World of Psychology

Psychotherapy Articles

Submit Your Psychotherapy Stories

Friday, February 10th, 2012

Submit Your Psychotherapy StoriesThere are a ton of good stories out there about people’s experiences with psychotherapy, and we want to feature them each week here on the World of Psychology. By shedding more light on the process of therapy, we believe it will make people more comfortable and perhaps get a better understanding of it.

So we’re putting out a call for any and all psychotherapy stories — from therapists, psychologists, psychiatrists, counselors, clients and patients. If you have a story you want to tell and can do so in under 1,400 words, we’re interested.

We’re not looking (just) for salacious stories. We’re looking for stories that show the personal nature of therapy, and how it can help people.

Read on for details…

Ritalin Gone Right: Children, Medications and ADHD

Monday, February 6th, 2012

Ritalin Gone Right: Children, Medications and ADHDA week ago, an op-ed appeared in the New York Times by L. Alan Sroufe, a professor emeritus of psychology at the University of Minnesota’s Institute of Child Development, questioning society’s reliance on medications to help children with attention deficit hyperactivity disorder (ADHD). He suggested that Ritalin has “gone wrong,” in that we simply rely too heavily on drugs to treat childhood disorders.

He starts off the op-ed, “As a psychologist who has been studying the development of troubled children for more than 40 years, I believe we should be asking why we rely so heavily on these drugs.”

Like most professionals who are trying to boil down decades worth of research into a layperson-friendly length, Dr. Sroufe unfortunately glosses over the psychological literature and what we know (and don’t know) about ADHD medications.

I will say this before we begin… most children would benefit not just from being prescribed an ADHD medication, but also getting specific psychological treatment as well. Few child psychologists and child specialists would be happy if their patients were only getting the benefits of one type of treatment, and many would agree that parents are too quick to medicate before trying non-medication options.

Integrative Medicine to Treat Eating Disorders

Monday, February 6th, 2012

Integrative Medicine to Treat Eating Disorders Integrative medicine can be defined as “a healing-oriented discipline that takes into account the whole person — body, mind and spirit — including all aspects of lifestyle. It emphasizes the therapeutic relationship and makes use of both conventional and alternative therapies.”

Complementary and alternative therapies used in integrative medicine can include acupuncture, chiropractic, herbal medicine, dietary supplements and others that give the clinician a wide array of treatments for difficult conditions. This is particularly true in the integrative medicine approach to eating disorders.

Eating disorders have been documented in adolescents and adults for many years. More recently, there is evidence that these disorders can also affect young children.

The cornerstones of an integrative medicine model for eating disorders includes some components that are found in every approach to the treatment of eating disorders, but may be used in a unique manner. Others are more specific to the use of complementary and alternative medicine (CAM) therapies. The most important difference in this model when compared to other treatment strategies is the philosophical underpinning of integrative medicine — that is, the belief in the self-healing nature of body, mind and spirit.

The 3 Paradoxes of Psychiatric Drug Treatments

Tuesday, January 10th, 2012

Thomas Insel, the director of the National Institute of Mental Health (NIMH), has been writing some very interesting blog posts over the past month (this one, and this one).

The theme is that there are very few drug treatment innovations coming for mental disorders. He said that this is due to changes in focus and funding at the big drug makers. He also adds that there are very few new “targets” (areas of the brain for drugs to influence) for drug researchers to explore.

When I read this I couldn’t help but think back to something Dr. Morgan Sammons (Aliant University) describes as the “paradoxes” of drug treatment for psychiatric disorders.

Poor Urban Depressed Patients Don’t Respond Well to Treatment

Thursday, December 22nd, 2011

Poor Urban Depressed Patients Don't Respond Well to TreatmentIn a small clinical study published a few weeks ago, researchers didn’t find much difference between the three treatment groups of depressed subjects they studied — a group that received antidepressant medications, a group that received a specific type of not-commonly-practiced psychodynamic psychotherapy, and a group that received a sugar pill.

But there were some serious issues with this study from the onset, issues that call into question not only the generalizability of the results, but also their validity. It’s a shame that Reuters, who picked up on the study just yesterday, glossed over the methodology problems of the study, and instead just repeated the results as a shiny new established fact.

And easily lost in the discussion is the best result of them all — 16 weeks was all that was needed for most people in the study (who completed it) to find improvement in the symptoms of their depression, no matter what the treatment.

Let’s see what went wrong, and what the study actually tells us…

Patients Can Be Helpful Peer Counselors

Tuesday, December 20th, 2011

Patients Can Be Helpful Peer CounselorsA “peer” in the world of mental health and substance abuse lingo means a fellow person who has also been diagnosed with a mental health or substance abuse disorder. Peers come together on their own in self-help support groups (both in the local communities and online) to help one another with emotional support and the knowledge that can only come from having been there themselves.

Benedict Carey writing in today’s New York Times details the impact of peers who go one step farther and act as peer counselors, helping people with mental disorders or substance abuse disorders with training that exceeds that of another layperson patient.

Peer counselors are an important component of America’s fragmented mental health care system, filling in the many gaps (especially in the public mental health system). These gaps are especially prevalent in the U.S. because there are usually two different public systems: one that treat mental disorders and one that treats substance abuse disorders. Few public community mental health systems have integrated these two components in systematic, comprehensive “dual diagnosis” programs.

Review of Jung vs. Freud in A Dangerous Method

Sunday, December 18th, 2011

Review of Jung vs. Freud in A Dangerous MethodA Dangerous Method, the new David Cronenberg movie — based upon the 2002 Christopher Hampton stage play entitled, The Talking Cure, (which in turn was based on the 1993 non-fiction book by John Kerr, A Most Dangerous Method) — is not only about the relationships you see on the screen between Carl Jung, Sigmund Freud and Sabina Spielrein, but a breathtaking metaphor for Freud’s depiction of the mind.

A successful effort on a multitude of layers, the movie offers us a rollercoaster ride in a car filled with a motley group of historical characters in psychology and psychoanalysis. The movie depicts the life of Jung and Freud’s relationship from the time they first met in 1907 until their professional relationship collapses in 1913 — a short 6 years. I saw a screening of the movie earlier this month.

But it would be wrong to characterize this as a story only about Jung and Freud’s relationship. Instead, it’s a larger-than-life tale about the first days of psychoanalysis and Jung’s career, set against the backdrop of pre-war Europe, artfully relayed on many different levels.

National Suicide Prevention Lifeline Teams Up with Facebook to Offer Online Suicide Help

Wednesday, December 14th, 2011

National Suicide Prevention Lifeline Teams Up with Facebook to Offer Online Suicide HelpThe National Suicide Prevention Lifeline staffs the national suicide hotline (1-800-273-TALK) and now has teamed up with Facebook, the world’s largest social network, to offer online crisis services to certain Facebook members.

I say “certain” Facebook members, because you can’t just log onto Facebook and seek out this free service. You first have to actually publicly post a comment somewhere — like on your wall — that you’re suicidal. Then you have to wait for a concerned friend or family member to read your post, click on the “Report” link, and report it to Facebook. Then, a Facebook staffer looks at the report and, if it meets its suicide criteria, will send the original Facebook user an email.

In this email from Facebook, the user will find a reminder about the national suicide hotline. But this special email also contains something you won’t find on the Facebook website, nor the website of the National Suicide Prevention Lifeline — a link to chat immediately online with a volunteer crisis counselor.

Facebook is providing the financial support for this new service, so not surprisingly it wants to limit its use. That’s a shame, because with the resources of a company like Facebook, they should make this sort of suicidal crisis chat service available to any of their users — without them first having to publicly come out and post about their suicidal intent.

This a great new resource and we commend both Facebook and the Lifeline for providing it as an option to their users. But the new service has a dark side as well…

5 Things Therapy Won’t Cure

Tuesday, December 6th, 2011

5 Things Therapy Wont CureI’ve extolled the virtues and benefits of psychotherapy for years. But therapy isn’t a cure-all, and it won’t help every person, with every problem, in every situation. In fact, it’s important to realize when going to see a therapist isn’t likely to help your situation much, because it can save you time, money and needless frustration.

Therapists, by their nature, tend to want to help every person who comes through their door. Even well-meaning therapists may not fully appreciate when they are largely going to be ineffectual in treatment because of the type of problem presented. After all, psychotherapy isn’t some magical elixir. Talking about some topics simply won’t do much to help the situation.

Here are five things that psychotherapy won’t help you much with.

Bad Habits of Inconsiderate Doctors and Therapists

Wednesday, November 30th, 2011

Bad Habits of Inconsiderate Doctors and TherapistsMost of us have had direct experience with seeing a doctor or therapist, whether it’s for a checkup or some sort of problem we’ve identified. Some docs are a pleasure to see. I once had the kindest physician who was the epitome of an old-fashioned French country doctor. I’m not sure if he was my best doctor ever (he tended to treat my concerns with a “wait and see” attitude), but he certainly had a fantastic bedside manner and never kept me waiting more than a few minutes.

I appreciated that even more when I went to see my most recent doctor. He was far more gruff, business-like, and running more than 20 minutes late for our appointment. He didn’t apologize for keeping me waiting, and while he listened to my family history with detached professionalism, he went through his canned speech about needing to exercise regularly and other kinds of things with the kind of empty delivery you find in a person who’s said the same thing so many times it has lost all meaning.

Doctors and therapists both can keep bad habits, and they are the kinds of things that turn patients off from them. Patients rarely feel it’s appropriate to address these bad habits directly with the doctor (especially if they intend to keep seeing them), so it was with some relief I came across Dr. Dominic Carone’s blog entry about the “10 ways doctors can lose their patients.”

A Dangerous Method Movie Starts Today

Wednesday, November 23rd, 2011

What happens when history collides at the intersection of psychoanalysts Sigmund Freud and Carl Jung over a woman (who also happens to be Jung’s patient)?

Find out today with the release of the new David Cronenberg (A History of Violence) flick, A Dangerous Method. It’s opening in New York at The Sunshine and Lincoln Plaza and in LA at the Arclight Hollywood and The Landmark.

The movie centers around the relationship between Jung and Freud after the young Dr. Jung (Michael Fassbender) takes on a new Russian patient, Sabina Spielrein (Keira Knightley). But Jung and his more experienced teacher, Dr. Freud (Viggo Mortensen), both fall under the spell of Sabina, driving a wedge between the two men.

The History of Nude Psychotherapy

Friday, November 18th, 2011

The History of Nude Psychotherapy It all started in 1933 with a paper by Howard Warren, a Princeton psychologist and president of the American Psychological Association, who spent a week at a German nudist camp a year earlier.

According to Ian Nicholson, Professor of Psychology at St. Thomas University in Fredericton, New Brunswick, Canada, in the Journal of the History of the Behavioral Sciences, Warren’s article, “Social Nudism and the Body Taboo,” “was a qualitative and largely sympathetic consideration of the social and psychological significance of nudism.”

Warren “described nudism in therapeutic terms, highlighting the ‘easy camaraderie’ and lack of ‘self-consciousness’ in the nudist park, in addition to a ‘notable improvement in general health,’” along with the principal perspective to return to nature.

Soon after, other articles were published in psychology journals that highlighted the benefits of nudism in contributing to healthy, well-adjusted kids and adults.

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