Conversational model psychotherapy

Korner, Anthony; McLean, Loyola

doi:10.1177/1039856216689649

Cited by 7 publications

(3 citation statements)

References 24 publications

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“…Considering what the conversation produces in the treatment room allows finding useful guidelines for monitoring the therapeutic process. Studies based mainly on qualitative analyses have found the model effective for the treatment of Borderline Personality Disorder (Meares, 2012 ) and other forms of pathology (Korner & McLean, 2017 ; Peräkylä, Antaki, Vehviläinen, & Leudar, 2008 ).…”

Section: The Scientific Attitude Of the Psychotherapist: Need For A Smentioning

confidence: 99%

What research for what training in psychotherapy? Some methodological issues and a proposal

Nuovo

2019

ResPsy

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To define boundaries and links between research and training in psychotherapy we have to establish what kind of research is needed for this purpose. For defining psychotherapy as a science some basic epistemological premises should be affirmed and specific methods have to be devised, using both quantitative and qualitative approaches, diachronic and longitudinal perspectives, cumulative and meta-analytic strategies, focusing both the techniques used in the therapies and the relationship between the therapist subject and the client subject as a core mean for produce change. What should be evaluated in this research process, what methods and techniques of assessment should be preferred, what analyses of data are suitable: these are the main issues addressed in the article, as they are useful for planning the training of a therapist as a researcher, regardless of the privileged theoretical and technical approach. Science and practice have to be connected, since they both allow the monitoring of what occurs within the confines of the therapy and favor exchange among psychotherapists from differing theoretical approaches, which also increases their external visibility in the scientific community and in a wider social context. The goal of fostering scientific attitudes in the psychotherapists needs a specific training, to acquire a research mindedness also out of the academic laboratories. A cooperation among scientific associations and institutions is proposed to reach these objectives necessary for psychotherapists’ trainings including competencies in evaluating and sharing the scientific aspects of their work.

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Section: The Scientific Attitude Of the Psychotherapist: Need For A Smentioning

confidence: 99%

What research for what training in psychotherapy? Some methodological issues and a proposal

Nuovo

2019

ResPsy

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“…The aims of this study were (1) to evaluate DBT in a routine clinical setting and compare it against an active treatment and (2) to compare CM against another therapy for BPD with an established evidence base. CM was selected as the active treatment for this study based on the promising evidence and because it is one of few treatments specifically designed for treatment of BPD that is taught and used in Australia (Korner and McLean, 2017). This study attempted to address some of the limitations identified above.…”

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confidence: 99%

A randomised trial of dialectical behaviour therapy and the conversational model for the treatment of borderline personality disorder with recent suicidal and/or non-suicidal self-injury: An effectiveness study in an Australian public mental health service

Walton

Bendit

Baker

et al. 2020

Aust N Z J Psychiatry

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Objectives: Borderline personality disorder is a complex mental disorder that is associated with a high degree of suffering for the individual. Dialectical behaviour therapy has been studied in the largest number of controlled trials for treatment of individuals with borderline personality disorder. The conversational model is a psychodynamic treatment also developed specifically for treatment of borderline personality disorder. We report on the outcomes of a randomised trial comparing dialectical behaviour therapy and conversational model for treatment of borderline personality disorder in a routine clinical setting. Method: Participants had a diagnosis of borderline personality disorder and a minimum of three suicidal and/or non-suicidal self-injurious episodes in the previous 12 months. Consenting individuals were randomised to either dialectical behaviour therapy or conversational model and contracted for 14 months of treatment ( n = 162 commenced therapy). Dialectical behaviour therapy involved participants attending weekly individual therapy, weekly group skills training and having access to after-hours phone coaching. Conversational model involved twice weekly individual therapy. Assessments occurred at baseline, mid-treatment (7 months) and post-treatment (14 months). Assessments were conducted by a research assistant blind to treatment condition. Primary outcomes were change in suicidal and non-suicidal self-injurious episodes and severity of depression. We hypothesised that dialectical behaviour therapy would be more effective in reducing suicidal and non-suicidal self-injurious behaviour and that conversational model would be more effective in reducing depression. Results: Both treatments showed significant improvement over time across the 14 months duration of therapy in suicidal and non-suicidal self-injury and depression scores. There were no significant differences between treatment models in reduction of suicidal and non-suicidal self-injury. However, dialectical behaviour therapy was associated with significantly greater reductions in depression scores compared to conversational model. Conclusion: This research adds to the accumulating body of knowledge of psychotherapeutic treatment of borderline personality disorder and supports the use of both dialectical behaviour therapy and conversational model as effective treatments in routine clinical settings, with some additional benefits for dialectical behaviour therapy for persons with co-morbid depression.

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CMT is complex and it takes experienced clinicians' years of training and supervised practice before they are able to skilfully conduct it (Korner & McLean, 2017). However, note that additional training and experience in CMT may not necessarily translate into better patient outcomes because the therapist may still use the minute particulars, common to all effective therapies, or they may use a hybrid of different therapeutic models, applied in the therapist's own idiosyncratic way (Erekson, Janis, Bailey, Cattani,

…”

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confidence: 99%

Using the Manga/anime Naruto as Graphic Medicine to Engage Clients in Conversational Model Therapy

Halovic¹

2020

Psychotherapy and Counselling Journal of Australia

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Graphic medicine holds promise for overcoming a client’s initial dismissal of psychotherapeutic treatment by improving their agency in their own treatment. Graphic medicine refers to the use of comics or graphic novels to facilitate the mutual understanding of psychotherapeutic processes, and may be potentially used to stimulate enjoyable discussion of a range of different experiences that may traditionally be difficult to discuss due to clients’ shame, vulnerability, fear of retraumatization, and/or the stigma of mental illness. I outline how the Japanese comic (i.e., manga) and animated film (i.e., anime) series Naruto can be used as graphic medicine for conversational model therapy (CMT), stimulating conversations without triggering the distress underlying a client’s coping mechanisms. Various concepts of CMT will be discussed within the conceptual, linguistical, and metaphorical framework already supplied by Naruto. These therapeutic conversations can potentially amplify the client’s feelings of positive affect for the manga/anime, while still relating with the similarities between their own difficulties and the negative affect portrayed by the characters.

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Conversational model psychotherapy

Cited by 7 publications

References 24 publications

What research for what training in psychotherapy? Some methodological issues and a proposal

What research for what training in psychotherapy? Some methodological issues and a proposal

A randomised trial of dialectical behaviour therapy and the conversational model for the treatment of borderline personality disorder with recent suicidal and/or non-suicidal self-injury: An effectiveness study in an Australian public mental health service

Using the Manga/anime Naruto as Graphic Medicine to Engage Clients in Conversational Model Therapy

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