Search results for "counsel"
showing 10 items of 1047 documents
The long-term use of psychiatric services within the Open Dialogue treatment system after first-episode psychosis
2017
AbstractOpen Dialogue is a family-oriented early intervention model for mental health problems developed in the health district of Western Lapland, Finland. In the present study, the aim was to describe how psychiatric services were used in Western Lapland after decades of first-episode psychosis services, and to analyze how baseline characteristics were related to re-admission rates and the total duration of psychiatric treatment in geographical area where Open Dialogue approaches were developed and efforts made to systematically apply them to all psychiatric treatments. The data were obtained from the medical histories of patients who had first-episode psychosis in 1992–2005 and who lived…
When the healthcare does not follow the evidence: The case of the lack of early intervention programs for psychosis in Spain
2017
Abstract There is now sufficient evidence to support the importance of interventions in the early stages of psychosis. The delay in the detection and treatment of the first-episode psychosis is related to a lower and slower recovery, as well as a higher risk of relapse. Despite this fact, early intervention units or teams are still not regularly implemented in mental health service settings in Spain. In this opinion article, a review is presented of the main arguments for defending the need to implement these programmes and strategies in order to achieve this aim. There are a number of programmes for early intervention for psychosis currently working in other countries, with a therapeutic p…
A Multicentre, Randomised, Controlled Trial of a Combined Clinical Treatment for First-Episode Psychosis
2021
Introduction: There is evidence that early intervention contributes to improving the prognosis and course of first-episode psychosis (FEP). However, further randomised treatment clinical trials are needed. Objectives: The aim of this study was to compare the efficacy of a combined clinical treatment involving Cognitive Behavioural Therapy (CBT) as an adjunctive to treatment-as-usual (TAU) (CBT+TAU) versus TAU alone for FEP. Patients and methods: In this multicentre, single-blind, randomised controlled trial, 177 participants were randomly allocated to either CBT+TAU or TAU. The primary outcome was post-treatment patient functioning. Results: The CBT+TAU group showed a greater improvement in…
Usos de lo psicosocial en la investigación y tratamiento de las intersexualidades/DSD*
2016
Desde el punto de vista médico, la ‘ambigüedad sexual’ en bebés recién nacidos ha sido catalogada como una urgencia psicosocial, que dispara un protocolo de diagnóstico e intervención —quirúrgica y hormonal— para “fijar” el sexo y “corregir” el cuerpo. Desde perspectivas sociales y críticas, se prefiere hablar de variabilidad sexual, es decir, de cuerpos sexuados que no encajan con las expectativas dualistas de lo que es considerado propio de un cuerpo de hombre o de un cuerpo de mujer, o en los que diferentes componentes del sexo —cromosómico, hormonal, gonadal o anatómico— no son coherentes. En las últimas décadas, ha surgido una fuerte controversia en torno a la intersexualidad y a la ne…
Does mindfulness-, acceptance-, and value-based intervention alleviate burnout? : A person-centered approach
2019
This study investigated individual differences in changes in burnout symptoms during a brief mindfulness-, acceptance-, and value-based intervention. It also studied whether the changes in burnout were simultaneous with the changes in mindfulness skills. The role of practices and learning experiences in these changes were investigated. The participants were employees of various occupations (n = 105, 80% women, Mage = 48 years). Latent profile analysis was used to investigate the associations between burnout and mindfulness skills during the intervention and a 4-month follow-up period. Six distinct profiles were found that differed in levels and changes of both burnout and mindfulness skills…
On Musical Identities, Social Pharmacology, and Intervention Timing in Music Therapy
2017
How do antidepressants or recreational drugs influence the music experience in the context of therapy or during music performance and listening? Using drugs to enhance performance we can describe a complementary interaction between lifestyle, personal identity and drugs, influencing musical identities in creative processes. Treating depressed clients with individual psychodynamic music therapy (MT) worked well with those also taking anti-depressants, but also initiated a process in which the need for medication started to decrease. While antidepressants may help to keep anxiety, energy loss and rumination within limits, MT induces a process in which emotional limitations are likely to becom…
The effect of resonance frequency breathing when used as a preparatory exercise in music psychotherapy : A single-case experimental study of a client…
2017
This study aimed at evaluating the possible benefits of starting Integrative Improvisational Music Therapy (IIMT) sessions with 10 min of Resonance Frequency Breathing (RFB), a type of slow breathing known to be beneficial for stress reduction and emotional regulation. A client diagnosed with anxiety disorder and social phobia attended 12 IIMT sessions. Using an alternating treatments design, RFB was systematically alternated with a control intervention (vibroacoustic therapy, VAT). Therapy processes were assessed through the Session Evaluation Questionnaire (SEQ) and the continuous measurement of heart rate variability (HRV), a biomarker of autonomic nervous system response. RFB was consis…
The treatment of the body image disturbances in eating disorders and clinically significant change
2014
Body image disturbance is a significant maintenance and prog-nosis factor in eating disorders. Hence, existing eating disorder treatments can benefit from direct intervention in patients’ body image. This paper in-cludes a controlled study comparing cognitive behavioural treatment for eating disorders with and without a component for body image treatment using virtual reality techniques. The objective of this work was to check if both types of treatment produced a change clinically significant at the end of the treatment and the follow-up to the year, in body image, eating disor-ders and general psychopathology. Thirty-four participants diagnosed with eating disorders were treated and compa…
Changes in Violence and Clinical Distress Among Men in Individual Psychotherapy for Violence Against Their Female Partner: An Explorative Study
2021
Most interventions for men who have acted violently toward their partner have been conducted as group interventions within a criminal justice context. Therefore, few studies have examined individual psychotherapy and how such interventions may reduce partner violence. In this study, we aimed to describe changes in violence, and changes in clinical distress in men undergoing individual psychotherapy targeting their use of partner violence, at a clinic organized within a psychosocial health care context. This is a naturalistic prospective study of men voluntarily receiving individual psychotherapy for their use of violence against their female partner. Participants were 84 male clients, and d…
Cuando las pesadillas son un problema. Un estudio de caso.
2020
El siguiente trabajo expone la aplicación de la Terapia de Exposición, Relajación y Reescritura de la pesadilla (ERRT) en un caso de una joven de 25 años con un diagnóstico previo de Trastorno Límite de la Personalidad. Tras la evaluación se llegó al diagnóstico de un trastorno por pesadillas subagudo moderado y un trastorno de ritmo circadiano de sueño-vigilia secundario, de fases retrasadas episódico y caracterizado por dos tipos de pesadillas recurrentes. La intervención se dividió en cuatro sesiones semanales y cinco sesiones de seguimiento. Los resultados de este caso muestran que aplicar los componentes de la ERRT desarrollada por Davis (2009) sobre pesadillas idiopáticas es eficaz. L…