scholarly journals Case Report: Individualization of Intensive Transactional Analysis Psychotherapy on the Basis of Ego Strength

2021 ◽  
Vol 12 ◽  
Author(s):  
Irene Messina ◽  
Francesco Scottà ◽  
Arianna Marchi ◽  
Enrico Benelli ◽  
Alessandro Grecucci ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Outcome Measure ◽  
Complete Recovery ◽  
Outcome Data ◽  
Important Variable ◽  
Transactional Analysis ◽  
Ego Strength ◽  
Therapy Outcomes ◽  
Rapid Improvement ◽  
Evaluation Outcome

In intensive transactional analysis psychotherapy (ITAP), intensity is obtained with both technical expedients and the relational manner with the patient. In ITAP, the therapist modulates pressure and support commensurately to the patients' ego strength. In the present article, we contrast two clinical cases of young adults in which ego strength produced different therapy outcomes and processes. We present excerpts of the psychotherapy process that illustrates technical aspects of ITAP as well as the therapist's attitude that we describe as holding. We show quantitative therapy outcomes consisting of effects size values of changes in Clinical Outcome in Routine Evaluation—Outcome Measure scores in baseline, treatment, and follow-up phases and qualitative outcome evaluated with the Change Interview at the end of the therapy. In the patient with high ego strength, we observed a rapid improvement and a complete recovery at the end of the therapy, whereas the results of the patient with low ego strength were less consistent (more fluctuations in Clinical Outcome in Routine Evaluation—Outcome Measure scores including deterioration but good qualitative outcome). We conclude that quantitative and qualitative outcome data, together with process observations, are required to have a complete picture of therapy effectiveness. Moreover, we conclude that qualitative ego strength is not a limitation for the use of expressive therapy such as ITAP, but rather, it is an important variable that should be considered to dose confrontations and support.

scholarly journals Evaluation of a Mobile App to Enhance Relational Awareness and Change During Cognitive Analytic Therapy: Mixed Methods Case Series

10.2196/19888 ◽  
2020 ◽  
Vol 7 (12) ◽  
pp. e19888
Author(s):  
Stephen Kellett ◽  
Katherine Easton ◽  
Martin Cooper ◽  
Abigail Millings ◽  
Melanie Simmonds-Buckley ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Clinical Outcome ◽  
Outcome Measure ◽  
Case Series ◽  
Mobile App ◽  
Significant Difference ◽  
Analytic Therapy ◽  
Evaluation Outcome ◽  
The Relationship ◽  
Cognitive Analytic Therapy

Background There has been a lack of technological innovation regarding improving the delivery of integrative psychotherapies. This project sought to evaluate an app designed to replace previous paper-based methods supporting relational awareness and change during cognitive analytic therapy (CAT). Objective We aimed to assess patients’ and therapists’ experience of using the technology (ie, the “CAT-App”) and to evaluate the relationship between app usage and clinical outcome. Methods The design was a mixed methods case series. Patients completed the Clinical Outcomes in Routine Evaluation-Outcome Measure pre- and post-CAT. Mood data plus the frequency and effectiveness of relational awareness and change were collected via the app. Therapists and patients were interviewed about their experiences using the app. Results Ten patients (treated by 3 therapists) were enrolled; seven completed treatment and 4 had a reliable improvement in their mental health. App usage and mood change did not differ according to clinical outcome, but there was a statistically significant difference in app usage between completers and dropouts. The qualitative themes described by the therapists were (1) the challenge of incorporating the technology into their clinical practice and (2) the barriers and benefits of the technology. Clients’ themes were (1) data protection, (2) motivation and engagement, and (3) restrictions versus flexibility. Conclusions The CAT-App is capable of supporting relational awareness and change and is an upgrade on older, paper-based formats. Further clinical evaluation is required.

Clinical Outcome Routine Evaluation--Outcome Measure; Italian Version

2009 ◽  
Author(s):  
Gaspare Palmieri ◽  
Chris Evans ◽  
Vidje Hansen ◽  
Greta Brancaleoni ◽  
Silvia Ferrari ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Outcome Measure ◽  
Italian Version ◽  
Evaluation Outcome

scholarly journals Evaluation of a Mobile App to Enhance Relational Awareness and Change During Cognitive Analytic Therapy: Mixed Methods Case Series (Preprint)

2020 ◽  
Author(s):  
Stephen Kellett ◽  
Katherine Easton ◽  
Martin Cooper ◽  
Abigail Millings ◽  
Melanie Simmonds-Buckley ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Clinical Outcome ◽  
Outcome Measure ◽  
Case Series ◽  
Mobile App ◽  
Significant Difference ◽  
Analytic Therapy ◽  
Evaluation Outcome ◽  
The Relationship ◽  
Cognitive Analytic Therapy

BACKGROUND There has been a lack of technological innovation regarding improving the delivery of integrative psychotherapies. This project sought to evaluate an app designed to replace previous paper-based methods supporting relational awareness and change during cognitive analytic therapy (CAT). OBJECTIVE We aimed to assess patients’ and therapists’ experience of using the technology (ie, the “CAT-App”) and to evaluate the relationship between app usage and clinical outcome. METHODS The design was a mixed methods case series. Patients completed the Clinical Outcomes in Routine Evaluation-Outcome Measure pre- and post-CAT. Mood data plus the frequency and effectiveness of relational awareness and change were collected via the app. Therapists and patients were interviewed about their experiences using the app. RESULTS Ten patients (treated by 3 therapists) were enrolled; seven completed treatment and 4 had a reliable improvement in their mental health. App usage and mood change did not differ according to clinical outcome, but there was a statistically significant difference in app usage between completers and dropouts. The qualitative themes described by the therapists were (1) the challenge of incorporating the technology into their clinical practice and (2) the barriers and benefits of the technology. Clients’ themes were (1) data protection, (2) motivation and engagement, and (3) restrictions versus flexibility. CONCLUSIONS The CAT-App is capable of supporting relational awareness and change and is an upgrade on older, paper-based formats. Further clinical evaluation is required.

scholarly journals Influência da percepção de risco sobre a covid-19 no sofrimento psicológico dos profissionais de saúde

Psico ◽  
2021 ◽  
Vol 52 (3) ◽  
pp. e41408
Author(s):  
Priscila Goergen Brust-Renck ◽  
Jocieli Ferrari ◽  
Murilo Ricardo Zibetti ◽  
Fernanda Barcellos Serralta
Keyword(s):  
Clinical Outcome ◽  
Outcome Measure ◽  
Rio Grande ◽  
Rio Grande Do Sul ◽  
Evaluation Outcome

A saúde mental dos profissionais de saúde da linha de frente durante a pandemia da Doença Coronavírus-2019 (COVID-19) está relacionada a uma percepção qualitativa de risco sobre a doença, segundo a Teoria do Traço Difuso. Uma pesquisa de levantamento foi realizada com 134 profissionais de saúde da linha de frente em um município da região metropolitana do Rio Grande do Sul. Os participantes responderam a um questionário online sobre percepção de risco e a Clinical Outcome Routine Evaluation - Outcome Measure. Análises de regressão linear corroboraram a literatura, indicando que a percepção qualitativa do risco estava relacionada a menor sofrimento psicológico e uma avaliação quantitativa, a maior sofrimento. Os resultados demonstraram a importância da Teoria do Traço Difuso para compreensão dos riscos associados ao sofrimento mental (potencialmente clínico) de profissionais de saúde durante a pandemia.

The Finnish Clinical Outcome in Routine Evaluation Outcome Measure: psychometric exploration in clinical and non-clinical samples

2017 ◽  
Vol 71 (8) ◽  
pp. 589-597 ◽  
Author(s):  
Kirsi Honkalampi ◽  
Aarno Laitila ◽  
Hanna Juntunen ◽  
Kristiina Lehmus ◽  
Aino Piiparinen ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Outcome Measure ◽  
Clinical Samples ◽  
Evaluation Outcome

scholarly journals Value of Vascular and Non-Vascular Pattern on Computed Tomography Perfusion in Patients With Acute Isolated Aphasia

Stroke ◽  
2020 ◽  
Vol 51 (8) ◽  
pp. 2480-2487
Author(s):  
Salvatore Rudilosso ◽  
Alejandro Rodríguez ◽  
Sergio Amaro ◽  
Víctor Obach ◽  
Arturo Renú ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Ischemic Stroke ◽  
Clinical Outcome ◽  
Predictive Value ◽  
Brain Perfusion ◽  
Complete Recovery ◽  
Vascular Perfusion ◽  
Computed Tomography Perfusion ◽  
Stroke Mimic ◽  
Ischemic Attack

Background and Purpose: Acute onset aphasia may be due to stroke but also to other causes, which are commonly referred to as stroke mimics. We hypothesized that, in patients with acute isolated aphasia, distinct brain perfusion patterns are related to the cause and the clinical outcome. Herein, we analyzed the prognostic yield and the diagnostic usefulness of computed tomography perfusion (CTP) in patients with acute isolated aphasia. Methods: From a single-center registry, we selected a cohort of 154 patients presenting with acute isolated aphasia who had a whole-brain CTP study available. We collected the main clinical and radiological data. We categorized brain perfusion studies on CTP into vascular and nonvascular perfusion patterns and the cause of aphasia as ischemic stroke, transient ischemic attack, stroke mimic, and undetermined cause. The primary clinical outcome was the persistence of aphasia at discharge. We analyzed the sensitivity, specificity, positive and negative predictive values of perfusion patterns to predict complete clinical recovery and ischemic stroke on follow-up imaging. Results: The cause of aphasia was an ischemic stroke in 58 patients (38%), transient ischemic attack in 3 (2%), stroke mimic in 68 (44%), and undetermined in 25 (16%). CTP showed vascular and nonvascular perfusion pattern in 62 (40%) and 92 (60%) patients, respectively. Overall, complete recovery occurred in 116 patients (75%). A nonvascular perfusion pattern predicted complete recovery (sensitivity 75.9%, specificity 89.5%, positive predictive value 95.7%, and negative predictive value 54.8%), and a vascular perfusion pattern was highly predictive of ischemic stroke (sensitivity 94.8%, specificity 92.7%, positive predictive value 88.7%, and negative predictive value 96.7%). The 3 patients with ischemic stroke without a vascular perfusion pattern fully recovered at discharge. Conclusions: CTP has prognostic value in the workup of patients with acute isolated aphasia. A nonvascular pattern is associated with higher odds of full recovery and may prompt the search for alternative causes of the symptoms.

Acute Otitis Media and Facial Paralysis in Children

1996 ◽  
Vol 105 (1) ◽  
pp. 58-62 ◽  
Author(s):  
Clark A. Elliott ◽  
George H. Zalzal ◽  
Wendy R. Gottlieb
Keyword(s):  
Facial Nerve ◽  
Otitis Media ◽  
Facial Paralysis ◽  
Acute Otitis Media ◽  
Complete Recovery ◽  
Rapid Improvement ◽  
Nerve Decompression ◽  
Complete Paralysis ◽  
Prolonged Recovery ◽  
Facial Nerve Decompression

We reviewed 10 children who presented with facial paralysis after the onset of acute otitis media. The objective of the study was to examine the outcome of facial paralysis in children with acute otitis media treated without facial nerve decompression. Two groups were identified: 8 patients with incomplete paralysis and 2 with complete paralysis. Seven of the 8 patients with incomplete paralysis had rapid return of function after myringotomy and intravenous antibiotics. The eighth patient had delayed recovery requiring 9 months before complete return of function. The 2 patients with complete paralysis required mastoidectomy to control otorrhea and fever after initial myringotomy and antibiotics. Both patients had a prolonged recovery requiring 3 and 7 months for complete recovery. Patients with incomplete paralysis generally show rapid improvement following wide myringotomy and antibiotic treatment. A more protracted recovery may be expected in patients with complete paralysis; excellent return of function is expected when mastoidectomy without facial nerve decompression is employed.

scholarly journals La versión española del CORE-OM: Clinical Outcomes in Routine Evaluation - Outcome Measure

2012 ◽  
Vol 23 (89) ◽  
pp. 109-135
Author(s):  
Guillem Feixas ◽  
Chris Evans ◽  
Adriana Trujillo ◽  
Luis Ángel Saúl ◽  
Lluís Botella ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Outcome Measure ◽  
Core System ◽  
Evaluation Outcome

Se presenta la versión en español del Clinical Outcomes in Routine Evaluation- Outcome Measure (CORE-OM), un instrumento creado por el Core System Group para la evaluación del cambio terapéutico. El CORE-OM es un cuestionario que evalúa el malestar psicológico a partir de cuatro dimensiones: Bienestar subjetivo, Problemas/Síntomas, Funcionamiento general y Riesgo. Se describe el cuestionario y se exponen los estudios psicométricos realizados, los cuales indican que el instrumento posee un nivel de validez y fiabilidad adecuadas, así como una excelente aceptación y sensibilidad al cambio terapéutico. Con la supervisión y guía de miembros del equipo creador del CORE-OM, se realizó el proceso de traducción de la versión original en inglés. Colaboraron 12 personas competentes en ambas lenguas de diferentes lugares de España; posteriormente 64 castellano-parlantes de distintas condiciones y orígenes lingüísticos participaron en la revisión del instrumento. Así se obtuvo una versión definitiva en español del CORE-OM, de la que se derivaron las versiones más breves resultantes (CORE-SFA, CORE-SFB, CORE-10 y CORE-5) y todas ellas en versión femenina y masculina. Ahora que el CORE-OM está disponible para todos los psicoterapeutas de habla hispana (www.ub.edu/terdep/core), se hace necesario continuar con el estudio de validación con el objetivo de disponer de las propiedades psicométricas del instrumento en su versión en español.

scholarly journals Encephalopathy as a prognostic factor in adults with acute disseminated encephalomyelitis following COVID-19

2021 ◽  
Author(s):  
Stefano Gelibter ◽  
Gabriele Bellavia ◽  
Carla Arbasino ◽  
Natale Arnò ◽  
Margaret Glorioso ◽  
...  
Keyword(s):  
Prognostic Factor ◽  
Clinical Outcome ◽  
Descriptive Analysis ◽  
Complete Recovery ◽  
Acute Disseminated Encephalomyelitis ◽  
High Morbidity ◽  
Significant Prognostic Factor ◽  
Acute Necrotizing ◽  
Retrospective Nature ◽  
Worse Prognosis

Abstract Numerous reports support the possible occurrence of acute disseminated encephalomyelitis (ADEM) following COVID-19. Herein, we report a case of ADEM in a 53 years-old man two weeks after SARS-CoV-2 infection. We reviewed the reports of adult cases of ADEM and its variant acute necrotizing hemorrhagic leukoencephalitis (ANHLE) to check for possible prognostic factors and clinical/epidemiological peculiarities. We performed a descriptive analysis of clinical and cerebrospinal fluid data. Ordinal logistic regressions were performed to check the effect of clinical variables and treatments on ADEM/ANHLE outcomes. We also compared ADEM and ANHLE patients. We identified a total of 20 ADEM (9 females, median age 53.5 years) and 23 ANHLE (11 females, median age 55 years). Encephalopathy was present in 80% of ADEM and 91.3% of ANHLE patients. We found that the absence of encephalopathy predicts a better clinical outcome in ADEM (OR = 0.027, 95%CI 0.001–0.611, p = 0.023), also when correcting for the other variables (OR = 0.032, 95%CI 0.001–0.995, p = 0.05). Conversely, we identified no significant prognostic factor in ANHLE patients. ANHLE patients showed a trend towards a worse clinical outcome (lower proportion of good/complete recovery, 4.5% vs 16.7%) and higher mortality (36.4% vs 11.1%) as compared to ADEM. Compared to pre-pandemic ADEM, we observed a higher median age of people with post-COVID-19 ADEM and ANHLE, a shorter interval between infection and neurological symptoms, and a worse prognosis both in terms of high morbidity and mortality. Despite being affected by the retrospective nature of the study, these observations provide new insights into ADEM/ANHLE following SARS-CoV-2 infection.

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