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2.
Schmerz ; 33(4): 329-332, 2019 Aug.
Artigo em Alemão | MEDLINE | ID: mdl-31037342

RESUMO

A patient with long-term fibromyalgia syndrome and concomitant post-traumatic stress disorder is reported. The relocation to a so-called external safe site resulted within a very short time in a sustained remission of the fibromyalgia syndrome, due to psychotherapeutic interventions. This shows that-according to the clinical guidelines-a psychiatric examination and, if necessary, targeted therapy of the psychiatric comorbidity is indispensable in patients with fibromyalgia syndrome.


Assuntos
Fibromialgia , Dor , Transtornos de Estresse Pós-Traumáticos , Comorbidade , Fibromialgia/complicações , Humanos , Dor/diagnóstico , Manejo da Dor/psicologia , Processos Psicoterapêuticos , Transtornos de Estresse Pós-Traumáticos/complicações
3.
Nervenarzt ; 90(7): 690-694, 2019 Jul.
Artigo em Alemão | MEDLINE | ID: mdl-31073672

RESUMO

BACKGROUND: Mental health professionals use various strategies to prevent involuntarily committed persons from absconding under an open door policy. OBJECTIVE: To provide an ethical framework for the evaluation of the replacement of locked ward doors by formal coercion or treatment pressures. METHODS: Empirically informed conceptual and ethical analysis. RESULTS: The replacement of locked ward doors by formal coercive measures applied to individual persons, such as mechanical restraint or seclusion, is ethically problematic. The use of treatment pressures, for example in the context of intensified observational measures, requires a differentiated ethical evaluation and does not necessarily constitute the milder means in comparison to locked ward doors. CONCLUSION: Unexplored conceptual, empirical and ethical issues surrounding open door policies and treatment pressures should be clarified by means of psychiatric and ethical research. In clinical practice, the choice of the least burdensome and least restrictive measures for involuntarily committed persons should be facilitated by appropriate ethical support services.


Assuntos
Coerção , Transtornos Mentais/terapia , Processos Psicoterapêuticos , Isolamento de Pacientes/ética , Isolamento de Pacientes/legislação & jurisprudência , Psiquiatria/ética , Psiquiatria/normas
4.
Nervenarzt ; 90(7): 724-732, 2019 Jul.
Artigo em Alemão | MEDLINE | ID: mdl-31073674

RESUMO

BACKGROUND: Implementation of the United Nations (UN) Convention on the Rights of Persons with Disabilities (CRPD). The idea of human rights developed during the era of the Enlightenment. This idea has been publicly discussed since the French Revolution of 1789 and its specification has been demanded politically. Important steps in this process were the General Declaration of Human Rights adopted by the UN in 1948 and the CRPD from 2006, which was especially relevant for psychiatric actions. Meanwhile, the idea of human rights has influenced the legislation in many countries and has thus become normatively binding, e. g. in the Basic Law of Germany, in the regulations for patient care and in the professional rules for physicians. AIM AND QUESTIONS: To sensitize for reflection on one's own actions and to gain a critical distance from the general overall opinion. Then not only the global validity of the CRPD is frequently violated, as in crisis regions but also in the everyday routine when, for example, the workload prevents psychiatric personnel from taking time for essential conversations with psychiatric patients in order to support their self-determination. MATERIAL AND METHODS: These aspects are illustrated and explained with the aid of multifarious examples from the relevant literature and from own experience. RESULTS AND DISCUSSION: Human rights are a regulative idea that provide a framework and direction for psychiatric actions; however, as an idea they compete with other ideas that try to control the trends of the day (the Zeitgeist) that determine daily practice. Not only the suppression of human rights from public consciousness, e. g. with the eugenics in the first third of the previous century but also their absolutization and poor implementation, as in the Italian psychiatry reform of 1978, damage psychiatric patients. Therefore, it appears necessary to sensitize psychiatrists to reflect on the Zeitgeist and its influence on their own actions and to recognize that their own opinions and actions can also influence the Zeitgeist.


Assuntos
Direitos Humanos , Processos Psicoterapêuticos , Pessoas com Deficiência/legislação & jurisprudência , Pessoas com Deficiência/psicologia , Alemanha , Direitos Humanos/tendências , Humanos , Itália , Nações Unidas
5.
Am J Psychother ; 72(2): 38-46, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-30945559

RESUMO

As a complement to multicultural competence, the multicultural orientation (MCO) perspective has been proposed as a pragmatic way to enhance cultural understandings about psychotherapeutic dynamics, processes, and outcomes. Consisting of three core components-cultural humility, cultural comfort, and cultural opportunities-the MCO is considered relevant for both individual and group treatment. However, the MCO perspective has yet to be specifically applied to psychotherapy supervision. Because supervision often provides multicultural oversight for individual and group psychotherapy services, considering the ramifications of MCO for psychotherapy supervision (MCO-S) is important. In this article, the implications of MCO-S are reviewed, with attention given to the impacts of cultural humility, cultural comfort, and cultural opportunities on the supervisor-supervisee relationship. Case examples are provided to illustrate the ways in which MCO can affect the psychotherapy supervision process and outcome. Supervision research possibilities are also proposed.


Assuntos
Competência Cultural , Psicoterapia/métodos , Diversidade Cultural , Grupo com Ancestrais do Continente Europeu , Feminino , Humanos , Índios Norte-Americanos/psicologia , Masculino , Processos Psicoterapêuticos , Psicoterapia de Grupo/métodos , Adulto Jovem
6.
J Consult Clin Psychol ; 87(5): 446-456, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30998047

RESUMO

OBJECTIVE: Although cognitive change has long been posited to drive symptom improvements in cognitive therapy (CT) of depression, whether it does so remains controversial. Methodological challenges have contributed heavily to the lack of resolution on this issue. Using a patient-reported measure of cognitive change, we tested the role of cognitive change in contributing to symptom change in CT. In addition, we tested whether therapists' use of cognitive methods intended to promote cognitive changes predicted these changes. We also tested the specificity of the relation of cognitive methods and cognitive change by examining other psychotherapy process variables. METHOD: In a sample of 126 patients who participated in CT of depression, patients rated immediate cognitive change (CC-Immediate) at the end of each session and sustained cognitive change (CC-Sustained) at the start of each subsequent session. Observers rated therapist adherence and alliance for the first five sessions. Depressive symptoms were assessed at each session. For all predictors, we disaggregated within- and between-patient effects. RESULTS: Focusing on within-patient predictors, CC-Sustained mediated the relation of CC-Immediate and subsequent symptom change. In addition, both CC-Immediate and CC-Sustained predicted symptom change. Therapist adherence to cognitive methods was the only within-patient variable to predict CC-Immediate. CONCLUSIONS: These findings are consistent with the view that cognitive change contributes to symptom reductions in CT, and that therapists' use of cognitive methods contributes to cognitive changes during sessions. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Terapia Cognitivo-Comportamental/métodos , Transtorno Depressivo/terapia , Avaliação de Processos e Resultados (Cuidados de Saúde) , Processos Psicoterapêuticos , Adolescente , Adulto , Idoso , Terapia Cognitivo-Comportamental/normas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
7.
J Consult Clin Psychol ; 87(5): 484-490, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30998049

RESUMO

OBJECTIVE: Despite a growing body of research supporting the efficacy of cognitive-behavioral therapy (CBT) for depressed adolescents, few studies have investigated the role of the acquisition and use of CBT skills in accounting for symptom improvement. The present study examined the role of cognitive versus behavioral skills in predicting symptom improvement in depressed youth. Analyses considered different raters of patient skills (patient vs. therapist) as well as disaggregated between-patient versus within-patient effects. METHOD: Data were derived from a 12-week clinical trial of CBT for depressed adolescent females (N = 33; ages 13-18 years; 69.7% White). Both therapist-report and patient-report measures of CBT skills (skills of cognitive therapy) were acquired at 5 time points throughout therapy: Sessions 1, 3, 6, 9, and 12. Depressive symptoms (Beck Depression Inventory-II) were assessed at every session. RESULTS: Therapist and patient ratings of CBT skills showed small to moderate associations (rs = .20-.38). Intraclass correlation coefficients indicated that the majority of the variance in skills scores (61-90%) was attributable to within-patient variance from session to session, rather than due to between-patient differences. When disaggregating within-patient and between-patient effects, and consistent with a causal relationship, within-patient variability in both patient-rated (b = -2.55; p = .025) and therapist-rated (b = -2.41; p = .033) behavioral skills predicted subsequent symptom change. CONCLUSIONS: Analyses highlight the importance of the acquisition and use of behavioral skills in CBT for depressed adolescents. Findings also underscore the importance of disentangling within-patient from between-patient effects in future studies, an approach infrequently used in process-outcome research. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Comportamento do Adolescente , Terapia Cognitivo-Comportamental/métodos , Transtorno Depressivo/terapia , Avaliação de Processos e Resultados (Cuidados de Saúde) , Processos Psicoterapêuticos , Adolescente , Feminino , Humanos
8.
Psychotherapy (Chic) ; 56(1): 11-15, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30688483

RESUMO

As the conceptualization of evidence-based practice expands beyond the phasic application of treatment manuals for specific mental health diagnoses, greater attention is being paid to treatment personalization, including at its very first steps. One approach to such early personalization involves therapist flexible responsivity to patients' presenting nondiagnostic characteristics, such as their treatment-related beliefs, that are known to correlate with treatment outcomes. Such tailoring represents one element of the context-responsive psychotherapy integration framework that privileges the therapist's use of evidence-informed strategies in response to specific patient characteristics and contextual process markers (Constantino, Boswell, Bernecker, & Castonguay, 2013). In this article, we map context-responsive psychotherapy integration principles onto a psychotherapy case illustration. Namely, we describe Alice E. Coyne's attempt to navigate responsively a patient's early outcome expectation and treatment credibility perception, both of which revealed the need to change course from an original treatment plan (despite that plan making good sense vis-à-vis the patient's diagnoses and initial positive reaction to the explanation of a specific treatment protocol). In addition, the case illustrates the influence that patient treatment beliefs can have on other early therapeutic processes, such as patient change ambivalence and resistance to the therapy, that also require therapist responsivity in the service of personalization. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Atitude do Pessoal de Saúde , Transtornos Mentais/terapia , Relações Profissional-Paciente , Processos Psicoterapêuticos , Prática Clínica Baseada em Evidências , Humanos , Masculino , Pessoa de Meia-Idade
9.
Rev. Asoc. Esp. Neuropsiquiatr ; 38(134): 473-489, jul.-dic. 2018. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-176430

RESUMO

En el presente trabajo, los autores Investigan qué factores terapéuticos grupales (FTG) son los de mayor importancia para los participantes de psicoterapia de grupo. Una adaptación del cuestionario Yalom fue completada por 88 usuarios de un servicio ambulatorio de salud mental, analizándose las diferencias según características sociodemográficas, diagnóstico y la valoración de los conductores grupales. A nivel jerárquico, la universalidad, el altruismo y la cohesión fueron los FTG más valorados; por el contrario, la conducta imitativa y los factores existenciales fueron los que menos. Aquellos usuarios con un mayor nivel de estudios valoraron significativamente la reactualización familiar, sin observarse diferencias en la edad ni el sexo. El diagnóstico de un trastorno del espectro de la esquizofrenia presentó una elevada correlación con la cohesión, la catarsis y la universalidad. Las valoraciones de los terapeutas concuerdan de forma significativa con las de la muestra. La evaluación de los FTG permite que los terapeutas contemplen aquellos elementos que más favorecen a los usuarios en su proceso psicoterapéutico y en su mejora del bienestar


In the present work, the authors investigate which group therapeutic factors (GTF) are the most important for group psychotherapy participants. 88 users of an outpatient mental health service completed an adaptation of the Yalom's questionnaire. Differences regarding sociodemographic characteristics, diagnosis and assessment of the group therapists were analyzed. At the hierarchical level, universality, altruism and cohesion were the most valued GTF; while identification and existential factors were the least ones. Those users with a higher level of studies valued the family reenactment significantly, without observing differences regarding age or sex. The diagnosis of a schizophrenia spectrum disorder showed a high correlation with cohesion, catharsis, and universality. The therapists' scores correlated significantly with the sample scores. The evaluation of the GTF allows therapists to contemplate those elements that are most helpful for the users in their psychotherapeutic process and in the improvement of their well-being


Assuntos
Humanos , Psicoterapia de Grupo/métodos , Processos Psicoterapêuticos , Transtornos Mentais/terapia , Resultado do Tratamento , Satisfação do Paciente/estatística & dados numéricos , Relações Profissional-Paciente , Psicometria/instrumentação , Esquizofrenia/terapia
10.
Int. j. psychol. psychol. ther. (Ed. impr.) ; 18(3): 371-384, oct. 2018. tab, graf
Artigo em Inglês | IBECS | ID: ibc-174412

RESUMO

This research established a definition of cultural competency from the perspective of the psychologists using mixed methodology. In Study 1 (N= 9) participants were interviewed and asked how they conceptualize cultural competency; three emergent themes were identified: awareness, knowledge, and skills. Based on the results from Study 1, a survey was created for Study 2 and completed by psychologists (N= 142). Results from a confirmatory factor analysis did not support cultural competency as a 3-dimensional construct. A post-hoc exploratory factor analysis suggested that cultural competency is best conceptualized as a 2-dimensional construct consisting of knowledge/awareness and skills. Results suggest that the knowledge needed to work with diverse populations is more than simply knowing about the major cultural groups in the United States; a more sophisticated level of knowledge is needed as there are many cultures and sub-cultures


No disponible


Assuntos
Humanos , Competência Cultural , Diversidade Cultural , Processos Psicoterapêuticos , Psicoterapia/estatística & dados numéricos , Empatia , Fatores Culturais , Relações Interpessoais , Resultado do Tratamento , Grupos Minoritários/psicologia , Pesquisas sobre Serviços de Saúde/estatística & dados numéricos , Psicologia
11.
BMC Psychol ; 6(1): 46, 2018 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-30213276

RESUMO

BACKGROUND: Psychological distress with symptoms of depression and anxiety is common and unrecognized in patients with coronary artery disease (CAD). Efforts have been made to treat psychological distress in CAD with both conventional methods, such as antidepressant drugs and psychotherapy, and non-conventional methods, such as stress management courses. However, studies focusing on the experiences of mindfulness training in this population are still scarce. Therefore, the aim of this study was to explore immediate experiences of mindfulness practice among CAD patients with depressive symptoms. METHODS: A qualitative content analysis of diary entries, written immediately after practice sessions and continuously during an 8-week long Mindfulness Based Stress Reduction course (MBSR), was applied. RESULTS: Twelve respondents participated in the study. The main category: a journey through chaos and calmness captured the participants' concurrent experiences of challenges and rewards over time. This journey appears to reflect a progressive development culminating in the harvesting of the fruits of practice at the end of the mindfulness training. Descriptions of various challenging facets of mindfulness practice - both physical and psychological - commonly occurred during the whole course, although distressing experiences were more predominant during the first half. Furthermore, the diary entries showed a wide variety of ways of dealing with these struggles, including both constructive and less constructive strategies of facing difficult experiences. As the weeks passed, participants more frequently described an enhanced ability to concentrate, relax and deal with distractions. They also developed their capacity to observe the content of their mind and described how the practice began to yield rewards in the form of well-being and a sense of mastery. CONCLUSIONS: Introducing MBSR in the aftermath of a cardiac event, when depressive symptoms are present, is a complex and delicate challenge in clinical practice. More nuanced information about what to expect as well as the addition of motivational support and skillful guidance during the course should be given in accordance with the participants' experiences and needs. TRIAL REGISTRATION: The trial was retrospectively registered in clinicaltrials.gov (registration number: NCT03340948 ).


Assuntos
Ansiedade/terapia , Depressão/terapia , Atenção Plena/métodos , Isquemia Miocárdica/psicologia , Processos Psicoterapêuticos , Estresse Psicológico , Ansiedade/diagnóstico , Depressão/diagnóstico , Estudos de Avaliação como Assunto , Feminino , Humanos , Masculino , Registros Médicos , Pessoa de Meia-Idade , Estresse Psicológico/fisiopatologia , Estresse Psicológico/terapia , Resultado do Tratamento
12.
J Clin Ethics ; 29(2): 102-13, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30129735

RESUMO

The broad use of social networking and user-generated content has increased the online footprint of many individuals. A generation of healthcare professionals have grown up with online search activities as part of their everyday lives. Sites like Facebook, Twitter, and Instagram have given the public new ways to share intimate details about their public and private lives and the lives of their friends and families. As a result, careproviders have the ability to find out more about their patients with just the tap of a key or the click of a mouse. This type of online searching for patient information is known as patient-targeted googling or PTG. This article provides an overview of the emergence of PTG, identifies the potential benefits and possible pitfalls of engaging in PTG, and explores current ethical frameworks that guide decisions about PTG. The article describes the development of a critical thinking tool developed by the Behavioral Health Ethics Committee at CHI Health, that can serve as a best-practice model for other hospitals and health systems. Called TTaPP (Together Take a Pause and Ponder), this tool is designed to help healthcare professionals across settings practice collaborative critical thinking skills as they consider the ethical questions of whether or not to engage in PTG. Finally, this article suggests areas for further study, including ways to prompt collaboration and appropriate documentation by maximizing electronic medical records systems, exploring the effectiveness of the TTaPP tool as a way to promote a culture of collaborative critical thinking practices, and the attitudes of patients and the public regarding PTG.


Assuntos
Tomada de Decisões/ética , Comportamento de Busca de Informação/ética , Relações Médico-Paciente/ética , Processos Psicoterapêuticos , Mídias Sociais/estatística & dados numéricos , Pensamento , Humanos , Privacidade
13.
J Child Sex Abus ; 27(6): 663-681, 2018 Aug-Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30071187

RESUMO

This critical literature review explored how adult survivors of child sexual abuse experienced adjustments to their self-structure through meaning-making in therapy. Following extensive searches of academic databases, 15 studies were identified for review. Using thematic analysis, eight themes emerged. The eight identified themes of trust, acknowledgement, evolution, acceptance, integration, congruence, relational, and agency represented distinct but interrelated components of self-structure. The findings also indicated that self-structure components may be both intra- and interrelational in nature and that movement in one theme may facilitate movement in another. While recognizing that the nature of the research captured a composite of experiences, it was found that there was a consistent movement and fluidity as to how participants arrived at an adjusted position for each of the themes. A suggested theoretical framework was developed showing the components of the self-structure impacted by meaning-making and the nature of the adjustments made. Recommendations are made regarding future research.


Assuntos
Adaptação Psicológica , Sobreviventes Adultos de Maus-Tratos Infantis/psicologia , Processos Psicoterapêuticos , Autoimagem , Delitos Sexuais/psicologia , Adulto , Humanos
14.
Cuad. psiquiatr. psicoter. niño adolesc ; (65): 35-46, ene.-jun. 2018. tab
Artigo em Espanhol | IBECS | ID: ibc-173912

RESUMO

La dimensión clínica de la Teoría del Apego permanece insuficientemente desarrollada, pero pueden encontrarse interesantes propuestas actuales en este ámbito. Abordamos los principios básicos que deben sostener un acercamiento clínico a la Teoría del Apego: situar el apego en el conjunto de sistemas motivacionales, atender a los distintos niveles de seguridad que comprende (físico, emocional, cognitivo) y considerar los procesos de autoregulación dañados por fallos en las relaciones de apego. Abordamos el papel de las narrativas en el desarrollo infantil, y su uso para evaluar las construcciones internas del apego; finalmente exponemos con detalle el uso de la Attachment Story Completion Test (ASCT) como instrumento útil para su evaluación


Clinical dimension of Attachment Theory is still illdeveloped, but interesting current proposals can be found. Basic principles necessary to bear a clinical approach to Attachment Theory are explained: placing attachment among other motivational systems, paying attention to the different safety levels included in attachment (physical, emotional, cognitive) and taking into account self-regulation processes which could be hampered by failures in attachment. The role of narratives in child development, and its utility to assess attachment internal models are considered; finally, a detailed account of the use of Attachment Story Completion Test (ASCT), as an useful assessment tool, is presented


Assuntos
Humanos , Criança , Apego ao Objeto , Poder Familiar/psicologia , Síndrome da Criança Espancada/psicologia , Processos Psicoterapêuticos , Terapia Narrativa , Educação Infantil/psicologia , Psicometria/instrumentação , Avaliação de Eficácia-Efetividade de Intervenções , Teoria Psicológica
15.
Cuad. psiquiatr. psicoter. niño adolesc ; (65): 95-103, ene.-jun. 2018.
Artigo em Espanhol | IBECS | ID: ibc-173919

RESUMO

Se plantean reflexiones acerca del sentimiento de intimidad y su correlato, la tolerancia a la experiencia de soledad, en los y las adolescentes de hoy, que viven bajo uno de los ideales centrales de las sociedades contemporáneas, al menos en el mundo desarrollado, que es el de la exteriorización, tanto de aspectos corporales como del mundo psíquico interno. Desde el nacimiento, apoyándose en lo biológico, en las necesidades y la experiencia de dependencia, el ser humano organiza su psiquismo estableciendo límites entre su mundo interno y la realidad externa. Entre las primeras adquisiciones del bebé, la capacidad de estar solo, será precursora del espacio de intimidad que le acompañara a lo largo de la vida, y será un elemento inevitable y necesario para apoyar las trasformaciones identitarias, tanto corporales como psíquicas, del proceso adolescente. Se abordan, asimismo, aspectos relativos a la experimentación de la intimidad en situaciones de soledad y al pasar a ser compartida, incluyéndose las relaciones terapéuticas con su especificidad durante el periodo de la adolescencia


Reflections are made about the feeling of intimacy and its correlate, the tolerance to the experience of loneliness, in the adolescents of today, who live under one of the central ideals of contemporary societies, at least in the developed world, which is the one of the exteriorization, as much of corporal aspects as of the internal psychic countries. From birth, relying on the biological, in the needs and experience of dependence, the human being organizes his psyche establishing limits between his inner world and external reality. Among the baby's first acquisitions, the ability to be alone will be the precursor of the space of intimacy that will accompany him throughout his life, and will be an inevitable and necessary element to support the identity transformations, both corporal and psychic, of the adolescent process. Aspects related to the experience of intimacy in situations of loneliness and the experience of sharing it are also addressed, including the therapeutic relationships with their specificity during adolescence


Assuntos
Humanos , Adolescente , Comportamento do Adolescente/psicologia , Solidão/psicologia , Privacidade/psicologia , Permissividade , Carência Psicossocial , Transtorno da Personalidade Antissocial/terapia , Processos Psicoterapêuticos , Espaço Pessoal , Relações Interpessoais , Dependência Mimética , Individualidade , Psicoterapia/métodos
16.
Cuad. psiquiatr. psicoter. niño adolesc ; (65): 111-124, ene.-jun. 2018. ilus
Artigo em Espanhol | IBECS | ID: ibc-173921

RESUMO

En este artículo se reflexiona sobre los grupos terapéuticos en Atención Precoz. Se expone una experiencia grupal llevada a cabo en el CDIAP Equip40 con un grupo de niños pequeños conducido por una psicóloga y una fisioterapeuta. A través de viñetas clínicas, se describe el proceso terapéutico desde una mirada interdisciplinar y se muestran diferentes tipos de intervenciones


This article reflects on therapeutic groups in Early Years. It deals with a group experience carried out at the CDIAP Equip40 with a group of young children conducted by a psychologist and a physiotherapist. Through clinical vignettes, the therapeutic process is described from an interdisciplinary perspective and different types of interventions are shown


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Psicoterapia/métodos , Processos Psicoterapêuticos , Equipe de Assistência ao Paciente/organização & administração , Transtornos Psicomotores/terapia , Avaliação de Resultado de Intervenções Terapêuticas , Psicoterapia de Grupo/organização & administração , Intervenção Médica Precoce/organização & administração , Jogos Recreativos/psicologia , Adaptação Psicológica , Instituições Acadêmicas , Características da Família , Ansiedade de Separação/psicologia
18.
Cuad. psiquiatr. psicoter. niño adolesc ; 2(65,cong): 55-59, ene.-jun. 2018.
Artigo em Inglês | IBECS | ID: ibc-173944

RESUMO

Looking at adolescence from teenagers and parents' point of view might channel different narratives about what this process can be and how they both construe their relationship. The present work is a two stages preliminary research: in the first one both adolescents' and parents' reciprocal constructions about themselves, the others and adolescence were collected. In the second stage authors presented to the same groups of participants their previously collected perceptions, in the form of Perceiver-Element Grid, and interviewed them about their responses to these. This work will share the outcomes of inviting parents and adolescents to 'take the role of the other', to see themselves through the other's eyes. Further both clinical and research applications will be discussed


No disponible


Assuntos
Humanos , Adolescente , Comportamento do Adolescente/psicologia , Teoria da Construção Pessoal , Pais/psicologia , Processos Psicoterapêuticos , Relações Pais-Filho , Poder Familiar/psicologia , Terapia Familiar/métodos , Psicoterapia/métodos , Grupos Focais
19.
Int. j. psychol. psychol. ther. (Ed. impr.) ; 18(2): 235-246, jun. 2018. tab
Artigo em Inglês | IBECS | ID: ibc-174403

RESUMO

The aim of the present study was to identify if a training to favor PG in patients with PTSD (PGT) generates improvement compared to only the application of conventional treatment. The instruments applied were: Maladaptation Scale, Post-Traumatic Stress Disorder Symptom Severity Scale, Psychological Well-Being Scale, and Post-Traumatic Growth Inventory. All 10 participants received Cognitive Processing Therapy (CPT) for PTSD. Two groups were then randomly formed. The PGT was administered to the experimental group and the control group was kept on wait list. The four scales were applied before, after the treatment and again after one year. The experimental group showed an improvement in Psychological Well-Being and was almost statistically significant with respect to PG. However, there were no differences in PTSD symptoms or in maladaptation levels. It is concluded that PGT was effective in increasing psychological well-being for the participants. This study might be improved by increasing the sample size for those who receive PGT be also for PG, which may act as a protective factor against future relapses or other disorders


No disponible


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Transtornos de Estresse Pós-Traumáticos/terapia , Terapia Cognitivo-Comportamental/métodos , Processos Psicoterapêuticos , Condicionamento (Psicologia) , Detecção de Sinal Psicológico , Resultado do Tratamento , Ajustamento Emocional , Trauma Psicológico/terapia , Estudos Retrospectivos
20.
Nonlinear Dynamics Psychol Life Sci ; 22(2): 191-224, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29600952

RESUMO

The study presents the performance of generalized multiplicative model (GMultM) for assessing outcome in psychotherapy. GMultM is a flexible nonlinear regression method which is able to predict the impact of subjects' psychological variables (common factors such as inner directedness, time competence, sociotropy, and perfectionism, locus of control, body dissatisfaction, neuroticism, and alexithymia) as well as their changes on the outcome of psychotherapy. This nonlinear regression model including interaction effects among predictors has a higher explanatory power to predict treatment outcome, compared to any linear model. Also, GMultMs are accurate and easily interpretable models, compared to complex models such as, for example, based on nonlinear dynamics, complexity, stochastic optimization control theories, etc. A case study of rhythmic movement therapy (RMT) for increasing the level of subjective well-being (SWB) is presented. Results revealed that: (a) the GMultM not only predicts the current levels of SWB satisfactorily but also allows obtaining the partial response functions of psychological predictors of SWB directly as a result of estimation of model's parameters; (b) GMultM predicts the changes in SWB after RMT intervention in each participant satisfactorily and thus can be applied as the individualized assessment tool for psychotherapy's outcome.


Assuntos
Processos Psicoterapêuticos , Humanos , Modelos Teóricos , Autoimagem , Resultado do Tratamento
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