Search results for "therapist"
showing 10 items of 371 documents
Terapia cognitivo-conductual para los trastornos de la conducta alimentaria según la visión transdiagnóstica = Cognitive behavioral therapy for eatin…
2011
Cognitive-behavioural therapy (CBT) is presently among the most effective psychological treatments of eating disorders (ED). The theory and CBT of Bulimia Nervosa developed by Fairburn shows positive, but still limited, outcomes. In order to enhance its effectiveness and extend the model (and treatment) to embrace all ED, Fairburn proposed the transdiagnostic theory and the CBT derived from it. This article aims to present a theoretical introduction to the topic and to describe the various forms of treatment according to the transdiagnostic view. The different stages of the CBT and their main components are presented in detail according to the 20-session focused version.
Predicting the working alliance over the course of long-term psychodynamic psychotherapy with the Rorschach Ego Impairment Index, self-reported defen…
2021
Better therapeutic alliances are known to predict better treatment outcomes, but little knowledge still exists on the patient characteristics that lead to better alliances. In a sample of 128 outpatients assigned to long-term psychodynamic psychotherapy and suffering from mood and/or anxiety disorder, this study evaluated how the alliance, measured using the Working Alliance Inventory (WAI), is predicted by three different measures for assessing psychological resources and vulnerabilities: the Wechsler Adult Intelligence Scale—Revised (WAIS–R), the Defense Style Questionnaire (DSQ), and the Rorschach-based Ego Impairment Index (EII-2). All the three measures showed some ability to predict t…
Impact of repeating somatic cues on the depth of experiencing for withdrawers and pursuers in emotionally focused couple therapy
2021
Emotionally Focused Couple Therapy, an experiential modality, views emotion central to therapeutic change. In this exploratory study, we examined therapists' repetition of somatically focused interventions (therapist verbalizing somatic cues, such as facial expressions) and their impact on clients' emotional experiencing in-session. We also assessed difference for withdrawing versus pursuing partners. The sample included 13 EFT therapists who worked with one couple each for a single session. From transcripts we coded therapists' repetition of somatically focused interventions and clients' depth of experiencing pre-and post-intervention. Multilevel modeling demonstrated that a higher number …
Somatic experience of emotion in emotionally focused couple therapy: Experienced trainer therapists' views and experiences.
2021
In general, arousal of emotions is often felt and expressed as a somatic experience in the body. In Emotionally Focused Couple Therapy (EFT), the deepening of emotional experiencing enables therapeutic change. This research explores the experiences of eight experienced EFT trainer therapists regarding their somatic experiences in their work with couples. Using interpretative phenomenological analysis of transcribed in-depth interviews, this research data yielded three core themes that captured therapists' experiences of using their own and couples' somatic experiences in therapy: (1) the importance and relevance of somatic experiences, (2) therapists' use of their own somatic experiences, a…
Psychoanalytic psychotherapy in Finland
2020
Psychoanalytic psychotherapy is one of the most commonly practiced psychotherapy orientations in Finland. It has secured continuity in the recently renewed university-based educational programs for training psychotherapists, although the proportion of psychoanalytic therapists in relation to other orientations has been decreasing during the past decade. Psychodynamic psychotherapy is reasonably well acknowledged in the Finnish Current Care Guidelines as one option in the treatment of the most common mental disorders, due to recent advances in effectiveness research. There is funding provided by the national insurance system for patients attending long-term rehabilitative psychotherapy. It h…
Optimizing Exposure Therapy for Pathological Health Anxiety: Considerations From the Inhibitory Learning Approach
2018
Abstract Exposure therapy has demonstrated its efficacy in the treatment of pathological health anxiety—however, psychotherapy research reveals that many patients do not show a clinically significant change. Therefore, improvements are necessary to optimize psychotherapy for pathological health anxiety. Most treatment rationales refer to habituation during exposure as the central mechanism of change. However, there is evidence that extinction learning is mediated by inhibitory learning processes. Targeting these processes may help to improve treatment outcomes in pathological health anxiety. The aim of this review was to adapt, from the inhibitory learning approach and empirical findings, t…
The shared image guiding the treatment process. A precondition for integration of the treatment of schizophrenia.
1994
The aim of the study reported here was to develop psychotherapeutic in-patient treatment for acute schizophrenia, following the principles of a need-adapted approach. To improve the integration of experiences which hospital staff have with acutely psychotic patients and their families, systematic supervision sessions were organised. In these sessions, it was possible to achieve shared psychological images through which the whole staff could integrate patients' behaviour and symptoms, both symbolic and non-symbolic. Such an image was called ‘the shared image guiding the treatment process’ (SIGTP). The process of achieving the SIGTP was interpreted through Peircean semiotics, especially the c…
"You helped me out of that darkness" Children as dialogical partners in the collaborative post-family therapy research interview.
2021
Applying Dialogical Methods for Investigations of Happening of Change (DIHC), this study investigated how children who had been diagnosed with an oppositional defiant or conduct disorder participated in a collaborative post‐therapy research interview and talked about their experiences of family therapy. The results showed that the children participated as dialogical partners talking in genuine, emotional, and reflective ways. Encountered as full‐membership partners, the children also co‐constructed meanings for their sensitive experiences. However, their verbal initiatives and responses appeared in very brief moments and could easily have been missed. The collaborative post‐therapy intervie…
Why Am I the Only One You’re Talking to, Talk to Them, They Haven’t Said a Word? : Pitfalls and Challenges of Having the Child in the Focus of Family…
2021
Children with conduct disorders are at risk of being positioned in the family therapy as ‘the problem’. This study describes how the difficulties were talked about and how the child coped in this situation. The results showed: the parents produced symptom-oriented problem talk about the child’s behavior, rendering systemic reformulation of the problem challenging. The negative interaction made the climate unsafe and impaired consideration of the child’s behavior as a meaningful way for the child to become seen and heard. This study enriches understanding of the therapeutic challenge therapists face with high-risk families from the very beginning of the treatment. peerReviewed
Group-Analytic Family Psychotherapy: A Transcultural Perspective
1997
Group-analytic family psychotherapy is a methodology based on a development of Group-analytic theory. The family is defined as a mental field formed by the symbolic plot of `us' in a double relationship: with the cultural history of the family group on one side, and with external groups on the other. The symbolic plot thus has a tribal characteristic which connects the genealogical trees to the ancestral foundation of the group. In cases of psychotic and borderline patients, Group-analytic family psychotherapy has indicated two types of family: those that are embedded in the past, or families that are cut off from the past. After outlining the circumstances of Italian families, this articl…