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Modern forms of treatment that combine psychotherapy and medication intervention have been used in a wide range of possibilities. Furthermore, there has been a greater demand for the use of appropriate medications, combined with the use of psychotherapeutic techniques, which has increasingly drawn the attention of both psychologists and psychiatrists. The combination between these two therapies has proven to be especially important in situations of bipolar disorder, depression, anxiety, and even schizophrenia, where the use of medication alone tends to stabilize the condition. The present study discusses mental health and the benefits of an association between psychological treatment and drug therapy. It was concluded that the combination of psychotherapy with pharmacotherapy represents a more complete strategy for the treatment of various mental disorders. Although there are challenges to be faced, the benefits of this combination, such as more effective reduction of symptoms, prevention of relapses and better adherence to treatment, demonstrate that this is a powerful strategy to improve patients' quality of life. [ABSTRACT FROM AUTHOR]

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Copyright of Revista CES Psicologia is the property of Universidad CES and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In questo lavoro presentiamo l’ipotesi di partenza per la creazione di un protocollo di intervento teso ad integrare la metodologia terapeutica gestaltica con le tecniche di stimolazione cognitiva. Tale ipotesi è nata dall’osservazione clinica confrontata con i risultati ai test neuropsicologici in pazienti con diagnosi di psicosi tra 35 e 60 anni. Lo scopo dell’intervento integrato è associare la stimolazione cognitiva, in particolare delle funzioni frontali e prefrontali, al processo terapeutico al fine di favorire una miglior integrazione sociale, attenuando la sintomatologia presentata. In particolare, si interviene sulla gestione e sul controllo dei pensieri intrusivi, sulla flessibilità cognitiva e sullo sviluppo delle capacità attentive. La metodologia di intervento è affine ai principi della psicologia della gestalt quali riportare il paziente nel qui ed ora della relazione ed utilizzare la relazione terapeutica come base sicura per rimodulare la sensazione di essere nel mondo. L’equipe di ricerca ha strutturato un ipotesi di protocollo di intervento in cui la relazione tra stimolazione cognitiva e relazione terapeutica, tende a modulare neuro anatomicamente il cervello del paziente.

Sob a argumentação de que a acessibilidade à psicoterapia por meio de intérprete ocasiona inevitável quebra de privacidade e causa grandes prejuízos para o paciente surdo, autores apontam a necessidade da proficiência em Libras dos terapeutas. O objetivo da presente pesquisa foi investigar o conhecimento sobre o sujeito surdo e a disponibilidade dos psicólogos em investir na formação em Libras. Os achados mostram que há um significativo contingente de psicólogos dispostos a atender pacientes surdos, tornando justificável investimentos públicos em ações inclusivas e apontam para o fato de que qualquer proposta de ampliação da rede de atendimento psicoterapêutico para a população surda demanda o enfretamento, com a mesma prioridade, de duas frentes: o fomento à proficiência em Libras para psicólogos; e a promoção de ações que gerem empatia da comunidade de psicologia com o sujeito surdo.

Although mental health professionals traditionally have been viewed as sole experts and decision-makers, there is increasing awareness that the experiential knowledge of former patients can make an important contribution to mental health practices. I argue that current patients likewise possess a kind of expertise, and that including them as active participants in diagnosis and treatment can strengthen their autonomy and allow them to build up important habits and skills. To make sense of these agential benefits and describe how patients might act as co-regulators of a therapeutic encounter, I look to the enactivist notion of "participatory sensemaking". [ABSTRACT FROM AUTHOR]

Kurt Greiner has invited responses to his article «Psychotherapie als Textmedizin» published in the last issue of Psychotherapie-Wissenschaft. In it, he endeavors to distinguish psychotherapy science from the scientific paradigm on a hermeneutic basis and to identify psychotherapy as a text-scientific process across modalities. My reply notes, firstly, that terms such as training of suffering text competence, text medicine or functionality can be understood as signals in the wrong direction. Secondly, it is noted that the reference to the hermeneutic tradition lacks important further developments. This is about alterity, difference or the unavailable, i. e. a dimension of psychotherapy and consequently of psychotherapy science that should not be neglected. [ABSTRACT FROM AUTHOR]

In this response to an article by Kurt Greiner on «Psychotherapy as text medicine», two aspects are put up for discussion. The first is the question of whether, in the current developments in psychotherapy, which is strongly dominated by a medical-technical world view, the two word components «text» and «medicine» do not reinforce this view – also criticized by Greiner – and whether these two terms are therefore rather unfortunate choices (even if they are interpreted differently by Greiner). This raises the question of whether it is not necessary to differentiate more clearly between (a) psychotherapy as an object of science – which is thus located in the area of cultural-objective symbol systems – and (b) psychotherapy as a relationship-forming activity – which must first of all or at least also focus on bodily-pre-linguistic experience. The second aspect that is put up for discussion is the relationship between different scientific cultures. Greiner’s contrast between the humanities and the natural sciences is shared in terms of method, but questioned in terms of content, as the objects and principles of the phenomena treated by the natural sciences are ultimately also creations of the human mind, as emphasized, for example, in the Pauli-Jung dialogue. [ABSTRACT FROM AUTHOR]

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Copyright of Universum is the property of Instituto de Estudios Humanisticos Juan Ignacio Molina, Universidad de Talca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

After Evangelos Christou (1923–1956) studied philosophy at King's College, Cambridge, with Wittgenstein and others, he earned a doctorate at the Jung Institute in Zürich. He then returned home to Alexandria, near which he died in a car crash. The Logos of the Soul, published posthumously, argued for a psychology that would be neither a natural scientific psychology, devoted to causal analyses, nor a philosophical discipline that analysed mental events. Psychology would be an autonomous science of the soul, an unknown distinct from body and mind. Science deals with bodies and behaviours; philosophy with the mental concepts and acts. Psychology deals with "psychological experience". Dreams and fantasies can be sources of psychological experience, but so can perceptual acts and mental acts. Meaning occurs when something encounters an ego or self in a psychological experience. Observation in psychology is participant observation, akin to witnessing of a drama. Psychological methods, such as psychotherapy, are both means of discovery and means of becoming. Christou's work brought together Jung's analytical psychology and mid‐century British philosophy in order to stake out the ground for psychology that would be an empirical analysis of psychological experience and a logical analysis of the concepts used in that psychology. [ABSTRACT FROM AUTHOR]

O presente estudo de caso objetiva refletir sobre a formação em psicoterapia psicodramática e a utilização de grupos terapêuticos e pedagógicos. Descreve e discute a cocriação de um grupo psicoterápico e pedagógico com psicólogas(os) e psicodramatistas em formação. A partir da experiência relatada, recomenda-se a elaboração de orientações claras para a construção desses grupos, essenciais na formação em Psicodrama, sugerindo que essas orientações sejam cocriadas pelo próprio grupo. Não se pretende estabelecer um modelo rígido, mas compartilhar e refletir discursivamente sobre a realização e as possibilidades de tais grupos, promovendo um ambiente colaborativo e enriquecedor.

El síndrome del nido vacío es un trastorno psicológico que conlleva implicaciones emocionales significativas para los progenitores cuando sus hijos dejan el hogar. Entre las experiencias comunes se encuentran la ansiedad, la depresión, la carencia de estrategias de afrontamiento y la disfuncionalidad familiar. Objetivo: El propósito es diseñar un plan de intervención psicoterapéutica destinado a mitigar los efectos emocionales del síndrome del nido vacío en adultos mayores. Material y métodos: Se llevó a cabo un estudio descriptivo-exploratorio con un enfoque cuantitativo, utilizando un diseño pretest. La muestra, constituida por 100 adultos mayores de 65 años, se seleccionó mediante muestreo por conveniencia. Se diseñó un cuestionario que incluía variables demográficas y se aplicaron pruebas como el Mini Mental, Yesavage, Apgar Familiar, Hamilton-Ansiedad y Afrontamiento CAE. Los datos se analizaron con el programa estadístico SPSS V 22.00 y Stata 17.0. Resultados: Se observaron diferencias significativas en indicadores emocionales y otras variables sociodemográficas, particularmente en depresión, disfunción familiar, falta de afrontamiento y ansiedad (p > 0,05). Asimismo, se encontró que la edad, el sexo, la residencia y el estado civil ejercen una influencia significativa (P > 0,05). Conclusión: El plan de intervención psicoterapéutica enfatiza la importancia de mejorar la salud, los estilos de vida y la dinámica familiar, así como fomentar la integración de las personas mayores en la sociedad.

El enfoque terapéutico conocido como Mindfulness, perteneciente a la tercera generación de psicoterapias, se centra en la conciencia plena del momento presente. Este estudio, que abarca una amplia diversidad sociocultural en la población, busca comprender cómo el Mindfulness promueve el bienestar emocional en situaciones de crisis. Objetivo: El propósito de este estudio es determinar la efectividad del Mindfulness en la mejora de la calidad de vida de los docentes. Material y métodos: Se llevó a cabo un estudio descriptivo-explicativo, utilizando un diseño pretest y re-test con un enfoque cuantitativo. La muestra, seleccionada de manera no probabilística, consistió en 50 docentes elegidos mediante muestreo por conveniencia. Se desarrolló un formulario que incluía variables demográficas y la prueba GHQ-28. Los datos recopilados fueron analizados utilizando el software estadístico SPSS V 22.00. Conclusión: Se observó una mejora significativa en la calidad de vida de los docentes después de la implementación del plan de intervención basado en Mindfulness. Se recomienda considerar el Mindfulness como una intervención eficaz para aliviar el malestar psicológico en contextos específicos.

Attualmente il disturbo di panico è uno dei disturbi d’ansia più diffusi nei Paesi occidentali. Il più recente panorama scientifico descrive l’attacco di panico come un fenomeno principalmente connesso ad una paura intensa e incontrollata. Gli autori, psicologi e psicoterapeuti della Gestalt, hanno osservato nei propri setting psicoterapeutici alcune tendenze ricorrenti nelle persone che riferiscono sintomi di attacco di panico. Nelle narrazioni di queste ultime spesso si presenta una mancata assunzione di posizioni chiare e definite all’interno della propria vita affettiva, relazionale e professionale. Oltre che una manifestazione dell’ansia e della paura, gli autori ipotizzano che nel disturbo di panico sia presente un disagio esistenziale e relazionale connesso ad un’inadeguata gestione della rabbia. Il vissuto frequentemente riferito riguarda l’incapacità di opporre un rifiuto a fare qualcosa che non si desidera e il conseguente senso di frustrazione e ansia. Secondo una visione della psicoterapia della Gestalt una persona prova rabbia quando non ottiene ciò che vuole, oppure quando si trova in un conflitto territoriale. Da qui derivano i diversi agiti relativi alla manifestazione della rabbia stessa. Il presente articolo intende favorire una discussione sul ruolo che l’emozione rabbia ha nella genesi e nel mantenimento degli attacchi di panico.

The aim of the article is to determine the conditions for the effective use of group psychotherapy in working with servicemen with post-traumatic stress disorder (PTSD). The research employed the methods of testing and formative experiment. The sample consisted of the servicemen with PTSD symptoms. The group psychotherapy programme demonstrated uneven effectiveness. The effectiveness of individual and group work in reducing the symptoms of re-experiencing the event is moderate. Manifestations of avoiding traumatic situations did not change significantly in the process of group influence, while a moderate positive influence was recorded in the case of applying an individual approach. Group psychotherapy is the most effective in working with symptoms of emotional arousal of servicemen, which results from trauma. The significance of the implementation of the obtained results lies in the development of effective programmes and protocols of psychotherapy aimed at overcoming post-traumatic stress disorder of veterans and combatants. Further research may focus on expanding the research sample and the implementation of an experimental combination of individual and group psychotherapy in the work with servicemen with PTSD. [ABSTRACT FROM AUTHOR]

This contribution, in part discussed by the authors at the ‘Andare Avanti’ study day organized in January 2023, seeks to outline the role played by co-reflective dialogue between patient and therapist, in the emergence of Subjectivity and the sense of agency in psychotherapy. Starting from the analysis of concepts that have become classics in the Psychoanalysis of Relationships, such as those of ‘creativity’ and ‘delegation’, a theoretical revisiting of them is proposed aimed at recovering the implicit, corporeal and intersubjective bases of the therapeutic process. In an attempt to describe the complex links between the self-reflective and pre-reflective, individual and relational dimensions of the sense of agency in psychotherapy, the analysis of a clinical vignette is proposed. [ABSTRACT FROM AUTHOR]

Cognitive Behavioral Therapy (CBT) encompasses several approaches to psychotherapy that use a variety of therapeutic techniques, all united by a focus on meaning structures and information processing. The aim of this article is to propose an integrated and comprehensive model, Multiple Access Psychotherapy (MAP). It is based on several different theoretical models and clinical lines of intervention, respects the rigor of the scientific method, and follows the open and constantly evolving framework of the cognitive behavioral model. After a brief excursus on the history and development of CBT and a description of some new treatment approaches, we present a method that combines several approaches and takes into account the unique and particular way in which patients suffer. The MAP model is based on the idea that the therapist should receive the patient as they present themselves, as they make sense of things and as they look for ways to get better. Because cognitivism offers so many approaches that have been shown to be effective, the therapist does not have to choose between them in advance, but can make any of them available to the patient as needed. Our current knowledge allows us to do this effectively based on the evidence we have gathered over the years. [ABSTRACT FROM AUTHOR]

The present study attempts to replicate two experimental designs conducted by Clark and his colleagues in 1989, testing the collaborative model of language. In this study, the Tangram task is replaced by a bomb defusal task using the video game Keep Talking and Nobody Explodes. A total of 20 pairs of participants were analyzed based on time taken, number of errors, number of speaking turns, and word count. Similar to the original 1987 study, in another phase of the experiment, a third person (an overhearer) performed the task by listening to a recording of another pair deactivating bombs. The results of this study indicate a reduction in the number of interventions and words across the trials, as well as a decrease in the number of errors and time spent. No significant differences were found between the performance of pairs carrying out the task and that of non-communicating listeners. These data suggest that language does indeed tend to follow a collaborative model based on common references. [ABSTRACT FROM AUTHOR]

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Copyright of Psicoperspectivas is the property of Pontificia Universidad Catolica de Valparaiso, Escuela de Psicologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In this short response to the papers appearing in this special issue (Technology, AI Bots and Psychotherapy After Covid), psychotherapist and author Aaron Balick draws on the variety of themes that have arisen within the contributed papers to reflect on the wider issue of computer mediated human relations. In it he makes a distinction between the papers that focus on the therapeutic process mediated by technology and those that look more broadly at the paradigm of therapy practice in this context. Framing technology as a tool, the author pulls together both strands to explore what psychotherapy research may say about the broader issues of societies mediated by technology and how therapeutic research may contribute to these larger social issues. [ABSTRACT FROM AUTHOR]

With artificial intelligence (AI) and automation embedded in most aspects of life from healthcare to transportation, this article conceptualizes how increasing automation will benefit or inhibit the therapeutic encounter. Five levels of a model are outlined, from the human analogue to the fully autonomous virtual (AI) therapist. The levels are referenced against key elements of the therapeutic encounter known to contribute to an effective therapeutic outcome, from the working alliance, to collaborative elements, to a confidential setting. Losses and gains are discussed through these and other aspects, such as the neurobiological, and the capability to notice what is not there in the process as well as what is, around the client's aim of change or awareness. The objective is not to pit human therapists against non-human systems, but to propose a human-centred framework for the integration of AI into clinical reality, by introducing a taxonomy model of human–machine interaction (HMI), to see how each contributes, and to evaluate areas of risk and harm. Questions are raised around ethics, therapeutic process and crucially the very nature of what it is to be in a therapeutic encounter for a human client together with a human or AI therapist. [ABSTRACT FROM AUTHOR]

Adopting psychotherapeutic technique as a technological matter in which something is learnt, deployed and applied, the article considers how the relationship between therapist and client is increasingly dominated by thinking of a technical manner. By exploring this notion through an existential lens, the conversation is expanded beyond our usual practical use of technique as a technology of change, and instead considers the implications of systematising conversations to yield outcomes and maximise results. In essence, the paper explores how we condition inquiry, and how this inquiry may in turn condition us. Bringing to the forefront, the importance of acknowledging our relationship with method and technique, as part of an ethical engagement with our practice. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Psicoterapia is the property of Revista de Psiquiatria y Psicologia Humanista, S.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Psicoterapia is the property of Revista de Psiquiatria y Psicologia Humanista, S.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Psicoterapia is the property of Revista de Psiquiatria y Psicologia Humanista, S.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Psicoterapia is the property of Revista de Psiquiatria y Psicologia Humanista, S.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Il presente contributo, in parte discusso dagli autori alla giornata di studi ‘Andare Avanti’ organizzata a Gennaio 2023, cerca di delineare il ruolo esercitato dal dialogo co-riflessivo tra paziente e terapeuta, nell’emergere della Soggettività e del senso di agenzia in psicoterapia. A partire dall’analisi di concetti ormai divenuti classici nella Psicoanalisi della Relazione, come quelli di ‘creatività’ e di ‘delega’, si propone una loro rilettura teorica volta a recuperare le basi implicite, corporee e intersoggettive del processo terapeutico. Nel tentativo di descrivere i legami complessi tra le dimensioni auto-riflessive e pre-riflessive, individuali e relazionali, del senso di agency in psicoterapia viene infine proposta l’analisi di una vignetta clinica.

No final do séc. XIX, a psicologia moderna era uma ciência em formação, com grande influência da neurologia e do movimento alienista. No Brasil, o neurologista Antônio Austregésilo Rodrigues de Lima (1876-1960) esteve entre os primeiros estudiosos da área, propondo inovações em psicoterapia e estudos de métodos emergentes, como a psicanálise. Este artigo apresenta uma análise documental de abordagem biográfica e discorre sobre suas três primeiras obras, do início do século XX (1916-1917). Tem como tese central que Austregésilo não foi apenas um precursor da psicanálise no país (um “freudiano brasileiro”), mas autor de contribuições originais ao campo da medicina mental, tanto em seus aspectos teóricos quanto técnicos (um “Freud brasileiro”).

El sufrimiento humano es un fenómeno complejo y multidimensional de especial interés para la psicoterapia. Los psicoterapeutas despliegan diversos procesos de carácter epistemológico que actúan como mediadores a la hora de comprender el sufrimiento humano que aqueja a sus consultantes. Sin embargo, estos asuntos son escasamente considerados por los psicoterapeutas y raramente abordados en la literatura especializada. En tal sentido, y buscando responder a este problema, este artículo teórico se propone analizar los mediadores epistémicos del psicoterapeuta que inciden en el proceso de conocimiento del sufrimiento humano del consultante. Se analizarán tres mediadores: 1) el marco epistémico general (corriente psicoterapéutica de adscripción), 2) el marco epistémico específico (epistemología personal del terapeuta) y 3) la epistemología hegemónica (positivismo) junto a su rol en la psicopatologización de la vida, la objetivación del sufrimiento y la salud mental. Se concluye que el sufrimiento humano es un fenómeno en constante construcción dependiente de los mediadores epistémicos del psicoterapeuta, impactando en diversos ámbitos de la praxis clínica. Finalmente, se presentan las limitaciones, implicancias y aportes de los asuntos tratados a la disciplina.

Discutimos questões suscitadas pelas investigações sobre psicoterapias assistidas por psicodélicos, sobretudo sobre apropriação indevida de saberes ancestrais, necessidade de considerar experiência inefáveis e espirituais, bem como a limitação descritiva e analítica da ciência ocidental materialista para abordar tais fenômenos. As experiências relatadas por pacientes descrevem aspectos relativos à espiritualidade e produções de sentido em situações de consciência não-ordinária, fenômenos ainda pouco estudados pelo mainstream acadêmico. Defendemos que tais investigações se beneficiariam de diálogos com epistemologias ameríndias e do saber xamânico. Igualmente há a necessidade de um posicionamento político e ético mais claro de reconhecimento do saber produzido pelos povos originários.

Resumo Apesar do crescente interesse pela dimensão da religiosidade na área da saúde, muçulmanos têm sido negligenciados pelo campo psi. Por um lado, profissionais pouco conhecem essa religião e seus seguidores; por outro, a população muçulmana cresce tanto pelas reversões quanto por imigração/refúgio, e adentra nas clínicas psicológicas. Para suprir tal descompasso, este artigo tem como objetivo apresentar pontos de atenção a serem considerados quando se trata da saúde mental de mulheres muçulmanas e das especificidades do cuidado direcionado a elas. Para tanto, tomou-se como disparador a série turca 8 em Istambul, que expõe os meandros de um atendimento psicológico a uma mulher muçulmana que usa hijab, o véu islâmico. A análise do corpus fez emergir três eixos reflexivos, que apontam: (1) a necessidade de psicoeducação da comunidade muçulmana diante das tensões e dos estigmas cristalizados; (2) o etnocentrismo e a islamofobia como obstáculos ao processo psicoterapêutico; e (3) a importância da escuta sensível para uma prática psicológica aberta à diversidade cultural-religiosa. Este estudo, em confluência com pesquisas etnográficas conduzidas em campo islâmico brasileiro, permite destacar possibilidades, desafios e aspectos éticos da relação entre religião e cuidado em saúde mental.

En México, los estudios académicos sobre el proceso salud-enfermedad-atención (SEA) de personas bisexuales son escasos. En este trabajo se analizan las problemáticas de salud-enfermedad-atención de personas bisexuales a partir de los planteamientos teóricos de la medicina social y la salud colectiva. Para ello, se ubicaron y sistematizaron hallazgos de investigaciones donde se presentan datos relacionados con el proceso salud-enfermedad-atención de personas bisexuales. Las personas bisexuales presentan mayores daños a la salud mental en comparación con personas gays y lesbianas, los proveedores de servicios psicológicos poseen pocos conocimientos contextualizados sobre las situaciones de salud de personas bisexuales para responder adecuadamente a sus necesidades. El proceso salud-enfermedad-atención de personas bisexuales es producto de un proceso sociohistórico donde la invisibilización y la valoración negativa operan como mecanismos para regular el ejercicio de su sexualidad, los cuales pueden reproducirse en espacios de atención a su salud, como los destinados al abordaje de su salud mental.

A prática clínica durante a formação em psicologia é realizada muitas vezes em clínicas-escola, e conhecer características da clientela atendida é fundamental para o aprimoramento do atendimento. Objetivou-se levantar o perfil de pacientes atendidos numa clínica-escola, nas modalidades infantil, adolescente, adulto, casal e família de uma clínica-escola de psicologia localizada no Rio Grande do Sul. Realizou-se um levantamento de perfil de 667 prontuários de pacientes infantis, adolescentes, adultos e de casal e família atendidos, entre os anos de 2011 a 2017, investigando dados sociodemográficos, tipo de avaliação inicial conduzida, número de sessões, teoria utilizada, quem encaminhou, motivo da busca, hipótese diagnóstica e razão do término do atendimento. Identificou-se características específicas destas variáveis conforme a faixa de idade e tipo de atendimento. Houve um expressivo número de prontuários com dados incompletos, dificultando a análise dos dados. Um melhor controle das informações dos prontuários permite um conhecimento mais detalhado do perfil atendido em clínicas-escola.

The theme arose from the problems encountered when working at the Psychotherapy Clinic. The theoretical framework addresses aspects of Phenomenology and Phenomenological Psychology, as well as Psychosomatics, its historical perspective and reading in the Phenomenological clinic. The main objective is to investigate the contributions to the practice of the Humanistic Existential Phenomenological approach in cases of Psychosomatic patients. As specific objectives, it aims to understand how existential aspects and understanding the essence of being affect psychosomatic processes. Analyze how to carry out phenomenological psychotherapeutic intervention in cases of psychosomatic patients. The results are presented in the form of a flowchart and table, as well as a discussion of the content found in the articles. It is considered relevant to improve studies on the relationship between Psychology and Phenomenology, as well as how to use them as an intervention method in Psychotherapy. It is suggested that the topic be explored further. [ABSTRACT FROM AUTHOR]

Nine psychotherapists from five different approaches were interviewed by questionnaire between April and July 2022 about two video sequences of a recorded psychotherapy session. This was followed by the recorded colloquia. Using the example of the client in the video, the selected interventions were explained, justified and described in concrete terms. The primary data analysis was carried out using the PAP-S rating manual (Tschuschke et al. 2014), which assigns the intervention suggestions mentioned to general and school-specific psychotherapeutic interventions. At the second survey time point, the participants’ comments on the first results were generated in order to make their previous answers more precise. The findings show that there are similarities and differences between the groups, both across and within groups. They made use of both school-specific and general psychotherapeutic interventions, which confirms the assumption that not only school theory knowledge but also general psychotherapeutic interventions such as the therapeutic relationship are used in psychotherapy. Sometimes similar interventions were used at other times or by means of other school psychotherapy concepts and explanatory models, which suggests that, on the one hand, the variety of interventions is used and, on the other hand, that they partly correspond to each other. [ABSTRACT FROM AUTHOR]

Starting from the widespread but inconsistent discourse on resonance in psychotherapy, various concepts of resonance are discussed. Resonance is understood as a mode of relationship that goes beyond the experience of resonance to also encompass the early development of resonance capacity influenced by intercorporeality. In addition, three additional «resonance axes» (material resonance axis, self-axis of resonance, existential resonance axis) are identified as resources in psychotherapy. Resonance is described as a dynamic, temporally transcendent relational process. Considering psychotherapy as a corrective relational experience, the conscious handling of therapeutic resonance plays a key role in overcoming mental disorders. Unconscious mechanisms such as transference and countertransference influence the experience of resonance. A supportive therapeutic relationship requires and benefits from interpersonal resonance experiences as catalysts for therapy motivation and as sources of hope for sustainable changes in inner psychic structure. Resonance in psychotherapy is thus more than a momentary experience; it also corresponds to a stable psychic disposition oriented toward trust and openness. [ABSTRACT FROM AUTHOR]

In the context of the present experiment in philosophy of psychotherapy, psychotherapeutic practice is interpreted across modalities as a healing art related to text. This attempt at a general functional paradigm, which is intended as an offer for discussion, is based on the premise that the psychotherapeutic subject is «subjective experience», which is articulated in both verbal and non-verbal «text», which in turn needs to be understood. Before doing so, however, it is necessary to outline the philosophical discourse context, which for over 100 years has revolved around the contentious question of what kind of research psychotherapy represents: science or humanities? After all, the text hermeneutical reading of psychotherapy can only be coherently understood against this background, as it is embedded in this discussion. [ABSTRACT FROM AUTHOR]

Despite recent discoveries, patients with inflammatory bowel disease (IBD) still face challenges with attainment of remission. The objectives of the study were to identify the characteristics of patients with the Freiburg Personality Inventory and the intensity of the intestinal disease, comorbidities that could be related to the personality of the subjects. Data were collected in the period 2019--2020 from 46 patients and used nonparametric methods. Compared to the normative sample, the Inhibitedness, Health Concerns, and Emotionality scales had significantly higher raw scores. The Social Orientation, Frankness, and Extraversion scales had significantly lower raw scores. Health status was a medical factor that influenced the Somatic Complaints scale, patients who had lesions or comorbidities had significantly higher raw scores. Patients who had comorbidities in addition to IBD had considerably higher raw scores on the Excitability scale. Psychotherapeutic change interventions regarding life perception are required to tackle the description of subjective suffering related to physical inconveniences (Somatic Complaints scale), a strong orientation toward performance (Strain scale), mood swings, anxiety, and pessimism (Emotionality scale). Another intervention is reconsidering values and (re) prioritization, such as family, intimate relationships, friends, health, growth, development, balanced work, all of which can promote a feeling of well-being and balance. [ABSTRACT FROM AUTHOR]

This article presents experiences of psychoanalytic work with open groups of children carried out in a health institution in Montevideo. The characteristics of the device used, the most common indications, the coordination style adopted, and the therapeutic effects of playing with others are detailed. [ABSTRACT FROM AUTHOR]

This study aims to investigate how psychotherapists who follow the psychoanalytic theoretical orientation experience individual online sessions. Twelve professionals participated: seven women and five men, aged between 27 and 68 years old, with an average clinical experience of 17.3 years, based in the Southeastern region of Brazil. Semi-structured interviews were employed to assess their experiences. The data collected between October 2021 and June 2022 were analyzed using Bardin's (2008) method and interpreted considering psychoanalytic literature. The findings encompassed experiences before Resolution 04/2020 of the Brazilian Federal Council of Psychology, preconceptions, preparations, resources utilized, subjective impacts, and future perspectives regarding this mode of practice. The study indicated that the participants navigated and continued to navigate new territories, confirming that remote therapy is an important resource that will persist even after the pandemic subsides. [ABSTRACT FROM AUTHOR]

This study aims to investigate how psychotherapists who follow the psychoanalytic theoretical orientation experienced individual online sessions. Twelve professionals participated: seven women and five men, aged between 27 and 68 years old, with an average clinical experience of 17.3 years, based in the Southeastern region of Brazil. Semi-structured interviews were employed to access their experiences. The data collected between October 2021 and June 2022 were analyzed using Bardin's (2008) method and interpreted in light of psychoanalytic literature. The findings encompassed experiences prior to Resolution 04/2020 of the Brazilian Federal Council of Psychology, preconceptions, preparations, resources utilized, subjective impacts, and future perspectives regarding this mode of practice. The study indicated that the participants navigated and continue to navigate new territories, confirming that remote therapy is an important resource that will persist even after the pandemic subsides. [ABSTRACT FROM AUTHOR]

In Mexico, there is a lack in academic research about bisexual Health-Disease-Attention process. This paper analyzes the main problems about health-disease for bisexual people with a Social Medicine and a Collective Health approach. In order to do this analysis, this paper offers a systematization of research's discoveries related to the Health-Disease-Attention process in bisexual people. Problems on health-disease for bisexual people include worse mental health conditions in comparison to gay and lesbian people. As psychologists have few contextualized knowledge about bisexual health-disease situations, then they cannot adequately respond to bisexual people needs. Bisexual Health-Disease-Attention process is an historical and social product where the lack of visibility and the negative valuation functions as mechanisms to regulate people's sexuality, which can be reproduced in Health-Attention places, such as Mental Health ones. [ABSTRACT FROM AUTHOR]

This article aims to understand, through 16 semi-structured interviews analysis, the theoretical-clinical implications of the gender or feminist perspective in contemporary psychotherapeutic practice in Chile, from the perspective of consultants and psychotherapists. As a result, it is observed that the value of this psychotherapy lies in providing a sociocultural reading of gendered discomfort. However, those who consult reproduce gender stereotypes by choosing this approach due to the female gender of the psychotherapist, as they consider that there would be a better understanding "because of her being a woman", which would guarantee them a safe space, free of judgments and revictimization. It should be noted that the interventions of this approach have a political component that favors the work of disempowerment of the consultants. This is favorable in certain cases but could hinder the approach and recognition of those unique characteristics that affect particular suffering in every case and transcend ideological certainty. [ABSTRACT FROM AUTHOR]

Background: Sudden gains, defined as large and stable improvements of psychopathological symptoms, are a ubiquitous phenomenon in psychotherapy. They have been shown to occur across several clinical contexts and to be associated with better short-term and long-term treatment outcome. However, the approach of sudden gains has been criticized for its tautological character: sudden gains are included in the computation of treatment outcomes, ultimately resulting in a circular conclusion. Furthermore, some authors criticize sudden gains as merely being random fluctuations. Objective: Use of efficient methods to evaluate whether the amount of sudden gains in a given sample lies above chance level. Method: We used permutation tests in a sample of 85 patients with posttraumatic stress disorder (PTSD) treated with trauma-focused cognitive behaviour therapy in routine clinical care. Scores of self-reported PTSD symptom severity were permuted 10.000 times within sessions and between participants to receive a random distribution. Results: Altogether, 18 participants showed a total of 24 sudden gains within the first 20 sessions. The permutation test yielded that the frequency of sudden gains was not beyond chance level. No significant predictors of sudden gains were identified and sudden gains in general were not predictive of treatment outcome. However, subjects with early sudden gains had a significantly lower symptom severity after treatment. Conclusions: Our data suggest that a significant proportion of sudden gains are due to chance. Further research is needed on the differential effects of early and late sudden gains. [ABSTRACT FROM AUTHOR]

Background: Complex post-traumatic stress disorder (CPTSD) describes chronic disturbances in self-organization (i.e. affect dysregulation; negative self-concept; severe difficulties in relationships) which are frequently observed in survivors of prolonged, repeated or multiple traumatic stressors. So far, evidence of psychodynamic treatment approaches for CPTSD is scarce. Methods: In this single-centre observational pilot study, symptom change during a 6-week psychodynamic inpatient treatment in a multimodal psychosomatic rehabilitation centre was evaluated using repeated measures analyses of variance (ANOVAs). Patients completed questionnaires on PTSD and CPTSD symptoms (ITQ), anxiety, depression and somatization (BSI-18), functional impairment (WHODAS) and epistemic trust, mistrust and credulity (ETMCQ) before (T1) and at the end of treatment (T2). A hierarchical linear regression analysis was calculated to identify factors associated with improved CPTSD symptoms. Results: A total of n = 50 patients with CPTSD were included in the study, of whom n = 40 (80%) completed treatment. Patients reported a significant reduction of CPTSD symptoms during treatment with a large effect size (−3.9 points; p < .001; η² = .36), as well as a significant reduction of psychological distress (p < .001; η² = .55) and functional impairment (p < .001; η² = .59). At the end of treatment, 41.0% of patients no longer fulfilled the diagnostic criteria for CPTSD. Changes in epistemic stance included improved epistemic trust (β = –.34, p = .026) and decreased epistemic credulity (β = .37, p = .017), which together with lower age (β = .43, p = .012) and lower depression levels at baseline (β = .35, p = .054) were significantly associated with baseline adjusted mean change of CPTSD symptoms during therapy and explained 48% of its variance. Discussion: In our study, patients reported a significant reduction of CPTSD symptoms and comorbid symptoms during a multimodal psychodynamic inpatient rehabilitation treatment. Improved epistemic trust may facilitate the establishment of a trusting therapeutic relationship, thus fostering an environment of openness for knowledge transfer (i.e. social learning) and the exploration of diverse viewpoints and perspectives in the therapeutic process. [ABSTRACT FROM AUTHOR]

Purpose: Complex dissociative disorders (CDDs) are prevalent among psychotherapy clients, and research suggests carefully paced treatment for CDDs is helpful. The purpose of the present study is to qualitatively explore helpful and meaningful aspects of the TOP DD Network programme, a web-based adjunctive psychoeducational programme for the psychotherapeutic treatment of clients with CDDs. Methods: TOP DD Network programme participants (88 clients and 113 therapists) identified helpful and meaningful aspects of their participation in response to two open textbox questions. Framework analysis was used to qualitatively analyze client and therapist responses. Findings: Participants found the TOP DD Network programme helpful and meaningful in nuanced ways. Three themes were created: (1) Components of the Programme (subthemes: content, structure), (2) Change-Facilitating Processes (subthemes: heightened human connection, receiving external empathy and compassion, contributing to something bigger, improved therapeutic work and relationship), and (3) Outcomes (subthemes: insight, increased hope, self-compassion, increased safety and functioning). The most emphasized theme was components of the programme, which captured its content and structure. Conclusion: Clients and therapists in the TOP DD Network programme described the programme’s components and processes as helpfully facilitating positive outcomes in the treatment of CDDs. Therapists may consider integrating the components and processes in the programme into their practice with clients with CDDs. [ABSTRACT FROM AUTHOR]

Background: Literature points towards the potential benefits of the application of Eye Movement and Desensitization Processing (EMDR)-therapy for patients in the medical setting, with cancer and pain being among the domains it is applied to. The field of applying EMDR-therapy for patients treated in the medical setting has evolved to such an extent that it may be challenging to get a comprehensive overview. Objective: This systematic literature review aims to evaluate the use and effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) therapy in patients treated in the medical setting. Methods: We performed a literature search following the PRISMA guidelines. Studies were included if the effectiveness of EMDR-therapy was assessed in adult patients treated in a medical setting. Excluded were patients exclusively suffering from a mental health disorder, without somatic comorbidity. A risk of bias analysis was performed. This review was registered on PROSPERO (CRD42022325238). Results: Eighty-seven studies, of which 26 (pilot)-RCTs were included and categorized in 14 medical domains. Additionally, three studies focusing on persistent physical complaints were included. Most evidence exists for its application in the fields of oncology, pain, and neurology. The overall appraisal of these studies showed at least moderate to high risks of bias. EMDR demonstrated effectiveness in reducing symptoms in 85 out of 87 studies. Notably, the occurrence of adverse events was rarely mentioned. Conclusions: Overall, outcomes seem to show beneficial effects of EMDR on reducing psychological and physical symptoms in patients treated in a medical setting. Due to the heterogeneity of reported outcomes, effect sizes could not be pooled. Due to the high risk of bias of the included studies, our results should be interpreted with caution and further controlled high-quality research is needed. [ABSTRACT FROM AUTHOR]

This scientific article is part of the research-related results within the Life Sciences and Human Health Care research line. These investigations made it possible to implement a group of actions within a strategy aimed at developing social skills in a group of adolescents and a group of patients with autism spectrum disorders (ASD) who were diagnosed. To this end, we analyzed the populations of 220 adolescents attended by a Health Center, and of 262 patients with autism spectrum disorders, from the Equine Therapy Center. An intentional sample was selected, meeting an inclusive criteria group of 132 adolescents and 61 patients with ASD. The most relevant results were obtained; from the application of the instrument was the manual of social skills and the scale of Scale of assessment of social competence; It is possible to characterize the current state of the subjects and develop a group of actions for their treatment. Its application led to greater relaxation and muscle elongation for better muscle coordination by synchronizing the neuronal structure with new movement patterns; as well as better assertiveness, communication, decision-making and self-esteem. [ABSTRACT FROM AUTHOR]