Objective: The study compared how specific affect focuses in early stages of treatment predict outcome (SCL-90) for specific cluster C personality disorders. Method: The sample consisted of patients with cluster C personality disorders from a randomized controlled trial comparing 40-sessions of short-term dynamic psychotherapy and cognitive psychotherapy. Thirty-one patients had an avoidant personality disorder (AVPD), 17 patients had an obsessive compulsive personality disorder (OCPD) and 10 had a dependent personality disorder (DPD). The Global Severity Index (GSI) of the SCL-90 was used as the outcome measure and the Achievement of Therapeutic Objective Scale (ATOS) was used as a process measure to rate patients affects in an early session (session 1 and 6). Results: The results indicated that focus on closeness and anger predicted outcome for AVPD, focus on positive feelings for self predicted outcome for OCPD and focus on grief predicted outcome for DPD. Conclusion: Specific affect focuses in early stages of treatment is significant for various cluster C personality disorders to predict outcome.

När det gäller vuxna patienter, visar studier att Davanloos Intensiv dynamisk korttidsterapi (ISTDP) är evidensbaserad och effektiv vid flera sjukdomstillstånd. Medan det finns få bevis varken för eller emot tillämpningen av ISTDP på barn och ungdomar, har en artikel skriven av Linda Gilbert (2004) fått författaren till föreliggande litteraturstudie att tro att det inte finns ett bättre val än att börja forska om tillämpningen av ISTDP tekniker på barn och ungdomar och för att visa hur dessa tekniker skiljer sig från dem som används med vuxna. Denna litteraturstudie är ett teoretiskt förslag för att använda ISTDP med fokus på mentaliseringsteorin inom ramen för BUP. När det gäller KBT leder internationella forskningsresultat till nödvändigheten att fästa blicken på andra evidensbaserade metoder också när det gäller behandlingar för barn och ungdomar med psykiska och psykosociala problem. Davanloos ISTDP är en sådan evidensbaserad metod. Medvetenhet om mentaliseringsteorins kunskapsbas gör det möjligt för ISTDP terapeuten att ägna särskild uppmärksamhet åt specifika händelser i sociala relationer som aktiverar otrygghet och bidrar till förlust av mentalisering hos ungdomspatienten. Affekter hos ungdomspatienten regleras genom att de tas emot, känns och förstås av ISTDP terapeuten. Så småningom kan patienten börja internalisera terapeutens affektreglering. Psykiska skador repareras genom att terapeuten erbjuder sig som ett gott anknytningsobjekt med hög mentaliseringsförmåga. Destruktiva försvar aktiveras inte och genuina affekter blockeras inte längre av patienten. På neurobiologisk nivå sker då en strukturell utvidgning i den orbitofrontala barken och dess synaptiska förbindelser med hjärnans känsloregioner. Därför måste ISTDP terapeuten vara mycket intuitiv med hög mentaliseringsförmåga och måste snabbt känna när ungdomen blockerar och använder försvar mot genuina känslor. En etiskt försvarbar slutsats vad gäller forskning kring tillämpning av Davanloos ISTDP på barn och ungdomar är att om ett problem kan lösas snabbt med en viss metod som gör att problemet kostar både patienten och samhället mindre pengar ska den metoden utforskas för implementering inom barn och ungdomspsykiatrin.

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ISTDP (Intensive Short-Term Dynamic Psychotherapy) är en psykodynamisk behandling som intervenerar på ångest och försvar. Metoden innebär aktivering av starka känslomässiga processer hos patienten varför det är relevant att undersöka om detta kan uppnås i terapier som sker på distans - en särskilt relevant fråga i samband med covid-19-pandemin. Frågeställningarna undersökte hur ISTDP-terapeuter upplever terapi via digitala mötestjänster samt upplevda skillnader av distansterapi med sköra respektive motståndskraftiga patienter. Studien hade en concurrent, embedded mixad-metoddesign. Kvantitativa data med bekvämlighetsurval samlades från svenska, CORE-utbildade ISTDP-terapeuter [n=38] genom en webbaserad enkät. Inbjudan skedde via facebookgrupp. Frågorna eftersökte deskriptiv information såväl som upplevelser av digital ISTDP och besvarades på en likertskala 1-7. Kvalitativa data med bekvämlighetsurval samlades genom separata, semi-strukturerade intervjuer med fyra [n=4] terapeuter från samma målgrupp och bearbetades med tematisk analys. Inbjudan skedde via mejlkontakt. Korrelationsanalyser av kvantitativa data visade på ett samband mellan lägre upplevd digital kompetens och sämre upplevd funktionalitet av digital ISTDP. Upplevda svårigheter med digital ISTDP-terapi korrelerade med svårigheter i arbetet med både sköra och motståndskraftiga patienter. I den kvalitativa undersökningen framkom två huvudteman: möjligheter och begränsningar med digital ISTDP. Huvudtemat möjligheter innefattade undertemana: ett portabelt terapirum, terapeutens egenpåverkan samt patientens strukturerande jag. Huvudtemat begränsningar innefattade undertemana: ett sårbart terapirum, patientens konflikt mot plattformen och skärmen - en begränsning bland flera. Sammanfattningsvis tyder resultaten på att ISTDP-terapeuter upplever såväl fördelar som nackdelar med digital terapi. Upplevelser av det digitala formatets funktion hade också ett samband med upplevelser av arbetet med digital ISTDP. / ISTDP (Intensive Short-Term Dynamic Psychotherapy) is a psychodynamic treatment that addresses anxiety and defenses. The method’s reliance on in-session emotional processing raises the question whether this can be achieved remotely - especially in connection to the covid-19-pandemic. Research questions explored how ISTDP-therapists experience therapeutic work through video conferencing as well as their perceived differences of remote therapy between fragile and resistant patients. The study used a concurrent, embedded, mixed- methods design. Quantitative data, using convenience sampling, was collected from Swedish core-trained ISTDP-therapists [n = 38] through a web-based questionnaire. Invitations were made through a facebook group. Items explored descriptive information, experiences of digital ISTDP and could be answered on a likert scale between 1-7. Qualitative data, using convenience sampling, was collected separately through semi-structured interviews with four [n = 4] participants from the same target group and processed using thematic analysis. Invitations were made via e-mail. Correlation analysis of the quantitative data showed a relationship between low digital self-efficacy and experienced difficulty performing digital ISTDP. Difficulties with digital ISTDP therapy had same-size correlations with both fragile and resistant patient difficulty. In the qualitative study, two main themes were found: possibilities and limitations with digital ISTDP. The main theme possibilities included the underthemes: a portable therapy room, and effects on the individual therapist and the patient’s structured self. The main theme limitations included: a vulnerable therapy room, the patient’s conflict against the platform and the screen – a limitation among others. In conclusion, ISTDP-1therapists experience advantages as well as disadvantages with digital therapy. Experiences of the digital format function also had a relationship with the digital ISTDP working experience.

Aquired brain injury (ABI) of various etiology is one of the major causes of health impairment, disability and death in adult population. It has a wide scale of physical, psychological and social consequences impacting the lives of patients and their relatives. Neuropsychological rehabilitation (individual and group) has become an integrated part of the complex rehabilitation of ABI supported by evidence-based research and practice. Theory and research suggest new perspective on psychotherapy and its role in this process, though its use in the Czech republic may be limited. The goal of the theoretical part of this thesis was to explore the status of the knowledge and practice of neuropsychological rehabilitation of ABI with focus on group work and psychotherapy and their effectiveness. The empirical part aimed to analyze effectiveness of short-term group dynamic psychotherapy in sample of patients with ABI. The intervention was applied in a realistic setting of two selected rehabilitation centers. The patients completed European Brain Injury Questionnaire for Patients (EBIQ-P) and Zung's Self-rating Depression Scale pre-, after 6 weeks and post- intervention covering researched symptoms. The results suggest that there was a significant change in perception of various categories of problems...

Made available in DSpace on 2016-04-04T18:29:29Z (GMT). No. of bitstreams: 1 Tales Santeiro 1.pdf: 1085482 bytes, checksum: 676a282184c86e49a3e08e56649d1b31 (MD5) Previous issue date: 2005-02-11 / Universidade Estadual Paulista J?lio de Mesquita Filho / Assessing scientific production on brief psychodynamic psychotherapies becomes a necessary activity for designing the profile of trends and perspectives in the area. The paper analyzes, describes and compares studies published in two national journals (Estudos de Psicologia/EP and Jornal Brasileiro de Psiquiatria/JBP; 35,8% of the production) and in two foreign ones (Journal of Consulting and Clinical Psychology/JCCP and Psychotherapy and Psychosomatis/PP; 64,2% of the production) (N=81) . The distribution of the production concentrates in the 1990 s; on the whole, the national one rises in institutions of the Southeastern region and the foreign one in North American institutions. The male sex is the significant gender among authors, and the multiple authorship is the one appearing most frequently. The most frequent text support among the Brazilian ones is the book, and among the foreign ones are the articles. The most frequently journals in the articles are, in general, the ones analyzed: JBP, JCCP and mainly PP. National authors make significant use of foreign production for technical-theoretical foundation of their papers; among foreigners, the use of journals produced in their own countries. English is significantly the language of the references. The use of current references, between 0 and 5 years, is significant. In the Brazilian production the authors are quoted in a width ranging from 1 to 16 times and in the foreign one, from 1 to 66 times. In the national production David Malan, Sigmund Freud, Mauricio Knobel and Hector Fiorini are the most quoted; in the fore ign one, David Malan, Hans Strupp, David Shapiro, Lester Luborsky, Peter Sifneos and Ragnhild Husby. In general, empirical studies predominate. Adults of both sexes, seen individually, design the profile of the target population. Several pathologies/complaints are investigated; th ere are signs of some highlight to depression. Clinical scales are the most used tools for psychological assessment. The correlational design predominates in the empirical researches. The integrative theoretical model is the most frequent among Brazilian authors; among foreigners, the drive/structural is significantly the most used one. Altogether, qualitative differences do not appear in relation to the studied variables, although the foreign production is numerically greater. / Avaliar produ??o cient?fica sobre psicoterapias breves psicodin?micas trata-se de atividade necess?ria para o tra?ado do perfil de tend?ncias e perspectivas na ?rea. O trabalho analisa, descreve e compara estudos publicados em dois peri?dicos nacionais (Estudos de Psicologia/EP e Jornal Brasileiro de Psiquiatria/JBP; 36% da produ??o) e em dois estrangeiros (Journal of Consulting and Clinical Psychology/JCCP e Psychotherapy and Psychosomatics/PP; 64% da produ??o) (N=81). A distribui??o da produ??o concentra-se na d?cada de 1990; de forma geral, a nacional origina-se em institui??es da regi?o Sudeste e a estrangeira em institui??es norte-americanas. O sexo masculino ? o g?nero significante entre os autores, e a autoria m?ltipla a mais freq?ente. O suporte de texto significantemente mais citado entre os brasileiros ? o livro, e entre os estrangeiros os artigos. Peri?dicos mais citados nos artigos analisados s?o, no geral, os pr?prios analisados: JBP, JCCP e principalmente o PP. Autores nacionais utilizam-se para fundamenta??o te?rico-t?cnica de seus trabalhos de produ??es estrangeiras de modo significante; entre estrangeiros, o uso de peri?dicos produzidos em seus pr?prios pa?ses. O idioma das refer?ncias citadas ? significantemente o ingl?s. O uso de refer?ncias recentes, entre 0 e 5 anos, ? significante. Na produ??o nacional os autores s?o citados numa amplitude que varia de 1 a 16 vezes e na estrangeira, de 1 a 66 vezes. Na produ??o nacional David Malan, Sigmund Freud, Mauricio Knobel e Hector Fiorini s?o os mais citados; na estrangeira, David Malan, Hans Strupp, David Shapiro, Lester Luborsky, Peter Sifneos e Ragnhild Husby. Em geral, estudos emp?ricos predominam. Adultos de ambos os sexos, atendidos na modalidade individual, desenham o perfil da popula??o alvo. V?rias as patologias/queixas s?o investigadas; h? ind?cios de certo destaque para depress?o. Escalas cl?nicas s?o os instrumentos de avalia??o psicol?gica mais utilizados. O delineamento correlacional predomina nas pesquisas emp?ricas. O modelo te?rico integrativo ? o mais freq?ente na orienta??o dos trabalhos escritos por brasileiros; entre estrangeiros, o impulsivo-estrutural ? significantemente mais utilizado. De modo geral, n?o se verifica diferen?as qualitativas em rela??o ?s vari?veis estudadas, embora a produ??o estrangeira seja numericamente superior.