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Sexual Orientation Microaggression Rating Scale (SOMRS): Development and association with alliance ruptures. Psychotherapy (IF 2.6) Pub Date : 2024-09-01 Joey Sergi,Anna Babl,Jonathan T Warren,John E Pachankis,Catherine F Eubanks
Sexual minority clients report experiencing frequent microaggressions during therapy, however, therapists may not recognize those microaggressions or may be reluctant to self-report them. The main aim of the present study was thus to develop an observational measure of in-session therapist-committed microaggressions related to the sexual orientation of sexual minority individuals (e.g., those who identify
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Considerations for the use of dialectical behavior therapy for individuals experiencing oppression. Psychotherapy (IF 2.6) Pub Date : 2024-08-26 Linda A Oshin,Shireen L Rizvi
As the popularity of dialectical behavior therapy (DBT) grows, so does its use with increasingly diverse groups of clients. In this article, we demonstrate that DBT in its standard form can incorporate the sequelae of oppression as a target of treatment by providing clients with skills to identify oppression and its impact while responding effectively. To support the use of DBT with individuals experiencing
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"After the thrill is gone": The role of psychotherapy in coping with romantic breakups. Psychotherapy (IF 2.6) Pub Date : 2024-08-05 Barry A Farber,David Roe,Shana Dickstein,Mossie Lierle,Rachel Cherner,Luisa Garbowit
To investigate the perceptions of ex-romantic partners regarding the extent to which and ways in which psychotherapy facilitates coping with the consequences of the dissolution of past relationships, a multipart survey (Representations of Past Significant Others) that included Likert-type, multiple-choice, and open-ended questions about the ways in which individuals remember a past significant relationship
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Identifying and enhancing the necessary ingredients for cultural humility in supervisory relationships. Psychotherapy (IF 2.6) Pub Date : 2024-07-29 Stephanie Winkeljohn Black,Melanie M Wilcox,Andrés E Pérez-Rojas,Lindsey West
Cultural humility is an oft-studied construct in psychotherapy and supervision and, as such, has multiple definitions and frameworks and is frequently contextualized as the organizing pillar of the multicultural orientation framework (MCO; alongside cultural comfort and cultural opportunities; Davis et al., 2018; Owen, 2013). Many definitions of cultural humility emphasize a high level of self-awareness
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Alliance rupture and repair in adolescent psychotherapy: What clinicians can learn from research. Psychotherapy (IF 2.6) Pub Date : 2024-07-18 Antonella Cirasola,Peter Fonagy,Nick Midgley
The collaborative relationship between a client and therapist, known as the therapeutic alliance, plays an important part in promoting engagement and symptom improvement in adolescent psychotherapy. However, research indicates that alliance strains, called ruptures, are common among this age group, emphasizing the importance of addressing and resolving them for enhanced engagement and better outcomes
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Structurally informed psychodynamic theory case conceptualization: Expanding the conceptualization map. Psychotherapy (IF 2.6) Pub Date : 2024-07-18 Trisha L Raque,Hannah B Meisels
There is a rich history of psychological movements that call upon the field to collaborate with clients to both acknowledge and resist oppression, as well as an increasing emphasis in professional guidelines on conceptualizing clients with attention to the role of the social and physical environment, to contemporary experience with power, privilege, and oppression, and to institutional barriers and
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Should we feel the same? Mutual recognition and congruence between therapist and client regarding ruptures and repairs. Psychotherapy (IF 2.6) Pub Date : 2024-07-08 Rivka Shir,Orya Tishby
The pattern of rupture and repair within therapeutic alliances has been associated with improved outcome. The present study adds to this body of research by examining rupture and repair from a dyadic perspective. First, we examined the relationship between mutual recognition of ruptures, rupture intensity, and client ratings of session helpfulness. We then examined client-therapist congruence regarding
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Preventing dropout in spiritually integrated psychotherapies: What are the effective methods of attending to clients' spirituality? Psychotherapy (IF 2.6) Pub Date : 2024-05-30 Joseph M Currier,Joshua K Swift,Peter Sanders,P Scott Richards
The purpose of this study was to examine associations between clinicians' use of varying types of spiritual interventions in the first session of spiritually integrated psychotherapies (SIPs) and clients' likelihood of returning for a second session. In total, 154 practitioners of SIPs from 33 settings in a practice-research network reported on their implementation of different methods for addressing
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State and trait characteristics of attachment as predictors of outcome in inpatient psychotherapy. Psychotherapy (IF 2.6) Pub Date : 2024-05-23 Simone Jennissen,Matthias Volz,Henning Schauenburg,Ulrike Dinger
Attachment has mostly been investigated as a stable characteristic of individuals, although theoretical considerations and recent empirical findings suggest that attachment styles are also subject to change. When attachment is investigated as a treatment factor in psychotherapy, state and trait characteristics need to be differentiated, as they warrant different conclusions. This study examined the
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The relationship between interpersonal problems and therapeutic alliance in psychotherapy: A three-level mixed-effects meta-analysis. Psychotherapy (IF 2.6) Pub Date : 2024-05-23 Flavio Iovoli,Christoph Flückiger,Juan Martin Gómez Penedo,Julia Hannah Engelhardt,Hanh Hong Kaschlaw,Ruben Lauterbach,Robin A Wester,Julian A Rubel
Psychotherapy is an interpersonal process of collaboration toward specified treatment goals. The therapeutic alliance is well established as an important factor of psychotherapeutic change. However, the experience of distress in social interactions, commonly referred to as interpersonal problems, might be interfering with the collaborative process during psychotherapy. This study systematically reviews
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Native American college students in counseling: Results from a large-scale, multisite effectiveness study. Psychotherapy (IF 2.6) Pub Date : 2024-05-16 Kyesha M Isadore,Jeffrey A Hayes,Christopher J Cutter,Mark Beitel
There is a large body of research exploring therapeutic effectiveness for racially or ethnically minoritized college students. Prior literature highlights the unique mental health and academic challenges faced by Native American students in higher education; however, there is a paucity of research examining the effectiveness of counseling for Native American college students. The present study examined
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Pathological narcissism's impact on psychodynamic group therapy for perfectionism. Psychotherapy (IF 2.6) Pub Date : 2024-05-09 Sabrina Ge,Paul L Hewitt,Samuel F Mikail,Gordon L Flett,David Kealy
Several decades of theory suggest that pathological narcissism (PN) may limit psychotherapy success, but empirical evidence for such theories is limited and mixed. In addition, it has been proposed that individuals with high levels of PN may benefit more from supportive compared to interpretive psychodynamic therapies, but no studies thus far have investigated this question empirically. As such, our
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Psychotherapist factors that patients perceive are associated with treatment failure. Psychotherapy (IF 2.6) Pub Date : 2024-05-09 Sven Alfonsson,Simon Fagernäs,Maria Beckman,Tobias Lundgren
Psychotherapy is a well-established and effective treatment for various psychiatric problems, but a substantial proportion of patients do not benefit from it, and many terminate treatment prematurely. Previous studies suggest that therapist dissatisfaction may play a pivotal role in premature treatment termination. This study, therefore, aimed to investigate therapist factors that may contribute to
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Should psychotherapists conduct visual assessments of nonsuicidal self-injury wounds? Psychotherapy (IF 2.6) Pub Date : 2024-05-02 Nicholas J Westers
Beneficence and nonmaleficence are key ethical principles toward which psychotherapists consistently strive. When patients engage in nonsuicidal self-injury (NSSI) during the course of psychotherapy, therapists may feel responsible for visually assessing the severity of the NSSI wound in order to benefit their patients and keep them from harm. However, there are no guidelines for conducting these visual
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Development and validation of the Gender Identity and Expression Microaggressions in Therapy Scale (GIEMTS). Psychotherapy (IF 2.6) Pub Date : 2024-04-18 Brandon L Velez,Jillian R Scheer,Christian N Adames,Elizabeth Cavic,Aaron S Breslow
Developing affirming interventions for transgender and nonbinary (TNB) therapy clients requires understanding their experiences with microaggressions in psychotherapy, yet no self-report measure of anti-TNB microaggressions in this context exists. Moreover, few studies have tested the associations between anti-TNB microaggressions and therapy processes. To better address the burden of unmet mental
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The evolution of feedback: Toward a multicultural orientation. Psychotherapy (IF 2.6) Pub Date : 2024-04-18 Barry L Duncan,Robert J Reese
There have been great strides in psychology regarding diversity, equity, inclusion, and multicultural competence, but a need remains to translate these values into actionable practices in psychotherapy. While the case has been made that measurement-based care is an evidence-based intervention that improves outcomes and reduces dropouts (de Jong et al., 2021) and recently that it provides a transparent
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Beyond the dyad: Broadening the APA supervision guidelines to include group supervision. Psychotherapy (IF 2.6) Pub Date : 2024-03-28 Maria T Riva,Randyl D Smith
Group supervision is an extensively used format across many training agencies, yet it has been largely disregarded in theory and research within the supervision literature. In fact, the Guidelines for Clinical Supervision in Health Service Psychology (American Psychological Association, 2015a) mentions group supervision only one time, despite the fact that supervision within a group context includes
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Let's get real: Identity concealment, burnout, and therapeutic relationship quality among psychology trainees with concealable stigmatized identities. Psychotherapy (IF 2.6) Pub Date : 2024-03-21 Benjamin F Shepherd,Paula M Brochu
Identity concealment thwarts psychological needs of authenticity and belonging, both of which are important for mental health and relationship building. Through the lens of minority stress theory and relational-cultural theory, the present study examined whether identity concealment in the workplace by psychology trainees is indirectly associated with greater burnout and poorer therapeutic relationship
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A tripartite model of the psychotherapy relationship: Interrelations among its components and their unfolding across sessions. Psychotherapy (IF 2.6) Pub Date : 2024-03-18 Erin M Hill,Mira An,Dennis M Kivlighan,Charles J Gelso
The tripartite model of the therapy relationship, which includes the working alliance, real relationship, and transference-countertransference configuration, has been a useful way to conceptualize the complexity of the connection between a therapist and a client. However, little research has focused on the interrelationships between these three components over time. This study sought to replicate the
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Therapist contribution, client reflective functioning, and alliance rupture-repair: A microprocess case study of psychodynamic therapy for pregnancy after loss. Psychotherapy (IF 2.6) Pub Date : 2024-03-14 Rayna D Markin,Kevin S McCarthy
Meta-analysis has found a significant relation between rupture-repair and client outcome (Eubanks et al., 2018). Rupture-repair processes may be particularly important in psychotherapy for pregnancy loss wherein ruptures related to client feelings of shame and inadequacy, the societal invalidation of perinatal grief, and reenactments in the therapy relationship of early attachment experiences have
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Automating the assessment of multicultural orientation through machine learning and natural language processing. Psychotherapy (IF 2.6) Pub Date : 2024-02-01 Simon B Goldberg,Michael Tanana,Shaakira Haywood Stewart,Camille Y Williams,Christina S Soma,David C Atkins,Zac E Imel,Jesse Owen
Recent scholarship has highlighted the value of therapists adopting a multicultural orientation (MCO) within psychotherapy. A newly developed performance-based measure of MCO capacities exists (MCO-performance task [MCO-PT]) in which therapists respond to video-based vignettes of clients sharing culturally relevant information in therapy. The MCO-PT provides scores related to the three aspects of MCO:
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Leveraging natural language processing to study emotional coherence in psychotherapy. Psychotherapy (IF 2.6) Pub Date : 2024-01-18 Dana Atzil-Slonim,Amir Eliassaf,Neha Warikoo,Adar Paz,Shira Haimovitz,Tobias Mayer,Iryna Gurevych
The association between emotional experience and expression, known as emotional coherence, is considered important for individual functioning. Recent advances in natural language processing (NLP) make it possible to automatically recognize verbally expressed emotions in psychotherapy dialogues and to explore emotional coherence with larger samples and finer granularity than previously. The present
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Bridging the multicultural orientation framework with sexual and gender minority psychotherapy: A mixed studies systematic review. Psychotherapy (IF 2.6) Pub Date : 2024-01-11 Olivia Fischer,Daniel W Cox,Johanna M Mickelson,Kelly Lyons
Sexual and gender minorities (SGM) experience higher rates of psychological distress and seek psychotherapy at higher rates compared to their heterosexual and cisgender counterparts. However, few therapists are trained on how to provide effective psychotherapy with SGM clients. The multicultural orientation (MCO) framework, which has been linked to improved therapeutic processes and outcomes, may be
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Correction to Hill and Norcross (2023). Psychotherapy (IF 2.6) Pub Date : 2023-12-01
Reports an error in "Psychotherapy skills and methods: Introduction to the special issue" by Clara E. Hill and John C. Norcross (Psychotherapy, 2023[Sep], Vol 60[3], 237-245). In the article, the correct affiliation for John C. Norcross is the Department of Psychology, University of Scranton. The online version of this article has been corrected, (The following abstract of the original article appeared
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Correction to Timulak et al. (2022). Psychotherapy (IF 2.6) Pub Date : 2023-12-01
Reports an error in "A comparison of emotion-focused therapy and cognitive-behavioral therapy in the treatment of generalized anxiety disorder: Results of a feasibility randomized controlled trial" by Ladislav Timulak, Daragh Keogh, Craig Chigwedere, Charlotte Wilson, Fiona Ward, David Hevey, Patrick Griffin, Louise Jacobs, Suzanne Hughes, Christina Vaughan, Kea Beckham and Shona Mahon (Psychotherapy
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Validation of the German version of the Comparative Psychotherapy Process Scale. Psychotherapy (IF 2.6) Pub Date : 2023-11-30 Klaus Michael Reininger,Hannah Marie Biel,David Algner-Herzmann,Timo Hennig,Sarah Liebherz,Christoph Kröger,Steffen Moritz,Peer Briken,Bernd Löwe
The Comparative Psychotherapy Process Scale (CPPS) is a 20-item scale which aims to capture technical features distinguishing cognitive behavioral (CBT) from psychodynamic (PD) psychotherapy (and vice versa) in two corresponding subscales (CBT and PD Subscale). Our objective was to validate a German self-report version of the CPPS regarding a previous psychotherapy session in a psychotherapist- and
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Repairing alliance ruptures in psychodynamic psychotherapy with young people: The development of a rational-empirical model to support youth therapists. Psychotherapy (IF 2.6) Pub Date : 2023-11-13 Antonella Cirasola,Nick Midgley,J Christopher Muran,Catherine F Eubanks,Elaine Budreck Hunter,Peter Fonagy
Alliance ruptures in youth psychotherapy can have a significant impact on treatment outcomes. However, there is currently limited guidance on how to effectively repair these ruptures with young people. This study aims to address this gap specifically in the context of psychodynamic psychotherapy with adolescents. The objectives of the study are (a) to understand the therapeutic interventions and attitudes
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Facilitating children's in-session involvement in child and family therapies: A dynamic framework of clinical practices. Psychotherapy (IF 2.6) Pub Date : 2023-11-02 Kristina Edman,Anna W Gustafsson,Carin B Cuadra
Children's in-session involvement in child and family therapies correlates with both positive and negative treatment outcomes. Thus, it is important to gain a better understanding of the clinical practices that facilitate children's involvement in therapy sessions so that practitioners can employ them with greater precision. To address this need, we conducted a study to answer the following question:
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Alexithymia and treatment response for prolonged exposure therapy: An evaluation of outcomes and mechanisms. Psychotherapy (IF 2.6) Pub Date : 2023-11-02 Andrea Putica,Nicholas T Van Dam,Kim L Felmingham,Meaghan L O'Donnell
Alexithymia is the inability to identify and recognize emotions. The present study examined the impact of alexithymia on prolonged exposure (PE) therapy. Participants (n = 68) with PTSD underwent 10 PE sessions. Alexithymia was assessed via the Toronto Alexithymia Scale (TAS-20) and the emotional clarity and awareness subscales of the Difficulties in Emotion Regulation Scale. Treatment outcomes were
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A qualitative meta-analysis exploring client-reported outcomes of couple therapy. Psychotherapy (IF 2.6) Pub Date : 2023-10-30 Ronan O'Malley,Rebecca Glenny,Simone Poppleton,Ladislav Timulak
The quantitative reviews of the outcome research on couple therapy show that this type of therapy can produce positive outcomes for couples and improve relationship satisfaction. There is now also a number of qualitative studies in which clients report in their own words on the outcomes of couple therapy. This study aimed to meta-analyze the client-reported outcomes of couple therapy generated in the
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Dynamic relations between mentalization techniques and therapeutic alliance in psychodynamic child therapy: An evidence-based case study. Psychotherapy (IF 2.6) Pub Date : 2023-10-19 Dilara Güvenç,Sibel Halfon
Therapeutic alliance and mentalization are common factors inherent to all effective treatments. Mentalization-based interventions have the potential to create a safe relationship, which makes further mentalizing interventions possible. However, to date, no study has examined the bidirectional relationship between these variables in child psychotherapy. In an evidence-based case study design, psychodynamic
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Healing from weight stigma in community: A thematic analysis of a group intervention for large-bodied individuals. Psychotherapy (IF 2.6) Pub Date : 2023-10-19 Lisa M Brownstone,Devin A Kelly,Erin N Harrop,Hannah N Norling,L P Palazzolo,Orphea Wright,Emily Tiede
Discrimination against and negative beliefs about large-bodied individuals, known as weight stigma, is pervasive and harmful. While previous research has focused on the negative consequences of weight stigma, the present study aims to highlight the lived experience of large-bodied individuals while also exploring the process of healing from harmful experiences of weight stigma. Ten adult (9/10 White
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The effects of intensive short-term dynamic psychotherapy on depressive symptoms, negative affect, and emotional repression in single treatment-resistant depression: A randomized controlled trial. Psychotherapy (IF 2.6) Pub Date : 2023-10-16 Rasoul Heshmati,Frederik J Wienicke,Ellen Driessen
Intensive short-term dynamic psychotherapy (ISTDP) is theorized to reduce negative affect by challenging patients' defense mechanisms so that they can experience and work through attachment-trauma-related emotions. While ISTDP has been shown to decrease depressive symptoms in single treatment-resistant depression (TRD), it has not been established whether negative affect and emotional repression are
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Psychotherapist variables that may lead to treatment failure or termination-A qualitative analysis of patients' perspectives. Psychotherapy (IF 2.6) Pub Date : 2023-10-12 Sven Alfonsson,Simon Fagernäs,Gabriella Sjöstrand,Mårten J Tyrberg
A substantial number of patients do not improve from psychotherapy, some even deteriorate, and some terminate treatment prematurely. Identifying therapist variables that may lead to treatment failures from patients' perspectives can inform how psychotherapists can increase effectiveness. Using a semistructured protocol, we interviewed 24 patients who had experienced unsatisfying individual face-to-face
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Words count in psychotherapy: Differentiating language characteristics of cognitive behavioral therapy and focal psychodynamic therapy for anorexia nervosa. Psychotherapy (IF 2.6) Pub Date : 2023-10-12 Simon Palmer,Timo Brockmeyer,Stephan Zipfel,Beate Wild,Gaby Resmark,Martin Teufel,Katrin Giel,Martina de Zwaan,Andreas Dinkel,Stephan Herpertz,Markus Burgmer,Bernd Löwe,Sefik Tagay,Eva Rothermund,Almut Zeeck,Wolfgang Herzog,Hans-Christoph Friederich
It is generally assumed that psychodynamic therapy and cognitive behavioral therapy (CBT) differ in terms of applied techniques and processes. To date, however, little is known about whether and how such differences can actually be observed at a basic linguistic level and in what the two treatment approaches differ most strongly (i.e., how psychodynamic and CBT therapists differ in what they actually
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Prospective psychotherapists' bias and accuracy in assessing their own facilitative interpersonal skills. Psychotherapy (IF 2.6) Pub Date : 2023-10-05 Merle Longley,Denise Kästner,Anne Daubmann,Constance Hirschmeier,Bernhard Strauß,Antje Gumz
We aimed to investigate prospective psychotherapists' bias in assessing their own facilitative interpersonal skills (FIS) and predictors of high self-assessments. In this cross-sectional observational study, we examined 132 psychology students and trainee psychotherapists. Therapists' demographic variables and self-concepts were assessed through self-report questionnaires, and their therapeutic skills
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Using machine learning algorithms to predict the effects of change processes in psychotherapy: Toward process-level treatment personalization. Psychotherapy (IF 2.6) Pub Date : 2023-10-05 Juan Martín Gómez Penedo,Julian Rubel,Manuel Meglio,Leo Bornhauser,Tobias Krieger,Anna Babl,Roberto Muiños,Andrés Roussos,Jaime Delgadillo,Christoph Flückiger,Thomas Berger,Wolfgang Lutz,Martin Grosse Holtforth
This study aimed to develop and test algorithms to determine the individual relevance of two psychotherapeutic change processes (i.e., mastery and clarification) for outcome prediction. We measured process and outcome variables in a naturalistic outpatient sample treated with an integrative treatment for a variety of diagnoses (n = 608) during the first 10 sessions. We estimated individual within-patient
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Meaning reconstruction 70 years later: Processing older adults' unfinished business in a drama therapy group. Psychotherapy (IF 2.6) Pub Date : 2023-09-04 Shoshi Keisari,Dani Yaniv,Anat Gesser-Edelsburg,Yuval Palgi,Robert A Neimeyer
Unfinished business (UB), when individuals appraise their relationship with others or themselves as incomplete or unresolved, entails difficult emotions such as regret, remorse, and guilt. UB is often associated with bereavement and is considered to be a predictor of complicated grief. Here we report two case studies describing the processing of the sudden death of a significant other in the context
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I see you as recognizing me; therefore, I trust you: Operationalizing epistemic trust in psychotherapy. Psychotherapy (IF 2.6) Pub Date : 2023-09-04 Shimrit Fisher,Peter Fonagy,Hadas Wiseman,Sigal Zilcha-Mano
Epistemic trust (ET) is one's ability to trust others and relies on the information they convey as being relevant and generalizable. This concept has received considerable theoretical and clinical attention, suggesting it is a promising factor in effective psychotherapy, possibly consisting of three elements: sharing, we-mode, and learning. However, for it to be used in clinical practice and research
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Retraction of Cuttler et al. (2019). Psychotherapy (IF 2.6) Pub Date : 2023-09-01
Reports the retraction of "Productive silence is golden: Predicting changes in client collaboration from process during silence and client attachment style in psychodynamic psychotherapy" by Ethan Cuttler, Clara E. Hill, Shakeena King and Dennis M. Kivlighan Jr. (Psychotherapy, 2019[Dec], Vol 56[4], 568-576) https://doi .org/10.1037/pst0000260. This retraction is at the request of coauthors Hill and
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Correction to Ryum et al. (2023). Psychotherapy (IF 2.6) Pub Date : 2023-09-01
Reports an error in "Integrating between-session homework in psychotherapy: A systematic review of immediate in-session and intermediate outcomes" by Truls Ryum, Mia Bennion and Nikolaos Kazantzis (Psychotherapy, Advanced Online Publication, Apr 27, 2023, np). In the article (https://doi.org/10.1037/ pst0000488), the number of included studies in Figure 2 omitted two studies that were added to the
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Retraction of Morales et al. (2018). Psychotherapy (IF 2.6) Pub Date : 2023-09-01
Reports the retraction of "Therapist effects due to client racial/ethnic status when examining linear growth for client- and therapist-rated working alliance and real relationship" by Katherine Morales, Brian TaeHyuk Keum, Dennis M. Kivlighan Jr., Clara E. Hill and Charles J. Gelso (Psychotherapy, 2018[Mar], Vol 55[1], 9-19) https://doi.org/10.1037/pst0000135. This retraction is at the request of coauthors
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Psychotherapy skills and methods: Introduction to the special issue. Psychotherapy (IF 2.6) Pub Date : 2023-09-01 Clara E Hill,John C Norcross
This article introduces the special issue of Psychotherapy on evidence-based skills and methods and concomitantly, outlines the purposes and processes of the Interorganizational Task Force that guided the work. We provide the rationale for reviewing psychotherapy skills and methods, define and contrast skills and methods with other components of psychotherapy, describe how to assess skills, methods
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Asian international psychotherapist's experiences of client's microaggression in therapy. Psychotherapy (IF 2.6) Pub Date : 2023-08-24 Kun Wang,Christopher Anders,Yu Chak Sunny Ho,Yunkyoung Loh Garrison,D Martin Kivlighan
Much of the multicultural counseling literature focuses on how White or U.S.-born therapists can work effectively with clients of color. However, with the increasing number of racial minority and international therapists and trainees, there is a need to expand the multicultural counseling literature to acknowledge and center the experiences of therapists and trainees of color, particularly the experiences
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Are changes in joviality associated with cognitive behavioral treatment outcomes? Examining an emerging treatment target. Psychotherapy (IF 2.6) Pub Date : 2023-08-14 Daniella Spencer-Laitt,Laura J Long,Lauren S Woodard,Brittany A Jaso,Nicole D Cardona,Saige R Fong,Todd J Farchione
The present study expands on the growing body of research on the effects of cognitive behavioral therapy (CBT) on positive affect. More specifically, we explore how CBT may promote increases in the Joviality subscale of the Positive and Negative Affect Schedule-Expanded Form (PANAS-X), a measure of self-rated affect that captures positive emotions, including joy and excitement, and how change in joviality
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Experiential training of mental health graduate students in emotional processing skills: A randomized, controlled trial. Psychotherapy (IF 2.6) Pub Date : 2023-06-29 Jolin B Yamin,Ciara N Cannoy,Katey M Gibbins,Shoshana Krohner,Lisa J Rapport,Christopher J Trentacosta,Lori Lackman Zeman,Mark A Lumley
Emotional processing interventions for trauma and psychological conflicts are underutilized. Lack of adequate training in emotional processing techniques and therapists' lack of confidence in utilizing such interventions are barriers to implementation. We developed and tested an experiential training to improve trainees' performance in a set of transtheoretical emotional processing skills: eliciting
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The development of a comprehensive coding system for evaluating insight based on a clinical interview: The SUIP-I coding system. Psychotherapy (IF 2.6) Pub Date : 2023-06-01 Lirit Yaffe-Herbst,Maya Joffe,Galit Peysachov,Aviv Nof,Mary Beth Connolly Gibbons,Paul Crits-Christoph,Sigal Zilcha-Mano
Gaining insight is considered a cornerstone of psychodynamic psychotherapy. Existing tools used to measure insight mainly include patients' self-report questionnaires and external coding of therapy sessions. To expand on the available tools, the present study developed a comprehensive coding system for the Self-Understanding of Interpersonal Patterns Scales-Interview (SUIP-I; Gibbons & Crits-Christoph
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Psychologists conducting psychotherapy in 2022: Contemporary practices and historical patterns of the Society for the Advancement of Psychotherapy. Psychotherapy (IF 2.6) Pub Date : 2023-05-18 John C Norcross,Maria N Rocha,Ashley A Chrysler
This study updated and extended investigations from 1981, 1991, 2001, and 2012 on the contemporary psychotherapy practices and historical patterns of United States psychologists in the American Psychological Association Division of Psychotherapy/Society for the Advancement of Psychotherapy. In 2022, 475 psychologists (48% response) completed an online questionnaire regarding their sociodemographic
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Transference and client attachment to therapist in psychodynamic psychotherapy. Psychotherapy (IF 2.6) Pub Date : 2023-05-11 Kathryn V Kline,Clara E Hill,Yun Lu,Charles J Gelso
Although there are theorized connections between client transference and their attachment to their therapists (Bowlby, 1969/1982), limited empirical research exists examining their association over the course of psychotherapy. We thus examined the association between positive and negative transference and client attachment to therapist across the course of open-ended psychodynamic psychotherapy for
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Chairwork in individual psychotherapy: Meta-analyses of intervention effects. Psychotherapy (IF 2.6) Pub Date : 2023-05-11 Antonio Pascual-Leone,Tabarak Baher
The present study examines (a) the unique effects of chairwork on emotional process and intervention outcomes across treatments in the context of individual psychotherapy and (b) how these effects compare to other treatment interventions. Based on the appropriateness of the data available, meta-analyses with estimated effect sizes and narrative syntheses were conducted for psychotherapy process as
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Integrating between-session homework in psychotherapy: A systematic review of immediate in-session and intermediate outcomes. Psychotherapy (IF 2.6) Pub Date : 2023-04-27 Truls Ryum,Mia Bennion,Nikolaos Kazantzis
[Correction Notice: An Erratum for this article was reported in Vol 60(3) of Psychotherapy (see record 2023-99100-002). In the article (https://doi.org/10.1037/ pst0000488), the number of included studies in Figure 2 omitted two studies that were added to the literature synthesis. Therefore, the following has been added to the Reports excluded box in Figure 2: A further two studies were added to the
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Working with dreams and nightmares: A review of the research evidence. Psychotherapy (IF 2.6) Pub Date : 2023-04-27 Patricia T Spangler,Wonjin Sim
In this article, we describe methods for working with dreams and nightmares in individual psychotherapy, provide clinical examples, and review research evidence of immediate and distal outcomes of each method. An original meta-analysis of eight studies using the cognitive-experiential dream model with 514 clients showed moderate effect sizes for session depth and insight gains. In the nightmare treatment
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Consensus on the perceived presence of transtheoretical principles of change in routine psychotherapy practice: A survey of clinicians and researchers. Psychotherapy (IF 2.6) Pub Date : 2023-04-20 Conal Twomey,Gary O'Reilly,Marvin R Goldfried
Goldfried (1982) hypothesized that there are five transtheoretical principles of change that guide routine psychotherapy practice. This survey investigated if there is consensus on the perceived presence of these principles in the approaches of a professionally diverse pool of psychotherapy clinicians and researchers. One thousand nine hundred ninety-eight participants, aged 21-85 years (M = 50.4 years
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Skills and methods that work in psychotherapy: Observations and conclusions from the special issue. Psychotherapy (IF 2.6) Pub Date : 2023-04-10 Clara E Hill,John C Norcross
We draw recommendations and conclusions from the articles presented in this special issue and the companion special section in Psychotherapy Research on evidence-based therapist skills and methods. For distal (end-of-treatment) outcome, 10 skills/methods were judged to be demonstrably effective (affirmation/validation, paradoxical interventions, homework, routine outcome monitoring, strength-based
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Silences in psychotherapy: An integrative meta-analytic research review. Psychotherapy (IF 2.6) Pub Date : 2023-04-06 Heidi M Levitt,Zenobia Morrill
There is research evidence, from both qualitative and quantitative studies, that silences in psychotherapy have established associations with good and poor outcomes that include and extend beyond symptom measures to processes such as insight, symbolization, and disengagement. Research also has demonstrated that therapists attend to clients' silences, seeking to comprehend the processes therein and
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A systematic review of the association between interpretations and immediate, intermediate, and distal outcomes. Psychotherapy (IF 2.6) Pub Date : 2023-04-06 Sigal Zilcha-Mano,Hadar Fisher,Tohar Dolev-Amit,John R Keefe,Jacques P Barber
Interpretations are a hallmark of psychodynamic treatment and a method used in other theoretical orientations as well. Therapists use interpretations to increase patients' insight concerning unconscious and preconscious elements in their lives, with the ultimate aim to reduce mental pain and suffering and improve mental health. This systematic review focuses on the association between the therapists'
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Group psychotherapy for chronic pain: A meta-analysis. Psychotherapy (IF 2.6) Pub Date : 2023-03-30 Cameron Alldredge,Gary Burlingame,Jenny Rosendahl
Chronic pain is common among adults and frequently interferes with regular functioning while reducing quality of life. Though pharmacological approaches are used most frequently to treat pain-related issues, the side effects often lead to other problems. Group therapy has been used and studied for decades in treating pain although its general efficacy in this is not clear. We conducted a meta-analysis
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The sum of competing parts: Religious and sexual identity disparities in therapist effectiveness. Psychotherapy (IF 2.6) Pub Date : 2023-03-30 Laurice Cabrera,Joanna M Drinane,Jake Van Epps,Lauren Weitzman
The discussion of the influence of culture in psychotherapy is expanding to honor and incorporate the ways identities intersect within complex social systems. Some clients present for therapy with two or more identities that are in conflict, whereby the values or needs associated with different parts of the self are at odds. The resulting tension can be a significant driver of distress. This study
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A systematic research review of collaborative assessment methods. Psychotherapy (IF 2.6) Pub Date : 2023-03-27 Filippo Aschieri,Arnold A P van Emmerik,Carlijn J M Wibbelink,Jan H Kamphuis
Collaborative assessment methods (CAMs) involve working with clients during all phases of the assessment process, from goal definition to interpretation of the testing results to the recommendations and conclusions. In this article, we define CAMs, provide clinical examples, and then meta-analyze the published literature to assess their effectiveness on distal treatment outcomes. Our meta-analytic
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Examining between- and within-person effects of the self-stigma of seeking psychological help on the therapeutic working alliance: The moderating role of psychological distress. Psychotherapy (IF 2.6) Pub Date : 2023-03-23 Andrew J Seidman,David L Vogel,Daniel G Lannin
The self-stigma (i.e., shame) associated with psychotherapy is a prominent barrier to seeking psychological help, but less is known about its effects after treatment begins. Evidence suggests that self-stigma may interfere with the formation of the therapeutic alliance, but no studies have examined this throughout the course of psychotherapy. Self-stigma's erosion of the alliance may be most pronounced