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  1. Book ; Online ; E-Book: Personality disorders

    Feinstein, Robert E.

    (Primer on)

    2021  

    Abstract: Personality Disorders is an up-to-date, evidence-based, and accessibly written review to assist psychiatry residents, fellows, and practitioners in the understanding and treatment of patients with various personality styles and personality disorders. ... ...

    Author's details edited by Robert Feinstein
    Series title Primer on
    Abstract Personality Disorders is an up-to-date, evidence-based, and accessibly written review to assist psychiatry residents, fellows, and practitioners in the understanding and treatment of patients with various personality styles and personality disorders. Diverse theoretical orientations are presented along with current information on diagnosis, assessment, and clinical management including medication management and group therapy.
    Keywords Evidence-based medicine
    Subject code 616.8581
    Language English
    Size 1 online resource (665 pages)
    Publisher Oxford University Press
    Publishing place New York, New York
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 0-19-757442-4 ; 0-19-757441-6 ; 9780197574393 ; 978-0-19-757442-3 ; 978-0-19-757441-6 ; 0197574394
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Crisis Intervention Psychotherapy in the Age of COVID-19.

    Feinstein, Robert E

    Journal of psychiatric practice

    2021  Volume 27, Issue 3, Page(s) 152–163

    Abstract: Crisis intervention psychotherapy (CIP) is an underutilized form of therapy that can be offered as a treatment during psychiatric disasters and emergencies, and it may be especially useful during the age of Coronavirus Disease 2019 (COVID-19). CIP is a ... ...

    Abstract Crisis intervention psychotherapy (CIP) is an underutilized form of therapy that can be offered as a treatment during psychiatric disasters and emergencies, and it may be especially useful during the age of Coronavirus Disease 2019 (COVID-19). CIP is a problem-solving, solution-focused, trauma-informed treatment, utilizing an individual or systemic/family-centered approach. CIP is a brief form of psychotherapy delivered as a companion or follow-up to psychological first aid. Crisis psychotherapy is designed to resolve a crisis and restore daily functioning. CIP can be adapted as a single session for a COVID-19 mental health emergency or for a hotline or as 2 to 20 sessions of treatment with COVID-19 patients and families offered virtually on a psychiatric inpatient unit, through a consultation-liaison service, or in outpatient settings. This article reviews the history of critical incident stress management and the use of its replacement, psychological first aid. The history and core principles of crisis psychotherapy and 8 core elements of treatment are described. The use of digital and virtual technology has enabled the delivery of crisis psychotherapy during the COVID-19 pandemic. A case study of a family impacted by COVID-19 is reported as an illustration. The use of a 6-week timeline, an ecological map, and a problem-solving wheel-and-spoke treatment plan are demonstrated.
    MeSH term(s) COVID-19/psychology ; Crisis Intervention/methods ; Crisis Intervention/standards ; Family Therapy/methods ; Family Therapy/standards ; Humans ; Psychotherapy, Brief/methods ; Psychotherapy, Brief/standards ; Telemedicine/methods ; Telemedicine/standards
    Language English
    Publishing date 2021-05-05
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2022726-7
    ISSN 1538-1145 ; 1527-4160
    ISSN (online) 1538-1145
    ISSN 1527-4160
    DOI 10.1097/PRA.0000000000000542
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  3. Article: Descriptions and Reflections on the Cognitive Apprenticeship Model of Psychotherapy Training & Supervision.

    Feinstein, Robert E

    Journal of contemporary psychotherapy

    2020  Volume 51, Issue 2, Page(s) 155–164

    Abstract: This paper offers a detailed description of a Cognitive Apprenticeship Model for psychotherapy training and supervision. This form of training has been utilized in a novel psychotherapy training program developed for psychiatric trainees, enrolled in a ... ...

    Abstract This paper offers a detailed description of a Cognitive Apprenticeship Model for psychotherapy training and supervision. This form of training has been utilized in a novel psychotherapy training program developed for psychiatric trainees, enrolled in a specialized psychotherapy scholars track, embedded in an adult psychiatric residency training program. The paper offers new elaborations of the model, reflections on the apprenticeship supervision and implementation, and clinical lessons learned. The four dimensions of this model include: (1) acquisition of psychotherapy content knowledge; (2) an application of the Cognitive Apprenticeship Model of Supervision, utilizing modeling, coaching, scaffolding, articulation, reflection and exploration as essential aids in structuring a live, real-time supervisory experience; (3) sequencing of clinical psychotherapy training activities; and (4) use of situated learning and communities of practice, as important components of psychotherapy training. The article also discusses an apprentice method of psychotherapy supervision including the intake, working through, and termination phases, Barriers impeding apprenticeship supervision and implementation, and reflections on participant experiences are discussed. This approach may be valuable to others considering the development or evolution of psychotherapy training programs for psychiatrists, psychologists, social workers, or other mental health professionals.
    Language English
    Publishing date 2020-11-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 220883-0
    ISSN 0022-0116
    ISSN 0022-0116
    DOI 10.1007/s10879-020-09480-6
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  4. Article ; Online: Descriptions and Reflections on the Cognitive Apprenticeship Model of Psychotherapy Training & Supervision

    Feinstein, Robert E.

    J Contemp Psychother

    Abstract: This paper offers a detailed description of a Cognitive Apprenticeship Model for psychotherapy training and supervision. This form of training has been utilized in a novel psychotherapy training program developed for psychiatric trainees, enrolled in a ... ...

    Abstract This paper offers a detailed description of a Cognitive Apprenticeship Model for psychotherapy training and supervision. This form of training has been utilized in a novel psychotherapy training program developed for psychiatric trainees, enrolled in a specialized psychotherapy scholars track, embedded in an adult psychiatric residency training program. The paper offers new elaborations of the model, reflections on the apprenticeship supervision and implementation, and clinical lessons learned. The four dimensions of this model include: (1) acquisition of psychotherapy content knowledge; (2) an application of the Cognitive Apprenticeship Model of Supervision, utilizing modeling, coaching, scaffolding, articulation, reflection and exploration as essential aids in structuring a live, real-time supervisory experience; (3) sequencing of clinical psychotherapy training activities; and (4) use of situated learning and communities of practice, as important components of psychotherapy training. The article also discusses an apprentice method of psychotherapy supervision including the intake, working through, and termination phases, Barriers impeding apprenticeship supervision and implementation, and reflections on participant experiences are discussed. This approach may be valuable to others considering the development or evolution of psychotherapy training programs for psychiatrists, psychologists, social workers, or other mental health professionals.
    Keywords covid19
    Publisher PMC
    Document type Article ; Online
    DOI 10.1007/s10879-020-09480-6
    Database COVID19

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  5. Book: Primary care psychiatry and behavioral medicine

    Feinstein, Robert E.

    brief office treatment and management pathways

    1999  

    Author's details Robert E. Feinstein ... ed
    Keywords Mental Disorders / therapy ; Primary Health Care ; Behavioral Medicine ; Critical Pathways
    Language English
    Size XXIII, 504 S.
    Publisher Springer
    Publishing place New York, NY
    Publishing country United States
    Document type Book
    HBZ-ID HT011091872
    ISBN 0-8261-1224-2 ; 978-0-8261-1224-8
    Database Catalogue ZB MED Medicine, Health

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    Shelf markLoan statusLocation
    1999 A 5612 order for loan Magazin

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  6. Article ; Online: Violence prevention education program for psychiatric outpatient departments.

    Feinstein, Robert E

    Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry

    2014  Volume 38, Issue 5, Page(s) 639–646

    Abstract: Objective: Approximately 40 % of psychiatrists and up to 64 % of psychiatric residents have been physically assaulted. Ranges of 72-96 % of psychiatric residents in various studies have been verbally threatened. As violence risk occurs in outpatient ... ...

    Abstract Objective: Approximately 40 % of psychiatrists and up to 64 % of psychiatric residents have been physically assaulted. Ranges of 72-96 % of psychiatric residents in various studies have been verbally threatened. As violence risk occurs in outpatient settings, our department developed a quality and safety curriculum designed to prepare psychiatric residents and staff to optimally respond to aggressive outpatients and violence threats or events.
    Methods: In 2011 and 2012, we offered an 8-part violence prevention performance improvement curriculum/program including (1) situational awareness/creating a safe environment; (2) violence de-escalation training; (3) violence risk assessment training, use of risk assessment tools, and medical record documentation; (4) violence safety discharge planning; (5) legal issues and violence; (6) "shots fired on campus" video/discussion; (7) "2011 violence threat simulation" video/discussion; and (8) violence threat simulation exercise. This program was offered to approximately 60 psychiatric residents/staff in each year.
    Results: We obtained qualitative comments about the entire program and data from 2 years of post-event surveys on the usefulness of the "violence threat simulation exercise." The large majority of comments about program elements 1 to 7 were positive. In 2011 and 2012, respectively, 76 and 86 % of participants responded to a post-event survey of the violence threat simulation exercise; 90 and 88 % of participants, respectively, reported the simulation to be very helpful/somewhat helpful; and 86 and 82 % of participants, respectively, reported feeling much better/better prepared to deal with a violent event. Although some participants experienced anxiety, sleep disturbances, increase in work safety concerns, and/or traumatic memories, the majority reported no post-simulation symptoms (72 and 80 %, respectively).
    Conclusions: Although we are unable to demonstrate that this program effectively prevents violence, the overall positive response from participants encourages us to continue developing our quality and safety program and to offer our easily reproducible and modifiable curriculum to others.
    MeSH term(s) Ambulatory Care/methods ; Curriculum ; Humans ; Internship and Residency/methods ; Patient Discharge ; Psychiatric Department, Hospital ; Psychiatry/education ; Risk Assessment ; Violence/prevention & control
    Language English
    Publishing date 2014-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1045331-3
    ISSN 1545-7230 ; 1042-9670
    ISSN (online) 1545-7230
    ISSN 1042-9670
    DOI 10.1007/s40596-014-0160-5
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  7. Article ; Online: General Psychiatric Management for Suicidal Patients, With Remarks on Chronicity: Contending With the Angel of Death.

    Yager, Joel / Feinstein, Robert E

    The Journal of nervous and mental disease

    2017  Volume 205, Issue 6, Page(s) 419–426

    Abstract: Assessing, managing, and treating suicidal patients, particularly those with chronic suicidality, challenge clinical decision making and emotional self-management in trainees and seasoned practitioners. Educators and trainees have noted needs for ... ...

    Abstract Assessing, managing, and treating suicidal patients, particularly those with chronic suicidality, challenge clinical decision making and emotional self-management in trainees and seasoned practitioners. Educators and trainees have noted needs for additional teaching materials in these areas. This article assists in addressing these gaps. We reviewed diagnostic and phenomenological characteristics encountered in acutely and chronically suicidal patients, their comprehensive assessment, general approaches to management, risk mitigation and safety planning, and psychological and biological interventions. Integrating information from research and clinical experience-based literature, we offer concise guidance on comprehensive psychiatric management for the varieties of acutely and chronically suicidal patients encountered in practice. By actively engaging suicidal patients and their families, systematically attending to warning signs, conducting risk mitigation and safety planning, and using psychological and biological treatments as indicated, clinicians are likely to reduce suicidal ideation, plans, and attempts in patients and might reduce completed suicides.
    MeSH term(s) Chronic Disease/therapy ; Humans ; Mental Disorders/diagnosis ; Mental Disorders/therapy ; Suicide/prevention & control
    Language English
    Publishing date 2017-05-30
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 3020-x
    ISSN 1539-736X ; 0022-3018
    ISSN (online) 1539-736X
    ISSN 0022-3018
    DOI 10.1097/NMD.0000000000000701
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  8. Article ; Online: A Common Factors Approach to Psychotherapy With Chronically Suicidal Patients: Wrestling With the Angel of Death.

    Yager, Joel / Feinstein, Robert E

    Psychiatry

    2017  Volume 80, Issue 3, Page(s) 207–220

    Abstract: Objective: Conducting psychotherapy with chronically suicidal patients challenges clinical decision making and emotional self-management in both trainees and seasoned practitioners. Educators and trainees have noted the need for additional teaching ... ...

    Abstract Objective: Conducting psychotherapy with chronically suicidal patients challenges clinical decision making and emotional self-management in both trainees and seasoned practitioners. Educators and trainees have noted the need for additional teaching materials in these areas. This article is intended to address these needs.
    Methods: We review the literature on evidence-based, suicide-oriented psychotherapies; consider commonalities among them; and integrate these findings with observations and suggestions from older professional literature and anecdotal clinical wisdom.
    Results: Based on these sources, we describe a common factors-based approach for clinicians undertaking the ongoing psychotherapy of chronically suicidal patients, to be practiced within a comprehensive treatment framework that addresses safety planning as well as multimodal interventions including psychosocial and biological approaches. We discuss initial considerations; a checklist of motivations, coping styles, defenses, existential, spiritual, and religious issues, attachments and relationships to be explored in delineating directions to be undertaken in psychotherapy; technical issues for ongoing psychotherapy; perspectives that have been helpful for patients; and coping strategies for countertransference management.
    Conclusions: Patients are best served by clinicians who focus on the alliance, actively engage chronically suicidal patients and their families, directly confront warning signs, routinely address the many psychological issues mentioned, and carefully attend to their own countertransference reactions and capacities for emotional regulation. Using these strategies, techniques, and tactics, clinicians are better equipped to help chronically suicidal patients reduce suicide-related ideations, plans, and attempts, and, perhaps, completed suicides.
    MeSH term(s) Humans ; Professional-Patient Relations ; Psychotherapy/methods ; Suicide/prevention & control ; Suicide/psychology
    Language English
    Publishing date 2017-11-21
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 209433-2
    ISSN 1943-281X ; 0033-2747
    ISSN (online) 1943-281X
    ISSN 0033-2747
    DOI 10.1080/00332747.2017.1304079
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  9. Article ; Online: Potential Applications of the National Institute of Mental Health's Research Domain Criteria (RDoC) to Clinical Psychiatric Practice: How RDoC Might Be Used in Assessment, Diagnostic Processes, Case Formulation, Treatment Planning, and Clinical Notes.

    Yager, Joel / Feinstein, Robert E

    The Journal of clinical psychiatry

    2017  Volume 78, Issue 4, Page(s) 423–432

    Abstract: Offering a new framework for understanding and studying basic dimensions of normal and abnormal human functioning and mental disorders, the National Institute of Mental Health (NIMH) has initiated the Research Domain Criteria (RDoC) project in which a ... ...

    Abstract Offering a new framework for understanding and studying basic dimensions of normal and abnormal human functioning and mental disorders, the National Institute of Mental Health (NIMH) has initiated the Research Domain Criteria (RDoC) project in which a series of higher order domains, representing major systems of emotion, cognition, motivation, and social behavior, and their constituent operationally defined constructs serve as organizing templates for further research and inquiry, eg, to discover validated biomarkers and endophenotypes. Cutting across traditional DSM diagnoses, the domains are defined as Negative Valence Systems, Positive Valence Systems, Cognitive Systems, Systems for Social Processes, and Arousal/Regulatory Systems. To inform educators, trainees, and practitioners about RDoC, alert them to potential practical applications, and encourage their broad exploration in clinical settings, this article reviews the RDoC domains and their subsystem constructs with regard to potential current clinical considerations and applications. We describe ways in which the RDoC domains and constructs offer transdiagnostic frameworks for complementing traditional practice; suggest clinical questions to help elucidate salient information; and, translating RDoC domains and constructs headings into clinically friendly language, offer a template for the psychiatric review of systems that can serve in clinical notes.
    MeSH term(s) Humans ; Mental Disorders/classification ; Mental Disorders/diagnosis ; Mental Disorders/therapy ; National Institute of Mental Health (U.S.)/standards ; Patient Care Planning ; United States
    Language English
    Publishing date 2017-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 716287-x
    ISSN 1555-2101 ; 0160-6689
    ISSN (online) 1555-2101
    ISSN 0160-6689
    DOI 10.4088/JCP.15nr10476
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  10. Article ; Online: A Live Threat Violence Simulation Exercise for Psychiatric Outpatient Departments: A Valuable Aid to Training in Violence Prevention.

    Feinstein, Robert E / Yager, Joel

    Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry

    2017  Volume 42, Issue 5, Page(s) 598–604

    Abstract: Objective: Violence in psychiatric outpatient settings is a ubiquitous concern. This article describes the development, implementation, and evaluation of a live threat violence simulation exercise, designed to reduce the risk of future outpatient clinic ...

    Abstract Objective: Violence in psychiatric outpatient settings is a ubiquitous concern. This article describes the development, implementation, and evaluation of a live threat violence simulation exercise, designed to reduce the risk of future outpatient clinic violence and minimize the effects of future incidents on staff.
    Methods: The psychiatric outpatient clinic at the University of Colorado Hospital developed, implemented, and evaluated a 4-hour live violence threat simulation exercise as a companion to a 7-hour violence prevention program. The simulation includes an orientation, two threat simulation scenarios, three debriefings, satisfaction surveys, problem identification, action plans, and annual safety and process improvements.
    Results: The authors have conducted live violence simulation exercises from 2011-2016, and have collected survey data about our annual simulation exercise from 2014-2016. Each year ≥ 52% of participants responded, and each year ≥ 90% of respondents rated the simulation as "very helpful/helpful", ≥ 86% believed themselves to be "much better/better" prepared to deal with violent episodes, and < 2% of participants experienced post-simulation side effects such as worries about past trauma; anxiety; sleep problems; increase in workplace concerns. From 2011-2016, the clinic experienced 4 major violent episodes and 36 episodes of potential violence with no staff injuries and minimal psychological sequelae to one staff member. Violence prevention efforts and the development of close police/staff relationships may have contributed to these fortunate outcomes.
    Conclusion: Satisfaction surveys suggest that the simulations are very helpful/helpful, with participants feeling much better/ better prepared to manage violence. The exercises led the authors to initiate staff safety related behavioral changes as well as physical space and safety processes improvements. The violence prevention program and simulation exercises have promoted excellent relationships with police and a consistent safety record over six years. This approach may be useful for other psychiatric outpatient departments.
    MeSH term(s) Ambulatory Care ; Cooperative Behavior ; Humans ; Police ; Psychiatric Department, Hospital ; Risk Assessment ; Simulation Training/methods ; Violence/prevention & control
    Language English
    Publishing date 2017-10-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1045331-3
    ISSN 1545-7230 ; 1042-9670
    ISSN (online) 1545-7230
    ISSN 1042-9670
    DOI 10.1007/s40596-017-0819-9
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