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MedWorm: Psychotherapy



MedWorm.com provides a medical RSS filtering service. Over 7000 RSS medical sources are combined and output via different filters. This feed contains the latest news and research in the Psychotherapy category.



Last Build Date: Tue, 29 Mar 2016 11:46:31 +0100

 



[Geophagy associated with severe anemia in non-pregnant women: A case series of 12 patients].

Tue, 29 Mar 2016 03:07:01 +0100

CONCLUSION: Geophagy is an underestimated practice in developed countries and in non-pregnant women. It can be the cause of severe iron deficiency and must be discussed in patients with anemia, including non-pregnant patients, and in Africa as well as in migration areas, where the practice can be exported. PMID: 27017328 [PubMed - as supplied by publisher] (Source: Revue de Medecine Interne)

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[Summary: Scientific evaluation of EMDR psychotherapy].

Mon, 28 Mar 2016 21:09:02 +0100

CONCLUSION: This new integrative psychotherapy follows the pathways and the timing observed for the evaluation and the validation of other therapies. PMID: 27017321 [PubMed - as supplied by publisher] (Source: L Encephale)



[Serious game as a therapeutic tool in psychiatry: A systematic review].

Mon, 28 Mar 2016 21:09:02 +0100

CONCLUSION: SG provide promising therapeutic innovations for the management of psychiatric disorders. Moreover, they could easily be developed in accordance with current dimensional approaches. Finally, major issues to facilitate the implementation of future work on SG in psychiatry are discussed. PMID: 27017317 [PubMed - as supplied by publisher] (Source: L Encephale)



How simply moving benefits your mental health

Mon, 28 Mar 2016 13:30:13 +0100

Follow me at @srinipillay While it is obvious that your feelings can influence your movement, it is not as obvious that your movement can impact your feelings too. For example, when you feel tired and sad, you may move more slowly. When you feel anxious, you may either rush around or become completely paralyzed. But recent studies show that the connection between your brain and your body is a “two-way street” and that means movement can change your brain, too! How exercise can improve mood disorders Regular aerobic exercise can reduce anxiety by making your brain’s “fight or flight” system less reactive. When anxious people are exposed to physiological changes they fear, such as a rapid heartbeat, through regular aerobic exercise, they can develop a tolerance for such sym...



Play therapy in schools.

Sun, 27 Mar 2016 22:00:00 +0100

This article provides information on how play therapy came about. (PsycINFO Database Record (c) 2016 APA, all rights reserved) (Source: International Journal of Play Therapy)



Accelerated resolution therapy: an innovative mental health intervention to treat post-traumatic stress disorder

Sun, 27 Mar 2016 22:00:00 +0100

Post-traumatic stress disorder (PTSD) is a disabling trauma and stress-related disorder that may occur after a person experiences a traumatic event, and evokes a combination of intrusion and avoidance symptoms, negative alterations in cognitions and mood, and alterations in arousal and reactivity. Accelerated resolution therapy (ART) is an emerging psychotherapy that provides fast and lasting resolution for mental health problems such as PTSD. ART has been shown to achieve a positive result in one to five sessions, typically over a 2-week period, and requires no homework, skills practice or repeated exposure to targeted events. Initial research, including one randomised control trial, has demonstrated that ART interventions can significantly reduce symptoms of psychological trauma in both ...

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Book Review: Intensive Psychotherapy for Persistent Dissociative Processes

Sat, 26 Mar 2016 19:36:15 +0100

If you have ever seen the movies The Three Faces of Eve or Sybil, you might have found yourself second guessing your own behavior or wondering whether close friends or family have multiple personalities, but the popularity and sensationalism of these movies do not necessarily reflect the many nuanced and serious components of dissociative disorders. That’s why so many mental health professionals have spent the years following the production of these two films attempting to explain dissociative disorders.  The latest attempt, Richard Chefetz’s Intensive Psychotherapy for Persistent Dissociative Processes: The Fear of Feeling Real, does a fantastic job of explaining the dissociative process of patients who have struggled with connecting their painful history to their current real...



Neuro-Physiological Psychotherapy (NPP): the development and application of an integrative, wrap-around service and treatment programme for maltreated children placed in adoptive and foster care placements - Vaughan J, McCullough E, Burnell A.

Fri, 25 Mar 2016 16:13:53 +0100

This article describes the development and application of a wrap-around, multidisciplinary, brain-based, developmental and attachment-focussed intervention for children who have experienced significant trauma in the context of their early life. It outlines... (Source: SafetyLit)



Antioxidant May Help Patients Resist Urge to Pick Skin

Thu, 24 Mar 2016 17:24:00 +0100

Although excoriation (skin-picking) disorder is estimated to affect 1.4% to 5.4% of the population, there are limited data regarding the underlying pathophysiology and treatment of the behavior. A study published Wednesday in JAMA Psychiatry now suggests that acute treatment with N-acetylcysteine may decrease skin-picking behaviors in people with the disorder. N-acetylcysteine is a precursor to the antioxidant enzyme glutathione and acts on the cysteine-glutamate exchange mechanism.Previous studies have suggested that glutamatergic dysfunction may play a role in the pathophysiology of compulsive and related disorders, and N-acetylcysteine—an amino acid known to increase extracellular levels of glutamate in the nucleus accumbens—may help to reduce these behaviors. To test whether N-acet...



Would you know if your teen was depressed?

Thu, 24 Mar 2016 13:30:13 +0100

Parents of teenagers, here is another post that I hope will be helpful to you. Moms and dads of teens — and the doctors who care for these children — know how difficult it can be to identify depression in adolescents. When is your teen simply feeling down or irritable, and when is it something more? Doctors are receiving better and better training in diagnosing teenage depression, but perhaps the greatest challenge is finding time to make sure it happens. During a typical well-child visit, parents are usually busy trying to address the concerns they have about their child, while at the same time trying to understand what vaccines they need and making sure school forms are filled out. Pediatricians are busy trying to address physical and emotional concerns and anticipate problems that m...



Posttraumatic nightmares of traumatized refugees: Dream work integrating cultural values.

Wed, 23 Mar 2016 23:00:00 +0100

This study examines the mental health function of dreams and dream work in integrative psychotherapy with 2 refugee women. The clients were from West Africa and the Middle East, and both suffered from posttraumatic stress disorder (PTSD) and repetitive nightmares. In a culturally sensitive integrative psychotherapy dreams were interpreted with respect for cultural meanings. The dream work initiated a mutual exploration of the dream images and led to an insightful processing of traumatic experiences. (PsycINFO Database Record (c) 2016 APA, all rights reserved) (Source: Dreaming)

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A protocol for eliciting dream associations oriented to the recognition of episodic dream sources.

Wed, 23 Mar 2016 23:00:00 +0100

The use of associations with dream reports, although diffused and greatly useful in psychotherapy, has so far played a limited role in dream research not directly finalized to therapy. On the other hand, it is difficult to investigate a basic property of dreaming, that of establishing connections, without searching for information beyond the dream report: indeed, the simplest and likely most effective way of obtaining this information consists in asking the dreamer for associations. Well-defined and rigorous methods are however necessary for research approaches which aim to achieve a better understanding of how the dreaming mind operates by processing and combining the dreamer’s memory sources: we propose an experimental protocol (“Associations for Dream Reports Protocol”) aiming to ...



Is there such a thing as qualitative research?

Wed, 23 Mar 2016 23:00:00 +0100

Publication date: February 2016 Source:The Arts in Psychotherapy, Volume 47 Author(s): Jane Edwards (Source: Arts in Psychotherapy)



Brief strategic therapy for obsessive-compulsive disorder: a clinical and research protocol of a one-group observational study

Wed, 23 Mar 2016 23:00:00 +0100

Introduction Obsessive–compulsive disorder (OCD) is a disabling psychopathology. The mainstay of treatment includes cognitive–behavioural therapy (CBT) and medication management. However, individual suffering, functional impairments as well as the direct and indirect costs associated with the disease remain substantial. New treatment programmes are necessary and the brief strategic therapy (BST) has recently shown encouraging results in clinical practice but no quantitative study has as yet been conducted. Methods and analysis The clinical effectiveness of the OCD-specific BST protocol will be evaluated in a one-group observational study. Participants will be sequentially recruited from a state community psychotherapy clinic in Dublin, Ireland. Outcome measures will be the Yal...



Methylphenidate Use in Attention-Deficit/Hyperactivity Disorder

Wed, 23 Mar 2016 00:00:00 +0100

To the Editor Philipsen and colleagues reported data from the Comparison of Methylphenidate and Psychotherapy in Adult ADHD Study, the longest-running methylphenidate trial in adults with attention-deficit/hyperactivity disorder (ADHD) to date. They concluded that: “Psychological interventions resulted in better outcomes during a 1-year period when combined with methylphenidate as compared with placebo.” The difference between methylphenidate and placebo was statistically significant for the outcome of observer-rated Conners Adult ADHD Rating Scale index after 52 weeks; however, it was very small, only −2.2 points (95% CI, −3.5 to −1.0) on a scale from 0 to 36 points. One study design feature could have caused such a difference. (Source: JAMA Psychiatry)



OCD and Hypnosis

Tue, 22 Mar 2016 17:45:41 +0100

I recently came across this article about Howie Mandel (a celebrity with a good-sized case of obsessive-compulsive disorder) undergoing hypnosis. Apparently while Mr. Mandel was under hypnosis, many people were able to shake his hand — something he would otherwise never allow. I admit I know very little about hypnosis, which is defined as “a state of human consciousness involving focused attention and reduced peripheral awareness characterized by an enhanced capacity for response to suggestion.” As a teenager, I attended a couple of events where people were hypnotized, and the participants obviously said and did things they wouldn’t normally do. I actually found that frightening. I find it interesting that exposure and response prevention (ERP) therapy (the first-line psycholog...

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Nonepileptic seizures: an updated review.

Sun, 20 Mar 2016 23:00:00 +0100

This article reviews published PNES research focusing on semiologic features that distinguish PNES from epileptic seizures, consensus diagnostic criteria, the intersection of PNES and other comorbidities, neurobiological studies, evidence-based treatment interventions, and outcome studies. Epidemiology and healthcare utilization studies highlight a continued unmet medical need in the comprehensive care of PNES. Consensus guidelines for diagnostic certainty are based on clinical history, semiology of witnessed typical event(s), and EEG findings. While certain semiologic features may aid in the diagnosis of PNES, the gold standard remains capturing a typical event on video electroencephalography (EEG) showing the absence of epileptiform activity with history and semiology consistent with PNE...



Concepts of Mental Disorders in Trainee Clinical Psychologists.

Sat, 19 Mar 2016 16:41:01 +0100

CONCLUSION: Results suggest that the attitudes of psychologists and psychiatrists continue to sit at opposite ends of a biological-psychosocial continuum. However, an area of consensus regarding psychotherapeutic models was indicated. Training courses can be reassured that strong opinions tended to reflect the evidence base. Future research with similarly large representative samples from different disciplines would allow findings of the current study to be better contextualized. Copyright © 2016 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGE: The models of mental disorders held by clinical psychologists are implicit in their attitudes and inform all aspects of theory and practice. We found that trainee clinical psychologists continue to favour psychosocial over biological under...



The Special Challenges of Psychotherapy with Persons with Psychosis: Intersubjective Metacognitive Model of Agreement and Shared Meaning.

Sat, 19 Mar 2016 16:41:01 +0100

Authors: Hasson-Ohayon I, Kravetz S, Lysaker PH Abstract Agreement between client and therapist is an essential part of the therapeutic alliance. While there are general challenges to the creation of agreement and shared meaning in all psychotherapies, there are specific challenges while working with persons with psychosis. These challenges include the different narratives of the client and the therapist with regard to their roles and the description of the condition or problem, as well as possible stigmatic views and theoretical bias. Here we present a metacognitive intersubjective model as a framework for the understanding and resolutions of these challenges. Copyright © 2016 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGE: Goal consensus, agreement and shared meaning a...



The Experience of Postnatal Depression in Immigrant Mothers Living in Western Countries: A Meta-Synthesis.

Sat, 19 Mar 2016 16:41:01 +0100

CONCLUSIONS: Immigrant mothers living in western countries are subject to multifactorial stressors following childbirth, increasing their susceptibility to postnatal depression. These stressors relate to being an immigrant in a western society and cultural influences, which may be harder to comply with, when removed from their sociocultural context. Social support appears to play a mediating role for these immigrant mothers. There were several similarities between immigrant and non-immigrant mothers including their views of healthcare and medication, their health-seeking behaviours and their fears of having their baby removed. All these findings have implications for healthcare settings in terms of assessments and service delivery. KEY PRACTITIONER MESSAGE: In this meta-synthesis, we e...



Effects of 3,4-methylenedioxymethamphetamine on socioemotional feelings, authenticity, and autobiographical disclosure in healthy volunteers in a controlled setting - Baggott MJ, Coyle JR, Siegrist JD, Garrison KJ, Galloway GP, Mendelson JE.

Sat, 19 Mar 2016 06:34:47 +0100

The drug 3,4-methylenedioxymethamphetamine (MDMA, "ecstasy", "molly") is a widely used illicit drug and experimental adjunct to psychotherapy. MDMA has unusual, poorly understood socioemotional effects, including feelings of interpersonal closeness and soc... (Source: SafetyLit)

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Autism as a Disorder of Altered Global Functional and Structural Connectivity

Fri, 18 Mar 2016 13:08:37 +0100

For a long time, autism spectrum disorder (ASD) played only a minor role in clinical adult psychiatry and psychotherapy. This situation recently changed, particularly when high functioning variants of ASD were recognized as an underlying basic disorder or personality structure on which secondary forms of psychiatric reactions, such as in depression, anxiety, or personality disorders, arise (1). From a clinical perspective, it is important to recognize the autistic pattern for a more comprehensive understanding of the psychodynamics of the psychopathology. (Source: Biological Psychiatry)



Impact of litigation on the psychotherapy of posttraumatic stress disorder.

Fri, 18 Mar 2016 04:28:02 +0100

Authors: Zender JF PMID: 26976760 [PubMed] (Source: Acta Neuropsychiatrica)



Clincal effectiveness and cost-effectiveness of body psychotherapy in treatment of negative symptoms of schizophrenia: a multicentre randomised controlled trial

Thu, 17 Mar 2016 14:27:08 +0100

In this study the clinical effectiveness and cost-effectiveness of group body psychotherapy as a treatment for negative symptoms were compared with an active control. (Source: Current Awareness Service for Health (CASH))



The Effects of Selected Relaxing Music on Anxiety and Depression during Hemodialysis: a Randomized Crossover Controlled clinical trial study

Thu, 17 Mar 2016 00:00:00 +0100

In this study, the use of recorded music did not reduce depression and anxiety in HD patients. However, due to the limited number of studies into the effect of music intervention on HD patients, further investigations in this matter are recommended. (Source: Arts in Psychotherapy)



Exploration of the reasons for dropping out of psychotherapy: A qualitative study

Thu, 17 Mar 2016 00:00:00 +0100

Publication date: Available online 15 March 2016 Source:Evaluation and Program Planning Author(s): Habibolah Khazaie, Leeba Rezaie, Niloofar Shahdipour, Patrick Weaver Elucidating the reasons for dropping out of psychotherapy can lead to the development of interventions aimed at reducing patient drop out. The present study aimed to explore patients’ reasons for dropping out of psychotherapy in Kermanshah, Iran. The present qualitative study was performed using conventional content analysis. The current sample included 15 participants consisting of 7 patients who dropped out of psychotherapy and 8 psychotherapists who have previously experienced patient dropout. A semi-structured interview was used for data collection. All interviews were audio recorded and subsequently transcribed....

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The effects of psychosocial interventions on the mental health, pregnancy rates, and marital function of infertile couples undergoing in vitro fertilization: a systematic review

Wed, 16 Mar 2016 00:00:00 +0100

Conclusions A complex intervention, based on sound evidence, should be developed targeting both females and males of infertile couples undergoing IVF treatment, particularly during the stressful period of waiting for the results of the pregnancy test result and after failed cycles. (Source: Journal of Assisted Reproduction and Genetics)



The effects and risks associated to Mephedrone and Methylone in humans: A review of the preliminary evidences.

Wed, 16 Mar 2016 00:00:00 +0100

Authors: Karila L, Billieux J, Benyamina A, Lançon C, Cottencin O Abstract New psychoactive substances have drastically modified the world drug scene. A increasingly popular class comprises synthetic or substituted cathinones (legal highs, research chemicals, bath salts). Among the most common psychoactive constituents of bath salts are mephedrone and methylone. Recent reports on the abuse of novel synthetic cathinone derivatives call attention to the serious physical and psychological risks resulting from their consumption, thereby emphasizing the growing use of these drugs might constitute an important public health issue. In this paper, we will review the available data regarding the use and effects of mephedrone and methylone in humans in order to highlight their impact on pub...



Despite Effectiveness, Buprenorphine Remains Underprescribed

Tue, 15 Mar 2016 19:01:00 +0100

Experts say buprenorphine is the ideal medication for opioid addiction—the partial agonist satisfies cravings without the same level of euphoria that drives drug-seeking behavior. Yet, the medication is underused and underprescribed, according to experts who spoke with Psychiatric News.According to statistics from the Substance Abuse and Mental Health Services Administration (SAMHSA), there are just 31,862 physicians certified to prescribe buprenorphine—and 40 percent of these physicians do not prescribe buprenorphine at all.A recent Psychiatric News article explored several factors that may deter physicians from prescribing the medication and create access challenges for patients. To address this access problem, APA supports incrementally expanding the number of patients that certifie...



Effects of 3,4-methylenedioxymethamphetamine on socioemotional feelings, authenticity, and autobiographical disclosure in healthy volunteers in a controlled setting

Tue, 15 Mar 2016 00:00:00 +0100

The drug 3,4-methylenedioxymethamphetamine (MDMA, "ecstasy", "molly") is a widely used illicit drug and experimental adjunct to psychotherapy. MDMA has unusual, poorly understood socioemotional effects, including feelings of interpersonal closeness and sociability. To better understand these effects, we conducted a small (n=12) within-subjects double-blind placebo controlled study of the effects of 1.5 mg/kg oral MDMA on social emotions and autobiographical disclosure in a controlled setting. MDMA displayed both sedative- and stimulant-like effects, including increased self-report anxiety. At the same time, MDMA positively altered evaluation of the self (i.e. increasing feelings of authenticity) while decreasing concerns about negative evaluation by others (i.e. decreasing social anxiety)....



Understanding Co-occurring Emotion and Pain: The Role of Context Sensitivity from a Transdiagnostic Perspective

Tue, 15 Mar 2016 00:00:00 +0100

We present data that show that disclosure of pain is important emotionally, but that it is also a challenge to respond in manner that is sensitive to the social context. Indeed, disclosing how we feel emotionally or concerning pain might be helpful in some situations, but enhance the problem in others. Finally, we outline a hybrid treatment that combines exposure for pain (feared movements) and emotions (disclosure) with context sensitivity training. While such new treatments are promising, there remains a dire need for more clinical research to test and improve treatments for co-occurring emotional distress and pain. (Source: Journal of Contemporary Psychotherapy)

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Learning from Physical Pain to Help with the Management of Emotional Pain

Tue, 15 Mar 2016 00:00:00 +0100

Abstract There may be important similarities between chronic emotional pain and chronic physical pain. Both forms of chronic pain may promote negative beliefs about the self and the future. Chronic emotional pain and chronic physical pain both serve to disrupt patients’ focus from their actions and goals. Techniques used for the treatment of physical pain may be translated into the treatment of emotional pain. Four core strategies are reviewed including: (1) reducing catastrophic interpretations, (2) increasing tolerance by promoting acceptance, (3) cultivating positive expectations, and (4) remaining flexible in movements and attitudes. Patients can learn to tolerate limitations while pursuing their goals. Clinicians can help patients to reduce emotional pain by making a series...



Metacognitive Reflective and Insight Therapy for a Person Who Gained Maximal Levels of Metacognitive Capacity and Was Able to Terminate Therapy

Tue, 15 Mar 2016 00:00:00 +0100

Abstract Schizophrenia often involves a loss of metacognitive capacity, or the ability to form a complex and integrated sense of self and others. Independent of symptoms and impairments in neurocognition, metacognitive deficits are a barrier to the formation and sustenance of goal-directed activities of daily life and ultimately to recovery. Metacognitive reflective and insight therapy (MERIT) is a form of psychotherapy intended to assist patients to recover metacognitive capacity through intensive individual therapy. This paper presents a case illustration of how MERIT assisted a patient with prolonged schizophrenia and significant metacognitive deficits to develop a robustly complex understanding of himself and others and then to use that knowledge to agentically monitor his own...



Male Prison Inmates With Gender Dysphoria: When Is Sex Reassignment Surgery Appropriate?

Tue, 15 Mar 2016 00:00:00 +0100

Authors: Osborne CS, Lawrence AA Abstract Gender dysphoria (GD), a feeling of persistent discomfort with one's biologic sex or assigned gender, is estimated to be more prevalent in male prison inmates than in nonincarcerated males; there may be 3000-4000 male inmates with GD in prisons in the United States. An increasing number of U.S. prison systems now offer gender dysphoric inmates diagnostic evaluation, psychotherapy, cross-sex hormone therapy, and opportunities, albeit limited, to enact their preferred gender role. Sex reassignment surgery (SRS), however, has not been offered to inmates except in response to litigation. In the first case of its kind, the California Department of Corrections and Rehabilitation recently agreed to provide SRS to an inmate and developed policy gui...



The Special Challenges of Psychotherapy with Persons with Psychosis: Intersubjective Metacognitive Model of Agreement and Shared Meaning

Mon, 14 Mar 2016 00:00:00 +0100

Agreement between client and therapist is an essential part of the therapeutic alliance. While there are general challenges to the creation of agreement and shared meaning in all psychotherapies, there are specific challenges while working with persons with psychosis. These challenges include the different narratives of the client and the therapist with regard to their roles and the description of the condition or problem, as well as possible stigmatic views and theoretical bias. Here we present a metacognitive intersubjective model as a framework for the understanding and resolutions of these challenges. Copyright © 2016 John Wiley & Sons, Ltd. Key Practitioner Message Goal consensus, agreement and shared meaning are essential for a collaborative process and positive outcome in psych...



Treating depression with sleep deprivation and consecutive sleep phase advance therapy.

Sun, 13 Mar 2016 16:40:02 +0100

Authors: Berger M, Vollmann J, Hohagen F, König A, Lohner H, Riemann D Abstract The common treatment modalities for depression, i.e. pharmacotherapy and psychotherapy have the significant disadvantage of at least a three- to four-week time lag between initiation of treatment and amelioration of mood. Total sleep deprivation (TSD) in contrast, leads to an immediate antidepressant effect in 60% of the patients. However, it has gained only little clinical relevance as usually the improvement is only transient and almost regularly reversed by the next nights of sleep. A procedure preserving the antidepressive effect of sleep deprivation would therefore be of high clinical relevance. PMID: 26965351 [PubMed] (Source: Acta Neuropsychiatrica)

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Treatmentstrategies in refractory panic disorder.

Sun, 13 Mar 2016 16:40:02 +0100

Authors: Timmerman L Abstract A considerable amount of patients with panic disorder (25 - 30%) is refractory for the first line of treatment, mostly antidepressants, and for psychotherapy. Augmentation and combination strategies are discussed; and a protocol for the treatment of refractory patients with panic disorder is proposed with consists of five steps. No patients is considered treatment refractory until they have had a trial with monoamine oxidase inhibitors. PMID: 26964655 [PubMed] (Source: Acta Neuropsychiatrica)



Reduction of suicidal ideation in patients undergoing psychotherapy in the day hospital for the treatment of neurotic and behavioral disorders and their neurotic personality traits measured before the hospitalization - Rodziński P, Rutkowski K, Sobański JA, Murzyn A, Mielimaka M, Smiatek-Mazgaj B, Cyranka K, Dembińska E, Grządziel K, Klasa K, Müldner-Nieckowski Ł.

Sun, 13 Mar 2016 03:34:31 +0100

OBJECTIVES: Analysis of associations between initial neurotic personality traits and subsequent reduction of suicidal ideation (SI) - or lack of such reduction - obtained until the end of hospitalization in patients who underwent the course of intensive ps... (Source: SafetyLit)



Silence during art therapy—The client's perspective

Sat, 12 Mar 2016 00:00:00 +0100

This study sought to better understand clients’ experience and perception of silence in art therapy sessions. The effect of silence on the therapeutic process, the creative process, and the therapeutic relationship was explored. In-depth, semi-structured interviews, were conducted with 10 clients currently in art therapy. The interviews sought to discover their attitudes, perceptions, and experiences, of silence. Analysis based on the Consensual Qualitative Research method yielded four primary domains: (1) The client's experiences of silence during art therapy, (2) The client's perceptions of the therapist's experiences and behavior during silence, (3) The impact of silence on the therapeutic relationship and the influence of this relationship on the experience of silence, and (4) The ro...



Treatment for Seasonal Affective Disorder

Fri, 11 Mar 2016 16:34:57 +0100

Seasonal affective disorder(SAD) — also known as the winter blues or winter depression — is a seasonal but serious disorder that impacts many people with the changing of the seasons (from fall into winter, or from spring into summer). Luckily there are a number of effective treatment options for anyone who is suffering from seasonal affective disorder. Light Boxes Research has found that the majority of those suffering from the winter blues experienced relief solely from the regular use of light boxes. Light boxes emit high intensities of light of 2,500 to 10,000 lux (as compared to a normal light fixture that emits 250 to 500 lux) and produce similar effects to the sun’s natural rays. The high intensities of light improve the mood of those suffering from the winter blues...



Use of antidepressants in children soars by 50% in the UK

Fri, 11 Mar 2016 16:28:00 +0100

A study has shown that the number of children and adolescents taking antidepressants has increased by more than 50% in the UK between 2005 and 2012, raising possible concerns that doctors may be prescribing these drugs as a way to alleviate pressure on psychotherapy services. (Source: The Pharmaceutical Journal)

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Effects of a Short-Term Dance Movement Therapy Program on Symptoms and Stress in Patients with Breast Cancer Undergoing Radiotherapy: A Randomized, Controlled, Single-Blind Trial

Fri, 11 Mar 2016 00:00:00 +0100

Integrated interventions with combined elements of body movement and psychotherapy on treatment-related symptoms in cancer patients are relatively scarce. (Source: Journal of Pain and Symptom Management)



Telephone‐Administered Interpersonal Psychotherapy by Nurse‐Midwives for Postpartum Depression

Thu, 10 Mar 2016 00:00:00 +0100

DiscussionCNM‐IPT is effective and acceptable as a method of reducing the severity of PPD symptoms. Careful assessment of CNM availability is critical to intervention feasibility. Future research is needed to evaluate translation of this intervention into practice. (Source: Journal of Midwifery and Women's Health)



Pilot trial of gabapentin for the treatment of benzodiazepine abuse or dependence in methadone maintenance patients.

Thu, 10 Mar 2016 00:00:00 +0100

CONCLUSION: In outpatient methadone-maintained patients with benzodiazepine use disorder, gabapentin did significantly decrease benzodiazepine use relative to placebo. The small sample recruited for this trial may have limited the ability to detect a group difference. PMID: 26962719 [PubMed - as supplied by publisher] (Source: The American Journal of Drug and Alcohol Abuse)



Teen Depression and Suicide: A Silent Crisis

Wed, 09 Mar 2016 19:21:13 +0100

This article relays the tragic death of a 17-year-old, along with symptoms of depression and suicide in adolescents; DSM-5 criteria for depression; treatments including protective factors, psychotherapy, and medications; and imparts interventions for addressing this huge but silent crisis. (Source: Journal of Christian Nursing)



Expert outlines medical approach to treatment of traumatized refugees

Wed, 09 Mar 2016 05:00:00 +0100

(Wolters Kluwer Health) What's the best approach to mental health treatment for refugees with posttraumatic symptoms? One clinic with extensive experience in managing traumatized refugees recommends a medical approach combining psychoactive medications, long-term psychotherapy, and screening and treatment for associated health issues, according to a paper in the Journal of Psychiatric Practice, published by Wolters Kluwer. (Source: EurekAlert! - Social and Behavioral Science)

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What Is the Difference Between Drug Dependent & Drug Addicted?

Tue, 08 Mar 2016 18:45:46 +0100

Kathleen’s Story Kathleen experienced a work related injury in which a box fell on her neck while she was standing on a ladder to retrieve something else from a high shelf. She suffered a C4 injury (the fourth cervical vertebra) which resulted in limited control of her shoulders and biceps. It was accompanied by a stinging sensation that she came to discover was related to damage to nerve fibers. She also noticed tingling and numbness in her fingers. It was diagnosed as neuropathic pain. Her doctor explained that the communication between her spine and brain was being mis-translated and that the signals were coming from locations below where feelings were interrupted. She was cautioned that this problem could be chronic. Prior to the accident, Kathleen had been vibrant and active. An...



Quality of Care for PTSD (Post-Traumatic Stress Disorder) and Depression in the Military Health System: Phase I Report

Tue, 08 Mar 2016 16:20:40 +0100

RAND Corporation. 02/17/2016This 221-page report characterizes care for service members seen by the Military Health System for diagnoses of post-traumatic stress disorder (PTSD) and/or depression. It finds that while the Military Health System performs well in ensuring outpatient follow-up following psychiatric hospitalization, providing sufficient psychotherapy and medication management needs to be improved. Quality of care for PTSD and depression varied by service branch, region, and service member characteristics, suggesting the need to ensure that all service members receive high-quality care. (PDF) (Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health)



Motivation and Treatment Credibility Predicts Dropout, Treatment Adherence, and Clinical Outcomes in an Internet-Based Cognitive Behavioral Relaxation Program: A Randomized Controlled Trial

Tue, 08 Mar 2016 00:00:00 +0100

Conclusions: This study confirmed that treatment credibility and a good working alliance are factors associated with successful Internet-based psychotherapy. Further, the study showed that measuring adherence in different ways provides somewhat different results, which underscore the importance of carefully defining treatment adherence in psychotherapy research. Lastly, the results suggest that finding the treatment interesting and engaging may help patients carry through with the intervention and complete prescribed assignments, a result that may help guide the design of future interventions. Clinical Trial: Clinicaltrials.gov NCT02535598; http://clinicaltrials.gov/ct2/show/NCT02535598 (Archived by WebCite at http://www.webcitation.org/6fl38ms7y). (Source: Journal of Medical Internet Rese...

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Book Review: Coping with BPD: DBT & CBT Skills

Mon, 07 Mar 2016 19:39:31 +0100

People with borderline personality disorder, as psychologist Marsha M. Linehan puts it, “are like people with third degree burns over 90 percent of their bodies. Lacking emotional skin, they feel agony at the slightest touch or movement.” Indeed, this extreme sensitivity, coupled with feelings of deep emptiness and emotional lability, wreaks havoc on those dealing with borderline personality disorder (BPD) and those who love them. Up to fifteen million Americans struggle with BPD. Interactions that others might brush off and forget about can leave someone with the disorder feeling raw and exposed. In their new book, Coping with BPD: DBT and CBT Skills to Soothe the Symptoms of Borderline Personality Disorder, Blaise Aguirre and Gillian Galen offer guidance. The book is divided int...



Saving Psychotherapy From the Medication Takeover

Mon, 07 Mar 2016 02:27:20 +0100

One of the best experiences of my career occurred in the 1980s when I was a member of the group that decided which psychotherapy studies would be funded by the National Institute of Mental Health. It was hard work. Every three months, we would review about twenty-five studies, knowing that only three or four would be funded. Psychotherapy research was relatively new in those days and it was often difficult to decide which approaches and which people were most likely to make contributions that would count. But our efforts were rewarded. The studies we supported helped establish the effectiveness of Cognitive Behavior Therapy, Dialectic Behavior Therapy, Interpersonal Therapy, and other forms of brief therapy. Psychotherapy research is inherently more difficult to do than drug research. The ...



Medication, not psychotherapy, best for opioid addiction

Mon, 07 Mar 2016 00:00:00 +0100

(Source: Alcoholism and Drug Abuse Weekly)



The Construal of Midwives by Pregnant Women with a Body Mass Index Greater Than or Equal to 30 kg/m(2) (BMI ≥ 30 kg/m(2) ): A Repertory Grid Study.

Sun, 06 Mar 2016 05:26:02 +0100

CONCLUSIONS: The pregnant women with a BMI ≥ 30 kg/m(2) in this study described perceptions of themselves and the midwives responsible for their care, which may affect their engagement and satisfaction with services. Pregnant women with a BMI ≥ 30 kg/m(2) should be involved in service development activities to ensure the structure of services and the language used by midwives are acceptable and do not confirm weight-related stereotypes. Copyright © 2016 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGE: Pregnant women with a BMI ≥ 30 kg/m(2) construe themselves as vulnerable and self-conscious and perceive themselves responsible for their weight. Pregnant women with a BMI ≥ 30 kg/m(2) construe midwives with a low BMI as having an undesirable, cold, i...



Iatrogenic harm from psychological therapies - time to move on†.

Sun, 06 Mar 2016 05:24:01 +0100

Authors: Parry GD, Crawford MJ, Duggan C Abstract The problem of adverse effects of psychotherapy has been recognised for decades, yet research on causes and prevention of harm has failed to progress. There is confusion between different definitions and a lack of systematic recording and reporting. A new framework for moving this field forward is proposed. PMID: 26932481 [PubMed - in process] (Source: The British Journal of Psychiatry for Mental Science)

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Psychotherapies should be assessed for both benefit and harm†.

Sun, 06 Mar 2016 05:24:01 +0100

Authors: Scott J, Young AH Abstract The past four decades have witnessed a transformation in research on the benefits of psychological therapies. However, even though therapists highlight that negative and adverse effects are seen in day-to-day practice, research on the negative effects of psychotherapy is insufficient. Given the unrelenting popularity of therapies, the argument for examining the adverse effects of psychotherapy would seem to be compelling. Such a strategy would extend beyond supervision of individual therapists to the introduction of monitoring systems that allow for a more systematic examination of failed psychotherapy interventions (such as exist for medication prescribing). The starting point could be the development of a consensus on how to define, classify an...



The effect of epilepsy and antiepileptic drugs on sexual, reproductive and gonadal health of adults with epilepsy.

Sat, 05 Mar 2016 17:55:02 +0100

Authors: Hamed SA Abstract Epilepsy is a common chronic medical illness. Hyposexuality is the most frequent abnormality in men and women with epilepsy. In men with epilepsy, hypoandrogenimia, hypogonadism and sperm abnormalities are common. Testicular atrophy was also infrequently reported. In women with epilepsy, hyperandrogenism, polycystic ovaries (PCOs) and PCO syndrome are frequent. Decreased serum free testosterone, dehydroepiandrosterone levels, free androgen index and free testosterone/leutinizing hormone (LH) ratio and increased sex hormone binding globulin, estradiol, prolactin, LH, follicle stimulating hormone (FSH) levels and LH/FSH ratio are common with epilepsy. Disturbance of central and/or peripheral control of hypothalamic-pituitary-gonadal axis and alteration of c...



Applications of Text Messaging, and Bibliotherapy for Treatment of Patients Affected by Depressive Symptoms

Sat, 05 Mar 2016 09:12:43 +0100

Conclusions: It seems that bibliotherapy could efficiently decrease the intensity of depressive symptoms. Nevertheless, in comparison with our booklet trial, the text messaging group achieved neither durable nor significant success; thus, bibliotherapy could be utilized as a complementarymethodology aiming depression treatment.Keywords: Behavior therapy, bibliotherapy, cognitive therapy, depressive symptom, psychotherapy, text messaging (Source: International Journal of Preventive Medicine)



The effect of educational information about treatments for schizophrenia on stigmatizing perceptions

Sat, 05 Mar 2016 00:00:00 +0100

Conclusions Stigmatizing perceptions may be reduced by receiving information about any type of treatment for psychosis and without producing negative side-effects, although this needs to be replicated in a controlled study. However, information on CBT seems most suitable to reduce stigma, since it was able to reduce prognostic pessimism. (Source: Journal of Behavior Therapy and Experimental Psychiatry)



The Neuroscience Report—Volume 37 (March 4, 2016): Motivational Interviewing

Fri, 04 Mar 2016 19:08:01 +0100

The latest in neuroscience—sorted and summarized for you Welcome to The Neuroscience Report where each week we will highlight a specific topic in neuroscience and provide you with links to 5 journal articles, 5 news articles, and 5 wildcard picks. Brought to you by Innovations in Clinical Neuroscience—your source for peer-reviewed, evidence-based information. This week’s topic: Motivational Interviewing Journal Articles The Psychiatrist’s Guide to Motivational Interviewing Motivational Pharmacotherapy: Combining Motivational Interviewing and Antidepressant Therapy to Improve Treatment Adherence Effects of Motivational Interviewing-based Adherence Therapy for Schizophrenia Spectrum Disorders: A Randomized, Controlled Trial Intensive Motivational Interviewing for Women with ...

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Randomized controlled trial of parent–infant psychotherapy for parents with mental health problems and young infants

Fri, 04 Mar 2016 00:00:00 +0100

ABSTRACT There is a dearth of good‐quality research investigating the outcomes of psychoanalytic parent–infant psychotherapy (PIP). This randomized controlled trial investigated the outcomes of PIP for parents with mental health problems who also were experiencing high levels of social adversity and their young infants (<12 months). Dyads were clinically referred and randomly allocated to PIP or a control condition of standard secondary and specialist primary care treatment (n = 38 in each group). Outcomes were assessed at baseline and at 6‐month and 12‐month follow‐ups. The primary outcome was infant development. Secondary outcomes included parent–infant interaction, maternal psychopathology, maternal representations, maternal reflective functioning, and infant attachment. ...



Predictors and moderators of between-therapists and within-therapist differences in depressed outpatients’ experiences of the Rogerian conditions.

Thu, 03 Mar 2016 00:00:00 +0100

The extent to which patients experience their therapists as providing empathy, positive regard and genuineness (the Rogerian Conditions) is an important predictor of outcome in the psychotherapy of depression (Zuroff & Blatt, 2006). Using data from 157 depressed outpatients treated by 27 therapists in the cognitive-behavior therapy, interpersonal therapy, or clinical management with placebo conditions of the Treatment of Depression Collaborative Research Program (Elkin et al., 1989), Zuroff, Kelly, Leybman, Blatt, and Wampold (2010) showed that between-therapists and within-therapist differences in Rogerian Conditions at the second treatment session predicted more rapid reductions in overall maladjustment. We conducted novel analyses intended to identify: 1) predictors of between-therapist...



A conqueror by stealth: Introduction to the special issue on humanism, existentialism, and psychotherapy integration.

Thu, 03 Mar 2016 00:00:00 +0100

In the last few decades, the existential-humanistic tradition in psychology—also known as the third force—has taken over the field of clinical psychology. It did so quietly, almost unassumingly, without resorting to monumental political arrangements (“empires”) or bombarding psychologists with decisive messages about the approaches superiority. Evidence as to this “conquest by stealth” abound, and some are noted in this introduction. The purpose of this special issue is to appraise the link between The third force and the psychotherapy integration movement. Five articles touching on the links between humanistic-existential psychotherapy and, either other forms of therapy or explicitly integrative treatment modalities are published. A commentary by Barry Wolf addresses these art...



Mindfulness mentalizing humanism: A transtheoretical convergence.

Thu, 03 Mar 2016 00:00:00 +0100

This article describes how the 3 major forces of psychology are converging on acknowledgment of the importance of mental processes that engage and subsume unwanted private experiences. Third-generation, mindfulness-based cognitive–behavioral therapists promote mental activities that lead to defusion from unwanted internal experiences. Similarly, in the traditions of relational psychoanalysis and attachment theory, mentalization-based therapists foster a “mentalizing stance” comparable to defusion. Given the long-standing premise among humanistic psychologists that persons are more than their psychological content, these recent developments augur an important transtheoretical discourse about a transcendent sense of self. (PsycINFO Database Record (c) 2016 APA, all rights reserved) (So...



A case for integrating values clarification work into cognitive behavioral therapy for social anxiety disorder.

Thu, 03 Mar 2016 00:00:00 +0100

Social anxiety disorder (SAD) is a common and often debilitating psychological disorder. Cognitive behavioral therapy (CBT) has been found to be efficacious in treating SAD, however, barriers to successful treatment still remain. In particular, given the difficulty of engaging clients in anxiety-inducing exposure interventions, it is important to address issues of client motivation in treatment. The current article provides a rationale for incorporating values clarification work from an acceptance and commitment therapy perspective into CBT for SAD. More specifically, it proposes helping clients in CBT for SAD to clarify their values and commit to behaving in ways consistent with their values. The rationale is that values work could enhance treatment motivation and adherence by providing m...

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Secure your buffers or stare at the sun? Terror management theory and psychotherapy integration.

Thu, 03 Mar 2016 00:00:00 +0100

Terror management theory (TMT) offers an empirical framework to explain how human beings function despite their awareness and fear of death. Research on TMT has shown that to buffer against death anxiety, people strive to meet the standards of their cultural worldview. Although the theoretical bases and experimental findings of TMT research have been compelling within social psychology, their application to mental health and especially to psychotherapy integration has never been properly examined. We argue that a more comprehensive integration of TMT findings with psychotherapy research and practice can prompt a deeper understanding of psychopathology, mental health, and clinical intervention. As a starting point for this integration, we review the existing literature on TMT and psychopath...



Applying goldfried’s concept of assimilative psychotherapy integration: The process of synthesizing existential and cognitive behavioral therapy models.

Thu, 03 Mar 2016 00:00:00 +0100

In the current article, the authors suggest a new avenue for therapy integration by considering an integration of Existential and Cognitive Behavioral therapies. We propose that psychotherapy itself is an existential project and that existential and cognitive–behavioral therapies share many common goals, while differing in methods. An integration of these 2 approaches would enrich the toolkit of clinical methods available to therapists and provide a theoretical framework that balances acceptance and change. Such a framework would include both broad and specific elements, and thus be a more inclusive and holistic reflection of the complex realities of clients’ lived experience. We discuss how the process of integration may begin to unfold by applying Goldfried’s model of assimilative ...



Existential-integrative therapy: Foundational implications for integrative practice.

Thu, 03 Mar 2016 00:00:00 +0100

This article provides an overview and case application of the existential-integrative (EI) approach to psychotherapy. I developed the EI approach based on the existential-humanistic work of Rollo May and James Bugental. In the first section of the article, the EI approach is introduced and described with a particular focus on its central and evidence-based principles. In the second section of the article, a therapeutic case is provided to illustrate the principles of the EI approach. In the final section of the article a discussion of the findings is interwoven with a call for greater attention to EI practices among integrative theorists, researchers, and practitioners. It is concluded that for their optimization, the existential bases of all bona fide therapies may be foundational. (PsycI...



Existential-humanistic therapy and psychotherapy integration: A commentary.

Thu, 03 Mar 2016 00:00:00 +0100

This is a commentary on 5 articles that illustrate some of the very different ways in which clinical practitioners, researchers, and theorists have attempted to integrate aspects of the existential-humanistic orientation into their model and practice of psychotherapy. One paper describes the integration of mindfulness practice with the psychoanalytic concept of mentalizing. These 2 concepts suggest a common factor shared by the 3 major schools of psychotherapy, namely, the acceptance of one’s unwanted internal experience. Three papers describe an integration of some aspects of the existential-humanistic orientation with cognitive behavior therapy (CBT). The last paper reverses this trend by assimilating aspects of CBT into a well-developed model of existential psychotherapy. The commenta...



Project for a scientific psychiatry: A neurobiologically informed, phasic, brain-based model of integrated psychotherapy.

Thu, 03 Mar 2016 00:00:00 +0100

In this paper we present a neurobiologically informed model of psychological “stability and growth”’ to address a range of psychopathology. We provide a neuroscientific rationale for a proposed hierarchy of treatment that elucidates the “when, why, and what” of psychotherapeutic interventions based on the modulation, integration, and homeostatic rebalancing of affected subcortical and neural networks. We assert this hierarchical model of care has significant implications for understanding the pathogenesis of mental disorders. Furthermore, we suggest the model may inform prevention efforts that could potentially reduce the prevalence or burden of mental illness and has substantial implications for both psychiatric education and research. (PsycINFO Database Record (c) 2016 APA, all...

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Commentary on “Project for a scientific psychiatry: A neurobiologically informed, phasic, hierarchical, brain-based model of integrated psychotherapy”.

Thu, 03 Mar 2016 00:00:00 +0100

Comments on the original article by Kinley and Reyno (see record 2016-10268-008) which proposes a hierarchal model of care. In this model, the authors aspire to use the neurobiological knowledge on dysfunctional neurocircuitry in psychiatric disorders to enhance treatment outcomes and, also, to identify those therapeutic interventions that may account for specific symptom improvement. Here, the reviewer wants to suggest the idea that as we moved from a one-person psychology perspective to a two-person psychology one (Mitchell, 1988), we must move forward to research on the relations between brains (Dikker, Silbert, Hasson, & Zevin, 2014; Goebel, Sorger, Kaiser, Birbaumer, & Weiskopf, 2004; Hasson, Nir, Levy, Fuhrmann, & Malach, 2004; Hasson, Ghazanfar, Galantucci, Garrod, & Keysers, 2012; ...



Family-based interpersonal psychotherapy is a promising treatment for preadolescent depression

Wed, 02 Mar 2016 14:10:53 +0100

Although depression is less common during preadolescence, prepubertal depression places individuals at increased risk for future episodes and for impairments in social functioning.1 There is some evidence of the efficacy of cognitive-behavioural therapy (CBT) for the treatment of depression in this age group. However, studies that have compared CBT to an active control condition have only found modest benefits.2 An interpersonally-oriented treatment, such as family-based interpersonal psychotherapy (FB-IPT), may be particularly relevant for preadolescent depression since depressed youth continue to experience interpersonal difficulties even after their depression improves.3 Targeting these interpersonal impairments may hel...



Understanding and treating hoarding disorder: A review of cognitive-behavioral models and treatment

Wed, 02 Mar 2016 00:00:00 +0100

Publication date: Available online 2 March 2016 Source:Journal of Obsessive-Compulsive and Related Disorders Author(s): Michael G. Wheaton The hallmark feature of hoarding disorder (HD) is difficulty discarding possessions resulting in the accumulation of large amounts of clutter. Although hoarding symptoms have been noted for decades, HD did not constitute a formal diagnosis until the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association [APA], 2013). Research on psychological models of HD has revealed a substantial amount about the nature of hoarding problems and how they can be treated, as described in this review. The first section of this article reviews the factors implicated in the cognitive-behavioral model of HD, inc...



Imagery Rescripting for PTSD and Personality Disorders: Theory and Application

Wed, 02 Mar 2016 00:00:00 +0100

Abstract Imagery Rescripting is a psychotherapy technique that has been integrated into Cognitive Behaviour Therapy (CBT) interventions in the treatment of various psychiatric populations including post-traumatic stress disorder (PTSD), personality disorders, specific phobias, depression, obsessive–compulsive disorder, social phobia, and suicide risk. Whilst empirical evidence for imagery rescripting is accumulating, the technical application and theoretical rationale for its use can differ markedly depending on treatment protocol, treatment population, and research group. One such instance is in the case of PTSD and personality disorders where there is significant disparity in the rationale and application of imagery rescripting for the two populations. This paper describes...



Disorganization and Individual Psychotherapy for Schizophrenia: A Case Report of Metacognitive Reflection and Insight Therapy

Wed, 02 Mar 2016 00:00:00 +0100

Abstract Despite being a characteristic symptom of schizophrenia, implications for therapy with persons experiencing prominent disorganization have received less attention in the psychotherapy literature than have other aspects of the disorder. As such, formal thought disorder may be viewed largely as a barrier to effective participation in therapy. In contrast, though, a range of writers from varied traditions have stressed that this feature of schizophrenia is meaningful and improved coherence of speech is an important and viable component of treatment and recovery. This paper suggests that an emergent integrative psychotherapy, metacognitive reflection and insight therapy (MERIT), may be well-suited for work with persons experiencing disorganization symptoms. A brief overvi...

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How Do We Understand Depression in People with Persistent Pain?

Wed, 02 Mar 2016 00:00:00 +0100

Abstract Depression and depressed mood are common in people with persistent (chronic) pain, exacerbating disability and worsening quality of life. Yet the relationship between persistent pain and depression remains unclear, despite its importance for designing or adapting interventions to address both pain and depression. Meta-analysis of cognitive and behavioral interventions designed for rehabilitation of persistent pain shows small benefits for distress. However, substantial variation between studies in patients’ baseline levels of depression and in quality of treatments militates against any clear conclusions. Apart from these interventions, longitudinal studies on chronic pain and depression in adults from clinical populations provide weak evidence that depression worsens p...



A Comprehensive Examination of Changes in Psychological Flexibility Following Acceptance and Commitment Therapy for Chronic Pain

Wed, 02 Mar 2016 00:00:00 +0100

Abstract Acceptance and commitment therapy (ACT) for chronic pain aims to improve patient functioning by fostering greater psychological flexibility. While promising, ACT treatment process research in the context of chronic pain so far has only focused on a few of the processes of psychological flexibility. Therefore, this study aimed to more comprehensively examine changes in processes of psychological flexibility following an ACT-based treatment for chronic pain, and to examine change in these processes in relation to improvements in patient functioning. Individuals with chronic pain attending an interdisciplinary ACT-based rehabilitation program completed measures of pain, functioning, depression, pain acceptance, cognitive fusion, decentering, and committed action at pre- and ...



Play Therapy Is More Than Child’s Play

Tue, 01 Mar 2016 18:45:31 +0100

“You can discover more about a person in an hour of play than in a year of conversation.” – Plato Some issues that clients bring to the counseling office can be addressed via talk therapy, while others respond more adroitly to non-verbal interactions. For those in the younger set, being able to express themselves beyond words is an essential aspect of healing. Play Therapy is best suited for those ranging in age from 3-16 years old. The Association for Play Therapy (APT) defines play therapy as “the systematic use of a theoretical model to establish an interpersonal process wherein trained play therapists use the therapeutic powers of play to help clients prevent or resolve psychosocial difficulties and achieve optimal growth and development.” There are many indicati...



Validation of the Client Diagnostic Questionnaire to Assess Mental Health in South African Caregivers of Children.

Tue, 01 Mar 2016 15:04:02 +0100

CONCLUSIONS: The isiZulu CDQ is a sensitive and valid MH diagnostic screener that can be used by lay counselors with limited MH training to identify those in need of treatment and target extremely scarce MH professionals. Copyright © 2016 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGES: South Africa (SA), a country heavily impacted by poverty, HIV and the legacy of Apartheid, has a high prevalence of mental health (MH) and substance abuse problems. In SA and other low-and-middle-income-countries (LMIC) there is a dearth of MH professionals. This study examined use and validity of the Client Diagnostic Questionnaire (CDQ), a brief diagnostic MH screening tool designed for use by lay counselors in HIV-affected populations. Comparing lay counsellor diagnoses on the CDQ to clinician...



Sleep Strengthens but does Not Reorganize Memory Traces in a Verbal Creativity Task

Tue, 01 Mar 2016 07:19:03 +0100

Conclusions:The results support the notion that sleep promotes the strengthening, but not the reorganization, of newly encoded memory traces in a verbal creativity task. Future studies are needed to further determine the impact of sleep on different types of memory reorganization, such as associative thinking, creativity and emotional memory processing, and potential clinical translations, such as the augmentation of psychotherapy through sleep interventions.Citation:Landmann N, Kuhn M, Maier JG, Feige B, Spiegelhalder K, Riemann D, Nissen C. Sleep strengthens but does not reorganize memory traces in a verbal creativity task. SLEEP 2016;39(3):705–713. (Source: Sleep)

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Complex Regional Pain Type 1

Tue, 01 Mar 2016 06:00:00 +0100

Abstract: Complex regional pain syndrome is increasingly recognized in the pediatric population. Owing to the nature of presentation with pain, many of these children present to the emergency setting at different stages of the syndrome with or without numerous prior interactions with health professionals. Complex regional pain syndrome type 1 (CRPS1) is a clinical syndrome characterized by amplified musculoskeletal limb pain that is out of proportion to the history and physical findings, or pain due to non-noxious stimuli (allodynia/hyperalgesia), and accompanied by one or more signs of autonomic dysfunction. Differential diagnosis may include significant trauma (eg, fractures), inflammatory conditions, malignancies, and systemic illness. The diagnosis is clinical. The treatment goals for ...



Medical Approach to the Management of Traumatized Refugees

Tue, 01 Mar 2016 06:00:00 +0100

Refugees are a highly traumatized and culturally diverse group of patients who present many clinical challenges. Refugees have a high prevalence of traumas from torture, ethnic cleansing, and the effects of long civil wars. The most common diagnoses associated with the effects of such traumas are posttraumatic stress disorder (PTSD) or PTSD with comorbid depression; however, psychosis and neurocognitive disorders are also common. For those with PTSD, a suggested treatment approach is long-term supportive psychotherapy with drug treatment directed at reducing the most disruptive symptoms, such as insomnia, nightmares, and irritability or psychosis. The author recommends a sedative tricyclic antidepressant, clonidine or prazosin, and aripiprazole as a useful combination of medications to pro...



Psychotherapies should be assessed for both benefit and harm [EDITORIALS]

Tue, 01 Mar 2016 00:00:00 +0100

The past four decades have witnessed a transformation in research on the benefits of psychological therapies. However, even though therapists highlight that negative and adverse effects are seen in day-to-day practice, research on the negative effects of psychotherapy is insufficient. Given the unrelenting popularity of therapies, the argument for examining the adverse effects of psychotherapy would seem to be compelling. Such a strategy would extend beyond supervision of individual therapists to the introduction of monitoring systems that allow for a more systematic examination of failed psychotherapy interventions (such as exist for medication prescribing). The starting point could be the development of a consensus on how to define, classify and assess psychotherapy side-effects, unwante...



Iatrogenic harm from psychological therapies - time to move on [EDITORIALS]

Tue, 01 Mar 2016 00:00:00 +0100

The problem of adverse effects of psychotherapy has been recognised for decades, yet research on causes and prevention of harm has failed to progress. There is confusion between different definitions and a lack of systematic recording and reporting. A new framework for moving this field forward is proposed. (Source: The British Journal of Psychiatry)



The effect of flexible cognitive-behavioural therapy and medical treatment, including antidepressants on post-traumatic stress disorder and depression in traumatised refugees: pragmatic randomised controlled clinical trial [PAPERS]

Tue, 01 Mar 2016 00:00:00 +0100

Conclusions In a pragmatic clinical setting, there was no effect of flexible CBT and antidepressants on PTSD, and there was a small-to-moderate effect of antidepressants and psychoeducation on depression in traumatised refugees. (Source: The British Journal of Psychiatry)

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Screening for Depression in Children and Adolescents: US Preventive Services Task Force Recommendation Statement

Tue, 01 Mar 2016 00:00:00 +0100

This article describes the update of the 2009 US Preventive Services Task Force (USPSTF) recommendation on screening for major depressive disorder (MDD) in children and adolescents. METHODS: The USPSTF reviewed the evidence on the benefits and harms of screening, accuracy of primary care–feasible screening tests, and benefits and harms of treatment with psychotherapy, medications, and collaborative care models in patients aged 7 to 18 years. POPULATION: This recommendation applies to children and adolescents aged ≤18 years who do not have an MDD diagnosis. RECOMMENDATION: The USPSTF recommends screening for MDD in adolescents aged 12 to 18 years. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate fol...



Integrating Life‐Design Counseling and Psychotherapy: Possibilities and Practices

Tue, 01 Mar 2016 00:00:00 +0100

The debate on the relationship between career counseling and psychotherapy revealed the close relationship between psychosocial and career issues. The connection between these 2 approaches paves the way for the integration of career counseling into psychotherapy. In this article, the Systematic Treatment Selection (Beutler & Clarkin, ) perspective in psychotherapy is presented as a framework for guiding career counseling integration into psychotherapy. Then, the author describes life‐design counseling, underlining its possibilities for integration with psychotherapeutic practices. Finally, the author presents and discusses a case study to illustrate the complexity of this integrative process. (Source: The Career Development Quarterly)



[Hypnosis for anxiety and phobic disorders: A review of clinical studies].

Tue, 01 Mar 2016 00:00:00 +0100

CONCLUSION: To date, evidence is negative or insufficient to support the efficacy of hypnosis in chronic anxiety disorders, in any categories whatsoever - including phobia or PTSD. Specific further studies are needed to identify some potential profiles predictive of response to hypnosis in these conditions. PMID: 26944812 [PubMed - as supplied by publisher] (Source: Presse Medicale)



Turning #LymeintoLemonAid Thanks to My PICC Line

Tue, 01 Mar 2016 00:00:00 +0100

I was told that I was a moody teenage girl in need of antidepressants and psychotherapy, that I didn't stretch enough before and after sports so I should see a physical therapist, that I was tired because school started so early, that it was all in my head, and that I was just a clumsy person who should stop complaining. Seven years later, I was diagnosed with chronic neurologic Lyme disease and coinfections of Babesia and Bartonella. (Source: Journal of the Association for Vascular Access)



The long‐term efficacy of acute‐phase psychotherapy for depression: a meta‐analysis of randomized trials

Tue, 01 Mar 2016 00:00:00 +0100

ConclusionsThere is substantial evidence that acute‐phase psychotherapy results in a better treatment effects on depression and quality of life in the long term for adult patients with depression. (Source: Depression and Anxiety)

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Attention-Bias Modification May Benefit Adolescents With MDD

Mon, 29 Feb 2016 18:49:00 +0100

Adolescents with major depressive disorder who performed a computer-based task designed to shift their attention from negative to positive stimuli over the course of several weeks showed greater reductions in self-reported depressive and anxious symptoms 12 months later than those attending equally to neutral and sad stimuli, according to a study appearing in the March issue of the Journal of the American Academy of Child & Adolescent Psychiatry. The findings suggest that this technique, known as attention-bias modification (ABM), may offer a potential treatment tool for treating youth with mild to moderate depression.Adults and adolescents with depression, as well as adolescents at risk for MDD, often show a biased attention to sad-related negative stimuli and an absence of biases tow...



Symptom- and personality disorder changes in intensive short-term dynamic residential treatment for treatment-resistant anxiety and depressive disorders.

Mon, 29 Feb 2016 02:53:02 +0100

CONCLUSION: The treatment programme was highly effective for patients with common and complex treatment-resistant mental disorders. Results are encouraging for the relatively large number of patients who tend not to benefit from standard formats of treatment for debilitating psychological problems. PMID: 26916592 [PubMed - as supplied by publisher] (Source: Acta Neuropsychiatrica)



The mechanism of music for reducing psychological stress: Music preference as a mediator

Mon, 29 Feb 2016 00:00:00 +0100

In this study, 200 female music education students, who experienced induced stress following a mental arithmetic test, were assigned into eight groups, each group listening to one piece of music classified in terms of the levels of arousal and valence of music, and familiarity. Participants rated their tension and state anxiety levels before and after music listening, as well as the levels of valence and arousal for music, music preference, and familiarity, after listening. The results revealed that the levels of arousal and valence, and the degree of music preference predicted tension and state anxiety levels, and the effects of music valence and arousal on stress reduction were partially mediated by music preference. The most important factor in reducing stress was the degree of liking f...



Help-seeking among airmen in distressed relationships: Promoting relationship well-being.

Mon, 29 Feb 2016 00:00:00 +0100

Although a substantial proportion of service members returning from a combat deployment report individual emotional and behavioral disorders as well as intimate relationship difficulties, previous studies indicate that only a minority actually seek mental health services. Little is known about factors that predict help-seeking in this population. We first review key findings from the literature on help-seeking in military and veteran populations, including mixed findings regarding the role of perceived stigma and attitudes toward mental health treatment. We then present data from a longitudinal study of United States Air Force Security Forces following a year-long high-risk deployment to Iraq—including findings regarding who seeks help, for what problems, and from which providers. We als...



Development of a treatment protocol for Puerto Rican adolescents with suicidal behaviors.

Mon, 29 Feb 2016 00:00:00 +0100

Adolescents in Puerto Rico are at an increased risk for suicide attempts, though evidence-based treatments specifically for this group have not been tested. The current study was designed to develop and pilot test a culturally sensitive, manualized outpatient treatment for Puerto Rican adolescents who have experienced a suicidal crisis. The study was divided into phases. Phase 1 consisted of developing a socio-cognitive behavioral treatment for suicidal behavior. Phase 2 tested the treatment protocol in an open trial with 11 (6 male and 5 female) Puerto Rican adolescents. Active treatment had an approximate duration of 3–6 months. An initial assessment, process measures, and posttreatment assessment were completed with each participant to measure treatment feasibility as well as suicidal...

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Pilot trial of gender-based motivational interviewing for increasing mental health service use in college men.

Mon, 29 Feb 2016 00:00:00 +0100

Men are considerably less likely to seek professional and nonprofessional help for mental disorders. Prior findings indicate that adherence to masculine norms contributes to stigma about internalizing disorders and help seeking. There are currently no empirically supported interventions for increasing help seeking in men with internalizing symptoms. To address this need, we conducted a pilot study of gender-based motivational interviewing (GBMI) for men with internalizing symptoms. GBMI is a single session of assessment and feedback integrating gender-based and motivational interviewing principles (Addis, 2012). College men (N = 35) with significant internalizing symptoms and no recent help seeking were randomized to either GBMI or a no-treatment control and were followed for 2 months. GBM...



[Guideline-oriented inpatient psychiatric psychotherapeutic/psychosomatic treatment of anxiety disorders : How many personnel are need?]

Mon, 29 Feb 2016 00:00:00 +0100

CONCLUSION: Currently, the time contingents for evidence-based psychiatric psychotherapeutic/psychosomatic hospital care are nowhere near sufficient. In the development of future reimbursement systems this needs to be corrected. PMID: 26927679 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)



Irvin Yalom: Creatures of a Day and Other Tales of Psychotherapy.

Sat, 27 Feb 2016 16:24:02 +0100

Authors: Cohen M PMID: 26912247 [PubMed - in process] (Source: American Journal of Psychoanalysis)






Are neurotic personality traits and neurotic symptoms intensity associated with suicidal thoughts reported by patients of a day hospital for neurotic disorders?

Sat, 27 Feb 2016 03:19:09 +0100

CONCLUSIONS: Day hospital patients reporting SI are a subgroup burdened with more severe neurotic disorders and comorbid personality disorders. Thus, the persons reporting in symptom questionnaires willingness to take one's own life, although relatively frequently encountered, deserve special attention due to the greater severity of their symptoms. PMID: 26909406 [PubMed - as supplied by publisher] (Source: Psychiatria Polska)

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Changes in neurotic personality profile associated with reduction of suicidal ideation in patients who underwent psychotherapy in the day hospital for the treatment of neurotic and behavioral disorders.

Sat, 27 Feb 2016 03:19:09 +0100

CONCLUSIONS: The results confirm effectiveness of intensive psychotherapy as a treatment method that leads to comprehensive improvement encompassing reduction of neurotic personality disorders (neuroticism) and of majority of neurotic personality traits, as well as SI reduction. The revealed associations weigh in favor of hypothesis on neuroticism as SI predisposing factor in patients with neurotic, behavioral and personality disorders. PMID: 26909405 [PubMed - as supplied by publisher] (Source: Psychiatria Polska)