OBJECTIVE A comparative trial of 2 forms (interpretive and supportive) of short-term, time-limited individual (STI) therapy provided data that were used to test the propositions of the Howard and others phase model of psychotherapy change. METHOD Patients completed the Integra Outpatient Tracking Assessment Form on 5 occasions during the 20-session treatments. The measure assesses 3 dimension...

OBJECTIVE Scholars increasingly recognize that therapeutic alliance and symptomatic change are associated with one another. A common assumption is that alliance predicts symptomatic change. However, the issue is far from settled. One challenge in determining the causality is the establishment of temporal precedence showing that alliance, as opposed to previous symptomatic change, drives subsequ...

Evidence bearing on whether and how counselors and supervisors receive or give different types of supervision of psychotherapy as they each gain experience was investigated. Theories describing changes in supervision of counselors as they gain experience are reviewed. Most are similar to each other. They posit changes in the supervisee, with supervision environments being matched to the changin...

OBJECTIVE To evaluate the long-term efficacy of three psychotherapies for anorexia nervosa. METHOD Participants were women with broadly defined anorexia nervosa who had participated in a RCT comparing specialized psychotherapies (cognitive behavior therapy, CBT, and interpersonal psychotherapy, IPT) with a control condition (specialist supportive clinical management, SSCM), and attended long-...

OPINION STATEMENT When tics caused by Tourette Syndrome cause meaningful impairment for patients, a comprehensive treatment approach includes education of patients, peers, and family, treatment of comorbid behavioral disorders if present, and consideration of behavior therapy and pharmacotherapy for tics themselves. This systematic review and meta-analysis demonstrates that behavior therapies b...

« What happens when we write about ourselves using poetic and fictional techniques? This is the question at the heart of Celia Hunt’s new book, in which she explores the effects of creative life writing on adults taking the MA in Creative Writing and Personal Development at the University of Sussex, a unique and highly successful programme of study which many have described as ‘life changing’. ...

Research has shown that motor and vocal tics fluctuate in frequency, intensity, and form in response to environmental and contextual cues. Behavioral models have proposed that some of the variation in tics may reflect context-dependent interactive learning processes such that once tics are performed, they are influenced by environmental contingencies. The current study describes the results of ...

This study evaluated the benefits of add-on hypnotherapy in patients with chronic PTSD. Thirty-two PTSD patients treated by SSRI antidepressants and supportive psychotherapy were randomized to 2 groups: 15 patients in the first group received Zolpidem 10 mg nightly for 14 nights, and 17 patients in the hypnotherapy group were treated by symptom-oriented hypnotherapy, twice-a-week 1.5-hour sessi...

Conversion disorder is characterized as psychological symptoms such as somatization and emotional distress, but there is no abnormal electrical signal in the brain. We report a patient who appeared conversion disorder during the induction period of general anesthesia. A 45-year-old woman was planned for arthroscopic knee meniscectomy. In the operating room, she appeared stable, but she said ext...

OBJECTIVE This paper reviews the present state of knowledge on the etiology, prevalence, diagnosis, and treatment of somatization disorder (SD). METHOD A comprehensive review of the literature on SD is described under the above headings. RESULTS SD is a common condition that is not well managed by many physicians. Patients with SD get caught between the cracks of the health care system, wit...