No abstract

Background Difficulties engaging people with psychosomatic disorders in psychotherapy are widely recognised. Such patients are often reluctant to participate in psychotherapy and to consider the contribution of psychological factors to their somatic experience. However, less is known about effective ways to address what is commonly referred to as resistance to psychotherapy among this population. Objectives To study early engagement, client resistance and the impact of therapist response on outcome in treatment of psychosomatic disorders. Methodology Mixed methods were used in a naturalistic longitudinal study of 22 psychotherapeutic treatments of patients with psychosomatic disorders. Results Persistence with treatment was associated with better outcome. The extent to which therapists addressed patients’ in‐session distress was associated with persistence with treatment, even when distress was not resolved. Discussion Results do not allow attribution of causality but indicate that further research investigating therapist recognition of and response to client distress may be important in the development of more effective psychotherapeutic response to people with psychosomatic disorders.

Abstract:Overview: Dementia is a serious brain disease that impacts negatively in several areas of patient's functioning.Depression has a strong link with dementia and is part of the behavior and psychological symptoms (BPSD).Behavior management for depression is recommended as a first-line psychological treatment for dementia patients. However, there are no systematic reviews examining the efficacy of behavior management for depression in dementia.Objective: To examine the efficacy of behavior management (BM) for depression in dementia patients.Methods: Five electronic databases were searched (1999 to 2015) for randomized controlled trials (RCTs) which were selected according to eligibility criteria. Data was pooled, quality assessment was completed, and a meta-analysis was performed.Results: This review included ten randomized controlled trials. In the four studies where behavior management was a focused intervention, no significant treatment effect was observed (standardized mean difference SMD -0.20; 95 % CI -0.96 to 0.56). In the remaining six studies in which behavior treatment was involved as a component, the analysis showed a trend favored the intervention, but it was not significant (SMD -0.12; 95 % CI -0.25 to 0.01). Conclusion:There is no evidence for behavior management alleviating depression in dementia patients. Future research examining the efficacy of specific behavior management techniques for milder forms of dementia and multimodal interventions are recommended.

En este artículo se presenta un particular modelo de formación universitaria en psiconálisis, exponiéndose algunas experiencias y problemas concretos que se han manifestado en la puesta en práctica de este modelo, tales como las dificultades encontradas por los alumnos en la operacionalización de la teoría de la técnica para poderse situar en el lugar de terapeutas y el efecto resistencial que puede tener la transferencia hacia el equipo formativo y hacia la teoría en el proceso de apropiación del conocimiento, resaltando la utilidad de este modelo y planteándose también algunas reflexiones que alcanzan el plano más general de la formación de psicólogos.

No abstract