Pub Date : 2017-04-23DOI: 10.14713/PCSP.V13I1.1998
Jeremy D. Lichtman
Cognitive-behavioral therapy (CBT) with Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious treatment for Tourette Syndrome (TS), with a manualized version available for guiding practitioners through treatment. However, CBIT is still a fairly new treatment for TS and rigorous training in its application is sparse. Additionally, potential treatment considerations are not thoroughly described in the manual. This dissertation presents a systematic case study that specifically analyzes the use of the manual with 10-year-old "Hiro," a South Asian Indian boy with TS who also had attention deficit hyperactivity disorder (ADHD), which is a confounding factor in the treatment of TS. To do this meant applying flexibility and an "hypothesizing-then-testing" mentality. The creation of an individualized case formulation and an associated treatment plan for Hiro were very valuable components in his treatment. The case study chronicles Hiro's successful treatment and explores how and when adherence to the manual was effective as well as how and when greater flexibility was required. Furthermore, the case study explores factors in the clinician/client relationship and how that relationship can prove a powerful tool in treatment. Options for how to maintain treatment goals after termination are also examined.
{"title":"The Case of \"Hiro\": Treating Tourette Syndrome by Comprehensive Behavioral Intervention for Tics (CBIT)","authors":"Jeremy D. Lichtman","doi":"10.14713/PCSP.V13I1.1998","DOIUrl":"https://doi.org/10.14713/PCSP.V13I1.1998","url":null,"abstract":"Cognitive-behavioral therapy (CBT) with Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious treatment for Tourette Syndrome (TS), with a manualized version available for guiding practitioners through treatment. However, CBIT is still a fairly new treatment for TS and rigorous training in its application is sparse. Additionally, potential treatment considerations are not thoroughly described in the manual. This dissertation presents a systematic case study that specifically analyzes the use of the manual with 10-year-old \"Hiro,\" a South Asian Indian boy with TS who also had attention deficit hyperactivity disorder (ADHD), which is a confounding factor in the treatment of TS. To do this meant applying flexibility and an \"hypothesizing-then-testing\" mentality. The creation of an individualized case formulation and an associated treatment plan for Hiro were very valuable components in his treatment. The case study chronicles Hiro's successful treatment and explores how and when adherence to the manual was effective as well as how and when greater flexibility was required. Furthermore, the case study explores factors in the clinician/client relationship and how that relationship can prove a powerful tool in treatment. Options for how to maintain treatment goals after termination are also examined.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"1-37"},"PeriodicalIF":0.0,"publicationDate":"2017-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49122153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-04-23DOI: 10.14713/PCSP.V13I1.2000
B. Wellen, M. Himle
In the case of Hiro, Dr. Jeremy Lichtman (2017, this issue) describes how he flexibly employed a manualized behavior therapy protocol to successfully treat a child’s involuntary motor and vocal tics. In doing so, he raises interesting observations and questions regarding manualized psychotherapy treatment protocols, including their intended role, the need for "flexibility with fidelity," and the strengths and limitations of following manuals in a step-by-step fashion. In our commentary, we draw upon Dr. Lichtman’s experience in treating Hiro to highlight what we see as the two most important factors in Hiro’s treatment: (1) the therapist’s firm grasp of the underlying theory behind behavior therapy for tics, which allowed for flexibility in treatment delivery without jeopardizing treatment fidelity, and (2) the importance of having a strong foundational clinical skill set prior to beginning treatment
{"title":"From Cook to Culinarian: Going Beyond the Manual When Delivering Behavior Therapy to Treat Tourette Disorder","authors":"B. Wellen, M. Himle","doi":"10.14713/PCSP.V13I1.2000","DOIUrl":"https://doi.org/10.14713/PCSP.V13I1.2000","url":null,"abstract":"In the case of Hiro, Dr. Jeremy Lichtman (2017, this issue) describes how he flexibly employed a manualized behavior therapy protocol to successfully treat a child’s involuntary motor and vocal tics. In doing so, he raises interesting observations and questions regarding manualized psychotherapy treatment protocols, including their intended role, the need for \"flexibility with fidelity,\" and the strengths and limitations of following manuals in a step-by-step fashion. In our commentary, we draw upon Dr. Lichtman’s experience in treating Hiro to highlight what we see as the two most important factors in Hiro’s treatment: (1) the therapist’s firm grasp of the underlying theory behind behavior therapy for tics, which allowed for flexibility in treatment delivery without jeopardizing treatment fidelity, and (2) the importance of having a strong foundational clinical skill set prior to beginning treatment","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"51-62"},"PeriodicalIF":0.0,"publicationDate":"2017-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44967958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-04-23DOI: 10.14713/PCSP.V13I1.2001
Daniela Colognori, Lori Rockmore
Tourette Syndrome is a common childhood disorder that is often misunderstood by the public and undertreated due to a lack of knowledge among medical and mental health professionals. This paper describes how the Tourette Syndrome (TS) Program at Rutgers University provides and disseminates specialized care to the TS community while allowing psychologists-in-training to develop expertise in evidence-based assessment and intervention for individuals with TS. Discussion will focus on training doctoral students in clinical and school psychology to specialize in this area. We will utilize Lichtman’s (2017) case study of Hiro, which was implemented within the TS Program at Rutgers, to emphasize important training issues and illustrate some common pitfalls of novice clinicians conducting this treatment.
{"title":"Perspectives on Training Clinicians to Effectively Implement Evidence-based Treatment for Tourette Syndrome","authors":"Daniela Colognori, Lori Rockmore","doi":"10.14713/PCSP.V13I1.2001","DOIUrl":"https://doi.org/10.14713/PCSP.V13I1.2001","url":null,"abstract":"Tourette Syndrome is a common childhood disorder that is often misunderstood by the public and undertreated due to a lack of knowledge among medical and mental health professionals. This paper describes how the Tourette Syndrome (TS) Program at Rutgers University provides and disseminates specialized care to the TS community while allowing psychologists-in-training to develop expertise in evidence-based assessment and intervention for individuals with TS. Discussion will focus on training doctoral students in clinical and school psychology to specialize in this area. We will utilize Lichtman’s (2017) case study of Hiro, which was implemented within the TS Program at Rutgers, to emphasize important training issues and illustrate some common pitfalls of novice clinicians conducting this treatment.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"63-72"},"PeriodicalIF":0.0,"publicationDate":"2017-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44465279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-04-23DOI: 10.14713/PCSP.V13I1.1999
M. Capriotti
Dr. Jeremy Lichtman (2017, in this issue) presents a case of successful behavioral treatment of tics in "Hiro," a 10-year-old boy with Tourette Syndrome (TS) and attention-deficit/hyperactivity disorder (ADHD). This commentary discusses the case of Hiro from a principle-oriented approach, with particular focus on issues related to parental involvement in treatment, addressing comorbidity and therapy-interfering behavior, and planning for generalization and long-term maintenance.
{"title":"On Protocols and Principles in the Case of Hiro","authors":"M. Capriotti","doi":"10.14713/PCSP.V13I1.1999","DOIUrl":"https://doi.org/10.14713/PCSP.V13I1.1999","url":null,"abstract":"Dr. Jeremy Lichtman (2017, in this issue) presents a case of successful behavioral treatment of tics in \"Hiro,\" a 10-year-old boy with Tourette Syndrome (TS) and attention-deficit/hyperactivity disorder (ADHD). This commentary discusses the case of Hiro from a principle-oriented approach, with particular focus on issues related to parental involvement in treatment, addressing comorbidity and therapy-interfering behavior, and planning for generalization and long-term maintenance.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"38-50"},"PeriodicalIF":0.0,"publicationDate":"2017-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42491842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-04-23DOI: 10.14713/PCSP.V13I1.2002
Jeremy D. Lichtman
In the case of "Hiro" (Lichtman, 2017) I described the successful use of Comprehensive Behavioral Intervention for Tics (CBIT) in a young boy with Tourette Syndrome (TS). In three different commentaries on this case, authors noted important concepts regarding the use of manuals in treating TS; how an understanding of underlying principles is important in flexible use of manuals; and how training impacts the treatment of TS. In my response to these commentaries, I hope to continue the conversation of how to use manuals in psychotherapy in general as well as in the treatment of TS in particular. Specifically, I hope to address the seeming dichotomy between a mechanical, algorithmic approach to treatment versus a flexible, creative approach, and to ultimately show that an understanding of the underlying principles guiding manualized treatment provides room for ingenuity that proves this dichotomy false.
{"title":"Mechanical/Algorithmic Versus Flexible/Creative Clinical Practice: How Underlying Principles Bridge the Gap","authors":"Jeremy D. Lichtman","doi":"10.14713/PCSP.V13I1.2002","DOIUrl":"https://doi.org/10.14713/PCSP.V13I1.2002","url":null,"abstract":"In the case of \"Hiro\" (Lichtman, 2017) I described the successful use of Comprehensive Behavioral Intervention for Tics (CBIT) in a young boy with Tourette Syndrome (TS). In three different commentaries on this case, authors noted important concepts regarding the use of manuals in treating TS; how an understanding of underlying principles is important in flexible use of manuals; and how training impacts the treatment of TS. In my response to these commentaries, I hope to continue the conversation of how to use manuals in psychotherapy in general as well as in the treatment of TS in particular. Specifically, I hope to address the seeming dichotomy between a mechanical, algorithmic approach to treatment versus a flexible, creative approach, and to ultimately show that an understanding of the underlying principles guiding manualized treatment provides room for ingenuity that proves this dichotomy false.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"73-81"},"PeriodicalIF":0.0,"publicationDate":"2017-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67056725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.14713/PCSP.V13I3.2012
A. Schulz, A. Vincent, T. Berger
Internet-based cognitive behavioural therapy (ICBT) has garnered strong empirical support in the last decades. Despite the growing body of evidence that web-based treatments work, there is still a considerable number of clients who do not benefit sufficiently from such interventions. Recently, research has started to focus on identifying factors that affect treatment outcome and adherence to Internet interventions. This article describes the course of treatment of two clients in guided ICBT for Social Anxiety Disorder (SAD) who were selected based on their contrasting treatment outcomes. Focal points of therapist communication are shown as well as the clients’ individual gains and obstacles. Lastly, we explore several aspects that seem to be crucial in this specific setting, such as therapist support, motivation and establishing a working alliance via the Internet.
{"title":"Daydreamer and Night Owl: Comparing Good and Bad Outcome Cases in an Internet-Based Cognitive Behavioural Treatment for Social Anxiety Disorder","authors":"A. Schulz, A. Vincent, T. Berger","doi":"10.14713/PCSP.V13I3.2012","DOIUrl":"https://doi.org/10.14713/PCSP.V13I3.2012","url":null,"abstract":"Internet-based cognitive behavioural therapy (ICBT) has garnered strong empirical support in the last decades. Despite the growing body of evidence that web-based treatments work, there is still a considerable number of clients who do not benefit sufficiently from such interventions. Recently, research has started to focus on identifying factors that affect treatment outcome and adherence to Internet interventions. This article describes the course of treatment of two clients in guided ICBT for Social Anxiety Disorder (SAD) who were selected based on their contrasting treatment outcomes. Focal points of therapist communication are shown as well as the clients’ individual gains and obstacles. Lastly, we explore several aspects that seem to be crucial in this specific setting, such as therapist support, motivation and establishing a working alliance via the Internet.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67057841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-17DOI: 10.14713/PCSP.V12I4.1992
Jason Samlin
In recent times, Buddhist psychological concepts have become appealing to many psychotherapy theorists and practitioners. Included are such notions as mindfulness, the "acceptance" of experience, the nature and causes of suffering, and the use of "skillful means" behaviors and thoughts that are intentionally undertaken to reduce suffering both for oneself and others. While there are a number of cognitive-behavioral therapy treatments that incorporate such Buddhist psychological concepts, little research and practice has been done examining the integration of such concepts and short-term dynamic psychotherapy. As one effort to fill this gap in research, the purpose of this study was to develop and pilot test in two cases—"Beth" and "Amy"—a model (a) that was based on such Buddhist concepts and (b) that would assimilatively integrate with the "home theory" of an established form of modern, relational, short-term psychodynamic psychotherapy, namely, Levenson's (1995, 2010) Time-Limited Dynamic Psychotherapy (TLDP). The new model is called the "Aversion/Attachment Model of Client Suffering" (A/AMCS). The A/AMCS model was conceptually incorporated into Beth's and Amy's case formulations through an expansion of TLDP’s case formulation method. Also, the A/AMCS model was technically integrated into TLDP treatment in two ways. First, formal mindfulness meditation practices were implemented with each client by conducting eight half-hour practices before sessions 6-13, in the context of therapy that lasted 23 and 20 sessions, respectively. Second, the treatment sessions included the incorporation of acceptance practices and skillful means strategies. Following the Pragmatic Case Study Method (Fishman, 2005), Beth and Amy’s cases are examined both quantitatively and qualitatively. This study concludes with a discussion of the possible reasons for Beth's dramatically positive outcome compared with Amy's only moderately successful outcome, together with a broader discussion of how future research could further examine the integration of Buddhist psychological concepts and short-term psychodynamic psychotherapy.
{"title":"Integrating Time-Limited Dynamic Psychotherapy and a Buddhism-Inspired Aversion/Attachment Model of Client Suffering: The Cases of \"Beth\" and \"Amy\"","authors":"Jason Samlin","doi":"10.14713/PCSP.V12I4.1992","DOIUrl":"https://doi.org/10.14713/PCSP.V12I4.1992","url":null,"abstract":"In recent times, Buddhist psychological concepts have become appealing to many psychotherapy theorists and practitioners. Included are such notions as mindfulness, the \"acceptance\" of experience, the nature and causes of suffering, and the use of \"skillful means\" behaviors and thoughts that are intentionally undertaken to reduce suffering both for oneself and others. While there are a number of cognitive-behavioral therapy treatments that incorporate such Buddhist psychological concepts, little research and practice has been done examining the integration of such concepts and short-term dynamic psychotherapy. As one effort to fill this gap in research, the purpose of this study was to develop and pilot test in two cases—\"Beth\" and \"Amy\"—a model (a) that was based on such Buddhist concepts and (b) that would assimilatively integrate with the \"home theory\" of an established form of modern, relational, short-term psychodynamic psychotherapy, namely, Levenson's (1995, 2010) Time-Limited Dynamic Psychotherapy (TLDP). The new model is called the \"Aversion/Attachment Model of Client Suffering\" (A/AMCS). The A/AMCS model was conceptually incorporated into Beth's and Amy's case formulations through an expansion of TLDP’s case formulation method. Also, the A/AMCS model was technically integrated into TLDP treatment in two ways. First, formal mindfulness meditation practices were implemented with each client by conducting eight half-hour practices before sessions 6-13, in the context of therapy that lasted 23 and 20 sessions, respectively. Second, the treatment sessions included the incorporation of acceptance practices and skillful means strategies. Following the Pragmatic Case Study Method (Fishman, 2005), Beth and Amy’s cases are examined both quantitatively and qualitatively. This study concludes with a discussion of the possible reasons for Beth's dramatically positive outcome compared with Amy's only moderately successful outcome, together with a broader discussion of how future research could further examine the integration of Buddhist psychological concepts and short-term psychodynamic psychotherapy.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"12 1","pages":"238-308"},"PeriodicalIF":0.0,"publicationDate":"2016-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67056670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-17DOI: 10.14713/PCSP.V12I4.1993
D. Morgan
This commentary presents a discussion of some of the theoretical and technical aspects of Buddhist thought that Samlin used in his therapy with clients. The Buddhist roots of his "Attachment/Aversion Model of Client Suffering" are explored, and their origins in the Buddhist psychology known as Abhidharma are noted. The Abhidharma is placed within the context of modern theories of conditioning. I then outline how ideas and practices from the Buddhist tradition fit very well into the major contemporary psychotherapies, as Samlin shows using the TLDP model. Some reasons are presented for the advantages of integrating Buddhist thought and practices into psychotherapy. Finally, some practical suggestions are proposed for how to use this approach in psychotherapy with clients.
{"title":"On How Psychotherapy Can Be Helpfully Integrated Into Mindfulness Practice","authors":"D. Morgan","doi":"10.14713/PCSP.V12I4.1993","DOIUrl":"https://doi.org/10.14713/PCSP.V12I4.1993","url":null,"abstract":"This commentary presents a discussion of some of the theoretical and technical aspects of Buddhist thought that Samlin used in his therapy with clients. The Buddhist roots of his \"Attachment/Aversion Model of Client Suffering\" are explored, and their origins in the Buddhist psychology known as Abhidharma are noted. The Abhidharma is placed within the context of modern theories of conditioning. I then outline how ideas and practices from the Buddhist tradition fit very well into the major contemporary psychotherapies, as Samlin shows using the TLDP model. Some reasons are presented for the advantages of integrating Buddhist thought and practices into psychotherapy. Finally, some practical suggestions are proposed for how to use this approach in psychotherapy with clients.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"45 1","pages":"309-318"},"PeriodicalIF":0.0,"publicationDate":"2016-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67056672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-17DOI: 10.14713/PCSP.V12I4.1995
Jason Samlin
In this article, I respond to commentaries by Morgan (2016) and Schacht (2016) regarding my presentation of the cases of Beth and Amy (Samlin, 2016). Addressing the dialectic raised between Morgan’s (2016) support for and Schacht’s (2016) skepticism towards the integration of Time-Limited Dynamic Psychotherapy (TLDP) and the Aversion/Attachment Model of Client Suffering (A/AMCS, I organize my response into three broad sections. First, I provide context as to the type of Buddhist tradition from which the A/AMCS draws. In this section, I also address the current debate in Mindfulness-Based Interventions literature regarding the use of explicit vs. implicit Buddhism in treatment. Second, I address issues related to the technical and conceptual integration of the A/AMCS into TLDP. Finally, I re-examine the outcomes of Beth’s and Amy’s cases from the pragmatic standpoint and offer additional thoughts regarding the differing outcomes of the two cases.
{"title":"On the Skillful Integration of Buddhist Psychology and Short-Term Dynamic Psychotherapy","authors":"Jason Samlin","doi":"10.14713/PCSP.V12I4.1995","DOIUrl":"https://doi.org/10.14713/PCSP.V12I4.1995","url":null,"abstract":"In this article, I respond to commentaries by Morgan (2016) and Schacht (2016) regarding my presentation of the cases of Beth and Amy (Samlin, 2016). Addressing the dialectic raised between Morgan’s (2016) support for and Schacht’s (2016) skepticism towards the integration of Time-Limited Dynamic Psychotherapy (TLDP) and the Aversion/Attachment Model of Client Suffering (A/AMCS, I organize my response into three broad sections. First, I provide context as to the type of Buddhist tradition from which the A/AMCS draws. In this section, I also address the current debate in Mindfulness-Based Interventions literature regarding the use of explicit vs. implicit Buddhism in treatment. Second, I address issues related to the technical and conceptual integration of the A/AMCS into TLDP. Finally, I re-examine the outcomes of Beth’s and Amy’s cases from the pragmatic standpoint and offer additional thoughts regarding the differing outcomes of the two cases.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"12 1","pages":"336-347"},"PeriodicalIF":0.0,"publicationDate":"2016-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67056721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-17DOI: 10.14713/PCSP.V12I4.1994
T. Schacht
Samlin’s (2016) case studies demonstrate the creative integration of Time-Limited Dynamic Psychotherapy (TLDP) and selected Buddhist psychological concepts. In this commentary I analyze epistemological, theoretical, cultural, and clinical complexities involved in this integration from the perspectives of patient recruitment and selection, therapeutic alliance, diagnostic and outcome assessment, and the nature of the Cyclic Maladaptive Pattern (CMP) concept.
{"title":"A TLDP Therapist Meets the Buddha on a Road and No One Is Killed","authors":"T. Schacht","doi":"10.14713/PCSP.V12I4.1994","DOIUrl":"https://doi.org/10.14713/PCSP.V12I4.1994","url":null,"abstract":"Samlin’s (2016) case studies demonstrate the creative integration of Time-Limited Dynamic Psychotherapy (TLDP) and selected Buddhist psychological concepts. In this commentary I analyze epistemological, theoretical, cultural, and clinical complexities involved in this integration from the perspectives of patient recruitment and selection, therapeutic alliance, diagnostic and outcome assessment, and the nature of the Cyclic Maladaptive Pattern (CMP) concept.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"12 1","pages":"319-335"},"PeriodicalIF":0.0,"publicationDate":"2016-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67056676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：