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| http://dx.doi.org/10.1192/bji.2017.5 | DOI Listing |
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Who's Afraid of Murderous Rage? When Euthanasia Colludes with Self-Destructiveness.
Psychodyn Psychiatry
January 2025
Psychologist, Transparant Centrum GGZ, Leiden, The Netherlands.
The impact of intense countertransference affects in working with patients experiencing complex trauma can have a critical effect on decisions about euthanasia, especially when such decisions are made solely on the grounds of a psychiatric condition. These countertransference dynamics become particularly significant in the context of the rising number of euthanasia requests by psychiatric patients in the Netherlands. We contend that for a subgroup of patients with complex trauma, attachment trauma, and personality disorders, the label "treatment-resistant" may be applied prematurely and incorrectly.
View Article and Find Full Text PDFEvaluative Research on Psychodynamic Therapy: Foundations and Recent Advances.
J Psychiatr Pract
January 2025
Mental Health Medical Activity Center, Caen Normandy University Hospital, Caen, France.
Psychodynamic therapy (PDT), a technical adaptation of psychoanalysis, is one of the most widely practiced forms of psychotherapy, making evaluative research on it essential. Although research on PDT has been ongoing for several decades, theoretical and practical challenges initially hindered the adoption of evidence-based medicine standards in such research, a shift that has largely taken place over the past 20 years. This article reviews the evolution of evaluative research on PDT for mental disorders in adults, with a focus on those with complex conditions.
View Article and Find Full Text PDFDyadic working alliance, therapist insight skills, and client outcomes: Longitudinal mediation analyses.
Psychotherapy (Chic)
January 2025
Department of Psychology, Arizona State University.
A number of studies have shown an association between therapist skills (particularly insight skills) and the working alliance, but few studies have examined the directionality of this relationship. In addition, studies have used either the client or therapist report of the working alliance rather than a perspective. Thus, we examined whether (a) dyadic insight skills are indirectly related to client outcome through the working alliance and (b) the dyadic working alliance is indirectly related to client outcome through insight skills.
View Article and Find Full Text PDFA Pilot Study for an Interactive Activity Educating First-Year Medical Students on How (Not What) to Prescribe.
Am J Psychother
January 2025
Frank H. Netter MD School of Medicine, Quinnipiac University, North Haven, Connecticut (O'Connell); Austen Riggs Center, Stockbridge, Massachusetts (Mintz).
Objective: Pharmacotherapy outcomes may be influenced as much by psychosocial factors as by medication. Comprehensive discussion of such factors may contribute to better patient outcomes and may counter aspects of a curriculum that prioritizes efficiency and that has the potential to undermine clinician empathy. This pilot study aimed to explore the benefits of teaching psychosocial aspects of prescribing and student acceptance of such teaching.
View Article and Find Full Text PDFRisk Factors for Love Addiction in a Sample of Young Adult Students: A Multiple Mediation Model Exploring the Role of Adult Attachment, Separation Anxiety, and Defense Mechanisms.
Behav Sci (Basel)
December 2024
Department of Health Sciences, University of Florence, Via di San Salvi 12, Pad. 26, 50135 Florence, Italy.
In certain situations, romantic engagement with a partner can have detrimental effects on an individual's well-being and overall health, exhibiting features attributable to addictive behaviors. Considering the clinical significance of this phenomenon and its prevalence among adolescents and young adults, the objective of this study was to investigate the potential associations between some risk factors for love addiction in a sample of university students, with a specific focus on adult attachment, separation anxiety, and defense mechanisms. A total of 332 participants (M = 23 years; SD = 2.
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