FUNDACION CASTILLA DEL PINO
This presentation is the property of its rightful owner.
Sponsored Links
1 / 28

FUNDACION CASTILLA DEL PINO ABORDAJES PSICOTERAPEUTICO DE LOS TRASTORNOS PSIQUIATRICOS PowerPoint PPT Presentation


  • 44 Views
  • Uploaded on
  • Presentation posted in: General

FUNDACION CASTILLA DEL PINO ABORDAJES PSICOTERAPEUTICO DE LOS TRASTORNOS PSIQUIATRICOS Cordoba, Marzo 2009. INVESTIGACION EN PSICOTERAPIA DINAMICA BREVE Manuel Trujillo, M.D. Professor of Psychiatry New York University.

Download Presentation

FUNDACION CASTILLA DEL PINO ABORDAJES PSICOTERAPEUTICO DE LOS TRASTORNOS PSIQUIATRICOS

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Fundacion castilla del pino abordajes psicoterapeutico de los trastornos psiquiatricos

FUNDACION CASTILLA DEL PINO

ABORDAJES PSICOTERAPEUTICO

DE LOS

TRASTORNOS PSIQUIATRICOS

Cordoba, Marzo 2009


Fundacion castilla del pino abordajes psicoterapeutico de los trastornos psiquiatricos

INVESTIGACION EN PSICOTERAPIADINAMICA BREVE

Manuel Trujillo, M.D.

Professor of Psychiatry

New York University


Biological correlates of psychotherapy figure i

BIOLOGICAL CORRELATES OF PSYCHOTHERAPYFIGURE I

-3

-2

-1

0

2

3

1

Average (no treatment)

control effect size

Average psychotherapy

effect size (.82)

Average Minimal Treatment

(placebo) effect size (.42)

Adapted from Lambert, et al. 1993


Table i meta analytic reviews of outcome with depression

TABLE IMETA-ANALYTIC REVIEWS OF OUTCOME WITH DEPRESSION

* Adapted from Lambert, et al. (1994)


Table ii meta analytic reviews of outcome with anxiety disorders

TABLE IIMETA-ANALYTIC REVIEWS OF OUTCOME WITH ANXIETY DISORDERS

* Percent improved , ** Pretest/Posttest measureModified from Lambert (1994)


Table iii meta analytic reviews of outcome with anxiety disorders

TABLE IIIMETA-ANALYTIC REVIEWS OF OUTCOME WITH ANXIETY DISORDERS

* Percent improved , ** Pretest/Posttest measureModified from Lambert (1994)


Fundacion castilla del pino abordajes psicoterapeutico de los trastornos psiquiatricos

  • Leichsenring F ( 2004)


Criteria for admission to the study inclusion criteria

Criteria for Admission to the StudyInclusion Criteria

  • Age between 18 and 60

  • Evidence of at least one close personal relationship

  • No evidence of psychosis, organic brain syndrome or mental retardation

  • Absence of active Axis III medical diagnosis

  • No evidence of substance abuse

  • Not actively suicidal

  • No history of violence or destructive impulse control problem

  • No recent psychotropic medication such as neuroleptics, antidepressants, Lithium, etc.


Patient demographics by group

Patient Demographics By Group


Assessment instruments

Assessment Instruments

  • Social History

  • Target Complaints

  • Symptom Checklist (SCL-90)

  • Social Adjustment Scale - SR

  • Personality Diagnostic Questionnaire (PDQ)


Therapist characteristics

Therapist Characteristics


Reliability of six combination variables process coding of videotaped psychotherapy sessions

Reliability of Six Combination VariablesProcess Coding of Videotaped Psychotherapy Sessions

VariableThree Judges Pooled

Transference Interpretation.93

followed by affect

Transference Interpretation.75

followed by defense

Non-transference Interpretation.84

followed by affect

Non-transference Interpretation.67

followed by defense

Clarification Interpretation.62

followed by affect

Clarification Interpretation.63

followed by defense


Fundacion castilla del pino abordajes psicoterapeutico de los trastornos psiquiatricos

Admission & Termination Means and Effect Sizes* for Significant Findings on the SCL-90 and SAS Subscales Across Groups


Admission termination means and effect sizes for global outcomes across groups

Admission & Termination Means and Effect Sizes for Global Outcomes Across Groups


Subscales with stdp showing significant differences over bap and controls

Subscales with STDP showing significant differences over BAP and controls


Fundacion castilla del pino abordajes psicoterapeutico de los trastornos psiquiatricos

Average Frequencies of Occurrence and Comparative Percentages Per Session of Therapist Behaviors in the Two Treatment Groups


Stepwise regression for affect and defense variables on composite outcome score

Stepwise Regression For Affect and Defense Variables On Composite Outcome Score

Multiple R Squared = .66 (F Value=7.71; df=3 and 12)


Partial correlations of affect variables outcome with defensive responding partialed out

Partial Correlations of Affect Variables & Outcome(with Defensive Responding Partialed Out

Composite Outcome

Clarification followed by Affect.09

Nontransference Interpretation followed by Affect .44

Transference Interpretation followed by Affect .73

All Interventions followed by Affect.58


Best worst outcomes

BEST/WORST OUTCOMES

BEST OUTCOMEWORST OUTCOME

STDP2-Obsessional1- Histrionic

1 - Mixed

BAP1- Histrionic2- Obsessional

1- Mixed


Biological correlates of psychoterapy

BIOLOGICAL CORRELATES OF PSYCHOTERAPY

PSYCHOTHERAPY CHANGE AGENTS

  • Affective experiencing

  • Cognitive mastery

  • Behavioral regulation


Biological correlates of psychotherapy

BIOLOGICAL CORRELATES OF PSYCHOTHERAPY

AFFECTIVE EXPERIENCE

  • Implosion therapy Flooding

  • Gestalt therapy Emotional Experience

  • Psychodrama Role playing

  • STDP Impulse/Feelings

    Experiencing


Biological correlates of psychotherapy1

BIOLOGICAL CORRELATES OF PSYCHOTHERAPY

COGNITIVE MASTERY

  • Psychoan. therapyInterpretation

  • Supportive Clarification, support

  • Cognitive Modification of beliefs


Biological correlates of psychotherapy2

BIOLOGICAL CORRELATES OF PSYCHOTHERAPY

BEHAVIORAL REGULATION

  • Behavior therapyConditioning

  • Assertiveness Skills develop. therapy

  • Token economy Modification of rewards system


Fundacion castilla del pino abordajes psicoterapeutico de los trastornos psiquiatricos

PSYCHOTHERAPY AND NEUROBIOLOGY

Cortex

Pre Frontal Cortex

-

+

Stimulus

Amygdala

Hippocampus

Thalamus


Psychotherapy and neurobiology

PSYCHOTHERAPY AND NEUROBIOLOGY

Stress

Glucocorticoids

Glutamate

Moderate

duration

stress

Severe and

prolonged stress

CA3

Reversible atrophy

and loss of

dendritic spines

Neuronal

death

* Adapted from Kandel, 1999


The mirror neuron system rizzollati 1995

THE MIRROR NEURON SYSTEMRizzollati 1995

  • Subset of multimodal neurons

    (Simultaneous activation by different sensory modalities)

    • F5 in monkeys

    • Broca 44, 45 in humans

      (Prefrontal Cortex)


The mirror neuron system

THE MIRROR NEURON SYSTEM

Activated by:

  • Observing a meaningful action

  • Performing the same action

  • Basis for primitive learning/communicating with others


The mirror neuron system1

THE MIRROR NEURON SYSTEM

Plays a role in:

  • Affect resonance

  • Empathy

  • Group behaviors: hunting, dancing

  • Language development


  • Login