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At least 757 records · Page 42Linked to original sources
PubMed1978

Amobarbital treatment of multiple personality. Use of structured video tape interviews as a basis for intensive psychotherapy.

The case of a 30-year-old woman with five distinct personalities is presented. The patient was treated, using a system of structured video taped sodium amobarbital interviews, in which areas to be explored were developed in psychotherapy. Tapes were played for the patient after each session. The taped material was used as the basis for psychotherapeutic investigation. The patient evidenced many of the features previously reported in cases of multiple personality, specifically: being the product of an unwanted pregnancy in a repressively rigid family; emotional distancing by one parent; strong sibling rivalry with an adopted sib; family history of mental illness; a traumatic first sexual experience (rape); a marriage to a maladjusted individual in an attempt to escape the parental home; a high internalized standard of performance and an inability to display anger or negative feelings toward the parents. In the course of treatment, the patient's personalties fused and she was able to accept each component as part of herself. No further fragmentation has occurred during the year following discharge. The therapy technique minimized dependency, and the possiblity of addiction to amobarbital interviews permitted more active patient therapy involvement, and set clear-cut goals and expectations for improvement before further amobarbital interviews could be conducted.

Adult↗
PubMed1999

Correlates of empathic understanding among neophyte trainees in psychotherapy.

Results are summarized of an empirical study testing the associations among various academic, demographic, and personal characteristics and rated empathic understanding among 93 neophyte psychotherapy trainees from six universities. Multiple regression analyses suggested that completion of a graduate group counseling course with a specific personal growth component was the only characteristic significantly correlated with ratings of empathic understanding.

Adult↗
PubMed2003

Self-disclosure in psychotherapy practice and supervision: an introduction.

Disclosure in psychotherapy may be considered from multiple perspectives: therapist to patient, patient to therapist, trainee to supervisor, and supervisor to trainee. Individuals in each of these roles must decide if, when, and how they should articulate certain thoughts or feelings to their therapeutic counterpart. Multicultural considerations may well influence these decisions. The articles in this issue, including two that are research reviews, question the value and parameters of self-disclosure in each of these contexts; they speak to the inevitable tension within psychotherapeutic dyads between the demands of open and honest disclosures and the equally potent countervailing forces of shame, tact, and appropriateness.

Cultural Diversity↗
PubMed2003

Diagnosis and treatment of dysthymia in children and adolescents.

Dysthymic disorder is a chronic depressive condition occurring in 0.6-4.6% of children and 1.6-8.0% of adolescents. Although symptoms are less severe than those observed in major depression, childhood-onset dysthymic disorder is characterised by a persistent and long-term depressed or irritable mood (mean episode duration 3-4 years), a worse outcome than major depression and, frequently, comorbid disorders (in around 50% of patients). Long-lasting depressive symptoms seem responsible for long-term disabling consequences on social skill learning, psychosocial functioning and consequent professional life, probably contributing to a higher risk of relapse or development of major depression. Consistently, the first episode of major depression occurs 2-3 years after the onset of dysthymic disorder, suggesting that the latter is one of the gateways to recurrent mood disorders. The primary aims of treatment for dysthymic disorder should be to resolve depressive symptoms, reduce the risk of developing other mood disorders over time and strengthen psychosocial functioning, especially in children and adolescents, in order to prevent the potentially serious sequelae of this disorder. As children with dysthymia often have multiple problems, interventions should involve multiple levels and measures: individual psychotherapy, family therapy/education and pharmacological treatment. Psychotherapeutic techniques, such as cognitive-behaviour therapy and interpersonal therapy, have been found to be efficacious interventions in treating children and adolescents with mild to moderate depression in studies including patients with either dysthmia or double depression. SSRIs are the first-line drug treatment for children and adolescents because of their safety, adverse effect profile and ease of use (the safety of paroxetine is currently under investigation). Several nonblind studies have shown the efficacy and good tolerability of SSRIs in children and adolescents with dysthymic disorder, but further research is needed to confirm their efficacy and that of newer antidepressants in the treatment of this disorder. Regardless of whether psychotherapeutic or medical treatments are planned, according to clinical experience, psychoeducational interventions and psychosocial support should be provided to parents and other caregivers during the acute treatment phase to help manage the child's irritable mood and foster a therapeutic alliance and better compliance with treatment. Unfortunately, no studies have focused on continuation treatment of paediatric dysthymic disorder. Given the chronicity, recurrence, psychosocial consequences and peculiar response pattern to treatment of dysthymic disorder, establishing effective 'acute' and 'continuation' interventions in this group of patients should be a priority in mental health management.

Adolescent↗
PubMed1988

[Neuropsychic disorders in functional dysphonias].

A total of 110 patients with functional vocal disorders secondary to neurosis were examined. They included 50 patients with neurasthenia, 30 with hysteria, and 21 with obsessive neurosis. The pattern of vocal disorder had its own peculiarities in each form of neurosis. All patients were subjected to multiple modality treatment: drug therapy, psychotherapy, respiratory gymnastics, and phonopedics. The treatment resulted in the disappearance of neurotic symptoms, normalization of the respiratory rate, and the complete restoration of vocal function. Thus, a clinical follow up of patients with functional vocal impairments and analysis of cause-and-effect relationships prompt the conclusion that functional dysphonia is a neurotic symptom whereas laryngeal alterations are secondary to pathological voice production.

Adult↗
PubMed2001

[Therapeutic goals in psychological medicine--state of research and development of a standardized self-rating instrument].

From the patient's as well as from the therapist's point of view goals of therapy undoubtedly play an important role in all fields of psychological medicine (psychiatry, psychotherapy, psychosomatic medicine). On the other hand, there is a substantial lack of systematic i.e. empirical studies on this issue. Giving an overview on the available scientific literature we start by characterising therapeutic goals as a secondary psychological construction. Therapeutic goals and their multiple associations and different aspects of psychotherapy are discussed. However, a variety of definitions of therapeutic goals, often influenced by the therapeutic orientation of the authors, make it difficult to integrate concepts and to compare findings. Hence, we focus on those results which were found in relation to general concepts, i.e. beyond specific theoretical approaches. Furthermore, we discuss the pros and cons of individual measures of therapeutic goals compared with standardised self-rating instruments. Finally, we underline the lack of studies on therapeutic goals in the psychiatric sphere and report on some results of our own pilot study on the Personal Goals Questionnaire in psychiatric inpatients.

Humans↗
PubMed2002

Inside every chronic patient is an acute patient wondering what happened.

This In Session describes how chronic illness erodes connections, eludes definition, and reduces one's ability to manage daily life. The contributors compassionately and competently provide an array of perspectives, pragmatic techniques, and caveats. This concluding article seeks to integrate the articles in this issue and to deepen the clinician's ability to meet the needs of a chronically ill individual requesting psychotherapy. Particular emphasis is given to three models of psychotherapy with chronically ill individuals, care giving at the end of life, and compassion fatigue found in professionals working with this population. Multiple case examples are provided to illustrate psychotherapy and psychosocial intervention strategies.

Acute Disease↗
PubMed1994

Consistency of interpersonal themes for patients in psychotherapy.

In this study the extent to which patients in psychotherapy display similar interpersonal themes across multiple narratives of their interactions with others was investigated. Interpersonal themes were measured using a new instrument entitled the Quantitative Assessment of Interpersonal Themes (QUAINT) method, which assesses the wishes, responses from others, and responses of self that occur in narratives about interactions with others. For 60 patients in psychotherapy, evidence for repetitiveness of themes was found; the effect was relatively small but was highly statistically significant. Individual differences in the degree of repetitiveness of themes were not related to type of treatment (dynamic vs. cognitive), but they were related to length of time in treatment. The limitations of the study are reviewed and future research directions are outlined.

Adolescent↗
PubMed2006

[Transference and group psychotherapy].

This study examines the concept of transference, focusing on its peculiarities in the group context. The nature of the therapeutic situation and the broad freedom given to patients in order to access the unconscious material at their own pace, within a safe environment and with as little censorship as can be managed, transference gradually takes place. Through displacement, the psychotherapist and group members are perceived not as they are, with their real attributes, but as one or more objects that arouse emotions coming from the infant world, more precisely from the collection of deep affective influences. One peculiarity of the group situation when compared to individual psychotherapy is that, in the former, multiple transferences coexist, which group members establish among themselves, enabling a wide range of possible feelings. Both treatment modes share the assumption that unresolved conflicts which stimulated patients to seek for help can be reduced or even abolished through the interpretation and working through of transference, which functions as a process of change throughout the psychotherapy.

Humans↗
PubMed1976

Drug and psychotherapy interactions in depression.

The authors conducted a series of multiple regression analyses of data from depressed patients. They found that 8 factors consistently predicted treatment response: a lower initial level of distress, imipramine treatment, a positive attitude toward group psychotherapy, and a good employment history predicted lower posttreatment distress levels; estrogen maintenance treatment was related to better response to diazepam, and a low level of intelligence predicted better response to both diazepam and imipramine; and a low initial level of interpersonal sensitivity and a significant other's having an unfavorable attitude toward psychiatric treatment were associated with better response to group psychotherapy.

Anxiety↗
PubMed1975

Tandem psychotherapy: a model for rotating student therapists.

Student psychotherapists often spend relatively brief periods in clinical placements or rotations. In this article, Lewis R. Wolberg's model for short-term therapy is extended and adapted for use in long-term treatment by multiple student therapists treating patients in tandem. Techniques are proposed to enhance continuity of therapy and smooth changing of therapists.

Comprehensive Health Care↗