Impact of defense style on brief psychotherapy of postpartum depression.

In this study, we evaluated the impact of defense style (DS) on outcome and its relation to the therapeutic alliance. Women with postpartum depression were allocated to a brief psychotherapeutic intervention. To evaluate DS and the therapeutic alliance, the Defense Style Questionnaire and the Working Alliance Inventory were employed. The main outcome was the Edinburgh Postnatal Depression Scale score at end point; anxiety and retention in treatment were also evaluated. Fifty-nine patients were included; 46 completed the therapy and 65.4% responded (Edinburgh Postnatal Depression Scale score <10). Intense use of immature defenses was related to persistence of depression and anxiety symptoms at end point, even when controlled for potential confounders. Results tended to confirm a hierarchy of DSs independently of the alliance. Clinicians should be aware of possible differential responses to brief psychotherapies related to DS.

Measuring coping style and resistance among Spanish and Argentine samples: development of the Systematic Treatment Selection Self-Report in Spanish.

This article reports the reliability and validity of the Coping Style and Resistance subscales of the Systematic Treatment Selection Self-Report (STS-SR) scale after its translation to Spanish. The English versions of the STS system identify eight empirically derived patient variables that have been found to moderate the effects of various classes of mental health treatment procedures. Research on these dimensions as treatment indicators, as assessed both by clinicians and through patient self-reports, indicates that they increase the efficiency and effectiveness of treatment among English-speaking samples. This article reports a study of the convergent and discriminant validity of two of the subscales, Coping Style and Trait Resistance. The subscales were translated English into Spanish and administered to large Spanish and Argentine subject pools, along with established measures of the same and related constructs. Results revealed that both scales possessed good internal consistency and adequate discriminant validity. The implications of these findings are discussed.

Constructivismo y construccionismo en terapia familiar: Pragmática, semántica y retórica / Constructivism and constructionism in family therapy: Pragmatic, semantics and rhetoric

Este artículo presenta una visión constructivista/construccionista de la terapia familiar, desde un enfoque centrado en las dimensiones narrativas y retóricas de la interacción. Después de trazar una breve historia del surgimiento del movimiento constructivista en el seno de la terapia familiar sistémica, el artículo presenta una concepción de los sistemas humanos como comunidades de interlocutores activamente implicados en la atribución de significado a la experiencia. El significado se equipara a la inteligibilidad, y se destaca la dimensión narrativa de los problemas humanos que conducen a la terapia. La psicoterapia se define como una empresa de co-construcción narrativa en la que tras la elicitación de las narrativas dominantes...(AU)

Constructivismo y construccionismo en terapia familiar: Pragmática, semántica y retórica / Constructivism and constructionism in family therapy: Pragmatic, semantics and rhetoric

Este artículo presenta una visión constructivista/construccionista de la terapia familiar, desde un enfoque centrado en las dimensiones narrativas y retóricas de la interacción. Después de trazar una breve historia del surgimiento del movimiento constructivista en el seno de la terapia familiar sistémica, el artículo presenta una concepción de los sistemas humanos como comunidades de interlocutores activamente implicados en la atribución de significado a la experiencia. El significado se equipara a la inteligibilidad, y se destaca la dimensión narrativa de los problemas humanos que conducen a la terapia. La psicoterapia se define como una empresa de co-construcción narrativa en la que tras la elicitación de las narrativas dominantes...