Single session and walk‐in psychotherapy: A descriptive account of the literature

Over the last several decades single session psychotherapy has become a mainstream psychotherapeutic approach. A steadily increasing demand for psychotherapeutic services and a continuous reduction in mental health care resources worldwide are both largely responsible for this development. This paper describes single session psychotherapy and provides a brief review of the relevant literature. Single session psychotherapy delivered in walk‐in settings is also discussed. Therapists who are unfamiliar with single session psychotherapy will find that this paper provides a concise introduction to the essential processes and outcomes of this psychotherapeutic approach.     

In Treatment

This article deals with current representations of psychotherapy in movies and television and focuses on the recent TV series In Treatment. It is discussed if and how this and other TV series might contribute to a change in the public image of psychotherapy. This discussion is based on studies investigating the public image of psychotherapy and its image within the media as well as the potential to use movies and TV as a stage for psychotherapeutic processes. Among several TV series dealing with psychotherapy, In Treatment plays a special role because of its conception as an intimate play. The series is described and discussed in relation to the question how realistic psychotherapy is staged and whether the hero of the series ??Dr. Paul Weston?? can be used as a model in psychotherapeutic training.     

Ambiguity: Spiritual and psychotherapeutic aspects

Ambiguity is treated here as one of the interfaces between spirituality and psychotherapy. The multiplicity of spiritualities and the characteristics of spiritual leaders are discussed, the latter contrasted with the tenets of traditional psychotherapy. Similar and integrative aspects of spiritual and psychotherapeutic sojourners are examined.     

Indian Perspective on Psychotherapy: Cultural Issues

India is in a state of transition between massively transformed ‘modern’ lifestyles on one hand and the influence of traditional values and customs on the other. In view of the current realities of urbanization, migration, globalisation and societal transformation, the mental health treatment needs have become complex. The article highlights the existing mental health issues and traces the development of various psychotherapeutic techniques in India. An effort has been made to look into the basic tenets of the Indian culture which have a bearing on the conceptualisation and practical application of psychotherapy in the Indian setting. The cross-cultural relevance and adaptability of western psychotherapies in multi-ethnic and collectivistic Asian culture are discussed. In view of the differences between the eastern and western approaches to mental health, challenges in culturally-responsive adaptations are highlighted. It is seen that psychological interventions among masses are beneficial if indigenous approaches based on paradigms like themes from Gita, are cross-fertilized with western psychotherapy. However, there is a need to generate empirical evidence for indigenization of psychological treatments.     

A Cross-Contextual Construction of Clients' Therapeutic Practice

This study demonstrates how gathering data from a different context can significantly change how an object of study may be viewed. Data from a qualitative diary study of psychotherapeutic practice were used to construct a cross-contextual view of psychotherapy. Data about clients’ everyday lives as well as psychotherapy sessions were analyzed. Examples of how extra-therapeutic factors are significant to client change are presented. Six types of extra-therapeutic information sources that clients use to develop their personal stances while in therapy were identified. The case of one client's abundant use of extra-therapeutic sources of information offers a different construction of how psychotherapy works, emphasizing client activities outside sessions. The implications of the study for psychotherapy research are addressed.     

Medicating Patients in Psychoanalytic Therapy: Implications for Introjection,Transference, and Countertransference

If a patient comes for psychotherapy or psychoanalysis, why medicate him with psychotropic drugs? The answers to this question are explored and addressed from several points of view. The central hypothesis of this paper suggests that most of the reasons for medicating patients have to do with therapist's unresolved countertransference issues. Furthermore, medicating a patient may have deleterious effects on his introjected sense of self, and impacts the transference relationship in a significant way. The issues surrounding medication as adjunctive therapy are elucidated and clarified in terms of rationale, efficacy, and the impact on the psychotherapeutic relationship. Psychoanalytic solutions are offered and discussed.     

Towards trans-cultural histories of psychotherapies

Abstract

Psychotherapy is a regulated form of verbal interaction, which necessarily incorporates broader shared cultural assumptions and narrative templates. Like any form of verbal interaction, it is fluid, adaptable and malleable, particularly when it enters new cultural domains. The increasing global penetration of psychotherapeutic techniques calls for an analysis of the changes, modifications, and innovations of its techniques and accompanying theories. This will eventually allow scholars to view European and North American forms of psychotherapy as variations tied to specific locations and cultures. Tracing the trans-national and trans-cultural dissemination of psychotherapeutic theories and techniques allows historians to chart their inherent variability, test limits, and analyse the broader social and political uses of psychotherapy within different national and cultural contexts. In addition to investigating psychotherapy in its various manifestations, historians should continue to inquire about its personal, social and political uses.     

A theory of emotions: Emotionality as the expression of the self's intentionality

The central theme of this article is the self's quest for personal meaning. The author contends that traditional psychotherapeutic assumptions, such as essentialistic thinking and psychological reductionism—in which clinicians and other social scientists regard the self as an essentialistic entity rather than as an intentional being—have mitigated against meaningful encounter between client and therapist. The author argues for the importance of the long neglected roles of passion, courage and commitment in psychotherapy and human development. He offers a self theory from an existential and intentional position which address these concerns. In this endeavor the author employs philosophical and literary argument, in addition to psychological evidence and clinical case study.This article is based upon a presentation made at the VII World Congress of Social Psychiatry, Lisbon, Portugal, October, 1978.     

Value for money?: Issues of fees in counselling and psychotherapy

Drawing on literature from different psychotherapeutic traditions, the meaning of money is reviewed, and the psychological and practical issues which arise from the setting, changing and payment of fees in counselling and psychotherapy are discussed. A person-centred approach is offered as a framework for the counsellor's understanding of fees in the therapeutic relationship.     

Gesundheitssystem und psychotherapeutisches Selbst

Psychotherapy as a profession can be analysed from two different theoretical points of view: as far as social conditions are concerned the author profits on the one hand from a system-theoretical approach in treating the health-system as a social system; on the other hand and as far as the inner conditions of psychotherapeutic work are concerned, basic assumptions of psychoanalytic self-psychology may be helpful to demonstrate and understand the special character of psychotherapy as a “people-changing-profession”. This special status historically refers to medical treatment as a communicative practice. Actually the psychotherapeutic self seems to split itself up into many competing directions and thereby weakens its possible impact on the health-system.     

Narrative and discursive approaches to the analysis of subjectivity in psychotherapy

This paper reviews research that utilises language-based analyses (narrative analysis, discourse analysis and conversation analysis) to examine aspects of subjectivity in the context of psychotherapy. The studies reviewed fall broadly into two main groups. On the one hand, studies which share a view of subjectivity as the sum of internal 'voices' in dialogue adopt a narrative approach, examine subjectivity in terms of organisation, coherence and self-reflection, and consider psychotherapy a process of restoring an organised polyphony. On the other hand, studies which conceptualise subjectivity in terms of 'subject positions' adopt a discursive approach, emphasise the availability of subject positions and flexibility in adopting them and examine psychotherapy as a process of facilitating the flexible adoption by the client of a variety of subject positions. Theoretical, epistemological and methodological issues regarding each of the two approaches are discussed, along with representative studies. We finally examine the implications of these two approaches for understanding psychotherapeutic practice and for theorising and researching subjectivity.     

Experiences with directed dynamic group psychotherapy in psychotherapeutic ambulatory care

The psychotherapeutic situation of public assistance at a district without stationary institution for psychotherapy calls for the ambulant effort of methods personally centered group psychotherapy. The Intended Dynamic Group Psychotherapie was developed on stationary conditions of a therapeutic sommunity. In a practical report about eight therapy groups are discussed possibilities and limits of this method on ambulant conditions.     

On the nature and standing of psychoanalytic psychotherapy

In this paper, I offer some reflections on the standing of psychoanalytic psychotherapy in the National Health Service (NHS), with special reference to contemporary forms of evidence-based thinking. I consider what may follow when a narrow view of science or psychotherapeutic practice becomes conventional wisdom and assumes dominance. I place stress on the potential loss to NHS psychology and psychiatry if psychoanalytic psychotherapy becomes increasingly marginalized on the one hand, or overly standardized on the other.     

Diagnostik in der Psychotherapie

The present paper gives an overview of criteria and methods of diagnostics and assessment in psychotherapy from an orientation-unspecific point of view. First, some general remarks on the aims and strategies of psychotherapeutic assessment are made as well as specific functions during the different phases of a treatment are explicated. Because of its many functions diagnostics in psychotherapy has to take into consideration psychiatric, psychological and orientation-specific models and methods of assessment. At the beginning of a treatment problem-analysis and therapy-planning are needed, during its course the processes and changes are to be studied and at the end of the treatment its outcomes are to be evaluated. Diagnostic assessments are also important for monitoring and controlling the quality of the process and the outcome of a psychotherapy. At the end of the paper some general criteria for the application of assessment in psychotherapy are formulated.     

Integrative Therapie von narzisstisch gestörten Patienten

The psychotherapy of patients with a narcissistic personality disorder continues to be a psychotherapeutic challenge. There is still no psychotherapeutic program for the treatment of these patients which integrates different psychotherapeutic methods and strategies. Therefore the therapy of narcissistic patients remains difficult and only few psychotherapists voluntarily meet the challenge of treating such patients. In this article an integrative psychotherapeutic concept for the treatment of narcissistic patients using psychotherapeutic methods of different psychotherapeutic schools is presented. This integrative concept includes basic strategies such as working with the therapeutic alliance, schema work and activation of resources. On the other hand specific modules for different core symptoms of these patients are proposed. With this article the authors hope to contribute to a new conceptualization of the psychotherapy of narcissistic patients.     

Klinische Supervision

Clinical supervision is of central significance within different phases of training and is seen as a central part of adequate psychotherapy. Based upon different definitions and models of supervision, this article reviews clinically relevant results of psychotherapy research dealing with issues of supervision. Although the significance of supervision for the quality of psychotherapeutic treatment is sometimes still critically discussed, the amount of evidence for their positive effects increases. The review shows a number of current research deficits that should be compensated in the future.     

Mentalisierungsbasierte Psychotherapie bei schizophrenen Psychosen

Recently, there has been growing interest in new methods of psychotherapeutic interventions for schizophrenic patients. Social cognition, social functioning and quality of life are central objectives. Mentalization-based therapy (MBT) is a specific psychodynamic method developed from the fundament of attachment theory and empirical psychotherapy research for the treatment of borderline personality disorder, particularly focusing on attachment relationships, mentalizing capacity and affect regulation. Studies have shown that MBT is able to ameliorate interpersonal experience and social life. The latest neuroscientific findings support this view and encourage the application of a modified form of MBT in the treatment of schizophrenic patients. The authors present a concept for disorder-specific interventions in schizophrenia, including psychoeducational aspects and mentalizing exercises which step-by-step lead to a more reflective work in mentalization-based group psychotherapy.