Medicine and Health Sciences Commons^™

An Automated Internet Application To Help Patients With Bipolar Disorder Track Social Rhythm Stabilization., Daniel Z Lieberman, Susan Swayze, Frederick K Goodwin

Psychiatry and Behavioral Sciences Faculty Publications

This column describes a pilot study of a fully automated, Internet-based program that provides a key element of interpersonal and social rhythm therapy, a form of psychotherapy shown to be effective in the treatment of bipolar disorder when combined with mood-stabilizing medication. Participants (N=64) recorded the time they completed activities of daily living and their mood at the time of each entry. After 90 days they demonstrated a 31% increase in social rhythm stability and a small, though statistically significant, decrease in symptoms of abnormal mood. Internet-based programs can enhance access to a best practice in the management of bipolar …

Patient Outcome Expectations And Credibility Beliefs As Predictors Of The Alliance And Treatment Outcome, Rebecca M. Ametrano

Masters Theses 1911 - February 2014

The clinical relevance of patients’ psychotherapy outcome expectations has been substantiated by a fairly robust correlational literature. Furthermore, as a related yet distinct construct, patients’ treatment credibility beliefs have also been associated with positive treatment outcomes. Addressing several methodological limitations of past research, the current study examined the influence on early adaptive process (patient-psychotherapist alliance quality) and early treatment outcome (patient distress level) of patients’ outcome expectations and credibility beliefs, measured both statically and dynamically with a psychometrically sound self-report instrument. Patients were 110 adult outpatients receiving naturalistically delivered psychotherapy in a community mental health training clinic. The primary research …

David Grove's Metaphors For Healing, David Pincus, Anees A. Sheikh

Psychology Faculty Articles and Research

Within the ever-expanding list of approaches to psychotherapy, there is a tendency to overlook deep imagery approaches. The current article reports on one such metaphor-based therapy developed by David Grove (Grove & Panzer, 1989). The approach is analyzed within the context of mainstream contemporary psychotherapy in general, the state of empirical understanding of common processes to psychotherapy, and in relation to other deep imagery-based approaches to therapy. Next, a step-by-step description of the techniques used within metaphor therapy are presented, along with a case example demonstrating the use of these techniques on a case involving pain symptoms. Finally, it is …

Psychotherapy As A Treatment Modality For Psychiatric Disorders: Perceptions Of General Public Of Karachi, Pakistan, Abdul Mueed Zafar, Ali Jawaid, Hiba Ashraf, Ambreena Fatima, Rubina Anjum, Salah U. Qureshi

Department of Psychiatry

Background: Psychiatric disorders affect about 450 million individuals worldwide. A number of treatment modalities such as psychotropic medications, psychotherapy and electroconvulsive therapy can be used to treat these disorders. Attitudes of general public play a pivotal role in effective utilization of mental health services. We explored the perceptions of general public of Karachi, Pakistan regarding psychotherapy. Methods: A cross-sectional study was conducted in Karachi, Pakistan during July-August, 2008. A three-step sampling strategy and a structured questionnaire were employed to survey knowledge and perceptions of adult general public about psychotherapy. Descriptive statistics were used for baseline characteristics. Logistic regression models were …

Mental Health Patients' Experiences Of Being Misunderstood, L.M. Gaillard, M.M. Shattell, Sandra Thomas

Faculty Publications and Other Works -- Nursing

Mental health patients describe “being understood” as an experience that evokes feelings of importance, worthiness, and empowerment. However, the experience of “being misunderstood” is more prevalent in patients’ relationships with health care providers. Negative consequences such as vulnerability, dehumanization, and frustration reveal that being misunderstood has the potential to damage or destroy therapeutic relationships.

Effects Of A Personified Guide On Adherence To An Online Program For Alcohol Abusers., Daniel Z Lieberman

Psychiatry and Behavioral Sciences Faculty Publications

The quality of the therapeutic alliance has robust effects on the outcome of psychotherapy and psychopharmacologic interventions. Automated behavioral health programs that are being developed to increase access to mental health treatment are administered in the absence of direct human participation, thereby precluding the development of a traditional therapeutic relationship. The aim of this study was to develop a personified guide designed to stimulate reactions similar to those experienced in a therapeutic relationship, and evaluate the effect of the guide on adherence to and satisfaction with an online alcohol use evaluation program. After completing a battery of four standard questionnaires …

Supportive-Expressive Psychotherapy For Cannabis Dependence, Brin F. Grenyer, Nadia Solowij

Faculty of Health and Behavioural Sciences - Papers (Archive)

Supportive–expressive (SE) dynamic psychotherapy forms one variation of a number of psychotherapies that emphasize the importance of effective interpersonal relationships for psychological health (Grenyer, 2002a). The overall goal of SE psychotherapy is to help the client achieve mastery over their difficulties, gain self-understanding, and practice self-control over habitual drug use and related problems. From this framework, cannabis dependence is understood within the context of the client's interpersonal relationships, work, and social problems. The theory behind the SE approach emphasizes the formative influence of life experiences on the development of personality and on the genesis of problems, including habitual cannabis use. …

Comparison Of Pretreatment Characteristics And Treatment Outcomes For Alcohol-, Cocaine-, And Multisubstance-Dependent Patients., Ashwin A. Patkar, Charles C. Thornton, Paolo Mannelli, Kevin P. Hill, Edward Gottheil, Michael J. Vergare, Stephen P. Weinstein

Department of Psychiatry and Human Behavior Faculty Papers

We investigated whether pretreatment characteristics and measures of outcome differed for alcohol-, cocaine-, and multisubstance-dependent patients receiving outpatient substance abuse treatment. One hundred and forty substance dependent individuals (32 alcohol, 76 cocaine, and 32 multisubstance) enrolled in a 12-week outpatient treatment program were compared across measures of addiction severity, personality, and treatment-readiness at admission. In-treatment, end-of-treatment and 9-month follow-up assessments of treatment outcome were then compared across the three groups. Outcome measures included reduction in problem severity, abstinence, retention, number of sessions attended, dropout, and counselor and patient ratings of treatment benefit. At admission, the multisubstance group had a higher …

Bibliotherapy For Hospital Patients, P. S. Mcmillen, D. Pehrsson

Library Faculty Publications

The purpose of this paper is to provide an overview of bibliotherapy in relation to hospital patients. It includes a brief history as well as discussion of practitioners, patients and problems, methodology and effectiveness. It also offers recommendations for those who provide bibliotherapy within the hospital context. The focus is on the use of bibliotherapy by professionals other than mental health practitioners. Coverage includes common literary genres that can be used for bibliotherapy addressing patients’ affective issues.

Psychotherapy In Antidepressant Patients, Thomas J. Kniesner, Regina H. Powers, Thomas W. Croghan

Center for Policy Research

Depression is a condition with various modes of treatment, including pharmacotherapy, psychotherapy, and some combination of each. The role of psychotherapy in the treatment of depression relative to the role of pharmacotherapy is not well understood, and guidelines for psychotherapy in the primary care setting differ from guidelines for specialty care. There is little evidence about the circumstances in actual practice that affect the use of psychotherapy in conjunction with pharmacotherapy.

We retrospectively identify the most important factors associated with the use of psychotherapy in combination with pharmacotherapy in the treatment of depression. Specifically, we study provider choice, health plan …

Therapists' Liability To The Falsely Accused For Inducing Illusory Memories Of Childhood Sexual Abuse: Current Remedies And A Proposed Statute, Joel J. Finer

Law Faculty Articles and Essays

No issue in law and psychiatry has engendered such controversy as the current debate over whether experiences of childhood sexual abuse (CSA) are subject to repression for decades and eventually "recoverable" in therapy long after the event. One principal legal issue has been whether such "recovery" justifies the application of the "recent discovery" basis for tolling the statute of limitations, an issue which becomes significant when an adult psychotherapy patient sues her ostensible molester (often her father or other family member).

Ariel - Volume 6 Number 3, Hans Weltin, J.D. Kanofsky, Ken Jaffe, Robert B. Baker, Robert L. Brent, Halley S. Faust, Jim Burke, Susan Shapiro, Gary Emmett, Curt Cummings

Ariel

Editors

Mark Dembert

J.D. Kanofsky

Frank Chervenak

John Lammie

Curt Cummings

Staff

Ken Jaffe

Bob Sklaroff

Halley Faust

Jim Burke

Nancy Redfern

Hans Weltin

Photographer

Larry Glazerman

Overseas Editor

Mike Sinason

Humorist

Jim McCann

Ariel - Volume 5 Number 5, Philip Nimoityn, J.D. Kanofsky, Bob Sklaroff, Morton A. Klein, David A. Jacoby, Elaine T. Carville, Robert L. Brent, Janet Welsh, Gary Kaskey, Steve Glinka

Ariel

Editors

Mark Dembert

J. D. Kanofsky

Entertainment

Robert Breckenridge

Joe Conti

Gary Kaskey

Photographer

Scot Kastner

Overseas Editor

Mike Sinason

Circulation

Jay Amsterdam

Humorist

Jim McCann

Staff

Ken Jaffe

Bob Sklaroff

Janet Welsh

Dave Jacoby

Phil Nimoityn

Frank Chervanek

Ariel - Volume 5 Number 3, J.D. Kanofsky, Dery Mackie, Mike Sinason, Philip Nimoityn, A. James Morgan, Joe Conti, Clifford Browning, Mark Dembert

Ariel

Editor

J.D. Kanofsky

Entertainment Editors

Robert Breckenridge

Gary Kaskey

Overseas Editor

Mike Sinason

Staff

Ken Jaffe

Bob Sklaroff

Janet Weish

David Jacoby

Circulation Editor

Jay Amsterdam

Humorist

Jim McCann

Ariel - Volume 3 Number 7, Tom Williams, Richard Bonanno, Frank Taylor, Eugenia Miller, Allen Sonstein, Terry Burt, David Jacoby, Brent Spears, Robert L. Breckenridge, Jr.

Ariel

Editors

Richard J. Bonanno

Robin A. Edwards

Associate Editors

Steven Ager

Tom Williams

Lay-out Editor

Eugenia Miller

Contributing Editors

Paul Bialas

Robert Breckenridge

David Jacoby

Mike LeWitt

Terry Burt

Michael Leo

Editors Emeritus

Delvyn C. Case, Jr.

Paul M. Fernhoff