bluuebunny/crossref_metadata_2025_split huggingface dataset:
EMDR training for mental health therapists in postwar bosnia-herzegovina who work with psycho-traumatized population for increasing their psychotherapy capacities
Authors: Hasanovic M. , Pajevic I. , Morgan S. , Kravic N. 
Published: May 2011

IntroductionAfter war 1992–1995 in Bosnia and Herzegovina (BH), whole population was highly psych-traumatized. Mental health therapists had no enough capacities to meet needs of population. They are permanently in need to increase their psychotherapy capacities. EMDR is a powerful, state-of-the-art treatment. Its effectiveness and efficacy has been validated by extensive research. National Institute for Clinical Excellence (NICE) recommended it as one of two trauma treatments of choice.AimTo describe non profit, humanitarian approach in sharing skills of Eye Movement Reprocessing and Desensitization (EMDR) to mental health therapists in BH from Humanitarian Assistance Program (HAP) of UK & Ireland.MethodAuthors described educational process considering the history of idea and its realization through training levels and process of supervision.ResultsHighly skilled and internationally approved trainers from HAP UK & Ireland came four times to Psychiatry Department of University Clinical Center Tuzla in BH where they provided completed EMDR training for 24 trainees: neuro- psychiatrists, residents of neuro-psychiatry and psychologists from eight different health institutions from six different cities in BH. After finishing training process, trainees are obliged to practice their EMDR therapy in daily practice with real clients under the supervision process of HAP UK & Ireland trainers to become certified EMDR therapists. Regarding big physical distance between supervisors and trainees, supervision will be realized via Skype Internet technologyConclusionPsychotherapy capacities of mental health psychotherapists in postwar BH could be increased with enthusiastic help of EMDR trainers from HAP UK&Ireland.
Attachment in adult patients with attention-deficit hyperactivity disorder (ADHD)
Authors: Abdel-Hamid M. , Heinrich V. , Sperber S. , Wiltfang J. , Kis B. , Uekermann J. 
Published: May 2011

IntroductionAdult patients with ADHD suffer from marriage problems and increased divorce rates significantly more often. There are, however, only a few studies which analyse romantic attachment to a partner or romantic relationships among patients with ADHD in view of attachment theory.AimsThe aim of the present study is to research if ADHD patients show a diminished quality of romantic relationships in comparison to a matched sample of healthy controls. Furthermore, correlations between ADHD specific characteristics and particular variables of partnership perception and psychosomatic discomfort were analysed within the ADHD subgroup.MethodsWe recruited 39 patients with ADHD and compared them with a matched sample of healthy controls. Self-estimation measures were used to examine the quality of attachment, dimensions of attachment, love styles, psychosomatic discomfort and ADHD specific symptoms.ResultsIn comparison to the control sample, adult ADHD patients show a significantly reduced quality of relationships. ADHD patients rank themselves as more scared of attachment and showing more avoidance of interpersonal relationships in general as well as romantic relationships. They also feel less romantic love. ADHD specific characteristics correlate moderately with the attachment dimensions “Fear” and “Avoidance”, the love style “Mania” and psychosomatic discomfort.ConclusionsThis study lends further support to the assumption that adult patients with ADHD show an impaired quality of attachment, increased fear and avoidance of relationships as well as less romantic love. The results strongly underline the necessity to account for individual attachment styles in psychotherapy of ADHD.
Learning outcomes for nurse students in mental health fieldin Northern Norway
Authors: Holm S.G. 
Published: May 2011

IntroductionThe nurse students have 8 weeks in practice in Mental Health Care in the community mental health care and district psychiatric centres (DPS). The course objectives are common for the nurse students. In this learning period in practice they are followed up by nurses in practice. The student, nurse and the teacher meet each other three times during the practice period.ObjectiveThe main question for this study was: Did the nurse students experience the possibility of reaching the intended learning outcomes in the Mental Health field course (12 credits)?AimWas to gain knowledge about the intended learning outcomes nurse students could reach in practice.MethodAn explorative study design was chosen for the pilot study. The data came from 26 students who were secondary years nurse students.ResultsThe result shows that of 16 learning outcomes, 5 differed; Knowledge in mental health nursing, Care Management, Treatment, The legal aspects of Mental Health Care, and Administration of drugs. The students experienced that they could not fully reach the learning outcomes. The findings are discussed based upon theory in communication, caring and learning.ConclusionsBased on this result, we need to reconsider some aspects of the role of the faculty members and the role of the clinical preceptors in this course.
Family therapy preventing the bipolar patient against recurrent episode : A case series
Authors: Hsu H.C. , Lin P.Y. , Takashi Y. 
Published: May 2011

Bipolar disorder is a chronic, recurrent disorder, and its dysfunction has been correlated with poor outcomes and increased risk of recurrence. The main purpose of the family therapy model at issue is to prevent the bipolar patient against recurrent episode.The focuses of the therapy sessions are on the apples drawn by the patient(DDAA), the patient, and the patient-parent relationship. Keywords are gathered from every participant during the therapy session. Besides, the subjects to have verbalized meaningful ideas or successful experiences are immediately, intensely praised by applause during the session. DAILY DRAW AN APPLE(DDAA) homework is that the patient has drawn an apple on a calendar everyday and shares with parents about the apple as well as the patient's feelings of the day. The participants of the family therapy are the patient, parents, and the therapists. The frequency of the model is once monthly. Each session consists of the 10 minutes pre-session, the 60 minutes family therapeutic session, and the 30 minutes post-session. It needs to be emphasized that the frequency of re-hospitalization definitely decreased after receiving therapy.Finally, positive transference was demonstrated in the high attendance rate, in their excitement in receiving the applause, and in their collaboration in presenting the keywords. With the aid of the family therapy, they have been almost free from affective symptoms, and the hostile dependent tie with their parents having been steadily improved. To prevent the bipolar patient against recurrent episode has been achieved in the five cases family therapy presented here.
Short-term psychotherapy in complex treatment of non-psychotic depressive spectrum disorders
Authors: Zhebentyaev V.A. , Igumnov S.A. 
Published: May 2011

The aim of this investigation was to study the effectiveness of a combination of differentiated short-term psychotherapy and pharmacotherapy with antidepressants.MethodsThe study was implemented in a clinical randomized clinical trial. Experimental group consisted of 44 patients whose treatment is differentiated short-term psychotherapy, developed on the basis of the received data, in combination with standard pharmacotherapy. Comparison group comprised 35 patients whose treatment consisted of cognitive therapy in combination with standard pharmacotherapy. In short-term depressive reactions set a techniques include:a)psychological relaxation sessions,b)exposition techniques,c)cognitive therapy for correction of vulnerable personality traits.With prolonged depressive reaction applied psychotherapy aimed at correcting avoid personality traits in various modalities.ResultsAs compared to the group of comparison for certain the subscales of depressed mood (р < 0,01) became better anymore, middle insomnia (р < 0,001), retardation (р < 0,05), anxiety psychic (р < 0,001) and anxiety somatic (р < 0,001), general somatic symptoms (р< 0,05), paranoid symptoms (р < 0,01) and depersonalization (р < 0,05). According to the questionnaire of SCL - 90 in the experienced group the scales of Global Severity Index GSI (р < 0,05), somatic symptoms (р < 0,05), anxiety (р < 0,05), depression (р < 0,05) and phobic anxiety (р < 0,05) reduced more quickly.ConclusionsCatamnestic study has shown, that in the experienced group steadier parameters symptomatic improvement, social functioning and use of received psychotherapeutic experience in life are observed (р < 0,05).
Turning each patient into clinical research project through lifetrack
Authors: Ishizuka Y. 
Published: May 2011

ObjectiveTo demonstrate how an on-going psychotherapy practice can be turned into a perpetual research project by tracking progress (or lack thereof) of each patient through daily self-rating on 41 parameters. The author has treated 1,213 patients over the last 20 years, showing that psychiatric symptoms (such as anxiety, anger, physical symptoms, depression, and psychosis) can be predictably eliminated by transforming personality through ‘Breakthrough Intimacy’ - closeness between committed couples far greater than their previous maximum experience, usually without drugs and often within 6 months.MethodLifetrack therapy works with the patient and his/her partner in three-way teamwork, bringing them far closer than ever before, guided by their own daily self-rating on 41 parameters that allow accurate graphic tracking via Internet of subtle changes in their personalities and dynamic mental status during each therapy session. The therapist actively helps the couple to think, feel, and act in such ways that their closeness will increase, provoking and overcoming waves of symptom spikes (defense) until they disappear by exhaustion, as the couples undergo personality transformation.ResultsOf the 1,213 patients treated over the last 20 years, 50% reached a level of adjustment beyond their previous best level according to their own daily self-rating. Patients with partners (871) did 4 times better (61.4% vs. 15.2%) than singles (342). Ot those who did not drop out of therapy during the first month, 78% of patients with partners (659) reached their previous maximum of 10, while only 11% of those without partners did so.
Emotional processing of traumatic emotions and early experiences using the therapeutic letters, role playing and imagination in borderline and other difficult patients
Authors: Jelenova D. , Kovacsova A. , Diveky T. , Kamaradova D. , Prasko J. , Grambal A. , Sigmundova Z. , Bulikova B. 
Published: May 2011

In many patients cognitive reconstruction helps to understand their problems in life and symptoms of stress or psychiatric disorders. Change in the thoughts and beliefs help them to feel better. But there are many patients who suffer with strong traumatic experiences deep in their mind and typically dissociate them or want to avoid them voluntarily. There is typical for patients suffering with dissociative disorders, borderline personality disorder and many people with various psychiatric disorders who were abused in childhood. The processing of the traumatic emotions from childhood can be helpful in the treatment of these patients. For the help is important:a) Understanding what was happen in childhoodb) Making clear of repeated figures of maladaptive behaviors, mostly in interpersonal relationsc) Making a connection between childhood experiences and here and now emotional reactions on various triggersd) Experiencing repeatedly the traumatic memories and elaborate them with imaginal coping.We describe:- how to map and elaborate emotional schemas- Socratic questioning with the patients with traumatic memories- how to work with traumatic experiences from childhood in borderline personality disorder.Supported by the research grant IGA MZ CR NS 10301-3/2009
Cognitive behavioral psychotherapy supervision - what works?
Authors: Kljenak D. 
Published: May 2011

IntroductionSubstantial empirical support for cognitive behavioral therapy (CBT) effectiveness in the treatment of various psychiatric disorders has been demonstrated. Adequate training in CBT results in improved therapist competence and patient outcomes. Essential part of the training in CBT is a clinical supervision. A review of theoretical perspectives on CBT supervision is provided. Commonly encountered obstacles in CBT supervision are illuminated with case examples.ObjectivesAt the end of the presentation participants will be able to describe a theoretical approach to CBT supervision, list common obstacles encountered in CBT supervision and describe strategies to effectively address these obstacles.AimsThe aim of the presentation is to encourage CBT psychotherapy supervisors to reflect on the supervisory methods they use and increase their ability to provide effective CBT supervision.MethodsThe literature on successful CBT supervision is reviewed. This case based presentation will illustrate strategies for addressing commonly encountered roadblocks in supervision.ResultsHaving a theoretical framework for CBT supervision enhances supervisors’ ability to provide successful supervision.ConclusionsReview of theoretical approaches to CBT supervision, the description of commonly encountered obstacles and strategies to manage them during the supervision creates platform for reflection on the supervisory methods used by the participants.
Psychodynamic group psychotherapy reduces severity of depressive symptoms indepedently of personality trait neuroticism
Authors: Małyszczak K. , Pacan P. , Pawłowski T. , Kiejna A. 
Published: May 2011

This study assessed whether decrease in depressive symptoms after group psychodynamic psychotherapy was due to change in neuroticism score.Patients were treated with group psychodynamic psychotherapy lasting 12 weeks. Every working day patients had 2 therapeutic sessions of 1,5 hour each. Personality trait neuroticism was measured with Eysenck Personality Questionnaire - Revised (EPQ-R), depressive symptoms with Depression Scale of Symptoms Checklist 90 - Revised (SCL-90-R) questionnaire.Of 139 patients included in the study, 110 patients (79.1%) completed it. They were 37 men and 78 women, all with mean age of 34.25 years old. 64 patients were diagnosed with a neurotic disorder (ICD-10/F4), 28 with a personality disorder (F6), 15 with both a personality and a neurotic disorder and 3 with depression (F32) with personality disorder. In total 53 patients were on medication, mainly selective serotonin reuptake inhibitors.Initial mean neuroticism score was 18.9, and after treatment it was 17.6. This difference is statistically significant as a change (t = 2.88, p = 0.005), but not as an independent mean value (t = 1.9, p = 0.06). Difference in severity of depressive symptoms is far more considerable: before treatment 2.08, after treatment 1.61, and it is statistically significant in comparison as dependent (t = 5.29, p = 0.000001), as well as independent (t = 3.53, p = 0.0005).Looking at proportion of the change, neuroticism score dropped by 7%, whereas depressive symptoms score dropped by 22.6%. We can say that change of depressive symptoms severity is caused mainly by other factors than change in personality trait neuroticism score.
Social implications of group psychotherapy on chronic psychoses
Authors: Mitric B. 
Published: May 2011

IntroductionCenter for mental health is establishrd in May of year 2005. enter for mental health promotes the mental health care in the community.ObjectiveTo evaluate the effect of group psychotherapy on chronic psychoses, ambulatory treated in Mental Health Center in Kotor, Montenegro.AimsThe influence of effect of group psychotherapy on chronic psychoses in the development of optimal socialization.MethodThe group consist of patients who werw coming for regular check-ups in our health center during previous 5 years. The group in semi-opened and it is heterogeneous in respect to gender and age. The effect is estimated by observing the behavior of group dynamics.There werw 8 regular members in this group and additional ones who participated occasionally, on suggestion of their psychiatrist.ResultsDuring the initial group meetings it was noticed that the patients are not familiar with each other, even though they werw previously treated in our local psychiatric hospital and are inhabitants of a same, smail town. They didn t communicate with each other and didn t even know each others names. They ewrw distrustful toward new group members and could.t think of the questions to ask whwn the new members werw presented to them, After six months, group members formed friendship relationships.ConclusionsEvaluation of the effect of group psychotherapy is fascilitating the development of optimal socialization as well as optimal interpersonal relationships within group, in respect to the nature and progression of mental disorder.
Equine assisted therapy for patients with severe chronic psychiatric disorders
Authors: Nurenberg J.R. , Schleifer S.J. 
Published: May 2011

Animal assisted therapy (AAT) is being used increasingly for patients with syndromes not responding adequately to traditional therapies (severe stress/anxiety reactions, interpersonal deficits, limited verbal skills, trauma, and violence). Some have suggested that larger animals, such as horses, may be more effective therapy enhancers for some patients than commonly employed smaller animals. We have been developing an AAT protocol at a 500 bed state psychiatric hospital in NJ, supported by observations of dramatic functional improvement with equine facilitated therapy (EFT) in some highly regressed or violent patients. Logistic issues in establishing an equine program in a psychiatric hospital include site development, animal/therapist selection and training, safety and liability; scheduling, and hospital staff integration with the equine therapists. EFT technique modifications have addressed the needs and limitations of chronic, highly regressed or violent patients. A clinical research project comparing 10 weekly EFT and canine-facilitated (CFT) group sessions in >100 patients is nearing completion. The background, principles, and practices of EFT will be reviewed as will its relative benefits compared with AATs such as CFT.Research findings will compare AAT groups and standard therapies with respect to psychological, behavioral, and functional outcomes (e.g., violent and regressed behaviors, hospital discharge). Clinical value vs costs, including unique benefits associated with AAT subtypes, will be presented.
Can the lack of unconditional positive regard change the correct diagnose and the decision of treatment? case report
Authors: Sarpe M.C. , Ladea M. 
Published: May 2011

Carl Rogers, one of the founders of humanistic approach in psychology, sees people as basically good and healthy. He considers mental health as the normal progression of life, and believes that mental illness and criminality are distortions of that natural tendency.Rogers felt that a good therapist must have three very special qualities: Congruence, Empathy and Respect -- acceptance, unconditional positive regard towards the client. These qualities are “necessary and sufficient”.We present the case of an 18-year-old adolescent with distressing thoughts of killing someone, a colleague or a family member, and compulsions like the wish to be restrained to the bad so that he couldn’t hurt someone. He was first diagnosed with premorbid symptoms of a psychotic disorder by a psychologist, and he was recommended to begin antipsychotic treatment. We subsequently diagnosed him with obsessive-compulsive disorder due to the fact that he felt repulsion and remorse for having these thoughts. He began the treatment with selective serotonin reuptake inhibitors and Rogersian therapy.We intend to demonstrate that the lack of acceptance and unconditional positive regard as well as communication problems with the patient can interfere with giving the correct diagnose and decision of treatment.“If I accept the other person as something fixed, already diagnosed and classified, already shaped by his past, then I am doing my part to confirm this limited hypothesis. If I accept him as a process of becoming, then I am doing what I can to confirm or make real his potentialities”, Carl Rogers.
The efficacy of cognitive- behavior group therapy and social skill trainings on reduction of negative symptoms of schizophrenic patients
Authors: Shafiei Amiri M. , Ahmadi Gatab T. , Babakhani N. 
Published: May 2011

IntroductionSchizophrenia is a destructive disease that can break the personality structure down in severe conditions and causes disturbance of thoughts, feelings and actions, and thus affects the personal, family and social performance and relationships, and disturbs them.AimsThe aim of this study is the investigation of the efficacy of cognitive -behavior therapy and social skill trainings on reduction of negative symptoms of schizophrenic patients.MethodsThe present study is experimental design based on pre-test, post-test with control group and to select randomly, the available sampling method was used. (15persons)were selected for each group and they were randomly assigned to two groups: experimental group (combination of cognitive-behavior group therapy and social skill training) and control group (cognitive- behavior group therapy).ResultsAfter three months the administration of combination program of cognitive-behavior group therapy and social skill training than cognitive- behavior group therapy, the negative symptoms of experimental group decreased significantly. Also, social skills of experimental group were significantly higher than the control group that causes the significant reduction of negative symptoms of schizophrenic patients.ConclusionsThe obtained results show that: on improvement of symptoms of schizophrenic patients, the efficacy of combination of cognitive -behavior group therapy and social skills is more than cognitive- behavior group therapy.
The weight of the weight! including the parents in the adolescent weight centered group follow up
Authors: Shehu-Brovina S. , Chamay Weber C. , Narring F. 
Published: May 2011

The weight gain prevalence in child and adolescents is rapidly increasing and presents a major health problem with also the psychiatric impact. In Switzerland, one child of five is in weight excess. The parents of the obese adolescents are also in sufferance.In 2007, the Federal Commission aprouved the project of the Swiss Society of the Pediatrics, applied in the Geneva University Hospitals as Contrepoids - pediatric weight management programe. It includes the psycho-educative groups (14 to 18 groups), one or two sport activities a weak and the “parents” groups (8–14 groups).The effect of these programs is measured mainly by the weight evolution.As far as we know, there are no other criteria of the evaluation of these programs. Or, it is known that just à small number of these children regain their normal weight.PurposeTo explore the parents’ representations of te wheight problem after one year To evaluate if this changement of the representations has un effect in the well being of the adolescents, their parents and their family relations.MethodsTwo focus groups were conducted at the end of a one year Family-Based Behavioural Treatment (FBBT) for obese teenagers (12–18 years), involving 16 parents. Four Open-ended questions were used.ResultsParents reported that the participation in a group program allowed them to reduce their sense of isolation. It helped them to decrease their sense of guilt and also in the transition from childhood to adolescence. Less attention was payed to the diet.