Mental health problems have become one of the most common causes of incapacity for work, and engender high costs to society. Especially managerial behavior was found to have a great impact on employees' well-being. In order to support those in leading positions in dealing with their own, as well as their employees', psychological stress factors, we conducted a specific manager training. At the same time, we wanted to find out about the training's short-and long-term effects. Participants were asked to give information about their knowledge and attitudes concerning mental health (Mental Health Knowledge Schedule, Social Distance Scale), as well as to comment on their own health condition (12-Item Short Form Health Survey, Patient Health Questionnaire) and working situation (Effort-Reward Inventory, Irritation Scale). Data were collected at baseline, as well as 3 and 12 months after the training. Results show long-term improvements in knowledge and attitudes measured by the Mental Health Knowledge Schedule (MAKS: M t1 = 22.88, Mt2 = 23.79, Mt3 = 23.79, p = 0.005) but not in the Social Distance Scale (SoDi: M t1 = 0.96, Mt2 = 0.85, Mt3 = 0.84, p = 0.165). Over the period of time observed, no changes were found regarding health-or work-related instruments. Due to the uncontrolled design of the study, further research is needed to determine the exact effectiveness.
Although the concept of corrective experiences (CEs) is usually linked to the process of change in psychotherapy patients, we investigated them in the professional development of therapists-in-training. Inasmuch as psychotherapy is a relational process, it is important to look closely at how therapists reach the position of a competent partner in corrective experiencing. In this study, we interviewed 10 therapists-in-training undergoing their own training therapy. Responses to these semistructured interviews were analyzed using a computer-assisted grounded theory method. The 499 first-level categories were grouped into 5 main themes: therapist characteristics, therapist technical interventions, therapist relational interventions, relationship experience, and outcome experience. Two core categories representing corrective experiencing were (a) unexpected unconditional support from and trust in their own therapist and (b) unexpected confrontation and limitation with their therapist as well as awareness of self-other boundaries. Results are discussed in the broader context of the CE literature, relational theory, and relational practice.
The purpose of the present study was to qualitatively investigate clients' posttherapy accounts of corrective experiences-a proposed common factor and integrative principle of therapeutic change (Castonguay & Hill, 2012)-after completion of either a brief cognitive behavioral therapy (CBT) or motivational interviewing (MI) integrated with CBT (MI-CBT) for generalized anxiety disorder (GAD; Westra, Constantino, & Antony, 2016). Patients' Perceptions of Corrective Experiences in Individual Therapy (PPCEIT; Constantino, Angus, Friedlander, Messer, & Heatherington, 2011) semistructured interviews were completed at therapy termination with 1 MI-CBT client and 1 CBT-only client who met the criteria for recovery. The PPCEIT interviews were audiorecorded, transcribed, and subjected to a grounded theory analysis using qualitative research methods software (ATLAS.ti). Findings indicated that both clients reported positive shifts in their experience of anxiety and increased agency in interpersonal relationships. In particular, the client undergoing integrative MI-CBT treatment reported increased confidence in her own ability to maintain positive changes posttherapy, while the CBT-only client expressed confidence in her application of CBT tools and skills to maintain therapy outcomes. The MI-CBT client attributed the shifts she experienced in therapy to an increased awareness and confidence in her own agency, indicating a potential corrective experience of self, whereas the CBT-only client attributed the positive shifts she experienced to the expertise provided by the therapist. Future research directions are discussed, in addition to implications of integrative CBT approaches, for enhanced clinical outcomes.
This study was conducted to analyze how male sexual offenders construct mental images of masculinity and femininity to provide insight into therapeutic treatment for such patients. Thematerial examined in this studywas comprised of 21 videotaped prison group therapy sessions in which the participating sexual offenders talked about their crimes and biographies. Aqualitative data analysis softwarewas usedto apply a modified grounded theorymethodology to the transcribed sessions. The resulting categories can be understood as descriptions of how the imprisoned men constructed gender images, and were based on three narrative levels: the structure of narration, the narrative positions in the story, and the interaction between the narrator and the other participants. According to the categories describedin the narrative positions (the narrated self and the narrated significant male others), we constructed masculinity categorizations which corresponded to specific images of femininity (derived from the narrated significant female others).The constructionsprovided insight into the selfimage of the narrator, as well as the accountability and positioning of himself and the other in regard to perpetrator-victim constructions. The study further revealed whether the participants either accepted or rejected responsibility and guilt for their crimes; this is essential for psychotherapeutic process and treatment.
The innovative approach to assessing autobiographical memory narratives that Singer and Bonalume (2010) demonstrate in their case study of Cynthia is an ambitious expression of integrative psychotherapy research. It brings together the rich research findings on self-defining memories derived from laboratory studies and therapy case analyses, and applies these to the multimodal assessment situation in a psychotherapy program. Further, Singer and Bonalume's case of Cynthia is grounded in a truly "common factor" that is essential to most if not all psychotherapies: patient narrative expression. However, the integration of findings across different research studies still needs further elaboration to clarify and explore when they are consistent and when they are inconsistent with one another. In our commentary we critically assess the following issues associated with Singer and Bonalume's narrative memory coding system and its application to the case of Cynthia: (a) the utilization of narrative analyses for the identification of themes; (b) challenges inherent in establishing criteria for the identification of clinically important autobiographical memory narratives in therapy sessions; (c) the degree of integrative processing that takes place in narrative expression; and (d) the process of formulating inferences based on client narrative expression in assessment interviews versus therapy sessions. The commentary concludes with a discussion of promising future directions for narrative research in psychotherapy.Keywords: psychodynamic psychotherapy; psychoanalysis; predictors in psychotherapy; prediction and narratives; memory narratives; memory and psychotherapy; case study; clinical case study _______________________________________________________________________ OVERVIEW Psychotherapy started as a "talking cure" over a hundred years ago and has since developed its various techniques on how to conceptualize and work with what is being presented in the therapeutic setting, including both the verbal and non-verbal. However, the spoken word is
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