scholarly journals Interaction Structures in Psychodynamic Psychotherapy for Adolescents

2021 ◽  
Vol 18 (24) ◽  
pp. 13007
Author(s):  
Barış Can ◽  
Sibel Halfon
Keyword(s):  
Multilevel Modeling ◽  
Externalizing Problems ◽  
Psychodynamic Psychotherapy ◽  
Specific Treatment ◽  
Psychotherapy Research ◽  
Principal Component ◽  
Evidence Base ◽  
Study Cohort ◽  
Adolescent Psychotherapy ◽  
Resistant Patient

Despite advances in psychotherapy research showing an evidence-base for psychodynamic psychotherapy (PDT) in adolescents, developmentally specific treatment characteristics are under-researched. We aimed to identify interaction structures (IS: reciprocal patterns of in-session interactions involving therapist interventions, patient behaviors, and the therapeutic relationship) and assess associations between IS and outcome. The study cohort comprised 43 adolescents (Mage = 13.02 years) with nonclinical, internalizing, and comorbid internalizing–externalizing problems in PDT. A total of 123 sessions from different treatment phases were rated based on the Adolescent Psychotherapy Q-Set (APQ). Outcome was assessed with the Brief Problem Monitor-Youth (BPM-Y) administered repeatedly over the treatment course. Principal component analysis of APQ items resulted in five IS, named “Negative Therapeutic Alliance”, “Demanding Patient, Accommodating Therapist”, “Emotionally Distant Resistant Patient”, “Inexpressive Patient, Inviting Therapist”, and “Exploratory Psychodynamic Technique” (EPT). Multilevel modeling analyses with Bayesian Markov chain Monte Carlo (MCMC) estimations indicated a two-way interaction effect between EPT and problem levels at baseline such that patients with lower problems at baseline showed good outcome in the context of EPT, whereas an inverse relationship was found for patients with higher problems. Findings provide empirical evidence for characteristic components of PDT for adolescents and preliminary answers about who benefits from psychodynamic techniques.

Clinical Interventions with Children and Adolescents

2014 ◽  
pp. 770-797
Author(s):  
Thomas H. Ollendick ◽  
Stephen R. Shirk
Keyword(s):  
Children And Adolescents ◽  
Psychotherapy Research ◽  
Evidence Base ◽  
Conduct Disorders ◽  
Evidence Based ◽  
Adolescent Psychotherapy ◽  
Clinical Interventions ◽  
Developmental Factors ◽  
Attentional Disorders ◽  
Exciting Time

This chapter on clinical interventions with children and adolescents has four primary goals: (1) to review early efforts to identify evidence-based psychosocial treatments for youth and their families; (2) to provide an overview of current evidentiary support for the treatment of the four most prevalent psychiatric disorders in youth: anxiety disorders, mood disorders, attentional disorders, and oppositional/conduct disorders; (3) to examine relational and developmental factors that qualify and potentially moderate these efficacious treatments; and (4) to speculate on the future of psychotherapy research and practice with youth. Our review indicates that several evidence-based interventions are available, although with few exceptions they are cognitive-behavioral ones. However, we conclude that the evidence base even for these interventions is not overly robust at this time, and that we must evaluate other commonly practiced interventions such as play therapy, family systems therapy, and psychodynamic-based therapies before their routine use can be endorsed. We also identify important developmental, contextual, and relationship variables that qualify these efficacious findings and encourage the pursuit of additional process and outcome research. We conclude our discourse by suggesting that we must move beyond reliance upon manual-based treatments to the development of principle-based interventions that draw upon these specific evidence-based interventions but move beyond and unify them. Although much progress has occurred in the past 50 years, much work remains to be done. This is an exciting time in the child and adolescent psychotherapy arena.

scholarly journals A developmental perspective on adolescent psychoanalytic psychotherapy. An Italian study with the Adolescent Psychotherapy Q-Set

2015 ◽  
Vol 18 (2) ◽  
Author(s):  
Mauro Di Lorenzo ◽  
Alfio Maggiolini ◽  
Virginia Anna Suigo
Keyword(s):  
Psychodynamic Psychotherapy ◽  
Behavioral Therapy ◽  
Therapeutic Process ◽  
Psychotherapy Research ◽  
Clinical Expertise ◽  
Adolescent Psychotherapy ◽  
Therapeutic Approaches ◽  
Developmental Approach ◽  
The Subject ◽  
Therapist Response

Introduction: despite large and widely accepted research on effectiveness, most of psychotherapy research has been done with adults; few studies have been published on the process of adolescent psychotherapy, due to the complexity of the subject and the absence of instruments sensitive enough to empirically capture its nuances. Within psychoanalytic framework, a developmental approach is particu-larly helpful in the psychotherapy of adolescents. Objective: the purpose of this study was to investigate the typical features of Italian Adolescence Psychodynamic Psychotherapy and its similarities and differences with other adolescence psycho-therapeutic approaches; We also aimed at analyzing typical therapists’ responses to adolescent patients. Method: 50 italian adolescence psychotherapists filled a brief questionnaire about their clinical expertise, completed the Adolescent Psychothe-rapy Q – Set (APQ) and the Therapist Response Questionnaire (TRQ) in order to describe their “actual” practice with adolescents. Results: therapeutic process is characterized by a priority to helping adolescent make sense of his own experience, it focuses on present relationships and emotions rather than on past. Strong similar-ities with Mentalization Based Therapy, mild and no correlations with Cognitive-Behavioral Therapy and Classical Psychoanalysis respectively were found; towards adolescents therapists generaly display positive and protective countertransference responses. They less frequenlty show negative responses as overprotection, hostility or feeling of overwhelming. Conclusions: APQ and TRQ can provide meaningfull information about adolescent psychotherapy process. Instruments’ improvement (i.e. reviewd items for APQ) and future perspectives are also discussed.

scholarly journals Psychodynamic psychotherapy: developing the evidence base

2014 ◽  
Vol 20 (4) ◽  
pp. 269-279 ◽  
Author(s):  
Jessica Yakeley
Keyword(s):  
Outcome Research ◽  
Psychodynamic Psychotherapy ◽  
Psychological Treatment ◽  
Psychotherapy Research ◽  
Evidence Base ◽  
Behavioural Therapy ◽  
Treatment Modalities ◽  
List Type ◽  
Therapeutic Modalities ◽  
Cognitive Behavioural

SummaryPsychodynamic psychotherapy has been criticised as being based on outdated principles of psychoanalysis and lacking an adequate evidence base to convincingly demonstrate its efficacy. This article summarises the recent evidence from high-quality outcome studies to show that psychodynamic psychotherapy is as effective in the treatment of a range of mental disorders as other psychological treatment modalities such as cognitive-behavioural therapy, as well as reviewing process-outcome research aiming to elucidate mechanisms of therapeutic change. A paradigm for psychodynamic psychotherapy research based on attachment theory is introduced, which may inform the development of psychodynamic therapeutic modalities tailored for specific conditions.LEARNING OBJECTIVESUnderstand the basic principles and techniques of psychodynamic psychotherapy.Be able to summarise the recent evidence base for the efficacy of psychodynamic psychotherapy.Appreciate process-outcome research that elucidates therapeutic mechanisms underpinning psychodynamic psychotherapy.

Clinical Interventions with Children and Adolescents: Current Status, Future Directions

2010 ◽  
pp. 762-789 ◽  
Author(s):  
Thomas H. Ollendick ◽  
Stephen R. Shirk
Keyword(s):  
Children And Adolescents ◽  
Psychotherapy Research ◽  
Evidence Base ◽  
Conduct Disorders ◽  
Current Status ◽  
Evidence Based ◽  
Adolescent Psychotherapy ◽  
Clinical Interventions ◽  
Developmental Factors ◽  
Attentional Disorders

This chapter on clinical interventions with children and adolescents has four primary goals: (1) to review early efforts to identify evidence-based psychosocial treatments for youth and their families; (2) to provide an overview of current evidentiary support for the treatment of the four most prevalent psychiatric disorders in youth: anxiety disorders, mood disorders, attentional disorders, and oppositional/conduct disorders; (3) to examine relational and developmental factors that qualify and potentially moderate these efficacious treatments; and (4) to speculate on the future of psychotherapy research and practice with youth. Our review indicates that several evidence-based interventions are available, although with few exceptions they are cognitive-behavioral ones. However, we conclude that the evidence base even for these interventions is not overly robust at this time, and that we must evaluate other commonly practiced interventions such as play therapy, family systems therapy, and psychodynamic-based therapies before their routine use can be endorsed. We also identify important developmental, contextual, and relationship variables that qualify these efficacious findings and encourage the pursuit of additional process and outcome research. We conclude our discourse by suggesting that we must move beyond reliance upon manual-based treatments to the development of principle-based interventions that draw upon these specific evidence-based interventions but move beyond and unify them. Although much progress has occurred in the past 50 years, much work remains to be done. This is an exciting time in the child and adolescent psychotherapy arena.

scholarly journals Interaction structures in the psychodynamic psychotherapy of a patient with chronic diseases and somatic symptoms

2019 ◽  
Vol 41 (2) ◽  
pp. 128-135
Author(s):  
Pricilla Braga Laskoski ◽  
Simone Hauck ◽  
Stefania Pigatto Teche ◽  
Carolina Stopinski Padoan ◽  
Alcina Juliana Soares Barros ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Psychodynamic Psychotherapy ◽  
Somatic Symptoms ◽  
Principal Component ◽  
Clinical Validity ◽  
Specific Patient ◽  
Technical Management ◽  
Process Studies ◽  
Patterns Of Interaction

Abstract Objective This study aimed to identify and analyze the interaction structures (ISs) (patterns of reciprocal interaction between the patient-therapist dyad) that characterize the process of a successful long-term psychodynamic psychotherapy (28 months) of a patient with chronic diseases (lupus and fibromyalgia) and somatic symptoms. Methods The 113 sessions were videotaped and analyzed alternately (n = 60) by independent judges using the Psychotherapy Process Q-Set. Inter-rater reliability ranged from 0.60 to 0.90, with a mean of r = 0.71 (Pearson’s correlation). Through a principal component exploratory factor analysis, four ISs were identified. Result The patterns of interaction between patient and therapist showed clinical validity (i.e., they were easily interpretable in the context of the case under study). The ISs were non-linear and more or less prominent across different treatment sessions and stages. Some ISs were similar to those in other studies, and others were probably unique to the present process. In addition, some ISs were independent, whereas others were interrelated over time. Conclusion Process studies, such as the present one, seek to address questions about the characteristics of the interaction between patient and therapist as well as to identify particular patterns of interaction that are most prominent with a specific patient at a specific condition or time. Therefore, these studies can provide some support in establishing knowledge for clinical practice, assisting in the training of therapists, as well as in the elaboration of general guidelines for the technical management of patients with specific characteristics.

scholarly journals Dietary Patterns in Primary School are of Prospective Relevance for the Development of Body Composition in Two German Pediatric Populations

Nutrients ◽  
2018 ◽  
Vol 10 (10) ◽  
pp. 1442 ◽  
Author(s):  
Maike Wolters ◽  
Gesa Joslowski ◽  
Sandra Plachta-Danielzik ◽  
Marie Standl ◽  
Manfred Müller ◽  
...  
Keyword(s):  
Body Composition ◽  
Primary School ◽  
Dietary Patterns ◽  
Fast Food ◽  
Principal Component ◽  
Food Group ◽  
Study Cohort ◽  
Reduced Rank Regression ◽  
Rank Regression ◽  
Frequent Consumption

This study performed comparative analyses in two pediatric cohorts to identify dietary patterns during primary school years and examined their relevance to body composition development. Nutritional and anthropometric data at the beginning of primary school and two or four years later were available from 298 and 372 participants of IDEFICS-Germany (Identification and prevention of Dietary-induced and lifestyle-induced health Effects In Children and infants Study) and the KOPS (Kiel Obesity Prevention Study) cohort, respectively. Principal component analyses (PCA) and reduced rank regression (RRR) were used to identify dietary patterns at baseline and patterns of change in food group intake during primary school years. RRR extracted patterns explaining variations in changes in body mass index (BMI), fat mass index (FMI), and waist-to-height-ratio (WtHR). Associations between pattern adherence and excess gain in BMI, FMI, or WtHR (>75th percentile) during primary school years were examined using logistic regression. Among PCA patterns, only a change towards a more Mediterranean food choice during primary school years were associated with a favorable body composition development in IDEFICS-Germany (p < 0.05). In KOPS, RRR patterns characterized by a frequent consumption of fast foods or starchy carbohydrate foods were consistently associated with an excess gain in BMI and WtHR (all p < 0.005). In IDEFICS-Germany, excess gain in BMI, FMI, and WtHR were predicted by a frequent consumption of nuts, meat, and pizza at baseline and a decrease in the consumption frequency of protein sources and snack carbohydrates during primary school years (all p < 0.01). The study confirms an adverse impact of fast food consumption on body composition during primary school years. Combinations of protein and carbohydrate sources deserve further investigation.

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