MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'American Journal of Psychotherapy' source. Sun, 01 Jan 2012 02:23:15 +0100 http://www.medworm.com/index.php?rid=5364814&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22032044%26dopt%3DAbstract Short-term psychoanalytic psychotherapy: "a construction zone". Am J Psychother. 2011;65(3):193-204 Authors: Peterson CA Abstract Therapists will discover gaps in the personal narratives of their patients. The first five years of life are generally lost to the veil of infantile amnesia, and utterly unlikely to be recovered even in the deepest and longest psychoanalytic treatments. Subsequent history will be lost to semiotic incompetence and may be lost to conflict-based misunderstanding. Freud indicated that therapist and patient should try to fill those gaps with "constructions," conjectures, or hypotheses on what might have happened. Despite Freud's endorsement of the procedure, reconstructions were neglected until the 1970s forward. If controversial in psychoanalysis, co... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=5364814 Thu, 03 Nov 2011 17:40:02 +0100 5364814 http://www.medworm.com/index.php?rid=5364813&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22032045%26dopt%3DAbstract We describe the session-by-session IPT protocol, illustrating how to formulate the case, help the patient identify and address problematic affects and interpersonal functioning, and to monitor treatment response. PMID: 22032045 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=5364813 Thu, 03 Nov 2011 17:40:02 +0100 5364813 http://www.medworm.com/index.php?rid=5364812&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22032046%26dopt%3DAbstract Authors: McCullough JP, Lord BD, Martin AM, Conley KA, Schramm E, Klein DN Abstract An interpersonal-emotional history procedure, the Significant Other History, is administered to the early-onset chronically depressed patient during the second therapy session in the Cognitive Behavioral Analysis System of Psychotherapy (CBASP). Patients are asked to name up to six significant others and answer two questions: (1) What was it like growing up with or being around this person? (2) What is the emotional "stamp" you take from this relationship that informs who you are today? An interpersonal-emotional theme reflecting the early learning history of the patient is derived from these "stamps" or causal theory conclusions. One transference hypothesis (TH) is derived from the Significant Othe... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=5364812 Thu, 03 Nov 2011 17:40:02 +0100 5364812 http://www.medworm.com/index.php?rid=5364811&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22032047%26dopt%3DAbstract Authors: Dougall JL, Schwartz RC Abstract Clinical reaction related to client socioeconomic status has not been adequately researched, yet socioeconomic status can profoundly affect psychotherapist perceptions of a client's presenting concerns, symptom severity, and prognosis. Using an online national survey, this study examined the influence of client socioeconomic status on psychotherapist cognitive attributions and countertransference reactions (N = 141). Results revealed no significant differences in cognitive attributions based on socioeconomic status. However, significantly stronger countertransference reactions of being dominated by the client with a higher socioeconomic status were found. In addition, the clients with higher socioeconomic status were ascribed with mild prob... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=5364811 Thu, 03 Nov 2011 17:40:02 +0100 5364811 http://www.medworm.com/index.php?rid=5364810&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22032048%26dopt%3DAbstract Authors: Martens WH Abstract A case report is presented and analyzed of a patient who was a double for and imitator of the late Freddy Mercury, lead singer for the rock group Queen. The patient was socially excluded, rejected by his peers, and neglected by his parents. As a consequence he experienced self-hate, shame, low self-esteem, and serious identity problems. Although impressive Freddy Mercury imago appeared to benefit the patient, mainly though social acceptance and enhanced opportunities for relationships, in the long-term it could not cover up his deep-rooted and repressed identity problems. The struggle to cope with these problems is illustrated here. PMID: 22032048 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=5364810 Thu, 03 Nov 2011 17:40:02 +0100 5364810 http://www.medworm.com/index.php?rid=5146392&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21847889%26dopt%3DAbstract Authors: Watkins CE Abstract While the real relationship has long been addressed in psychoanalysis and psychotherapy, the matter of the real relationship in psychotherapy supervision has yet to receive any attention. Ample supervisory focus has indeed been given to the working alliance and transference-countertransference configuration (including parallel processes), but after a century of psychotherapy supervision, any mention whatsoever of real relationship phenomena is absent. In this paper, the following hypotheses are proposed: The real relationship (1) is a crucial component of the supervision relationship that has transtheoretical implications; (2) exists from the moment supervision begins until its end; (3) is the forever silent yet forever substantive contributor to superv... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=5146392 Tue, 23 Aug 2011 01:00:02 +0100 5146392 http://www.medworm.com/index.php?rid=5146391&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21847890%26dopt%3DAbstract Authors: Ruberman L Abstract The observation of deficits in the capacity for mature emotional self-regulation in girls who cut is noted in the literature (Daldin, 1990; Novick & Novick, 1991; Nock et al., 2008). The acquisition of the ability to respond in a healthy manner to stress and challenge, either from outside or inside the self is one of the most important tasks of early development; girls who cut have not accomplished this developmental task or are seriously compromised in their efforts to do so. The connection between this observation, the psychosexual developmental antecedents of this deficit, and psychodynamic approaches to treatment are explored in the literature and in case reviews. PMID: 21847890 [PubMed - in process] (Source: American Journal of Psychotherap... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=5146391 Tue, 23 Aug 2011 01:00:02 +0100 5146391 http://www.medworm.com/index.php?rid=5146390&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21847891%26dopt%3DAbstract Authors: Rahill G, Jean-Gilles M, Thomlison B, Pinto-Lopez E Abstract Haitian immigrants remain underserved in the United States (U.S.), despite their large presence and their visibility, which increased after the January 12, 2010 earthquake. Employing cultural-specific practice strategies to engage Haitians in the U.S. who experienced loss in their social networks, requires understanding the context of their ecological culture and consideration of relevant linguistic and cultural elements. Through a case example, we describe the use of metaphors in cultural language as part of a strategy used to engage a Haitian immigrant with symptoms of posttraumatic stress disorder. Outcomes indicate that the use of storytelling and metaphors facilitate disclosure of clients' worldviews, experi... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=5146390 Tue, 23 Aug 2011 01:00:02 +0100 5146390 http://www.medworm.com/index.php?rid=5146389&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21847892%26dopt%3DAbstract Authors: Hall RE, Breland-Noble A Abstract Due to the historical preponderance of racial and/or intellectual homogeneity in the field of psychology, Eurocentrism set the "gold standard" for its method of intervention. As such, it might be argued that psychology remains a bastion of Eurocentric thought despite the globalization of knowledge and the influx of racially and ethnically diverse scientists into the research endeavor. At the same time and the significant increase in the immigrant Arab population, Arab Americans remain a less familiar component of society. Among the various Arab populations, spirituality through Islam is fundamental. Thus, psychologists would be remiss to exclude a critical aspect of Arab American life from intervention when it is essential to well-being. ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=5146389 Tue, 23 Aug 2011 01:00:02 +0100 5146389 http://www.medworm.com/index.php?rid=5146388&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21847893%26dopt%3DAbstract Authors: Weegmann M, Khantzian EJ Abstract Contemporary psychodynamic therapists, as contrasted with early ones, are more active and interactive, less dependent on interpretations, and more focused on affects, self-regulation, and interpersonal relations, with a premium placed on the therapeutic alliance. Evidence supports the utility and effectiveness of the psychodynamic paradigm. Two cases are presented that demonstrate how a well-trained psychodynamic therapist is able to effectively apply such an approach to individuals with substance use disorders, in one instance a client in early treatment still immersed in her addictions, and, in the second case a client in early abstinence emerging from a long standing dependency on alcohol and cocaine. The case material highlights the sp... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=5146388 Tue, 23 Aug 2011 01:00:02 +0100 5146388 http://www.medworm.com/index.php?rid=5146387&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21847894%26dopt%3DAbstract Authors: Sweezy M Abstract This case study explores the clinical relevance of the differences among shame, guilt that is linked with shame, and pure guilt. Empirical literature on emotion suggests that shame is instrumental in a host of psychiatric symptoms while pure guilt is prosocial and adaptive. Regulating shame and being able to feel pure guilt may be especially important for trauma patients like the one described here, who have transgressors as well as victims. The protocol of internal family systems (IFS), a mode of therapy that utilizes psychic multiplicity and actively recruits internal compassion, is described as a treatment for regulating shame and facilitating adaptive guilt. PMID: 21847894 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=5146387 Tue, 23 Aug 2011 01:00:02 +0100 5146387 http://www.medworm.com/index.php?rid=4732241&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21488517%26dopt%3DAbstract Ethics in practice: a critical appreciation of Mikhail Bakhtin's concept of "outsideness" in relation to responsibility and the creation of meaning in psychotherapy. Am J Psychother. 2011;65(1):1-25 Authors: Pollard R High standards of ethical practice are paramount in psychotherapy and involve the negotiation of complex issues in societies characterised by ethnic, cultural and religious diversity. Bakhtin's concept of "outsideness" offers a potential way of thinking about the ethical implications of therapist interventions that is transtheoretical and that pays particular attention to the use of language and the embodied nature of human interaction. PMID: 21488517 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=4732241 Thu, 21 Apr 2011 01:00:03 +0100 4732241 http://www.medworm.com/index.php?rid=4732240&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21488518%26dopt%3DAbstract This study used a structural equation model to examine the influence of resilience on the four self-conscious affects (guilt-proneness, shame-proneness, externalization, and detachment) assessed in the Test of Self-Conscious Affect-3 (TOSCA-3) and their impact on depressive mood. Our subject population consisted of 447 Japanese university students. The first analysis explored which TOSCA-3 affects help an individual adapt to stressful situations. The concept of "resilience" was used as an indicator to evaluate the adaptive functions. We based this on the assumption that an individual with higher resilience is able to use more adaptive affects. In the second analysis, taking the above relationship between resilience and the self-conscious affects into consideration, we examined how those va... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=4732240 Thu, 21 Apr 2011 01:00:03 +0100 4732240 http://www.medworm.com/index.php?rid=4732239&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21488519%26dopt%3DAbstract Authors: Zisook S, John RM, Sciolla A, Lanouette N, Calabrese C, Dunn LB Most psychiatric residents enter training intent on learning both psychopharmacologic and psychotherapeutic interventions. After graduation, however, many emphasize pharmacotherapy over psychotherapy. PMID: 21488519 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=4732239 Thu, 21 Apr 2011 01:00:03 +0100 4732239 http://www.medworm.com/index.php?rid=4732238&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21488520%26dopt%3DAbstract Authors: Yerushalmi H PMID: 21488520 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=4732238 Thu, 21 Apr 2011 01:00:03 +0100 4732238 http://www.medworm.com/index.php?rid=4732237&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21488521%26dopt%3DAbstract This study examined the effects of a psychoeducational training program in affect regulation for patients with eating disorders. Nineteen female patients completed measures of affect regulation (ACS-90), alexithymia (TAS-26), and eating behavior (EDE-Q). Data were assessed at baseline and at 3 and 12 months posttreatment. Dependent on date of entering hospital, the patients were allocated consecutively to the control group (n =11), which received inpatient treatment as usual, or to the treatment group (n = 8), which received training in addition to usual inpatient treatment. At follow-up, the training was associated with statistically significant improvement in the skill of down-regulating negative affect and with a tendency towards less dietary restraint. Regarding alexithymia no clear re... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=4732237 Thu, 21 Apr 2011 01:00:03 +0100 4732237 http://www.medworm.com/index.php?rid=4143516&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21043330%26dopt%3DAbstract We describe DP from a theoretical and clinical point of view. Current empirical research findings with regard to reliability and validity issues are reviewed. We discuss the use of the DP in clinical practice with respect to other diagnostic methods and assessment procedures, and its properties in supporting the treatment process. Directions for future empirical research are explored. PMID: 21043330 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=4143516 Tue, 09 Nov 2010 01:20:04 +0100 4143516 http://www.medworm.com/index.php?rid=4143515&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21043331%26dopt%3DAbstract Authors: Watkins CE The characterological resistance of the psychotherapy supervisor to engage in authentic relatedness with psychotherapy supervisees is examined. Three types of supervisor resistances are considered: Autonomy based, shame based, and narcissism based. These resistances are placed within a developmental context and are viewed as particularly problematic for supervisors new to the role of supervising. While these resistances can subside over time, they still have a decidedly negative impact on the supervision experience and can restrain supervisee learning and growth as a therapist. Self-analysis, psychotherapy, psychotherapy supervision coursework, and the supervision of supervision are presented as methods by which supervisor characterological resistances can be attack... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=4143515 Tue, 09 Nov 2010 01:20:04 +0100 4143515 http://www.medworm.com/index.php?rid=4143514&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21043332%26dopt%3DAbstract Authors: Muenzenmaier K, Spei E, Gross DR This paper proposes a reconceptualization of serious mental illness (SMI) utilizing the concept of Complex-Posttraumatic Stress Disorder (C-PTSD). While the effects of trauma in men have recently received increased attention, the impact of chronic exposure to interpersonal trauma during childhood remains under assessed and under recognized. This holds true particularly for men diagnosed with SMI. The study of two clinical case vignettes of men who have been psychiatrically hospitalized for many years illustrates the necessity of trauma assessments and trauma-focused treatments within this population. PMID: 21043332 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=4143514 Tue, 09 Nov 2010 01:20:04 +0100 4143514 http://www.medworm.com/index.php?rid=4143513&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21043333%26dopt%3DAbstract Authors: Karson M, Fox J Key common factors across psychotherapy approaches are important to therapeutic effectiveness. We identify some common skills of the therapist that are specific to the psychotherapy role. Describing these common skills and contrasting them to the professional clinical and social roles helps to clarify our vision of the therapy role and to articulate its associated skills. Such descriptions assist faculty members who are training students who seek to learn the therapeutic role and skills. PMID: 21043333 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=4143513 Tue, 09 Nov 2010 01:20:04 +0100 4143513 http://www.medworm.com/index.php?rid=4143512&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21043334%26dopt%3DAbstract This article examines various intersubjective elements of crisis states in light of some of the significant theoretical and clinical developments in psychoanalytic thinking. Amongst these is the mutual influence believed to exist between those experiencing a crisis and those in close relational surroundings. It is proposed herein that some of the actions and reactions of those experiencing a crisis are, in fact, enactments expressing the wishes, fantasies, and needs of others around them. An appropriate interpretation of these enactments can relieve the anxiety accompanying the sense of loneliness, strangeness, and exceptionality that so often characterize crisis states. PMID: 21043334 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=4143512 Tue, 09 Nov 2010 01:20:04 +0100 4143512 http://www.medworm.com/index.php?rid=3754794&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20617786%26dopt%3DAbstract Authors: Klagsbrun S A call from the "cancer floor" sets a second-year psychiatric resident on a 42-year journey in treating patients with terminal illness. Far from being an unremittingly sad experience, working with patients who are approaching death helped refine a sense of focus on the importance of the day-to-day experience. PMID: 20617786 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=3754794 Fri, 16 Jul 2010 00:06:03 +0100 3754794 http://www.medworm.com/index.php?rid=3754793&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20617787%26dopt%3DAbstract Authors: Duquette P Early attachment relationships and their inherent emotional regulation formatively effect psychoneurobiologic development. Implicitly learned relational interactions begin within the context of such relationships, and as habitual responses to strong emotions, such as fear, ultimately define character. The psychotherapeutic attachment relationship can positively affect change in developmental processes compromised in earlier relationships, influencing character change. The early attachment relationship is evaluated for features that become relevant as the therapeutic attachment relationship and real relationship--the realistic and genuine elements of the therapeutic relationship, affect psychoneurobiologic change in the patient. This paper asserts that the real relat... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=3754793 Fri, 16 Jul 2010 00:06:03 +0100 3754793 http://www.medworm.com/index.php?rid=3754792&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20617788%26dopt%3DAbstract Authors: Bowins B Categorical disease models of personality disorder currently dominate in the DSM-IV-TR and ICD-10 diagnostic systems. In preparation for DSM-V, these models have been questioned in light of evidence and widely held beliefs that disorders of personality are extreme variants of normal personality. Unfortunately, problems arise in trying to produce a dimensional model of abnormal and normal personality, such as how aspects of normal personality can be applied to personality disorders, and the all-important issue of precisely what aspect of normal personality is overextended in these disorders. In contrast to other approaches, a dimensional model based on defense mechanisms is easily applied to personality disorders, eliminates the need for complex scales, retains the not... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=3754792 Fri, 16 Jul 2010 00:06:03 +0100 3754792 http://www.medworm.com/index.php?rid=3754791&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20617789%26dopt%3DAbstract This article gives a historical review of the literature concerned with the role of emotional factors in psychoanalysis. The author then focuses on Alexander's milestone contribution and above all, on the concept he developed of corrective emotional experience. Alexander moves gradually over time from the classical position, which gives insight a place of choice, to a more radical view, in which, the most effective therapeutic factor is represented by the emotional experience within the therapeutic relationship. The article includes a review of the literature relevant to the concept of corrective emotional experience. Finally, Experiential-Dynamic Psychotherapy, a therapeutic approach giving a prominent role to the therapeutic power of corrective emotional experience is considered. Two vig... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=3754791 Fri, 16 Jul 2010 00:06:03 +0100 3754791 http://www.medworm.com/index.php?rid=3754790&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20617790%26dopt%3DAbstract Authors: Fauteux K Lately, encounters with angry clients seem to be more frequent and sometimes violent. While I do not claim to know why this is happening, in the course of 20 years of practice, I have developed insights into managing the angry and violent and de-escalating these situations. PMID: 20617790 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=3754790 Fri, 16 Jul 2010 00:06:03 +0100 3754790 http://www.medworm.com/index.php?rid=2923517&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19845087%26dopt%3DAbstract Authors: Ross CA The author reviews the psychodynamics of eating disorder behaviors in women with childhood sexual abuse histories, with a focus on anorexia, bingeing, purging, and overeating. The various defenses and behaviors interact with each other through numerous different feedback loops. The same behavior can have multiple defensive functions and the same defensive function can be served by different behaviors. None of the behaviors is specific to childhood sexual abuse, but the abuse history modifies the content, heightens the intensity of the feelings being defended against, and should be taken into account in the therapy. Several examples of therapeutic strategies are also provided. PMID: 19845087 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=2923517 Sat, 24 Oct 2009 15:50:03 +0100 2923517 http://www.medworm.com/index.php?rid=2923516&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19845088%26dopt%3DAbstract Authors: Ulberg R, Høglend P, Marble A, Sørbye Ø In the First Experimental Study of Transference Interpretations (FEST), showing the best treatment effects from dynamic psychotherapy with transference interpretations, one subgroup was female patients who had difficult relationships with others (low quality of object relations). The aim of the present study was to explore further a highly successful therapy for this subgroup with a single case study in a randomized, controlled study of long-term effects of dynamic psychotherapy with a patient who was depressed and felt exploitable. Case formulation, transcription of sessions, and repeated applications of self-reports and observer-rated measures, both during and after therapy, are used. Detailed observer ratings of the the... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=2923516 Sat, 24 Oct 2009 15:50:03 +0100 2923516 http://www.medworm.com/index.php?rid=2923515&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19845089%26dopt%3DAbstract Authors: Chlebowski S, Gregory RJ Obsessive-compulsive disorder (OCD) can be a severe and disabling condition with considerable variability in clinical presentation, course, and treatment response. Based upon demonstrated efficacy in clinical trials, selective serotonin reuptake inhibitors (SSRIs) and cognitive behavioral therapy (CBT) have become the treatments of choice for patients with OCD. By contrast, psychodynamic formulations and treatments are often considered irrelevant or contraindicated. In the present paper, the authors present five clinical cases of OCD where psychodynamic understanding and/or treatment was essential for optimizing outcome. The authors suggest that a careful psychosocial history and dynamic formulation can enrich understanding in patients with OCD and may... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=2923515 Sat, 24 Oct 2009 15:50:03 +0100 2923515 http://www.medworm.com/index.php?rid=2923514&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19845090%26dopt%3DAbstract This report describes a particular individual with characteristic features of hoarding, which is explored through formal psychological testing. PMID: 19845090 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=2923514 Sat, 24 Oct 2009 15:50:03 +0100 2923514 http://www.medworm.com/index.php?rid=2923513&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19845091%26dopt%3DAbstract This article presents a reconceptualization of trauma in terms of the damage it inflicts on the patient's conception of his or her world. The article includes (1) an analysis of how this view renders the symptoms of posttraumatic stress disorder (PTSD) intelligible, (2) a demonstration of how it integrates research findings on who is most vulnerable to PTSD, (3) a critique of the currently dominant "reprocessing of maladaptive memory structures" accounts of how exposure therapy works, and (4) a reanalysis of how exposure therapies achieve their salutary results. PMID: 19845091 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=2923513 Sat, 24 Oct 2009 15:50:03 +0100 2923513 http://www.medworm.com/index.php?rid=2744764&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19711766%26dopt%3DAbstract Authors: Mallinger A This paper discusses the structure and function of the trait of perfectionism within the obsessive personality, and how it dovetails with other features of that style. The author proposes a nuclear adaptive/defensive "myth of perfection" and delineates the phenomenology and clinical presentations of four problematic aspects of perfectionism: inhibitions, over concern with thoroughness and details, difficulty with decisions and commitments, and pickiness. The paper also discusses how several aspects of the obsessive style can present typical difficulties in doing therapy with perfectionists. PMID: 19711766 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=2744764 Sun, 30 Aug 2009 06:02:02 +0100 2744764 http://www.medworm.com/index.php?rid=2744763&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19711767%26dopt%3DAbstract Authors: Myerson J, Konichezy A Psychological dissociation is commonly perceived by mental health professionals as the pathological splitting of consciences or as an impairment in adaptive integration. In hypnotherapy dissociation is considered one of the most significant features of hypnosis, constituting a major therapeutic resource. In the present article, we use hypnotically induced dissociation (HID) to treat patients with obstinate mental disorders (OMD). These disorders are characterized by persistent, problematic behaviors, thoughts, and feelings that become organizing principals of identity and form enduring psychopathologies. To promote psychological change in patients with OMD, we use HID to enhance dissociative processes that enable the differentiation of health from pathol... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=2744763 Sun, 30 Aug 2009 06:02:02 +0100 2744763 http://www.medworm.com/index.php?rid=2744762&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19711768%26dopt%3DAbstract This article introduces different diagnostic and theoretical descriptions of the ambivalence construct in the schizoid personality disorder. The discussion is elaborated by means of a case example, presenting both the patient's and professionals' points of view on the treatment process. We use the concepts of treatment alliance and countertransference as explanatory models in the discussion of how the schizoid ambivalence may affect the treatment relationship. PMID: 19711768 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=2744762 Sun, 30 Aug 2009 06:02:02 +0100 2744762 http://www.medworm.com/index.php?rid=2744761&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19711769%26dopt%3DAbstract Authors: Rosenblatt PC In this paper, the case is made that providing therapy to a client can be therapeutic for the therapist. Therapist change is not intentionally sought nor professionally delivered, but is from those client interactions experienced as healing. The possible mechanisms of change for the therapist include exposure of much about him- or herself being "on the line" in therapy, and the therapeutic relationship as a collaborative, two-way system. In the collaborative system, much might affect a therapist, including how the client understands and reacts to the therapist's disposition, motivation, self-disclosure, and skill and what the client reveals about his or her life that may lead the therapist to a new sense of her or his own life. PMID: 19711769 [PubMed - in pro... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=2744761 Sun, 30 Aug 2009 06:02:02 +0100 2744761 http://www.medworm.com/index.php?rid=2744760&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19711770%26dopt%3DAbstract Authors: Good MI Elvin Semrad was among the most influential and beloved teachers of psychotherapy in his generation. His legacy as a clinician, teacher, and mentor is still felt today, even among those who never knew him directly. What and how he taught remains as relevant as ever in the psychotherapeutic care of troubled individuals. His was primarily a psychiatry of affects and bodily feelings, and he focused uncannily and empathically on the patient's experience. The basis of his rich, heartfelt, wise, and inimitable approach was not just classically psychoanalytic, or existential, or ego-oriented, or self-psychological, or interpersonal-relational, or even humanistic or adaptational. Rather, it was all of these in a uniquely "Semradian" integration geared toward elucidating patien... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=2744760 Sun, 30 Aug 2009 06:02:02 +0100 2744760 http://www.medworm.com/index.php?rid=2538980&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19425330%26dopt%3DAbstract Authors: Gostecnik C, Repic T The relational marital paradigm presumes that those partners who trigger the strongest impulses of attraction and passionate feelings of love in each other are those who are most likely to marry. However, with time these feelings also awaken memories of the most horrible conflicts and nightmares experienced in the family of origin. The subconscious intention is that the primary drama will, this time, be resolved with more positive outcomes. Relational marital therapy, therefore, sets a new milestone in understanding. It is a different approach to therapeutic practice that is based on the therapeutic relationship/alliance, which addresses and resolves the deepest psychobiological states and affects and brings new potential for better quality of relationship... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=2538980 Sat, 27 Jun 2009 21:41:08 +0100 2538980 http://www.medworm.com/index.php?rid=2538979&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19425331%26dopt%3DAbstract Authors: Nagai C The multicultural counseling movement emerged in response to a diversified society and an increasing need to bring the awareness of culture into clinical practice. Using postmodern theories, shifting from "discovering insights," which suggests an objective knowing, to "identifying meanings," which posits being aware of multiple subjective realities, this article delineates clinical examples of how ethno-cultural and linguistic transference and countertransference are manifested and either are neglected or used in the clinical practice from the perspectives of traditional Asian cultures. PMID: 19425331 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=2538979 Sat, 27 Jun 2009 21:41:08 +0100 2538979 http://www.medworm.com/index.php?rid=2538978&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19425332%26dopt%3DAbstract This study explored the predictive value of observer-rated and self-reported defensive functioning on the outcome of psychotherapy for the treatment of depression. Defense styles were measured according to the Developmental Profile (DP) and the Defense Style Questionnaire (DSQ) in 81 moderately severely depressed patients. All patients were treated with Short-term Psychodynamic Supportive Psychotherapy (SPSP). At baseline, women appeared to have a more mature level of overall defensive functioning. A lower level of defensive function was found in patients with recurrent depressions. We also found a rather modest relationship between self-reported and observer-rated defense. Remitted patients had a more mature overall defensive functioning on the DP and the DSQ. In particular, patients with... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=2538978 Sat, 27 Jun 2009 21:41:08 +0100 2538978 http://www.medworm.com/index.php?rid=2538977&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19425333%26dopt%3DAbstract CONCLUSIONS: At the conclusion of psychotherapeutic treatment, 69% of outpatients showed a statistically significant reduction in wrist-cutting behavior. PMID: 19425333 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=2538977 Sat, 27 Jun 2009 21:41:08 +0100 2538977 http://www.medworm.com/index.php?rid=2538976&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19425334%26dopt%3DAbstract Authors: Martens WH Persons with schizophrenia who have insight of their disorders might experience depression, hopelessness, and related suicidality. Although the concept of self-complexity appears to be highly relevant as a self-regulating mechanism in the process of coping with depression and hopelessness in populations without schizophrenia, it hardly plays a role in current discussions of the determinants of harmful insight in schizophrenia. In this article the correlates of the harmful impact of insight among persons with schizophrenia and the possible buffering role of self-complexity against harmful influences of insight are discussed. PMID: 19425334 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=2538976 Sat, 27 Jun 2009 21:41:08 +0100 2538976 http://www.medworm.com/index.php?rid=2538975&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19425335%26dopt%3DAbstract Authors: Bonchek A Cognitive Behavior Therapy (CBT) is the evidence-based treatment of choice for Obsessive-Compulsive Disorder (OCD). The central technique of this approach is Exposure and Response Prevention (EX/RP). Examination of EX/RP treatment of OCD reveals severe shortcomings. The technique, while generally quite effective, cannot deal with patients who are unable to comply with EX/RP's difficult regime, resulting in a significant percentage of patients who refuse treatment and dropouts. Also, for optimal results, the therapist should be present while the patient carries out EX/RP therapy. This severely reduces the therapist's resources since leaving the clinic and being personally present during EX/RP in the patient's real life circumstances is not something therapists can do ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=2538975 Sat, 27 Jun 2009 21:41:08 +0100 2538975 http://www.medworm.com/index.php?rid=2538974&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19425336%26dopt%3DAbstract Authors: Petraglia J, Thygesen KL, Lecours S, Drapeau M Studies have shown that men and women differ in their use of defense mechanisms (e.g. Cramer, 1991; Watson and Sinha, 1998). However, how and why this difference exists is still open to debate. The present study explores the relationship between gender and defenses using the Defense Style Questionnaire (DSQ-60; Trijsburg Bond, & Drapeau, 2003). As expected, no significant differences were found in Overall Defensive Functioning (ODF); however, men and women differed in their choice of defense style, defense level, and individual defense mechanisms. Evidence is provided to support the notion that while overall adaptivity of defenses is comparable, men and women rely on different defensive organizations during conflict-laden situ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=2538974 Sat, 27 Jun 2009 21:41:08 +0100 2538974 http://www.medworm.com/index.php?rid=1873632&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18846970%26dopt%3DAbstract Authors: Clement PW Of 1,969 patients seen by a clinical psychologist during 40 years of private practice, at the time the outcome data were analysed 1,374 were either in treatment or had completed treatment and all of these cases had produced outcome data. The results show that four (4) patients (0.29%) became Much Worse, 10 (0.73%) became Worse, 412 (29.96%) showed No Change, 467 (33.96%) became Better, and 482 (35.06%) were Much Better. The mean treatment effect size (ES) was 1.87. Outcome varied significantly across diagnostic categories. Outcome also varied by age groups. Outcome for males and females did not differ, but both kinds of individual patients did better than when couples were the focus of treatment. The dropout rate was 17%. The mean number of sessions per case was 17.... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1873632 Tue, 14 Oct 2008 16:18:53 +0100 1873632 http://www.medworm.com/index.php?rid=1873631&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18846971%26dopt%3DAbstract Authors: Bhuvaneswar CG, Gutheil TG In this paper, we consider the use of e-mail in psychotherapy and its impact on the experience of therapy for both patient and clinician. We discuss in detail the potential for boundary compromise by e-mail use and consider how e-mail may undermine the therapeutic alliance and the cultivation of empathy. Case studies illustrate the possible positive aspects of e-mail and elucidate several fundamental problems with any use of e-mail in psychodynamic treatment. PMID: 18846971 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1873631 Tue, 14 Oct 2008 16:18:53 +0100 1873631 http://www.medworm.com/index.php?rid=1873630&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18846972%26dopt%3DAbstract Authors: Greenspon TS Research on perfectionism has generally left unanswered the questions of its developmental history and its meaning in lived experience. A clinical vignette illustrates a contemporary psychodynamic approach used to answer these questions and a therapeutic approach used to overcome perfectionism and its burdensome effects on individuals and intimate relationships. Theoretical developments in contemporary relational psychology, along with the author's clinical experience as a psychotherapist and parent educator, provide source material. Perfectionism is understood as a desire for perfection, a fear of imperfection, the equating of error to personal defectiveness, and the emotional conviction that perfection is the route to personal acceptability. PMID: 18846972 [... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1873630 Tue, 14 Oct 2008 16:18:53 +0100 1873630 http://www.medworm.com/index.php?rid=1873629&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18846973%26dopt%3DAbstract Authors: Dales S, Jerry P This paper examines attachment theory in the context of the biology of affect regulation and the convergence of these in psychotherapeutic processes. Because of recent advances in understanding how the infant brain/mind/body is shaped by the infant's first social experiences, the purpose of this investigation is to extract those underlying mechanisms that expand adaptive and regulatory capacities and to review their application within the therapeutic relationship. Interdisciplinary advances are indicating that just as the infant-mother relationship is fundamentally a psychobiological dyadic system of emotional communication and affect regulation, this same system underlies the essential mechanisms that adaptively sustain subsequent relationships-including the ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1873629 Tue, 14 Oct 2008 16:18:53 +0100 1873629 http://www.medworm.com/index.php?rid=1873628&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18846974%26dopt%3DAbstract We examined the relations among the measures, as well as their predictive relation to an outcome measure. The results showed significant intercorrelations among the three alliance measures, suggesting that all captured aspects of the therapeutic alliance. In addition, all three measures were significantly predictive of outcome, with the correlation index appearing more powerful. PMID: 18846974 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1873628 Tue, 14 Oct 2008 16:18:53 +0100 1873628 http://www.medworm.com/index.php?rid=1597607&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18605126%26dopt%3DAbstract Authors: Appleby BS As leader of the deconstruction movement, Jacques Derrida has had a profound effect on modern thinking. In this article, the author applies Derridean concepts to psychotherapy. Using the concepts of trace and differance, identity and therapeutic relationships are described. Transference and countertransference are regarded as traces, resulting in a breakdown of the therapist/patient dichotomy. Using the Derridean notion of "play" and "dissemination" opens psychotherapeutic options that allow the patient to explore how meaning is derived in his/her life. Questions of how feelings and behaviors are constructed are also examined. In summary, a deconstructive therapeutic approach results in an array of freedom and possibilities. PMID: 18605126 [PubMed - in process] ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1597607 Wed, 09 Jul 2008 16:29:54 +0100 1597607 http://www.medworm.com/index.php?rid=1597606&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18605127%26dopt%3DAbstract Authors: Hasui C, Igarashi H, Nagata T, Kitamura T After examining the definitions of persecutory and penitential types of guilt, based on Melanie Klein's view, we developed a single-item measure of these types and examined reliability and validity of the measure in three studies. Concurrent validity of the measure was shown among a university student population using the Test of Self-Conscious Affect-3 as an external validator. The questionnaire was not influenced by a socially desirable response style. Concurrent validity was demonstrated by studying different external variables: the two types of guilt feelings are moderately correlated with each other, but penitential guilt is more strongly correlated to variables related to ego maturation. Test-retest stability is only modest, sugg... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1597606 Wed, 09 Jul 2008 16:29:54 +0100 1597606 http://www.medworm.com/index.php?rid=1597605&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18605128%26dopt%3DAbstract Authors: Tan L A survey conducted by America Online (AOL) in 2005 reported the startling finding that almost 50% of those posting entries on internet logs (weblogs or blogs), use them as a form of self-therapy. This finding went relatively unnoticed by psychotherapists and other mental health professionals. Given the rather significant global population of bloggers (those who post internet journal entries) and readers, and the seemingly intractable problem of mental illness worldwide (according to the World Health Organisation, the global burden of mental illness accounts for more than the burden of all cancers put together), the possibility of blogging as self-therapy deserves greater attention. Research investigating the health possibilities of blogs holds particular promise, at leas... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1597605 Wed, 09 Jul 2008 16:29:54 +0100 1597605 http://www.medworm.com/index.php?rid=1597604&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18605129%26dopt%3DAbstract Authors: Samstag LW, Muran JC, Wachtel PL, Slade A, Safran JD, Winston A The aim of this study was to investigate the interrelationships of three measures of the therapeutic relationship and their validity in predicting treatment outcome, including the early identification of two treatment-failure conditions. Forty-eight patient-therapist dyads, in 30-session therapies for personality-disordered patients, were classified as premature dropout (DO), poor outcome (PO), or good outcome (GO) cases. Poor and Good Outcomes were determined by a reliable change score. Dropout cases were terminated during the first third of treatment, and patients cited dissatisfaction with the therapy or therapist. Assessment of working alliance, interpersonal behavior and a new measure of narrative coherency i... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1597604 Wed, 09 Jul 2008 16:29:54 +0100 1597604 http://www.medworm.com/index.php?rid=1597603&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18605130%26dopt%3DAbstract Authors: Strenger C Psychotherapists generally feel uncomfortable addressing patients' beliefs, particularly religious beliefs, because of the desire to respect client subjectivity and to avoid the abuse of therapeutic authority. This paper's first contention is that at some junctures, investigation of the client's belief structure can be an important catalyst for change, as exemplified by an extended case example. This stance assumes that much of the individual and collective damage rigid belief systems inflict derives from their function as a defense against death awareness, as described by terror management theory. The paper develops the concept of a therapeutic meta-attitude towards belief mild Epicureanism, related to the classical Greek philosopher Epicurus (341-270 BC). Mild Epi... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1597603 Wed, 09 Jul 2008 16:29:54 +0100 1597603 http://www.medworm.com/index.php?rid=1580544&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18461841%26dopt%3DAbstract Authors: Twemlow SW, Sacco FC, Fonagy P Violent, nonmentalizing individuals who act out aggression do not usually respond to verbal therapeutic approaches alone. We suggest the movement in physically oriented therapies, such as yoga and martial arts, combined with psychodynamic psychotherapy are critical in reaching these individuals. We also suggest embodiment as a direct link to the kinesthetic core of easily disturbed attachment experiences. This process embodying the mind requires a safe, containing context found in the therapist. Clinical vignettes show how this might be done in both individual and social contexts. These vignettes also show a way to think about such a combination of techniques and theories. PMID: 18461841 [PubMed - in process] (Source: American Journal of Psyc... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580544 Sat, 05 Jul 2008 15:04:08 +0100 1580544 http://www.medworm.com/index.php?rid=1580543&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18461842%26dopt%3DAbstract Authors: Schmitt F, Lahti I, Piha J This paper focused on considering schizoaffective disorder in the light of Attachment Theory: a case of intensive psychotherapy with a patient with a schizoaffective disorder was presented. In this case, Attachment Theory provided a useful framework for understanding the patient as well for her treatment. The core of the treatment was to build a strong therapeutic alliance in which compliance with medication and elaboration of psychological processes could be achieved. This paper could contribute to opening the discussion about the relationship between schizoaffective disorder and Attachment Theory. PMID: 18461842 [PubMed - in process] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580543 Sat, 05 Jul 2008 15:04:08 +0100 1580543 http://www.medworm.com/index.php?rid=1580542&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18461843%26dopt%3DAbstract This article explores basic issues in the status dynamics of psychotherapy and supervision. Self-presentation and status markers create a dynamic that affects the participants in psychotherapy and in its supervision. "Political correctness" at times, makes it difficult for trainees to discuss their feelings and observations about status differences with their supervisors. One of the roles of supervision is the rite of passage, involving moving the trainee from the world of nonpsychologist to membership in the community of psychologists. During supervision, the supervisor's self-disclosure of relevant autobiographical details and problematic thoughts and feeling is recommended as useful, even though such revelations in psychotherapy practice might be inappropriate or hazardous. PMID: 18... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580542 Sat, 05 Jul 2008 15:04:08 +0100 1580542 http://www.medworm.com/index.php?rid=1580541&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18461844%26dopt%3DAbstract This article describes training clinicians in a form of brief supportive psychotherapy (BSP) for a multisite depression study, and reports on a survey of therapist attitudes toward BSP. We hypothesized that while most therapists would report acclimating to BSP, cognitive-behavioral therapy (CBT)-trained therapists would report greater frustration with BSP. Sixteen (89%) of 18 therapists completed a brief questionnaire. Therapists reported gaining comfort with supportive concepts and interventions. Therapists with cognitive behavior therapy orientations did not report significantly greater frustration with intervention restrictions. All practitioners indicated they were already using or were planning to use BSP outside the study, and that BSP training had altered their appreciation of psych... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580541 Sat, 05 Jul 2008 15:04:08 +0100 1580541 http://www.medworm.com/index.php?rid=1580540&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18461845%26dopt%3DAbstract Authors: Etzi JL In this article, clients of psychotherapy are viewed as human phenomena. Viewing them as such reestablishes the true subject matter of psychotherapy. The psychotherapy project includes understanding as opposed to explanation, as one of its essential components. As psychotherapists engage in understanding their clients, they find themselves focusing on subjectivity and interiority, both their clients' and their own. Viewing psychotherapy clients as human phenomena to be understood, in contrast to viewing them as cases to be explained, shifts the therapist's focus to a more complex and interpersonally engaged process, which includes the therapist's interior life as well as the client's. Phenomenology provides the means for articulating the true subject matter of psychoth... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580540 Sat, 05 Jul 2008 15:04:08 +0100 1580540 http://www.medworm.com/index.php?rid=1580571&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17503674%26dopt%3DAbstract Authors: Karasu SR The institution of marriage has received renewed interest and even appreciation in the context of the controversy regarding same-sex marriage. Paradoxically, though, as marriage has become more valued, it has become, in the minds of some, just another life-style choice. This paper presents an overview of marriage and explores the complexities of the institution from historical, anthropological, legal, and sociological perspectives. Marriage has many practical implications, including psychological and physical benefits for men and for women, and particularly for children and adolescents, as well as direct benefits to society itself. It is incumbent on clinicians to be sensitive to the many dimensions of this extraordinary institution as it relates to their patients. ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580571 Mon, 01 Jan 2007 05:00:00 +0100 1580571 http://www.medworm.com/index.php?rid=1580570&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17503675%26dopt%3DAbstract This article examines the role of clinical inference in the construction of psychoanalytic case formulations. The principles of analogy, especially in the context of contiguity, the repetition and convergence of themes, the theoretical predilections of the observer, and the assumptions one makes about the operation of the mind are among the major factors that influence the nature of the clinical inferences generated by psychodynamically oriented clinicians. Several clinical examples are presented to highlight the operation of these factors and how they can lead to alternate theoretical formulations. PMID: 17503675 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580570 Mon, 01 Jan 2007 05:00:00 +0100 1580570 http://www.medworm.com/index.php?rid=1580569&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17503676%26dopt%3DAbstract Authors: Seidler GH The understanding of shame and guilt proposed here draws upon the concept of reciprocity to extend approaches based on object relations and structural theory. Shame is understood as an interface affect manifested in the context of external interaction. It constitutes the relational structure of self-consciousness by the internalization of a reciprocal relationship between subject and object. By contrast, guilt is an affective manifestation caused by the differentiation of the subject from a fusion of self and the other. First, it precipitates a disruption between subject and object. Second, it is used to restore oneness by regression. PMID: 17503676 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580569 Mon, 01 Jan 2007 05:00:00 +0100 1580569 http://www.medworm.com/index.php?rid=1580568&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17503677%26dopt%3DAbstract Authors: Ghassemzadeh H Contemporary cognitive-behavior therapy underscores the importance of the culture-specific variables in the treatment of psychological problems. The flexibility and strengths of cognitive-behavior therapy provide us with an excellent opportunity to build a cultural model of cognitive-behavior therapy based on the clinical, as well as theoretical, knowledge of the practitioners and researchers working in different cultural settings. As a first step, we need to share our experiences with the other colleagues working in different cultures. PMID: 17503677 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580568 Mon, 01 Jan 2007 05:00:00 +0100 1580568 http://www.medworm.com/index.php?rid=1580567&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17503678%26dopt%3DAbstract Authors: Ahmed K, Mohan RA, Bhugra D The rates of self-harm among South Asian women in the United Kingdom are much higher than among their White counterparts. However, the explanation for this is far from clear, and there is a need for more culturally informed assessments for this group. Using literature review we identified cultural factors associated with self-harm in South Asian women. These findings were used to guide the clinical assessment of an Asian woman who had self-harmed using a personal narrative approach. Three independent clinicians analysed the narrative and identified important themes that gave an insight into the problems associated with the incident, arriving at a cultural formulation. Our interview showed that specific cultural factors, such as level of acculturatio... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580567 Mon, 01 Jan 2007 05:00:00 +0100 1580567 http://www.medworm.com/index.php?rid=1580566&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17503679%26dopt%3DAbstract Authors: Nicolas G, Desilva AM, Subrebost KL, Breland-Noble A, Gonzalez-Eastep D, Manning N, Prosper V, Prater K Existing research demonstrates that culture has a profound impact on the expression and manifestation of mental illness, especially on depressive disorders among ethnically diverse populations. Currently, little research has focused on the Haitian population, despite the growing number of Haitians living in the United States. This paper discusses clinical observations of the expression of depression among Haitian immigrant women living in the United States. Specifically, this paper examines three distinctive types of depression (pain in the body, relief through God, and fighting a winless battle), explains their symptoms, and provides case examples to illustrate the expressi... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580566 Mon, 01 Jan 2007 05:00:00 +0100 1580566 http://www.medworm.com/index.php?rid=1580565&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17760317%26dopt%3DAbstract We examined the relevance of the level and pattern of the therapeutic alliance in 44 cases of three different, manualized 30-session treatments using patient ratings of the Working Alliance Inventory after each session. It was hypothesized that both high-alliance level and either a linear increase in alliance rating or a series of brief rupture-and-repair episodes would be found in successful treatments. We also hypothesized that a more global high-low-high pattern predicted in the literature would not be present. Consistent with the literature, higher alliance levels were found to be related to improved outcome. As predicted, we did not find a global, high-low-high pattern. Local rupture-and-repair patterns were found in 50% of the cases; linear trends were found in 66% of the cases. Ther... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580565 Mon, 01 Jan 2007 05:00:00 +0100 1580565 http://www.medworm.com/index.php?rid=1580564&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17760318%26dopt%3DAbstract Authors: Gregory RJ Borderline personality disorder is characterized as an identity disturbance or pathology of the self-structure. The author employs concepts from deconstruction philosophy and object relations theory to explore how persons with borderline personality disorder attempt to generate meaning, eliminate ambiguity, and maintain idealizations by assigning polarized attributions of value, agency, and motivation to their experiences. The author proposes that these binary attributions interact to form multiple, discrete self-structures or states of being. Each state is characterized by stereotyped expectations for self and other and patterns of relatedness that are self-perpetuating. The author delineates four common states, labeled as helpless victim, guilty perpetrator, angry... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580564 Mon, 01 Jan 2007 05:00:00 +0100 1580564 http://www.medworm.com/index.php?rid=1580563&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17760319%26dopt%3DAbstract This article (a) relates the many beneficial features that employing stories in psychotherapy can have, (b) offers guidelines for presenting, clarifying, and applying them to patients' unique situations, and (c) presents a sample of therapeutic stories that may be used with a variety of patients. The work is intended to build upon, and is heavily indebted to, the work of many previous authors in the tradition of therapeutic storytelling. PMID: 17760319 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580563 Mon, 01 Jan 2007 05:00:00 +0100 1580563 http://www.medworm.com/index.php?rid=1580562&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17760320%26dopt%3DAbstract Authors: Stanghellini G, Lysaker PH Phenomenological analyses suggest that persons with schizophrenia have profound difficulties with meaningfully engaging the world and situating a sense of self intersubjectively, which leads to the experience of self as absent. In this paper we explore the implications of this view for understanding the workings and potential of individual psychotherapy. Following an examination of individual psychotherapy transcripts for over 60 persons with schizophrenia-spectrum disorders we offer four principles for psychotherapy and provide clinical vignettes to exemplify these points. We suggest that the psychotherapy of persons with schizophrenia may be conceptualised as a "dialogical prosthesis" that helps individuals recover past selves then kindle internal ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580562 Mon, 01 Jan 2007 05:00:00 +0100 1580562 http://www.medworm.com/index.php?rid=1580561&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17760321%26dopt%3DAbstract Authors: Oppenheimer M According to some systemic thinkers, extramarital affairs are a joint venture between spouses. In an attempt to revitalize an emotionally depleted marriage, partners choose to triangulate a third party, and thus generate a crisis in the marriage. From a systemic point of view, cheating spouses represent the fear of engulfment while cheated partners represent the fear of abandonment, both fears being associated with the process of individuation. From the systems theory point of view, both partners are responsible for creating this scenario, in which there are no victims. This paper will explore the possibility that an extramarital affair is not a joint venture between partners, and that cheated partners are often victims of a psychological setup by their partners.... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580561 Mon, 01 Jan 2007 05:00:00 +0100 1580561 http://www.medworm.com/index.php?rid=1580560&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17760322%26dopt%3DAbstract Authors: Rautalinko E, Lisper HO, Ekehammar B Psychology students received a 14-, 28-, or 42-hour training course in reflective listening. Before and after training, the students participated in role-played counseling conversations with confederates, who rated them. The conversations were captured on audio- or videotape, categorized, and rated by external evaluators. Results suggested that the students used reflective listening equally after different lengths of training. However, longer training resulted in the confederates disclosing more emotion, the psychology students remembering the information relayed better, and the evaluators perceiving the therapeutic relationship as better. This was especially true among the evaluators who self-reported high social skills. PMID: 17760322... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580560 Mon, 01 Jan 2007 05:00:00 +0100 1580560 http://www.medworm.com/index.php?rid=1580559&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17760323%26dopt%3DAbstract Authors: Ballon B, Leszcz M The authors review the literature of cinematic-related psychiatric case reports and report the case of a 22-year-old woman who presented with intrusive thoughts of demonic possession and flashbacks of the film The Exorcist. Cinematic neurosis may be considered a form of psychological crisis shaped by exposure to a film narrative that is emotionally and culturally significant to the individual. The structure of horror films are examined from the perspectives of trauma theory, narrative theory, and borderline personality organization theories, using the film The Exorcist as an example. Within this framework, the horror film can be seen as a cultural tale that provides a mechanism for attempting mastery over anxieties involving issues of separation, loss, auton... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580559 Mon, 01 Jan 2007 05:00:00 +0100 1580559 http://www.medworm.com/index.php?rid=1580558&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17985527%26dopt%3DAbstract Authors: Mahrer AR Experiential psychotherapy is generally accepted as one of the major families of psychotherapy. One of the main purposes of this introduction to the theme issue is to invite leading proponents and exponents to provide their own answers to the question of how to do experiential psychotherapy, with the emphasis on what would be helpful to students, trainees, and practitioners somewhat familiar with the approach. A second main purpose is to make a case that the very idea of an "experiential family" is a myth. There is no such thing as an "experiential family" of psychotherapies. There are not distinctively common family characteristics. PMID: 17985527 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580558 Mon, 01 Jan 2007 05:00:00 +0100 1580558 http://www.medworm.com/index.php?rid=1580557&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17985528%26dopt%3DAbstract Authors: Elliott R, Greenberg LS Process-Experiential/Emotion-Focused Therapy (PE-EFT) is an empirically-supported, neo-humanistic approach that integrates and updates person-centered, Gestalt, and existential therapies. In this article, we first present what we see as PE-EFT's five essential features, namely neo-humanistic values, process-experiential emotion theory, person-centered but process-guiding relational stance, therapist exploratory response style, and marker-guided task strategy. Next, we summarize six treatment principles that guide therapists in carrying out this therapy: achieving empathic attunement, fostering an empathic, caring therapeutic bond, facilitating task collaboration, helping the client process experience appropriately to the task, supporting completion of k... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580557 Mon, 01 Jan 2007 05:00:00 +0100 1580557 http://www.medworm.com/index.php?rid=1580556&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17985529%26dopt%3DAbstract Authors: Leijssen M The therapeutic relationship is described as a curative factor in its own right as well as facilitative for other tasks. Experiential tasks that facilitate working on the intrapsychic, interpersonal, and existential domains are distinguished. Focusing is an intrapsychic task of paying attention to one's bodily felt experience. Clearing space helps clients finding a right distance for exploring their experience when they are too close or too distanced from their emotions. Interpersonal work takes the lead when maladaptive interactional patterns are hindering the relational life of the client. Metacommunicative feedback and interpersonal experiences in the therapeutic encounter act as an invitation to develop new ways of communicating. Existential processes are challe... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580556 Mon, 01 Jan 2007 05:00:00 +0100 1580556 http://www.medworm.com/index.php?rid=1580555&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17985530%26dopt%3DAbstract Authors: Hendricks MN Experiential Psychotherapy originated in Gendlin's Philosopy of the Implicit. Some of its main concepts are bodily felt sense, fresh emergence of words from the felt sense, and carrying forward the implicit with small steps of change. Presented in this paper are many specific examples of what a therapist may say to the client to encourage the bodily felt sense. Dealing with three obstacles to forming a felt sense, intellectual speculation, drowning in emotions, and self-attacking are discussed. The philosophical concepts in the focusing-oriented school of therapy enable therapists to relate any psychological theory to the client's ongoing experience, allowing therapists from any theoretical orientation to practice in a focusing-oriented way. PMID: 17985530 [Pu... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580555 Mon, 01 Jan 2007 05:00:00 +0100 1580555 http://www.medworm.com/index.php?rid=1580554&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17985531%26dopt%3DAbstract Authors: Prouty G Contact Reflections are the primary method of Pre-Therapy. There are five formalized techniques: situational, facial, word-for-word, body, and reiterative. Together they form a web of psychological contact enabling the development of therapeutic relationships. A case history of treatment with a client with retardation and psychosis is presented with a discussion of the therapist's innovative technique. PMID: 17985531 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580554 Mon, 01 Jan 2007 05:00:00 +0100 1580554 http://www.medworm.com/index.php?rid=1580553&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17985532%26dopt%3DAbstract Authors: Mahrer AR Each experiential session is to achieve two goals. One is to enable the person to undergo a qualitative shift into being the transformed new person that the person can become. A second goal is for the qualitatively new person to be essentially free of the painful feeling and scene that were front and center for the person in the session. Each session proceeds through a sequence of steps, and each step is achieved by its own collection of working methods. PMID: 17985532 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580553 Mon, 01 Jan 2007 05:00:00 +0100 1580553 http://www.medworm.com/index.php?rid=1580552&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17985533%26dopt%3DAbstract Authors: Vanaerschot G In this paper, an experiential process-directive approach is presented in which the therapist is guided by the Rogerian core attitudes for offering a therapeutic relationship and for intervening in a process-enhancing way. I elaborate on how interventions that originate in the therapist's empathic-resonance process influence the client's experiencing in a process-enhancing way. A process-diagnostic model, based on distinctions among different aspects of the experiential exploration process, forms the framework in which the various interventions are classified according to dominant process intention. Three major process intentions are distinguished: becoming aware of experiencing, regulating (increasing or decreasing) the intensity of experiencing so that it becom... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580552 Mon, 01 Jan 2007 05:00:00 +0100 1580552 http://www.medworm.com/index.php?rid=1580551&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17985534%26dopt%3DAbstract Authors: Kleinplatz PJ Mahrer's Experiential Psychotherapy provides a valuable alternative to conventional sex therapy with individuals and couples. Experiential Psychotherapy uses the sexual complaint as it would any situation or scene described at the outset of therapy, as an entry point to the client's deeper experiencing. Several of the advantages of the methods employed are listed. Specifically, the ways in which Experiential Psychotherapy is ideally suited to dealing with forbidden, haunting, and disturbing sexual feelings, fantasies, and urges are highlighted. Clinical illustrations are presented of experiential dream work with a sexual assault survivor and of a couple referred for treatment of his erectile dysfunction and her low sexual desire. Experiential Psychotherapy effect... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580551 Mon, 01 Jan 2007 05:00:00 +0100 1580551 http://www.medworm.com/index.php?rid=1580550&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18251382%26dopt%3DAbstract This study investigates the construct validity of a revised version of the Countertransference Rating System (CRS) by means of convergence with Referential Activity (RA). The CRS operationalizes three mental activity dimensions (rational-objective, reactive, and reflective) as processes of transformation of countertransferential contents elicited in a therapist by a patient's object-relations units. The participants were 36 novice psychotherapists who shared their spontaneous reactions toward parental descriptions provided by conduct-disordered male adolescent patients. Globally, the reflective dimension was positively correlated with RA, whereas the other two dimensions--rational-objective and reactive--showed no association. Dominant categories within each dimension displayed patterns of... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580550 Mon, 01 Jan 2007 05:00:00 +0100 1580550 http://www.medworm.com/index.php?rid=1580549&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18251383%26dopt%3DAbstract This study investigated the phenomenon of client-induced countertransference toward two client populations that may evoke strong reactions in psychotherapists--persons with Antisocial Personality Disorder and Schizophrenia. Results of a MANOVA and follow-up ANOVAs indicate that psychotherapists displayed significantly stronger feelings of being dominated (i.e., exploited, manipulated, talked down to) by clients with Antisocial Personality Disorders. Counselors manifested significantly stronger positive feelings (i.e., being liked and welcomed and being in charge, that is, being put in a decision-making role) when working with clients having Schizophrenia. We discuss research and clinical implications of these findings. PMID: 18251383 [PubMed - indexed for MEDLINE] (Source: American Jou... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580549 Mon, 01 Jan 2007 05:00:00 +0100 1580549 http://www.medworm.com/index.php?rid=1580548&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18251384%26dopt%3DAbstract Authors: Trinidad AC Would-be learners of cognitive-behavioral therapy (CBT) may be hampered by learning traps that impede effective acquisition of the skills necessary to provide this type of therapy to clients. Among these pitfalls are the possibility of isolation, therapeutic fanaticism, lack of seriousness, therapeutic drift, and thinking CBT is antipsychodynamic or antipsychoanalytic. The author advocates immersion learning of CBT, arguing that theoretical learning must be supplemented by supervision and active use of the method in one's patients. Presented are two case vignettes demonstrating therapeutic drift and therapeutic fanaticism to highlight potential therapeutic impasses that may ensue from these pitfalls. PMID: 18251384 [PubMed - indexed for MEDLINE] (Source: Americ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580548 Mon, 01 Jan 2007 05:00:00 +0100 1580548 http://www.medworm.com/index.php?rid=1580547&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18251385%26dopt%3DAbstract CONCLUSIONS: This pilot study indicates that psychodynamic group psychotherapy is feasible as a component of treatment for bipolar disorder diagnoses. The results suggest benefits on depressive, but not manic symptoms. The 73% retention rate suggests that further study of this treatment is warranted, especially in the cases of patients for whom pharmacotherapy alone is not sufficient. PMID: 18251385 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580547 Mon, 01 Jan 2007 05:00:00 +0100 1580547 http://www.medworm.com/index.php?rid=1580546&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18251386%26dopt%3DAbstract Authors: Fuchs T Using phenomenological and ecological psychology as a base, the author develops the concept of lived space as the totality of an individual's spatial and social relationships, including his "horizon of possibilities". The lived space may also be regarded as the individual's ecological niche, which is continuously shaped by his exchange with the environment. Mental illness may then be conceived as a limitation or deformation of the patient's lived space, inhibiting his responsivity and exchange with the environment. Unconscious dysfunctional patterns of feeling and behaving act as "blind spots" or "curvatures" in lived space and lead to typical distortions, thereby further restricting the patient's potentialities and development. Accordingly, the task of psychotherapy i... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580546 Mon, 01 Jan 2007 05:00:00 +0100 1580546 http://www.medworm.com/index.php?rid=1580545&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18251387%26dopt%3DAbstract Limit setting and projective identification in work with a provocative child and his parents: a revisiting of Winnicott's "Hate in the Countertransference. Am J Psychother. 2007;61(4):441-57 Authors: Henry CA Dealing with children who have disruptive behavior disorders can evoke feelings of frustration and anger in their therapists. D.W. Winnicott discussed the complexities in the treatment of enraging patients in his article "Hate in the Countertransference" (1949). In the following paper, I will depict the relationship between limit setting, projective identification dynamics, and enraging behavior in the treatment of a provocative latency-aged boy. I will argue that poor limit setting caused by powerful projective identification dynamics were central to the pathology of the ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580545 Mon, 01 Jan 2007 05:00:00 +0100 1580545 http://www.medworm.com/index.php?rid=1580595&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16770913%26dopt%3DAbstract Authors: Baldwin KM, Baldwin JR, Ewald T The perception of the self has been one of the fundamental constructs in psychotherapy, with attention devoted to shame, guilt, and, more recently, one's perception of ability to influence a situation-that is, self-efficacy; however, the relationship between these constructs merits scholarly attention. In the present study, researchers analyze the survey responses of 194 college students to determine relationships between shame and guilt as measured by the Test of Self-Conscious Affect (TOSCA 3, Tangney & Dearing, 2002), and self-efficacy as measured by the general and social self-efficacy scales (by Sherer, Maddux, Mercandante, Prentice-Dunn, Jacobs, & Rogers, 1982). Results support a hypothesis that higher shame scores were related to ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580595 Sun, 01 Jan 2006 05:00:00 +0100 1580595 http://www.medworm.com/index.php?rid=1580594&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16770914%26dopt%3DAbstract Authors: Reeskamp H A disturbed sleep pattern, nightmares, and anxiety-filled dreams form a cluster of symptoms belonging to the DSM- IV diagnosis of Post-traumatic Stress Disorder. A psychotherapeutic group approach aimed at reducing these symptoms was undertaken in the form of a workshop. The workshop was not a regular part of the treatment program, but an experimental endeavor, offered to the patients during special occasions in the year (around holidays). The therapist was primarily interested in investigating possibilities for improving the quality of sleep and influencing the patterns of recurring anxiety-filled dreams and nightmares. The method has both structured and psychodynamic elements. The work carried out during the dream group was embedded in the total treatment program.... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580594 Sun, 01 Jan 2006 05:00:00 +0100 1580594 http://www.medworm.com/index.php?rid=1580593&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16770915%26dopt%3DAbstract Authors: Lewis O Psychotherapy for children with significant developmental impairments often focuses on specific, symptom-targeted treatments. While often effective, these treatments do not address the impaired view these children have of themselves. Adolescence and the struggles to come to terms with sexuality, present a unique opportunity for the psychodynamically oriented therapist to confirm what is normal and expand domains of relatedness. The cases of three boys are described in which the therapy played a vital role in normalizing their adolescent experiences. These boys carried diagnoses of Asperger's Syndrome, Aspergers's with Bipolar Disorder, and Multi-dimensionally Impaired. With more of a sense of normalcy about their drives, as well as the pressure of the drives themselves... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580593 Sun, 01 Jan 2006 05:00:00 +0100 1580593 http://www.medworm.com/index.php?rid=1580592&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16770916%26dopt%3DAbstract Authors: Oei TP, Browne A The present study assessed the influence of group processes on clinical outcomes of patients with anxiety and depression following group Cognitive Behavior Therapy (CBT). Five group environment variables were measured: cohesion, leader support, expressiveness, independence, and self-discovery. One hundred and sixty two patients attended a group CBT program and were assessed at pre and post-treatment. Results provided evidence for the effectiveness of group therapy as patients reported significantly lower depression and anxiety at the conclusion of treatment. Expressiveness was the only predictor of post-treatment anxiety, whereas leader support, expressiveness, and independence were significant predictors of post-treatment depression. Overall, findings suggest... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580592 Sun, 01 Jan 2006 05:00:00 +0100 1580592 http://www.medworm.com/index.php?rid=1580591&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16770917%26dopt%3DAbstract Authors: Miovic M, McCarthy M, Badaracco MA, Greenberg W, Fitzmaurice GM, Peteet JR Little quantitative data exist on what the content of non-manualized psychotherapy in contemporary clinical settings actually is, and what patients and clinicians think it ought to be. This descriptive pilot study identified potential content areas to address in psychotherapy, quantified the relative importance of these domains of discussion to patients vs. clinicians, and attempted to measure the frequency with which these domains are actually addressed in current clinical practice at two academic, urban hospitals. The conteni areas assessed included health habits, avocations, work, family, friendships, community involvement, spirituality/religion, finance, sexuality, political activities, educational ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580591 Sun, 01 Jan 2006 05:00:00 +0100 1580591 http://www.medworm.com/index.php?rid=1580590&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16770918%26dopt%3DAbstract Authors: Becker D Middle age is a normative developmental stage. Although further research is still required, there is general agreement in the literature as to the principal changes, conflicts, and tasks that are characteristic of this stage in life, and in particular, as to the nature of the transition to the second half of life, or what is commonly known as "midlife crisis." The dynamic psychotherapeutic approach to the middle-aged patient does not differ in essence from that adopted toward adolescents or the elderly. The current paper suggests that introducing existential issues and the existentialist therapy approach into analytic-oriented therapy is especially appropriate to the psychotherapy of individuals in midlife. The central themes of middle-age psychology are presented, an... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580590 Sun, 01 Jan 2006 05:00:00 +0100 1580590 http://www.medworm.com/index.php?rid=1580589&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16892948%26dopt%3DAbstract This article describes Janet's concept of psychological trauma and the formation of rigid thought complexes (fixed ideas). This concept forms the basis for Janet's functional nosology of the neuroses, and is related to his dynamic psychology of conduct or action. It can be viewed as an early self-regulation model, because it contains a stratified bio-, socio-, and psycho-genetic hierarchy of behavioral "tendencies" that produce a more or less adaptive act by means of two hypothesized intervening variables: psychological force and psychological tension. Fixed ideas are viewed within this framework as an outcome of deficient processes of adaptation to psychological trauma. The article closes by pointing out affinities between Janet's psychological concept and modern cognitive and behavioral ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580589 Sun, 01 Jan 2006 05:00:00 +0100 1580589 http://www.medworm.com/index.php?rid=1580588&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16892949%26dopt%3DAbstract Authors: Sorrell JH The intent of this paper is to examine the inherent contradictions in the practice of psychotherapy that, if left unexamined, ruin the emancipatory prospects that it holds. Critical theory and, more specifically, Jurgen Habermas' theory of communicative action is utilized as a starting point for reconceptualizing psychotherapy. This paper then establishes a phenomenological and ethical basis for solidarity despite the power differences and conflicting goals for therapists and clients. It draws heavily on a consideration of intersubjectivity and the self as fundamentally relational as conceived by theorists such as Schutz, Levinas, and Vygotsky. Through such an analysis psychotherapy will be constituted consciously as a free space for critique, dissent and action, al... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580588 Sun, 01 Jan 2006 05:00:00 +0100 1580588 http://www.medworm.com/index.php?rid=1580587&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16892950%26dopt%3DAbstract Authors: Cameron CL During the last several decades, brief psychotherapeutic approaches to mental health treatment have become increasingly prevalent. This paper describes brief psychotherapy and provides a brief review of the relevant empirical literature. Therapists who are unfamiliar with brief psychotherapy will find that this paper provides a concise introduction to the essential processes and outcomes of this therapeutic approach. PMID: 16892950 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580587 Sun, 01 Jan 2006 05:00:00 +0100 1580587 http://www.medworm.com/index.php?rid=1580586&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16892951%26dopt%3DAbstract Authors: Viederman M The psychiatric consultation has not been adequately exploited as a therapeutic device. Although, the original abstinent model for psychodynamic psychotherapy has become more flexible, passive listening with interventions to elicit diagnostic "data" remains the prevailing mode in psychiatric consultation. In this paper I develop the idea of the consultation as an active process (Viederman, M., 2002) that engages the patient emotionally for therapeutic effect. PMID: 16892951 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580586 Sun, 01 Jan 2006 05:00:00 +0100 1580586 http://www.medworm.com/index.php?rid=1580585&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16892952%26dopt%3DAbstract In this report we describe the use of logotherapy (healing through meaning) for the treatment of combat-related PTSD PMID: 16892952 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580585 Sun, 01 Jan 2006 05:00:00 +0100 1580585 http://www.medworm.com/index.php?rid=1580584&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16892953%26dopt%3DAbstract CONCLUSIONS: Our study indicates that psychiatry resident attitude and age may influence psychotherapy competency. These markers for psychotherapy competency may assist training programs with resident selection parameters and may enhance psychotherapy educational strategies for residents predicted to require assistance in achieving competency. PMID: 16892953 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580584 Sun, 01 Jan 2006 05:00:00 +0100 1580584 http://www.medworm.com/index.php?rid=1580583&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16892954%26dopt%3DAbstract This report examines the ways in which therapists' and patients' attitudes towards giving and receiving "pity" can advance or interfere with the realization of these goals. Clinical observations, introspective analyses, interviews, and questionnaires are used to investigate the following questions: What feelings and thoughts are encompassed by the state of pitying a person or an aspect of a person? What are the similarities and differences between pity and compassion? How do pity and empathy interact in the therapeutic situation? When is taking and showing pity therapeutically beneficial? Is pity a force that brings people together, or is it a way of distancing ourselves from those whom we regard as "other"? Based on the phenomena brought to light by investigating these questions, the auth... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580583 Sun, 01 Jan 2006 05:00:00 +0100 1580583 http://www.medworm.com/index.php?rid=1580582&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17066755%26dopt%3DAbstract Authors: Bergner RM Psychotherapeutic practice, while it has benefited greatly from scientific research, rests on many further secure epistemic foundations. In the present article, this thesis is argued in two stages. First, a brief review of some elementary epistemological findings is presented. In this review, the generally acknowledged degree of certainty attributed to different knowledge sources, and thus the confidence with which we may believe and act upon them, are recounted. Second, an extended analysis of the ways in which each of these knowledge sources enter into the practice of psychotherapy is developed. In the end, what is proffered here is a demonstration that well conducted psychotherapy is an activity whose judgments and decisions rest on many secure foundations. P... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580582 Sun, 01 Jan 2006 05:00:00 +0100 1580582 http://www.medworm.com/index.php?rid=1580581&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17066756%26dopt%3DAbstract CONCLUSIONS: Although there is substantial evidence for the efficacy of cognitive-behavioral therapy and some evidence for the efficacy of psychodynamic psychotherapy, further studies are required to improve the positive outcome rates of treatment responders in specific mental disorders. For psychodynamic psychotherapy further studies of specific forms of treatment in specific mental disorders are required to corroborate the available results. PMID: 17066756 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580581 Sun, 01 Jan 2006 05:00:00 +0100 1580581 http://www.medworm.com/index.php?rid=1580580&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17066757%26dopt%3DAbstract Authors: Seidler GH, Wagner FE After a brief historical overview of the genealogy of the stressor criterion in the Diagnostic and Statistical Manual (DSM), a clinical example is drawn upon to indicate that there is evidence suggesting that low-magnitude stressors are also capable of producing PTSD symptoms. The diathesis-stress model and the kindling model are discussed as providing possible explanations for this. PMID: 17066757 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580580 Sun, 01 Jan 2006 05:00:00 +0100 1580580 http://www.medworm.com/index.php?rid=1580579&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17066758%26dopt%3DAbstract This article will reflect upon the specific need to give thoughtful consideration to those infants admitted to the acute-care setting, such as neonatal and paediatric intensive care units, and the potential for this environment to affect infant development and the parent-infant relationship. Infant-directed singing, as described in this article, is an improvised form of vocal interaction that is specifically informed by an understanding of the musical parameters of pitch, rhythm, phrasing, timbre, register, dynamic, tempo and silence. This article will detail a theoretical understanding of using infant-directed singing to foster parent-infant interaction within the acute care environment. In particular, the potentially sensitive, reciprocal and engaging nature of infant-directed singing, c... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580579 Sun, 01 Jan 2006 05:00:00 +0100 1580579 http://www.medworm.com/index.php?rid=1580578&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17066759%26dopt%3DAbstract Authors: Keshen A Existential psychotherapy has remained on the fringes of the mainstream practice of psychotherapy. One reason for its limited acceptance is that the literature has tended to be convoluted and existential psychotherapists' ideas heterogeneous. Another reason is the dearth of empirical validation studies. What if a more succinct, well-defined and research-friendly model of existential psychotherapy could be developed? An argument against such a manualized approach is that making the model more mechanized and structured goes against some of the tenets of existential psychotherapy. Another argument is that the heterogeneity of the field prohibits manualization of existential psychotherapy. Although these reservations have some legitimacy, the purpose of this paper is to d... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580578 Sun, 01 Jan 2006 05:00:00 +0100 1580578 http://www.medworm.com/index.php?rid=1580577&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17066760%26dopt%3DAbstract Authors: White TM, Gibbons MB, Schamberger M Cultural sensitivity is a concept that has become increasingly important in psychotherapy research and practice. In response to the growing ethnic minority population and the increased demand for psychological services among minority clients, many therapists and researchers have attempted to identify competencies and guidelines for providing culturally sensitive approaches to treatment. However, many cultural sensitivity concepts are theoretical and have rarely been integrated into an established psychotherapeutic framework. The purpose of this manuscript is to operationalize the concepts of cultural sensitivity into specific therapeutic techniques using a manual-guided Supportive Expressive Psychotherapy approach. Developing these strategie... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580577 Sun, 01 Jan 2006 05:00:00 +0100 1580577 http://www.medworm.com/index.php?rid=1580576&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17340944%26dopt%3DAbstract CONCLUSION: Traditional gender role behaviors and differential gender socialization patterns are possible reasons for the gender difference in perception of boundaries by supervisors. PMID: 17340944 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580576 Sun, 01 Jan 2006 05:00:00 +0100 1580576 http://www.medworm.com/index.php?rid=1580575&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17340945%26dopt%3DAbstract We describe the rationale and procedures for a trauma-focused, present-centered, emotion self-regulation modelfor concurrent treatment of posttraumatic stress disorder (PTSD) and substance use disorders: Trauma Adaptive Recovery Group Education and Therapy (TARGET). Based on a review of the clinical and research literatures relevant to models of psychotherapy for co-occurring PTSD and addiction, we develop a conceptual model and describe a skill set that has been operationalized in TARGET. Clinical vignettes with challenging cases are provided to illustrate the application of the TARGET model in individual and group psychotherapy of co-occurring PTSD and addiction. PMID: 17340945 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580575 Sun, 01 Jan 2006 05:00:00 +0100 1580575 http://www.medworm.com/index.php?rid=1580574&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17340946%26dopt%3DAbstract This study explored how individual differences in ego development (Loevinger, 1976) predict the therapeutic goal-setting capacities of adults with chronic mental illness receiving therapy in a community mental health setting. The sample included 51 men and 49 women, ages 25 to 65, diagnosed with schizophrenia, schizoaffective disorder, or bipolar disorder. Utilizing correlational and multiple regression analyses, results confirmed a relationship between higher stages of ego development and greater complexity of therapeutic goals, as well as greater commitment to therapeutic goals. Rehabilitation goals were more prevalent at lower stages of ego development, while goals such as enhancing one's personal relationships, and gaining increased insight emerged at higher stages. Implications for th... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580574 Sun, 01 Jan 2006 05:00:00 +0100 1580574 http://www.medworm.com/index.php?rid=1580573&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17340947%26dopt%3DAbstract Authors: Sladeczek IE, Dumont F, Martel CA, Karagiannakis A The purpose of this study was to examine if the order in which case file material is presented to clinicians and length of clinical experience affect clinical judgment. Using think-aloud procedures, 36 clinicians (trainees and veterans) diagnosed the case files of a middle-aged hospital outpatient. In one version, a neutral but vivid datum was placed near the start; in the second version it was placed toward the end. Protocols generated were coded on the dependent variables, confirmation and disconfirmation of earlier inferences, and dispositional and situational inferences. MANOVA results indicate that there is an interactive order-by-experience effect on proportion of confirmatory inferences articulated by participants. Othe... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580573 Sun, 01 Jan 2006 05:00:00 +0100 1580573 http://www.medworm.com/index.php?rid=1580572&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17340948%26dopt%3DAbstract This study assessed introject and attachment styles of patients and therapists, and the match of these styles in patient/therapist dyads, to determine their relation to various psychotherapy process and outcome measures. The INTREX was used to measure introject style (affiliation and autonomy) and the Relationship Scale Questionaire to measure attachment style (secure, fearful, preoccupied, dismissing). Therapists with more affiliative (self-loving) and secure styles achieve better outcome results compared to therapists with less affiliative (self-hating) and insecure styles. Further, the greater the difference in introject and attachment styles within the patient/therapist dyad, the better the outcome. PMID: 17340948 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychoth... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580572 Sun, 01 Jan 2006 05:00:00 +0100 1580572 http://www.medworm.com/index.php?rid=1580619&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15895765%26dopt%3DAbstract Authors: Graybar SR, Leonard LM This paper makes a case for listening and its role in establishing and maintaining meaningful psychotherapeutic relationships. Further, it examines those factors that have contributed to the devaluation and current decline of listening in mental health care. These factors include the abuses of managed care, the marketing and misuse of psychotropic medications, the growth of brief, manualized, empirically supported treatments (ESTs), and the lack of appreciation for unconscious processes and countertransference in the appeal, development and delivery of these interventions. PMID: 15895765 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580619 Sat, 01 Jan 2005 05:00:00 +0100 1580619 http://www.medworm.com/index.php?rid=1580618&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15895766%26dopt%3DAbstract Authors: Wilson SN The author uses Winnicott's theory involving transitional objects, the therapeutic value of play, and the vital role of danger to elucidate the psychotherapeutic aspects of medication visits. A case vignette illustrates growth of the possibility of play in the course of visits whose overt agenda is "meds only." PMID: 15895766 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580618 Sat, 01 Jan 2005 05:00:00 +0100 1580618 http://www.medworm.com/index.php?rid=1580617&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15895767%26dopt%3DAbstract Authors: Knight ZG In this article the classical concept and the use of the 'corrective emotional experience' in psychotherapy is described. This concept is not widely accepted within the standpoint of contemporary psychoanalytic psychotherapy and object relations theories. It has an unfavorable reputation. However, this paper does not advocate discarding this therapeutic idea and action because it does have therapeutic value. The case is made that the search for the bad object, and patient's reenactment of early experiences as they had been, is a corrective emotional experience in that it is a reparative experience. Furthermore, the search for the bad object is necessary for attachment. In addition, the point is made that patients find and create the object, therefore, the corrective ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580617 Sat, 01 Jan 2005 05:00:00 +0100 1580617 http://www.medworm.com/index.php?rid=1580616&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15895768%26dopt%3DAbstract Authors: Mor B The present paper discusses the advent and significance of erotic feelings in psychotherapy based on the intersubjective theory. It briefly reviews the coalescence of the tradition of avoidance of physical contact in psychotherapy, and the classical and contemporary approaches to erotic transference. A clinical case is presented in an attempt to expand the significance attributed to erotic feelings in therapy and ways of relating to it: in their intrapersonal and interpersonal meanings and in the dialectics between them. I will later discuss the father figure in feminine development and its transferential and metaphoric meaning against the background of a clinical case, and the importance of the erotic component in the processes of change and development. The paper inclu... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580616 Sat, 01 Jan 2005 05:00:00 +0100 1580616 http://www.medworm.com/index.php?rid=1580615&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15895769%26dopt%3DAbstract Authors: Saarinen PI, Lehtonen J, Joensuu M, Tolmunen T, Ahola P, Vanninen R, Kuikka J, Tiihonen J We explored the outcome of psychodynamic psychotherapy of a female patient with major depression using clinical evaluation and serotonin transporter (SERT) binding assessed with [123I]nor-beta-CIT SPECT. The psychotherapy process was analyzed with special emphasis on the change that was recognized in the dreaming process. The activation of the dream screen in transference seemed to form a turning point during the psychotherapy. Normalization of SERT binding at the midbrain level was found on 12-month follow-up. Major alleviation of depressive symptoms assessed by rating scales was evident only six months after SERT normalization. PMID: 15895769 [PubMed - indexed for MEDLINE] (Source: ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580615 Sat, 01 Jan 2005 05:00:00 +0100 1580615 http://www.medworm.com/index.php?rid=1580614&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16170915%26dopt%3DAbstract Authors: Barglow P This paper examines the ramifications of a psychotherapist's self-disclosure stimulated by the film Gloomy Sunday (Barkow, N., 1988, Universal Pictures, 1999). It describes the five-year psychoanalysis of a depressed surgeon who made serious medical errors while treating family members. Analysis provided considerable symptom relief, but decades later the patient again became depressed. His depression was precipitated by his having made a major medical error while treating a family member, his daughter, which had an almost fatal result. The surgeon then resumed psychotherapy two times a week for three years. Cultural and professional similarities between psychiatrist and patient cemented the therapeutic alliance, but the patient's medical errors when treating his fami... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580614 Sat, 01 Jan 2005 05:00:00 +0100 1580614 http://www.medworm.com/index.php?rid=1580613&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16170916%26dopt%3DAbstract Authors: Hocoy D The utilization of ethnography as a tool in psychotherapy training appears to be unique to the literature and a substantive departure from pedagogical approaches of the past. Although EPPM may have limitations, its unique advantages make it a viable alternative or supplement to current methods of instruction in psychotherapy. PMID: 16170916 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580613 Sat, 01 Jan 2005 05:00:00 +0100 1580613 http://www.medworm.com/index.php?rid=1580612&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16170917%26dopt%3DAbstract Authors: Qureshi A Effective intercultural psychotherapy generally has been conceptualized in terms of a specific knowledge and skills base, combined with relevant attention to the practitioner's cultural attitudes and beliefs. Although such an approach continues to be the gold standard in the field, it has yet to be demonstrated that these components are either necessary or sufficient for effective treatment. This paper presents an approach to intercultural therapy based on Gadamer's philosophical hermeneutics. Humans are always in the process of making sense of the world around them, a process which is predicated on culturally given preunderstandings. Cultural difference means that the preunderstandings are rarely mutual, and therefore, communication and psychotherapy are often probl... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580612 Sat, 01 Jan 2005 05:00:00 +0100 1580612 http://www.medworm.com/index.php?rid=1580611&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16170918%26dopt%3DAbstract Authors: Havens LL, Ghaemi SN Talking with a manic patient is not easy, but it is also not hopeless. Manic patients are hopeful, ever hopeful, and indeed often too hopeful. But their hopes and dreams, however big, are usually brief and soon damaged by the realities of life. Ultimately, most patients with bipolar disorder become chronically depressed, denied of their hopes by others. Appropriate medication treatment is necessary, but not sufficient, for many such persons. The job of the clinician is twofold initially: first, to seek to existentially be with manic patients and then, to counterprojectively give perspective to those patients about their manic worldview, without completely denying it. This twofold approach then can lead to a healthy therapeutic alliance, which itself has a ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580611 Sat, 01 Jan 2005 05:00:00 +0100 1580611 http://www.medworm.com/index.php?rid=1580610&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16170919%26dopt%3DAbstract "I feel stupid and contagious:" countertransference reactions of fledgling clinicians to patients who have negative therapeutic reactions. Am J Psychother. 2005;59(2):149-68 Authors: Goodman G Patients who are prone to having negative therapeutic reactions seem to be increasingly common in clinical practice. These patients pose special problems for graduate students, psychoanalytic candidates, and other clinicians who struggle with anxiety regarding their new role and their feelings of incompetence and helplessness associated with the belief that their therapeutic efforts will result in treatment failure. The fledgling clinician thus provides fertile ground for this kind of patient to project her or his concerned, depressed, and guilty self-representation into the clinician. Th... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580610 Sat, 01 Jan 2005 05:00:00 +0100 1580610 http://www.medworm.com/index.php?rid=1580609&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16370128%26dopt%3DAbstract Authors: Grosjean B This paper reviews neuroscientific advances across the therapeutic disciplines and outlines new potential insights into understanding the biology of the psychotherapeutic processes. In a quest to understand the modus operandi of psychotherapy, the author reviews the evolution of the biology of psychotherapy. The mechanisms involved in learning processes, such as memory and priming, attachment, and long-term consequences of early life trauma, demonstrate how brain structures can be affected by environmental changes. Finally, the author proposes that verbal and non-verbal aspects of the psychotherapeutic process mediate their therapeutic effects through biological changes as they work on primitive emotional reflexes and stimulate mentalization processes. PMID: 163... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580609 Sat, 01 Jan 2005 05:00:00 +0100 1580609 http://www.medworm.com/index.php?rid=1580608&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16370129%26dopt%3DAbstract Authors: Capobianco J, Farber BA The primary aim of this study was to investigate therapists' use of self-disclosure with their child patients. A sample of 126 mental health professionals with an average of 20 years of clinical experience completed the Therapist-to-Child Disclosure Inventory (TCDI), a 42-item Likert-type measure created for this study. Therapist self-disclosure was examined using three principle dimensions: the mean frequency of specific disclosures, the degree to which child patients solicit these disclosures, and the extent to which specific self-disclosures are seen as advancing treatment aims for child patients. Results indicate that therapists reveal personal information to their child patients infrequently, that children almost never solicit personal disclosures ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580608 Sat, 01 Jan 2005 05:00:00 +0100 1580608 http://www.medworm.com/index.php?rid=1580607&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16370130%26dopt%3DAbstract We present a case report of a patient and therapist who participated in a process-oriented psychotherapy research protocol using simultaneous measures of skin conductance. Data from the research protocol were used to broaden an empathic understanding of the patient, which facilitated insight and enhanced the exploration of conscious and unconscious processes that originated in the past and have come to dominate the present--the core of psychodynamic theories of change. The case illustrates the clinical relevance of psychophysiology and its use as a potential bridge between psychotherapy research and the theory and practice of psychotherapy. The implications of the case in support of the role of empathy in psychotherapy are discussed. PMID: 16370130 [PubMed - indexed for MEDLINE] (Sourc... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580607 Sat, 01 Jan 2005 05:00:00 +0100 1580607 http://www.medworm.com/index.php?rid=1580606&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16370131%26dopt%3DAbstract Authors: Waldman K, Rubalcava L Although the number of intercultural marriages has dramatically increased in the last three decades, few articles have been published on the counseling of intercultural couples. The authors propose a methodology for working with these couples using intersubjectivity and self-psychology as theoretical perspectives. The role of culture in the construction of the individual's subjectivity is seen as central to understanding the psychodynamics of the intercultural couple. Two case studies are presented in order to highlight the theoretical assumptions underlying the authors' perspectives. PMID: 16370131 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580606 Sat, 01 Jan 2005 05:00:00 +0100 1580606 http://www.medworm.com/index.php?rid=1580605&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16370132%26dopt%3DAbstract Authors: Salvatore G, Nicolò G, Dimaggio G In the opinion of many experts, the self is made up of numerous different, independent facets interacting with each other in an ongoing inner dialogue. The meaning of events depends on the form this dialogue takes. The hypothesis we discuss in this article is that patients suffering from paranoid personality disorder (PPD) present impoverished dialogical relationship patterns. By this we mean that: a) The characters operating on their mental stage are few and repetitive. The character identified as self is insufficient-inadequate or diffident-mistrusting-hostile. The characters embodied by other persons are hostile, humiliating, and threatening. b) The inner dialogue the characters set up is stereotyped and always has the same outcome--th... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580605 Sat, 01 Jan 2005 05:00:00 +0100 1580605 http://www.medworm.com/index.php?rid=1580604&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16370133%26dopt%3DAbstract This article reviews the types of adjustments needed to an adult protocol of cognitive-behavioral therapy (CBT) for bulimia nervosa (BN) to make it more acceptable to an adolescent population. Employing developmental principles as well as clinical experience as guidelines, these modifications include the involvement of parents, recognition of the interaction of treatment with normal adolescent developmental tasks, and allowances for typical cognitive and emotional immaturity on treatment procedures. Outcomes from a series of adolescents with BN who were treated with this modified-CBT approach show results similar to those expected in adult populations treated using CBT. PMID: 16370133 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580604 Sat, 01 Jan 2005 05:00:00 +0100 1580604 http://www.medworm.com/index.php?rid=1580603&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16555459%26dopt%3DAbstract Authors: Gregory RJ Logocentrism was conceptualized by Jacques Derrida as connoting the assertion within Western philosophical traditions of certain assumed truths and the exclusion of alternative perspectives. In this paper, the author proposes that the concept of logocentrism may be usefully applied within the clinical situation to enrich understanding of splitting between idealized and devalued perceptions of self and others. He presents a case of a woman with borderline personality disorder to illustrate a logocentric self-structure, as well as how common psychotherapeutic models inadvertently risk reinforcing such structures through the hierarchical nature of the patient-therapist relationship. The process of deconstructing logocentric self-structures is facilitated by the patient... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580603 Sat, 01 Jan 2005 05:00:00 +0100 1580603 http://www.medworm.com/index.php?rid=1580602&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16555460%26dopt%3DAbstract Authors: Malerstein AJ Attachment theory and Cognitive-Motivational Structure (CMS) are similar in most respects. They differ primarily in their proposal of when, during development, one's sense of the self and of the outside world are formed. I propose that the theories supplement each other after about age seven years--when Attachment theory's predictions of social function become unreliable, CMS theory comes into play. PMID: 16555460 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580602 Sat, 01 Jan 2005 05:00:00 +0100 1580602 http://www.medworm.com/index.php?rid=1580601&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16555461%26dopt%3DAbstract This article addresses some relevant risks and benefits of e-therapy and discusses the practicality of using computers in the informed consent process. Although e-therapy has numerous proponents, no clinical trials have assessed its long-term effectiveness. To limit liability and to protect patients, e-therapy providers should disclose material risks as well as possible benefits and engage patients in an active dialogue. A thorough informed consent procedure enables patients to make an educated decision about whether e-therapy is right for them. In the future, e-therapy and informed consent online may become more common; in the mean time, clinicians must be prepared for e-therapy's uncertain legal status and allow patients to decide for themselves whether or not to seek counseling on the I... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580601 Sat, 01 Jan 2005 05:00:00 +0100 1580601 http://www.medworm.com/index.php?rid=1580600&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16555462%26dopt%3DAbstract Authors: Bergner RM The purpose of this article is to articulate how we, as psychotherapists, can transform the worlds of our clients. In part one of the article, the concept of "world," the dynamics of how worlds operate, and the clinically relevant notions of "problematic worlds" and "impossible worlds" are explicated. In part two, therapeutic recommendations for helping clients to reconstruct their worlds are presented, with special emphasis on problems of grief post-traumatic stress disorder, and the experience of meaninglessness. PMID: 16555462 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580600 Sat, 01 Jan 2005 05:00:00 +0100 1580600 http://www.medworm.com/index.php?rid=1580599&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16555463%26dopt%3DAbstract Authors: Gray Deering C, Gannon EJ Therapists who are accustomed to operating in a world where gender roles are becoming increasingly androgynous may underestimate how foreign the experience of psychotherapy can be to "traditional" men. This paper describes the occurrence of transference and resistance encountered by female therapists when seeing male patients at a Veterans Administration (V.A.) Medical Center who identify with traditional American male gender roles. The discussion is informed by recent advances in the theory of male gender identity development and yields new insights into the typical defenses men may bring to the early phases of psychotherapy. Case examples from the authors' practices illustrate strategies for intervening with resistance and enhancing the therapeutic ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580599 Sat, 01 Jan 2005 05:00:00 +0100 1580599 http://www.medworm.com/index.php?rid=1580598&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16555464%26dopt%3DAbstract Authors: Chipman A Many types of non-professional, non-credentialed relationships are seen by laypersons as analogous to those occuring in psychotherapy. This paper takes a leap backwards several centuries and describes two examples of one such type of interaction as portrayed in artistic masterpieces. In Miguel de Cervantes' novel, "Don Quixote," an elderly, depressed man pursues a restitutive and grandiose delusion of being a heroic knight errant. In Ingmar Bergman's film, "The Seventh Seal," a disillusioned knight returns from the Crusades to face the lethal bubonic plague, and he uses obsessional means in an attempt to outwit death. Both men are accompanied by squires who try, with varying degrees of success, to help their masters relinquish their infantile needs for omniscience an... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580598 Sat, 01 Jan 2005 05:00:00 +0100 1580598 http://www.medworm.com/index.php?rid=1580597&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16555465%26dopt%3DAbstract This article provides a practical approach to the more salient experiences and difficulties that arise in treatment of the Old Order Amish. PMID: 16555465 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580597 Sat, 01 Jan 2005 05:00:00 +0100 1580597 http://www.medworm.com/index.php?rid=1580596&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16555466%26dopt%3DAbstract Authors: Shafti SS PMID: 16555466 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580596 Sat, 01 Jan 2005 05:00:00 +0100 1580596 http://www.medworm.com/index.php?rid=1580639&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15106402%26dopt%3DAbstract Authors: Meyerson J, Gelkopf M An out-of-body experience (OBE) is a unique dissociative event in which the person feels separated from his/her body. Studies and anecdotal reports have observed that this experience tends to appear spontaneously in stressful and hypnogogic situations. It often contributes to the person's later having a new perspective of himself and his conception of the world, and may influence his functioning and behavior. Despite its potential as a powerful therapeutic lever in hypnotherapy, little has been written about applying OBE in this milieu. The current article describes three individuals who were contending with different therapeutic issues (i.e., symbiotic involvement, somatization, and cessation of therapy) for whom spontaneous OBE was used therapeutically ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580639 Thu, 01 Jan 2004 05:00:00 +0100 1580639 http://www.medworm.com/index.php?rid=1580638&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15106403%26dopt%3DAbstract Reconsidering a "woman's issue:" psychotherapy and one man's postabortion experiences. Am J Psychother. 2004;58(1):103-15 Authors: Holmes MC The issue of abortion typically has been categorized as a "women's issue." However, males whose partners choose to terminate a pregnancy are also affected by the abortion decision. This paper, using the case of Mr. R. as an illustration, explores one man's psychological reactions to his partner's abortion. The paper considers how news of an elective abortion, particularly when it is revealed months after the fact, can again bring to the surface childhood feelings of voicelessness and worthlessness. It offers suggestions as to how these feelings can be addressed in psychotherapy. By exploring verbal and nonverbal cues, therapists can genera... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580638 Thu, 01 Jan 2004 05:00:00 +0100 1580638 http://www.medworm.com/index.php?rid=1580637&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15373277%26dopt%3DAbstract Authors: Bob P From ancient times on, our dream processes were thought to be the uncovering of unknown connections. It may be that there is some basis to this belief and that dreams truly represent a mirror of our unconscious and not only random processes moving along according to some brain "computation." These ideas are supported by some findings that involve connections among dissociative processes, hypnosis, and multiple personality disorder (MPD). From this point of view, MPD represents a very interesting theoretical problem, which may be understood as an extreme example of the dissociative nature of the human psyche. This in turn leads to an understanding of the complex structure of the human psyche and corresponds perfectly to our experience, which says that the pathological oft... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580637 Thu, 01 Jan 2004 05:00:00 +0100 1580637 http://www.medworm.com/index.php?rid=1580636&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15373278%26dopt%3DAbstract This study investigated the role of alexithymia in the prediction of residual symptoms following treatment with psychotherapy. The study utilized data from 33 outpatients with major depression who were positive responders to psychotherapy. Alexithymia was assessed prior to treatment using the 20-item Toronto Alexithymia Scale. Depressive and anxious symptomatology were assessed using the Beck Depression Inventory and the Spielberger State-Trait Anxiety Inventory, respectively. Alexithymia factor 1 (difficulty identifying feelings) was predictive of the severity of residual symptoms, over and above the effect of initial levels of depression and anxiety, form of psychotherapy, and use of antidepressant medication. The findings suggest that difficulty identifying feelings may constrain one's ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580636 Thu, 01 Jan 2004 05:00:00 +0100 1580636 http://www.medworm.com/index.php?rid=1580635&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15373279%26dopt%3DAbstract Authors: Malancharuvil JM A paradigm for treating delusional beliefs is offered here. Certain delusional beliefs are analyzed as the result of an underlying affective disorder that masquerades as a thought problem. Through clinical illustration the author demonstrates that the psychotherapist can access the very heart of a delusion and restructure it by focusing on the affective origins of the delusion. PMID: 15373279 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580635 Thu, 01 Jan 2004 05:00:00 +0100 1580635 http://www.medworm.com/index.php?rid=1580634&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15373280%26dopt%3DAbstract Authors: Baum N The paper argues that (1) full recognition of men's losses in divorce is an essential prerequisite to offering divorced men the emotional help they may need and (2) that since men mourn the losses of divorce differently from women, counselors should take their unique way of mourning into consideration in their treatment of divorced men. The article then offers practical suggestions for when and how to reach out with offers of help to divorced men, ways of facilitating the mourning process of divorced men in therapy, and issues to consider when terminating treatment with divorced men. PMID: 15373280 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580634 Thu, 01 Jan 2004 05:00:00 +0100 1580634 http://www.medworm.com/index.php?rid=1580633&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15373281%26dopt%3DAbstract Authors: Glick ID PMID: 15373281 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580633 Thu, 01 Jan 2004 05:00:00 +0100 1580633 http://www.medworm.com/index.php?rid=1580632&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15373282%26dopt%3DAbstract Authors: Goldberg C The paper begins by examining The Seeker, a novel by Allen Wheelis, that addresses "the aims and implication[s] of psychological treatment." In his novel Wheelis dramatizes two questions: "Can psychoanalysis enable the person being analyzed to live life fully and well or is psychoanalysis simply a reparative treatment that at best heals mental illness?" "Can the analyst's knowledge and training be sufficient to guide the patient to an enlightened existence that may have eluded the analyst his[/her] self?" The paper then engages in a brief discussion of Freud's pursuit of inner truth and his detection of self-deception. It goes on to discuss reaching personal enlightenment, finding the way to the "undiscovered self" and the feelings of fraudulence experienced by Whee... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580632 Thu, 01 Jan 2004 05:00:00 +0100 1580632 http://www.medworm.com/index.php?rid=1580631&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15373283%26dopt%3DAbstract Authors: Mufson L, Gallagher T, Dorta KP, Young JF This paper presents an overview of the adaptation of Interpersonal Psychotherapy for depressed adolescents (IPT-A) to be delivered in a group format (IPT-AG) for the treatment of depressed, nonbipolar outpatient adolescents. The model has been modified to address the challenges of working with several adolescents in a group context. It takes advantage of the group as a laboratory environment for experimenting with new ways of communicating and interacting with others. The IPT-AG manual, described in this paper, provides guidelines for working with multiple interpersonal issues and keeping the group discussion relevant to the group as a whole. These adaptations are discussed in the context of the interpersonal framework with respect to ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580631 Thu, 01 Jan 2004 05:00:00 +0100 1580631 http://www.medworm.com/index.php?rid=1580630&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15675252%26dopt%3DAbstract Authors: Scheidlinger S Following an historical summary of the broader group helping field, the article differentiates among clinical group psychotherapy, "therapeutic" groups, human relations and training groups, as well as mutual-help and self-help groups. Twelve major theoretical models of group interventions are delineated, followed by an account of the current status of group treatment theory, practice and research. The role of group interventions in the fields of physical, sexual and substance abuse, chronic illness, and trauma--as in the aftermath of the September 11, 2001 terrorist attacks--are highlighted. A glimpse at the future of group treatments considers the obstacles and prospects occasioned by the managed care "revolution" in mental health. PMID: 15675252 [PubMed - ... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580630 Thu, 01 Jan 2004 05:00:00 +0100 1580630 http://www.medworm.com/index.php?rid=1580629&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15675253%26dopt%3DAbstract Authors: Weiss F Body-image disturbances and body-image misperceptions are common phenomena in the adult obese or disordered eating population, but they have received scant notice in group psychotherapy literature. This paper integrates an important missing conceptual link of body-image development and offers a group psychotherapy treatment model. This paper does not address the eating disorders, i.e., bulimia and anorexia nervosa. The integrated concept described here will show how a group psychotherapy model can effectively treat body image disturbances which often stem from developmental deficits. It also addresses problems with those patients, who, after weight loss, continue to have misperceptions of their size and shape, and experience shame and self-loathing as a result. PMI... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580629 Thu, 01 Jan 2004 05:00:00 +0100 1580629 http://www.medworm.com/index.php?rid=1580628&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15675254%26dopt%3DAbstract Authors: Bram A, Björgvinsson T Research suggests that, by itself or as an adjunct to pharmacotherapy, cognitive-behavioral therapy (CBT) involving exposure with response prevention (ERP) is an effective treatment for Obsessive-Compulsive Disorder (OCD). However, there is a shortage of clinicians trained in this form of therapy. Although many psychodynamic clinicians treat individuals with OCD using traditional therapy that may assist them with their relationships, there is little evidence that such treatment is effective in ameliorating the OCD symptoms. As there is a clear need for more clinicians trained in CBT for OCD, it may be possible for practitioners trained in psychodynamic or other modalities to learn ERP. Such cross-theoretical training involves a number of challenges.... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580628 Thu, 01 Jan 2004 05:00:00 +0100 1580628 http://www.medworm.com/index.php?rid=1580627&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15675255%26dopt%3DAbstract Authors: Berlincioni V, Barbieri S In recent years the psychiatric and psychoanalytical literature has expressed increasing interest in supportive therapy, which has long been considered rather disparagingly as a "lesser form" of psychotherapy. At the same time there has been much reflection on the significance and role of support in various therapeutic settings, outside the formal psychotherapeutic context. A review of updated literature shows, on the one hand, a general appreciation of the idea of support, as an acknowledged component of any therapeutic action. On the other, in the area of psychoanalytic-oriented therapies, there is still debate on the status of supportive psychotherapy, and particularly on the relations between supportive and explorative variants. The eclecticism of... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580627 Thu, 01 Jan 2004 05:00:00 +0100 1580627 http://www.medworm.com/index.php?rid=1580626&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15675256%26dopt%3DAbstract Authors: Gregory RJ Recovery from borderline personality disorder involves identification and resolution of two core conflicts. Recovery is a long-term process, however, and entails sequential stages that patients must work through. Each stage has unique challenges and pitfalls that must be overcome in order to avoid traumatic reenactment. It is possible for some patients and their therapists to successfully negotiate the stages, even if pathology is on the severe end of the spectrum. PMID: 15675256 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy) American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580626 Thu, 01 Jan 2004 05:00:00 +0100 1580626 http://www.medworm.com/index.php?rid=1580625&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15675257%26dopt%3DAbstract Authors: Hersoug AG, Høglend P, Bøgwald KP In this process-outcome study, we explored whether the therapists' Adjustment Ratio of interpretation would be predictive of the development of working alliance in brief dynamic psychotherapy (N = 39, max 40 sessions). Therapist interventions were rated in an early session (7th) and in the mid-phase of therapy (16th session). We found that, what was assumed to be an optimal Adjustment Ratio in relation to patients' defensive functioning, was associated with lower quality of working alliance, whereas what was assumed to be a poor Adjustment Ratio was associated with a more favorable alliance. The general finding was that when relatively more supportive interventions were given to patients with higher ODF, the working alliance was impr... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580625 Thu, 01 Jan 2004 05:00:00 +0100 1580625 http://www.medworm.com/index.php?rid=1580624&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15807083%26dopt%3DAbstract Authors: Singer M The soldiers who perpetrated atrocities during the Vietnam War are a group much less studied than the victims of violence during peacetime. These soldiers were catalyzed by war to express a darker side of their humanity, a side that our society often chosses to ignore. At some level their experiences relate to us all. In the future more young men and, probably young women, will be sent to war. Once they have been transformed by military training and the hellish conditions of war, society tends to forget them--to leave them wandering in a no man's land of their own tortured thoughts and feelings. We need to understand more about how such transformations of the self beset our returning soldiers. And, once this has happened, we need to know how to help them reintegrate i... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580624 Thu, 01 Jan 2004 05:00:00 +0100 1580624 http://www.medworm.com/index.php?rid=1580623&cid=s_37407_36_f&fid=37407&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15807084%26dopt%3DAbstract Authors: Luborsky L, German RE, Diguer L, Berman JS, Kirk D, Barrett MS, Luborsky E This is a dedicated review of the evidence for the relation of having a period of psychotherapy and then comparing it with a measure of improved physical health. We aimed to make it the first intended-to-be-complete review of this type. Three inter-related types of studies were examined: Type 1: reduction in physical illnesses through psychotherapy, especially for the patient's survival time during the interval between diagnosis and an end point, Type 2: reduction in pain in relation to receiving psychotherapy, and Type 3: reduction in costs of treatment in relation to receiving psychotherapy. To find the relevant studies on these topics, we performed a literature search using both Psychinfo and Medline... American Journal of Psychotherapy journals http://www.medworm.com/rss/comments.php?id=1580623 Thu, 01 Jan 2004 05:00:00 +0100 1580623