Therapeutic alliance in psychological treatment for depression and alcohol use comorbidity: The client's perspective

2021 ◽  
Vol 85 (2) ◽  
pp. 177-203
Author(s):  
Elizabeth Knock ◽  
Martin P. Johnson ◽  
Amanda Baker ◽  
Louise Thornton ◽  
Frances Kay-Lambkin
Keyword(s):  
Alcohol Use ◽  
Therapeutic Relationship ◽  
Depressive Disorders ◽  
Unmet Needs ◽  
Psychological Treatment ◽  
Phenomenological Analysis ◽  
Interpretive Phenomenological Analysis ◽  
Semistructured Interviews ◽  
Relationship Of ◽  
The Relationship

This qualitative study explored the treatment experience and the therapeutic relationship of participants receiving an integrated psychological treatment for comorbid alcohol use problems and depressive disorders. Semistructured interviews targeting experience of therapy and the relationship with the therapist were carried out with seven participants. Transcripts were analyzed using Interpretive Phenomenological Analysis to reveal major themes. Four major themes were identified. “Nature of the relationship” describes the importance of the client's perception of the therapeutic relationship experienced, “Confidence in therapy” and “Acknowledgment of experience” address components assisting the development of a positive alliance, and “Meeting unmet needs for connection” illustrates the importance of a positive therapeutic relationship for this population. Participants thought that clinicians would benefit from a good understanding of the role the alliance relationship plays within comorbidity treatment, of the need this relationship meets for this population, and the importance of engendering confidence in therapy and recognizing client perspectives.

The relationship of mindfulness and mindfulness-related practices with alcohol use among Hispanics/Latinx

2020 ◽  
Vol 285 ◽  
pp. 112774 ◽  
Author(s):  
Christine Vinci ◽  
Lauren Malkhasyan ◽  
Vani N. Simmons ◽  
Virmarie Correa-Fernandez
Keyword(s):  
Alcohol Use ◽  
Relationship Of ◽  
The Relationship

scholarly journals The relationship of cannabis decriminalization in Colorado and cannabis use in individuals with alcohol use disorders

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Jeremy T. Hua ◽  
Majid Afshar ◽  
Brendan J. Clark ◽  
Elizabeth J. Kovacs ◽  
Ellen L. Burnham
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorders ◽  
Cannabis Use ◽  
Relationship Of ◽  
The Relationship

Utilization of psychotropic drugs in Europe: Why is Portugal such a particular case?

2016 ◽  
Vol 33 (S1) ◽  
pp. s225-s226
Author(s):  
T. Alves-dos-Reis ◽  
M.A. Matias
Keyword(s):  
Mental Health ◽  
Comparative Analysis ◽  
Psychotropic Drugs ◽  
Depressive Disorders ◽  
European Countries ◽  
World Health ◽  
Sf 36 ◽  
Competing Interest ◽  
Relationship Of ◽  
The Relationship

IntroductionPsychotropic drugs are among the most utilized medications in Europe.ObjectivesTo perform an international comparison of the utilization trends of antidepressants, anxiolytics, hypnotics and sedatives (AHS).MethodsWe used data from the Organization for Economic Cooperation and Development (OECD). We used the World Health Organization's Defined Daily Dosage (DDD) per 1000 inhabitants per day (DHD) methodology. We performed a general comparison between 14 European countries and a more detailed comparative analysis between Portugal, Italy, Spain and Germany. These countries were selected according to the following criteria: similar 12-month prevalence of mental health disorders, similar results for negative mental health (SF-36 questionnaire) and similar standardized death rates for suicide.ResultsPortugal had the highest overall utilization of antidepressants and AHS in 2011, amounting to 110.7 DHD, and the highest increase in utilization of AHS (1.8%) from 2003 and 2011. Concerning antidepressants, Portugal had the third highest utilization of these drugs in 2011 (78.3 DHD). Regarding the more detailed comparative analysis, utilization of AHS was still significantly higher in Portugal. Considering antidepressants, Portugal experienced an increasing utilization, which grew by approximately 11.4% from 2003 and 2008. From 2009 onward the utilization increased but at a slower pace.ConclusionThe very high utilization of these drugs, especially of AHS, is a worrying fact since this might indicate an inadequate treatment choice for anxiety and depressive disorders. Further research is needed to better understand the relationship of these findings with regulations concerning utilization of psychotropic drugs and compliance with best medical practices between distinct European countries.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Midwives Practice CAM: Feminism in the Delivery Room

2008 ◽  
Vol 13 (1) ◽  
pp. 46-62 ◽  
Author(s):  
Judith T. Shuval ◽  
Sky E. Gross
Keyword(s):  
Core Beliefs ◽  
The Past ◽  
Feminist Ideology ◽  
Semistructured Interviews ◽  
Context Specific ◽  
Relationship Of ◽  
The Relationship ◽  
Delivery Rooms ◽  
Empirical Material

This article focuses on midwives who practice complementary and alternative medicine (CAM) in Israel. After qualifying as nurses in mainstream biomedical institutions, these midwives have, at some point in their careers, opted to study a variety of CAM skills and practice them in hospital delivery rooms in Israel. The authors explore the relationship of selected elements of feminist ideology to the epistemology of CAM midwives. Seven context-specific themes are viewed as central to their epistemological stance: rejection of the medicalization of birth; a strong belief in the “naturalness” of childbirth; rejection of the overuse of technology; empowerment of women; nostalgia and reverence for the past; centrality of intuition, feeling, and emotion; and active advocacy. In-depth, semistructured interviews were carried out during 2004 to 2005 with 13 midwives. These narratives provided empirical material for a qualitative analysis. Evidence is shown to demonstrate the unique feminist quality of the core beliefs of the CAM midwives.

scholarly journals The Relationship between Self-Concept and the Anxiety Level of Prisoners in Class II.A Penitentiary in Bulukumba

2018 ◽  
Vol 2 (2) ◽  
pp. 58-66
Author(s):  
Fatmawati ◽  
Nurlina ◽  
Ira Puspasari
Keyword(s):  
Psychological Treatment ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Class Ii ◽  
Anxiety Level ◽  
Self Concept ◽  
Correctional Institution ◽  
Cross Sectional ◽  
Relationship Of ◽  
The Relationship

Based on the results of routine examinations from clinic officers in correctional institutions found 20 people out of 178 suffer from mild anxiety levels, while 10 people. and 121 inmates 15% of prisoners have anxiety with a moderate anxiety level of 13 people. Looking at the phenomena based on interviews with 5 prisoners in Class II.A Penitentiary Institution. Bulukumba on February 2, 2017, stated that prisoners in Class II Penitentiary Bulukumba claimed to experience feeling depressed, beaten and disappointed at the beginning of their lives inside a prison. The purpose of this study is to determine the relationship of self-concept with the level of anxiety of prisoners in Class II. A Penitentiary. Bulukumba. This study uses an analytic observational design with a "cross-sectional" approach. The population is all prisoners in Class II. A Penitentiary as many as 178 inmates. The sample in this study was 64 respondents who were determined using the Simple Random Sampling technique. Data collection was carried out using a questionnaire. The results of the analysis using the Kolmogorov alternative test obtained p = 0.435 (α> 0.05), it can be concluded that there is no relationship between self-concept and the level of anxiety of prisoners in Penitentiary class II. A Bulukumba. The suggestion from the research is to the class II. A correctional institution Bulukumba is expected to be better prepared mentally and also provide programs related to the psychological treatment of prisoners.

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