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Zeitschrift Fur Kinder- Und... Jan 2023
Topics: Adolescent; Child; Humans; Adolescent Psychiatry; COVID-19; Mental Health; Minors; Pandemics; Psychotherapy
PubMed: 36606335
DOI: 10.1024/1422-4917/a000918 -
Zeitschrift Fur Psychosomatische... Feb 2020
Topics: Behavioral Research; Humans; Psychotherapy
PubMed: 32066354
DOI: 10.13109/zptm.2020.66.1.2 -
Der Nervenarzt Nov 2023
Topics: Humans; Psychotherapy; Psychiatry
PubMed: 37910315
DOI: 10.1007/s00115-023-01559-4 -
Journal of Consulting and Clinical... Oct 2022Adapting mental health-care interventions to the race, ethnicity, or culture of the target group can enhance the acceptance and effectiveness of the treatment....
OBJECTIVE
Adapting mental health-care interventions to the race, ethnicity, or culture of the target group can enhance the acceptance and effectiveness of the treatment. Dialectical behavior therapy (DBT) is an evidence-based treatment that is principle-driven, rendering it well-suited for adaptations across cultural contexts. This article conducts a systematic review of the literature to determine the nature and extent of cultural adaptations of DBT to date.
METHOD
We searched databases for original articles describing cultural adaptations of DBT, as applied to both (a) people of color within Western countries and (b) populations within non-Western countries. Consistent with the focus on descriptively characterizing extant DBT cultural adaptations, we included both published and nonpublished studies, as well as both observational and experimental studies.
RESULTS
Our search yielded 18 articles that met inclusion criteria. Of these articles, half described adaptations made with people and communities of color within the U.S. Most adaptations involved modifications to language, metaphors, methods, and context.
CONCLUSIONS
Culturally adapted DBT has been implemented and accepted among several racial, ethnic, and cultural groups, although there is insufficient evidence to determine whether culturally adapted DBT is more efficacious than nonadapted DBT. We conclude with recommendations for best practices for DBT researchers and clinicians, and situate our findings among larger efforts to render existing evidence-based psychotherapies more optimal for people of color and people from non-Western countries. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
Topics: Humans; Dialectical Behavior Therapy; Psychotherapy; Ethnicity; Behavior Therapy
PubMed: 35420839
DOI: 10.1037/ccp0000730 -
American Journal of Psychotherapy Dec 2019Mentalization-how people understand their own minds and those of others-is an attachment-based, normative, cognitive, and affective capacity important to interpersonal... (Review)
Review
Mentalization-how people understand their own minds and those of others-is an attachment-based, normative, cognitive, and affective capacity important to interpersonal relations and to certain kinds of psychotherapy. Mentalization seems related to aspects of, and may hold important implications for, interpersonal psychotherapy (IPT). Weissman and colleagues' IPT manual does not explicitly describe improvement in mentalization as a targeted outcome of therapy, but IPT may utilize mentalization as an underlying process. Recent theory emphasizes the applicability of a mentalization model to many, if not all, types of psychotherapy and suggests particular value for affect-focused and socially focused psychotherapies such as IPT, despite IPT's differences in focus and diagnostic targets from mentalization-based treatments. This article reviews the overlap of these approaches and suggests the potential of mentalization to mediate IPT outcomes.
Topics: Humans; Interpersonal Psychotherapy; Mental Disorders; Mentalization; Treatment Outcome
PubMed: 31752509
DOI: 10.1176/appi.psychotherapy.20190021 -
Zeitschrift Fur Psychosomatische... Mar 2022In different therapeutic approaches, insight is acknowledged as an important part of patient's therapeutic change process. We examined whether the level of insight (1)...
In different therapeutic approaches, insight is acknowledged as an important part of patient's therapeutic change process. We examined whether the level of insight (1) differs between psychoanalytic (PA), psychodynamic (PD) and cognitive-behavioral therapy (CBT), and (2) predicts long-term symptomatic outcome. A completer sample of 67 depressed patients from the Munich Psychotherapy Study was analyzed. Symptoms were assessed with Beck Depression Inventory (BDI) and Symptom Checklist-Revised (SCL-90-R) at pre-treatment and three-year follow-up. Insight was assessed from 242 sessions of mid-therapy phase with the Experiencing Scale. The general level of insight was higher in PA as compared to CBT, and associated with lower depressive symptoms (BDI) across all three therapeutic modalities at three-year follow-up. Insight was unrelated to general distress (SCL-90-R). Exploratory analyses suggested that patients treated with PA showed higher levels of insight especially in high quality sessions (assessed by therapist). Patients for whom the extent of insight was positively linked to session quality, suffered from more depressive symptoms at three-year follow-up than patients gaining insight when session quality was low. Insight differs between PA and CBT and may be a common change mechanism in long-term psychotherapies.
Topics: Cognitive Behavioral Therapy; Depression; Humans; Psychotherapy; Treatment Outcome
PubMed: 34309499
DOI: 10.13109/zptm.2021.67.oa10 -
Zeitschrift Fur Psychosomatische... Dec 2019: In Germany, the official psychotherapy guidelines are oriented towards the model of distinct psychotherapeutic approaches. Within the German health care system this...
: In Germany, the official psychotherapy guidelines are oriented towards the model of distinct psychotherapeutic approaches. Within the German health care system this also applies to the training in psychotherapy. Some critics, however, are presently pleading in favour of abolishing the model of distinct psychotherapeutic approaches, which also implies to abolish the concept of the so called "Richtlinienverfahren" in Germany - approaches of psychotherapy which proved to be efficacious and whose costs are reimbursed by the insurance companies. : The arguments put forward such as the heterogeneity of the approaches as well as the proposed alternatives, for example, an "integrative" model of both mental disorders and psychotherapeutic treatment are critically discussed. : Both the arguments and proposed alternatives are found to be not convincing, neither from a scientific nor from a psychotherapeutic perspective. From a scientific perspective, there is no evidence for efficacy of a "general" or "integrative" model of psychotherapy - which is in contrast to the Richtlinienverfahren for which evidence for efficacy exists. From a psychotherapeutic perspective psychotherapy cannot be taught, learnt and applied by use of tools or modules without a theoretical orientation. : The concept of distinct psychotherapeutic approaches proves to be an in dispensable principal for orientation in psychotherapy, for both therapists and patients.
Topics: Germany; Humans; Mental Disorders; Psychotherapy
PubMed: 31328676
DOI: 10.13109/zptm.2019.65.4.oa1 -
Ugeskrift For Laeger Aug 2023A large patient subgroup (15-35%) with difficult-to-treat depression (DTD) differs from patients with non-DTD in both psychopathological complexity and the effect of... (Review)
Review
A large patient subgroup (15-35%) with difficult-to-treat depression (DTD) differs from patients with non-DTD in both psychopathological complexity and the effect of treatment. This review investigates how the effect of psychotherapy is lower than for non-TRD, possibly related to differing personal characteristics. Psychotherapies such as the cognitive behavioral analysis system of psychotherapy, mindfulness-based cognitive therapy, and schema therapy are promising yet understudied treatment options. In clinical practice, awareness of potential DTD in patients is important to tailor treatment in a timely manner.
Topics: Humans; Depression; Psychotherapy; Cognitive Behavioral Therapy; Mindfulness
PubMed: 37767880
DOI: No ID Found -
The American Psychologist 2019The American Psychological Association (APA) developed a clinical practice guideline (CPG) to provide recommendations on psychological and pharmacological treatments for...
The American Psychological Association (APA) developed a clinical practice guideline (CPG) to provide recommendations on psychological and pharmacological treatments for posttraumatic stress disorder (PTSD) in adults. This paper is a summary of the CPG, including the development process. Members of the guideline development panel (GDP) used a comprehensive systematic review conducted by the Research Triangle Institute-University of North Carolina Evidence-based Practice Center (RTI-UNC EPC) as its primary evidence base (Jonas et al., 2013). The GDP consisted of health professionals from psychology, psychiatry, social work, and family medicine as well as community members who self-identified as having had PTSD. PTSD symptom reduction and serious harms were selected by the GDP as critical outcomes for making recommendations. The GDP strongly recommends use of the following psychotherapies/interventions (in alphabetical order) for adults with PTSD: cognitive-behavioral therapy, cognitive processing therapy, cognitive therapy, and prolonged exposure therapy. The GDP conditionally recommends the use of brief eclectic psychotherapy, eye movement desensitization and reprocessing (EMDR), and narrative exposure therapy (NET). For medications, the GDP conditionally recommends the following (in alphabetical order): fluoxetine, paroxetine, sertraline, and venlafaxine. There is insufficient evidence to recommend for or against offering Seeking Safety, relaxation, risperidone, and topiramate. A subgroup of the GDP reviewed studies published after the systematic review for those treatments that received substantive recommendations; the GDP concluded that future systematic reviews that incorporated those new studies could change the recommendations for EMDR and NET from conditional to strong. For all other treatments, results of the update indicated that recommendations were unlikely to change or that there were no new trials for comparison. The target audience for this CPG includes clinicians, researchers, patients, and policymakers. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
Topics: Adult; Eye Movement Desensitization Reprocessing; Humans; Practice Guidelines as Topic; Psychotherapy; Societies, Scientific; Stress Disorders, Post-Traumatic; Treatment Outcome
PubMed: 31305099
DOI: 10.1037/amp0000473 -
Fortschritte Der Neurologie-Psychiatrie Aug 2019Behavioral therapy has greatly evolved and branched out in different directions since its inception. Three stages in the development of modern behavioral psychotherapies...
Behavioral therapy has greatly evolved and branched out in different directions since its inception. Three stages in the development of modern behavioral psychotherapies can be discerned: behaviorism, the cognitive revolution, and, most recently, the so-called third wave behavioral therapies. Characteristic of third-wave therapies is the great heterogeneity in treatment strategies. To gain a deeper understanding of several third-wave approaches, we here outline relational frame theory (RFT) as an important theoretical foundation. RFT explains how experiential avoidance, a behavioral strategy aimed at eschewing unpleasant internal experiences (e. g., thoughts, feelings, memories), promotes the onset and progression of psychopathology. Acceptance and commitment therapy (ACT), a prime example of a third-wave therapy, focuses on cultivating the skills needed to embrace discomforting thoughts and emotions. Accumulating evidence including meta-analytic evidence supports the effectiveness of ACT in a wide array of psychiatric disorders.
Topics: Acceptance and Commitment Therapy; Emotions; Humans; Language; Memory; Mental Disorders; Psychopathology
PubMed: 29996157
DOI: 10.1055/a-0597-1890