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  • Wennberg, Peter  (8)
  • 1
    Online Resource
    Online Resource
    Psychotherapy role expectations and experiences – Discrepancy and therapeutic alliance among patients with substance use disorders
    Wiley ; 2014
    In:  Psychology and Psychotherapy: Theory, Research and Practice Vol. 87, No. 4 ( 2014-12), p. 411-424
    Details
    In: Psychology and Psychotherapy: Theory, Research and Practice, Wiley, Vol. 87, No. 4 ( 2014-12), p. 411-424
    Abstract: The main aim of the study was to examine how the discrepancy between role expectations prior to psychotherapy and experiences of ongoing psychotherapy related to therapeutic alliance. We hypothesized that a similarity between patient role expectations and experiences would be associated with a stronger alliance. The study also examined whether different dimensions of psychotherapy role expectations predicted retention in psychotherapy. Design A naturalistic study design was used with data collected prior to therapy and during the first 6 months of therapy. Method Patients with substance use disorders completed the Psychotherapy Expectation Questionnaire‐short version ( PEX ‐S) at the time of therapy assessment. A subsample of these patients ( n  = 41; n  = 24 in individual therapy and n  = 17 in group therapy) provided data from therapy including psychotherapy experiences (also measured with PEX ‐S) and therapeutic alliance, measured with Working Alliance Questionnaire‐short version. Results For patients in group therapy, discrepancy between role expectations and experiences correlated negatively with alliance. Expectations prior to psychotherapy characterized by defensiveness correlated negatively with therapy retention. Conclusion The finding that disconfirmation of patients' role expectations in group therapy were associated with weaker therapeutic alliance highlights the importance of discussing psychotherapy expectations at an early stage in treatment. Expectations characterized by defensiveness predicted worse retention in psychotherapy, which indicates that the PEX ‐S can be helpful in detecting patients at risk for dropout. Practitioner points In targeting a patient's role expectancies prior to treatment, possible discrepancies between patient and therapist are made visible and possible to examine. Clarifying the patient's role expectations and the therapist's rationale might be a first step towards establishing a strong working alliance. Surveying the patient's defensiveness tendencies at the beginning of therapy offers a chance to discuss possible fears and other obstacles concerning therapy. Discrepancy between the patient's role expectations prior to treatment and their actual experiences of psychotherapy render valuable information that can be of use in the therapy process.
    Type of Medium: Online Resource
    ISSN: 1476-0835 , 2044-8341
    URL: Issue
    URL: Article
    DOI: 10.1111/papt.2014.87.issue-4
    DOI: 10.1111/papt.12021
    Language: English
    Publisher: Wiley
    Publication Date: 2014
    detail.hit.zdb_id: 2078933-6
    SSG: 5,2
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  • 2
    Online Resource
    Online Resource
    The importance of therapy motivation for patients with substance use disorders.
    American Psychological Association (APA) ; 2014
    In:  Psychotherapy Vol. 51, No. 4 ( 2014-12), p. 555-562
    Details
    In: Psychotherapy, American Psychological Association (APA), Vol. 51, No. 4 ( 2014-12), p. 555-562
    Type of Medium: Online Resource
    ISSN: 1939-1536 , 0033-3204
    URL: Article
    DOI: 10.1037/a0033360
    Language: English
    Publisher: American Psychological Association (APA)
    Publication Date: 2014
    detail.hit.zdb_id: 2105491-5
    SSG: 5,2
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  • 3
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    Online Resource
    Autistic traits in mentalization‐based treatment for concurrent borderline personality disorder and substance use disorder: Secondary analyses of a randomized controlled feasibility study
    Wiley ; 2020
    In:  Scandinavian Journal of Psychology Vol. 61, No. 3 ( 2020-06), p. 416-422
    Details
    In: Scandinavian Journal of Psychology, Wiley, Vol. 61, No. 3 ( 2020-06), p. 416-422
    Abstract: Autism is suggested to be a dimensional construct and often represents a comorbid state. However, research on the clinical implications of the presence of autistic traits is scarce. This study aimed to investigate the impact of subclinical autistic traits in mentalization‐based treatment (MBT) for concurrent borderline personality disorder (BPD) and substance use disorder (SUD). Based on the data of a randomized controlled feasibility study by Philips, Wennberg, Konradsson, and Franck (2018), secondary analyses were conducted. It was tested, if patients’ ( N  = 46) levels of autistic traits were associated with treatment outcome measured in the course of and after treatment using interviews and self‐report measures. Participants’ autistic traits were not associated with the change in the severity of BPD throughout and at the end of the treatment. However, results showed associations between autistic traits and the change in patients’ consumption of alcohol in the course of MBT. Furthermore, there was an association between autistic traits and the change in mentalizing capacity at the end of MBT, indicating that elevated autistic traits were associated with an improvement in mentalizing capacity. Autistic traits on a subclinical level do not appear to be a complicating factor in MBT for concurrent BPD and SUD. On the contrary, in terms of mentalizing capacity autistic traits might be associated with a larger potential for improvement or facilitate treatment outcome. Further research is needed to explore the role of higher autistic traits in treatment of this special patient group.
    Type of Medium: Online Resource
    ISSN: 0036-5564 , 1467-9450
    URL: Issue
    URL: Article
    DOI: 10.1111/sjop.v61.3
    DOI: 10.1111/sjop.12595
    RVK:
    CL 1000
    Language: English
    Publisher: Wiley
    Publication Date: 2020
    detail.hit.zdb_id: 2022171-X
    SSG: 5,2
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  • 4
    Online Resource
    Online Resource
    Mentalization-Based Treatment for Concurrent Borderline Personality Disorder and Substance Use Disorder: A Randomized Controlled Feasibility Study
    S. Karger AG ; 2018
    In:  European Addiction Research Vol. 24, No. 1 ( 2018), p. 1-8
    Details
    In: European Addiction Research, S. Karger AG, Vol. 24, No. 1 ( 2018), p. 1-8
    Abstract: 〈 b 〉 〈 i 〉 Aims: 〈 /i 〉 〈 /b 〉 There is a scarcity of clinical trials on psychological treatments for concurrent borderline personality disorder (BPD) and substance use disorder (SUD). Mentalization-based treatment (MBT) have shown efficacy in several trials on BPD. The aim of the present study was to examine the feasibility and effectiveness of MBT for concurrent BPD and SUD. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 Patients ( 〈 i 〉 n 〈 /i 〉  = 46) with concurrent BPD and SUD were randomized either to MBT in combination with SUD treatment ( 〈 i 〉 n 〈 /i 〉  = 24) or to SUD treatment alone ( 〈 i 〉 n 〈 /i 〉  = 22). Outcome was measured after 18 months using objective data, as well as interview and self-report measures. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 There was no significant difference between the groups on any outcome variable. No suicide attempts occurred in the MBT group in contrast to 4 suicide attempts that occurred in the control group – a difference that did not reach statistical significance ( 〈 i 〉 p 〈 /i 〉  = 0.06). A majority of the therapists did not show sufficient MBT adherence and quality. 〈 b 〉 〈 i 〉 Conclusion: 〈 /i 〉 〈 /b 〉 MBT for patients with concurrent BPD and SD does not appear to be harmful; on the other hand, it is possibly helpful in reducing the risk involved in suicide attempts.
    Type of Medium: Online Resource
    ISSN: 1022-6877 , 1421-9891
    URL: Article
    DOI: 10.1159/000485564
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2018
    detail.hit.zdb_id: 1482231-3
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  • 5
    Online Resource
    Online Resource
    Psychometric properties of the Affect Phobia Test
    Wiley ; 2016
    In:  Scandinavian Journal of Psychology Vol. 57, No. 5 ( 2016-10), p. 482-488
    Details
    In: Scandinavian Journal of Psychology, Wiley, Vol. 57, No. 5 ( 2016-10), p. 482-488
    Abstract: The aim of this study was to make the first evaluation of the psychometric properties of the Affect Phobia Test, using the Swedish translation – a test developed to screen the ability to experience, express and regulate emotions. Data was collected from a clinical sample ( N  =   82) of patients with depression and/or anxiety participating in randomized controlled trial of Internet‐based affect‐focused treatment, and a university student sample ( N  = 197). The internal consistency for the total score was satisfactory (Clinical sample α = 0.88/Student sample α = 0.84) as well as for all the affective domains, except Anger/Assertion (α = 0.44/0.36), Sadness/Grief (α = 0.24/0.46) and Attachment/Closeness (α = 0.67/0.69). Test retest reliability was satisfactory ( ICC   〉  0.77) for the total score and for all the affective domains except for Sadness/Grief ( ICC   = 0.04). The exploratory factor analysis resulted in a six‐factor solution and did only moderately match the test's original affective domains. An empirical cut‐off between the clinical and the university student sample were calculated and yielded a cut‐off of 72 points. As expected, the Affect Phobia test showed negative significant correlations in the clinical group with measures on depression ( r xy  = −0.229; p  〈   0.01) and anxiety ( r xy  = −0.315; p  〈   0.05). The conclusion is that the psychometric properties are satisfactory for the total score of the Affect Phobia Test but not for some of the test's affective domains. Consequently the domains should not be used as subscales. The test can discriminate between individuals who seek help for psychological problems and those who do not.
    Type of Medium: Online Resource
    ISSN: 0036-5564 , 1467-9450
    URL: Issue
    URL: Article
    DOI: 10.1111/sjop.2016.57.issue-5
    DOI: 10.1111/sjop.12308
    RVK:
    CL 1000
    Language: English
    Publisher: Wiley
    Publication Date: 2016
    detail.hit.zdb_id: 2022171-X
    SSG: 5,2
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  • 6
    Online Resource
    Online Resource
    Young adults' ideas of cure prior to psychoanalytic psychotherapy
    Wiley ; 2007
    In:  Journal of Clinical Psychology Vol. 63, No. 3 ( 2007-03), p. 213-232
    Details
    In: Journal of Clinical Psychology, Wiley, Vol. 63, No. 3 ( 2007-03), p. 213-232
    Type of Medium: Online Resource
    ISSN: 0021-9762 , 1097-4679
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.1002/jclp.v63:3
    DOI: 10.1002/(ISSN)1097-4679
    DOI: 10.1002/jclp.20342
    Language: English
    Publisher: Wiley
    Publication Date: 2007
    detail.hit.zdb_id: 1475037-5
    SSG: 5,2
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  • 7
    Online Resource
    Online Resource
    Young adults in psychoanalytic psychotherapy: Patient characteristics and therapy outcome
    Wiley ; 2006
    In:  Psychology and Psychotherapy: Theory, Research and Practice Vol. 79, No. 1 ( 2006-03), p. 89-106
    Details
    In: Psychology and Psychotherapy: Theory, Research and Practice, Wiley, Vol. 79, No. 1 ( 2006-03), p. 89-106
    Abstract: The aims of this naturalistic study are to present patient characteristics and analyse various outcome measures at termination for psychoanalytic psychotherapies with young adults. Patients ( n =134) between 18 and 25 years were included, of whom 92 received individual and 42 group therapy. One third had a self‐reported personality disorder. The patients were considerably more troubled than Swedish norm groups at intake and they showed improvement on all outcome measures during therapy. However, the post therapy means did not fully reach the norm group means. The largest positive changes (pre‐ versus post‐therapy) were with respect to the patients' overall health and functioning. Changes were more moderate in self‐reported symptoms, self‐concept, and self‐representation, while changes in interpersonal problems and object representations were small. The results of this study are discussed in the context of advantages and disadvantages of naturalistic versus randomized controlled study designs.
    Type of Medium: Online Resource
    ISSN: 1476-0835 , 2044-8341
    URL: Article
    DOI: 10.1348/147608305X52649
    Language: English
    Publisher: Wiley
    Publication Date: 2006
    detail.hit.zdb_id: 2078933-6
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  • 8
    Online Resource
    Online Resource
    Ideas of cure as a predictor of premature termination, early alliance and outcome in psychoanalytic psychotherapy
    Wiley ; 2007
    In:  Psychology and Psychotherapy: Theory, Research and Practice Vol. 80, No. 2 ( 2007-06), p. 229-245
    Details
    In: Psychology and Psychotherapy: Theory, Research and Practice, Wiley, Vol. 80, No. 2 ( 2007-06), p. 229-245
    Type of Medium: Online Resource
    ISSN: 1476-0835
    URL: Article
    DOI: 10.1348/147608306X128266
    Language: English
    Publisher: Wiley
    Publication Date: 2007
    detail.hit.zdb_id: 2078933-6
    SSG: 5,2
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