Patients' Tests and Clinicians' Emotions: A Clinical Illustration

Article Psychology, Clinical

Identifying patient verbal coaching in psychotherapy

John Bugas et al.

Summary: Research shows that patients often guide their therapists during therapy to help them achieve treatment goals, and this coaching communication can be reliably distinguished from non-coaching communication.

COUNSELLING & PSYCHOTHERAPY RESEARCH (2023)

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Article Psychology, Psychoanalysis

The adaptive unconscious in psychoanalysis

Jessica Leonardi et al.

Summary: The paper emphasizes the fundamental role of unconscious processes in adaptation, discussing how unconscious processes can perform higher mental functions and introducing the control-mastery theory as an integrated, relational, cognitive-dynamic theory.

INTERNATIONAL FORUM OF PSYCHOANALYSIS (2022)

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Article Psychology, Clinical

Countertransference responses mediate the relationship between patients' overall defense functioning and therapists' interventions

Antonello Colli et al.

Summary: This study found that therapists' countertransference played a mediating role in the relationship between patients' defense level of functioning and therapists' supportive/expressive intervention level. Specifically, parental, positive, criticized, and overinvolved countertransference responses completely mediated this relationship, while other countertransference responses had no effect.

PSYCHOTHERAPY RESEARCH (2022)

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Article Psychology, Clinical

Case Formulation and Treatment Planning: How to Take Care of Relationship and Symptoms Together

Francesco Gazzillo et al.

Summary: Most therapy sessions are conducted with a top-down approach based on therapists' theories, rather than focusing on individual patient's unique problems. We suggest using a bottom-up approach that tailors therapeutic interventions to the individual patient's specific needs and issues, leading to more effective treatment outcomes.

JOURNAL OF PSYCHOTHERAPY INTEGRATION (2021)

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Article Psychology, Clinical

Personalizing Psychotherapy for Personality Disorders: Perspectives From Control-Mastery Theory

Francesco Gazzillo et al.

Summary: Control-Mastery Theory provides a useful framework for understanding and treating personality pathology, guiding individualized treatment plans. Patients seek therapy to challenge and disprove pathogenic beliefs developed from early traumatic experiences, aiming for corrective emotional experiences within the therapeutic relationship. Therapists' formulation of patients' goals, traumas, pathogenic beliefs, and testing strategies allows for a personalized approach that optimizes therapy effectiveness.

PSYCHOANALYTIC PSYCHOLOGY (2021)

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Article Psychology, Psychoanalysis

Mutative Action: From Insight to Productive Use of Uncomfortable Countertransference Experience

Irwin Hirsch

Summary: Most psychoanalysts believe that insight alone is not enough to bring about structural changes in most patients, and that the analytic relationship itself holds more explanatory power in understanding why patients change. The effective use of uncomfortable countertransference experience by analysts is seen as crucial for ideal therapeutic outcomes, while failure to do so is considered a primary factor in compromised or failed analyses.

PSYCHOANALYTIC DIALOGUES (2021)

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Editorial Material Psychiatry