Individual Psychotherapy (individual + psychotherapy)

Distribution by Scientific Domains


Selected Abstracts


The dialogical self in psychotherapy for persons with schizophrenia: A case study

JOURNAL OF CLINICAL PSYCHOLOGY, Issue 2 2007
Paul H. Lysaker
Schizophrenia often involves a profound experience of one's identity as diminished, which complicates adaptation to the demands of daily life. Within a backdrop of dialogical self-theory, we provide a report of an individual psychotherapy over the course of 4 years that assisted a patient suffering from schizophrenia to move from a state in which few aspects of self were available for internal or external conversation to one in which there was greater accessibility of multiple aspects of self, leading to richer dialogues, improved function, and a better quality of life. It is suggested a primary intervention of the therapist was continuously to offer the client a view of himself that invited him to experience himself in a plausible manner shared with and listened to by another. © 2007 Wiley Periodicals, Inc. J Clin Psychol: In Session 63: 129,139, 2007. [source]


THE INFLUENCE OF MARITAL AND FAMILY THERAPY ON HEALTH CARE UTILIZATION IN A HEALTH-MAINTENANCE ORGANIZATION

JOURNAL OF MARITAL AND FAMILY THERAPY, Issue 3 2000
David D. Law
Research has shown that people reduce their use of health care after individual psychotherapy. However, little research has been done to learn if marital and family therapy has a similar effect. Subjects (n = 292) from a health-maintenance organization were randomly selected according to the type of therapy they had received. Subjects' medical records were examined for 6 months before, during, and after therapy. Those who received marital and family therapy significantly reduced their use of health care services by 21.5%. These results show an "offset effect" for marriage and family therapy. [source]


Conceptual frame for selecting individual psychotherapy in the schools

PSYCHOLOGY IN THE SCHOOLS, Issue 3 2009
Tammy L. Hughes
Psychotherapy is a service-delivery that is provided for both general and special education students. This manuscript examines a conceptual framework for determing when to employ psychotherapy within the school-based setting. Decisions are informed by the relationship between problem behavior, therapeutic techniques, short-term outcomes, and overall child development. Both the individual needs of students and the cumulative body of evidence regarding treatment effectiveness are required for intervention selection. The school psychologists' unique training in psychology and education affords the opportunity to effectively use psychotherapy to enhance the academic and social development of children. © 2009 Wiley Periodicals, Inc. [source]


Child Abuse Prevention in Japan: An Approach to Screening and Intervention with Mothers

PUBLIC HEALTH NURSING, Issue 6 2004
Mami Kayama R.N., P.H.N., Ph.D.
Abstract The number of reported child abuse cases is on the increase in Japan. This report describes the testing of an approach to prevention based on a key question: "Do you find any of your children irritating?" The study employed a focus group and a survey. The focus group consisted of 13 mothers who had been severely abusive to their children and were undergoing individual psychotherapy in Tokyo. The survey included 1,538 mothers living with at least one child less than 6 years of age in metropolitan Tokyo. The survey questionnaire asked about mothers' attitudes toward their children and about details and frequency of possibly abusive behavior for their children. All 13 mothers of the focus group reported the experience of feeling their children irritating. They talked extensively and provided many details of their feelings. Of the survey mothers, 3.6% reported feeling their children irritating and showed high scores of abusive behavior. There was a difference in attribution of source of the irritation between these mothers and focus-group mothers. We conclude that the question on irritability is effective in eliciting mothers' feelings and behavior, especially for providing public health nurses with an opportunity for intervention in child abuse. [source]


Psychotherapy as monotherapy for the treatment of bipolar II depression: a proof of concept study

BIPOLAR DISORDERS, Issue 1 2009
Holly A Swartz
Objectives:, We conducted a proof of concept study to determine the feasibility of using an individual psychotherapy, Interpersonal and Social Rhythm Therapy (IPSRT), as monotherapy for the acute treatment of bipolar II depression. Methods:, Unmedicated individuals (n = 17) meeting DSM-IV criteria for bipolar II disorder and currently depressed received weekly psychotherapy (IPSRT) for 12 weeks. After 12 weeks of acute treatment, individuals received an additional 8 weeks of follow-up treatment consisting of continued weekly IPSRT with supplementary lamotrogine for IPSRT non-responders. Results:, By week 12, 41% (n = 7) of the sample responded to IPSRT monotherapy (defined as ,50% reduction in depression scores without an increase in mania scores), 41% (n = 7) dropped out of or were removed from the study, and 18% (n = 3) did not respond to treatment. By week 20, 53% (n = 9) had achieved a response and 29% (n = 5) achieved a full remission of symptoms. Conclusions:, Interpersonal and Social Rhythm Therapy appears to be a promising intervention for a subset of individuals with bipolar II depression. A randomized controlled trial is needed to systematically evaluate the efficacy of IPSRT as an acute monotherapy for bipolar II depression. [source]


The relationship of patient defensive functioning and alliance with therapist technique during short-term psychodynamic psychotherapy

CLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 1 2006
Caleb J. Siefert
This study investigates the relationship of patient defensive functioning, therapeutic alliance and therapists' use of technical interventions in Short-Term Psychodynamic Psychotherapy (STPP; Book, 1998; Luborsky, 1984; Strupp & Binder, 1984; Wachtel, 1993). Participants in this study were 44 patients admitted for individual psychotherapy at a university based outpatient community clinic. Patient defensive functioning was assessed with the Defensive Functioning Scale (DFS) of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; American Psychiatric Association, 1994). Therapeutic alliance was assessed using patient ratings from the Combined Alliance Short Form (CASF; Hatcher & Barends, 1996). External raters coded videotaped sessions using the Comparative Psychotherapy Process Scale (CPPS; Hilsenroth, Blagys, Ackerman Bonge & Blais, in press) to assess the use of Psychodynamic,Interpersonal (PI) and Cognitive,Behavioral (CB) techniques early (third or fourth session) in psychotherapy. Patient Overall Defensive Functioning (ODF) was found to predict therapists' overall use of PI interventions, as well as specific PI and CB interventions. Additionally, patients who utilized fewer adaptive defenses were found to receive more PI interventions in general. The implications of these findings for treatment planning and intervention are discussed.,Copyright © 2006 John Wiley & Sons, Ltd. [source]


Living with anorexia nervosa: the experience of a cohort of sufferers from anorexia nervosa 7.5 years after initial presentation to a specialized eating disorders service

EUROPEAN EATING DISORDERS REVIEW, Issue 2 2001
Eric J. Button
Abstract Objective The main aim of the present study was to further understand how sufferers from anorexia nervosa view the disorder, how it affects their lives and how they experience treatment and help. Method A cohort of anorectic patients were followed up 7.5 years after presentation at a specialist locally-based eating disorders service for adults. All subjects were invited to take part in a semi-structured interview and complete a series of questionnaires. Results Thirty-six subjects were interviewed and the group as a whole showed marked improvement compared with initial presentation, but only 14 per cent were judged to be free of the disorder and about one-quarter remained entrenched in the world of anorexia nervosa. The main results focus on common themes which emerged from the interview and extensive quotes from subjects are used for illustrative purposes. Although each person expressed a very individual experience of the disorder, a common theme was of it emerging as a response to a sense of loss of control in one or more areas of their lives, often centering on their self-image and problems in relationships with others. Although the disorder was commonly experienced as having a devastating effect on their lives, the focus on weight and eating at least offered them some semblance of control. A wide range of experiences of treatment were reported, but there was considerable consensus regarding the importance of individual psychotherapy/counselling and of the quality of relationship with a therapist. Discussion This study confirms the often long-term psychological problems experienced by sufferers from anorexia nervosa and helps to illuminate the client's perspective on the disorder and other people's attempts to help. The individual views of the sufferer are an important consideration for those involved in the planning and delivery of services for these vulnerable people. Copyright © 2001 John Wiley & Sons, Ltd and Eating Disorders Association. [source]