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4 results

  • Chapter 4 - An Outline of Psychodynamic Psychotherapy

  • from Part 1: - An Overview of the Model
  • Adam Polnay, The State Hospital, Carstairs and Royal Edinburgh Hospital, Edinburgh, Rhiannon Pugh, Victoria Barker, East London NHS Foundation Trust, London, David Bell, British Psychoanalytic Society, Allan Beveridge, Royal College of Psychiatrists, London, Adam Burley, Rivers Centre, Edinburgh, Allyson Lumsden, NHS Greater Glasgow and Clyde, C. Susan Mizen, Devon and Exeter NHS Foundation Trust, Exeter, Lauren Wilson, Royal Edinburgh Hospital, Edinburgh
  • Foreword by Nancy McWilliams
  • Book:
    Cambridge Guide to Psychodynamic Psychotherapy
    Published online:
    25 August 2023
    Print publication:
    10 August 2023, pp 65-78

  • Summary

    This chapter is a summary of psychodynamic psychotherapy and includes elements of the theory and technique of psychodynamic psychotherapy. It starts with a brief description of what it is and drawing on work by Blagys and Hilsenroth. Seven key features of psychodynamic psychotherapy are described. There is a very brief outline of the various schools of psychotherapy in order to orient the reader. This is followed by brief practical sections explaining the differences between brief and long-term therapy, and between open-ended and closed therapy. Practicalities involved in combining therapy with psychotropic medication are discussed.

  • An evaluation of Access to Psychological Services Ireland: year one outcomes

  • P. McHugh, N. Martin, M. Hennessy, P. Collins, M. Byrne
  • Journal:
    Irish Journal of Psychological Medicine / Volume 33 / Issue 4 / December 2016
    Published online by Cambridge University Press:
    06 November 2015, pp. 225-233
    Print publication:
    December 2016
  • Objectives

    To evaluate the clinical effectiveness and cost-effectiveness of Access to Psychological Services Ireland (APSI), a primary care adult psychology service.

    Methods

    A repeated measures design was used to evaluate the clinical outcomes of service users who completed an intervention. Psychological distress, depressive symptomatology and anxiety symptomatology were measured using the Clinical Outcomes in Routine Evaluation–Outcome Measure (CORE-OM), the Patient Health Questionnaire-9 (PHQ-9) and the Generalised Anxiety Disorder-7 (GAD-7), respectively. Self-reported health and economic outcomes were measured using the EQ-5D-3L and the Eco-Psy, respectively.

    Results

    A total of 381 adults were assessed as suitable for an APSI intervention, with 198 (52%) of these completing at least one intervention. Significant reductions in psychological distress were observed for completers of guided self-help and brief cognitive behavioural therapy, with service users also showing significant reductions in anxiety and depressive symptomatology. Reliable and clinically significant change on the CORE-OM was observed for 67.9% of treatment completers. Service users reported significant improvements in their health status but did not show changes in their health service usage in the 3-month follow-up period.

    Conclusions

    APSI provided an accessible service model that was clinically effective in managing a range of mild to moderate mental health difficulties. The cost-effectiveness of the service model may be enhanced by offering a wider range of high-throughput interventions and by increasing the treatment completion rate.

  • Walk-In Counselling Services: Making the Most of One Hour

  • Arnold Slive, Monte Bobele
  • Journal:
    Australian and New Zealand Journal of Family Therapy / Volume 33 / Issue 1 / March 2012
    Published online by Cambridge University Press:
    12 June 2012, pp. 27-38
    Print publication:
    March 2012

  • This article describes walk-in single session counselling, a form of service delivery that enables clients to receive one session of counselling without the usual hurdles of intake and wait times. We distinguish between walk-in counselling and single session therapy by appointment. We describe a mindset for therapists that supports walk-in work. We also describe the workings of a walk-in session using a transcript, with commentary, of an actual session. Benefits and possible applications of the walk-in counselling concept are discussed.

  • A Solution-Focused Approach with Primary School Teachers

  • Heather Ambrose
  • Journal:
    The Australian Educational and Developmental Psychologist / Volume 14 / Issue 2 / November 1997
    Published online by Cambridge University Press:
    29 October 2015, pp. 15-24
    Print publication:
    November 1997

  • Educational psychologists typically respond to child referrals for problematic behaviour by focusing on the problem. Solution-focused brief therapy (SFBT) provides an alternative that eliminates the time-consuming task of assessment of the “problem.” This application of SFBT involved three groups of primary school teachers, each focused on one child’s behaviour. The participants reported favourable outcomes of reduced problematic behaviour in the three children and increased collegial support.