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Dissertations / Theses on the topic 'Psychodynamic treatment'
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Tebbutt, Hayley Lynne. "Psychodynamic case formulations : reflections of a neophyte therapist's experiences of how developing and using a psychodynamic formulation may have influenced treatment?" Thesis, Rhodes University, 2013. http://hdl.handle.net/10962/d1006812.
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Although it is generally acknowledged and accepted that case formulations are useful in psychotherapy treatment, there is significantly little research illustrating how case formulations are useful in treatment. Research also suggests that case formulations are seldom used in practice after initial training (Eells, 1997; Sim, Gwee, & Bateman, 2005). This research was premised on a particular case study which appeared to highlight shifts in psychotherapy treatment in the sessions directly after the writing or revising of the case formulation, thus prompting the inquiry into the influence of the case formulation on therapeutic work. The research utilised a qualitative methodology and focused on a single case which was a 19 year old university student who expressed a problem with binge eating. The data was drawn from five original and revised case formulations. The participant was seen for 27 therapy sessions, over which time five case formulations were developed and revised. The findings in this study highlight the process of how a psychodynamic case formulation can influence therapeutic work, as reflected in three broad themes of adherence to the case formulation, the confidence of the therapist, and using the formulation as an intervention. The study contributes to arguments for the revival of the case formulation as a necessary therapeutic tool.KMBT_363
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Hoyer, Jürgen, Jens Fecht, Wolfgang Lauterbach, and Ralf Schneider. "Changes in Conflict, Symptoms, and Well-Being during Psychodynamic and Cognitive-Behavioral Alcohol Inpatient Treatment." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2014. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-133719.
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Background: According to Grawe’s psychological therapy approach, conflict reduction can be expected not only in psychodynamic, but also in cognitive-behavioral therapy (CBT). This was tested in an effectiveness study. Changes in cognitive conflicts, along with those of symptom severity and well-being were analyzed during alcohol inpatient treatment. Methods: Four times during treatment, groups of patients receiving psychodynamic therapy (n = 45 patients) or CBT (n = 49 patients) were measured and compared. Lauterbach’s Online Conflict Test was used to measure conflict. Symptom severity and well-being were measured using questionnaires. Results: Results showed significant conflict decrease in both groups with a tendency towards faster reduction under CBT. There was also significant change in symptom severity and well-being in both groups with no difference regarding reduction gradient. Moreover, patients in the psychodynamic treatment group exhibited lower symptom scores at treatment begin which may be a consequence of clinical group assignment. Conclusions: In general, the findings confirmed Grawe’s theoretical assumptions. Generalizability to other diagnostic groups and other clinical settings remains to be testedDieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich
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Hoyer, Jürgen, Jens Fecht, Wolfgang Lauterbach, and Ralf Schneider. "Changes in Conflict, Symptoms, and Well-Being during Psychodynamic and Cognitive-Behavioral Alcohol Inpatient Treatment." Karger, 2001. https://tud.qucosa.de/id/qucosa%3A26479.
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Background: According to Grawe’s psychological therapy approach, conflict reduction can be expected not only in psychodynamic, but also in cognitive-behavioral therapy (CBT). This was tested in an effectiveness study. Changes in cognitive conflicts, along with those of symptom severity and well-being were analyzed during alcohol inpatient treatment.
Methods: Four times during treatment, groups of patients receiving psychodynamic therapy (n = 45 patients) or CBT (n = 49 patients) were measured and compared. Lauterbach’s Online Conflict Test was used to measure conflict. Symptom severity and well-being were measured using questionnaires.
Results: Results showed significant conflict decrease in both groups with a tendency towards faster reduction under CBT. There was also significant change in symptom severity and well-being in both groups with no difference regarding reduction gradient. Moreover, patients in the psychodynamic treatment group exhibited lower symptom scores at treatment begin which may be a consequence of clinical group assignment.
Conclusions: In general, the findings confirmed Grawe’s theoretical assumptions. Generalizability to other diagnostic groups and other clinical settings remains to be tested.Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.
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Milnes, Genevieve. "Rewiring head and heart : An investigation into the efficacy of a clinical psychotherapeutic modality for the treatment of depression." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2010. https://ro.ecu.edu.au/theses/540.
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This is a presentation of the psychotherapeutic treatment modality, „Rewiring Head & Heart (Rewiring)‟ that combines cognitive therapy (“head”) with psychodynamic exercises (“heart”) into an evidence-based clinical treatment modality for use by therapists. This study extends previous research conducted by Milnes (1998). Descriptions of the origins of the treatment modality, the underpinning theoretical framework, and practical application in the Rewiring Manual are followed by an empirical investigation of its efficacy on a sample of adults with depressed mood, before discussing case studies and issues of clinical application of Rewiring. Rewiring consists of two contributing elements – Cognitive Fluency (CF) and Psychodynamic Therapy (PDT). The efficacy of each element and the combination of both were subjected to separate clinical trials. After assessment using the depression subscale of the Depression and Anxiety Stress Scales (DASS), the Beck Depression Inventory – II (BDI-II) and a clinical interview, 47 participants sharing elevated scores of depression were randomly allocated to four conditions: Cognitive Fluency (CF), Psychodynamic Therapy (PDT), Cognitive Fluency combined with Psychodynamic Therapy (CF+PDT) and a control condition. During the 4-session treatment based on Rewiring all participants were measured on Self-Ratings of Belief (SRBs). Case-studies from the efficacy trial and single subject case-studies from clinical practice were also examined. Although the n was inadequate to test the hypotheses, it did indicate a direction for treatment. It was found that both the CF and the PDT treatments were efficacious and the combined condition (CF+PDT) provided still more robust results. The empirical and case study evidence supported Rewiring as a cost-effective, short-term, psychodynamic and cognitive combination therapy that can be used in a variety of settings, and as a psychotherapeutic modality available for use by trained clinicians.
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Alim, Nadja. "What works for people with learning disabillities-Exploring the treatment of anger-problems from a psychodynamic perspective." Thesis, University of Essex, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.499772.
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Johansson, Robert. "Treating depression and its comorbidity : From individualized Internet-delivered cognitive behavior therapy to affect-focused psychodynamic psychotherapy." Doctoral thesis, Linköpings universitet, Psykologi, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-100385.
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The overarching goal of this thesis has been to enhance Internet-delivered psychological treatments for depression and its comorbidity. To this end, three randomized controlled trials (Study II, III and IV) with a total of 313 participants were conducted. A prevalence study (Study I) was also conducted to provide an up-to-date estimate of the prevalence of depression, anxiety disorders, and their comorbidity in the Swedish general population. Study I showed that more than every sixth individual in Sweden suffers from symptoms of depression and/or anxiety. Comorbidity between depression and anxiety was substantial and associated with higher symptom burden and lower health-related quality of life. Study II showed that a tailored Internet-based CBT protocol (ICBT) was effective in reducing symptoms of depression when compared to a control group. Among individuals with more severe depression and comorbidities, the tailored ICBT treatment worked better than standardized ICBT. Study III showed that a psychodynamic Internet-based psychotherapy was highly effective in the treatment of depression, when compared to a group who received psychoeducation and online support. In Study IV, an Internet-delivered affect-focused psychodynamic psychotherapy proved to have a large effect on depression and a moderately large effect on anxiety disorders. In conclusion, this thesis shows that in the context of treating depression and its comorbidity, Internet-delivered psychological treatments can be potentially enhanced by psychodynamic psychotherapy and by individualization.Det övergripande syftet med denna avhandling har varit att vidareutveckla internetbaserad psykologisk behandling för depression och dess komorbiditet. Tre randomiserade kontrollerade studier (Studie II, III och IV) med totalt 313 deltagare genomfördes i linje med detta syfte. En prevalensstudie (Studie I) genomfördes också för att tillhandahålla ett uppdaterat estimat av prevalensen av depression, ångest och deras komorbiditet i Sverige. Studie I visade att mer än var sjätte individ i Sverige lider av symptom på depression och/eller ångest. Det fanns påtaglig komorbiditet mellan depression och ångest, vilket var associerat med högre symptombörda och lägre livskvalitét. Studie II visade att en skräddarsydd internetbaserad KBT-behandling var effektiv för att reducera symptom på depression, i jämförelse med en kontrollgrupp. Bland individer med svårare depression och komorbiditet, fungerade den skräddarsydda interventionen bättre än en standardiserad. Studie III visade att psykodynamisk internetbehandling var effektiv vid behandling av depression, i jämförelse med en grupp som fick psykoedukation och stödsamtal online. I Studie IV visades att en affektfokuserad psykodynamisk internetbehandling hade stor effekt vad gällde att reducera symptom på depression, och medelstor effekt vad gällde att reducera symptom på ångest. Sammanfattningsvis visar denna avhandling att internetbaserad psykologisk behandling kan potentiellt vidareutvecklas av psykodynamisk psykoterapi och individanpassning, vid behandling av depression och dess komorbiditet.
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Seybert, Carolina [Verfasser]. "Categorical or dimensional? Differentiation of treatment techniques in short and long-term psychodynamic and psychoanalytic therapies / Carolina Seybert." Ulm : Universität Ulm. Medizinische Fakultät, 2011. http://d-nb.info/101671873X/34.
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Manfroni, Antje. "An exploration of the role of the therapeutic relationship in the treatment of complex trauma : a psychodynamic-phenomenological case study." Thesis, Stellenbosch : Stellenbosch University, 2007. http://hdl.handle.net/10019.1/20447.
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Thesis (MA)--University of Stellenbosch, 2008.ENGLISH ABSTRACT: Sometimes it is not entirely clear why certain clients improve. Critical clinical ingredients which may have led to this improvement or recovery are hard to identify and describe and decisions about therapeutic interventions often appear to be intuitive rather than following a strict modus operandi. This is true particularly if refractory or chronic cases start to improve and maintain this improvement. Refractory and chronic cases are the norm amongst clients suffering from complex, chronic trauma, also termed complex PTSD. Complex trauma is a multi-facetted, often multi-layered condition. It includes damage to the individuals’ self and to her ability to interpersonally relate, additionally to the DSM IV TR diagnosis of PTSD. Due to the manifold unique presentations of the syndrome, particular after long-term exposure and confounded by co-morbidities and rigid defenses, it is difficult to diagnose and treat the condition effectively. This study focuses on one such complex trauma case with an initially very poor prognosis, which improved significantly over a treatment period of eighteen months. The therapeutic intervention and progression of the case are closely examined, using the phenomenological method, with the aim of discerning and describing themes and patterns that could assist in understanding the healing process of this client during therapy and to promote further research in this regard. Integration of psychodynamic conceptualization, particularly self-psychology and intersubjectivity, and person-centered, supportive therapeutic methods were found helpful in the treatment of this case. The common factor to these approaches is their emphasis on the relationship between client and therapist. This therapeutic relationship was concluded to be the determining factor in the successful treatment of this client, because it addressed damage to self and to her relational ability. The research took place concurrent to the therapy with the client and this process led to a degree of integration on three levels: integration of the client’s self and interpersonal functioning, integration of the abovementioned approaches to form a creative synthesis in the therapist’s individual approach to trauma clients, and the integration of a phenomenological methodology with a psychodynamically conceptualized case study. It is noted that the theoretical explorations and therapeutic procedures described and explored in this study are but one way to conceptualize and treat complex trauma.
AFRIKAANSE OPSOMMING: Somtyds is dit nie duidelik hoekom sekere kliente se toestand verbeter nie. Dit is soms moeilik om die kritiese bestanddele wat tot hierdie verbetering of herstel gelei het, te identifiseer en te beskryf. Besluite met betrekking op therapeutiese intervensies blyk dikwels eerder intuitief, as die gevolg van ‘n streng modus operandi, te wees. Dit is spesifiek die geval wanneer chroniese en hardnekkige gevalle begin om te verbeter en die verbetering volhou. Hardnekkige en chroniese gevalle is nie ongewoon by kliente wat aan komplekse, chroniese trauma - ook genoem komplekse post-traumatiese stressversteuring - ly nie. Komplekse trauma is ‘n multi-fasettige toestand, wat dikwels ‘n verskeidenheid lae of vlakke van versteuring opwys. Dit sluit skade tot die individu se self in, asook verlies aan vaardigheid om met ander mense suksesvolle interpersoonlike verhoudings op te bou. Hierdie kenmerke is toevoegings tot die diagnose van die sindroom soos uitgevoer in die DSM IV TR. As gevolg van die meervoudige unieke voorstellings van die sindroom - in besonder na langtermyn blootstelling en verwarring deur co-ongesteldhede en rigiede verdedigings - is dit moeilik om die toestand korrek te diagnoseer en efektief te behandel. Hierdie studie fokus op die soort geval wat aanvanklik ‘n baie swak prognose gehad het, maar vervolgens oor ‘n tydperk van 18 maande ‘n beduidende verbetering getoon het. Die terapeutiese intervensie en die progressie van die geval is in hierdie studie noukeurig ondersoek, deur gebruik te maak van fenomenologiese ondersoekmetodes, met die doel om temas en patrone vas te stel en te beskryf wat die begrip van die genesingsproses van die klient gedurende terapie moontlik kan bevorder, en wat verdere navorsing op hierdie gebied kan stimuleer. Integrasie van psigodinamiese konseptualisering (spesifiek self-sielkunde en intersubjektiwiteit) asook persoongesentreerde, ondersteunende beradingsmetodes, is as waardevol bevind in die behandeling van hierdie geval . Die gemeenskaplike faktor tot hierdie benaderings is die klem op die verhouding tussen klient and terapeut. Die gevolgtrekking is gemaak dat hierdie terapeutiese verhouding die bepalende faktor in die sukkesvolle behandeling van hierdie klient was, omdat dit sowel die skade aan die self as die verlies aan die vaardigheid om verhoudings te bou, aangespreek het. Die navorsing en die terapeutiese intervensie met die klient het terselftertyd plaasgevind, en die proses het ten slotte tot ‘n mate van integrasie op drie vlakke gelei: integrasie van die klient se self en herstelling van interpersoonlike funksionering, integrasie van die bogenoemde benaderings wat tot ‘n kreatiewe sintese in die berader se benadering tot trauma behandeling gelei het, en die integrasie van fenomenologiese metodes en psigodinamies konseptualisering in ‘n gevallestudie. Dit is belangrik om in gedagte te hou dat die teoretiese navorsing en praktiese prosedures wat in hierdie studie beskryf en uiteengesit is, net een manier is om komplekse trauma te konseptualiseer en te behandel.
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Luiker, Henry George. "Predictors of outcome for severely emotionally disturbed children in treatment." University of Sydney, 2008. http://hdl.handle.net/2123/2571.
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Doctor of Philosophy (Phd)Despite general agreement that severely emotionally disturbed children and adolescents are an "at risk" group, and that ongoing evaluation and research into the effectiveness of services provided for them is important, very little outcome evaluation actually takes place. The absence of well-conducted and appropriately interpreted studies is particularly notable for day or residential treatment programs, which cater for the most severely emotionally disturbed youths. This thesis outlines the main areas of conceptual, pragmatic and methodological confusion and neglect which impede progress in research in this area. It argues for plurality of data analytic strategies and research designs. It then critically reviews the reported findings about the effectiveness of day and residential treatment in specialist facilities, and the predictors of good outcomes for this treatment type. This review confirms that there is very little to guide practice. Having argued for the legitimacy of its methods and the necessity to address basic questions, the thesis reports the results of a naturalistic study based on data accumulated during a decade-long evaluative research program taking place at Arndell Child and Adolescent Unit, Sydney. The study addresses the question of what child, family and treatment variables predict outcome for 159 children and adolescents treated at this facility from 1990 to 1999. Statistically significant results with large effect size were obtained. Among the most disturbed subgroup of forty three children, (a) psychodynamic milieu-based treatment was shown to be more effective than the “empirically-validated” cognitive-behavioural treatment which superseded it in 1996, and (b) children from step-families showed better outcome than those from other family structures. Furthermore, it was found for the study sample as a whole that severe school-based problem behaviours were associated with a limited trajectory of improvement in home-based problem behaviour. These results are discussed with regard to implications for treatment, research methodology, policy and further studies.
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Luiker, Henry George. "Predictors of outcome for severely emotionally disturbed children in treatment." Thesis, The University of Sydney, 2007. http://hdl.handle.net/2123/2571.
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Despite general agreement that severely emotionally disturbed children and adolescents are an "at risk" group, and that ongoing evaluation and research into the effectiveness of services provided for them is important, very little outcome evaluation actually takes place. The absence of well-conducted and appropriately interpreted studies is particularly notable for day or residential treatment programs, which cater for the most severely emotionally disturbed youths. This thesis outlines the main areas of conceptual, pragmatic and methodological confusion and neglect which impede progress in research in this area. It argues for plurality of data analytic strategies and research designs. It then critically reviews the reported findings about the effectiveness of day and residential treatment in specialist facilities, and the predictors of good outcomes for this treatment type. This review confirms that there is very little to guide practice. Having argued for the legitimacy of its methods and the necessity to address basic questions, the thesis reports the results of a naturalistic study based on data accumulated during a decade-long evaluative research program taking place at Arndell Child and Adolescent Unit, Sydney. The study addresses the question of what child, family and treatment variables predict outcome for 159 children and adolescents treated at this facility from 1990 to 1999. Statistically significant results with large effect size were obtained. Among the most disturbed subgroup of forty three children, (a) psychodynamic milieu-based treatment was shown to be more effective than the “empirically-validated” cognitive-behavioural treatment which superseded it in 1996, and (b) children from step-families showed better outcome than those from other family structures. Furthermore, it was found for the study sample as a whole that severe school-based problem behaviours were associated with a limited trajectory of improvement in home-based problem behaviour. These results are discussed with regard to implications for treatment, research methodology, policy and further studies.
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Town, Joel. "Short-term psychodynamic psychotherapy for personality disorders : An investigation into the relationship between therapist interventions and immediate affect experiencing in an anxiety regulating treatment model." Thesis, University of Sheffield, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.500136.
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Raphael, Frances Jane. "A behavioural-psychodynamic outpatient programme for the treatment of bulimia nervosa : an up to nine year follow-up study of an NHS catchment area sample." Thesis, St George's, University of London, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.314082.
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Danielsson, Birgitta. "Den psykodynamiska psykoterapin : en behandling och/eller en moralisk etisk praxis?" Thesis, Ersta Sköndal högskola, S:t Lukas utbildningsinstitut, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-2457.
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Inledning: Eftersom den psykodynamiska psykoterapin har kraftig konkurrens från andra terapiformer, samtidigt som kraven på effektivitet, snabbhet och evidens från hälso- och sjukvårdsetablissemanget är starka, är det viktigt att som psykodynamiker delta i diskursen kring den psykodynamiska psykoterapins vetenskapsteoretiska status. Hur kan man karakterisera den psykodynamiska psykoterapin om den dels inte är identisk med psykoanalys, dels heller inte automatiskt kan inordnas i det medicinsk-biologiska paradigmet? Uppsatsen har som syfte att definiera och undersöka om psykodynamisk psykoterapi kan betraktas som behandling och/eller en moralisk etisk praxis. Frågeställningar: Psykodynamisk psykoterapi – är den en egen humanvetenskap? Hur kan man definiera och se på behandling och behandlingsmål i den psykodynamiska psykoterapin? Metod: Litteraturstudie med en hermeneutisk ansats. Resultat: Det finns olika sätt att se på den psykodynamiska psykoterapin när det gäller dess vetenskaplighet. Frågan om psykodynamisk psykoterapi är behandling i gängse medicinsk bemärkelse, har heller inget enkelt entydigt svar. Till synen på behandling hör också målet med densamma. Hur man betraktar behandlingsfrågan blir också vägledande för hur man ser på behandlingsmålet. En skiljelinje går mellan uppfattningen om den psykodynamiska psykoterapin som vetenskap och/eller teknik. Diskussionen om psykodynamisk psykoterapi är en vetenskap eller flera, har betydelse för dess ställning i den vetenskapliga världen. Diskussion: Valet av litteraturstudie som metod avgjordes på grundval uppsatsens syfte och karaktär. Det är möjligt att se den psykodynamiska psykoterapin i annat vetenskapligt ljus än det positivistiska t.ex. fenomenologiskt och hermeneutiskt. Psykodynamisk psykoterapi kan ses både som en vetenskap och en teknik samt som en etisk verksamhetspraxis. Slutsatsen för uppsatsarbetet är att man kan se på den psykodynamiska psykoterapin som en moralisk, etisk behandlingsmetod som med både hermeneutiska och fenomenologiska metoder/tekniker söker uppnå inre frihet, självkännedom och ansvarstagande för medvetnare livsval hos subjektet. Behandlingsmålet blir då att minska neurotiskt och annat lidande hos subjektet samtidigt som lidandets omedvetna ursprung integreras.
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Lundgren, Lotta, and Linn Lyttkens. "Fobi ur ett psykodynamiskt perspektiv: Psykodynamiska terapeuters förståelse för uppkomst, svårigheter och behandling av fobi." Thesis, Stockholms universitet, Psykologiska institutionen, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-108608.
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Fobi utgör ett område som varit anmärkningsvärt frånvarande inom psykodynamisk forskning. Denna studie syftar till att skapa en fördjupad förståelse för uppkomst av och svårigheter kopplade till fobi, samt hur psykodynamisk behandling av fobi bedrivs. Semistrukturerade intervjuer genomfördes med tio terapeuter. Materialet analyserades utifrån grundad teori (GT). Resultatet visade att självhävdelse var en central aspekt för att förstå uppkomst och svårigheter samt behandling av patienter med fobi, då svårigheter att uttrycka ilska och att visa den egna personen utifrån autentiska känslor och behov var genomgående teman. Resultatet visade också på två typer av social fobi där rädslan bottnade i olika upplevelser vilka utgjorde grunden till respektive sociala fobi. Den första typen av social fobi verkade bottna i en överjagsproblematik bestående av ointegrerade representationer av själv och andra, och behandlades med tolkande interventioner. För den andra typen verkade upplevelser av trauma utgöra grunden för fobin, och behandlingen av denna grupp baserades på stödjande inslag.
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Gram, Bodil. "KBT-psykoterapeuters samarbete med PDT-terapeuter : PDT som alternativ potent behandling eller som en överflödig metod." Thesis, Stockholms universitet, Psykologiska institutionen, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-182424.
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PDT, psykodynamisk psykoterapi, och KBT, kognitiv beteendeterapi, är idag de dominerande psykoterapiinriktningarna i Sverige. Metoderna har i olika skeden rekommenderats av myndigheter och meningsmotsättningar om vilken metod som är mest lämplig har förekommit. Följande studie avsåg att utforska hur sex intervjuade KBT-psykoterapeuter samarbetar med sina PDT-kollegor och utifrån patienters behov eventuellt överväger PDT. En induktiv tematisk analys tillämpades där psykoterapeuterna beskrev upplevelsen av samarbete med PDT-terapeuter i termer av ett positivt dynamiskt utbyte samtsom en negativ upplevelse av fördomsfullt bemötande från PDT-terapeuter och mindre metodologiskt utbyte. Bilden av PDT som komplementär metod hos de intervjuade KBT-psykoterapeuterna speglade ambivalens kring PDT:s effektivitet och användbarhet. Alliansens kvalitet beskrevs som avgörande för om byte sker till PDT-kollega under pågående KBT-behandling. Studiens resultat jämfördes med en tidigare enkätstudie i vilken gruppsykologiska mekanismer antagits påverka samarbetet mellan terapeuter av olika metodinriktning.En tentativ beskrivning ges av processen bakom dessa gruppmekanismer.
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Smuts, Sonia. "A Rorschach study of fifteen women with trichotillomania." Diss., Pretoria : [s.n.], 2002. http://upetd.up.ac.za/thesis/available/etd-03072005-121028.
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Melo, E. Silva Francilene Maria De. "Identité, Travail et Genre en psychosomatique : à propos du cancer du sein." Thesis, Paris, CNAM, 2013. http://www.theses.fr/2013CNAM0865.
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Cette thèse porte sur l’évolution clinique des patientes traitées pour un cancer du sein. L’épreuve de la maladie ainsi que son traitement conduisent souvent à des transformations engagées par la question du travail. Ces transformations entraînent souvent ces femmes à remanier leur rapport à leur propre corps érogène, à leur activité et à leur identité sexuée. De façon que l’ensemble du travail (Arbeit/poïésis), fondé sur la reconstruction du corps érogène en lien avec l’acte de travailler, apparaîtra finalement comme élément majeur dans le processus de remaniement psychique qui accompagne le traitement du cancer du sein et le processus de rémission durable remarqué chez nos patientes. A partir de cette nouvelle vision acquise au sein du laboratoire de psychodynamique du travail et de l’action du CNAM, nous avons pris la décision d’engager notre recherche sur la contribution que la psychodynamique du travail et des champs affins peut apporter à notre proposition pour une nouvelle clinique psychosomatique du cancer du sein, ceci, précisément, en analysant la connexion entre les domaines du somatique et du travailler dans le traitement psychologique des patientes atteintes de cette pathologie. Désormais nous envisageons une prise en charge psychique proposée à partir du « rapport subjectif au travail ». Et, ainsi, aider nos patientes, atteintes du cancer du sein, à faire le chemin jusqu’à la conquête d’une nouvelle identité sexuée et à habiter un corps érogènement émancipéThe present thesis is based on the clinical evolution of patients treated for breast cancer. The painfull experience engendered by the pathology and its treatment leads to transformation of their approach to work activity. These transformations induce these women patients to examine their approach to their erogenous body, their work activity and their sexual identity. Thereby the double feature of work activity (Arbeit/Poïesis), based on restoring their erogenous body in relation with work activity, is revealed as playing the major role in the psychological restoration and the settled remission process of breast cancer. Inspired by this new point of view based on experimentation in the Laboratory of Psychodynamics of Work in the CNAM (Centre national des Arts et Métiers), we decided to base our research on the contribution that Psychodynamics or Work methodology and closely connected domains could comply with our proposal for a new psychosomatic treatment of breast cancer, precisely by analysing the connection between soma and work activity in the psychological treatment for these women patients concerned. Hereafter, we argue for a psychological treatment based on the subjective approach to work activity, thus enabling our patients to conquer a new sexual identity in an uninhibited erogenous body
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Ruangsri, Tassaya. "Why food? an exploration of the psychodynamics of the use of food in eating disordered clients and the implications for treatment : dissertation submitted to Auckland University of Technology in partial fulfilment of the degree of Masters of Health Science in Psychotherapy, 2009 /." Click here to access this resource online, 2009. http://hdl.handle.net/10292/753.
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Hirose, Scott D. "Analysis of psychodynamic interventions in the treatment of a child diagnosed with post-traumatic stress disorder." 2009. http://hdl.rutgers.edu/1782.2/rucore10001800001.ETD.17614.
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Peters, Eric J. "An empirical and theoretical investigation of psychodynamic psychotherapy and neuroleptic medication for the treatment of schizophrenia." 2009. http://etd.utk.edu/2009/Spring2009Dissertations/PetersEricJ.pdf.
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Goldman, Bernard Borromeo. "Conversational Model (CM) adherence scale and its reliability; therapist adherence to CM in a trial comparing CM and Dialectical Behaviour Therapy in the treatment of people with borderline personality disorder." Thesis, 2012. http://hdl.handle.net/1959.13/931145.
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Professional Doctorate - Doctor of Clinical Psychology (DCP)Scope: The demonstration of therapist adherence to therapy manuals is crucial for the validity of the conclusions that may be drawn from the outcomes of randomized controlled trials of psychotherapy. This research focused on rating adherence to a psychodynamic therapy called the Conversational Model (CM) in a trial which is being conducted at the Centre for Psychotherapy, Newcastle, comparing the effectiveness of Dialectical Behaviour Therapy (DBT) and the CM in the treatment of people with a diagnosis of Borderline Personality Disorder. The study also measured whether there was any change in the use of interventions in the CM over the course of therapy and whether the use of interventions varied depending on the clinical experience of the therapist. In addition the study tested the association between adherence to the CM and the therapeutic working alliance. Purpose: The main purpose of the study was to develop a reliable adherence scale for CM as practised at the Centre of Psychotherapy. On the basis that the instrument was reliable, the instrument was used to measure the implementation of various interventions over the course of therapy as well as measure any difference in the use of interventions depending on the experience level of the therapist. A secondary purpose was to explore associations between the therapist-client alliance and adherence to therapy. Method: The items reflecting interventions from Exploratory therapy (a form of CM) in the Sheffield Psychotherapy Rating Scale (SPRS)(Shapiro & Startup, 1990) were used as a basis for developing the Newcastle Adherence Scale for the Conversational Model (NASCoM). The NASCoM is made up of prescribed CM interventions (15), proscribed interventions (8), and facilitative conditions (2). It was piloted on recordings of 12 sessions of CM and 2 sessions of DBT, and then applied by two raters independently to recordings of 12 sessions of CM and 10 sessions of DBT. Finally, one rater undertook further ratings on adherence of an additional 37 sessions to make a total of 59 sessions tested for adherence to CM. As the adherence scale allowed for the measurement of extensiveness of interventions, the study also tested whether there was any significant change in the use of some of the interventions in the CM over the course of therapy and whether the use of interventions varied depending on the clinical experience of the therapist. In addition it tested whether there were significant associations between adherence to key humanist/experiential items (called client-centred interventions) and three factors that make up the working alliance as defined by Bordin (1979), namely, therapist agreement on tasks and goals and therapist and client bond. Results: High levels of inter-rater agreement both within and between therapies were found for most items in the NASCoM. Generally, inter-rater agreement was not significant when items were used infrequently in session. However, inter-rater agreement for these items was generally high. Using Discriminant Analysis, the therapies were distinguished perfectly. A factor analysis of the items in the NASCoM which had significant inter-rater agreement showed three factors reflecting, in part, three components of the CM, namely, psychodynamic, addressing the therapeutic relationship, and humanist/experiential components. A significant association was found between adherence to client centred interventions and client and therapist agreement on tasks. Contrary to what was predicted, no significant association was found between adherence to client centred interventions and the clients’ reports of bond with the therapist. Using repeated-measures ANOVAs, no significant changes were found in use of interventions over the course of therapy. However, changes pointed in the direction predicted for the use of explanatory statements which is a CM item used in the NASCoM. Conclusions/Implications: The study shows that despite the challenges of developing an adherence scale for psychodynamic therapies, the findings contribute to a body of research that supports the development of adherence scale for such therapies. The findings also support further research on the association between adherence to treatment and the working alliance, with a significant association found between adherence to key CM interventions and one aspect of the working alliance, namely, therapist and client agreement on the tasks of therapy. In addition, the findings show how adherence scales can be used to explore processes in therapy by measuring the use of selected CM interventions over the course of therapy.
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Saunders, Jane E. "Between surfaces a psychodynamic approach to cultural identity, cultural difference and reconciliation in Australia /." 2006. http://wallaby.vu.edu.au/adt-VVUT/public/adt-VVUT20071129.092250/index.html.
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Erasmus, Maeve Sophia. "The object relations of individuals who misuse alcohol and have co-morbid depressive or bipolar disorders and/or personality disorders." Diss., 2016. http://hdl.handle.net/10500/21914.
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This study explored the Object Relations of a sample of 45 subjects who were using alcohol and were diagnosed with co-morbid Depressive or Bipolar disorders and/or Personality disorders. All subjects were receiving treatment at a government psychiatric hospital in South Africa. The similarities and differences in the Object Relations of these individuals were identified. A biographical questionnaire, the Alcohol Use Disorder Test (AUDIT), which was used as a screening measure, and the Bells Object Relations and Reality Testing Inventory (BORRTI) were administered to obtain information from a purposive sample. Descriptive and inferential statistics were used to analyse the results of the assessment measures. Analysis of the BORRTI data indicated a high rate of depressive and personality disorders within this sample. Results of the sub-sample (n=29) whose scores were included in the Pearson’s Correlation Coefficient analysis indicate that higher levels of alcohol consumption result in increased levels of hallucinations and delusions. Other correlations were identified between high levels of alcohol consumption and heightened levels of reality distortions and more uncertainty in the perceptions of these individuals. Significant differences in the scores of the male and female participants were identified. With the female participants, the higher the level of alcohol consumption, the lower the individuals scored in terms of pathological levels of egocentricity, uncertain perceptions, insecure attachments, alienation, social incompetence as well as hallucinations and delusions. Alternatively, in the male sample, higher levels of alcohol consumption result in increased hallucinations and delusions, reality distortions, uncertainty in perceptions, alienation, social incompetence and egocentricity.Psychology
M.A. (Research Psychology)
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Jeřábková, Zuzana. "Psychodynamické aspekty adiktologické léčby v denním stacionáři- případová studie." Master's thesis, 2015. http://www.nusl.cz/ntk/nusl-336764.
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This work deals with the importance of psychodynamic approaches in practice of a day care center for an addictological treatment. The research core of this thesis are qualitative case analyses with a comment on the etiology of the dependency problem (anamnestic analysis revealing uncontrolled or conflicting developmental stages according to E. H. Erikson) and at the same time on the accentuation of the importance of psychodynamic approaches in routine clinical practice, which focuses primarily on good nonverbal interventions (i.e. an authentic technique using stones, an art therapy, nonverbal techniques) and transference phenomena. The aim of this thesis is to understand an individual case through selected psychoanalytic theories and to describe the key therapeutic interventions leading to curing an addicted person using an ambulant addiction treatment. For this particular research I chose a qualitative approach. I processed five clients' life stories into a set of case studies. Several methods were used to obtain the needed data. The crucial one was a semi-structured interview, then a life curve and a projective method. In each case study, I explained one developmental stage by E. H. Erikson, which I interpreted as crucial for creating and developing an addiction. For the data analysis, I used a...