Evaluation and management of the treatment-resistant anxiety disorder patient.

Abstract:

:Effective evaluation and management of patients with anxiety disorders require an integrated theoretical model that predicts risk for the disorder as a consequence of constitutional vulnerability shaped by developmental experience and activated or influenced by environmental factors. From this perspective, the author describes a rational therapeutic strategy with treatment-resistant patients. He particularly urges a careful evaluation of risk factors and associated conditions that may contribute to persisting distress.

journal_name

Bull Menninger Clin

authors

Rosenbaum JF

keywords:

subject

Has Abstract

pub_date

1992-04-01 00:00:00

pages

A50-60

issue

2 Suppl A

eissn

0025-9284

issn

1943-2828

journal_volume

56

pub_type

杂志文章,评审
  • A comprehensive cognitive-behavioral/educational program for schizophrenic patients.

    abstract::Modern treatment of schizophrenia emphasizes pharmacology and nonspecific rehabilitative strategies, but there is renewed interest in psychologically oriented treatments as well. Borrowing from dynamic, cognitive-behavioral, and psychoeducational traditions, the authors describe a program aimed at teaching patients wi...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:

    authors: Gallagher RE,Nazarian J

    更新日期:1995-07-01 00:00:00

  • New directions in family therapy.

    abstract::With maturity, the field of family therapy has shifted from its exclusive focus on the family's current interactional patterns to an increasing emphasis on the individuals who compose the family. This shift has been apparent in therapists' recognition of the impact of chronic mental disorders (e.g., schizophrenia, man...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章,评审

    doi:

    authors: Safier EJ

    更新日期:1992-01-01 00:00:00

  • Interprofessional care improves health-related well-being and reduces medical costs for chronic pain patients.

    abstract::This study evaluated whether patients with somatic symptom disorder, expressing chronic pain that could not be attributed to a medical condition, would benefit from an 8-week inpatient residence at a psychiatric ward. In the 1-year follow-up after termination the authors examined the extent to which the integrated tre...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc_2019_83_01

    authors: Seitz T,Stastka K,Schiffinger M,Rui Turk B,Löffler-Stastka H

    更新日期:2019-04-01 00:00:00

  • Psychodynamic psychotherapy for social phobia: a treatment manual based on supportive-expressive therapy.

    abstract::Social phobia is a very frequent mental disorder characterized by an early onset, a chronic unremitting course, severe psychosocial impairments and high socioeconomic costs. To date, no manual for the psychodynamic treatment of social phobia exists. After a brief description of the disorder, a manual for a short-term ...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.2007.71.1.56

    authors: Leichsenring F,Beutel M,Leibing E

    更新日期:2007-01-01 00:00:00

  • Grief, guilt, and identification in siblings of schizophrenic individuals.

    abstract::In the literature on siblings of schizophrenic individuals, recurrent experiential themes include guilt feelings, a fear of madness in oneself, and a wish to escape the turbulence that surrounds the schizophrenic person. In psychotherapy conducted by the author with three siblings of schizophrenic individuals, the sib...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:

    authors: Titelman D

    更新日期:1991-01-01 00:00:00

  • Self-comforting strategies used by adolescents.

    abstract::Two hundred sixty-four adolescents were surveyed in order to study the kinds and frequencies of self-comforting strategies they use. Fifty prompts with space to identify additional ones were provided. Significant differences were reported as determined by two-tailed t-tests. Gender was discriminating in both choice an...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.66.3.259.23369

    authors: Horton PC

    更新日期:2002-07-01 00:00:00

  • Psychotherapists who transgress sexual boundaries with patients.

    abstract::The causes of therapist-patient sex are complex and multidetermined. Efforts to understand why psychotherapists transgress sexual boundaries are hampered by the lure of reductionism and oversimplification. Most of those who examine this issue would prefer to categorize all such therapists as "bad" and "corrupt" as a w...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:

    authors: Gabbard GO

    更新日期:1994-01-01 00:00:00

  • The threshold of the male Oedipus complex.

    abstract::The transition into the male Oedipus complex is complicated by the fact that there is no "change of object" as in female development. For the boy, the mother is both the object of preoedipal attachment to an omnipotent internal object and of oedipal desire for an external whole object. The psychological-interpersonal ...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:

    authors: Ogden TH

    更新日期:1989-09-01 00:00:00

  • An update on sleep disorders.

    abstract::Sleep disorders are so common that approximately 38% of the general population complains about a current sleep problem and 52% complains about a current or past sleep problem. Psychiatric factors are prominent in virtually all sleep disorders, either as primary factors (insomnia and adult parasomnias) or as significan...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章,评审

    doi:

    authors: Manfredi RL,Vgontzas A,Kales A

    更新日期:1989-05-01 00:00:00

  • Real time functional MRI training to decrease motion in imaging studies: Lack of significant improvement.

    abstract::Functional magnetic resonance imaging (fMRI) is widely used to study brain circuitry in healthy controls and in psychiatry. A major problem of fMRI studies is motion, which affects the quality of images, is a major source of noise, and can confound data if, for example, the experimental groups move differently. Despit...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.2016.80.4.348

    authors: Lal TM,Baldwin PR,Cai MB,Savjani RR,Eagleman DM,Ress D,Salas R

    更新日期:2016-10-01 00:00:00

  • Mentalizing in the psychotherapy of a disturbed adolescent girl.

    abstract::The author traces some of the literature related to such concepts as the development of the therapeutic alliance and collaboration in the inpatient and residential psychiatric treatment of disturbed adolescents. The more recently developed concept of "mentalization" is discussed, especially with its relevance to the p...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.67.2.150.23442

    authors: O'Malley F

    更新日期:2003-04-01 00:00:00

  • A self-report measure to screen for trauma history and its application to women in inpatient treatment for trauma-related disorders.

    abstract::The authors developed the Trauma History Screen to screen for potentially traumatic events in women admitted for specialized treatment of trauma-related disorders. The questionnaire contains 14 items assessing commonly occurring traumas, and respondents indicate the frequency with which they have experienced the traum...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:

    authors: Allen JG,Huntoon J,Evans RB

    更新日期:1999-07-01 00:00:00

  • Self psychology conceptualization of postpsychotic depression and recovery among paranoid schizophrenic patients.

    abstract::Many psychoanalysts have offered innovative ideas on the treatment of schizophrenic patients, but none on postpsychotic depression. The author presents a psychoanalytic conceptualization of postpsychotic depression based on Kohut's ideas regarding the development of normal and pathological grandiosity. The main premis...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.2014.78.1.70

    authors: Potik D

    更新日期:2014-01-01 00:00:00

  • Relational trauma: using play therapy to treat a disrupted attachment.

    abstract::Caregiver-child attachment results in a cognitive-emotional schema of self, other, and self-other relationships. Significantly disrupted attachments may lead to pathogenic internal working models, which may have deleterious consequences; this indicates the need for early attachment intervention. The authors consider t...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.2013.77.3.250

    authors: Anderson SM,Gedo PM

    更新日期:2013-07-01 00:00:00

  • Unrequited love and the wish to kill. Diagnosis and treatment of borderline erotomania.

    abstract::The author hypothesizes that erotomania, or de Clérambault's syndrome, occurs in two forms: the clinically accepted delusional erotomania, in which patients believe that another person is in love with them; and borderline erotomania, in which no delusion is present, yet an extreme disorder of attachment is apparent in...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:

    authors: Meloy JR

    更新日期:1989-11-01 00:00:00

  • The transformation of affect in posttraumatic nightmares.

    abstract::The author questions the classical psychoanalytic assumptions that anxiety in posttraumatic nightmares arises from the same conflict represented in the manifest content of the nightmare, that such nightmares have no latent content, and that the day residue is insignificant. Such assumptions obscure the function of the...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:

    authors: Lansky MR

    更新日期:1991-10-01 00:00:00

  • Clinical assessment of crying and crying inhibition based on attachment theory.

    abstract::Crying is attachment behavior triggered in infancy by separation and throughout life by loss. Adult crying, as reported and demonstrated in psychotherapy, reflects the quality of early attachment experiences as well as current adult bonds. Specific instances, as well as overall patterns, of crying and inhibited crying...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章,评审

    doi:

    authors: Nelson JK

    更新日期:2000-10-01 00:00:00

  • Developing a therapeutic alliance in the hospital treatment of disturbed adolescents.

    abstract::Establishing a working therapeutic relationship with psychiatrically hospitalized adolescents presents special challenges to the hospital treatment team. Many adolescent patients deny their problems or any responsibility for them, and defy efforts to engage them in active collaboration. However, once the treatment tea...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:

    authors: O'Malley F

    更新日期:1990-01-01 00:00:00

  • Preliminary evidence of the effectiveness of acceptance and commitment therapy for death anxiety in Iranian clients diagnosed with obsessive-compulsive disorder.

    abstract::The authors investigated the effectiveness of acceptance and commitment therapy (ACT) for the treatment of death anxiety and obsessive-compulsive disorder (OCD) with eight adult women in Iran. The ACT protocol was conducted in weekly solo sessions with each participant for 8 weeks (45 minutes each). The results were a...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.2020.84.suppA.1

    authors: Davazdahemami MH,Bayrami A,Petersen JM,Twohig MP,Bakhtiyari M,Noori M,Kheradmand A

    更新日期:2020-10-01 00:00:00

  • Music therapy in grief resolution.

    abstract::The multifaceted nature of grief and the enormous variation in individual clients' responses to losses make it necessary for therapists to have wide background knowledge and well-developed skills in counseling and/or psychotherapy. The author describes an innovative method of facilitating grief resolution using precom...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:

    authors: Bright R

    更新日期:1999-10-01 00:00:00

  • Discovering self through other: infants' preference for social contingency.

    abstract::Infants' early self-knowledge is acquired most readily in social interactions, because others respond to infants in contingent ways. Recent findings are described, which indicate that infants are sensitive not only to social contingency early in life but also to particular levels of social contingency found in their p...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章,评审

    doi:10.1521/bumc.65.3.335.19852

    authors: Bigelow AE

    更新日期:2001-07-01 00:00:00

  • Psychodynamic and cognitive mechanisms of change in adult therapy: a pilot study.

    abstract::To examine the effects of the patient-level mechanisms of change postulated by cognitive-behavioral theory and psychodynamic theory, thirty-three patients in eclectic therapy completed questionnaires at two time points. Decreases in automatic thoughts and immature defenses were each associated with lower symptoms, and...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.2005.69.3.206

    authors: Coleman D

    更新日期:2005-07-01 00:00:00

  • Metacognitive therapy for obsessive-compulsive disorder: A case report.

    abstract::Obsessive-compulsive disorder (OCD) is a common and disabling disorder. The most effective psychological treatment for OCD is currently exposure with response prevention (ERP). Although ERP is an effective therapy, recovery rates are relatively modest, so there is room for improvement. Metacognitive therapy (MCT) for ...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.2018.82.4.375

    authors: Melchior K,Franken IHA,van der Heiden C

    更新日期:2018-10-01 00:00:00

  • A psychoanalytically oriented combined treatment approach for severely disturbed borderline patients: the Athens project.

    abstract::A psychoanalytically oriented combined treatment is considered beneficial for severely disturbed borderline patients, especially during an acute crisis. The proposed treatment comprises hospitalization and specialized psychotherapeutic inpatient treatment, individual psychoanalytic psychotherapy, and psychiatric manag...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.68.4.337.56640

    authors: Vaslamatzis G,Coccossis M,Zervis C,Panagiotopoulou V,Chatziandreou M

    更新日期:2004-10-01 00:00:00

  • Mourning, insight, and reduction of suicide risk in schizophrenia.

    abstract::Literature on the assessment of suicide risk in individuals with schizophrenia is summarized, including the risk factors shared in common with the general population, illness-specific risk factors, and times of heightened risk in the course of the illness. Because depression emerges as a significant risk factor, it is...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.68.3.231.40405

    authors: Lewis L

    更新日期:2004-07-01 00:00:00

  • Examining the effects of accommodation and caregiver burden on relationship satisfaction in caregivers of individuals with OCD.

    abstract::Obsessive-compulsive disorder (OCD) is a debilitating condition that does not always respond well to treatment. People with OCD often require a great deal of assistance from caregivers or family members, which is referred to as family accommodations. Caregivers may experience a great deal of stress, depression, and ot...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.2015.79.1.1

    authors: Lee E,Steinberg D,Phillips L,Hart J,Smith A,Wetterneck C

    更新日期:2015-01-01 00:00:00

  • Experience is a biochemical intervention: reconceptualizing the "biologically based mental illness".

    abstract::Empirical evidence challenges the discriminant validity of the "biologically based mental illness" (BBMI) construct. Data indicate that interventions such as psychotherapy, placebo, and medication yield similar changes in brain function when effective. Drug and brain imaging studies show that psychological and biochem...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.69.2.157.66506

    authors: Seidel JA

    更新日期:2005-04-01 00:00:00

  • Preliminary evidence of biased attentional mechanisms and reward processing in adults with obsessive-compulsive disorder.

    abstract::Individuals with obsessive-compulsive-disorder (OCD) may have difficulties in using feedback from rewarding and punishing experiences to optimally guide future decisions. The current aim was to examine how adults with OCD use associative learning feedback to direct attention toward learned stimuli when the action-outc...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.2019.83.2.128

    authors: O'Brien JL,Jacob ML,King M

    更新日期:2019-04-01 00:00:00

  • Integration of psychoanalytic concepts in the formulation and management of hospitalized psychiatric patients.

    abstract::Although psychoanalysis and psychodynamic psychotherapy have flourished theoretically and in practice for an increasingly widespread population of patients, the mental health professions have in recent decades experienced a hegemony of managed care, a preoccupation with pharmacological approaches at the expense of psy...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章

    doi:10.1521/bumc.2013.77.1.23

    authors: Steinberg PI,Cochrane D

    更新日期:2013-01-01 00:00:00

  • Anxiety disorders in women.

    abstract::Existing research indicates that anxiety disorders are three times as common in women as in men. Yet true gender-based research is still in its infancy. The author discusses key areas affecting the occurrence of anxiety disorders in women, including medical conditions, epidemiological and diagnostic perspectives, work...

    journal_title:Bulletin of the Menninger Clinic

    pub_type: 杂志文章,评审

    doi:

    authors: Zerbe KJ

    更新日期:1995-04-01 00:00:00