Family therapy in iran: An OCD case study

2011 ◽  
Vol 26 (S2) ◽  
pp. 972-972
Author(s):  
M. Khodayarifard ◽  
J. McClenon ◽  
S. Khodayarifard
Keyword(s):  
Family Therapy ◽  
Behavioral Therapy ◽  
Behavioral Approach ◽  
Cognitive Behavioral ◽  
Childhood And Adolescence ◽  
Positive Thinking ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
The Family ◽  
Religious Cultures

Iranian clinical psychologists have devised family therapy methods, based on cognitive behavioral models, fitting their collectivist, Islamic culture. We review Islamic-based strategies and describe family therapy in a culturally-specific childhood OCD case. In %80 of adults diagnosed with OCD, obsession is observed to have started in childhood and adolescence. Studies showed that cognitive-behaviour therapy, although efficient in treatment of OCD, fails in the case of children, due to their limited cognitive ability and their lower level of development. On the other hand, since children's response to medication cannot be anticipated, and because of the side-effects and the probability of recurrence after termination of medication, parents do not agree to medical treatment for their children. The purpose the present research was therefore designed to investigate the efficiency of family therapy based on cognitive behavioral approach in treatment of OCD case. The family therapy techniques used in this study are encounter, self-reporting, relaxation, modeling, and positive thinking. The OCD client was studied and exposed to the method. The results showed that the family therapy method using integrated, religious-based cognitive behavioral therapy, seems more appropriate for clients from collectivist, religious cultures. The final part of the research discusses the findings in relation to those of the previous studies.

FEEDING AND EATING DISORDERS MANAGEMENT IN ADOLESCENCE - COGNITIVE BEHAVIORAL APPROACH

2021 ◽  
Vol 7 (1) ◽  
pp. 171-182
Author(s):  
Cláudia Gomes Cano ◽  
Sandra Pires ◽  
Ana Catarina Serrano
Keyword(s):  
Eating Disorders ◽  
Adult Population ◽  
Adult Life ◽  
Behavioral Approach ◽  
Cognitive Behavioral ◽  
Public Health Issue ◽  
Young Population ◽  
Behaviour Therapy ◽  
Feeding And Eating Disorders ◽  
Cognitive Behaviour

Feeding and Eating Disorders (FED) are amongst the most frequent and severe psychiatric disorders in adolescence. These disorders can be considered an important public health issue, since they mostly affect a young population with potential significant functional impact at a young age and throughout adult life. Cognitive behavioral approach has demonstrated evidence as one of the empirically validated reference treatments for all FED. This article aims to perform a narrative review of the cognitive behavioral conceptualization and treatment approach of FED. Enhanced Cognitive Behaviour Therapy (CCT-E) is the treatment of choice for adolescents with FED when Family Therapy is contraindicated, not accepted, or not effective. Furthermore, the importance of an early intervention is emphasized, since it has been demonstrated that CCT-E has more effective results and in a shorter period of time in adolescents compared with an adult population.

Individual Versus Group Cognitive-Behavioral Therapy for Partner-Violent Men: A Preliminary Randomized Trial

2017 ◽  
Vol 35 (15-16) ◽  
pp. 2846-2868 ◽  
Author(s):  
Christopher M. Murphy ◽  
Christopher I. Eckhardt ◽  
Judith M. Clifford ◽  
Adam D. LaMotte ◽  
Laura A. Meis
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Skills Training ◽  
Behavioral Approach ◽  
Cognitive Behavioral ◽  
Medium Effect ◽  
Individual Treatment ◽  
Small Scale ◽  
Relationship Functioning ◽  
Significant Difference

A randomized clinical trial tested the hypothesis that a flexible, case formulation–based, individual treatment approach integrating motivational interviewing strategies with cognitive-behavioral therapy (ICBT) is more efficacious than a standardized group cognitive-behavioral approach (GCBT) for perpetrators of intimate partner violence (IPV). Forty-two men presenting for services at a community domestic violence agency were randomized to receive 20 sessions of ICBT or a 20-week group cognitive-behavioral therapy (CBT) program. Participants and their relationship partners completed assessments of relationship abuse and relationship functioning at baseline and quarterly follow-ups for 1 year. Treatment uptake and session attendance were significantly higher in ICBT than GCBT. However, contrary to the study hypothesis, GCBT produced consistently equivalent or greater benefits than ICBT. Participant self-reports revealed significant reductions in abusive behavior and injuries across conditions with no differential benefits between conditions. Victim partner reports revealed more favorable outcomes for group treatment, including a statistically significant difference in psychological aggression, and differences exceeding a medium effect size for physical assault, emotional abuse, and partner relationship adjustment. In response to hypothetical relationship scenarios, GCBT was associated with greater reductions than ICBT (exceeding a medium effect) in articulated cognitive distortions and aggressive intentions. Treatment competence ratings suggest that flexible, individualized administration of CBT creates challenges in session agenda setting, homework implementation, and formal aspects of relationship skills training. Although caution is needed in generalizing findings from this small-scale trial, the results suggest that the mutual support and positive social influence available in group intervention may be particularly helpful for IPV perpetrators.

scholarly journals Cognitive Behavioral Therapy of Patients with Somatic Symptoms—Diagnostic and Therapeutic Difficulties

2021 ◽  
Vol 10 (14) ◽  
pp. 3159
Author(s):  
Agata Orzechowska ◽  
Paulina Maruszewska ◽  
Piotr Gałecki
Keyword(s):  
Mental Health Problems ◽  
Mental Disease ◽  
Behavioral Therapy ◽  
Physical Symptoms ◽  
Behavioral Approach ◽  
Cognitive Behavioral ◽  
Diagnostic Dilemma ◽  
Number Of Patients ◽  
Psychological Element ◽  
Somatic Diseases

In every somatic disease we can find a psychological element, just as it is not uncommon for numerous physical symptoms to occur in a mental disease. Nowadays, the patient is no longer just the “owner” of the sick organ but is considered and treated as a “whole”. The interpenetration of somatic manifestations with mental health problems forces patients who experience subjective suffering, including mental suffering, from current symptoms to visit specialists from different fields of medicine, and their treatment does not bring about any improvement. Cognitive behavioral psychotherapy (CBT) is one form of therapy that attempts to respond to the needs of an increasing—in recent years—number of patients who demonstrate somatic disorders of a multifaceted nature. The co-occurrence of physical and mental disorders repeatedly makes it impossible to determine which symptoms were the cause and which were the effect; hence, it is difficult to establish clear boundaries between the categories of these disorders and diseases. The therapist, to whom the patient with somatic diseases is eventually referred, may be faced with a diagnostic dilemma, the solution of which will give direction to further psychotherapeutic work. The common feature of this group of patients is a strong focus on physical ailments, while omitting or almost completely ignoring the psychological factors involved. The purpose of this paper is to present the causally diverse circumstances in which a patient with physical symptoms needs diagnosis and therapeutic support from the perspective of a cognitive behavioral approach.

scholarly journals Terapia cognitivo-conductual en la fibromialgia

2020 ◽  
Vol 4 (1) ◽  
pp. 19
Author(s):  
Bárbara Dinorah Hidalgo Martínez ◽  
Viorkis Pérez Ortiz ◽  
María Caridad Olivera Cardoso ◽  
Lidia López Aristica ◽  
Liset Betancourt Castellanos ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Psychological Impact ◽  
Behavioral Approach ◽  
Cognitive Behavioral ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Palabras Clave ◽  
Before And After ◽  
Cognitive Alterations

  La fibromialgia es una enfermedad con fuerte impacto psicológico, de evolución crónica que provoca dolor, rigidez e hipersensibilidad en músculos, tendones y articulaciones por más de tres meses de evolución. Generalmente está asociada a alteraciones cognitivas, disminución del sueño, astenia, ansiedad y depresión a diferentes grados. Aunque la etiología no se conoce con exactitud, el diagnóstico es clínico por exclusión. En este estudio se determinó la eficacia de la terapia cognitivo-conductual (TCC) en pacientes con fibromialgia en el Hospital Básico Miguel H. Alcívar de Bahía de Caráquez, Ecuador. El estudio fue descriptivo y prospectivo en 30 pacientes diagnosticados de fibromialgia, en el periodo de mayo a septiembre de 2017. La mayoría de los pacientes fueron mujeres entre 30 y 40 años de edad, cuyo síntoma principal fue el dolor generalizado, con espectro ansioso-depresivo. Se utilizó el test de ansiedad y depresión hospitalaria para diagnosticar la presencia de ansiedad y depresión antes y después de la terapia. Los pacientes con fibromialgia fueron tratados con hipnosis, con un enfoque cognitivo conductual, en el 70,1 % los síntomas desaparecieron o mejoraron durante los meses en los que mantuvieron el tratamiento, lo cual demuestra la efectividad del tratamiento con TCC en pacientes con fibromialgia.   Palabras clave: Fibromialgia, depresión, ansiedad, terapia cognitivo-conductual, hipnosis.   Abstract Fibromyalgia is a disease with a strong psychological impact, of chronic evolution that causes pain, stiffness and hypersensitivity in muscles, tendons and joints, for more than three months of evolution. It is generally associated with cognitive alterations, decreased sleep, asthenia, anxiety and depression to different degrees. Although the etiology is not exactly known, the diagnosis is clinical by exclusion. In this study, the efficacy of cognitive-behavioral therapy (CBT) was determined in patients with fibromyalgia at the Basic Hospital Miguel H. Alcívar de Bahía de Caráquez, Ecuador. The study was descriptive and prospective in 30 patients diagnosed with fibromyalgia, in the period from May to September 2017. Most of the patients were women between 30 and 40 years of age, whose main symptom was generalized pain, with an anxious spectrum- depressant. The hospital anxiety and depression test was used to diagnose the presence of anxiety and depression before and after therapy. Fibromyalgia patients were treated with hypnosis, with a cognitive behavioral approach, in 70.1% the symptoms disappeared or improved during the months in which they maintained the treatment, which demonstrates the effectiveness of CBT treatment in patients with fibromyalgia.   Keywords: Fibromyalgia, depression, anxiety, cognitive-behavioral therapy, hypnosis.

The Treatment of Bulimia Nervosa

1987 ◽  
Vol 21 (1) ◽  
pp. 5-15 ◽  
Author(s):  
Rosalyn A. Griffiths ◽  
Stephen W. Touyz ◽  
Philip B. Mitchell ◽  
Wendy Bacon
Keyword(s):  
Family Therapy ◽  
Treatment Group ◽  
Bulimia Nervosa ◽  
Support Groups ◽  
Cognitive Behaviour Therapy ◽  
Psychoanalytic Psychotherapy ◽  
Future Research ◽  
Behaviour Therapy ◽  
Self Help ◽  
Cognitive Behaviour

We review treatment approaches to bulimia nervosa, with particular emphasis on methodology and research design. The following treatments are considered: behaviour therapy, cognitive behaviour therapy, pharmacological treatment, group therapy, psychoanalytic psychotherapy, self-help and support groups, hypnosis and miscellaneous (family therapy and nutritional approaches). Several directions for future research and methodological recommendations are suggested.

Assessing the Development of Competence During Postgraduate Cognitive-Behavioral Therapy Training

2007 ◽  
Vol 21 (2) ◽  
pp. 140-147 ◽  
Author(s):  
Tracey V. Barnfield ◽  
Fiona M. Mathieson ◽  
Graeme R. Beaumont
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Postgraduate Training ◽  
Behavioral Therapy ◽  
The Other ◽  
Cognitive Behavioral ◽  
Behaviour Therapy ◽  
Therapy Training ◽  
Long Course

This article investigates the development of competency in cognitive-behavioral therapy (CBT) as a result of a postgraduate training course in CBT in Wellington, New Zealand. Thirteen experienced mental health professionals attended the half-time 30-week-long course. Preliminary data are presented on the development of knowledge as assessed at the beginning and end of the course by a modified version of the Behaviour Therapy Scale (Freiheit & Overholser, 1997), other-rated competence as measured by the Cognitive Therapy Scale—Revised (Blackburn, Milne, & James, 1997), and supervisor and student evaluations of competence in particular skill areas. All students improved in specific CBT skills as a result of training. The extent that students improved and variations around the other outcome measures, together with the limitations of this pilot study and suggestions for improvements for future investigations, are discussed.

Overcoming ADHD in Adolescence

2020 ◽  
Author(s):  
Susan Sprich ◽  
Steven A. Safren
Keyword(s):  
Goal Setting ◽  
Behavioral Therapy ◽  
Behavioral Approach ◽  
Cognitive Behavioral ◽  
Adhd Symptoms ◽  
Therapeutic Approaches ◽  
Hyperactivity Disorder ◽  
Assessment Measure ◽  
And Function ◽  
Made In

This Client Workbook is an accompaniment to the Therapist Guide, Overcoming ADHD in Adolescence: A Cognitive Behavioral Approach. The treatment and manuals are designed for clients to complete with the help of a therapist who is familiar with cognitive behavioral therapy (CBT) and/or other structured therapeutic approaches. The program is designed to help adolescent clients with attention-deficit/hyperactivity disorder (ADHD) learn skills to help them cope with their ADHD symptoms. Core modules on organizing and planning, reducing distractibility, and adaptive thinking are included, as is an optional module on reducing procrastination. The emphasis is primarily on teaching the adolescent how to learn skills to combat ADHD and function independently. Information is provided regarding how to include parents in the treatment: inviting a parent or parents in at the end of sessions, including parents in goal setting in joint sessions with the adolescent, and optional coaching sessions without the adolescent present. The guide concludes with a discussion of how to help clients maintain the gains that they have made in treatment. The client workbook and therapist guide include a discussion of how to incorporate technology into the treatment and a “signposts of change” section in each chapter. The manuals include many worksheets and forms, as well as a link to an assessment measure that can be used repeatedly to gauge progress in treatment.

Cognitive Behavioral Therapy in a Group of Militaries With Posttraumatic Stress Disorder

2016 ◽  
Vol 33 (S1) ◽  
pp. S513-S513
Author(s):  
H. El Kefi ◽  
W. Abdelghaffar ◽  
A. Baatout ◽  
C. Bechikh Brahim ◽  
W. Krir ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Cognitive Behavioral Therapy ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Behavioral Therapy ◽  
Behavioral Approach ◽  
Cognitive Behavioral ◽  
Relaxation Techniques ◽  
Competing Interest

IntroductionPosttraumatic stress disorder (PTSD) has a high prevalence and severe impact in military populations. Cognitive behavioral therapy (CBT) is indicated in this condition but it is a structured therapy that requires patients’ motivation and doctors’ availability.Objectives and aimsAssess feasibility and effectiveness of CBT in a military group with PTSD.MethodsA group of six militaries that witnessed the same traumatic event (an armed attack) and were diagnosed with PTSD were involved in a structured individual session CBT with one therapist. An assessment using the PTSD checklist for DSM (PCL) was performed initially and in halfway therapy. The therapy included an education about PTSD, a cognitive restructuring, a behavioral approach via home tasks and relaxation techniques.ResultsThe initial PCL scores varied from 25 to 55. All patients were initially on sick leave. Five patients had adjunctive antidepressant medications and one patient was only on therapy. Three patients showed no motivation and were excluded after 3 sessions. Two patients have had 7 weekly sessions and were able to return to work in the same place. One patient with severe PTSD had 2 sessions monthly, he had slight clinical improvement and could not come back to military work. The three patients who are still in therapy have improved PCL scores.ConclusionsCBT can be effective in PTSD. The outcome depends on initial severity of PTSD and assiduity.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Traitement en groupe incluant des joueurs et des toxicomanes : atteinte des objectifs thérapeutiques et retombées

2019 ◽  
Author(s):  
Andrée-Anne Légaré ◽  
Isabelle Giroux ◽  
Francine Ferland
Keyword(s):  
Group Therapy ◽  
Pathological Gambling ◽  
Behavioral Therapy ◽  
Specific Information ◽  
Drug Addicts ◽  
Behaviour Therapy ◽  
Strong Connection ◽  
Study Results ◽  
Cognitive Behaviour ◽  
Effect Of Treatment

Group therapy for multiple addictions, pathological gambling and drug dependency, has not yet been empirically validated. This study assesses the outcome of group therapy conducted with 8 gamblers and 16 substance users. Using a concurrent nested design, the study evaluates the effect of treatment on the reduction and/or elimination of the addictive behaviour. In order to better understand the findings, the study examined participants’ perceptions of group cohesion and their opinions on having a diversity of addiction problems within the group. The presence of specific therapeutic elements associated with cognitive behaviour therapy for pathological gambling was evaluated. The results suggest that 62% of the participants achieved their therapeutic objectives through the therapy. The achievement of therapeutic objectives is associated with the perception of a strong connection within the group. The participants did not appear to have had a positive opinion of the diversity of addiction problems within the group. Finally, it appears that the specific elements of cognitive behavioral therapy for pathological gambling, such as gambling specific information and cognitive restructuring of gambling distorted beliefs, are not presented to the gamblers in these groups. The study results demonstrate the need to re-examine the use of group therapy including gamblers and drug addicts, and further avenues of study are proposed.Résumé Les traitements en groupe incluant des problématiques de dépendance variées (GPDV), de jeu d’argent pathologique (JAP) et de toxicomanie, ne font pas l’objet actuellement de validation empirique. Conséquemment, la présente étude évalue les retombées des traitements en GPDV auprès de 8 joueurs et de 16 toxicomanes. Par un devis mixte de type simultané imbriqué, l’étude évalue les retombées du traitement sur l’atteinte des objectifs thérapeutiques de réduction ou de cessation du comportement de dépendance. Afin d’esquisser une piste explicative à ces retombées, l’étude examine également la force de la cohésion perçue et l’appréciation de l’hétérogénéité des problématiques de dépendance au sein du groupe. La présence de composantes spécifiques associées au traitement cognitif-comportemental du JAP est évaluée. Les résultats indiquent que 62 % des participants ont atteint leurs objectifs thérapeutiques après le traitement. L’atteinte des objectifs thérapeutique est associée à la perception d’une forte cohésion au sein du groupe. L’hétérogénéité des problématiques de dépendance au sein du groupe apparait peu appréciée des participants. Finalement, il semble que les composantes spécifiques du traitement du JAP ne sont pas présentées aux joueurs de ces groupes. À échéance, l’étude démontre la nécessité d’avoir une réflexion sur le recours au traitement en GDPV pour les joueurs et les toxicomanes et des pistes de recherches sont proposées.

scholarly journals Use of lifeline technique in cognitive-behavioral-systemic family therapy

2015 ◽  
Vol 17 (1) ◽  
Author(s):  
Mariana Pasquali Poletto ◽  
Christian Haag Kristensen ◽  
Rodrigo Grassi Oliveira ◽  
Mariana Gonçalves Boeckel
Keyword(s):  
Complex Trauma ◽  
Stress Disorder ◽  
Family System ◽  
Psychotherapy Process ◽  
Cognitive Behavioral ◽  
Childhood And Adolescence ◽  
Individual Psychotherapy ◽  
Temporal Course ◽  
The Family ◽  
Systemic Family Therapy

Intrafamily violence when precocious, chronic and recurrent may lead to the development of mental disorders, including Posttraumatic Stress Disorder (PTSD) and Complex Trauma. The effects of exposure to intrafamily violence commonly are not limited to childhood and adolescence, and may impact psychological, social and occupational functioning in adulthood. The most effortful intervention to these cases involves individual psychotherapy (cognitive-behavioral psychotherapy) and family psychotherapy (systemic and cognitive-behavioral). In the cognitive-behavioral-systemic approach, the lifeline technique can be characterized as a useful strategy in the evaluation of the temporal course of the exposure to stressor events, as well as the adaptive and maladaptive answers from the members of the family system. The aim of this paper is to present a brief family psychotherapy process with a family exposed to multiple situations of intrafamily violence with the use of lifeline’s technique as a therapeutic approach.

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