmental theory that attempts to unify and extend the practice of psychotherapy. Drawing on his extensive clinical work and research, he elucidates the earliest stages of human development and clarifies the impact that difficulty in these stages has on the development of personality and psychopathology. He points out that although many experienced therapists intuitively incorporate developmental principles into their own eclectic approach, few therapists apply these principles in a systematic way. Adopting a more comprehensive developmental approach, he asserts, can expand the range of patients that can be helped by psychotherapies. Therapeutic strategies can be constructed to deal with complex psychopathological problems such as the role of constitutional factors in anxiety states and affective disorders, problems in forming and maintaining relationships, and problems of severe character pathology. In his second chapter, Greenspan amplifies the basic principles of his developmental model. Most patients have characterologic difficulties and display interactive patterns related to the very early phases of character formation. Therapies that aim to help patients verbalize feelings or alter behaviors are helpful within a narrower range of patients. These therapies, however, will not prove helpful to patients with more severe pathology. This is because of the therapist's tendency toward over- or underestimation of the patient's developmental level and overreliance on interpretive verbal techniques. For example, patients are mistakenly assumed to be able to picture and verbalize their feelings, when, in his view, they lack this highly differentiated representational system. Four basic principles of the developmental model and the six levels of early development must be used to build a developmental profile. Examples illustrate how this approach can determine the therapeutic tactics most helpful to each patient (e.g., support versus interpretation). In chapters 3 through 7 the author details the early developmental phases, giving examples of psychopathological problems that have their origins at each level. He points out the importance of constitutional, maturational, and interactional/environmental factors in the development of these problems and shows how a parent's—or therapist's—mode of interaction can worsen or ameliorate the difficulties. The final three chapters focus on clinical techniques to enhance representational capacities. Greenspan says that most patients require extensive structural changes (referable to the previously unmastered levels of skills such as self-regulation, boundary definitions, and gestural communication) before they can benefit from the more traditional verbal interpretive approaches. The appendix describes his model for assessing these developmental levels. This text has many strengths. Greenspan's descriptions of early development are rich and thought-provoking","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"96 1","pages":"319-320"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81161143","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":"Expectancy, the therapeutic alliance, and treatment outcome in short-term individual psychotherapy.","authors":"A S Joyce,&nbsp;W E Piper","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patient and therapist expectancies regarding the \"typical session\" were measured during a controlled trial of short-term, time-limited individual psychotherapy. Relationships between expectancy ratings and measures of the therapeutic alliance and treatment outcome were examined. Significant relationships were tested in the presence of a competing predictor variable, either pre-therapy disturbance (depression) or the patient's quality of object relations (QOR). Expectancies were associated strongly with the alliance but only moderately with treatment outcome. In most instances, expectancy and QOR combined in an additive fashion to account for variation in alliance or outcome. The patient's capacity for mature relationships and expectancies for therapy appear to be important determinants of treatment process and outcome. The clinical value of establishing accurate, moderate expectancies prior to therapy is considered.</p>","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"7 3","pages":"236-48"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330500/pdf/236.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20550299","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":"Guided imagery treatment to promote self-soothing in bulimia nervosa. A theoretical rationale.","authors":"M J Esplen,&nbsp;P E Garfinkel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bulimia nervosa (BN) has been described as involving impairment in affect regulation and in self-soothing. Such a conceptualization suggests the need to design treatments that specifically target these problems in order to assist individuals with BN in comforting themselves. A model of guided imagery therapy suggests that imagery therapy has multiple levels of action and can assist these individuals in the regulation of affect by providing an external source of soothing and also by enhancing self-soothing. The authors illustrate the model with a case example and report the results of a study in a clinical sample of BN.</p>","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"7 2","pages":"102-18"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330488/pdf/102.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20450982","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":"A match made in heaven? A pilot study of patient-therapist match.","authors":"A Dolinsky,&nbsp;S C Vaughan,&nbsp;B Luber,&nbsp;L Mellman,&nbsp;S Roose","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors report on a study of patient-therapist match in 50 psychodynamic psychotherapy dyads. Sixty-six percent of patients and therapists agreed about the quality of the match, with 58% of patients and 56% of therapists reporting that the match was positive. Positive match correlated with positive patient and therapist assessments about the progress and process of therapy, but not with perceived similarity of personal characteristics. Patients' and therapists' perceptions about their similarities and differences from one another did not correlate. This study suggests it is both possible and important to gather data from both patient and therapist when studying match.</p>","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"7 2","pages":"119-25"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330498/pdf/119.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20450983","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}