Problem-Oriented Integrative Therapy: Maximizing Clinical Flexibility in Treating Complex Psychiatric Conditions.

IF 2.3 Q2 PSYCHOLOGY, CLINICAL AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2024-10-15 DOI:10.1176/appi.psychotherapy.20240010
Joel Yager, Jerald Kay
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Abstract

Although integrative therapies are increasingly popular in clinical psychology, their dissemination in the psychiatric literature has been limited. To care for patients living with complex psychiatric problems, the authors formulated a flexible, pragmatic, problem-oriented integrative therapy (PIT). The aims of this article are to increase psychiatric attention to the value of integrative therapies, authorize their use, and present the authors' PIT approach. PIT combines common factors, theoretical synthesis, and technical eclecticism. After delineating patients' problems and goals, clinicians apply discrete therapeutic elements derived by unbundling numerous theories and practices. Clinicians improvise and pivot their practice in response to patients' shifting problems and goals, as well as to advances in the field. Practicing PIT requires familiarity with numerous therapeutic theories and models and a willingness to continually expand skill sets. PIT's effectiveness may be assessed by comparing results obtained with PIT with those obtained via conventional psychotherapeutic modalities.

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以问题为导向的综合疗法:以问题为导向的综合疗法:最大限度地提高治疗复杂精神疾病的临床灵活性》。
尽管整合疗法在临床心理学中越来越受欢迎,但其在精神病学文献中的传播却很有限。为了照顾有复杂精神问题的患者,作者制定了一种灵活、务实、以问题为导向的综合疗法(PIT)。本文旨在提高精神科对综合疗法价值的关注,授权使用综合疗法,并介绍作者的 PIT 方法。PIT 结合了共同因素、理论综合和技术折衷主义。在明确患者的问题和目标后,临床医生会应用通过拆分众多理论和实践而得出的独立治疗要素。临床医生会根据患者不断变化的问题和目标,以及该领域的进展情况,随机应变,调整治疗方法。实践 PIT 需要熟悉多种治疗理论和模式,并愿意不断扩展技能组合。PIT 的有效性可通过比较 PIT 与传统心理治疗模式所取得的效果来评估。
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来源期刊
AMERICAN JOURNAL OF PSYCHOTHERAPY
AMERICAN JOURNAL OF PSYCHOTHERAPY PSYCHOLOGY, CLINICAL-
CiteScore
2.90
自引率
4.00%
发文量
39
期刊介绍: Founded in 1939, the American Journal of Psychotherapy (AJP) has long been a leader in the publication of eclectic articles for all psychotherapists. Transtheoretic in reach (offering information for psychotherapists across all theoretical foundations), the goal of AJP is to present an overview of the psychotherapies, subsuming a host of schools, techniques, and psychological modalities within the larger domain of clinical practice under broad themes including dynamic, behavioral, spiritual, and experiential.
期刊最新文献
Guarding the Guidelines: Objectivity in Treatment Recommendations. Trauma-Focused ACT: A Practitioner's Guide to Working With Mind, Body, and Emotion Using Acceptance and Commitment Therapy. Dialectical Behavior Therapy for Adolescents: Examining Preliminary Pretreatment Expectations and Preferences. Implementing a Problem-Oriented Integrative Therapy: Flexible Care for Patients Experiencing Complex Psychiatric Conditions. Problem-Oriented Integrative Therapy: Maximizing Clinical Flexibility in Treating Complex Psychiatric Conditions.
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