1,721,077 research outputs found
Plan Analysis and the Motive-Oriented Therapeutic Relationship
No full textPlan analysis is a case formulation approach that is independent of any particular school of therapy, and the concept of Motive-Oriented Therapeutic relationship is a prescriptive approach for how to manage constraints and possibilities related to the therapeutic relationship. The therapeutic relationship is of particular importance in the treatment of patients with a personality disorder, as even in the absence of a patient wish to treat it, the therapist has to get along with its consequences for the therapeutic relationship, and he or she has the task of preventing personality disorder related issues from coming in the way of the treatment of the problems for which the patient seeks treatment. An introduction to these two approaches is given, describing what sources of information are used, how this information is selected, interpreted and utilized to infer hierarchical structures, which give an overview of a patient's functioning from an instrumental (means–ends) perspective. It is also explained how non-instrumental elements such as emotions are related to Plan structures. A case of a patient with social phobia and narcissistic personality disorders illustrates Plan analysis including the analysis of emotions, and the Motive-Oriented Therapeutic relationships. Information on the state of research related to the approaches is also given: The effects of Motive-Oriented Therapeutic relationships have been demonstrated in one of the rare RCTs on therapeutic relationships
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
[Emotion activation in personality disorders]
No full textThere are at least six psychotherapeutic treatments of personality disorders having received empirical and clinical validation in terms of their efficacy. These treatments are based on different theoretical models, namely the cognitive-behavioural, psychodynamic and interpersonal models. This article briefly presents these treatments, focusing on the process of therapeutic change. It is assumed that the process of emotional activation is one of the most interesting theoretical psychotherapy ingredient in treatments of these patients. The treatments are discussed regarding this hypothesis and its clinical implications
When Treatment Does Not Seem to Help: Identifying Interpersonal and Defensive Functioning in a Case with Borderline Personality Disorder
No full textImprovement in interpersonal and defensive functioning are considered central transtheoretical mechanisms that drive symptomatic change in clients with BPD. The current case study illustrates the treatment process and symptom changes in relation to interpersonal functioning, operationalized as the pervasiveness of conflictual relationship themes, and defensive functioning of a 22-year-old female client diagnosed with borderline personality disorder (BPD). The client underwent a 10-session General Psychiatric Management, a psychodynamically-oriented brief case management focusing on interpersonal hypersensitivity, as part of a larger Randomized Controlled Trial. The assessment involved three time points—intake, mid-treatment, and discharge—and comprised of a validated symptom scale, the Zanarini Rating Scale for BPD, along with two coding procedures, the Core Conflictual Relationship Theme method and the Defense Mechanisms Rating Scale-Q sort. While a decrease in the pervasiveness of conflictual relationship themes was observed, a worsening of defensive functioning was noted, which is posited to contribute to the increased symptom severity, particularly in affective and relational domains. Her prominent use of rationalization and passive aggression, along with irregular session attendance and low treatment dosage, are likely key factors influencing the mixed outcomes observed in borderline symptoms and defensive functioning, despite the reduction in the pervasiveness of interpersonal patterns
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
The Role of Interactional Agreeableness in Responsive Treatments for Patients With Borderline Personality Disorder
No full textIt has been shown that agreeableness of patients with borderline personality disorder (BPD) had an impact on therapy process and outcome (Hirsh, Quilty, Bagby, & McMain, 2012). The goal of our study was to test whether agreeableness affects the therapeutic alliance and outcome assessed after brief treatment for BPD, and whether this link is moderated by therapist responsiveness. We compared two types of interventions (N = 60) in 10-session treatments (Kramer et al., 2014): a general psychiatric management (GPM)-based treatment and the same treatment supplemented with motive-oriented therapeutic relationship (MOTR), based on plan analysis case conceptualizations (PA; Caspar, 1995), as operationalization of therapist responsiveness. The results showed that there was a significant link between agreeableness and outcome for the GPM, but not for the MOTR. No links between agreeableness and the therapeutic alliance were found in both conditions. MOTR enables suppression of the influences of the patient's initial characteristics on the therapeutic results
Case Formulation for Personality Disorders: Tailoring Psychotherapy to the Individual Client
No full textAppropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
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