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Background A growing body of research highlights the limitations of traditional methods for studying the process of change in psychotherapy. The science of complex systems offers a useful paradigm for studying patterns of psychopathology and the development of more functional patterns in psychotherapy. Some basic principles of change are presented from subdisciplines of complexity science that are particularly relevant to psychotherapy: dynamical systems theory, synergetics, and network theory. Two early warning signs of system transition that have been identified across sciences (critical fluctuations and critical slowing) are also described. The network destabilization and transition (NDT) model of therapeutic change is presented as a conceptual framework to import these principles to psychotherapy research and to suggest future research directions. Discussion A complex systems approach has a number of implications for psychotherapy research. We describe important design considerations, targets for research, and analytic tools that can be used to conduct this type of research. Conclusions A complex systems approach to psychotherapy research is both viable and necessary to more fully capture the dynamics of human change processes. Research to date suggests that the process of change in psychotherapy can be nonlinear and that periods of increased variability and critical slowing might be early warning signals of transition in psychotherapy, as they are in other systems in nature. Psychotherapy research has been limited by small samples and infrequent assessment, but ambulatory and electronic methods now allow researchers to more fully realize the potential of concepts and methods from complexity science.

IntroductionTherapeutic alliance is the key to ensure adequate and sustainable care in psychiatry.The therapeutic alliance has been the subject of a great deal of psychotherapy research, and evidence from numerous empirical studies suggests that a strong patient-therapist relationship predicts favorable treatment outcomes and continues to be regarded as an important aspect of the therapeutic processObjectivesThe purpose of this studie is to evaluate how the development of therapeutic alliance dimensions was associated with srelapses prevention.MethodsThis is a prospective, observational, cross-sectional study, carried out in the department of addictology at Ar-razi hospital in Salé using a therapeutic alliance measurement scale, and evaluating relapses’ frequency and duration of abstinence. The therapeutic alliance (TA) score was measured using Working Alliance Inventory.ResultsThe results call upon the concepts of anomie and attachment, which seem to play an important role in the follow-up and prevention of relapses, indicating the need for a global approach to care and the involvement of health and social professionals, where empathy must find its place.ConclusionsDecades of psychotherapy research suggest that the strength of the relationship between patient and therapist is a common factor that is associated with treatment response. In the context of relapses specifically, most of the studies reviewed found evidence for a significant alliance-outcome relationship.Disclosure of InterestNone Declared

\"Research is vital in moving the field of family therapy forward, but the myriad of possibilities inherent in working with systems and individuals can overwhelm even the most seasoned researcher. Advanced Methods in Family Therapy Research is the best resource to address the day-to-day questions that researchers have as they investigate couples and families, and the best source for learning long-term theory and methodology. The contributors of this volume share their wisdom on a wide variety of topics including validity concerns, measuring interpersonal process and relational change, dyadic data analysis (demonstrated through a sample research study), mixed methods studies, and recruitment and retention. The volume contains one of the most detailed descriptions of data collections and covers interviewing, using questionnaires, and observing brain activity. Also addressed are suggestions to meaningfully reduce cultural bias, to conduct ethical research, and, in the Health Services Research chapter, to examine interventions for clients in various income brackets. A separate, ground-breaking chapter also addresses psychophysiological research in a couple and family therapeutic context. As an added benefit, readers will learn how to become informed consumers of journal articles and studies, how to produce quality, publishable research, and how to write fundable grant proposals. Each chapter provides a clear and detailed guide for students, researchers, and professionals, and as a whole Advanced Methods in Family Therapy Research advances the field by teaching readers how to provide evidence that marriage and family therapy not only relieves symptoms, but also effects behavioral change in all family members\"-- Provided by publisher.

The outbreak of the COVID-19 pandemic and associated measures to contain the SARS-CoV-2 coronavirus required a change in treatment format from face-to-face to remote psychotherapy. This study investigated the changes experienced by Austrian therapists when switching to psychotherapy at a distance. A total of 217 therapists participated in an online survey on changes experienced when switching settings. The survey was open from 26 June until 3 September 2020. Several open questions were evaluated using qualitative content analysis. The results show that the setting at a distance was appreciated by the therapists as a possibility to continue therapy even during an exceptional situation. Moreover, remote therapy offered the respondents more flexibility in terms of space and time. Nevertheless, the therapists also reported challenges of remote therapy, such as limited sensory perceptions, technical problems and signs of fatigue. They also described differences in terms of the therapeutic interventions used. There was a great deal of ambivalence in the data regarding the intensity of sessions and the establishment and/or maintenance of a psychotherapeutic relationship. Overall, the study shows that remote psychotherapy seems to have been well accepted by Austrian psychotherapists in many settings and can offer benefits. Clinical studies are also necessary to investigate in which contexts and for which patient groups the remote setting is suitable and where it is potentially contraindicated.

`With the increasing emphasis on conducting research that makes a difference to governmental and other policy organisations, it seems likely that the kinds of methodologies introduced by Timulak will be of growing interest to researchers. In this respect, the book will be at the cutting edge of developments in counselling and psychotherapy research' - Professor Mick Cooper, University of Strathclyde Doing Research in Counselling & Psychotherapy is a guide to methods used in studying the outcomes and processes of therapy. Introducing a range of methodologies which are used internationally, the author describes different research designs and illustrates them through examples of actual studies. Presenting the findings from key studies, he clearly demonstrates the usefulness of the research in therapeutic practice.Doing Research in Counselling & Psychotherapy is ideal for researchers and for students on courses in counselling, psychotherapy, clinical and counselling psychology and psychiatry. Ladislav Timulak is course director of the MSc in Counselling Psychology at Trinity College, Dublin. He previously worked at the University of Trnava, Slovakia, and has extensive practical experience in the field of counselling and psychotherapy, as well as experience in conducting psychotherapy research and training.

The author of Doing Supportive Psychotherapy set out to address a paradox: although conducting psychotherapy is one of the most intimate and exciting things a mental health professional can do, many textbooks on the subject are dull, with formal, stilted dialogue between patient and therapist which prompts the question, \"Does anyone really talk like that?\" This text was designed to be different. In a dynamic, informal style, the book draws the reader in, providing the essential building blocks that are both applicable to any mental health discipline and compatible with any type of psychotherapy. The dozens of case examples presented were taken from actual cases and illustrate a full range of interactions…from the excellent to the seemingly ineffective: all have instructional value. Likewise, the dialogue between therapist and patient is conversational in a realistic way, sometimes eloquent, sometimes not. This approach gives the reader a true sense of the scope of the therapeutic interaction. In addition, the underlying structure of the book is logical and easy to grasp, beginning with the evolution of supportive psychotherapy and ending with a chapter on termination. • The principles of learning to do a psychodynamic formulation are outlined in a step-by-step fashion, making it easy to learn, progress, and practice.• The concepts and techniques explored throughout the book are grounded in the psychotherapy literature, and evidence-based research is cited where relevant.• The book emphasizes that psychotherapy is an inexact science, therapists are human, and the process of therapy is a journey that is constantly changing rather than static. This approach reassures the reader, who feels supported in a \"holding environment\" while learning psychotherapy. • The text is short and sweet, designed to teach essentials and include \"just enough\" to get clinicians started in supportive psychotherapy. • Although the text is targeted at readers on the path toward becoming psychotherapists (social workers, family counselors, psychologists, and psychiatrists), those who don't conduct psychotherapy will find it an essential tool for learning how to understand patients as well as for learning strategies and techniques for keeping a good therapeutic alliance (which inevitably translates into good medication compliance). Doing Supportive Psychotherapy is a brief, spirited book, which functions as both instructional text and paean to psychotherapy. In vigorous, personal prose, the author leaves readers with the message that they are not alone as they venture into the overwhelmingly complex, perplexing, and yet totally wonderful endeavor of the \"talking cure\".