Search results for ‘Subject term:"mental health problems"’ Sort:
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From nightmare to memories
- Author:
- LOGIE Robin
- Journal article citation:
- Therapy Today, 23(6), July 2012, pp.28-31.
- Publisher:
- British Association for Counselling and Psychotherapy
Eye movement desensitisation and reprocessing (EMDR) is a form of therapy mainly used in treatment of post-traumatic stress disorder and other trauma-related mental health problems. This article outlines the development of EMDR and its use as a psychological treatment, and describes the process of EMDR therapy sessions from the therapist's and client's perspectives. It reports that use of EMDR has become more diverse and looks in particular at its application in 3 areas: depression, obsessive compulsive disorder and pain. It discusses the effectiveness of EMDR treatment and research into its application. It also briefly explains how to train in EMDR.
Psychodynamic psychotherapy for children and adolescents: a critical review of the evidence base
- Authors:
- MIDGLEY Nick, KENNEDY Eilis
- Journal article citation:
- Journal of Child Psychotherapy, 37(3), December 2011, pp.232-260.
- Publisher:
- Routledge
For many years psychoanalytic and psychodynamic therapies have been considered to lack a credible evidence-base and have consistently failed to appear in lists of ‘empirically supported treatments’. Recent reviews have improved the evidence-base in relation to the psychodynamic treatment of adults. The aim of this review is to look critically at the research evaluating the efficacy and effectiveness of psychodynamic psychotherapy for children and young people. Following a comprehensive search, 34 separate studies were identified that met the criteria for inclusion, including 9 randomised controlled trials. The findings from these studies are discussed in relation to the outcomes for children and young people with: mixed diagnosis; experience of maltreatment, trauma and neglect; disruptive disorders; emotional disorders; depression; a physical illness; anorexia nervosa; obsessive compulsive disorders; and learning difficulties. Many of these studies are limited by the small sample size, and lack of carefully selected control groups. Despite this, the review indicates that there is increasing evidence to suggest the effectiveness of psychoanalytic psychotherapy for children and adolescents.
Psychodynamic psychotherapy: a quantitative, longitudinal perspective
- Authors:
- ROSEBOROUGH David J., MCLEOD Jeffrey T., BRADSHAW William H.
- Journal article citation:
- Research on Social Work Practice, 22(1), January 2012, pp.54-67.
- Publisher:
- Sage
The effectiveness of long-term psychodynamic psychotherapy has gathered international media attention. This quantitative study investigated the course of treatment over time and the outcomes associated with psychodynamic psychotherapy for a sample of 1,050 people undertaking in a community setting in state of Utah, United States. The treatment occurred over the course of 4 years, and was measured at 3-month intervals, using the Outcome Questionnaire (OQ)-45.2. Multilevel modelling was used to look at the longitudinal nature of change and at potentially meaningful moderating variables. Findings indicated a strong general improvement, though a more moderate one than described in other meta-analyses including primarily prospective studies. The treatment was followed by broad improvements, over time, with a general trend and few notable interaction effects. The treatment involved little deterioration, particularly in the first year. Further analysis suggested that clients with higher initial symptom severity showed greater improvement, and a unique course of recovery with clients who stayed over a year. Implications for practice are discussed.
Different approaches to understanding patients in general practice in Denmark: a qualitative study
- Authors:
- DAVIDSEN Annette Sofie, REVENTLOW Susanne
- Journal article citation:
- British Journal of Guidance and Counselling, 39(3), June 2011, pp.209-226.
- Publisher:
- Taylor and Francis
Common mental health problems constitute a significant element of the workload of general practitioners (GPs), with estimates varying from 25% to 50%. The proposed treatment for many of these disorders is some form of psychotherapy, either alone or combined with pharmacotherapy. This qualitative interview and observation study aimed to explore Danish GPs' approaches to emotional problems and mental disorders in 'talking therapy' and in routine consultations. Semi-structured interviews were held with 14 GPs, and observations were made during 3 consecutive days in the practices of 4 of the participants. Different typical approaches were identified and could be described using the concept of mentalisation. Five participants had a mentalising approach in which they offered many sessions of talking therapy and tried to understand patients’ problems as conjoined with their life situations. Six participants had a limited mentalising approach; 3 of these described how they often lost engagement in therapies. The remaining 3 participants were satisfied with the biomedical professional identity and did not engage in patients' emotional problems. The individual participant's approach in talking therapy was mirrored in routine consultations. The article concludes that training a mentalising or reflective stance might promote more uniform therapeutic approaches to patients' emotional problems.
Recovery among youths referred to outpatient psychotherapy: reliable change, clinical significance, and predictors of outcome
- Authors:
- ASH Sarah E., WEIS Robert
- Journal article citation:
- Child and Adolescent Social Work Journal, 26(5), October 2009, pp.399-413.
- Publisher:
- Springer
The outcomes of 35,429 children and young people (5–17 years of age) referred to public outpatient psychotherapy programs in Ohio were examined. One year after intake, approximately 55% of youths showed statistically reliable symptom reduction whereas 8% showed reliable symptom exacerbation. Approximately one-third of the sample showed both reliable and clinically significant improvement. Outcomes varied significantly by informant, client age, and client gender. Results indicate that many children and young people improve during the course of therapy but most remain symptomatic 1 year after intake.
What does the volcano have to say? Integrative arts psychotherapy in a therapeutic community setting
- Author:
- STEWART Jane
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 30(4), Winter 2009, pp.424-437.
- Publisher:
- Emerald
Within the Winterbourne Therapeutic Community, a non-residential community in Berkshire, Integrative Arts Psychotherapy (IAP) is offered as a weekly group session. In this paper the author examines the experience of adapting the IAP model, providing opportunities to communicate emotional experience using both verbal and non-verbal metaphor via a range of art forms, to a therapeutic community setting. The article looks at how the IAP model and therapeutic community philosophy complement and sometimes compromise each other, the challenges of developing an arts culture within the therapeutic community, and how members use the arts to support their progress in therapy, both as observers or consumers of art and as artists making images as part of their therapeutic process. The article includes both anecdotal evidence from colleagues and members of the community and images.
A short history of psychodynamic psychotherapy for people with learning disabilities
- Author:
- O’DRISCOLL David
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 3(4), December 2009, pp.4-9.
- Publisher:
- Emerald
Since the 1980’s, individual psychodynamic psychotherapy for people with learning disabilities has been more readily available. Though numerous case studies and reports of effectiveness have been published, little is known about the history of psychodynamic psychotherapy. This paper, a historical account of this valuable treatment, discusses some of the clinicians’ case reports, views and conclusions. Examining the reasons why this treatment initially failed to be developed, ranging from widespread therapeutic pessimism to inability in the therapist to process the ‘disability transference’, this paper outlines the various British contributions before and after the ground-breaking work of Valerie Sinason, whose 1992 book is still the most he most influential contribution. First looking at the ‘early ideas and practice’ of treatments destined to become psychodynamic psychotherapy, the author goes on to look at the ‘growing confidence’ within the community, the ‘breakthrough at Tavistock’, and examines the ‘sources of resistance’ which still persist.
Developing evidence-based guidance – implications for systemic interventions
- Author:
- PILLING Stephen
- Journal article citation:
- Journal of Family Therapy, 31(2), May 2009, pp.194-205.
- Publisher:
- Wiley
This article provides a brief review of the history and current approaches to the development of clinical guidelines, particularly as applied to systemic and more generally psychological therapies. The National Institute for Excellence (NICE) guidelines in the UK are used as an example. Some commonly identified problems associated with guideline development in mental health are reviewed and their implications for guideline development considered. The challenges this work presents for systemic therapies are considered, along with likely future development in clinical guidelines.
Who stays in treatment? Child and family predictors of youth client retention in a public mental health agency
- Authors:
- MILLER Lauren M., SOUTHAM-GEROW Michael A., ALLIN Robert B.
- Journal article citation:
- Child and Youth Care Forum, 37(4), August 2008, pp.153-170.
- Publisher:
- Springer
The present study examined predictors of youth client retention in therapy in a large community-based sample in the United States. Several conceptualizations of retention were used, including (a) “intake retention” (i.e., returned to treatment after intake session); (b) “mutual termination” (i.e., termination agreed upon by family and therapist), (c) “mean treatment duration” (i.e., completing the mean number of sessions in the agency), and (d) “total treatment duration” (i.e., total number of sessions). Archival data from over 400 children and adolescents who sought treatment at a large public mental health clinic were analyzed using regression analyses. Although different predictors were identified across the various conceptualizations, a few robust predictors emerged including ethnicity and client symptom severity. Clinical implications and future research directions are discussed.
A naturalistic study of intensive short-term dynamic psychotherapy trial therapy
- Authors:
- ABBASS Allan A., JOFFRES Michel R., OGRODNICZUK John S.
- Journal article citation:
- Brief Treatment and Crisis Intervention, 8(2), May 2008, pp.164-170.
- Publisher:
- Oxford University Press
The objective is to study the effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) trial therapies. In a tertiary psychotherapy service, Brief Symptom Inventory (BSI), Inventory of Interpersonal Problems (IIP) medication use, and need for further treatment were evaluated before versus 1-month post trial therapy in a sequential series of 30 clients. Trial therapies were interviews with active focus on emotions and how they are experienced. The interviews resulted in statistically significant improvements on all BSI subscales and one of the IIP subscales. One-third of clients required no further treatment, seven stopped medications, and two returned to work following trial therapy. The ISTDP trial therapy appeared to be clinically effective and cost effective.