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  1. Article: The Cardiac Rhythm of the Unconscious in a Case of Panic Disorder.

    Fleury, Gilles / Fortin-Langelier, Benjamin / Ben-Cheikh, Imen

    American journal of psychotherapy

    2016  Volume 70, Issue 3, Page(s) 277–300

    Abstract: The field of psychodynamic psychotherapy would benefit from a comprehensive model that integrates its constructs with neurobiology. Research on the autonomic nervous system activity during the psychotherapeutic process is necessary because it is key in ... ...

    Abstract The field of psychodynamic psychotherapy would benefit from a comprehensive model that integrates its constructs with neurobiology. Research on the autonomic nervous system activity during the psychotherapeutic process is necessary because it is key in affective experiences and defensive behavior. The current case study reports physiological findings on heart rate dynamics in a patient suffering from panic disorder during two therapeutic sessions in which we used Davanloo's Intensive Short-term Dynamic Psychotherapy. We looked at various metrics of heart rate variability during the therapeutic process leading to breakthrough of unconscious feelings. The measurements included sympathetic and parasympathetic indices, vagal tone, and their responses. Our results suggest that the sympathetic system activates during defensive responses associated with anxiety and during the passage of unconscious-aggressive impulses. Following the experience of unconscious guilt, there is an increased vagal tone corresponding to the phase of reunification with the attachment figure. Findings are discussed integrating developmental neurobiology and clinical psychodynamics.
    MeSH term(s) Arousal/physiology ; Defense Mechanisms ; Female ; Guilt ; Heart Rate/physiology ; Humans ; Object Attachment ; Panic Disorder/physiopathology ; Panic Disorder/psychology ; Panic Disorder/therapy ; Parasympathetic Nervous System/physiopathology ; Psychotherapy, Brief ; Psychotherapy, Psychodynamic ; Respiratory Sinus Arrhythmia/physiology ; Sympathetic Nervous System/physiopathology ; Unconscious (Psychology) ; Vagus Nerve/physiopathology ; Young Adult
    Language English
    Publishing date 2016-09-20
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2950-6
    ISSN 0002-9564
    ISSN 0002-9564
    DOI 10.1176/appi.psychotherapy.2016.70.3.277
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Testing a stepped care model for binge-eating disorder: a two-step randomized controlled trial.

    Tasca, Giorgio A / Koszycki, Diana / Brugnera, Agostino / Chyurlia, Livia / Hammond, Nicole / Francis, Kylie / Ritchie, Kerri / Ivanova, Iryna / Proulx, Genevieve / Wilson, Brian / Beaulac, Julie / Bissada, Hany / Beasley, Erin / Mcquaid, Nancy / Grenon, Renee / Fortin-Langelier, Benjamin / Compare, Angelo / Balfour, Louise

    Psychological medicine

    2018  Volume 49, Issue 4, Page(s) 598–606

    Abstract: Background: A stepped care approach involves patients first receiving low-intensity treatment followed by higher intensity treatment. This two-step randomized controlled trial investigated the efficacy of a sequential stepped care approach for the ... ...

    Abstract Background: A stepped care approach involves patients first receiving low-intensity treatment followed by higher intensity treatment. This two-step randomized controlled trial investigated the efficacy of a sequential stepped care approach for the psychological treatment of binge-eating disorder (BED).
    Methods: In the first step, all participants with BED (n = 135) received unguided self-help (USH) based on a cognitive-behavioral therapy model. In the second step, participants who remained in the trial were randomized either to 16 weeks of group psychodynamic-interpersonal psychotherapy (GPIP) (n = 39) or to a no-treatment control condition (n = 46). Outcomes were assessed for USH in step 1, and then for step 2 up to 6-months post-treatment using multilevel regression slope discontinuity models.
    Results: In the first step, USH resulted in large and statistically significant reductions in the frequency of binge eating. Statistically significant moderate to large reductions in eating disorder cognitions were also noted. In the second step, there was no difference in change in frequency of binge eating between GPIP and the control condition. Compared with controls, GPIP resulted in significant and large improvement in attachment avoidance and interpersonal problems.
    Conclusions: The findings indicated that a second step of a stepped care approach did not significantly reduce binge-eating symptoms beyond the effects of USH alone. The study provided some evidence for the second step potentially to reduce factors known to maintain binge eating in the long run, such as attachment avoidance and interpersonal problems.
    MeSH term(s) Adult ; Binge-Eating Disorder/therapy ; Cognitive Behavioral Therapy/methods ; Female ; Humans ; Male ; Psychotherapy, Group/methods ; Treatment Outcome
    Language English
    Publishing date 2018-05-24
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 217420-0
    ISSN 1469-8978 ; 0033-2917
    ISSN (online) 1469-8978
    ISSN 0033-2917
    DOI 10.1017/S0033291718001277
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: What clinicians want: findings from a psychotherapy practice research network survey.

    Tasca, Giorgio A / Sylvestre, John / Balfour, Louise / Chyurlia, Livia / Evans, Jane / Fortin-Langelier, Benjamin / Francis, Kylie / Gandhi, Jasmine / Huehn, Linda / Hunsley, John / Joyce, Anthony S / Kinley, Jackie / Koszycki, Diana / Leszcz, Molyn / Lybanon-Daigle, Vanessa / Mercer, Deanna / Ogrodniczuk, John S / Presniak, Michelle / Ravitz, Paula /
    Ritchie, Kerri / Talbot, Jeanne / Wilson, Brian

    Psychotherapy (Chicago, Ill.)

    2015  Volume 52, Issue 1, Page(s) 1–11

    Abstract: Practice research networks may be one way of advancing knowledge translation and exchange (KTE) in psychotherapy. In this study, we document this process by first asking clinicians what they want from psychotherapy research. Eighty-two psychotherapists ... ...

    Abstract Practice research networks may be one way of advancing knowledge translation and exchange (KTE) in psychotherapy. In this study, we document this process by first asking clinicians what they want from psychotherapy research. Eighty-two psychotherapists in 10 focus groups identified and discussed psychotherapy research topics relevant to their practices. An analysis of these discussions led to the development of 41 survey items. In an online survey, 1,019 participants, mostly practicing clinicians, rated the importance to their clinical work of these 41 psychotherapy research topics. Ratings were reduced using a principal components analysis in which 9 psychotherapy research themes emerged, accounting for 60.66% of the variance. Two postsurvey focus groups of clinicians (N = 22) aided in interpreting the findings. The ranking of research themes from most to least important were-Therapeutic Relationship/Mechanisms of Change, Therapist Factors, Training and Professional Development, Client Factors, Barriers and Stigma, Technology and Adjunctive Interventions, Progress Monitoring, Matching Clients to Therapist or Therapy, and Treatment Manuals. Few differences were noted in rankings based on participant age or primary therapeutic orientation. Postsurvey focus group participants were not surprised by the top-rated items, as they were considered most proximal and relevant to therapists and their work with clients during therapy sessions. Lower ranked items may be perceived as externally imposed agendas on the therapist and therapy. We discuss practice research networks as a means of creating new collaborations consistent with KTE goals. Findings of this study can help to direct practitioner-researcher collaborations.
    MeSH term(s) Attitude of Health Personnel ; Canada ; Female ; Focus Groups ; Humans ; Male ; Middle Aged ; Principal Component Analysis ; Psychotherapy/statistics & numerical data ; Research/statistics & numerical data ; Surveys and Questionnaires
    Language English
    Publishing date 2015-03
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 281564-3
    ISSN 1939-1536 ; 0033-3204
    ISSN (online) 1939-1536
    ISSN 0033-3204
    DOI 10.1037/a0038252
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 805: Show issues Location:
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