Статті в журналах: "Psychotherapy; psychotherapist and patient case studies"

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Bekelman, David B., Christopher E. Knoepke, and Carolyn Turvey. "Identifying critical psychotherapy targets in serious cardiac conditions: The importance of addressing coping with symptoms, healthcare navigation, and social support." Palliative and Supportive Care 17, no. 5 (January 31, 2019): 531–35. http://dx.doi.org/10.1017/s1478951518001037.

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AbstractObjectiveIn seriously ill cardiac patients, several psychotherapy efficacy studies demonstrate little to no reduction in depression or improvement in quality of life, and little is known about how to improve psychotherapies to best address the range of patient needs. An interpersonal and behavioral activation psychotherapy was a key component of the Collaborative Care to Alleviate Symptoms and Adjust to Illness (CASA) multisite randomized clinical trial. Although depressive symptoms did improve in the CASA trial, questions remain about how best to tailor psychotherapies to the needs of seriously ill patient populations. The study objective was to describe psychosocial needs emerging during a clinical trial of a palliative care and interpersonal and behavioral activation psychotherapy intervention that were not specifically addressed by the psychotherapy.MethodDuring the CASA trial, patient needs were prospectively tracked by the psychotherapist in each visit note using an a priori code list. Preplanned analysis of study data using directed content analysis was conducted analyzing the a priori code list, which were collapsed by team consensus into larger themes. The frequency of each code and theme were calculated into a percentage of visits.ResultA total of 150 patients received one or more visits from the therapist and were included in the analysis. Participants screened positive for depressive disorder (47%), had poor heart failure-specific health status (mean Kansas City Cardiomyopathy Questionnaire score = 48.6; SD = 17.4), and multiple comorbidities (median 4.3). Common needs that emerged during the therapy included difficulty coping with fatigue (48%), pain (28%), and satisfaction issues with medical care (43%). The following broader themes emerged: social support (77% of sessions), unmet symptom needs (67%), healthcare navigation (48%), housing, legal, safety, and transportation (32%), and end of life (12%).Significance of resultsCoping with chronic symptoms and case management needs commonly emerged during psychotherapy visits. Future psychotherapy interventions in seriously ill populations should consider the importance of coping with chronic symptoms and case management.

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Litwińska-Rączka, Katarzyna. "Jacob Levy Moreno’s Psychodrama As a Work Technique For Treating Patients in Group and Individual Psychotherapy." Current Problems of Psychiatry 19, no. 4 (December 1, 2018): 248–59. http://dx.doi.org/10.2478/cpp-2018-0019.

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Abstract Introduction. The basic purpose of this article is to present Jacob Levy Moreno’s psychodrama method as the psychotherapeutic technique useful in work with patients during individual and group psychotherapy. Material and Method: The author presents the analysis of case studies of patients treated in individual and group psychotherapy. He instances the examples of psychodramatic work on the stage as well as monodramatic and reports their importance in the process of patient psychotherapy. He discusses the effects of these act ivities in the context of changes in the emotional and interpersonal functioning of patients. Results: The given examples of monodrama and psychodramatic works illustrate the mechanisms of the changes offered by the method, e.g. insight, abreaction, acceptance of internal impulses, confrontation with the feelings of other people, training of alternative behaviors. In the article one can follow each subsequent step of analyzing intrapsychic conflicts of patients, which, thanks to the play on the stage, can be named and experienced by them. Conclusions: Psychodrama, used in the psychotherapeutic work of the group and in individual work with the patient (in the form of a monodrama), gives great opportunities to broaden the insight of the patient into very complicated internal mechanisms of conflicts and deficits. Psychotherapist - leader encourages patients to be creative and to spontaneous development of their blocked personality elements. The specificity of psychodrama is a relatively quick resolution of many years of ongoing conflict and permanent reparation of traumatic experiences, even from early childhood.

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Serralta, Fernanda Barcellos. "Uncovering Interaction Structures in a Brief Psychodynamic Psychotherapy." Paidéia (Ribeirão Preto) 26, no. 64 (August 2016): 255–63. http://dx.doi.org/10.1590/1982-43272664201613.

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Abstract Interaction structures refers to the repetitive ways of interaction between the patient-therapist dyad over the course of treatment. This construct is operationalized by the repeated application of the Psychotherapy Process Q-Set (PQS) to psychotherapy sessions. Studies in this line of research have so far focused only on long-term treatment. The present study examines whether interaction structures can be detected empirically in short-term psychotherapies. All sessions (N = 31) of a successful case of brief psychodynamic psychotherapy were coded with the Psychotherapy Process Q-Set (PQS). The application of Q type factor analysis procedures with varimax rotation revealed five interaction structures: resistance, alliance, facing depression, expectation of change, and introspection and hearing. The analysis of variation of these structures over the course of the treatment showed that these interactions are nonlinear, may be positively or negatively protruding in different sessions, or be predominant at some treatment phase.

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Gonzalez-Mota, A., C. Fombellida Velasco, A. Gonzalez Gil, P. Gómez Hernández, I. Vicente Torres, M. Covacho Gonzalez, C. Payo-Rodriguez, E. Beltran-Mercado, and C. Roncero. "“I’ve discovered the COVID-19 vaccine”. Approach of a bipolar disorder clinical case in the Mental Health Day Hospital of Salamanca during the pandemic." European Psychiatry 65, S1 (June 2022): S412. http://dx.doi.org/10.1192/j.eurpsy.2022.1046.

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Introduction A 21-year-old woman diagnosed with bipolar disorder was hospitalized in the Mental Health Day Hospital of Salamanca during the Covid pandemic. The patient engaged with 4 different jobs and a master’s degree, beginning with verbose speech, dysphoria, global insomnia, grandiose delusions, extremely high energy and thinking she has the vaccine. She works the following objectives:illness insight, risk factors, psychopathological stabilization, social skills, slowing down of activities and taking responsibilities. Objectives The objective is do a follow-up of the patient during her hospitalization in the Mental Health Day Hospital and to carry out a structured search in PubMed and Up-to-Date about psychotherapy and bipolar disorder. Methods 3-month follow-up of a 21-year-old woman diagnosed with bipolar disorder during her hospitalization in the Mental Health Day Hospital in Salamanca and a structured search in PubMed and Up-to-Date in April 2021 in English, French and Spanish, including the last 10 years with the keywords “psychotherapy”, “psychotherapies” and “bipolar disorder “.77 studies were analyzed: 12 included, 65 excluded. Results Several randomized trials highlight the efficacy of group psychoeducation and cognitive-behavioural therapy in relapse prevention, improving illness insight, medical adherence and less hospitalizations. Therapeutic alliance plays a significant role in the process. Our patient improved her knowledge of her illness and treatment, her social skills and reconnected with her relatives and slowed down her activity. She then was referred to her community mental heath center psychiatrist. Conclusions The insight in bipolar disorder plays an important role in medical adherence and prevention of relapses. Therapeutic alliance improves their insight, their functionality in their daily life and enables close monitoring. Medical treatment should be accompanied by psychotherapy for a complete approach of the treatment. Disclosure No significant relationships.

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Neznanov, N. G., A. V. Vasilyeva, and O. O. Salagay. "The role of psychotherapy as a medical specialty in public health." Public Health 2, no. 2 (August 11, 2022): 40–57. http://dx.doi.org/10.21045/2782-1676-2022-2-2-40-57.

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I n t r o d u c t i o n . Non-psychotic mental disorders are most prevalent mental disorders with the high relapse rate and onset in the early adulthood the most active period of life, psychosocial factors play essential role in their ethiopathogenesis. Psychotherapy as method influencing one’s mind and through the mind affecting ones organism is considered to play an essential role in the treatment system of this patients group as well as in medico-psychological support of the patients with somatic illnesses.Obj e c t i v e definition of the modern psychotherapy content as independent medical specialty based on the modern data base of its efficacy research systematization, evaluation of its further perspectives development for the provision of the healthcare for the targeted population of the patients with non-psychotic mental disorders as well as organization of the medico-psychological support for the patients with somatic illnesses, taking into account the possibilities offered by digital technologiesМ e t h o d s . WHO, PubMed, Scopus, Pubmed, Medline, Web of Science, Russian Science citation index Science Citation Index search was conducted on non-psychotic mental disorders epidemiology, COVID-19 pandemic impact on mental health, psychotherapy efficacy and psychotherapeutic treatment settings, possibilities of digital technologies implementation in modern psychotherapy.R e s u l t s . The prevalence of non-psychotic mental disorders is constantly growing in the las years, they make a serious impact in the non-communicable diseases burden, with the increase of the treatment costs. The COVID-19 pandemic is characterized by decrease of mental health well-being, growth of the anxiety and depressive disturbances, also because of the somatogenic disorders included in the post-covid syndrome.The recent studies persuasively demonstrated the efficacy of psychotherapy in the non-psychotic mental disorders treatment, combination of psycho- and pharmacotherapy is defined as the golden standard treatment, the ratio of them should be determined personalized in each individual case. Digital technologies active development, computerized psychotherapeutic programs implementation open new possibilities for the research of the psychotherapeutic treatment mechanisms as well as make psychotherapy more available for the different population groups and can substantially decrease treatment costs in the future.Mental health care provision optimization should be aimed at the greater psychotherapists involvement as the main specialists for diagnostic and complex treatment of non-psychotic mental disorders treatment, development of psychotherapeutic offices network, they could be a center of this patient group healthcare system, as well as for patients recovering from novel coronavirus infection with psychoneurological complains, and can be used for the medico-psychological support of the patients with somatic illnesses.Conclusion. Psychotherapy today is recognized as an effective non-psychotic mental disorders treatment method, in the future it can be used as an epigenetic modulator in the personalized medicine framework, it can be considered as an essential part of the medical-psychological support of the patients with somatic illnesses.

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Machado, Diogo de Bitencourt, Fábio Monteiro da Cunha Coelho, Augusto Dutra Giacomelli, Mariana Almeida Lopes Donassolo, Morgana Sonza Abitante, Tatiane Dall'Agnol, and Cláudio Laks Eizirik. "Systematic review of studies about countertransference in adult psychotherapy." Trends in Psychiatry and Psychotherapy 36, no. 4 (December 2014): 173–85. http://dx.doi.org/10.1590/2237-6089-2014-1004.

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INTRODUCTION: Countertransference, the emotional reaction of a psychotherapist toward a patient, is an important technical element of psychotherapy. The purpose of this systematic review was to identify and describe the main findings of studies that evaluated countertransference in adult psychotherapy.METHODS: A search was conducted of the databases Embase, PubMed, PsycINFO and Web of Knowledge to retrieve data published in any language at any time.RESULTS:Of the 1,081 studies found in the databases, 25 were selected. Most were about psychodynamic psychotherapy, and results indicated that positive countertransference, that is, feelings of closeness to the patient, are associated with positive outcomes, such as symptom improvement and good therapeutic alliance.CONCLUSIONS: Although few studies were found in the literature, countertransference seems to be an important source of knowledge about several aspects, such as treatment outcomes, attachment style, therapeutic alliance, patient symptoms and diagnoses.

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Калмиков, Георгій. "Дискурсивний вплив як спосіб реалізації професійно-мовленнєвої діяльності психолога". East European Journal of Psycholinguistics 4, № 1 (27 червня 2017): 86–99. http://dx.doi.org/10.29038/eejpl.2017.4.1.gka.

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Стаття присвячена психолінгвістичній проблематиці: сфері психологічної діяльності, що має переважно дискурсивний характер і побудована на використанні різних способів мовленнєвого впливу, конструюванні дискурсів як реалізації прикладних потреб психолога в його професійно-мовленнєвій діяльності; висвітленню можливостей дискурсивного впливу, пов’язаного з різними аспектами його побудови й отриманими ефектами, конкретними видами дискурсів у тих чи тих умовах роботи психотерапевта й психоконсультанта. Описується можливість зміни свідомості й поведінки особистості людини під впливом потенціалу психологічного дискурсу та спроможність його здійснювати мовленнєве втручання в психічні регулятори життєдіяльності особистості, буття й психокомунікативної взаємодії в соціальному просторі; визначається дискурс як породжений психологом концепт, що конституює соціальні стосунки, образ «Я» й «Інших», формує соціальну ідентичність, уявлення, судження, настанови, перетворює неадаптивні й недоречні патерни поведінки та ригідні стереотипи свідомості людини на адаптивні й творчі, кардинально змінюючи старі й формуючи в неї нові смисли; подаються виокремлені автором статті приклади різних видів дискурсів, а саме: дискурс-роз’яснення, дискурсімперфект, дискурс-перенос, дискурс-генетичне витлумачення, дискурс-перетлумачення, Ядискурс, дискурс-перезавантаження, дискурс-переототожнення, дискурс-самовираження почуттів тут-і-зараз. Література References 1. Бьюдженталь Д. Искусство психотерапевта. 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С. 112–128.Kalmykov, G. V. (2017). Dyskurs yak movlennjevyi vplyv [Discourse as a speechinfluence]. Psykholingvistyka, 21(1), 112–128. Кейсмент П. Обучение на наших ошибках. Алматы: Дарын, 2005.Keysment, P. (2005). Obuchenie na Nashih Oshibkah [Learning from Our Mistakes].Almaty: Daryn. Коттлер Д. Совершенный психотерапевт. Работа с трудными клиентами. СПб.:Питер, 2002. Kottler, D. (2002). Sovershennyi Psihoterapevt. Rabota s Trudnyimi Klientami [ThePerfect Psychotherapist. Working with Difficult Clients]. S.-Petersburg: Piter. Кубрак Т. А. Интенция самопрезентации субъекта в вербальной коммуникации:Автореф. дис.... канд. психол наук: 19.00.01. М, 2009. Kubrak, T.A. (2009). Intentsiya samoprezentatsii sub’ekta v verbalnoy kommunikatsii[The intention of the subject of self-presentation in verbal communication]. Extendedabstract of Ph.D. dissertation. Moscow. Orlinsky, D. E., Grawe, K., & Parks, B. K. (1994). Process and Outcome inPsychotherapy. 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Стренгс Д. Интерпретативные треугольники Давенлу в работе с образом Бога //Консультативная психология и психотерапия. 2000., №2. C. 155–171. Strengs, D. (2000). Interpretativnyie treugolniki Davenlu v rabote s obrazom [Terpretivetriangles Davanloo in working with the image of God]. Konsultativnaya psihologiya iPsihoterapiya, 2, 155–171. Энрайт Д. Гештальт, ведущий к просветлению. СПб.: Центр гуманистическихтехнологий «Человек», 1994. Enright, J. (1994). Geshtalt, Veduschiy k Prosvetleniyu [Enlightening Gestalt]. S.-Petersburg: Chelovek. Ягнюк К. В. Анатомия терапевтической коммуникации. Базовые навыки итехники : учебное пособие. М.: Когито-Центр. 2014.Yagnyuk, K. V. (2014). Anatomiya Terapevticheskoy Kommunikatsii. Bazovyie Navyki iTehniki [Anatomy of Therapeutic Communication. Basic Skills and Techniques].Moscow: Kogito-Tsentr. Ялом И. Дар психотерапии. М.: Изд-во Эксмо, 2005. Yalom, I. (2002). Mamochka i Smysl Zhizni: Psihoterapevticheskie Istorii [Momma andthe Meaning of Life: Tales of Psychotherapy]. Moscow: Eksmo. Ялом И. Мамочка и смысл жизни: психотерапевтические истории. М.: ЭКСМОПресс, 2002.Yalom, I. (2005). Dar Psihoterapii [The Gift of Psychotherapy]. Moscow: Eksmo-Press.

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Prokopovich, G. A., T. V. Vladykina, M. S. Sivashova, and O. N. Zueva. "Experience of the psychiatric and psychotherapy services of an infectious hospital in the context of the COVID-19 pandemic." V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY, no. 1 (April 12, 2021): 67–76. http://dx.doi.org/10.31363/2313-7053-2021-1-67-76.

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The article reflects the results of the work of the psychiatric and psychotherapy services of the Hospital for war veterans converted into an infectious hospital in the context of the new coronavirus infection (COVID-19) pandemic. The aim of our study was to determine the frequency and nature of mental disorders in patients treated in hospital for a new coronavirus infection (COVID-19) between April and June 2020. The case histories of patients who received psychotherapy or psychiatric care in addition to the treatment of the underlying disease were studied retrospectively. The study included 557 patients, 266 men, 291 women, the average age was 62.36+18.65 years. The work used clinical and psychological methods using the international classification of diseases 10 revision (ICD-10), the diagnosis of a new coronavirus infection (COVID — 19) was carried out in accordance with the Temporary guidelines of the Ministry of health of the Russian Federation. As a result of data evaluation, it was revealed that the proportion of patients requiring consultation or treatment by a psychiatrist or psychotherapist was 557 (7,10%) patients of the total number of hospital admissions, of which emergency psychiatric care was indicated in 58 (10,41%) of cases. The transition of the hospital to an infectious diseases hospital mode has set new challenges for the psychiatric and psychotherapy service, which required organizational measures, therapeutic issues and confirmed the need for participation of mental health specialists in providing full-fledged medical care in the treatment of somatic disorders.

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Clark, Andrew. "The psychotherapy clinical seminar at the Maudsley Hospital." Psychiatric Bulletin 16, no. 10 (October 1992): 633–34. http://dx.doi.org/10.1192/pb.16.10.633.

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The open psychotherapy clinical seminar at the Maudsley Hospital is a weekly teaching event in which psychiatric trainees can present a case from their general psychiatric work to a forum chaired by a consultant psychotherapist. The seminar has a history stretching back to the 1960s when Heinz Wolff, Henri Rey and Murray Jackson taught in the Maudsley Psychotherapy Unit. The seminar is currently chaired by Nicholas Temple. It draws on a tradition of teaching psychotherapy which owes much to the pioneering work of Michael Balint. The psychotherapy training seminar which he developed is well described in the appendix to The Doctor, his Patient and the Illness (Balint, 1957). A trainee presents a case with particular emphasis on his or her feelings about the patient. The trainee's counter-transference is used as the raw material for the seminar's discussion of the patient. Balint adopted this method for teaching psychotherapy to a variety of professionals including social workers, general practitioners, and medical students. As Pedder (1986) pointed out, it is a model which has been very influential in British psychotherapy training.

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Dionigi, Alberto, and Carla Canestrari. "The role of laughter in cognitive-behavioral therapy: Case studies." Discourse Studies 20, no. 3 (January 29, 2018): 323–39. http://dx.doi.org/10.1177/1461445618754426.

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This study reports an analysis using the conversation analytical (CA) approach of the use of laughter within a corpus of cognitive therapy sessions. The results relating to eight first encounter sessions reveal that a client’s laughter may accompany disagreement as well as agreement with the therapist. In both cases, the therapist does not reciprocate the client’s laughter and replies by investigating the client in question’s condition, and this approach to the client’s laughter produces significant results in therapeutic work. This article focuses on the asymmetry that characterizes the roles of the psychotherapist and the client in psychotherapy sessions and, in particular, on the part that laughter plays in this type of scenario.

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Baxter, Helen, and Louis Yang-Ching Cheng. "Use of Interpreters in Individual Psychotherapy." Australian & New Zealand Journal of Psychiatry 30, no. 1 (February 1996): 153–56. http://dx.doi.org/10.3109/00048679609076087.

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Objective: This paper was written after one of the authors treated a case by individual therapy using an interpreter, as patient and therapist spoke different languages. There is little literature on this subject, and this paper describes our findings and recommendations for using this approach. Method: A 15-year-old Chinese, Cantonese-speaking in-patient in Hong Kong was treated with individual psychodynamic psychotherapy by an English- speaking Caucasian psychotherapist. The Chinese interpreter attended each session, and therapy was supervised by a bilingual Chinese supervisor. The alternative was to not carry out any therapy, as there was no other therapist available. Results: The patient was treated for a total of 32 sessions. Issues involving language and culture differences between therapist and patient, issues of therapy in a triadic situation involving group dynamics, and specific therapy difficulties raised by the presence of the interpreter are discussed. Conclusion: Therapy was not as effective as hoped, but the patient made some improvements. Finding a suitable interpreter is difficult and their role must be well defined. A bilingual supervisor is also needed to monitor the translation as well as supervising the therapist. Psychotherapy through an interpreter is feasible but not ideal.

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Hamburg, Sam R. "Metaphoric Tasks in Psychotherapy: Case Studies of "Margie's" Self-Image and "Amy's" Pain." Pragmatic Case Studies in Psychotherapy 13, no. 4 (February 25, 2018): 284. http://dx.doi.org/10.14713/pcsp.v13i4.2020.

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Metaphor exists not simply as figurative language but as a fundamental organizing principle of human thought. Given the appropriate context, anything can function metaphorically. In the presently described cases of "Margie" and "Amy," which differed in many ways, a common theme was the effective incorporation of simple tasks, assigned as homework, which were used metaphorically in successful psychotherapy. In Margie's case, the task was not self-consciously conceived as a metaphor by the therapist, but it functioned that way. The therapeutic power of that metaphoric task was confirmed by the client many years later. In the second case, the task was deliberately formulated as a metaphor. Whether this metaphoric task contributed to the case's initially positive outcome is uncertain. To provide background for understanding the integrative psychotherapy model that I bring to these two cases, a statement on my development as a psychotherapist is included as Appendix 1.

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Reneses, B., D. Figuera, G. Salcedo, M. Trujillo, J. J. López-Ibor, M. Galián, A. Fernández del Moral, and R. Serrano. "A Controlled Randomized Study on the Efficacy of Short-Term Dinamic Psychotherapy in Borderline Personality Disorders (BPD). Preliminary Results." European Psychiatry 26, S2 (March 2011): 1040. http://dx.doi.org/10.1016/s0924-9338(11)72745-6.

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IntroductionFour psychotherapies have been recognized as effective with scientific evidence for the treatment of BPD, but are long term techniques. It is necessary to explore new time limited psychotherapies in order to be more accessible.We have developed a specific manualized psychotherapy for BPD named Psychic Representation focused Psychotherapy (PRFP)ObjectivesTo assess the efficacy of the PRFP in BPD in an outpatient care setting compared to a control group receiving psychiatric treatment “as usual” in several specific symptoms and in diminishing the disability due to the illness.Methods60 subjects with BPD were randomized to one of the two treatment groups. The study group has received PRFP with 20 sessions on a weekly basis; the control group has received treatment “as usual”. Both groups may receive psychopharmacological treatment. The assessment is done in four time-points: at baseline, after the psychotherapy or conventional treatment (six months), and at a six and twelve month's follow-up period.ResultsPreliminary results of the first 30 patients (control group 17, experimental group 13, without significant differences, Age 18–35 years; 70% women) assessed at the baseline and at the end of the intervention (six months). Experimental group reached a statistically significant clinical improvement over the controls in all measured variables: Scales: SCL-90; Zanarini ; MDRS; Barrat; STAI anxiety state; Rosemberg self-esteem and SASS social adaptation.ConclusionThe preliminary results are encouraging and reveal that this method could be effective. This study state the interest in develop more studies about time limited psychotherapy for BPD.

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Николаев, Е. Е., Ф. В. Орлов, О. Ю. Иванова, and Е. Л. Николаев. "Clinical Case of Psychotherapy for Anxiety-Phobic Disorders in a Patient with Hysterical Personality Disorder." Психиатрия, психотерапия и клиническая психология, no. 2 (June 4, 2021): 336–49. http://dx.doi.org/10.34883/pi.2021.12.2.014.

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Психотерапия пациентов с расстройствами личности представляет значительные трудности и вызывает вопросы в отношении ее эффективности. В данной статье описан клинический случай психотерапии тревожно-фобической симптоматики у пациента с истерическим расстройством личности. В лечении пациента был применен комплексный психотерапевтический подход, основанный на интеграции в систему личностно-ориентированной (реконструктивной) психотерапии методов групповой психотерапии, когнитивно-поведенческой терапии, арт-терапии. Индивидуальные и групповые психотерапевтические сессии с психотерапевтом и психологом, выполнение пациентом рисунков и их дальнейшее обсуждение завершились положительной внутренней трансформацией, сопровождающейся устранением беспокоящих пациента симптомов. Данный клинический случай, включающий результаты катамнестического наблюдения, демонстрирует, что проведение психотерапии у лиц с истерическим расстройством личности вполне оправданно. Она способствует смягчению сопутствующей психопатологической симптоматики, что улучшает качество жизни пациента и снижаетчастоту его обращений за медицинской и психологической помощью. Psychotherapy for patients with personality disorders presents major difficulties and questions regarding its effectiveness. This article describes a clinical case of psychotherapy for anxiety-phobic symptoms in a patient with hysterical personality disorder. A complex psychotherapeutic approach was applied, based on the integration of the group psychotherapy, cognitive-behavioral therapy, and art therapy methods into the system of personality-oriented (reconstructive) psychotherapy. Individual and group psychotherapeutic sessions with a psychotherapist and a psychologist, the patient’s drawings, and their further discussion ended with a positive internal transformation, accompanied by elimination of the symptoms. This clinical case, including the results of follow-up observation, demonstrates that psychotherapy for persons with hysterical personality disorder is quite justified. It helps to improve the patient’s quality of life, reduces the frequency of their visits for medical and psychological assistance.

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Horton, George R. "Otherwise than Empire: Psychotherapeutic Implications of Brueggemann’s Prophetic Imagination." Journal of Psychology and Theology 50, no. 1 (March 2022): 27–37. http://dx.doi.org/10.1177/00916471211071048.

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This article draws on theologian Walter Brueggemann’s analysis of the prophetic tradition in the Hebrew and Christian scriptures to suggest implications for psychotherapists who wish to understand and intervene with patients in more hermeneutically grounded ways. It begins with a brief biographical contextualization of Walter Brueggemann’s work as an Old Testament scholar followed by an extrapolation of key themes in his work. These are (1) the ubiquity of empire, (2) the critical dismantling of empire through grief, and (3) the penetration of despair through the resuscitation of imagination that sees a future otherwise than empire. The article then moves to implications for a hermeneutically sensitive psychotherapy that makes use of the prophetic tradition to fashion a “prophetic sensibility.” Finally, the clinical practice of a prophetic sensibility is demonstrated through an examination of relevant case material.

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Huang, Yen‐Chi. "An Existential Psychoanalyst in the Literary Therapy Genre: The Representation of a Psychoanalytic Encounter in Irvin Yalom’s The Schopenhauer Cure." Ars Aeterna 7, no. 1 (June 1, 2015): 23–34. http://dx.doi.org/10.1515/aa-2015-0004.

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Abstract The aim of this paper is to describe the fictionalisation of psychoanalysis in the literary therapy genre written by psychotherapists. Being a psychotherapist, Irvin Yalom has written and published several literary therapy novels. The Schopenhauer Cure (2006) presents a psychoanalytic encounter with focus on the patient’s interpersonal issues in a group therapy session and draws a parallel line between fictional patients and the philosopher Arthur Schopenhauer. The fictionalisation of patients’ psychological symptoms and the way therapists examine themselves in the therapeutic milieu in The Schopenhauer Cure correspond to the fundamental concerns of isolation, meaninglessness, death and freedom in existential psychotherapy. I explore the literary representation of the psychotherapist and therapist-patient relationship and the therapeutic encounter in The Schopenhauer Cure in the context of how fictional narratives can be read as a form of highlighting the psychoanalytic encounter

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Hu, Mandy Xian, Christina Palantza, Kim Setkowski, Renske Gilissen, Eirini Karyotaki, Pim Cuijpers, Heleen Riper, et al. "Comprehensive database and individual patient data meta-analysis of randomised controlled trials on psychotherapies reducing suicidal thoughts and behaviour: study protocol." BMJ Open 10, no. 12 (December 2020): e037566. http://dx.doi.org/10.1136/bmjopen-2020-037566.

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IntroductionPsychotherapy may reduce suicidal thoughts and behaviour, but its effectiveness is not well examined. Furthermore, conventional meta-analyses are unable to test possible effects of moderators affecting this relationship. This protocol outlines the building of a comprehensive database of the literature in this research field. In addition, we will conduct an individual patient data meta-analysis (IPD-MA) to establish the effectiveness of psychotherapy in reducing suicidality, and to examine which factors moderate the efficacy of these interventions.Methods and analysisTo build a comprehensive database, randomised controlled trials examining the effect of any psychotherapy targeting any psychiatric disorder on suicidal thoughts or behaviour will be identified by running a systematic search in PubMed, Embase, PsycINFO, Web of Science, Scopus and The Cochrane Central Register of Controlled Trials from data inception to 12 August 2019. For the IPD-MA, we will focus on adult outpatients with suicidal ideation or behaviour. In addition, as a comparison group we will focus on a control group (waiting-list, care as usual or placebo). A 1-stage IPD-MA will be used to determine the effectiveness of psychotherapy on suicidal ideation, suicide attempts and/or suicide deaths, and to investigate potential patient-related and intervention-related moderators. Subgroup and sensitivity analyses will be conducted to test the robustness of the findings. Additionally, a conventional MA will be conducted to determine the differences between studies that provided IPD and those that did not. IPD-MA may determine the effectiveness of psychotherapy in reducing suicidality and provide insights into the moderating factors influencing the efficacy of psychotherapy. Answering these questions will inform mental healthcare practitioners about optimal treatments for different groups of individuals with suicidal ideation and/or behaviour and consequently help to reduce suicide risk.Ethics and disseminationAn ethical approval is not required for this study. The results will be published in a peer-review journal.PROSPERO registration numberCRD42020140573

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Liotti, Giovanni. "Patterns of Attachments and the Assessment of Interpersonal Schemata: Understanding and Changing Difficult Patient-Therapist Relationships in Cognitive Psychotherapy." Journal of Cognitive Psychotherapy 5, no. 2 (January 1991): 105–14. http://dx.doi.org/10.1891/0889-8391.5.2.105.

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The results of empirical studies of attachment behavior in children provide the cognitive psychotherapist with powerful conceptual tools that may be profitably used in some puzzling instances of patient’s behavior within the therapeutic relationship. Some patients ask energetically for the therapist’s reassurance and at the same time resist the therapist’s comforting responses. Others seem compelled to avoid any expression of personal vulnerability as soon as they perceive the therapist’s empathic availability to listen to their painful emotional experiences. Other patients utter their requests for help in a most confused, mutable and contradictory way. When the therapist deals with such kinds of therapeutic relationship, the knowledge of the representational models of self and the attachment figure that may be inferred from abnormal patterns of attachment (anxious-resistant, avoidant and disorganized/disoriented attachments) guides the assessment and change of the patient’s interpersonal schemata in a most profitable way.

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Adomaitiene, V., and A. Kulak. "the Psychodynamic Aspects of Combined Psychotherapeutic and Psychopharmacological Treatment." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71271-4.

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Scientific studies revealed that combined psychotherapeutic and psychopharmacological treatment may be more effective than psychotherapy or psychopharmacology separately. in clinical practice there is lack of integrity in psychological and medico-biological view. the artificial division of psychiatrists into psychopharmacologists and psychotherapists may be interpreted as the expression of competitive infant emotions that were not experienced through and were deferred.During the course of psychotherapy the prescription of psychotropic drugs is based on the three main principals:1.combined therapy is more effective than psychotherapy alone;2.psychotherapists, who have no skills and knowledge in psychopharmacology, must be in contact with psychiatrists;3.psychotherapist must understand the subjective meaning of prescription of psychotropic drugs for his patient.From the psychodynamic viewpoint, therapy is regulated based on a complex feeling shared and experienced by the patient and psychiatrist during the therapeutic process as well as an in-depth comprehension of psychological phenomena:1.the psychiatrist, who prescribed the medications, can become the object for intensive transference feelings;2.on the other hand the prescription of psychotropic drugs may be determined by powerful and not realized completely emotions (i.e. anger, anxiety, hopelessness, traumatic narcistic injury) of psychiatrist;3.the patient's resistance to the treatment, refuse to collaborate, denial of disease is intensive phenomenon in psychotherapy as well as in psychopharmacology and disturbs creation of safe therapeutic alliance.

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Romero-Moreno, Antonio, Alberto Paramio, Serafín J. Cruces-Montes, Antonio Zayas, Diego Gómez-Carmona, and Ana Merchán-Clavellino. "Development and Validation of the Psychotherapeutic Effectiveness Attribution Questionnaire (PEAQ-12) in a Spanish Population." International Journal of Environmental Research and Public Health 18, no. 19 (October 1, 2021): 10372. http://dx.doi.org/10.3390/ijerph181910372.

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In recent decades, the study of psychotherapy effectiveness has been one of the pillars of clinical research because of its implication for therapeutic cure. However, although many studies have focused their interest on the patient’s perception, there are no instruments oriented to the study of psychotherapists’ attributions of effectiveness: to what factors psychotherapists attribute responsibility for the cure of the therapies they provide. The present study aimed to develop and validate an instrument for assessing the attribution of the effectiveness of psychotherapy in a population of 69 psychotherapists of different theoretical orientations. After an initial process of inter-judge content validation, 12 items were selected for validation in the targeted population, adequately fulfilling the quality requirements in the validity–reliability tests, and grouped into four factors after principal component analysis. These factors were as follows: (1) therapeutic alliance enhancers; (2) psychotherapist emotional characteristics; (3) therapy-specific variables; and (4) facilitators of patient engagement with therapy. This four-factor structure also showed a good fit for the fit indices checked in confirmatory factor analysis. In summary, we can conclude that the Psychotherapeutic Effectiveness Attribution Questionnaire (PEAQ-12) developed in our research can be helpful if tested on a larger number of individuals. The results can be replicated in other populations of psychotherapists.

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Algristian, Hafid. "Expressive Writing as Brief Psychotherapy." Open Access Macedonian Journal of Medical Sciences 7, no. 16 (August 29, 2019): 2602–6. http://dx.doi.org/10.3889/oamjms.2019.402.

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AIM: To analyse the effect of expressive writing in three selected cases. METHODS: Case studies presented from three psychiatric patients in a hospital-based outpatient clinic in Surabaya, Indonesia, between May 2017 and July 2018. Clinical changes have been observed and reported. Three patients were selected based on the possibility of whether they were able to or not to participate in similar cognitive therapy. These three cases were considered to represent a diagnosis for the psychotic and non-psychotic spectrum. The first case was a male with suicidal depression, the second was a woman with Suicidal Depression, and the third was schizophrenic woman elderly with auditory hallucinations. Expressive writing was formulated from literature studies and then implemented in these patients. Clinical changes were observed both associated with a reduction in symptoms as well as new symptoms. These non-directive measures allowed the author to observe the therapeutic effects and side effects of the intervention given. RESULTS: Three cases were analysed. Targets were determined by patients themselves without author's intervention. Each patient underwent 10 sessions in minimum and 32 sessions in maximum, from once per week to once per two weeks, and was stopped after it was considered reaching or approaching the desired target, or if unwanted side effects appeared. Main changes were “father hunger” symptom decreased in the first patient, self-esteem increased in the second patient, and cope with auditory hallucination in the third patient. Few adverse events also have been recorded such as masturbation as an obsession ritual of the first patient, possibly provoked double-identity symptom in the second patient and mental fatigue in the elderly in the third patient. CONCLUSION: Over six months of implementation, expressive writing show desirable results, yet some side effects in patients still need to be aware of.

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Garganeeva, N. P., M. F. Belokrylova, A. K. Kostin, A. P. Koshel, E. M. Epanchintseva, V. F. Lebedeva, M. M. Aksenov, et al. "Comorbidity of esophageal achalasia, mixed anxiety and depressive reaction in a young female patient: problems of diagnosis and treatment." Bulletin of Siberian Medicine 18, no. 2 (August 11, 2019): 290–98. http://dx.doi.org/10.20538/1682-0363-2019-2-290-298.

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Achalasia cardia (“cardiospasm”, “phrenospasm”, “dolichoesophagus”, “megaesophagus”, “stenosis of cardia”) represents a primary impairment of esophageal motor function associated with impaired lower esophageal sphincter relaxation and peristalsis defects of the thoracic esophagus. It is diagnosed at the age of 25 to 60 years, making up to 20% of all diseases of the esophagus, and is characterized by a triad of symptoms: dysphagia, regurgitation and chest pain when swallowing. In most cases the first manifestations of achalasia are preceded by stress situations in the anamnesis that complicates the differential diagnosis of psychogenic esophageal spasm. The presented clinical case illustrates difficulties of early diagnosis of achalasia cardia in a young femalepatient with severe anxiety and depressive symptoms which develop under conditions of chronic stressful situations in the family or at work. The issues of interdisciplinary interaction of health professionals (physician, gastroenterologist, psychiatrist, psychotherapist, and surgeon) on the course of examination and management of patients with comorbid physical and mental pathology are discussed. The efficiency of the integrative approach to treatment and rehabilitation with the use of modern reconstructive surgical interventions as well as conservative methods of therapy, psychopharmacotherapy and personality-oriented psychotherapy proves the relevance of studying psychosomatic aspects of achalasia cardia.

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Trombini, Giancarlo, and Elena Trombini. "Sarcoidosis: Psychotherapy and Long-Term Outcome—A Case Report." Case Reports in Medicine 2012 (2012): 1–4. http://dx.doi.org/10.1155/2012/232491.

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Sarcoidosis is a systemic, inflammatory disease of unknown aetiology, influenced by stressful life events and associated with a high incidence of alexithymic personality traits, and of depressive symptoms. The medical literature on sarcoidosis has called for a psychotherapeutic intervention to modify the perceived state of disease, the influence of stressful events and the depressive condition. Few studies have described cases treated with psychotherapy, and no information is available on its long-term outcome. We present the case of a patient with chronic sarcoidosis and periodical reacutizations with constantly pathological ESR. Twenty-four years after the diagnosis, a dynamic supportive-expressive psychotherapy for psychosomatic alexithymic patients was added to the medical therapy. At the beginning and at the end of the psychotherapy, and for the long-term outcome evaluations, Kellner’s symptom questionnaire (SQ) was used to investigate psychological distress. The SQ scores, initially pathological, were normal at the end of the psychotherapy and for the following three years. Psychotherapy, without antidepressive drugs, resolved the depression. The depressive symptoms disappeared, along with the normalization and stabilization of the ESR. After three years, the outcome was positive. This is the first study describing a successful psychotherapy and its long-term outcome on a patient with sarcoidosis.

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Агарков, V. Agarkov, Шерина, T. Sherina, Божко, S. Bozhko, Бронфман, S. Bronfman, Гуртовенко, and I. Gurtovenko. "The influence of socio - psychological and cultural factors on the expectations of russian patients from the psychotherapy." Journal of New Medical Technologies. eJournal 8, no. 1 (November 5, 2014): 0. http://dx.doi.org/10.12737/7224.

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The authors of this review demonstrate the correlation between the cultural features, social factors and the patients’ expectations from the psychotherapy. Russian psychologists have been paying very little attention to client expectations. It is very often that convergence between the patient´s expectations from psychotherapy and that the psychotherapist offers the patient - often depends on the success of the therapy. The results of many studies confirm that clients´ expectations are an important factor with regards to the efficiency of psy-chotherapy as well as to the rate of drop-outs. Reliable methods of assessment of clients´ expectations allow to create and to implement strategies of pre-therapy interventions. The theoretical structure of patients´ expectations is complex, as is the set of their determinants. Patients´ choices reflect their mentality, the social stratum and cultural tradition they belong to, their personal traits and value systems, inner dynamic factors including the type of attachment and particularities of the psychopathology, and so on. The paper covers multiple aspects of determination of the construct «patient´s expectations». Particular focus is on the cultural determinants of Russian patients´ expectations. In the analysis of cultural determinants of therapy expectations the authors used approaches of Ruth Benedict and Geert Hofstede. According to Benedict´s classification Russian culture might be considered more as so-called Dionysian culture. According to authors’ analysis more pertinent patients´ expectations formed by Russian culture might be such psychotherapies as psychodrama, NLP, Gestalt-therapy Holotropic Breathwork; and in a less degree – psychoanalysis.

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Hall, Amanda M., Paulo H. Ferreira, Christopher G. Maher, Jane Latimer, and Manuela L. Ferreira. "The Influence of the Therapist-Patient Relationship on Treatment Outcome in Physical Rehabilitation: A Systematic Review." Physical Therapy 90, no. 8 (August 1, 2010): 1099–110. http://dx.doi.org/10.2522/ptj.20090245.

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Background The working alliance, or collaborative bond, between client and psychotherapist has been found to be related to outcome in psychotherapy. Purpose The purpose of this study was to investigate whether the working alliance is related to outcome in physical rehabilitation settings. Data Sources A sensitive search of 6 databases identified a total of 1,600 titles. Study Selection Prospective studies of patients undergoing physical rehabilitation were selected for this systematic review. Data Extraction For each included study, descriptive data regarding participants, interventions, and measures of alliance and outcome—as well as correlation data for alliance and outcomes—were extracted. Data Synthesis Thirteen studies including patients with brain injury, musculoskeletal conditions, cardiac conditions, or multiple pathologies were retrieved. Various outcomes were measured, including pain, disability, quality of life, depression, adherence, and satisfaction with treatment. The alliance was most commonly measured with the Working Alliance Inventory, which was rated by both patient and therapist during the third or fourth treatment session. The results indicate that the alliance is positively associated with: (1) treatment adherence in patients with brain injury and patients with multiple pathologies seeking physical therapy, (2) depressive symptoms in patients with cardiac conditions and those with brain injury, (3) treatment satisfaction in patients with musculoskeletal conditions, and (4) physical function in geriatric patients and those with chronic low back pain. Limitations Among homogenous studies, there were insufficient reported data to allow pooling of results. Conclusions From this review, the alliance between therapist and patient appears to have a positive effect on treatment outcome in physical rehabilitation settings; however, more research is needed to determine the strength of this association.

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ŞENER, Özlem. "The Effect of Psychodrama on Fibromyalgia Syndrome: A Case Report." International Journal of Psychology and Educational Studies 8, no. 4 (October 31, 2021): 237–45. http://dx.doi.org/10.52380/ijpes.2021.8.4.634.

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Fibromyalgia Syndrome (FMS) is a chronic pain syndrome that often coexists with common musculoskeletal pain, sleep disorders, bowel syndrome, mood disorders, and fatigue. Although the aetiology of FMS pain has not been elucidated yet, psychotherapy methods are used in addition to physical methods to treat these pains. This study aims to examine the effect of psychodrama on a 62-year-old patient with back and chest pain and who lived alone. This patient participated in psychodrama group psychotherapy with 8 members who were all female and diagnosed with FMS. An informed consent form was obtained from the case for the study. This research is important because there are very few studies on fibromyalgia complaints with psychodrama group therapy, and it contributes to the literature. Studying the case with past trauma and losses in the psychodrama scene has led to a significant reduction in fibromyalgia complaints. As a result, the patient's pain level decreased from 90% to 32.5%, and the anxiety level decreased from advanced to normal. Thus, psychodrama group psychotherapy was found to be effective in reducing FMS pain.

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Vizitiu, Elena, Mihai Constantinescu, and Corina Poraicu. "Aquatic therapy in neuromotor recovery - case study." Balneo and PRM Research Journal 13, Vol.13, no.3 (September 5, 2022): 516. http://dx.doi.org/10.12680/balneo.2022.516.

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Abstract: Worldwide neurological disorders that particularly affect the central nervous system are a major health challenge, leading to deficits accompanied by neuromorphic sequelae with implications for the functional state of the body. Background: Current studies show that hemorrhagic stroke occurs mainly at a young age, often fatal as opposed to ischemic stroke that characterizes old age or an alert lifestyle, both types of strokes can result in motor sequelae and functional (mild, moderate or severe hemiparesis or haemiplegia). The peculiarity of the studied case is the coexistence of multiple comorbidities which require an interdisciplinary team to solve (neurologist, cardiologist, endocrinologist, physiotherapist, psychotherapist, aquatic therapy instructor). The aim of our paper is to demonstrate the efficiency of exercise in the aquatic environment, facilitating the recovery of the functions of the neuro-myo-arthro-kinetic apparatus as well as the cardiovascular and metabolic functions. Results: The main objective is general and muscular relaxation, re-education of external and proprioceptive sensitivity, orthostatic posture and gait reeducation, in conditions of stability and balance. Conclusions: Through the means of aquatic therapy, an attempt is made to obtain the independence of self-care in order to interrelate with the environment, to regain the ADLs, , the family and socio-professional reintegration of the patient. Keywords: study; stroke; recovery; aquatic therapy; patient

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Evans, Joanne, Jenny Hartman, and Stephen Gladwell. "Diagnostic survey in a regional psychotherapy unit." Psychiatric Bulletin 19, no. 11 (November 1995): 673–75. http://dx.doi.org/10.1192/pb.19.11.673.

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Assessment of patients referred for psychotherapy has more commonly consisted of a psychodynamic assessment with less emphasis on a formal psychiatric diagnosis, whereas the reverse tends to be the case in the general psychiatric services. Within the National Health Service there are close links between the two services. A common frame of reference regarding the definition of the patient groups using the services could Improve communication, the planning and evaluation of specific treatment programmes, and outcome studies. A retrospective case-note study was carried out at a regional psychotherapy unit in order to define the population referred between 1991 and 1992 according to ICD–10 (WHO, 1992).

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Martín, I. Baños, E. Guerra Gómez, K. Eaton Itúbide, B. Unzeta Conde, P. Vilariño Besteiro, C. Pérez Franco, and P. García Jorge. "An expressive group approach to borderline personality disorder in patients with bulimia nervosa: A clinical case." European Psychiatry 41, S1 (April 2017): S547. http://dx.doi.org/10.1016/j.eurpsy.2017.01.768.

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IntroductionIt is widely known comorbid Bulimia Nervosa (BN) with Borderline personality disorders (BPD). This is associated with worse prognosis and resistance to pharmacological and psychotherapeutic treatments. In integrated treatment, both disorders are addressed, not being frequent psychotherapy groups that address only the personality traits. Some studies have proposed the brain basis of psychodrama intervention in both pathologies.ObjectivesTo highlight the clinical effectiveness of adding a nonverbal orientation (psychodrama) to the treatment of BN patients; to specifically address personality traits, by presenting a clinical case. We rely on studies.MethodsClinical case: 42-year-old woman patient with BN (DSM-5) severe degree, BITE: Symptoms scale = 28; S. Severity = 13; and BPD (7 DSM-V); MCMI-III: BPD = 115 She is incorporated into a day hospital with integrated and multidisciplinary approach: psychotropic drugs, individual, group and family psychotherapy. This patient is added to an open psychodrama group; where he works exclusively personality pathology, during one year.ResultsImprovement was observed in BN (she switched to intermediate grade); BITE: Symptom scale = 23, S. Severity = 8; also improves BPD criteria of DSM-V = 4 (minimum = 5) MCMI-III: BPD = 104.Conclusions(1) Psychodrama psychotherapy groups to treat Bulimia and BPD could provide an added clinical improvement in both pathologies.(2) Insufficient RCTs compared to other models of psychotherapy (mentalizing, interpersonal, dialectical behavior) do not allow to speak even scientific evidence of psychodrama.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Bateman, Anthony W., and Peter Fonagy. "Effectiveness of psychotherapeutic treatment of personality disorder." British Journal of Psychiatry 177, no. 2 (August 2000): 138–43. http://dx.doi.org/10.1192/bjp.177.2.138.

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BackgroundPsychiatrists have been criticised for failing to develop adequate treatment for personality disorder. Psychotherapeutic treatments are promising, but their effectiveness is uncertain.AimsTo investigate the evidence for effectiveness of psychotherapeutic treatment for personality disorder.MethodSystematic literature review.ResultsThere is evidence for the effectiveness of psychotherapy for personality disorder. Problems of case identification, comorbidity, randomisation, specificity of treatment and outcome measurement are inadequately addressed. Authors mainly relied on cohort studies. Evidence neither suggests superiority of one type of therapy over another nor indicates which subgroups of patients should be offered psychotherapy as in-patient, day patient, or out-patient.ConclusionsNew research strategies are needed to show that personality change is both measurable and clinically meaningful. Effectiveness studies using randomised controlled designs are required. The literature suggests that effective treatment should be long-term, integrated, theoretically coherent and focused on compliance.

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Menshikov, P. V., G. K. Kassymova, R. R. Gasanova, Y. V. Zaichikov, V. A. Berezovskaya, A. V. Kosov, M. R. Arpentieva, and M. E. Kirichkova. "ARTISTIC AND AESTHETIC EDUCATION AND MUSICAL PSYCHOTHERAPY OF A SPECIALIST’S TRAINING." BULLETIN 384, no. 2 (April 15, 2020): 222–32. http://dx.doi.org/10.32014/10.32014/2020.2518-1467.62.

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A special role in the development of a pianist as a musician, composer and performer, as shown by the examples of the well-known, included in the history of art, and the most ordinary pianists, their listeners and admirers, lovers of piano music and music in general, are played by moments associated with psychotherapeutic abilities and music features. The purpose of the study is to comprehend the psychotherapeutic aspects of performing activities (using pianists as an example). The research method is a theoretical analysis of the psychotherapeutic aspects of performing activities: the study of the possibilities and functions of musical psychotherapy in the life of a musician as a “(self) psychotherapist” and “patient”. For almost any person, music acts as a way of self-understanding and understanding of the world, a way of self-realization, rethinking and overcoming life's difficulties - internal and external "blockages" of development, a way of saturating life with universal meanings, including a person in the richness of his native culture and universal culture as a whole. Art and, above all, its metaphorical nature help to bring out and realize internal experiences, provide an opportunity to look at one’s own experiences, problems and injuries from another perspective, to see a different meaning in them. In essence, we are talking about art therapy, including the art of writing and performing music - musical psychotherapy. However, for a musician, music has a special meaning, special significance. Musician - produces music, and, therefore, is not only an “object”, but also the subject of musical psychotherapy. The musician’s training includes preparing him as an individual and as a professional to perform functions that can be called psychotherapeutic: in the works of the most famous performers, as well as in the work of ordinary teachers, psychotherapeutic moments sometimes become key. Piano music and performance practice sets a certain “viewing angle” of life, and, in the case of traumatic experiences, a new way of understanding a difficult, traumatic and continuing to excite a person event, changing his attitude towards him. It helps to see something that was hidden in the hustle and bustle of everyday life or in the patterns of relationships familiar to a given culture. At the same time, while playing music or learning to play music, a person teaches to see the hidden and understand the many secrets of the human soul, the relationships of people.

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Moreira, Virginia. "Sketch of clinical phenomenology of the lived experience in the COVID-19 pandemic in Northeastern Brazil." Revista Psicopatologia Fenomenológica Contemporânea 9, no. 2 (December 1, 2020): 74–82. http://dx.doi.org/10.37067/rpfc.v9i2.1084.

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The clinical practice in clinical phenomenology, be it psychiatric or psychological, is based on the philosophical inspiration adopted by the clinician. In my case, I see the world ambiguously and Merleau-Ponty is my philosopher of inspiration. Through these lenses, I see the phenomenon I study as a researcher or the way I relate to my patient as a psychotherapist. I also look through these lenses to write this essay about my lived experience in the pandemic of COVID-19 in 2020. COVID-19 reminds us that we are human and vulnerable. Assuming this vulnerability in its full existential meaning can be empowering, considering vulnerability in its intrinsic sense as a place in life with its ethical and political meanings. In the case of the lived experience of the COVID-19 pandemic in northeastern Brazil, contact with vulnerability, in many situations, is confused with precariousness, which has a more social nature. I also mention that the quarantine imposed by the COVID-19 pandemic required us to communicate with our families and work at home exclusively through video and audio on our computers. Under these circumstances, it is worth reflecting on the changes that we are experiencing in our own functioning, in our lived space and lived body. On the other hand, the lack of fluidity in our existential movement in the lived time is concerning as it affects the structural core of the human being and existential continuity. In this context, I finally present some preliminary thoughts about on-online psychotherapy through phenomenological lens.

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Muñoz Martinez, V., A. León-Parente, and M. D. Laura. "Antisocial Personality disorder. A case report." European Psychiatry 65, S1 (June 2022): S450. http://dx.doi.org/10.1192/j.eurpsy.2022.1141.

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Introduction Antisocial disorder is characterised by difficulty to adapt to social norms that normally rule different aspects of the person’s conduct in adolescence and adulthood. According to DSM-V, this disorder’s prevalence stands between 0.2% and 3%, and is more frequent in men. Objectives Numerous studies have been made about the influence between the environment and genetics for the development of this disorder, finding in several patients a punctual mutation of the monoamine oxidase gen (MAOA); although impulsive behaviour has also been associated to the 5-HT tranporte gene (5-HTT), and the protein coding gene for Tryptophan Hydroxylase TPH1 Methods The hospital admission for these patients must be made when there’s autoregressive or hetero aggressive behaviour, suicide attempts, psychotic symptoms, or symptoms that generate important repercussions in the person’s normal functions. Nevertheless, is important to identify during the hospitalization the improvement possibilities of these patients in order to make drug or psychotherapy adjustments; in the case that we don’t observe treatment benefits, the patient will be released from the hospitalization Results The main treatment is psychotherapy. Conclusions There’s not much evidence of drug use in this disorder, however, mood stabilizers, antidepressants, atypical antipshychotics and benzodiazepines are used for rage control, impulsiveness, anxiety and aggressiveness. Disclosure No significant relationships.

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Holm-Hadulla, R. M. "Integrative psychotherapy of patients with schizophrenic spectrum disorders." European Psychiatry 64, S1 (April 2021): S494. http://dx.doi.org/10.1192/j.eurpsy.2021.1321.

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IntroductionPsychotherapy of patients suffering from schizophrenic disorders remains controversial. There are promising descriptions of psychothereputic interventions in combination with pharmacological treatment. Some empirical studies show that different forms of psychotherapy are effective. However, there are few models to combine different psychotherapeutic strategies in a comprehensive way.ObjectivesWe here propose a model of integrative psychotherapy that is based on the therapeutic alliance and the general principles of understanding and communication. It comprises interpersonal, behavioral, psychodynamic, and existential elements.MethodsTheoretical principles of different psychotherapeutic schools are applied hermeneutically to a case of schizophrenia. Thus, general methods of psychotherapy gain contextual meaning by the analysis of an individual narrative. The patient himself assessed and approved his case report.ResultsAfter remission of the acute symptoms, integrative psychotherapy played the major role in the recovery of a young musician. It is shown how the therapeutic alliance and communication in a general sense interacted with behavioral, cognitive, psychodynamic, and existential techniques. It is demonstrated narratively how recovery was facilitated, adjunct to pharmacological treatment, by method-integrative psychotherapy. Basic cognitive-behavioral techniques ensured at first the stabilization of the patient. Then psychodynamic remembering, repeating, and working through became possible. Finally, existential topics and creative solutions dominated the sessions.ConclusionsPsychotherapeutic method-integration is necessary to treat patients with various mental disorders especially schizophrenia. We propose an ABCDE-Model that comprises the following principles: Therapeutic alliance (A); behavior change (B); cognitive reflection on dysfunctional meanings and beliefs (C); psychodynamic remembering, repeating, and working through (D); and existential understanding and communication (E).

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Pąchalska, Maria, and Natalia Nowaczyk. "EVENT-RELATED POTENTIALS STUDIES OF PTSD AFTER INFECTION OF SARS-COV-2 AND NEUROCOVID-19." Acta Neuropsychologica 19, no. 3 (June 26, 2021): 347–60. http://dx.doi.org/10.5604/01.3001.0015.2463.

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Coronavirus disease 19 (COVID-19) hospitalisation is a potentially traumatic experience, especially in severe cases. Furthermore, the unprecedented context of the SARS-CoV-2 pandemic, with the daily media bombardment about COVID-19 mortality, may have amplified its life-threatening perception also in patients with moderate infection. The purpose of our study was twofold: 1) to evaluate QEEG/ERPs shows of PTSD associated with severe infection SARS-CoV-2, and neuroCOVID-19, 2) to construct a neurofeedback protocol based on these indices to support the psychotherapy of the case study described herein. Patient N.C. 49, a frontline healthcare worker in the emergency services (an ambulance driver), became ill with Covid-19 on November 14, 2020. Initially, he lost his sense of smell (anosmia), of taste (ageusia), and had latent blinks (heterophila), headaches, and dizziness. After 10 days of illness, the patient had additionally a dry cough and a shortness of breath and he was hospitalized, sedated and mechanically ventilated for 24 days. After a few months he was diagnosed with PTSD (according to the DSM- 5 criteria) and referred to the Reintegration and Training Center of the Polish Neuropsychological Society for further diagnosis and treatment. It was found that the P3 GO and P3 NOGO waves were indeed less in his case (p < 0.01) when compared to the ERPs results of a health group of individuals of a similar age (n = 100), derived from the normative data bases of the Human Brain Index (HBI) in Switzerland. The ERPs wave pattern in our patient reflects the pattern appearing in patients with PTSD. The patient took part in 20 sessions of individually tailored anodal transcranial direct current stimulation (tDCS), with the excitatory stimulation of the left prefrontal cortex and inhibitory stimulation of the right prefrontal cortex which can reduce anxiety, as was proposed in the subject literature. Also, the neuromarker of PTSD obtained with the use of QEEG/ERPs was helpful in choosing the appropriate tDCS protocol. Neurostimulation with the use of tDCS was administered systematically, every day, 15-20 and 30-40 minutes for each session, for 20 days. He also received individual sessions of psychotherapy every day, 30-40 minutes for each session, for 20 day. After the treatment the patient improved and returned to his previous job as a frontline healthcare worker in the emergency services (an ambulance driver) in the fight against COVID-19. Detection of the PTSD neuromarker enabled the development of a proper tDCS protocol and the conduct of effective brain neurostimulation of a patient with PTSD. The proposed protocol of treatment, in combination with goal-oriented individual psychotherapy, offered to the patient, was effective in the reduction of PTSD. ERPs can be useful in the diagnosis of PTSD as well as in selecting an appropriate therapy protocol for these patients.

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Laskoski, Pricilla Braga, Simone Hauck, Stefania Pigatto Teche, Carolina Stopinski Padoan, Alcina Juliana Soares Barros, Fernanda Barcellos Serralta, and Cláudio Laks Eizirik. "Interaction structures in the psychodynamic psychotherapy of a patient with chronic diseases and somatic symptoms." Trends in Psychiatry and Psychotherapy 41, no. 2 (June 2019): 128–35. http://dx.doi.org/10.1590/2237-6089-2017-0146.

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Abstract Objective This study aimed to identify and analyze the interaction structures (ISs) (patterns of reciprocal interaction between the patient-therapist dyad) that characterize the process of a successful long-term psychodynamic psychotherapy (28 months) of a patient with chronic diseases (lupus and fibromyalgia) and somatic symptoms. Methods The 113 sessions were videotaped and analyzed alternately (n = 60) by independent judges using the Psychotherapy Process Q-Set. Inter-rater reliability ranged from 0.60 to 0.90, with a mean of r = 0.71 (Pearson’s correlation). Through a principal component exploratory factor analysis, four ISs were identified. Result The patterns of interaction between patient and therapist showed clinical validity (i.e., they were easily interpretable in the context of the case under study). The ISs were non-linear and more or less prominent across different treatment sessions and stages. Some ISs were similar to those in other studies, and others were probably unique to the present process. In addition, some ISs were independent, whereas others were interrelated over time. Conclusion Process studies, such as the present one, seek to address questions about the characteristics of the interaction between patient and therapist as well as to identify particular patterns of interaction that are most prominent with a specific patient at a specific condition or time. Therefore, these studies can provide some support in establishing knowledge for clinical practice, assisting in the training of therapists, as well as in the elaboration of general guidelines for the technical management of patients with specific characteristics.

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Vojvodic, Petar, Tatjana Vlaskovic-Jovicevic, Jovana Vojvodic, Aleksandra Vojvodic, Goran Sijan, Sanja Dimitrijevic, Zorica Peric-Hajzler, et al. "Psychotherapy Role in Treatment of Chronic Spontaneous Urticaria in a 32 Years Old Female Patient." Open Access Macedonian Journal of Medical Sciences 7, no. 18 (August 30, 2019): 3118–20. http://dx.doi.org/10.3889/oamjms.2019.773.

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As indicated by the latest scientific evidence, the lines between different fields of medicine gradually blur and overlap more and more. Psychiatry and dermatology have seen this trend in the last decade as an ever-increasing number of studies suggest the strong connection of many dermatological syndromes and diseases with psychiatric conditions and vice versa. It seems that the relationship is more intertwined than previously believed and the effects of different multidisciplinary approaches to diagnostic and treatment are being considered. The aim of this case report is to highlight the effect of psychotherapy on chronic spontaneous urticaria which is tightly related to the maladaptive stress response.

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Grossert, Astrid, Gunther Meinlschmidt, and Rainer Schaefert. "A case series report of cancer patients undergoing group body psychotherapy." F1000Research 6 (September 5, 2017): 1646. http://dx.doi.org/10.12688/f1000research.12262.1.

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Background: Disturbances in bodily wellbeing represent a key source of psychosocial suffering and impairment related to cancer. Therefore, interventions to improve bodily wellbeing in post-treatment cancer patients are of paramount importance. Notably, body psychotherapy (BPT) has been shown to improve bodily wellbeing in subjects suffering from a variety of mental disorders. However, how post-treatment cancer patients perceive and subjectively react to group BPT aiming at improving bodily disturbances has, to the best of our knowledge, not yet been described. Methods: We report on six patients undergoing outpatient group BPT that followed oncological treatment for malignant neoplasms. The BPT consisted of six sessions based on a scientific embodiment approach, integrating body-oriented techniques to improve patients’ awareness, perception, acceptance, and expression regarding their body. Results: The BPT was well accepted by all patients. Despite having undergone different types of oncological treatment for different cancer types and locations, all subjects reported having appreciated BPT and improved how they perceived their bodies. However, individual descriptions of improvements showed substantial heterogeneity across subjects. Notably, most patients indicated that sensations, perceptions, and other mental activities related to their own body intensified when proceeding through the group BPT sessions. Conclusion: The findings from this case series encourage and inform future studies examining whether group BPT is efficacious in post-treatment cancer patients and investigating the related mechanisms of action. The observed heterogeneity in individual descriptions of perceived treatment effects point to the need for selecting comprehensive indicators of changes in disturbances of bodily wellbeing as the primary patient-reported outcome in future clinical trials. While increases in mental activities related to their own body are commonly interpreted as important mechanisms of therapeutic action in BPT, follow-up assessments are needed to evaluate intended and unintended consequences of these changes in cancer patients.

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Grossert, Astrid, Gunther Meinlschmidt, and Rainer Schaefert. "A case series report of cancer patients undergoing group body psychotherapy." F1000Research 6 (September 5, 2018): 1646. http://dx.doi.org/10.12688/f1000research.12262.2.

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Background: Disturbances in bodily wellbeing represent a key source of psychosocial suffering and impairment related to cancer. Therefore, interventions to improve bodily wellbeing in post-treatment cancer patients are of paramount importance. Notably, body psychotherapy (BPT) has been shown to improve bodily wellbeing in subjects suffering from a variety of mental disorders. However, how post-treatment cancer patients perceive and subjectively react to group BPT aiming at improving bodily disturbances has, to the best of our knowledge, not yet been described. Methods: We report on six patients undergoing outpatient group BPT that followed oncological treatment for malignant neoplasms. The BPT consisted of six sessions based on a scientific embodiment approach, integrating body-oriented techniques to improve patients’ awareness, perception, acceptance, and expression regarding their body. Results: The BPT was well accepted by all patients. Despite having undergone different types of oncological treatment for different cancer types and locations, all subjects reported having appreciated BPT and improved how they perceived their bodies. However, individual descriptions of improvements showed substantial heterogeneity across subjects. Notably, most patients indicated that sensations, perceptions, and other mental activities related to their own body intensified when proceeding through the group BPT sessions. Conclusion: The findings from this case series encourage and inform future studies examining whether group BPT is efficacious in post-treatment cancer patients and investigating the related mechanisms of action. The observed heterogeneity in individual descriptions of perceived treatment effects point to the need for selecting comprehensive indicators of changes in disturbances of bodily wellbeing as the primary patient-reported outcome in future clinical trials. While increases in mental activities related to their own body are commonly interpreted as important mechanisms of therapeutic action in BPT, follow-up assessments are needed to evaluate intended and unintended consequences of these changes in cancer patients.

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Schacht, Thomas E. "A TLDP Therapist Meets the Buddha on a Road and No One Is Killed." Pragmatic Case Studies in Psychotherapy 12, no. 4 (December 17, 2016): 319. http://dx.doi.org/10.14713/pcsp.v12i4.1994.

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<p>Samlin’s (2016) case studies demonstrate the creative integration of Time-Limited Dynamic Psychotherapy (TLDP) and selected Buddhist psychological concepts. In this commentary I analyze epistemological, theoretical, cultural, and clinical complexities involved in this integration from the perspectives of patient recruitment and selection, therapeutic alliance, diagnostic and outcome assessment, and the nature of the Cyclic Maladaptive Pattern (CMP) concept. <strong></strong></p>

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Torres-Blasco, Normarie, Eida Castro, Iris Crespo-Martín, Karina Gonzalez, Emely Perez Ramirez, Olga Garduño, and Rosario Costas-Muñiz. "Comprehension and acceptance of the Meaning-Centered Psychotherapy with a Puerto Rican patient diagnosed with advanced cancer: A case study." Palliative and Supportive Care 18, no. 1 (November 27, 2019): 103–9. http://dx.doi.org/10.1017/s1478951519000567.

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AbstractBackgroundMeaning-centered psychotherapy (MCP) is a structured psychotherapeutic intervention that aims to improve existential and spiritual well-being in patients with advanced cancer. To validate it, several efficacy studies with predominantly non-Hispanic white patients have been done. Puerto Ricans residing on the island are a largely overlooked segment of the US Latinx population. They have a strong national identity and are embedded in a collectivist culture which shares the Spanish language, cultural traditions, and an emphasis on familism, a cultural factor that values the role of the family in ensuring the well-being of its members.ObjectiveThe purpose of this study is to present a case study focused on a Puerto Rican advanced cancer patient who underwent MCP to assess the comprehension and acceptance of the MCP intervention.MethodWe used a mixed-methods study design that included the taking of ethnographic notes, and pre- and post-test assessments of the scores the patient received on all the measures (using validated scales). The ethnographic notes were analyzed to determine the participant's comprehension and acceptance of the MCP intervention. Content analysis was performed on the ethnographic notes by three independent coders using a deductive coding approach. Pre- and post-interview assessments were conducted to explore changes in distress, spiritual well-being, and self-perceived quality of life.ResultsA Latino patient with stage III cancer, low income, and low literacy skills showed low comprehension of the concepts of meaning, the finite, legacy, and moderate comprehension and acceptance of the concepts of the search for hope, purpose in life, connecting with life, courage, life's limitations, and sources of meaning. However, the patient showed high comprehension of death and dying (i.e., meaningful death). The patient showed low acceptance of death and dying concepts and high acceptance of the integration of family members into the therapy.Significance of ResultsAdditional studies are needed to address cultural themes and to improve the comprehensibility and acceptance of the manual's content and the central MCP concepts. The findings suggest that MCP has the potential of being a feasible form of psychotherapy for Latinx patients suffering from distress, low spiritual well-being, and low self-perceived QOL.

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de Maat, Saskia M., Jack Dekker, Robert A. Schoevers, and Frans de Jonghe. "Relative efficacy of psychotherapy and combined therapy in the treatment of depression: A meta-analysis." European Psychiatry 22, no. 1 (January 2007): 1–8. http://dx.doi.org/10.1016/j.eurpsy.2006.10.008.

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AbstractBackgroundReviews of the relative efficacy of psychotherapy and combined therapy (psychotherapy with pharmacotherapy) for depression have yielded contradicting conclusions. This may be explained by the clinical heterogeneity of the studies reviewed.AimsTo conduct a meta-analysis with an acceptable level of homogeneity in order to investigate the relative efficacy of psychotherapy and combined therapy in the acute treatment of depression.MethodA systematic search was performed for RCTs published between 1980 and 2005 comparing psychotherapy and combined therapy in adult psychiatric outpatients with non-psychotic unipolar major depressive disorder. The studies were classified according to the chronicity and severity of the depression. Data were pooled by means of meta-analysis and statistical tests were conducted to measure heterogeneity.ResultsThe meta-analysis included seven studies looking at a total of 903 patients. None of the heterogeneity tests established significance. This indicates a lack of evidence for the heterogeneity of the results. The dropout rates did not differ significantly between the two treatment modalities (25% in combined therapy and 24% in psychotherapy, p = 0.77). At treatment termination, the intention-to-treat remission rate for combined therapy (46%) was better than for psychotherapy (34%) (p = 0.0007); Relative Risk 1.32 (95% CI: 1.12–1.56), Odds Ratio 1.59 (95% CI: 1.22–2.09). In moderate depression, the difference between the remission rate for combined therapy and psychotherapy was statistically significant (47% compared to 34% respectively, p = 0.001). This was not the case in mild major depression (42% compared to 37% respectively, p = 0.29). The difference was also statistically significant in chronic major depression (48% compared to 32%, p < 0.001), but not in non-chronic major depression (43% compared to 37%, p = 0.22). On a more specific level, no differences were found in the remission rates for the treatment modalities in mild or moderate non-chronic depression. Combined therapy led to significantly better results than psychotherapy in moderate chronic depression only (48% compared to 32%, p < 0.001).ConclusionsIn the acute treatment of adult psychiatric outpatients with major depressive disorder, patient compliance with combined therapy matches compliance with psychotherapy alone. Combined therapy is more efficacious than psychotherapy alone. However, these results depend on severity and chronicity. Combined therapy outperformed psychotherapy in moderate chronic depression only. No differences were found in mild and moderate non-chronic depression. No data were found for mild chronic depression and for severe depression.

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Walling, Jess, and Helen Molden. "How did I get here? A narrative exploration of arriving at talking therapy in a neuro-rehabilitation setting, co-written by a young adult patient and her therapist." Psychotherapy Section Review 1, no. 65 (2020): 42–50. http://dx.doi.org/10.53841/bpspsr.2020.1.65.42.

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AimsThis narrative case study explores some of the themes and process behind the referral process in a neuro-rehabilitation multidisciplinary team (MDT) outpatient setting. It aims to give a central focus to the patient experience, in this case, Jess, one of the co-authors, who at 19, experienced a life-changing spinal injury causing paralysis and pain in January 2017 while she was in her first year at university. Jess is doing well with her recovery, back at work part-time, and started back at university in September 2019.MethodologyThe data was gathered through two interviews held to reflect specifically on what life was like in the run up to coming to talking therapy services as an outpatient and the impact of that first session. The interviews were facilitated by, Helen the other co-author, a counselling psychologist and integrative psychotherapist, and the participants were Jess, and her referring physiotherapist and occupational therapist. The data was then analysed thematically by Jess and Helen.Findings & DiscussionFive themes were identified: 1) The point when ….I knew that I needed a bit of extra help, even though I didn’t really want to… 2) How this ‘different kind of conversation’ might fit in with the rest of rehabilitation, 3) Could this be the right time ‘to open the box …?’ 4) The moment when it felt like talking therapy might be OK and 5) How starting talking therapy began to change things. Jess’s experience and reflections provide a client-centred view as to the added value psychotherapy can bring within a physical healthcare MDT setting. The findings also support existing evidence that it is less the therapeutic approach or modality that is paramount, but the fit of the therapeutic relationship that counts (Norcross, 2002; Cook et al., 2017). The authors offer this piece of work for wider discussion within the context of practice-based research, promoting the voice of the client experience within talking therapy discourse. It also fits with the wider objectives of embedding co-production with the BPS Experts by Experience initiative. The authors present a summary with reflections and learning points in the conclusion.

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Sellami, S., H. Mami, and R. Bouzid. "Development of psychosis following sexual abuse:rape of an adolescent: A case study." European Psychiatry 64, S1 (April 2021): S801—S802. http://dx.doi.org/10.1192/j.eurpsy.2021.2120.

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IntroductionSeveral studies have mentioned the link between psychotrauma and psychosis. A direct causal link remains to be discussed.ObjectivesEvaluate the link between sexual abuse and psychosis.MethodsWe report the case of a male patient who developed schizophrenia following sodomy rape. We performed a literature review based on a PubMed search with the following keywords: “rape sodomy psychosis”.ResultsMr. M., 26 years old, with a personal psychiatric history of chronic psychosis evolving for 10 years, consulted us for follow-up of his schizophrenia. When he was 16, the patient was raped by sodomy by a 40-year-old man under stabbing threat. After this incident, the patient did not verbalize this trauma, he isolated himself, became irritable and aggressive and has had olfactory hallucinations. The symptomatology worsened until the age of 24 when the patient presented a delusional syndrome with a theme of persecution, mysticism, bewitchment by a mechanism of interpretation and visual hallucinations. Then,he was hospitalized in psychiatry for psychomotor instability, verbal hetero-aggression. He had been diagnosed with schizophrenia evolving over 9 years. Treatment with an antipsychotic: risperidone and valproic acid was started. The evolution was quickly favorable but the patient currently presents blunted affect, a sexual disinterest and a strong desire for revenge from his rapist. Treatment adjustment and psychotherapy would be considered.ConclusionsThe onset of subsequent rape psychosis and the persistence of symptoms related to the trauma are arguments in favor of a direct causal link between sexual abuse and schizophrenia.DisclosureNo significant relationships.

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Howgego, Irene M., Peter Yellowlees, Cathy Owen, Lenore Meldrum, and Frances Dark. "The Therapeutic Alliance: The Key to Effective Patient Outcome? A Descriptive Review of the Evidence in Community Mental Health Case Management." Australian & New Zealand Journal of Psychiatry 37, no. 2 (April 2003): 169–83. http://dx.doi.org/10.1046/j.1440-1614.2003.01131.x.

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Objective: The aim of this review was to examine the level of evidence supporting the assumed link between a positive therapeutic alliance among patients and case managers and effective outcome for patients with a mental illness who are managed in community mental health services. Method: MedLine, PsychINFO and Social Sciences Index search of articles from 1986 to 2001 returned 84 articles and two texts. Inclusion criteria were the use of validated measures and relevance to psychiatry and community case management. Results: A definite correlation exists in the psychotherapy literature between the therapeutic relationship and improved outcomes, with its potential as a prognostic indicator acknowledged. Attempts to apply the concept to patients outside the field of psychotherapy have been slow, although expansion of the concept to other forms of change-inducing therapy was a current trend. Issues of definition, quantification and measurement of the relationship caused rigorous debate in the literature. Case management research demonstrating the importance of the therapeutic relationship and ‘goodness-of-fit’ between patients and case managers was sparse with no published Australian studies. Conclusions: The level of evidence supporting the link between the therapeutic alliance of patients with mental illness and improved outcomes although sparse is encouraging. It indicates the potential of the alliance as a predictor of outcome for patients engaged in case management services in community mental health. Research to determine the role and effectiveness of the alliance in the patient/case manager dyad is needed to define this potential. Effectiveness of clinical practice in the case management field could be enhanced if research findings confirmed the genesis and value of the alliance in case management. Focus on relationship strategies as a clinical tool gives the clinician and service provider a potential vehicle for promoting partnerships with the seriously mentally ill person in managing their illness and optimizing their strengths in the community.

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Siffert, Veronica, Colette Riahi, Melinda A. Stanley, and Terri L. Fletcher. "Exposure and Response Prevention for Obsessive-Compulsive Disorder: A Case Study of a Veteran With Violent Intrusive Thoughts." Journal of Cognitive Psychotherapy 33, no. 1 (February 1, 2019): 71–81. http://dx.doi.org/10.1891/0889-8391.33.1.71.

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Exposure and Response Prevention (ERP) is the gold standard treatment for obsessive-compulsive disorder (OCD); however, few studies have evaluated the use of ERP with veterans. This case study describes ERP and medication treatment of a veteran who experienced violent sexual thoughts, countered by compulsions of focusing on the distressing thought to ensure a negative emotion or reversing the thought to a nonviolent thought or image. The veteran had previously received supportive psychotherapy and medication for depression, anxiety, and sleep difficulties, with poor treatment adherence. Upon reengagement in treatment, the therapist provided ERP in 34 sessions over 14 months, with 15 sessions via video telehealth to home. The patient used the OCD Workbook as a resource throughout treatment. The patient developed a hierarchy of target obsessions and rituals with associated subjective units of distress; completed exposures, beginning with lower-level items; and wrote imaginal scripts. He also received zolpidem for insomnia and venlafaxine for anxiety and depression. His scores on the nine-item Patient Health Questionnaire and Yale Brown Obsessive-Compulsive Scale decreased significantly.

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Aloufi, Khalid Kulaib, Fatima Mohammad Kaki, Abbas Hassan Al Lashit, Nawaf Hussein Al Habshi, Hussain Fuad Alsaffar, Aseel Abubakr Hamza, Mohammed Abdulrahman Alaqlan, et al. "Approach to psychotherapy in generalized anxiety disorder in the primary health care." International Journal Of Community Medicine And Public Health 8, no. 2 (January 27, 2021): 954. http://dx.doi.org/10.18203/2394-6040.ijcmph20210080.

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Although medications have shown great efficacies in managing generalized anxiety disorder (GAD), recent evidence shows that patients tend to psychotherapy as their first-line of management due to the frequency of side effects resulting from the prolonged use of these medications. Psychotherapy is defined as the using certain and defined psychological modalities for the management of an emotional or mental illness on the condition that the aim and deadline of the therapy have been pre-determined. In this review, we present a brief about the psychological management of patients with GAD. We have identified three psychological modalities for the management of GAD as previous studies have compared them to the usual care by pharmacological modalities or a placebo. These include cognitive-behavioral (CBT), interpersonal, and supportive therapies. We found that management of GAD using CBT, interpersonal or supportive therapies is significantly efficacious in reducing GAD symptoms and increase the possibilities of recovery in addition to reducing the recovery or relapse rates. By doing this, we expect that the managed patient’s quality of life would be improved. We also recommend that the management approach should be case-sensitive for each patient depending on the patient’s status, the severity of the disease, and the responsiveness of the patient.

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Pasetto, Andrea, Dave Misso, Patrizia Velotti, and Giancarlo Dimaggio. "Metacognitive Interpersonal Therapy for Intimate Partner Violence: A Single Case Study." Partner Abuse 12, no. 1 (January 1, 2021): 64–79. http://dx.doi.org/10.1891/pa-2020-0016.

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Intimate partner violence (IPV) is responsible for significant social, psychological, and financial costs. The challenges in developing approaches that result in long-term change has been well documented. Outcome research into perpetrator treatment often portray varying degrees of success or otherwise. Metacognitive Interpersonal Therapy (MIT) offers an alternative approach to working with perpetrators of IPV in focusing on maladaptive interpersonal schemes as the antecedents of acts of violence and aggression. This article outlines a single case study utilizing MIT as the primary approach in working with a 28-year-old male perpetrator of IPV. The patient completed 24 sessions of MIT and results indicated a significant reduction in acts of violence and control. Follow-up at 2 months posttreatment indicated sustained improvement from the beginning of psychotherapy. Enhancing metacognitive capacity can help in reducing the potential for violence against an intimate partner. By focusing on maladaptive schemas, MIT provides a viable approach in the treatment of IPV.

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Drüge, Marie, Tanja Roth, and Birgit Watzke. "Telephone-Administered Cognitive Behavioral Therapy for Body Dysmorphic Disorder: Case Series." International Journal of Environmental Research and Public Health 19, no. 12 (June 16, 2022): 7373. http://dx.doi.org/10.3390/ijerph19127373.

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Cognitive behavioral therapy is an effective treatment for body dysmorphic disorder (BDD), but many patients do not receive appropriate treatment due to several treatment barriers and psychosocial care structures. Low-threshold interventions, including those from the field of e-mental health, could improve access to psychotherapy. In addition to internet-administered therapy, telephone-administered therapy may reduce treatment barriers, especially during the COVID-19 pandemic. This article presents four case reports of the same treatment (12 weeks of telephone-administered cognitive behavioral therapy accompanied by a workbook) applied to patients with body dysmorphic disorder during the summer of 2020. Three patients who completed the treatment had clinically relevant reductions in body dysmorphic and depressive symptoms and improved insight. One patient did not complete the telephone-administered therapy because her symptoms worsened, and she needed a more intensive form of treatment. These findings encourage future studies on the efficacy and effectiveness of telephone-administered treatment for BDD and its role in stepped-care models.

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Bolos, Alexandra. "Considerations on assisted resilience and individualized therapy in bipolar affective disorder, with a clinical case exemplification." Medicine and Pharmacy Reports 88, no. 4 (September 20, 2015): 462–67. http://dx.doi.org/10.15386/cjmed-443.

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Morbidity, mortality and economic consequences of bipolar affective disorder are very important to be evaluated because many of the costs entailed by this psychiatric disorder come from indirect costs due to inadequate diagnosis and treatment and from the characteristics of the affective symptoms itself. Psychotherapy focuses on diagnosis and the newest pharmacotherapy determines a decreasing of the morbidity of the disorder and also of its social and economic burden . However, more studies are necessary, with more heterogeneous patients, to find more predictors regarding the psychosocial consequences and to find more information about the prognosis of the bipolar disorder.In this context, in this paper we discuss the role of assisted resilience and the individualization of the therapy of bipolar affective disorder, especially that the resilience must be seen as a continuum and can be used anytime and in any situation, according to the theory of Geanellos. This idea is reflected in a case presentation of a patient with the diagnosis of bipolar disorder.

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