Background: While the general effectiveness of psychodynamic inpatient psychotherapy has been established, very few studies have specifically investigated the effectiveness of psychodynamic inpatient treatment of depression, though depressed patients represent the largest group of inpatients.
Method : This study investigated two naturalistic samples of depressed patients regarding treatment outcome as well as clinical and treatment characteristics. Patients were treated in a psychoanalytical psychosomatic hospital unit. Data was collected from 2000 to 2002 (N=234) and from 2008 to 2010 (N=514). Data was acquired at admission and discharge.
Results: The findings reveal high pre-post effect sizes for symptom reduction (SCL-90-R), general functioning (GAF) and medium changes of interpersonal problems (IIP). The improvement on the IIP was significantly higher for patients with comorbid personality disorder. Based on therapist ratings, the sample treated from 2008-2010 showed higher levels of impairment on several levels: chronic, complex, functional (GAF) and structural (OPD).
Conclusion: Findings indicate that patients show substantial short-term benefit following psychoanalytic inpatient psychotherapy, as practiced under naturalistic conditions. Open questions remain regarding the long-term nature of these benefits and the possible influence of placebo-effects. 相似文献
In four experiments on the identification of familiar faces we reassessed a robust performance pattern—namely, the temporal advantage for retrieving biographical facts as compared to recalling proper names, which has been interpreted as reflecting a serial ordering of the access to semantic and name information. Evidence for recent parallel accounts had been provided by Scanlan and Johnston (1997) who reported an advantage for name retrieval in children. Here we replicated the findings of Scanlan and Johnston but also showed that the naming advantage disappears, and performance is very similar to that of adults when stimuli and tasks are used that are familiar to children. Conversely, we also demonstrated an advantage for name retrieval in adults when highly unfamiliar semantic facts were associated with the faces. Together these findings suggest that there is no fundamental difference in the cognitive architectures of children and adults. The experiments indicate that the relative speed of naming and semantic fact retrieval depends on the expertise with the semantic facts to be retrieved. Implications for models of face identification and naming are discussed. 相似文献
Elaborating on previous studies on emotion regulation and deliberate self-harm (DSH), in the present study we distinguish between strategies of cognitive content (e.g., suicidal cognitions of perceived burdensomeness, helplessness, poor distress tolerance) and cognitive process (e.g., nonacceptance of emotional responses, lack of awareness of emotional responses). Young women who harmed themselves (n = 85) were compared with young women without a history of DSH (n = 93) across a broad range of strategies. Significant group differences were found for all measures, even when depression severity was controlled for. In addition, logistic regression analyses showed that both cognitive content strategies and cognitive process strategies made significant independent contributions to the prediction of group membership. Controlling for depression severity, suicidal cognitions, and nonacceptance of emotional responses independently predicted DSH. The strong association between suicidal cognitions and DSH seems to indicate the important role of these cognitions in recurrent and chronic DSH. The strong association between nonacceptance of emotional responses and DSH underscores the notion that DSH can be a way to avoid emotional problems. These findings are discussed in relation to recent cognitive-behavioral interventions and specific therapeutic techniques to further insight into how these interventions might work. 相似文献
Current ethical guidelines for therapists who make use of social media are very limited. As a consequence, they leave much open to interpretation by professionals, an openness that may place the public and professionals at risk. This is particularly of note as therapists are increasingly making use of social media and many professionals are taking on roles as mental health influencers, both purposefully and without realising. Such developments raise many important ethical issues including considerations around influencer competency, integrity, the maintenance of confidentiality and risk management. These issues are briefly discussed in this paper alongside related current research focusing upon them. It is concluded that, despite the existence of ethical guidelines focusing upon social media use by therapists, current research suggests that therapists are not consistently following these guidelines. Moreover, it is argued that researchers and professional bodies, and their associated good practice guidelines, need to keep abreast of new developments to account for changes in social media usage. 相似文献
This article examines potential theoretical constraints on resilience across levels of risk, time, and domain of outcome.
Studies of resilience are reviewed as they relate to the prevalence of resilience across levels of risk (e.g., single life
events vs. cumulative risk), time, and domains of adjustment. Based on a thorough review of pertinent literature, we conclude
that resilience, as a global construct, appears to be rare at the highest levels of risk, and that resilience may benefit
from a narrower conceptualization focusing on specific outcomes at specific timepoints in development. The implication of
this conclusion for future research and intervention efforts is then discussed. 相似文献
The authors examine whether and how observing anger influences thinking processes and problem-solving ability. In 3 studies, the authors show that participants who listened to an angry customer were more successful in solving analytic problems, but less successful in solving creative problems compared with participants who listened to an emotionally neutral customer. In Studies 2 and 3, the authors further show that observing anger communicated through sarcasm enhances complex thinking and solving of creative problems. Prevention orientation is argued to be the latent variable that mediated the effect of observing anger on complex thinking. The present findings help reconcile inconsistent findings in previous research, promote theory about the effects of observing anger and sarcasm, and contribute to understanding the effects of anger in the workplace. 相似文献
Transformational and authentic leadership are two models of leadership, which have some similarities and are relevant to sport. However, these leadership models are also distinct and consequently may predict athlete outcomes differently. Authentic leadership has received little attention in sport and so research is needed to examine how it is unique in terms of what it adds to dominant sport leadership models. The purpose of this study was to investigate whether authentic leadership (a) is empirically distinct from transformational leadership and (b) adds to transformational leadership by explaining unique variance in commitment and enjoyment. A total of 421 (227 female, Mage = 20.32) team sport athletes took part in the study by completing a questionnaire. Authentic leadership was correlated to transformational leadership, suggesting transformational and authentic leadership show some convergent validity. However, Structural Equation Modeling (SEM) revealed that authentic leadership also shows discriminant validity to transformational leadership and has incremental predictive power above that of transformational leadership, in terms of predicting athletes’ enjoyment and commitment. Our findings enhance our understanding of authentic leadership in sport and clearly show that it is distinct from transformational leadership. They also highlight the importance of authentic leadership and how it adds to transformational leadership in terms of predicting athletes’ commitment and enjoyment. 相似文献
ABSTRACTSince the 1960s, indigenous revitalization has been widespread in Native North America. However, few systematic studies of contemporary indigenous religion exist. This article provides an in-depth analysis of revitalized beliefs and practices as they are lived among the Chumash of Southern California. Shaped by a colonial history that almost eradicated indigenous culture, Chumash tradition is reinterpreted through religious practices that ground it in local territory and anchor it in pre-Catholic traditions. Although postcolonial agendas are significant in indigenous Chumash religion has existential significance beyond ethnicity politics. Contemporary Paganism is employed as a comparative perspective to discuss how religion provides a way for individuals to define and explore their cultural specificities when they relate to and participate in globalized society. The practices of healing, cleansing, and divination as well as beliefs in the unity with animals, spirits, and ancestors form a framework not only for individuals’ search for meaning, but also for reestablishing community. 相似文献