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A Toolbox for Use During the Post-Pandemic Era: Preparing Youth for Re-entry 大流行后时代使用的工具箱:为青年重返社会做准备
Q2 Psychology Pub Date : 2023-10-25 DOI: 10.1007/s10879-023-09599-2
Agatha Barnowski, Kimberly Brown, Yasaman Movahedi, Robert D. Friedberg
Abstract While most individuals hope that the COVID-19 viral global pandemic is over, waves of infection and multiple mutating variants persist prompting considerable uncertainty. Re-entering previously familiar routines is especially difficult for youth challenged by excessive intolerance of uncertainty and accompanying anxiety. Therefore, constructing a conceptual map to explain these stressors and a viable skill set to cope with their anxiety are potentially helpful tasks. This is the exact focus of this article. A review of the past and current impact of COVID-19 on children and adolescents’ lives sets the proper context. Intolerance of uncertainty and health anxiety are two core constructs used to understand the psychological impact of the viral outbreak. Consequently, these variables are explained and summarized. A cognitive-behaviorally based toolkit focused on equipping youth experiencing high intolerance of uncertainty and anxious symptoms with skills for re-entry into an uncertain environment is outlined. Various processes and practices are illustrated via a representative confabulated case example.
虽然大多数人都希望COVID-19病毒全球大流行已经结束,但感染浪潮和多种突变变体的持续存在带来了相当大的不确定性。对于年轻人来说,重新进入以前熟悉的日常生活尤其困难,因为他们对不确定性的过度容忍和随之而来的焦虑。因此,构建一个概念图来解释这些压力源和一套可行的技能来应对他们的焦虑是潜在的有益任务。这正是本文的重点。回顾COVID-19过去和现在对儿童和青少年生活的影响,可以确定适当的背景。对不确定性的不容忍和健康焦虑是用来理解病毒爆发的心理影响的两个核心概念。因此,对这些变量进行了解释和总结。概述了一个以认知行为为基础的工具包,重点是为对不确定性和焦虑症状高度不耐受的青年提供重新进入不确定环境的技能。通过一个具有代表性的虚构案例说明了各种过程和实践。
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引用次数: 0
Therapist Adherence to Dialectical Behavior Therapy in Routine Practice: Common Challenges and Recommendations for Improvement 治疗师在日常实践中坚持辩证行为疗法:共同的挑战和改进建议
Q2 Psychology Pub Date : 2023-10-19 DOI: 10.1007/s10879-023-09601-x
Melanie S. Harned, Sara C. Schmidt, Kathryn E. Korslund, Amy Gaglia
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引用次数: 0
Trauma Practice: A Cognitive Behavioral Somatic Therapy (4th Edition) 创伤实践:认知行为躯体疗法(第4版)
Q2 Psychology Pub Date : 2023-10-16 DOI: 10.1007/s10879-023-09602-w
Jenna M. Bagley
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引用次数: 0
Art History Therapy: The Role of Art History in the Psychotherapy Process 艺术史治疗:艺术史在心理治疗过程中的作用
Q2 Psychology Pub Date : 2023-10-10 DOI: 10.1007/s10879-023-09600-y
Gizem Akcan, Abdül Halim Varol
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引用次数: 0
Pitfalls and Opportunities of the Therapist’s Metacommunication: A Self-determination Perspective 治疗师元沟通的陷阱与机会:一个自我决定的视角
Q2 Psychology Pub Date : 2023-09-20 DOI: 10.1007/s10879-023-09598-3
Édua Holmström, Virpi-Liisa Kykyri, Frank Martela
Abstract Psychotherapy research identifies alliance ruptures and their resolutions as significant events in psychotherapy, influencing outcome. However, we know little about the process how such events influence outcomes, only assuming if clients stay in therapy that the rupture was resolved, and the outcome will be positive. The purpose of this paper is to problematize this assumption against the backdrop of self-determination theory, introducing motivation and relational positioning as relevant theoretical concepts for understanding rupture resolution and the effect on outcome. A therapeutic transcript demonstrating best practice for alliance rupture resolution in a brief integrative therapy is critically examined, calling the attention of both clinicians and researchers to the risk of prescribing and blindly following techniques during therapeutic impasses. Our analysis of metacommunication demonstrates how the therapist’s use of a certain technique for resolving threats to the therapeutic alliance can lead to the client’s external motivation and compliance, negatively influencing therapeutic outcome. Focusing on the therapist’s relational positioning we present two alternative courses of therapeutic action, ‘mindfulness in action’ and ‘embracing the patient’s ambivalence’, for supporting the client’s autonomous motivation for the therapy process.
心理治疗研究确定联盟破裂及其解决方案是心理治疗中的重要事件,影响结果。然而,我们对这些事件如何影响结果的过程知之甚少,只能假设如果客户继续接受治疗,破裂已经解决,结果将是积极的。本文的目的是在自我决定理论的背景下对这一假设提出质疑,并引入动机和关系定位作为理解破裂解决及其对结果的影响的相关理论概念。在简短的综合治疗中,一份治疗记录显示了联盟破裂解决的最佳实践,并进行了严格的检查,呼吁临床医生和研究人员注意在治疗僵局期间处方和盲目遵循技术的风险。我们对元沟通的分析表明,治疗师使用某种技术来解决对治疗联盟的威胁如何导致客户的外部动机和依从性,从而对治疗结果产生负面影响。专注于治疗师的关系定位,我们提出了两种治疗行动的替代方案,“行动中的正念”和“拥抱患者的矛盾心理”,以支持客户在治疗过程中的自主动机。
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引用次数: 0
Effectiveness of a Multicomponent Group-Based Treatment in Patients with Medically Unexplained Physical Symptoms: A Multisite Naturalistic Study 多组份分组治疗在医学上无法解释的躯体症状患者中的有效性:一项多地点自然研究
Q2 Psychology Pub Date : 2023-09-09 DOI: 10.1007/s10879-023-09597-4
Martina Pourová, Tomáš Řiháček, Jan R. Boehnke, Jakub Šimek, Martin Saic, Jaromír Kabát, Petr Šilhán
Abstract Psychotherapy is expected to be effective in the treatment of patients with medically unexplained physical symptoms (MUPS). However, evidence is scarce. The aim of this study was to examine the effectiveness of a multicomponent treatment based on group therapy in patients with MUPS in a naturalistic setting and to explore potential predictors of the outcomes. A multisite naturalistic uncontrolled effectiveness study. A total of 290 patients with MUPS participated in group psychotherapy across seven clinical sites. Somatic symptoms, depression, anxiety, general psychotherapy outcomes operationalized as the Outcome Rating Scale (ORS) score, well-being, role functioning interference, as well as a number of pretreatment predictors were measured using a battery of self-report measures. Multilevel modeling and lasso regression with bootstrapping were used for the analysis. Medium to large pre-post effects were found for somatic symptoms, ORS, depression, anxiety, well-being, role functioning interference found in completers after controlling for site and group effects, pretreatment outcome values, and treatment length. Changes reported at 6- and 12-month follow-up were higher for most variables. No substantial pretreatment predictors of the patients’ posttreatment status were found in addition to the pretreatment level of outcome variables. Somatic symptoms seem to be less malleable in psychotherapy than psychological outcome variables. However, there was a trend of further improvement after treatment completion. Registration This study was retrospectively registered with ISRCTN (Identifier 13532466).
心理治疗有望有效治疗医学上无法解释的躯体症状(MUPS)。然而,证据很少。本研究的目的是在自然环境中检验基于团体治疗的多组分治疗对MUPS患者的有效性,并探索结果的潜在预测因素。多地点自然非控制有效性研究。共有290名MUPS患者在7个临床地点参加了团体心理治疗。躯体症状、抑郁、焦虑、以结果评定量表(ORS)评分操作的一般心理治疗结果、幸福感、角色功能干扰以及一些预处理预测因子使用一系列自我报告测量方法进行测量。采用多层次建模和自举套索回归进行分析。在控制了部位和群体效应、预处理结果值和治疗时间后,完成者的躯体症状、ORS、抑郁、焦虑、幸福感、角色功能干扰均出现了中等到较大的前后效应。在6个月和12个月的随访中,大多数变量报告的变化更高。除了结果变量的预处理水平外,未发现患者治疗后状态的实质性预处理预测因子。在心理治疗中,躯体症状似乎比心理结果变量更具可塑性。然而,治疗完成后有进一步改善的趋势。本研究在ISRCTN(识别码13532466)回顾性注册。
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引用次数: 3
Efficacy of Rational Emotive Behavior Therapy for the Alleviation of Psychological Distress and Amelioration of Psychological Well-Being Among End-Stage Renal Disease Patients 理性情绪行为治疗对终末期肾病患者心理困扰及改善心理健康的疗效
IF 2 Q2 Psychology Pub Date : 2023-08-31 DOI: 10.1007/s10879-023-09596-5
Amna Aurooj, Nabiha Zia, Syed Khawar Nadeem Kirmani, Sadia Khan, Takreema Aurooj, Deerak Minhaj, Syeda Riffat Kafeel
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引用次数: 0
Collusion Revisited: Polyadic Collusions and Their Contextual Determinants 共谋重访:多元共谋及其语境决定因素
IF 2 Q2 Psychology Pub Date : 2023-08-24 DOI: 10.1007/s10879-023-09595-6
F. Stiefel, M. Saraga, C. Bourquin
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引用次数: 0
Individual Target Problems, Self-Observation and Change in Short-Term Psychodynamic Psychotherapy 短期精神动力心理治疗中的个体目标问题、自我观察与变化
IF 2 Q2 Psychology Pub Date : 2023-08-22 DOI: 10.1007/s10879-023-09594-7
Juha Savolainen, O. Lindfors, M. Leiman
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引用次数: 0
Mark Berthold-Losleben, Marianne Liebing-Wilson, and John S. Swan: The ABCs of CBASP: A Guide to the Cognitive Behavioral Analysis System of Psychotherapy for Therapists and Supervisors Mark Berthold-Losleben, Marianne Liebing-Wilson和John S. Swan: CBASP的abc:心理治疗师和主管的认知行为分析系统指南
IF 2 Q2 Psychology Pub Date : 2023-07-26 DOI: 10.1007/s10879-023-09593-8
C. McGovern
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引用次数: 0
期刊
JOURNAL OF CONTEMPORARY PSYCHOTHERAPY
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