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Travma sonrası stres bozukluğu, travmatik olayı tekrar tekrar yaşama, aşırı uyarılmışlık hali ve travmayla ilişkili uyaranlardan kaçınma şeklinde görülen, travma sonrasında gelişen bir ruhsal bozukluktur. EMDR, ise farklı psikoterapi yaklaşımlarının öğelerini kapsayan, standartlaştırılmış tedavi prosedürleri bulunan, bütüncül bir psikoterapi yöntemidir. Bu çalışmada EMDR tedavi yönteminin travma sonrası stres bozukluğu belirtilerinin tedavisinde etkili, güçlü ve kısa süreli bir terapi yöntemi olduğu, ilişki sorunlarının travma sonrası stres bozukluğu belirtileri ürettiği ve aldatılma sonrasında beş aydır travma sonrası stres bozukluğu belirtileri gösteren bir olgunun tedavi süreci ele alınmıştır. Araştırmanın sonunda yapılan tedavinin başarılı olduğu tespit edilmiştir. Ayrıca EMDR tedavi sürecinde travmatik yaşantıya dair rahatsız eden sahnelerin ve tetikleyicilerin çalışılmasının %80 oranında travma sonrası stres bozukluğu belirtilerinin ortadan kalkmasında etkili olduğu, danışanın erken çocukluk dönemine ait olumsuz yaşantılarının çalışılması sonucunda belirtilerin tamamen ortadan kalktığı görülmüştür., Post-traumatic stress disorder is a post-traumatic mental disorder that occurs as a recurrent traumatic event, overstimulation and avoidance of trauma-related stimuli. EMDR is a holistic method of psychotherapy with standardized treatment procedures covering elements of different psychotherapy approaches. In this study, it is explained that EMDR therapy is an effective, powerful and short term therapy method in the treatment of post-traumatic stress disorder symptoms, relationship problems produce post-traumatic stress disorder symptoms and how to treat a patient with post-traumatic stress disorder symptoms for five months after being deceived. At the end of the study EMDR treatment was successful for this case. In addition, it was reported that 80% of the study of the disturbing scenes and triggers related to the traumatic experience was effective in the elimination of post-traumatic stress disorder symptoms and that the symptoms disappeared as a result of studying the negative experiences of the early childhood.

I describe a short-term dynamic therapy of 12–14 fortnightly sessions developed whilst working in a specialist mental health service for older people. Vignettes are given of this therapy with two women suffering from long histories of depression who experienced considerable benefit. They both showed an impressive capacity to reflect on and hold the therapy in mind during the fortnightly intervals and the longer breaks. To their surprise and relief, they did not become depressed during the period of therapy. They were especially pleased to discover an unexpected resilience. Less intensive frequency of sessions with fortnightly intervals offers the advantage of not encouraging a regression in the transference and, whilst recognising the importance of difficulties in early life, can galvanise adult capacities and resources developed over a long life. Particular influences in this work are discussed in the use of play from Winnicott, as described by Smith, and the importance of reaching hopeful and positive a...

The Leuven Systematic Case-study Protocol was used to analyze the therapeutic trajectory of a young woman suffering from anxiety problems. The LSCS protocol is a broad-spectrum monitoring tool that...

Aim: To determine whether or not clients' perceptions of microaggressions varied based on their own and the therapist's race/ethnicity and whether or not they would be negatively related to the effectiveness of therapy and if the working alliance would mediate this effect. Method: The study utilised a cross-sectional, retrospective, methodology. Clients were recruited from a large university counselling centre in the United States (N=232 clients and 29 therapists). Results: Neither clients' race/ethnicity, therapists’ race/ethnicity, nor client-therapist ethnic matching predicted perceptions of microaggressions. Clients' ratings of microaggressions were negatively associated with their psychological wellbeing; however, this effect was mediated by clients' ratings of the working alliance. Implications: Therapists should take into account the cultural messages they may be conveying to both white and racial/ethnic minority clients. Therapists should develop strategies that are consistent with a gene...

Children with cerebral palsy (CP) experience not only motor disabilities but other, emotional, communicative, and social impairments. The relationship between caregivers (usually mothers) and CPs as well as their communication patterns might also be impaired. Music therapy was found to be effective with CPs and dyadic treatment has been found to be effective in facilitating mother–child relationships. However, music therapy and dyadic treatment were never combined to address CPs and their mothers. We present the dyadic music therapy treatment (DUET) and report of a preliminary study that examined if it was effective. The DUET of one dyad was videotaped and subsequently analyzed according to the mixed methods approach. Qualitative analysis resulted in 10 types of communication patterns, seven being non-verbal, two musical, and one verbal. Twenty-two types of relationship were found, 17 being coordinated relationships and five uncoordinated ones. Analyzing the frequencies of these types across the DUET sess...

The systems-centered short-term therapy protocol was adapted and applied in three single case studies with generalized anxiety disorder (GAD) patients in a ten-session individual treatment over a two week period. All three subjects showed substantial improvement and no longer met diagnostic criteria post-treatment. Changes were maintained at follow up both six months and one year later. These results are promising and suggest the importance of further research on SCT as a viable, alternative treatment for generalized anxiety disorder.

This article describes a dynamic, short-term art therapy approach that has been developed for the treatment of trauma related disorders. Using a modified Eye Movement Desensitization and Reprocessing (EMDR) protocol with alternating tactile and auditory bilateral stimulation, associations are rapidly brought to conscious awareness and expressed in a series of drawings. As new information is accessed, affective material is metabolized and integrated, leading to transformation of traumatic memory and an adaptive resolution of the trauma. Readers are cautioned that clinicians using this approach should be experienced in working with trauma.

Treatment resistant depression (TRD) is a severe and enduring form of depression that does not respond fully to medication. Although the evidence base for effective psychological treatments is not yet established, it is inevitable that counsellors working in primary care will encounter patients with this presentation. This pilot study explores the experience of four primary care counsellors with this patient group using Interpretative Phenomenological Analysis (IPA) and considers the implications for training and practice.

This article explores the need for university counseling centers (UCCs) to implement brief therapies and describes one such treatment, intensive short-term dynamic psychotherapy (ISTDP), as a particularly viable therapeutic approach in this setting. Because ISTDP is not appropriate for all students seeking therapy, a careful assessment of the client is conducted prior to deciding which treatment approach is best suited for the client. The different restructuring techniques that comprise ISTDP are discussed. The article ends with a brief vignette from a therapy session with a student involving ISTDP techniques.

This brief report examines the use of writing in short-term therapy. A case study of a 45-year-old male coping with schizophrenia is presented with respect to the expressive/creative mode of poetry therapy (Mazza, 1999). Based on clinical observation, it appears the client's writing served in both therapeutic and assessment capacities within the boundaries of Wolberg's (1965) stages of development in brief therapy.

This article places representative formulations of brief dynamic psychotherapy in the larger context of psychoanalytic thought, reviews relational perspectives that inform contemporary approaches to time-limited treatment, and identifies tasks in continued development of theory, research, and practice. In doing so, it emphasizes the need to consider a broader range of psychopathology, dysfunction, and need in formulations of brief intervention and to develop more flexible and realistic approaches in treatment of vulnerable and underserved populations. The growing emphasis on theoretical pluralism and pragmatism in therapeutic practice generally should facilitate efforts to broaden the base of brief dynamic treatment.

There is much theoretical and clinical literature on the role of interpretation in psychoanalysis, psychoanalytic psychotherapy, and brief dynamic psychotherapy, but little supporting research data. Using 112 audiotaped sessions from 38 patients in supportive-expressive time-limited treatment, the present study hypothesized that therapists would modify the object and temporal content and frequency of their interpretations in relation to the level of patient functioning. The results did not support this hypothesis. Therapists were not less active with more interpretations for higher functioning patients, nor were they more active with fewer interpretations for lower functioning patients. Therapists were more active and made more genetic interpretations with married patients, regardless of level of patient functioning. The findings are discussed in terms of their implications for supportive-expressive psychodynamic therapy.

With increasing emphasis on cost-consciousness in health care, clinicians must treat persons with complicated mental health needs with sound rationale while accomplishing cost effectiveness. This article redefines successful outcomes for outpatient treatmentfor one such complex situation with persons with dissociative identity disorder. A case study is presented illustrating how traditional long-term therapy can be defined in renewable short-term stages. At various therapeutic intervals therapy may be discontinued or deferred based on the client's definition ofpersonal wellness. Such a conceptualization can facilitate client health while demonstrating accountability for the use of ongoing psychotherapy services.

In order to evaluate the impact of training on attitudes and values regarding time-limited therapy, an attitudes instrument (The Beliefs and Attitudes Towards Therapy Questionnaire (BAT-Q)) was administered to 167 experienced therapists before and following workshops on brief therapy techniques. Data analysis of the results of the pre- and post-training administrations indicated that, following training, clinicians were typically more positively disposed towards time-limited therapy. The most significant changes occurred in attitudes regarding the purpose of psychotherapy in general and the value of brief techniques in the treatment of serious long standing psychopathology. Such attitude and value changes are critical in helping therapists make the transition from time-unlimited to time-limited interventions.

In the current study, the development and initial validation of the Suitability for Short-Term Cognitive Therapy (SSCT) interview procedure is reported. The SSCT is an interview and rating procedure designed to evaluate the potential appropriateness of patients for short-term cognitive therapy with an interpersonal focus. It consists of a 1-hour, semistructured interview, focused on eliciting information from the patient relevant to nine selection criteria. The procedures involved in the development of this scale are described in detail, and preliminary evidence suggesting that the selection criteria can be rated reliably is presented. In addition, data indicating that scores on the SSCT scale predict the outcome of short-term cognitive therapy on multiple dependent measures, including both therapist and patient perspectives, are reported. It is concluded that the SSCT is a potentially useful scale for identifying patients who may be suitable, or unsuitable, for the type of short-term cognitive therapy administered in the present study.

Two groups of 35 patients each, one treated with brief therapy, averaging 14.2 sessions on a once per week basis, and the other group, treated with a short-term type of therapy, averaging 47 sessions on a once per week basis, were administered the Rorschach and the Katz Adjustment Scales-Form S three times. The first administration took place before entering therapy. The brief therapy group was tested a second time at termination of treatment and again 8 to 12 months following termination. The short-term therapy group was tested the second time at therapy termination and the third time 10 to 12 months after termination. Each group reported substantially fewer symptoms at termination and continued to report about the same level of symptom reduction at the second retest. The Rorschach data seem to provide an ample basis from which to argue that considerable improvement occurred in the psychological organization and/or operations of both groups, and this appears to have some confirmation in the self-report data.

• In recent years, numerous forms of short-term psychotherapy have been developed, without clear guidelines for choosing among them. There are three major approaches in terms of both their techniques and their criteria for patient selection. The "interpretive" method stresses the use of insight produced by a therapist's interpretations, the "existential," the maturational effect of a brief empathic encounter with the therapist, and the "corrective," the behavioral changes resulting from patient management by the therapist. The question facing a short-term therapist is how to choose a particular method for a particular patient. A framework is proposed based on developmental phases of adult life to help therapists match patient and method.

Using the model of "person plus stress yields reaction," the authors discuss the differences between crisis intervention and short-term treatment, including psychiatric emergencies. In emergency treatment the central focus is on the reaction, or symptoms, while in crisis intervention the emphasis is on the stress and its quick resolution. In short-term treatment the focus is on the person and exploration of behavior patterns and feelings. The authors believe that the number of crisis cases handled by a therapist must be limited because of their exhausting nature.

Nowadays psychotherapies which last for months or weeks, rather than for years, have become a realistic part of the mental health scene. It is not so much a question of whether or not one should do short term psychotherapy, but when to do it, how to do it, and what factors are significant for its outcome.

IN any psychiatric training program the maintenance of high standards of quality always involves some degree of conflict between service and training objectives. These problems are to some extent common to all programs emphasizing training in psychotherapy. In recent years more attention has been paid to short-term psychotherapy, especially in relation to residency training. Those training programs which had emphasized long-term treatment previously made a point of adding a specific program featuring short-term psychotherapy. While eventually the short-term programs have proved a valuable addition and have added balance to the residents' training, we came to recognize that a short-term psychotherapy program is particularly vulnerable to conflicting pressures arising from those priorities related to patient care and those from excellence of training. If they are going to be sound and reliable, training or education programs for psychiatric residents will have a fair amount of conflict built in. A good program