Although integrative therapies are increasingly popular in clinical psychology, their dissemination in the psychiatric literature has been limited. To care for patients living with complex psychiatric problems, the authors formulated a flexible, pragmatic, problem-oriented integrative therapy (PIT). The aims of this article are to increase psychiatric attention to the value of integrative therapies, authorize their use, and present the authors' PIT approach. PIT combines common factors, theoretical synthesis, and technical eclecticism. After delineating patients' problems and goals, clinicians apply discrete therapeutic elements derived by unbundling numerous theories and practices. Clinicians improvise and pivot their practice in response to patients' shifting problems and goals, as well as to advances in the field. Practicing PIT requires familiarity with numerous therapeutic theories and models and a willingness to continually expand skill sets. PIT's effectiveness may be assessed by comparing results obtained with PIT with those obtained via conventional psychotherapeutic modalities.
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http://dx.doi.org/10.1176/appi.psychotherapy.20240010 | DOI Listing |
J Environ Manage
December 2024
Department of Watershed Management Engineering, Faculty of Natural Resources and Marine Sciences, Tarbiat Modares University, Noor, 46414-356, Iran. Electronic address:
The health of a watershed is a crucial aspect that involves evaluating ecological, hydrological, and human factors to determine its overall well-being and functionality. Hydrological components are key parts of a watershed. Therefore, the present study aims to assess Watershed Hydrological Health (WHH) using the Pressure-State-Response (PSR) framework and to compare WHH priorities derived from Multi-Criteria Decision Making (MCDM) approaches in the Gorganroud Watershed, Iran.
View Article and Find Full Text PDFHealth Syst Reform
December 2024
Primary Health Care, Bill and Melinda Gates Foundation, Chennai, India.
This paper emphasizes the importance of orienting health system reforms to address underlying system-level performance problems. Too often in practice, the objective-orientation that is stressed in health system frameworks gets lost in relation to policies or schemes that are promoted without plausible linkages to the actual objectives of the reforms. The objective-orientation can also get subsumed by political agendas that are disconnected, or can even detract from, people's health needs.
View Article and Find Full Text PDFAm J Psychother
December 2024
Department of Psychiatry, University of Colorado School of Medicine, Aurora (Yager); Department of Psychiatry, Boonshoft School of Medicine, Wright State University, Dayton, Ohio (Kay).
Am J Psychother
December 2024
Department of Psychiatry, University of Colorado School of Medicine, Aurora (Yager); Department of Psychiatry, Boonshoft School of Medicine, Wright State University, Dayton, Ohio (Kay).
Zhonghua Liu Xing Bing Xue Za Zhi
October 2024
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