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The Journal of psychotherapy practice and research最新文献

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Under attack: devaluation and the challenge of tolerating the transference. 受到攻击的是:货币贬值和容忍转移的挑战。
The Journal of psychotherapy practice and research Pub Date : 2000-01-01
B Robbins
{"title":"Under attack: devaluation and the challenge of tolerating the transference.","authors":"B Robbins","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Devaluation presents one of the therapist's most difficult challenges: conducting therapy and managing resistance with patients who force the therapist into very aggressive and uncomfortable experiences. When these situations arise, the therapist has a twofold task. He or she must tolerate the transference so as not to engage in a countertransferential enactment. Additionally, from this vulnerable vantage point, he or she must help the patient understand both the meaning of and the consequences of devaluations of the therapist. Two cases are presented that recognize devaluation as an example of projective identification and illustrate the challenge in working with this dynamic.</p>","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"9 3","pages":"136-41"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330593/pdf/136.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21737339","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}
引用次数: 0
Psychotherapy of personality disorders. 人格障碍的心理治疗。
The Journal of psychotherapy practice and research Pub Date : 2000-01-01
G O Gabbard
{"title":"Psychotherapy of personality disorders.","authors":"G O Gabbard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although personality disorders are often regarded as \"untreatable\" by third-party payers, there is actually a growing empirical literature suggesting that Axis II conditions may be eminently treatable by psychotherapy. This literature is critically reviewed, the implications for length of treatment are discussed, and cost-effectiveness issues are examined.</p>","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"9 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330582/pdf/1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21466570","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}
引用次数: 0
Time-limited psychotherapy with adolescents. 青少年的时间限制心理治疗。
The Journal of psychotherapy practice and research Pub Date : 2000-01-01
G Shefler
{"title":"Time-limited psychotherapy with adolescents.","authors":"G Shefler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Short-term dynamic therapies, characterized by abbreviated lengths (10-40 sessions) and, in many cases, preset termination dates, have become more widespread in the past three decades. Short-term therapies are based on rapid psychodynamic diagnosis, a therapeutic focus, a rapidly formed therapeutic alliance, awareness of termination and separation processes, and the directive stance of the therapist. The emotional storm of adolescence, stemming from both developmental and psychopathological sources, leaves many adolescents in need of psychotherapy. Many adolescents in need of therapy resist long-term attachment and involvement in an ambiguous relationship, which they experience as a threat to their emerging sense of independence and separateness. Short-term dynamic therapy can be the treatment of choice for many adolescents because it minimizes these threats and is more responsive to their developmental needs. The article presents treatment and follow-up of a 17-year-old youth, using James Mann's time-limited psychotherapy method.</p>","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"9 2","pages":"88-99"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330592/pdf/88.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21640663","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}
引用次数: 0
The role of therapist characteristics in training effects in cognitive, supportive-expressive, and drug counseling therapies for cocaine dependence. 治疗师特征在认知、支持-表达和药物咨询疗法对可卡因依赖性的训练效果中的作用。
The Journal of psychotherapy practice and research Pub Date : 2000-01-01
L Siqueland, P Crits-Christoph, J P Barber, S F Butler, M Thase, L Najavits, L S Onken
{"title":"The role of therapist characteristics in training effects in cognitive, supportive-expressive, and drug counseling therapies for cocaine dependence.","authors":"L Siqueland, P Crits-Christoph, J P Barber, S F Butler, M Thase, L Najavits, L S Onken","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The role of therapist characteristics in therapy training was examined for 62 therapists in a multisite psychotherapy outcome study that included cognitive therapy (CT), supportive-expressive (SE) psychodynamic therapy, and individual drug counseling (IDC) for cocaine-dependent patients. Demographic variables and experience and competence ratings prior to training were correlated with measures of change in competence during the training phase. Higher competence ratings before training were associated with greater change in competence for SE and higher average competence for IDC. More years of experience were associated with greater change in competence for CT therapists, but more hours of pre-training supervision in the CT treatment modality were associated with less change.</p>","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"9 3","pages":"123-30"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330597/pdf/123.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21737337","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}
引用次数: 0
Psychotherapy adherence of therapists treating HIV-positive patients with depressive symptoms. 治疗hiv阳性抑郁症状患者的心理治疗依从性
The Journal of psychotherapy practice and research Pub Date : 2000-01-01
J C Markowitz, L A Spielman, P A Scarvalone, S W Perry
{"title":"Psychotherapy adherence of therapists treating HIV-positive patients with depressive symptoms.","authors":"J C Markowitz,&nbsp;L A Spielman,&nbsp;P A Scarvalone,&nbsp;S W Perry","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Adherence monitoring, a technology to specify research psychotherapies, was used in the NIMH Treatment of Depression Collaborative Research Program (TDCRP). The authors present adherence data from a similar randomized treatment trial of 56 depressed HIV-positive patients, comparing 16-week interventions with cognitive-behavioral therapy, interpersonal psychotherapy, and supportive psychotherapy alone or with imipramine. Therapists were certified in manualized treatments. Blind independent raters rated randomly selected taped sessions on an adaptation of the NIMH scale, yielding adherence scores for interventions and for therapist \"facilitative conditions\" (FC). All therapists were rated adherent. Interrater reliability was 0.89-0.99. The scale discriminated among the four treatments (P<0.0001), with each scoring highest on its own scale. FC, which might measure therapist competence independent of treatment technique, varied by intervention but did not predict treatment outcome. This study demonstrates the ability to reliably train adherence monitors and therapists able to deliver specified treatments. Its adherence findings provide the first replication of those from the landmark NIMH TDCRP study.</p>","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"9 2","pages":"75-80"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330590/pdf/75.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21640661","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}
引用次数: 0
The role of attachment functions in psychotherapy. 依恋在心理治疗中的作用。
The Journal of psychotherapy practice and research Pub Date : 2000-01-01
J Spiegel, S K Severino, N K Morrison
{"title":"The role of attachment functions in psychotherapy.","authors":"J Spiegel,&nbsp;S K Severino,&nbsp;N K Morrison","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors propose to clarify concepts of emotional attunement and failures of attunement in early development derived from theoretical and clinical work (Kohut) and infant psychiatry (Stern). Early attunement failures are experienced as shameful by the infant/child, and without repair they form a nidus for later destructive adult interpersonal relationships, \"social blindness,\" and depression. The authors present a case illustrating these ideas. The role of empathic attunement experienced in the unique setting/structure of psychotherapy emerges as the single critical variable for a successful outcome.</p>","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"9 1","pages":"25-32"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330578/pdf/25.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21466573","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}
引用次数: 0
Hate, projective identification, and the Psychotherapist's struggle. 仇恨、投射性认同和心理治疗师的挣扎。
The Journal of psychotherapy practice and research Pub Date : 2000-01-01
R T Waska
{"title":"Hate, projective identification, and the Psychotherapist's struggle.","authors":"R T Waska","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The relationship between projective identification and aggression is explored through case material in which the psychotherapist felt strongly influenced by the patient's projections. Through a variety of interpersonal and intrapsychic dynamics, the patient evoked an unconscious and conscious sense of hate in the psychotherapist that emerged in a countertransference dream.</p>","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"9 1","pages":"33-8"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330573/pdf/33.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21466574","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}
引用次数: 0
Participants' perceptions of dimensions of the therapeutic alliance over the course of therapy. 参与者在治疗过程中对治疗联盟维度的感知。
The Journal of psychotherapy practice and research Pub Date : 2000-01-01
A Bachelor, R Salamé
{"title":"Participants' perceptions of dimensions of the therapeutic alliance over the course of therapy.","authors":"A Bachelor,&nbsp;R Salamé","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The course of diverse dimensions of the therapeutic alliance as seen by the therapy participants was examined in two studies. In Study 1, use of the Penn Helping Alliance Method, Therapeutic Alliance Rating System, and Vanderbilt Psychotherapy Process Scale at the 3rd, 10th, and next-to-last therapy sessions revealed significant increases over time for therapists' mean scores on 5 of the 12 subscales. Consistency of participants' scores over time varied depending on rater perspective (therapist or client) and time interval. In Study 2, the Helping Alliance Questionnaire, Working Alliance Inventory, and California Psychotherapy Alliance Scales showed no significant change in participants' average alliance scores on the 9 subscales from the 5th to 10th sessions, and their same-scale ratings were in general consistent. Few differences were observed between therapists' and clients' average alliance ratings, but the relationship was generally perceived differently within dyads.</p>","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"9 1","pages":"39-53"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330579/pdf/39.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21466575","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}
引用次数: 0
Rater agreement on interpersonal psychotherapy problem areas. 对人际心理治疗问题领域的共识更大。
The Journal of psychotherapy practice and research Pub Date : 2000-01-01
J C Markowitz, A C Leon, N L Miller, S Cherry, K F Clougherty, L Villalobos
{"title":"Rater agreement on interpersonal psychotherapy problem areas.","authors":"J C Markowitz,&nbsp;A C Leon,&nbsp;N L Miller,&nbsp;S Cherry,&nbsp;K F Clougherty,&nbsp;L Villalobos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There has been much outcome research on interpersonal psychotherapy (IPT) but little investigation of its components. This study assessed interrater reliability of IPT therapists in identifying interpersonal problem areas and treatment foci from audiotapes of initial treatment sessions. Three IPT research psychotherapists assessed up to 18 audiotapes of dysthymic patients, using the Interpersonal Problem Area Rating Scale. Cohen's kappa was used to examine concordance between raters. Kappas for presence or absence of each of the four IPT problem areas were 0.87 (grief), 0.58 (role dispute), 1.0 (role transition), and 0.48 (interpersonal deficits). Kappa for agreement on a clinical focus was 0.82. IPT therapists agreed closely in rating problem areas and potential treatment foci, providing empirical support for potential therapist consistency in this treatment approach.</p>","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"9 3","pages":"131-5"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330600/pdf/131.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21737338","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}
引用次数: 0
Assessment of change in dynamic psychotherapy. 动态心理治疗中的变化评估。
The Journal of psychotherapy practice and research Pub Date : 2000-01-01
P Høglend, K P Bøgwald, S Amlo, O Heyerdahl, O Sørbye, A Marble, M C Sjaastad, H Bentsen
{"title":"Assessment of change in dynamic psychotherapy.","authors":"P Høglend, K P Bøgwald, S Amlo, O Heyerdahl, O Sørbye, A Marble, M C Sjaastad, H Bentsen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Five scales have been developed to assess changes that are consistent with the therapeutic rationales and procedures of dynamic psychotherapy. Seven raters evaluated 50 patients before and 36 patients again after brief dynamic psychotherapy. A factor analysis indicated that the scales represent a dimension that is discriminable from general symptoms. A summary measure, Dynamic Capacity, was rated with acceptable reliability by a single rater. However, average scores of three raters were needed for good reliability of change ratings. The scales seem to be sufficiently fine-grained to capture statistically and clinically significant changes during brief dynamic psychotherapy.</p>","PeriodicalId":79465,"journal":{"name":"The Journal of psychotherapy practice and research","volume":"9 4","pages":"190-9"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330610/pdf/190.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21896499","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}
引用次数: 0
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