2021 թվականի հոգեբանական աշխատանքների վերլուծությունը մարտական գործողությունների ժամանակ և հետպատերազմյան փուլում տարբեր խմբերում անձնակենտրոն ինտենսիվ ծրագրային հոգեթերապիայի շրջանակներում

The purpose of this article is to present and substantiate the effective approach of "Person-Centered Intensive Program Psychotherapy" used during the war unleashed on September 27, 2020 with the various groups involved in the hostilities. Based on the current objective, the article discussed the following issues: separately present, analyze, summarize the psychological work with wounded servicemen, their families, family members of killed servicemen, family members of missing servicemen, and returnees from captivity, make methodological-practical emphases. The article presents primary conversation algorithms, research questionnaires, methodological apparatus, which were the methodological basis of the work. As a result, it was concluded that by analyzing the four-month work, revealing the patterns from the statistical data, it is possible to give a more effective continuous character to the manners of psychological support in the above-mentioned groups within the Person-centered Intensive Psychotherapy. Proposals related to the performed preliminary psychological assessment, psychodiagnostic, psychotherapeutic work were submitted to the interested bodies in order to organize effective intensive work.

The Paranormal Surrounds Us: Psychic Phenomena in Literature, Culture, and Psychoanalysis by Richard Reichbart

The Paranormal Surrounds Us is a tied-together collection of essays by Richard Reichbart, a practicing psychoanalyst whose several strong interests and lifelong love for the mystery of psi, and sense of adventure and ethical sensibility, give the collection several points of focus. In addition to his current analytic practice of many decades, he has also been a student of literature, a playwright, a Yale-trained attorney, and an activist for Native American and African American rights. The book is as scattered as he has been, but it is so full of insights and pleasing prose, that it doesn’t lose much for that. In this time when we prefer our intellectual material in bite-sized chunks, like sparky TED Talks and internet articles, this may feel especially friendly to many. If there is an implicit, underlying focus to the work, it may be implicitly biographical: one curious man’s study of, to paraphrase Freud, the vicissitudes of psi – its expression in our finest literature, in our private and shared unconscious processes, in our different subcultures, in the deepest privacy of intensive psychotherapy, and in the legal and cultural presumptions that implicitly structure our thinking and behavior. There are three main sections to the book: Psi Phenomena in Western Literature, Psi Phenomena and Psychoanalysis, and Psi Phenomena and Culture.

Intensive psychotherapy and case management for Karen refugees with Major Depression in primary care: a pragmatic randomized control trial

Background: Despite an unparalleled global refugee crisis, there are almost no studies in primary care addressing real-world conditions and longer courses of treatment that are typical when resettled refugees present to their physician with critical psychosocial needs and complex symptoms. We studied the effects of a year of psychotherapy and case management in a primary care setting on common symptoms and functioning for Karen refugees (a newly arrived population in St Paul, Minnesota) with depression. Methods: A pragmatic parallel-group randomized control trial was conducted at two primary care clinics with large resettled Karen refugee patient populations, with simple random allocation to one year of either: (1) intensive psychotherapy and case management (IPCM), or (2) care-as-usual (CAU). Eligibility criteria included Major Depression diagnosis determined by structured diagnostic clinical interview, Karen refugee, ages 18-65. IPCM (n=112) received a year of psychotherapy and case management coordinated onsite between the case manager, psychotherapist, and primary care providers; CAU (n=102) received care-as-usual from their primary care clinic, including behavioral health referrals and/or brief onsite interventions. Blinded assessors collected outcomes of mean changes in depression and anxiety symptoms (measured by Hopkins Symptom Checklist-25), PTSD symptoms (Posttraumatic Diagnostic Scale), pain (internally developed 5-item Pain Scale), and social functioning (internally developed 37-item instrument standardized on refugees) at baseline, 3, 6 and 12 months. After propensity score matching, data were analyzed with the intention-to-treat principle using repeated measures ANOVA with partial eta-squared estimates of effect size. Results: Of 214 participants, 193 completed a baseline and follow up assessment (90.2%). IPCM patients showed significant improvements in depression, PTSD, anxiety, and pain symptoms and in social functioning at all time points, with magnitude of improvement increasing over time. CAU patients did not show significant improvements. The largest mean differences observed between groups were in depression (difference, 5.5, 95% CI, 3.9 to 7.1, P <.001) and basic needs/safety (difference, 5.4, 95% CI, 3.8 to 7.0, P <.001). Conclusions: Adult Karen refugees with depression benefited from intensive psychotherapy and case management coordinated and delivered under usual conditions in primary care. Intervention effects strengthened at each interval, suggesting robust recovery is possible.

Intensive psychotherapy and case management for Karen refugees with Major Depression in primary care: a pragmatic randomized control trial

Background: Despite an unparalleled global refugee crisis, there are almost no studies in primary care addressing real-world conditions and longer courses of treatment that are typical when resettled refugees present to their physician with critical psychosocial needs and complex symptoms. We studied the effects of a year of psychotherapy and case management in a primary care setting on common symptoms and functioning for Karen refugees (a newly arrived population in St Paul, Minnesota) with depression. Methods: A pragmatic parallel-group randomized control trial was conducted at two primary care clinics with large resettled Karen refugee patient populations, with simple random allocation to one year of either: (1) intensive psychotherapy and case management (IPCM), or (2) care-as-usual (CAU). Eligibility criteria included Major Depression diagnosis determined by structured diagnostic clinical interview, Karen refugee, ages 18-65. IPCM (n=112) received a year of psychotherapy and case management coordinated onsite between the case manager, psychotherapist, and primary care providers; CAU (n=102) received care-as-usual from their primary care clinic, including behavioral health referrals and/or brief onsite interventions. Blinded assessors collected outcomes of mean changes in depression and anxiety symptoms (measured by Hopkins Symptom Checklist-25), PTSD symptoms (Posttraumatic Diagnostic Scale), pain (internally developed 5-item Pain Scale), and social functioning (internally developed 37-item instrument standardized on refugees) at baseline, 3, 6 and 12 months. After propensity score matching, data were analyzed with the intention-to-treat principle using repeated measures ANOVA with partial eta-squared estimates of effect size. Results: Of 214 participants, 193 completed a baseline and follow up assessment (90.2%). IPCM patients showed significant improvements in depression, PTSD, anxiety, and pain symptoms and in social functioning at all time points, with magnitude of improvement increasing over time. CAU patients did not show significant improvements. The largest mean differences observed between groups were in depression (difference, 5.5, 95% CI, 3.9 to 7.1, P <.001) and basic needs/safety (difference, 5.4, 95% CI, 3.8 to 7.0, P <.001). Conclusions: Adult Karen refugees with depression benefited from intensive psychotherapy and case management coordinated and delivered under usual conditions in primary care. Intervention effects strengthened at each interval, suggesting robust recovery is possible.

Intensive psychotherapy and case management for Karen refugees with Major Depression in primary care: a pragmatic randomized control trial

Background: Despite an unparalleled global refugee crisis, there are almost no studies in primary care addressing real-world conditions and longer courses of treatment that are typical when resettled refugees present to their physician with critical psychosocial needs and complex symptoms. Our aim was to study the effects of a year of psychotherapy and case management in a primary care setting on common symptoms and functioning for Karen refugees (a newly arrived population in the study location) with depression. Methods: A pragmatic parallel-group randomized control trial was conducted at two primary care clinics with large resettled Karen refugee patient populations, with simple random allocation to one year of either: (1) intensive psychotherapy and case management (IPCM), or (2) care-as-usual (CAU). Eligibility criteria included Major Depression diagnosis, Karen refugee, ages 18-65. IPCM (n=112) received a year of psychotherapy and case management coordinated onsite between the case manager, psychotherapist, and primary care providers; CAU (n=102) received care-as-usual from their primary care clinic, including behavioral health referrals and/or brief onsite interventions. Blinded assessors collected outcomes of mean changes in depression, anxiety, PTSD, pain, and social functioning at baseline, 3, 6 and 12 months. Measures included HSCL-25 (depression and anxiety), PDS (PTSD), pain (range of 0-4), and social functioning scales (range of 0-4). Data were analyzed with the intention-to-treat principle. Results: Among 214 randomized participants, 193 completed a baseline and follow up assessment (90.2%). IPCM patients showed significant improvements in depression, PTSD, anxiety, and pain symptoms and in social functioning at 3, 6, and 12 months, with magnitude of improvement increasing over time. CAU patients did not show significant improvements. The largest mean differences observed between groups were in depression (difference, 5.5, 95% CI, 3.9 to 7.1, P<.001) and basic needs/safety (difference, 5.4, 95% CI, 3.8 to 7.0, P<.001). Conclusions: Adult Karen refugees with depression benefited from intensive psychotherapy and case management coordinated and delivered under usual conditions in primary care. Intervention effects strengthened at each interval, suggesting robust recovery is possible. Trial registration: clinicaltrials.gov Identifier: NCT03788408. Registered 20 Dec 2018. Retrospectively registered. Keywords: Refugees, Depression, Primary care, PTSD, Basic needs, Case management