Abstract:
PURPOSE OF REVIEW:This review provides an overview of the state of research on alliance ruptures and resolutions in the treatment of personality disorders (PDs). We discuss frequently used instruments to measure alliance ruptures and resolutions. We discuss the effectiveness of rupture resolution processes and highlight possible avenues for research to explore. Innovative assessments with the potential to reveal the link of ruptures and resolutions and mechanisms of psychotherapeutic change are discussed. RECENT FINDINGS:The assessment of alliance rupture and resolutions is heterogeneous. Instruments vary largely with respect to a direct or indirect assessment, the time resolution of assessment (integral therapy, phase, session, event), session sampling strategy and perspectives (patient, therapist, observer). The heterogeneity in the instruments and study designs impedes comparability and interpretation of the findings. Results support the hypothesis that ruptures are more frequent in PD. Results also point towards beneficial effects of rupture resolution patterns, early alliance quality, and resolution complexity. Few studies control findings for pretreatment factors. Evidence points to the direction that rupture resolution processes can be considered a general principle of change in the treatment of PD. The concept of alliance ruptures and resolutions provides a useful tool for the management of the therapeutic alliance and its moments of deteriorations throughout the treatment course. Dimensional pretreatment personality functioning is considered a key variable in future studies to highlight what works for whom.
journal_name
Curr Psychiatry Repjournal_title
Current psychiatry reportsauthors
Schenk N,Fürer L,Zimmermann R,Steppan M,Schmeck Kdoi
10.1007/s11920-020-01212-wsubject
Has Abstractpub_date
2020-12-11 00:00:00pages
1issue
1eissn
1523-3812issn
1535-1645pii
10.1007/s11920-020-01212-wjournal_volume
23pub_type
杂志文章,评审abstract::In May 2013 the APA will release DSM-5, which will restructure the diagnostic classification for autism spectrum disorders (ASDs) into a single category. The proposed changes in DSM-5 aim to better reflect the current state of research by consistently identifying the core features in social/communication and restricti...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-012-0327-2
更新日期:2012-12-01 00:00:00
abstract::Insomnia is one of the most common complaints of US armed service members. Diagnosis and treatment of insomnia in active duty and veteran populations are often complicated by comorbid disorders experienced by military personnel, such as post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI). Cognitive ...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-015-0622-9
更新日期:2015-10-01 00:00:00
abstract::Joint hypermobility (JH) is considered a common benign, hereditary, overlap, connective tissue disorder with a prevalence in the general population of about 10% in European populations and 25% in other ethnic groups. JH shows an association with mitral valve prolapse and fibromyalgia. However, the most significant and...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-010-0164-0
更新日期:2011-02-01 00:00:00
abstract::"Food addiction" is an emerging area, and behavioral and biological overlaps have been observed between eating and addictive disorders. Potential misconceptions about applying an addiction framework to problematic eating behavior may inhibit scientific progress. Critiques of "food addiction" that focus on descriptive ...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-015-0563-3
更新日期:2015-04-01 00:00:00
abstract:PURPOSE OF REVIEW:We review recent and growing evidence that provides support for a novel parasomnia, trauma associated sleep disorder (TASD). Based on these findings, we further develop the clinical and polysomnographic (PSG) characteristics of TASD. We also address factors that precipitate TASD, develop a differentia...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-019-1066-4
更新日期:2019-08-13 00:00:00
abstract:PURPOSE OF REVIEW:This paper aims to acquaint child and adolescent psychiatrists with the field of pharmacogenomics (PGX) and review the most up-to-date evidence-based practices to guide the application of this field in clinical care. RECENT FINDINGS:Despite much research being done in this area, the field of PGX cont...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-020-01145-4
更新日期:2020-05-06 00:00:00
abstract:PURPOSE OF REVIEW:As rates of suicide continue to rise, there is urgent need for innovative approaches to better understand, predict, and care for those at high risk of suicide. Numerous mobile and sensor technology solutions have already been proposed, are in development, or are already available today. This review se...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-018-0914-y
更新日期:2018-06-28 00:00:00
abstract::The comorbidity of anxiety disorders with pain has received little research attention even though recent studies show that these disorders are as likely to co-occur with chronic pain conditions as depressive disorder. Comorbid anxiety has implications for the impact and outcome of pain conditions. Even though it may b...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-008-0051-0
更新日期:2008-08-01 00:00:00
abstract::Relapse is a highly prevalent phenomenon in addiction. This paper examines the new research on identifying biological factors that contribute to addiction relapse risk. Prospective studies examining relapse risk are reviewed, and clinical, biological, and neural factors that predict relapse risk are identified. Clinic...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-011-0224-0
更新日期:2011-10-01 00:00:00
abstract::The field of neuroimaging of attention-deficit/hyperactivity disorder (ADHD) is now 30 years old. This brief selective review highlights the increasing sophistication of recent structural and functional neuroimaging studies of ADHD. In volumetric studies, investigators are examining extra-frontal, as well as frontal-s...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-007-0052-4
更新日期:2007-10-01 00:00:00
abstract::The search for an effective psychopharmacologic strategy in the treatment of anorexia nervosa (AN) has been elusive for decades and has run the gamut from reserpine to typical antipsychotics, to lithium, to tetrahydrocannabinol, to growth hormone, to anticonvulsants, to antidepressants, to atypical antipsychotics. Onl...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-012-0287-6
更新日期:2012-08-01 00:00:00
abstract::A microdeletion at chromosome 22q11 is the most frequently known interstitial deletion found in humans, occurring in approximately one of every 4000 live births. Its occurrence is associated with a characteristic facial dysmorphology, a range of congenital abnormalities, and psychiatric problems, especially schizophre...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-004-0062-4
更新日期:2004-06-01 00:00:00
abstract::Empathy is an important psychological process that facilitates human communication and interaction. Enhancement of empathy has profound significance in a range of applications. In this paper, we review emerging directions of research on computational analysis of empathy expression and perception as well as empathic in...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-016-0682-5
更新日期:2016-05-01 00:00:00
abstract:PURPOSE OF REVIEW:We review recent research addressing neurocognitive and information processing abnormalities in posttraumatic stress disorder (PTSD), including studies informing direction of causality. We additionally consider neurocognition in the context of co-morbid mild traumatic brain injury (TBI) and psychosoci...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-018-0964-1
更新日期:2018-09-17 00:00:00
abstract::Children's and adolescent's use of computer games and videogames is becoming highly popular and has increased dramatically over the last decade. There is growing evidence of high prevalence of addiction to computer games and videogames among children, which is causing concern because of its harmful consequences. There...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-012-0311-x
更新日期:2012-10-01 00:00:00
abstract::The fifth revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) includes in its research appendix a potential new diagnosis-Internet gaming disorder. This article outlines the debate surrounding non-substance addictions and the rationale for including this condition in the "Conditions for Furth...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-015-0610-0
更新日期:2015-09-01 00:00:00
abstract::Cocaine dependence continues to be a significant public health problem in the United States. The number of regular cocaine users has not declined significantly in the United States since 1992. Although counseling remains the treatment of choice for cocaine dependence, many cocaine-dependent patients do not respond com...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-010-0143-5
更新日期:2010-10-01 00:00:00
abstract::Musical hallucinations have been described in numerous neurologic and psychiatric patients, but their pathophysiologic background is not understood. Analyzing the published cases, five subgroups can be separated according to their etiology: hypacusis, psychiatric disorders, focal brain lesions, epilepsy, and intoxicat...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-006-0024-0
更新日期:2006-06-01 00:00:00
abstract::The biology and treatment of premenstrual tension syndrome has advanced significantly in the past 30 years. Newer research expands on earlier literature that has been accumulated before 1972. This review selectively considers this earlier literature, because it defines the nature and impact of what was then considered...
journal_title:Current psychiatry reports
pub_type: 历史文章,杂志文章
doi:10.1007/s11920-002-0068-8
更新日期:2002-12-01 00:00:00
abstract::Over the last several years, there has been a substantial increase in the number of publications reporting on Internet interventions for mental health and addictions. This paper provides a summary of the recent research on Internet interventions for the most common mental health and addictions concerns-depression, anx...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-014-0521-5
更新日期:2014-12-01 00:00:00
abstract::In the past three decades, there has been an exponential increase in the worldwide availability of Internet access and devices that are able to access online materials. This literature review investigated whether increased accessibility of Internet child pornography (CP) increases the risk of in-person child sexual ex...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-016-0707-0
更新日期:2016-08-01 00:00:00
abstract::The central characteristics of borderline personality disorder (BPD) are bound to be associated with the development and maintenance of couple dysfunction. Although seven of the nine diagnostic criteria of BPD in the DSM-IV-TR refer directly to interpersonal functioning, very few empiric studies have addressed the exa...
journal_title:Current psychiatry reports
pub_type: 杂志文章
doi:10.1007/s11920-009-0009-x
更新日期:2009-02-01 00:00:00
abstract::There has been a recent acceleration in the development and testing of programs for computer-assisted cognitive-behavioral therapy (CCBT). Programs are now available for treatment of depression, anxiety disorders, and other psychiatric conditions. Technology for delivery of CCBT includes multimedia programs, virtual r...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-010-0152-4
更新日期:2010-12-01 00:00:00
abstract::Although initial reports of genetic contributions to personality dimensions were promising, continued empirical support remains controversial. The focus has largely revolved around polymorphisms of the serotonin transporter gene-linked polymorphic region and the D4 dopamine receptor subtype. Equivocal findings likely ...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-005-0028-1
更新日期:2005-03-01 00:00:00
abstract:PURPOSE OF REVIEW:The goal of this paper is to provide a history of psychological theories, research, and treatment of male sex offenders from the onset of modern approaches that emerged in the 1960s up to the present time. The questions addressed in this paper primarily concern the reasons and justifications for the o...
journal_title:Current psychiatry reports
pub_type: 历史文章,杂志文章,评审
doi:10.1007/s11920-018-0920-0
更新日期:2018-07-21 00:00:00
abstract:PURPOSE OF REVIEW:The aim of the present review is to systematically examine published data regarding ecological momentary assessment (EMA) in children and adolescents with mood disorders. RECENT FINDINGS:EMA is increasingly used to collect participant's information in their real environment and in real time. There ar...
journal_title:Current psychiatry reports
pub_type: 杂志文章
doi:10.1007/s11920-018-0913-z
更新日期:2018-08-01 00:00:00
abstract:PURPOSE OF REVIEW:Artificial intelligence (AI) technology holds both great promise to transform mental healthcare and potential pitfalls. This article provides an overview of AI and current applications in healthcare, a review of recent original research on AI specific to mental health, and a discussion of how AI can s...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-019-1094-0
更新日期:2019-11-07 00:00:00
abstract::Frontotemporal dementia (FTD) is a clinically distinct disorder that is under-recognized. A primary focus of recent research has been to delineate neuropsychiatric features that best discriminate FTD from other dementias, and to identify test instruments that elicit differentiating characteristics most effectively. Ad...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-999-0015-z
更新日期:1999-10-01 00:00:00
abstract::Effective treatments for co-occurring schizophrenia and substance abuse have emerged over the past 15 years. They involve integration and melding of mental health and substance abuse treatments, helping people to acquire the skills and supports they need to manage both illnesses and to pursue functional goals, and a c...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-996-0037-8
更新日期:2001-10-01 00:00:00
abstract:PURPOSE OF REVIEW:The purpose of this review is to provide a theoretical explanation and a review of the recent literature concerning the role of neuroactive steroids in perinatal depression, and to use this information to suggest future directions of research. RECENT FINDINGS:The bulk of the evidence on neuroactive s...
journal_title:Current psychiatry reports
pub_type: 杂志文章,评审
doi:10.1007/s11920-018-0937-4
更新日期:2018-08-09 00:00:00