2025
Response to Psychotherapy by Clients With Varying Levels of Distress Treated in a Graduate Student Outpatient Clinic
O’Brien M, O’Leary C, Cannon T, Lympus C, Salinger J, Prelli F, Gale M. Response to Psychotherapy by Clients With Varying Levels of Distress Treated in a Graduate Student Outpatient Clinic. Training And Education In Professional Psychology 2025, 19: 124-133. DOI: 10.1037/tep0000508.Peer-Reviewed Original ResearchOutcome Questionnaire-45Levels of distressResponse to psychotherapyPositive therapeutic allianceIndividual psychotherapyCognitive reappraisalPerseverative thinkingTherapeutic allianceSelf-CompassionTraining clinicTherapeutic relationshipPsychological processesPsychological skillsPsychotherapyCourse of treatmentEnd treatmentRepeated-measures analysisRepeated-measures analysis of varianceDistressContext variablesRepeated-measuresClientsAnalysis of varianceDoctoral studentsOutpatient clinicImplications and Considerations of Sexual and Gender Identities in Dynamic Psychotherapies
Hill K, Qayyum Z, Webster C. Implications and Considerations of Sexual and Gender Identities in Dynamic Psychotherapies. Child And Adolescent Psychiatric Clinics Of North America 2025, 34: 459-470. PMID: 40516956, DOI: 10.1016/j.chc.2025.03.007.Peer-Reviewed Original ResearchConceptsGender-neutral languageSexual identityGender identityDiverse gendersMental health issuesRisk of mental health issuesSubstance useTherapeutic spaceGender diversityGenderIdentitySexualityHealth issuesLesbiansQueerTransgenderMultiple opportunitiesSelf-ReflectionYouthIntersexAllianceOpportunitiesSuicideImplicationsTherapeutic allianceCHAPTER 15 Telehealth CBT-I
Schneeberg L, Rubman S. CHAPTER 15 Telehealth CBT-I. 2025, 135-146. DOI: 10.1016/b978-0-323-87041-2.00024-5.Peer-Reviewed Original ResearchCBT-ICBT-I.Telehealth cognitive behavioral therapyCognitive behavioral therapyTherapeutic allianceBehavioral therapyInsomnia treatmentTreatment componentsSleep difficultiesCollect sleep dataInsomniaSleep dataAvailability of providersDiscussion of legislationReview definitionsTreatment efficacySleepTelehealthCOVID-19 pandemicAlliance
2024
All Paths Do Not Lead to Rome or Adherence: Innovative Antipsychotic Prescribing in Partnership With People in Recovery as They Define
Sebastian D, Carr E. All Paths Do Not Lead to Rome or Adherence: Innovative Antipsychotic Prescribing in Partnership With People in Recovery as They Define. Psychiatric Rehabilitation Journal 2024, 47: 303-312. PMID: 39052409, DOI: 10.1037/prj0000623.Peer-Reviewed Original ResearchShared decision-makingRecovery-oriented careExperience psychosisImplementation of shared decision-makingRecovery-oriented caring approachAntipsychotic prescribingRecovery-oriented approachInpatient psychiatric settingsCare approachPsychiatric settingsPrescribing practicesCollaborative practicePrescribingPsychiatric fieldCollaborative approachTherapeutic allianceMedicationCareAdherencePrescribed antipsychoticsPsychosisDecision-makingSymptom ameliorationAntipsychotic medicationPracticeAlliance Rupture and Repair in Adolescent Psychotherapy: What Clinicians Can Learn From Research
Cirasola A, Fonagy P, Midgley N. Alliance Rupture and Repair in Adolescent Psychotherapy: What Clinicians Can Learn From Research. Psychotherapy 2024, 61: 304-313. PMID: 39023966, DOI: 10.1037/pst0000535.Peer-Reviewed Original ResearchAdolescent psychotherapyAlliance rupturesTraining of therapistsYouth psychotherapyTherapeutic alliancePositive allianceStronger allianceAdult therapyTherapeutic relationshipPsychotherapySymptom improvementTherapistsAlliance researchParental involvementAdolescentsRisky behaviorsAge groupsEnhance engagementPromote engagementYouthResistant to treatmentAllianceAlliance formationUnique challengesEngagementA Pilot Trial of an LGBTQ-Affirmative Cognitive-Behavioral Therapy for Transgender and Gender Expansive Individuals’ Mental, Behavioral, and Sexual Health
Lelutiu-Weinberger C, Filimon M, Chiaramonte D, Leonard S, Dogaru B, Pana E, Pruneanu C, Pachankis J. A Pilot Trial of an LGBTQ-Affirmative Cognitive-Behavioral Therapy for Transgender and Gender Expansive Individuals’ Mental, Behavioral, and Sexual Health. Behavior Therapy 2024, 56: 723-737. PMID: 40541374, PMCID: PMC12181672, DOI: 10.1016/j.beth.2024.10.005.Peer-Reviewed Original ResearchCognitive-behavioral therapyMinority stressAnxiety symptomsPreliminary efficacyTGE individualsCisgender sexual minorityTherapeutic allianceTrained psychologistsEvidence-based interventionsBaseline to follow-upTreatment relevanceRisk mechanismsImprove psychosocial healthGender-expansive individualsTGE youthSexual minoritiesAnxietyNorth American contextDepressionRandomized Controlled TrialsContext of RomaniaPsychosocial healthHealth outcomesFollow-upExit interviewsModerators and Mediators of Treatments for Suicidal Thoughts and Behaviors: A Review of More Than 50 Years of Randomized Controlled Trials
Goger P, Guo R, Jo S, Cha C, Ribeiro J, Huang X, Fox K. Moderators and Mediators of Treatments for Suicidal Thoughts and Behaviors: A Review of More Than 50 Years of Randomized Controlled Trials. Behavior Therapy 2024, 56: 241-260. PMID: 40010898, DOI: 10.1016/j.beth.2024.10.003.Peer-Reviewed Original ResearchConceptsTherapeutic allianceSuicidal thoughtsBorderline personality disorder diagnosisPersonality disorder diagnosisHistory of STBMediators of treatmentTreatment randomized controlled trialsAnxiety sensitivityPsychosocial treatmentsComorbid depressionDisorder diagnosisTreatment contactTherapeutic relationshipSuicide treatmentReplication attemptTest moderationNo mediationSuicideSuicide ratesModeratelyControlled TrialsAdolescentsRandomized Controlled TrialsAdultsThoughtsSexual Orientation Microaggression Rating Scale (SOMRS): Development and Association With Alliance Ruptures
Sergi J, Babl A, Warren J, Pachankis J, Eubanks C. Sexual Orientation Microaggression Rating Scale (SOMRS): Development and Association With Alliance Ruptures. Psychotherapy 2024, 61: 191-197. PMID: 39115920, PMCID: PMC11315359, DOI: 10.1037/pst0000536.Peer-Reviewed Original ResearchConceptsSexual minority clientsWithdrawal rupturesMinority clientsRating ScaleIn-session behaviorCognitive behavioral treatmentGood interrater reliabilitySexual orientation microaggressionsSexual minority individualsAlliance rupturesTherapeutic allianceBehavioral treatmentSessions of treatmentReducing depressionSubstance useSelf-ReportObservational measuresMinority individualsInterrater reliabilityMicroaggressionsBisexual menSexual orientationSessionsClientsAnxietyAdverse events and perceived abandonment: learning from patients’ accounts of medical mishaps
Schlesinger M, Dhingra I, Fain B, Prentice J, Parkash V. Adverse events and perceived abandonment: learning from patients’ accounts of medical mishaps. BMJ Open Quality 2024, 13: e002848. PMID: 39147403, PMCID: PMC11331972, DOI: 10.1136/bmjoq-2024-002848.Peer-Reviewed Original ResearchConceptsAdverse medical eventsMedical mishapsMedical eventsPerceived abandonmentEnhance patient engagementMixed-methods analysis of responsesPatient safety concernsFeelings of abandonmentOpen-ended responsesCare partnersMedication errorsPatient engagementImpact of adverse eventsMixed-methods analysisPatient accountsVulnerable populationsAdverse eventsUnder-reportingAnalysis of responsesProvidersTherapeutic allianceAttitudinal changeCoding schemaCliniciansRespondentsLeveraging Measurement-Based Care to Reduce Mental Health Treatment Disparities for Populations of Color
Barber J, Childs A, Resnick S, Connors E. Leveraging Measurement-Based Care to Reduce Mental Health Treatment Disparities for Populations of Color. Administration And Policy In Mental Health And Mental Health Services Research 2024, 52: 172-178. PMID: 38489017, DOI: 10.1007/s10488-024-01364-4.Peer-Reviewed Original ResearchMeasurement-based careMental health servicesTherapeutic allianceCommunities of colorClients of colorMental health treatment disparitiesMental health treatmentEngagement to treatmentMental health treatment qualityMental health careHealth service qualityPerson-centered practiceWhite clientsTherapeutic relationshipHealth treatmentProgress feedbackSources of disparitiesTreatment relevanceAssociated with early terminationPopulations of colorHealth servicesHealth careTreatment disparitiesDisparities literatureCare“You can’t really have a relationship with them because they just ask you questions”: understanding adolescent dropout – an empirical single case study
Cirasola A, Szegedi D, Fonagy P, Midgley N. “You can’t really have a relationship with them because they just ask you questions”: understanding adolescent dropout – an empirical single case study. Frontiers In Psychology 2024, 15: 1381901. PMID: 38533210, PMCID: PMC10963658, DOI: 10.3389/fpsyg.2024.1381901.Peer-Reviewed Original ResearchAlliance rupturesPsychoanalytic psychotherapyTherapeutic allianceShort-term psychoanalytic psychotherapyYouth psychotherapyHigh dropout ratesTherapeutic relationshipAdolescent dropoutsPsychotherapyLongitudinal frameworkSingle case studySession recordingsAdolescent engagementParental involvementAdolescent involvementEngaging adolescentsDropout ratesAdolescentsParental engagementTherapistsAllianceSporadic attendanceDropoutClinical improvementDepressionPain: The Silent Public Health Epidemic
Katzman J, Mac Gallagher R. Pain: The Silent Public Health Epidemic. Journal Of Primary Care & Community Health 2024, 15: 21501319241253547. PMID: 38742616, PMCID: PMC11095171, DOI: 10.1177/21501319241253547.Peer-Reviewed Original ResearchConceptsPain carePain educationPain managementVulnerable populationsEffective pain careMental health diagnosesEffective pain managementSuffering of patientsExperience of painTherapeutic allianceLong-term opioidsHealth inequalitiesModerate to severe painEffective careHealth professionalsIneffective careHealthcare providersSubstance use disordersHealth diagnosisPatient carePain SocietyAdvanced painHealthcare systemOpioid educationTraining deficits
2023
The connection still matters: Therapeutic alliance with digital treatment for alcohol use disorder
Benitez B, Frankforter T, Nich C, Kiluk B. The connection still matters: Therapeutic alliance with digital treatment for alcohol use disorder. Alcohol Clinical And Experimental Research 2023, 47: 2197-2207. PMID: 38226756, PMCID: PMC10792249, DOI: 10.1111/acer.15199.Peer-Reviewed Original ResearchWorking Alliance InventoryAlliance ratingsAlcohol useMinimal clinical monitoringOutpatient AUD treatmentPatient-reported measuresAlcohol use disorderDisorder treatment outcomesDaily alcohol useCognitive behavioral therapy programBehavioral therapy programAlcohol use disorder treatment outcomesClinical trialsTreatment outcomesFuture drinkingUse disordersTreatment efficacyTreatment sessionsAUD treatmentClinical monitoringComputerized cognitive behavioural therapy programmeTherapy programFuture alcohol useTherapeutic allianceAlliance InventoryThe Positive Approach to the Psychiatric Assessment: A Randomized Trial of a Novel Interviewing Technique
Schlechter A, Moerdler-Green M, Zabar S, Reliford A, New A, Feingold J, Guo F, Horwitz S. The Positive Approach to the Psychiatric Assessment: A Randomized Trial of a Novel Interviewing Technique. Academic Psychiatry 2023, 48: 47-51. PMID: 37651038, DOI: 10.1007/s40596-023-01842-1.Peer-Reviewed Original ResearchConceptsPsychiatric interviewTreatment engagementPsychiatric residentsWorking Alliance Inventory-Short RevisedBlinded ratersBonding scoresImprove treatment engagementTherapeutic allianceObjectiveThis pilot studyPsychiatric assessmentOutcome measuresAssociated with improvementsIntra-rater reliabilityPositive approachInter-rater reliabilityTreatment outcomesPositive scoresStandardized patientsImprove rapportInexpensive interventionApproach groupRatersTraditional approach groupStructural scaleScoresAlliance negotiation as a predictor of early treatment outcome
Manubens R, Babl A, Doran J, Roussos A, Alalu N, Penedo J. Alliance negotiation as a predictor of early treatment outcome. Journal Of Clinical Psychology 2023, 79: 1740-1751. PMID: 36806207, DOI: 10.1002/jclp.23498.Peer-Reviewed Original ResearchConceptsSymptom severityTreatment outcomesPredictors of treatment outcomeLevels of symptom severityOutcome Questionnaire 45Sessions of psychotherapyBetween-patient effectsWithin-patient effectsAlliance negotiationsHierarchical linear modelingPsychotherapy outcomeBrief therapyTherapeutic allianceEmotional disordersEarly stages of treatmentTherapy outcomeEarly treatment outcomesPsychotherapyStages of treatmentSessionsSymptomsAlliancePatient effectsSeverityTherapistsA Modified Measurement-Based Care Approach to Improve Mental Health Treatment Engagement Among Racial and Ethnic Minoritized Youth
Connors EH, Arora PG, Resnick SG, McKay M. A Modified Measurement-Based Care Approach to Improve Mental Health Treatment Engagement Among Racial and Ethnic Minoritized Youth. Psychological Services 2023, 20: 170-184. PMID: 35130008, PMCID: PMC9357230, DOI: 10.1037/ser0000617.Peer-Reviewed Original ResearchTreatment engagementPerceptual barriersMinoritized youthTreatment engagement strategiesMental health treatment engagementMeasurement-based carePoor therapeutic allianceMental health treatmentUse of MBCFuture research directionsHealth treatmentTherapeutic allianceTreatment retentionYouthClient outcomesWhite peersClient-centred practiceRetention strategiesCase exampleClient involvementClient populationEngagement strategiesEngagementResearch directionsTreatment services
2021
Telehealth Social Rhythm Therapy to Reduce Mood Symptoms and Suicide Risk Among Adolescents and Young Adults With Bipolar Disorder
Sankar A, Panchal P, Goldman DA, Colic L, Villa LM, Kim JA, Lebowitz ER, Carrubba E, Lecza B, Silverman WK, Swartz HA, Blumberg HP. Telehealth Social Rhythm Therapy to Reduce Mood Symptoms and Suicide Risk Among Adolescents and Young Adults With Bipolar Disorder. American Journal Of Psychotherapy 2021, 74: 172-177. PMID: 34293928, PMCID: PMC9588254, DOI: 10.1176/appi.psychotherapy.20210011.Peer-Reviewed Original ResearchConceptsSocial rhythm therapyMood symptomsSocial rhythm regularityBipolar disorderYoung adultsRhythm therapySuicide riskRhythm regularityTherapeutic allianceSecondary outcome measuresRhythm irregularitiesClient Satisfaction QuestionnaireBipolar disorder symptomsStrong therapeutic allianceWorking Alliance InventoryPostintervention changesOutcome measuresSuicide propensitySecondary aimSymptomsRegulation therapyIntervention impactSatisfaction questionnaireTherapyGlobal scoreImpact of COVID-19–Related Social Distancing on Delivery of Intensive Case Management
Rosenheck R, Johnson B, Deegan D, Stefanovics E. Impact of COVID-19–Related Social Distancing on Delivery of Intensive Case Management. The Journal Of Nervous And Mental Disease 2021, 209: 543-546. PMID: 34009864, DOI: 10.1097/nmd.0000000000001358.Peer-Reviewed Original ResearchConceptsTherapeutic allianceVeterans Affairs Medical CenterTreatment of adultsCOVID-19-Related Social DistancingSerious mental illnessIntensive case managementMore telephone contactsCommunity-based careCommunity-based treatment programsSocial distancingSelf-reported declineClinical statusTelephone contactMedical CenterService deliveryClinical status indicatorsMental illnessTreatment programCase managementFace service deliveryCOVID-19Status indicatorsVeteransParallel declineDeliveryChallenges in Providing Care for Parents of Transgender Youth during the Coronavirus Pandemic
Szilagyi N, Olezeski C. Challenges in Providing Care for Parents of Transgender Youth during the Coronavirus Pandemic. Studies In Clinical Social Work Transforming Practice Education And Research 2021, 91: 85-114. DOI: 10.1080/00377317.2021.1878083.Peer-Reviewed Case Reports and Technical NotesAdverse mental health outcomesMental health servicesMental health outcomesMental health concernsLevel of anxietyVirtual careElevated riskHealth outcomesHealth servicesTransgender youthHealth concernVirtual visitsTherapeutic allianceVulnerable populationsCareClinical case examplesCOVID-19 pandemicFamily acceptanceCommunity supportImportant mitigating factorsPandemicPatientsUnique challengesCliniciansVisits
2019
Linguistic features of the therapeutic alliance in the first session: a psychotherapy process study
Negri A, Christian C, Mariani R, Belotti L, Andreoli G, Danskin K. Linguistic features of the therapeutic alliance in the first session: a psychotherapy process study. Research In Psychotherapy Psychopathology Process And Outcome 2019, 22: 374. PMID: 32913786, PMCID: PMC7451390, DOI: 10.4081/ripppo.2019.374.Peer-Reviewed Original ResearchTherapeutic allianceCourse of treatmentEarly therapeutic allianceFirst sessionStrong therapeutic allianceSingle sessionPatients' psychopathologyEarly signsPatientsSame sessionPsychotherapy process studyInitial intake sessionIntake sessionSessionsHigher scoresTreatmentPsychopathologyInterpersonal factorsStudyDiagnosis
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