Pretreatment and process predictors of outcome in interpersonal and cognitive behavioral psychotherapy for binge eating disorder.

The present study examined pretreatment and process predictors of individual nonresponse to psychological group treatment of binge eating disorder (BED). In a randomized trial, 162 overweight patients with BED were treated with either group cognitive-behavioral therapy or group interpersonal psychotherapy. Treatment nonresponse, which was defined as nonabstinence from binge eating, was assessed at posttreatment and at 1 year following treatment completion. Using 4 signal detection analyses, greater extent of interpersonal problems prior to treatment or at midtreatment were identified as predictors of nonresponse, both at posttreatment and at 1-year follow-up. Greater pretreatment and midtreatment concerns about shape and weight, among those patients with low interpersonal problems, were predictive of posttreatment nonresponse. Lower group cohesion during the early treatment phase predicted nonresponse at 1-year follow-up. Attention to specific pre- or intreatment predictors could allow for targeted selection into differential or augmented care and could thus improve response to group psychotherapy for BED. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comparing cognitive behavioral therapy and integrated cognitive behavioral therapy/psychodynamic therapy in group treatment for partner violent men.

This was a pilot study comparing the effectiveness of cognitive–behavioral therapy (CBT; n = 18) with integrated CBT and psychodynamic therapy (CBT/PT; n = 27) in reducing partner violence. The study examined differences between the two treatment groups at posttreatment with regard to attachment dimensions, interpersonal problems, psychological/behavioral functioning, and general symptom and relationship distress. Results indicated that the CBT/PT groups showed significantly more improvement than the CBT groups on measures of partner violence, attachment, and interpersonal problems at posttreatment. Conversely, the CBT groups showed significantly more improvement than the CBT/PT groups on measures of psychological/behavioral functioning and general symptom and relationship distress. Finally, there was a significant difference between the treatment groups on recidivism rate, with the CBT/PT groups having the lowest rate. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Brief psychodynamic and cognitive therapy regarding acute treatment.

Cognitive–behavioral therapy (CBT) and psychodynamic psychotherapy either in their pure forms or possibly synthesized as a form of eclectic therapy appear to be the 2 most commonly utilized forms of psychotherapy, both having levels of empirical support. As the majority of outpatient therapy in America appears to be very brief, 1 reasonable assumption is that treatment is often sought for resolution of acute episodes. A relevant question for practice and clinical training is what are the potential implications with brief psychodynamic and cognitive therapy for this type of treatment? This brief commentary will address the following: (a) the current general differential empirical status of each approach; (b) distinctions between acute treatment and traditional brief therapy and current common treatment patterns; and (c) the general clinical mechanisms for change for each approach and their potential implications regarding acute treatment and clinical supervision. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Group climate development in cognitive and interpersonal group therapy for social phobia.

This study was designed as a longitudinal study of 80 participants in cognitive group therapy (RCT, n = 40) and interpersonal group therapy (RIPT, n = 40) for social phobia during 10 weeks of residential therapy. The aim was to investigate the patterns of group climate development and its impact on treatment outcome. Data were collected using MacKenzie's Group Climate Questionnaire (GCQ) 4 times during treatment, and a multilevel (mixed) model approach was used in the analyses. Engagement in RCT groups showed a linear increase during treatment in contrast to a linear decline among patients in RIPT groups. This divergence might be explained by the focus on extragroup and intragroup relationships in RCT and RIPT, respectively. Neither conflict nor avoidance followed the expected pattern, nor did their mean levels influence outcome. However, when 6 extreme values of conflict were removed, there was support for a low–high–low pattern of conflict. In general, these results do not support MacKenzie's generic model of group climate development but suggest that sample characteristics, treatment models, and setting can play major roles in determining the group climate. Of the group climate variables, only the mean level of engagement predicted a change in social anxiety over the course of treatment. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Behavior therapy: A review.

The questionable effectiveness of traditional psychodynamic psychotherapies and the development of brief new treatment techniques derived from modern learning theory have stimulated interest in applications of conditioning procedures to behavior disorders. A review of this literature revealed that behavior therapies have been applied to many neurotic and psychotic disorders, and have been most successful with disorders involving specific maladaptive behaviors. Conditioning procedures were highly effective with phobic reactions, anxiety reactions, enuresis, stuttering, and tics, but disappointing with alcoholism and some sexual disorders. Cures seemed long-lasting, with remarkably little evidence of the symptom substitution predicted by psychodynamic depth theories. Behavior therapy offers promising opportunities for the application of well-established psychological principles to the treatment of maladaptive behavior. (4 p. ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Modification of behavior through verbal conditioning: Effects in group therapy.

An hypothesis that seems to be gaining acceptance on the basis of experimental (as opposed to heretofore face) validity, is that the interpersonal relationship in therapy is not only able to modify the patient's behavior, but in a predictable and desirable direction. This hypothesis was cross-validated by using a group of patients in a Veterans Administration hospital, all in group therapy. The experimental condition, the independent variable, involved exposing S to a TAT-like situation outside of therapy. E responded differentially to the emotionally-toned words used by S: (a) by nodding and saying "mm-hm," (b) by communicating to S via a machine that emitted a clicking sound and added on a counter, and (c) a "no reinforcement" group. Change in the patient's behavior, the dependent variable, was assessed by ratings on a scale to measure interpersonal relationships in group therapy. Significant improvement in the measure of interpersonal behavior in the group therapy was noted in Condition A only. From Psyc Abstracts 36:01:3IG28U. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Psychoanalytic group theory and therapy: Essays in honor of Saul Scheidlinger.

Reviews the book, Psychoanalytic group theory and therapy: Essays in honor of Saul Scheidlinger (American Group Psychotherapy Association Monograph 7) edited by Saul Tuttman (1991). This book, which consists of original articles and is dedicated to Saul Scheidlinger and edited by Saul Tuttman, will be of great interest to the practicing analytic group therapist. It can also provide the individual analyst with an excellent overview of the current thinking of some of the leading figures in psychodynamic group therapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Foundations and applications of group psychotherapy: A sphere of influence.

Reviews the book, Foundations and applications of group psychotherapy: A sphere of influence by Mark F. Ettin (see record 1992-97575-000). In a series of original chapters and adaptations of earlier stand-alone journal articles, Ettin reworks classic psychodynamic contributions and more recent object relations theorizing into a nicely organized and synthesized whole that compellingly underscores the necessity for appreciating the group qua group. The reviewer highlights several positive things about this book including the colorful, lyrical language and poignant clinical vignettes. However, there are some drawbacks: the text is "not an easy read." The language seems overly figurative and the material covered too expansive. Despite these drawbacks, this reviewer would recommend the book to novice as well as experienced practitioner. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interpersonal styles of chronically depressed outpatients: Profiles and therapeutic change.

Theoretical accounts posit that chronically depressed individuals are perceived as hostile and/or submissive, which compromises their ability to satisfy their interpersonal needs. The current study assessed the interpersonal tenets of McCullough's (2000) chronic depression theory and examined change in interpersonal functioning following McCullough's treatment for chronic depression (viz., Cognitive-Behavioral Analysis System of Psychotherapy; CBASP). Data derive from a randomized 12-week clinical trial that compared the efficacy of CBASP, nefazodone, and their combination for chronic depression. To assess patients' interpersonal impacts, CBASP therapists completed the Impact Message Inventory (IMI) following an early and a late session. IMI data were compared to normative and clinical comparison samples to assess depression-related interpersonal profiles and clinically significant change in interpersonal functioning. As predicted, chronically depressed patients were initially perceived as more submissive and hostile than the comparison groups. Patients' interpersonal impacts on their therapists changed in adaptive, theoretically predicted ways by the end of CBASP treatment, either with or without medication. Individual-level clinical significance data were less robust. The findings generally substantiate McCullough's interpersonal theory and provide preliminary evidence of change in interpersonal impacts following treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

What Is Interpersonal Behavior? A Post-Cartesian Approach to Problematic Interpersonal Patterns and Psychotherapy Process.

Most efforts to learn about interpersonal behavior reflect a shared set of key commitments. These commitments, in turn, reflect the Cartesian framework with its split between person and world. Guided by the recent work of certain developmental psychologists interested in social interaction (e.g., Fogel, 1993; Kaye, 1985) and by an alternative philosophical perspective that regards the person's involvement in practical activities as fundamental (Heidegger, 1962; Merleau-Ponty, 1962; Wittgenstein, 1958), the author maps out the participatory model of interpersonal behavior. According to this model, interpersonal behaviors are viewed as a person's contributions to doing something with other people. The author considers the model's implications for research by clinical psychologists on problematic behavior patterns in adults and psychotherapy process. The author also considers implications of rejecting the Cartesian framework for methodological concerns about the role of interpretation in research on interpersonal behavior. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Fatigue during breast cancer radiotherapy: An initial randomized study of cognitive–behavioral therapy plus hypnosis.

Objective: The study purpose was to test the effectiveness of a psychological intervention combining cognitive–behavioral therapy and hypnosis (CBTH) to treat radiotherapy-related fatigue. Design: Women (n = 42) scheduled for breast cancer radiotherapy were randomly assigned to receive standard medical care (SMC) (n = 20) or a CBTH intervention (n = 22) in addition to SMC. Participants assigned to receive CBTH met individually with a clinical psychologist. CBTH participants received training in hypnosis and CBT. Participants assigned to the SMC control condition did not meet with a study psychologist. Main Outcome Measures: Fatigue was measured on a weekly basis by using the fatigue subscale of the Functional Assessment of Chronic Illness Therapy (FACIT) and daily using visual analogue scales. Results: Multilevel modeling indicated that for weekly FACIT fatigue data, there was a significant effect of the CBTH intervention on the rate of change in fatigue (p     

Ratings of Therapist Dynamic Activities and Alliance Early and Late in Psychotherapy.

The present study examines the concurrent and predictive relationships between therapist psychodynamic-interpersonal activity and therapist-rated alliance. Ratings from 45 patient and therapist dyads engaged in short term psychodynamic psychotherapy from a point early (3rd or 4th session) and late (the session at which 90% of the treatment was completed) in treatment were used. The results suggest that therapists who have positive views of the alliance early in treatment also have positive views of the alliance later in treatment. Therapists who used psychodynamic-interpersonal activities early in treatment also made use of psychodynamic-interpersonal activities later in treatment. Moreover, the use of psychodynamic-interpersonal activities early in treatment was positively related to both global and specific aspects of therapist-rated alliance late in treatment. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Personal constructs and psychodynamic psychotherapy: A case study.

[Correction Notice: An erratum for this article was reported in Vol 24(1) of Psychoanalytic Psychology (see record 2007-00135-015). An error was made in the reproduction of figures 5 and 6. The corrected versions are provided with the erratum.] During a short term, psychoanalytically informed psychotherapy, a college student's salient constructs regarding her self and her object representations were elicited via the Role Construct Repertory Test. The course of this psychotherapy is traced and is examined with regard to the information provided by component analyses of these repertory grids. The aims of this article are to demonstrate the utility of an independent measure such as repertory grids for 1) additional understanding of the patient's modes of construing self and others; 2) establishing meaningful foci for a short-term treatment; 3) providing information for a more considered set of interpretive interventions regarding key conflicts; and 4) considering changes and outcome in light of the foci of the treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Speaking up in groups: A cross-level study of group voice climate and voice.

Despite a growing body of research on employee voice—defined as the discretionary communication of ideas, suggestions, or opinions intended to improve organizational or unit functioning—the effects of shared or collective-level cognitions have received scant attention. There has also been relatively little research on voice within work groups. Our goal in this study was to address these important gaps by focusing on the effects of group-level beliefs about voice (i.e., group voice climate) on individual voice behavior within work groups. We conducted a cross-level investigation of voice behavior within 42 groups of engineers from a large chemical company. Consistent with our hypotheses, group voice climate was highly predictive of voice and explained variance beyond the effects of individual-level identification and satisfaction, and procedural justice climate. Also consistent with predictions, the effect of identification on voice was stronger in groups with favorable voice climates. These findings provide evidence that voice is shaped not just by individual attitudes and perceptions of the work context, as past research has shown, but also by group-level beliefs. The results also highlight the importance of broadening our conceptual models of voice to include shared cognitions and of conducting additional cross-level research on voice. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effectiveness of cognitive behavior therapy for diagnostically heterogeneous groups: A benchmarking study.

Researchers have recently suggested that the commonalities across the emotional disorders outweigh the differences, and thus similar treatment principles could be applied in unified interventions. In this study, the authors used a benchmarking strategy to investigate the transportability of cognitive-behavioral therapy (CBT) for anxiety and depression to mixed-diagnosis groups. Patients (N = 143) attended 10 2-hour sessions of group CBT plus a 1-month follow-up. Changes in anxiety and depression were indexed by effect sizes, reliable change, and clinically significant change and then benchmarked to previous efficacy and effectiveness studies. Symptoms of depression and anxiety significantly improved, and mixed-diagnosis groups compared favorably with diagnosis-specific CBT, suggesting that unified treatments are an effective, efficient, and practical method of treatment delivery. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Borderline pathology: An integration of cognitive therapy and psychodynamic therapy.

Because of the belated interest in borderline pathology outside of the psychoanalytic arena, there is a relative paucity of integrative models for the treatment and understanding of borderline pathology. This article compares and contrasts the practice of A. T. Beck and A. Freeman's (1990) cognitive treatment of borderline pathology with 0. F. Kernberg's (Kernberg, Selzer, Koenigsberg, Carr, & Appelbaum, 1989) psychodynamic approach. An integrative model of borderline pathology is proposed, building on Beck and Freeman's and Kernberg's shared use of the notion of schema-representation. The practice implications of the proposed integrative model are consequently entertained. A brief case study is provided to illustrate the integration. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The effect of group climate on outcome in two forms of short-term group therapy.

The authors investigated the association between dimensions of perceived group climate (engagement, avoidance, and conflict) and treatment outcome in 2 forms of short-term group psychotherapy. They were particularly interested in the relationship between early group climate and outcome. They also examined whether average group climate and change in group climate were associated with outcome. Both engagement after Session 4 and engagement averaged over the course of therapy were directly associated with improvement. Significant interactions among the group climate dimensions were also found. These findings support the contention that aspects of the group environment influence patient benefit from psychotherapy groups. Possible explanations and implications of the findings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Measuring group processes: A comparison of the GCQ and CCI.

This study verified and compared the factor structures of two frequently used measures of small group climate, the Group Climate Questionnaire (GCQ-S; MacKenzie, 1983) and the Curative Climate Instrument (CCI; Fuhriman, Drescher, Hanson, Henrie, & Rybicki, 1986) at both group and individual levels. Data included third session assessments of 124 group members in 20 university counseling center groups. Confirmatory factor analyses partially supported the GCQ factor structure, but indicated that the Catharsis subscale of the CCI was not independent of the other two CCI subscales. Factor analysis of the six subscales from both measures yielded two higher order factors, representing positive (Engagement, Cohesion, Insight, and Catharsis) and negative (Conflict and Avoidance) group processes. Findings provide guidance for interpreting and comparing group processes using these measures. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A case study in a behavioral analysis of psychotherapy.

A content analysis guided by the points of view of psychoanalytic theory and learning theory was made of the verbalizations from the case history of a 24-year-old male. The content categories utilized were concerned with motivation and defense. (PsycINFO Database Record (c) 2010 APA, all rights reserved)