scholarly journals Integrating Time-Limited Dynamic Psychotherapy and a Buddhism-Inspired Aversion/Attachment Model of Client Suffering: The Cases of "Beth" and "Amy"

2016 ◽  
Vol 12 (4) ◽  
pp. 238
Author(s):  
Jason Samlin
Keyword(s):  
Psychodynamic Psychotherapy ◽  
Behavioral Therapy ◽  
Successful Outcome ◽  
Future Research ◽  
Case Formulation ◽  
Short Term ◽  
Dynamic Psychotherapy ◽  
Attachment Model ◽  
Skillful Means ◽  
Psychological Concepts

<p>In recent times, Buddhist psychological concepts have become appealing to many psychotherapy theorists and practitioners. Included are such notions as mindfulness, the "acceptance" of experience, the nature and causes of suffering, and the use of "skillful means" behaviors and thoughts that are intentionally undertaken to reduce suffering both for oneself and others. While there are a number of cognitive-behavioral therapy treatments that incorporate such Buddhist psychological concepts, little research and practice has been done examining the integration of such concepts and short-term dynamic psychotherapy.&nbsp; As one effort to fill this gap in research, the purpose of this study was to develop and pilot test in two cases&mdash;"Beth" and "Amy"&mdash;a model (a) that was based on such Buddhist concepts and (b) that would assimilatively integrate with the "home theory" of an established form of modern, relational, short-term psychodynamic psychotherapy, namely, Levenson's (1995, 2010) Time-Limited Dynamic Psychotherapy (TLDP). The new model is called the "Aversion/Attachment Model of Client Suffering" (A/AMCS).&nbsp; The A/AMCS model was <em>conceptually</em> incorporated into Beth's and Amy's case formulations through an expansion of TLDP&rsquo;s case formulation method. Also, the A/AMCS model was <em>technically</em> integrated into TLDP treatment in two ways. First, formal mindfulness meditation practices were implemented with each client by conducting eight half-hour practices before sessions 6-13, in the context of therapy that lasted 23 and 20 sessions, respectively. Second, the treatment sessions included the incorporation of acceptance practices and skillful means strategies. Following the Pragmatic Case Study Method (Fishman, 2005), Beth and Amy&rsquo;s cases are examined both quantitatively and qualitatively. This study concludes with a discussion of the possible reasons for Beth's dramatically positive outcome compared with Amy's only moderately successful outcome, together with a broader discussion of how future research could further examine the integration of Buddhist psychological concepts and short-term psychodynamic psychotherapy.</p>

scholarly journals Development of Brazilian prototypes for short-term psychotherapies

2016 ◽  
Vol 38 (2) ◽  
pp. 71-79 ◽  
Author(s):  
Fernanda Barcellos Serralta ◽  
John Stuart Ablon
Keyword(s):  
Psychodynamic Psychotherapy ◽  
Behavioral Therapy ◽  
Psychotherapy Process ◽  
Cognitive Behavioral ◽  
Factor Scores ◽  
Short Term ◽  
Initial Support ◽  
Type Factor ◽  
Expert Ratings

Abstract Introduction: The Psychotherapy Process Q-Set (PQS) prototype method is used to measure the extent to which ideal processes of different psychotherapies are present in real cases, allowing researchers to examine how adherence to these models relates to or predicts change. Results from studies of short-term psychotherapies suggest that the original psychodynamic prototype is more suitable for studying psychoanalysis and long-term psychodynamic psychotherapy than its time-limited counterparts. Furthermore, culture probably influences how therapies are typically conducted in a given country. Therefore, it seems appropriate to develop Brazilian prototypes on which to base studies of short-term psychodynamic and cognitive-behavioral processes in this country. Objective: To develop prototypes for studying processes of short-term psychotherapies and to examine the degree of adherence of two real psychotherapy cases to these models. Methods: Expert clinicians used the PQS to rate a hypothetical ideal session of either short-term psychodynamic psychotherapy (STPP) or cognitive-behavioral therapy (CBT). Ratings were submitted to Q-type factor analysis to confirm the two groups. Regressive factor scores were rank ordered to describe the prototypes. These ideal models were correlated with ratings of actual therapy processes in two complete psychotherapy cases, one STPP and the other CBT. Results: Agreement levels between expert ratings were high and the two ideal models were confirmed. As expected, the PQS ratings for actual STPP and CBT cases had significant correlations with their respective ideal models, but the STPP case also adhered to the CBT prototype. Conclusion: Overall, the findings reveal the adequacy of the prototypes for time-limited therapies, providing initial support of their validity.

Intensive Short-Term Dynamic Psychotherapy for Severe Music Performance Anxiety: Assessment, Process, and Outcome of Psychotherapy with a Professional Orchestral Musician

2014 ◽  
Vol 29 (1) ◽  
pp. 3-7 ◽  
Author(s):  
Dianna T Kenny ◽  
Stephen Arthey ◽  
Allan Abbass
Keyword(s):  
Music Performance ◽  
Performance Anxiety ◽  
Assessment Process ◽  
Successful Outcome ◽  
Short Term ◽  
Dynamic Psychotherapy ◽  
Music Performance Anxiety ◽  
Professional Musician ◽  
Process And Outcome

This paper reports on the process and outcome of therapy using intensive short-term dynamic psychotherapy (ISTDP) with a professional musician who had suffered severe music performance anxiety over the course of his entire 30-year career. In this paper, we describe the nature of the therapy, the case history of the musician, the first assessment and trial therapy session, and the course and successful outcome of therapy. The patient underwent 10 sessions of ISTDP over a period of 4 months. This paper reports on the first 6 sessions, which were most relevant to the understanding and treatment of the patient’s severe music performance anxiety. This case study is the first reported application of ISTDP to a professional musician. We believe that this case study provides initial support that moderate to severe performance anxiety, in at least some cases, has its origins in unresolved complex emotions and defences arising from ruptures to early attachment relationships.

Brief individual psychodynamic psychotherapy

2012 ◽  
pp. 1327-1337
Author(s):  
Amy M. Ursano ◽  
Robert J. Ursano
Keyword(s):  
Psychodynamic Psychotherapy ◽  
Interpersonal Relations ◽  
Past History ◽  
Empirical Studies ◽  
Future Research ◽  
Brief Psychotherapy ◽  
Dynamic Psychotherapy ◽  
Learning Path ◽  
Patient State ◽  
Effective Part

Brief dynamic psychotherapy is an important treatment for numerous disorders, primarily the adjustment, anxiety, and mood disorders. Both alone and in combination with medication brief dynamic psychotherapy is an effective part of the treatment armamentarium. Clinicians should be trained in the brief as well as the longer term treatments and their use as brief, intermittent, and maintenance treatments. Skill in the longer term psychotherapies is important to developing skill in the brief dynamic psychotherapy where the needs for rapid establishment of the therapeutic alliance and the accurate assessment of transference and defence patterns are important. Empirical studies comparing well-defined brief dynamic psychotherapy with cognitive and interpersonal psychotherapies are limited. Future research must address which form of brief psychotherapy may be most helpful for which patient. An individual's preferred learning path-what he or she may see and observe most easily such as thoughts or feelings or interpersonal relations-may be an important variable in determining which brief psychotherapy for which patient. State, trait, and contextual variables will influence this learning modality. The process of change in brief individual psychodynamic psychotherapy, a process of altering neuronal organization through verbal means, is influenced by the patient's diagnosis, medications, past history, cognitive style, developmental stage, and affective availability, as well as the doctor–patient match.

scholarly journals On the Skillful Integration of Buddhist Psychology and Short-Term Dynamic Psychotherapy

2016 ◽  
Vol 12 (4) ◽  
pp. 336
Author(s):  
Jason Samlin
Keyword(s):  
Current Debate ◽  
Buddhist Psychology ◽  
Short Term ◽  
Conceptual Integration ◽  
Dynamic Psychotherapy ◽  
Buddhist Tradition ◽  
Attachment Model

<p>In this article, I respond to commentaries by Morgan (2016) and Schacht (2016) regarding my presentation of the cases of Beth and Amy (Samlin, 2016).&nbsp; Addressing the dialectic raised between Morgan&rsquo;s (2016) support for and Schacht&rsquo;s (2016) skepticism towards the integration of Time-Limited Dynamic Psychotherapy (TLDP) and the Aversion/Attachment Model of Client Suffering (A/AMCS, I organize my response into three broad sections.&nbsp; First, I provide context as to the type of Buddhist tradition from which the A/AMCS draws.&nbsp; In this section, I also address the current debate in Mindfulness-Based Interventions literature regarding the use of explicit vs. implicit Buddhism in treatment.&nbsp; Second, I address issues related to the technical and conceptual integration of the A/AMCS into TLDP.&nbsp; Finally, I re-examine the outcomes of Beth&rsquo;s and Amy&rsquo;s cases from the pragmatic standpoint and offer additional thoughts regarding the differing outcomes of the two cases.</p>

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