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Interpersonal Counseling in the Treatment of Adolescent Depression: A Randomized Controlled Effectiveness and Feasibility Study in School Health and …
2019
AbstractIn order to offer early and accessible treatment for adolescents with depression, brief and effective treatments in adolescents’ everyday surroundings are needed. This randomized controlled trial studied the preliminary effectiveness, feasibility, and acceptability of interpersonal counseling (IPC) and brief psychosocial support (BPS) in school health and welfare services. The study was conducted in the 28 lower secondary schools of a large city in Southern Finland, randomized to provide either IPC or BPS. Help-seeking 12–16-year-old adolescents with mild-to-moderate depression, with and without comorbid anxiety, were included in the study. Fifty-five adolescents received either 6 w…
Dropping out of a transdiagnostic online intervention: A qualitative analysis of client's experiences
2017
Introduction An important concern in Internet-based treatments (IBTs) for emotional disorders is the high dropout rate from these protocols. Although dropout rates are usually reported in research studies, very few studies qualitatively explore the experiences of patients who drop out of IBTs. Examining the experiences of these clients may help to find ways to tackle this problem. Method A Consensual Qualitative Research study was applied in 10 intentionally-selected patients who dropped out of a transdiagnostic IBT. Results 22 categories were identified within 6 domains. Among the clients an undeniable pattern arose regarding the insufficient support due to the absence of a therapist and t…
Elaborating the assimilation model: Introduction to a special section on case studies of setbacks within sessions and therapeutic collaboration
2016
AbstractThis article introduces a Special Section of case studies that focus on therapeutic collaboration and setbacks in the process of assimilation with the aim of contributing to the evolution of the assimilation model of therapeutic change. The first study examined setbacks in two depression cases (a good vs. a poor outcome) treated with emotion-focused therapy. The second article traced how therapist activities and positions toward internal voices were associated with setbacks in a case treated with linguistic therapy of evaluation. The third article studied contributions of therapeutic collaboration for both advances and setbacks in assimilation in two contrasting cases treated with e…
The Social Phobia Psychotherapy Research Network
2008
This paper presents the Social Phobia Psychotherapy Research Network. The research program encompasses a coordinated group of studies adopting a standard protocol and an agreed-on set of standardized measures for the assessment and treatment of social phobia (SP). In the central project (study A), a multicenter randomized controlled trial, refined models of manualized cognitive-behavioral therapy and manualized short-term psychodynamic psychotherapy are compared in the treatment of SP. A sample of 512 outpatients will be randomized to either cognitive-behavioral therapy, short-term psychodynamic psychotherapy or waiting list. Assessments will be made at baseline, at the end of treatment and…
Metacognitive Therapy in Patients with Tinnitus: a Single Group Study
2019
Tinnitus is often in comorbidity with anxiety and depression, and several authors have proposed a reduced efficiency of the top-down executive control in its perception. This single-group study describes a novel application of the metacognitive therapy (MCT), which works on a top-down engagement of proactive attentional control mechanisms on a group of patients with tinnitus, to see its impact on the perception of tinnitus and its anxiety and depression correlates. Eight metacognitive therapy group-sessions were proposed to a group of nine patients, as part of a regional project conducted at the University General Hospital “Paolo Giaccone” of Palermo. The last was a follow-up session, propo…
El papel del mindfulness y el descentramiento en la sintomatología depresiva y ansiosa
2016
ResumenLos síntomas depresivos y ansiosos tienen un claro impacto en el funcionamiento de las personas. Su aparición parece tener relación con la presencia de déficits en las capacidades metacognitivas. El entrenamiento en atención plena aumenta el insight metacognitivo a través de la capacidad de descentramiento. Por ello el objetivo de este estudio ha sido evaluar la relación entre la atención plena y el descentramiento con la sintomatología ansiosa y depresiva respectivamente. La muestra de este estudio está compuesta por 465 participantes y el contacto con ella se estableció a través de universidades y redes sociales. Los resultados revelaron que tanto la atención plena como la capacida…
All bonds are not the same: A response surface analysis of the perceptions of positive bonding relationships in therapy groups
2017
Intrapersonal split alliances were defined as discrepancies in how group members perceived their positive bonding relationships with the group leader, the other group members, and the group-as-a-whole, and were related to group members' outcome. Participants were 168 patients (116 women and 52 men) diagnosed as overweight or obese who participated in 1 of 20, 12-session, therapy groups for weight management. Group members completed the Outcome Questionnaire-45 (OQ-45, Lambert et al., 2004) pre- and posttreatment and the Group Questionnaire (GQ, Krogel et al., 2013) at early, middle and late group sessions. Early, middle, and late ratings were aggregated because bond scores were consistent a…
Personal background, motivation and interpersonal style of psychotherapy trainees having different theoretical orientations: An Italian contribution …
2018
Background: Therapist characteristics seem to be a key factor in clinical effectiveness. Trainees’ personal and professional background, motivation, and interpersonal style have been shown to deserve attention in previous research concerning therapist development and warrant further study due to their potential implications for psychotherapy training outcomes. Aim: To explore personal and professional background, motivation, and interpersonal style of psychotherapy trainees with different theoretical approaches. Findings: In the present study, 135 post-graduate psychotherapy trainees with different theoretical approaches (psychodynamic, systemic, and cognitive-behavioral) completed the Trai…
The debate on medicalization of sexology 2001–2010: a literature study on psychological treatment of sexual problems
2018
The objective of this study is to describe the position of psychological treatment in an era where optimism surrounding pharmacological treatment has raised questions as to whether psychology shoul...
Therapist activities preceding therapy setbacks in a poor-outcome case
2017
AbstractProgress in psychotherapy is typically irregular, as advances alternate with setbacks. This study investigated the therapist’s activities prior to two main types of setbacks, one involving the client following therapist proposals and one involving the client failing to follow from therapist proposals, in the case of a poor-outcome client treated with a linguistically-oriented kind of cognitive therapy. Setbacks were defined as decreases of at least one level on an index of therapeutic progress, the 8-level Assimilation of Problematic Experiences Scale (APES), in adjacent client passages. Therapist activities were coded in 361 setback episodes that each included a client pre-setback …