Psychotherapeutic Strategies Research Articles

Civilian post-traumatic stress disorder: Clinical syndromes and psychotherapeutic strategies.

Civilian post-traumatic stress disorder: Clinical syndromes and psychotherapeutic strategies.

Psychotherapeutic management of herpes genitalis

During the last 2 decades it has been my privilege to have been consulted by over 10000 patients with primary or recurrent herpes genitalis. The privilege is two-fold; firstly, it is a privilege to be consulted on any problem by a patient and secondly, to be referred patients by colleagues for a disease where until the last 5 years there was no specific treatment. Management of patients with herpes genitalis requires resort to the art of medicine, and management is complicated by the patients’ perceptions sometimes correct perceptions of the disease; herpes genitalis is ‘incurable’ and will be with the patient for life, herpes genitalis is a venereal disease and may be associated with AIDS and the disease means a life time of socio-sexual ostracism. The benefit to the patient from sensible discussion of these aspects cannot be over-emphasised and I make no apology for devoting Part 1 of this two-part series concerning management of patients with herpes genitalis to psychotherapeutic strategies. This will be followed in Part 2 by investigation of chemotherapeutic and immunotherapeutic approaches. Psychotherapeutic management will be discussed under two general headings, namely establishment of a useful patient/doctor relationship and provision of

Suicidal behavior in borderline patients: diagnosis and psychotherapeutic considerations.

This paper summarizes the experiences with suicidal and parasuicidal behavior of the psychotherapy research project on borderline patients in progress at the Westchester Division of the New York Hospital-Cornell Medical Center. In the diagnostic evaluation of these patients, it is important to differentiate acute and chronic suicidal behavior with the presence or absence of depression. The dominant psychodynamic features of chronic characterological suicidal behavior are reviewed, with a particular emphasis on the psychopathology of self-directed and projected primitive hatred, and the defenses against its conscious awareness on the part of the patient. A general psychotherapeutic strategy to deal with suicidal and self-destructive behavior is mapped out, centered upon the transformation of self-destructiveness into specific transference constellations that must be diagnosed, interpreted, and gradually worked through in the transference in the course of the treatment. The treatment of chronic, characterologically anchored suicidal behavior without depression requires the setting up of specific structuring of the psychotherapy from the very beginning of treatment, embodied in the establishment of a treatment contract that contributes to the organizing frame for the entire psychotherapy. The precondition for this psychotherapeutic work and limiting factors affecting its effectiveness are spelled out.

Trusting ole' wise owls: Therapeutic use of cultural strengths in African-American families.

The development of competent cross-racial psychotherapeutic strategies requires that psychologists understand the underlying racial dynamics that can hinder therapeutic relationships with African-American families and address them. This involves identifying and cultivating family strengths during the process of psychotherapy. Key domains of African-American family strengths include the dependence on helpful extended relatives, transmission of cultural childrearing values, influence of a religious worldview, and family communication about surviving societal racism struggles, educational achievement, and Black pride and culture. These behaviors are expressed through the process of racial socialization. This article advises professional and research psychologists to appreciate and mobilize the oppression-survival strategies of many African-American families. The call for competent cross-cultural psychotherapy sparked considerable debate over the last decade when a host of researchers, supervisors, and clinicians acknowledged the absence of attention to the role of culture within the therapeutic process (Carter, 1991; Hunt, 1987; Jones & Korchin, 1982; Ponterotto & Casas, 1991; Ridley, 1984; Sue, Arredondo, & McDavis, 1992; Sue & Sue, 1990; Sue & Zane, 1987; Vargas & KossChioino, 1992). Sensitivity to the unique cultural values and behavioral expressions of African-American families has been advocated strongly by family researchers and clinicians (BoydFranklin, 1989; McAdoo, 1992). The terms race and cultural are interspersed throughout the article and are meant to highlight that prejudice and discrimination in this society is experienced in global (or biological) and specific (or nonbiological) ways. That is, African Americans are falsely identified as politically

Violence against staff by mentally retarded inpatients.

Conclusions One important aspect ofmeeting the mental health needs of persons with mental retardation and their families is to ensure the ongoing preparation of skilled personnel. The professionals who will serve this population require more than the hit-and-miss training characteristic ofmany mental retardation and mental health educational systems. A curriculum for residents needs to be built on direct and intense clinical learning experiences. A multitude ofspecialized techniques must be mastered, including diagnostic procedures for nonverbal individuals, unique psychotherapeutic strategies, and effective counseling of parents, siblings, and other caregivems. In the final analysis, experience gained from work with persons with mental retardation and mental illness will produce far more knowledgeabie and compassionate practitioners for whatever population they decide to serve in the future.

Possibilities in therapy of anxiety disorders in DSM-III-R

Between 2% and 5% of the population are affected by anxiety disorders. Several studies have shown that imipramine possesses anti-panic and anti-phobic properties. Its response rate is at least 70%. In panic disorder with agoraphobia it is therefore the medication of first choice. Agoraphobia, simple and social phobias are highly responsive to behavioural therapy (desensitization, flooding, social skills training, cognitive restructuring). Drugs have not been found useful in controlled studies. In conjunction with the tricyclic antidepressant clomipramine, behavioural therapy is superior to other psychotherapeutic strategies in the treatment of obsessive-compulsive disorders. Patients suffering from posttraumatic stress disorders require first of all supportive psychotherapy. Pharmacological treatment is of limited value. Neuroleptics, benzodiazepines, sedating antidepressants and beta-blockers are the most appropriate agents for the treatment of generalised anxiety disorders. In addition to that, intense psychotherapy and relaxation techniques should be applied. Further research should address the question of relapse rates after termination of therapy and the elaboration of therapeutic strategies that take individual psychopathology into consideration.

Integrating Psychotherapeutic Strategies in the Treatment of Young Severely Disturbed Patients

At the same time as the number of psychotherapies is increasing in an unprecedented way, there is also a growing awareness that if psychotherapy is to gain a prominent place in the treatment of the mentally ill in public services, then it is necessary to move beyond the constraints of ideological dogmas and to search for possible purposeful integration. With this latter objective in view, the article describes an integrated treatment program, largely based on cognitive psychotherapy, designed for the treatment of young, severely disturbed patients. The program comprises: milieu therapy, the individualized use of nonverbal therapeutic strategies, group therapy, individual therapy, and the individualized use of medication.

Psychotherapeutic Strategy and Neurotic Excoriations

This article sketches the planning of psychotherapy as a treatment for neurotic excoriations (NE). The program is developed on the basis of information collected in an investigation of 63 consecutive, first-time referrals of NE patients to a dermatology department, and the findings from a follow-up after 1 to 5 years. The offer of social advice and support, but not psychotherapy, was included in the investigation program. At the time of follow-up, NE had healed for 13 of the 63 patients. The information gathered indicates that a treatment model should be eclectic in form so as to allow for individual variances in, for example, age, intelligence level, and motivation for psychiatric intervention.

The Depressed Masochistic Patient: Diagnostic and Management Considerations—A Contemporary Psychoanalytic Perspective

This article considers the relationship between depression and characterological masochism from a contemporary psychoanalytic perspective. Nosology is discussed historically from Krafft-Ebing to the DSM-III-R category, self-defeating personality disorder. Masochistic character traits are conceptualized as attempts to cope with depressed helpless and hostile feelings that have become part of the core self-concept. Psychotherapeutic strategy for treatment of masochistic patients at different levels of characterological integration is discussed. Many questions about self-defeating personality disorder remain open at present. The need for psychoanalytically informed clinical research on characterological masochism and particularly the relationship between masochism and depression is stressed.

Psychopathology and pathological gambling among males: Theoretical and clinical concerns

In this paper, some possible relationships between psychopathology and pathological gambling are delineated. The assessment and stabilization of such patients, including psychotherapeutic and pharmacologic strategies, are discussed. Guidelines for treating patients manifesting both a psychiatric illness and a gambling problem are suggested.

The Use of Benzodiazepines in the Workplace

Benzodiazepines differ from many of the other abused substances in that there are legitimate medical indications for their use. Any prescription for benzodiazepines must be preceded by a careful risk-benefit analysis that considers the specifics of an individual's particular life situation, personality style, and psychiatric diagnosis. The risk of benzodiazepine abuse by chemically dependent individuals and the problems of cognitive and/or psychomotor impairment and dependence for all individuals have to be balanced against the therapeutic benefits of these drugs for patients who experience disabling anxiety disorders or anxiety that accompanies chronic medical illness. Problems of dependence can be minimized by utilizing a variety of pharmacologic and psychotherapeutic strategies to ameliorate withdrawal symptoms that might accompany the discontinuation of long-term benzodiazepine treatment.

Book Review: Psychotherapeutic Strategies in Late Latency through Early Adolescence

Book Review: Psychotherapeutic Strategies in Late Latency through Early Adolescence

Psychotherapeutic Strategies in the Latency Years, Psychotherapeutic Strategies in Late Latency Through Early Adolescence

Back to table of contents Previous article Next article ArticleNo AccessPsychotherapeutic Strategies in the Latency Years, Psychotherapeutic Strategies in Late Latency Through Early AdolescenceHAROLD M. ERICKSON JR.HAROLD M. ERICKSON JR.Search for more papers by this authorPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.147.3.361-aAboutSections ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail "Psychotherapeutic Strategies in the Latency Years, Psychotherapeutic Strategies in Late Latency Through Early Adolescence." American Journal of Psychiatry, 147(3), pp. 361-a–362 Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - American Journal of Psychiatry $35.00 Add to cart PPV Articles - American Journal of Psychiatry Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited ByNone Volume 147Issue 3 March 1990Pages 361-a-362 Metrics History Published online 1 April 2006 Published in print 1 March 1990

Review of Psychotherapeutic Strategies in Late Latency Through Early Adolescence.

Review of Psychotherapeutic Strategies in Late Latency Through Early Adolescence.

Psychiatric aspects of adult leukemia

This report has discussed the normal psychological responses associated with diagnosis and treatment of leukemia, specific psychological disorders that are encountered in the context of treatment, and psychological issues that develop after definitive treatment as patients become survivors from leukemia. Psychopharmacologic and psychotherapeutic strategies to treat the specific disorders of anxiety, depression, and delirium have been outlined. Similarly, survival issues have been considered as an ever-growing number of patients are cured of leukemia.

The Renascence of Neurotic Depression: Its Varied Dynamics and Implications for Outcome Research

Kraepelin's observation of an emotion-connected subgroup of depressions led to the division of the common clinical depressions into endogenous and neurotic. But although the connotation of the former was clear, the latter had no positive diagnostic features, with the result that it fell very largely out of use. This paper presents evidence that there are depressions that are a consequence of neurotic anxiety. They can be positively diagnosed, and are resolved by overcoming the underlying neurotic anxieties. The neurotic basis of many cases of depression explains the success of different psychotherapeutic strategies in alleviating nonpsychotic depression, since 50% of neurotic cases respond to the nonspecific impact of the therapeutic interview. Unfortunately, the various outcome studies are muddied by failure to realize that a variety of psychopathologies are represented in nonpsychotic depression.

Psychotherapeutic Strategies in Late Latency through Early Adolescense

Back to table of contents Previous article Next article Book ReviewNo AccessPsychotherapeutic Strategies in Late Latency through Early AdolescenseKurt Glaser, M.D.Kurt GlaserBaltimore, MDSearch for more papers by this author, M.D.Published Online:30 Apr 2018https://doi.org/10.1176/appi.psychotherapy.1988.42.3.496AboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail "Psychotherapeutic Strategies in Late Latency through Early Adolescense." American Journal of Psychotherapy, 42(3), p. 496 Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - APT - American Journal of Psychotherapy $35.00 Add to cart PPV Articles - APT - American Journal of Psychotherapy Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited byNone Volume 42Issue 3 1988, pp. 335–510Pages 496-496 Metrics PDF download History Published online 30 April 2018 Published in print 1 July 1988

Wounded Kid Therapy

A psychotherapeutic strategy combining elements of redecision, psychodynamic, and behavioral therapies is described. This approach has been effective in treating nonpsychotic adult females who were formerly victims of child abuse. General life histories and psychodynamics of these women are specified. Results of all cases treated by this method are reported, and some aspects of the treatment program are discussed.

Book reviews

Book reviewed in this article:Current Perspectives in Dysphasia. Edited by Stanton Newman & Ruth Epstein.Women and Mental Health: New Directions for Change. Edited by T. Mowbray, S. Lanir & M. Hulce.Severe Personality Disorders: Psychotherapeutic Strategies. By Otto F. Kernberg.Guided Affective Imagery: Mental Imagery in Short‐term Psychotherapy. By Hanscarl Leuner.Handbook of Psychotherapy for Anorexia Nervosa and Bulimia. Edited by David M. Garner & Paul E. Garfinkel.Facial Disfigurement: Successful Rehabilitation. By Helen Collyer.Stress Inoculation Training. By Donald Meichenbaum.Care of the Elderly: A Family Approach. By E. Pinkston & N. Linsk.Anorexia Nervosa: A Clinician's Guide to Treatment. By Walter Vandereycken & Rolf Meermann.

Toward an Integrated Approach to the Treatment of Schizophrenia

Long-term outcome studies have shown that schizophrenia is an illness whose course is usually characterized by exacerbations and remissions. This chapter summarizes pertinent literature regarding treatment of acute episodes; early intervention to prevent the development of full relapse; and pharmacological, behavioral, and psychotherapeutic strategies designed to decrease the amount of stress and patients' vulnerability to stress and thus decrease the likelihood of relapse. An emphasis is placed on a comprehensive treatment approach involving continuity of care.