The Consumer Reports mental health survey.

Provides an overview of the 1995 Consumer Reports survey of the effectiveness of psychotherapy. Specific issues addressed include the study's goals; the findings for mental health professionals, family doctors, and self-help groups; and methodological strengths and weaknesses related to external validity, sampling, controls, self-reports, and time frame. The data show that, free of the artificial constraints of controlled studies in the real world, a population of consumers can often benefit from psychological intervention services. Real relief can be found at the hands of professional mental health providers. M. Kotkin et al reaffirm their independence from M. E. P. Seligman (see record 1996-13324-001) regarding the interpretation of the data. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Errors in Seligman's "The effectiveness of psychotherapy: The Consumer Reports study."

Contends that there are 3 methodological errors and an inconsistency in M. E. P. Seligman's (see record 1996-13324-001) reanalysis of the 1995 Consumer Reports survey of the effectiveness of psychotherapy. These errors are directly relevant to the cost-effectiveness of psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychotherapy with high-achieving adolescent girls.

The "overnurtured child" is the label applied to adolescent girls whose strong mother-identification and oedipal attachment to father may be associated with a variety of achievement-related conflicts following puberty. Symptoms include anxiety, depression, vague feelings of inadequacy, loneliness, and isolation from peers. These patients suffer from a form of identity diffusion in which pressures to continue achieving at their present rate of excellence collide with pressures to be more "feminine," social, and affiliative. Therapy is conceptualized as a kind of resocialization process aimed at facilitating separation from family and the development of an independent identity. In treatment, the therapist plays a variety of interrelated roles such as role model, family counselor, and teacher. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Psychotherapy" Versus "Treatment".

Presents a comment on "Psychological treatments" (see record 2004-21168-001) by D. H. Barlow. Barlow proposed that we distinguish between the terms "treatment" and "psychotherapy." The author believes that not only is the distinction unnecessary, but that its implications could have negative consequences for the field of clinical psychology. It is the proposed distinguishing feature that treatments are "specifically tailored to the pathological process that is causing the impairment and distress" that is most problematic. Clinical psychology does not need a distinction that further exacerbates the split between researchers and practitioners. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Emotional arousal, client perceptual processing, and the working alliance in experiential psychotherapy for depression.

Early-, middle-, and late-phase client emotional arousal, perceptual processing strategies, and working alliance were examined in relation to treatment outcome on 4 measures in 32 clients who previously underwent experiential therapy for depression. Hierarchical regression analyses relating these variables to outcome indicated that results varied depending on the therapeutic process, phase of treatment, and outcome measure involved in the analyses. Mid-therapy arousal predicted improvements in self-esteem, whereas mid- and late treatment perceptual processing predicted reductions in client interpersonal dysfunction. Emotional arousal in conjunction with perceptual processing during mid-therapy predicted reductions in depressive and psychopathological symptomatology better than either of these variables alone. The implications of these findings for psychotherapy research and practice are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Clinical Exchange.

The Clinical Exchange invites eminent clinicians of diverse persuasions to share, in ordinary language, their clinical formulations and treatment plans of the same psychotherapy patient--who was not selected or nominated by those therapists--and then to discuss points of convergence and contention in their recommendations. This special Exchange focuses on the psychotherapy of borderline personality traits in the case of Ms. S, a female college student in her 20s presenting for treatment because of depression, "flashbacks" of sexual abuse, and poor interpersonal relationships. Amy Wagner, Kathleen Chard and Thomas Widiger, Joel Paris, Kenneth Silk, and Jeffrey Young, all researchers into personality disorders, are the featured commentators. Finally, Sidney Ornduff, the case contributor, provides a few closing comments. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A model for teaching psychotherapy theory through an integrative structure.

This article discusses a model for teaching psychotherapy theory through an integrative structure from the start of graduate students' training. This model articulates an ordering structure for the reputed 400+ so-called "theories" of psychotherapy. The rationale for such a structure highlights one dimension among several--that is, the recognition that a vast majority of mental health practitioners describe their orientation as eclectic or integrative. Professionals in training are encouraged to use this structure as an organizing principle to create the underpinnings for future professional development. The structure informs all aspects of a graduate-level course, including its syllabus, the textbooks selected, the reader, learning objectives, and tools for learning outcome assessment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dissociation and Internal Models of Protection: Psychotherapy With Child Abuse Survivors.

This article presents strategies for treating child abuse survivors based on a theory of interpersonal protection that integrates research in attachment, developmental psychopathology, trauma, dissociation, and experiential psychotherapy. The theory proposes that abused children do not form internal working models of an effective protector, with the result that they have difficulty defending themselves against interpersonal aggression and internal self-criticism; thus, a core psychotherapy task is to help survivors develop adequate representations of protection. The article provides case examples and describes interventions targeting the client-therapist relationship, other client relationships, client self-criticism, and traumatic memories. The author discusses dissociation as an intervention marker; client verbal and nonverbal feedback to therapist interventions; subselves and internal roles; the "inner critic"; guided imagery, role-plays, and dramatic enactment methods; and directions for future research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Therapeutic Process As a Predictor of Change in Patients' Important Relationships During Time-Limited Dynamic Psychotherapy.

Components of the therapeutic process have been shown to be moderately strong predictors of change in patients' global interpersonal functioning during therapy. The authors sought to extend this research by examining how the therapeutic process in time-limited dynamic psychotherapy related to change in patients' perceptions of a specific relationship as rated by the Structural Analysis of Social Behavior. Results showed that ratings of therapist warmth at Session 3 predicted increased warmth and decreased hostility in patient behavior at posttreatment. Therapist warmth at Session 16 was predictive of a decrease in submissive behavior by patients toward their significant other. The importance of the association between the therapeutic process and patients' important interpersonal relationships is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)