It's Part 2 of Dan's conversation with Dr. Robert Krueger as they continue to dive deep into the alternative model of personality disorders.

Dr. Krueger is a clinical psychologist and member of the DSM-5 Personality Disorders Workgroup. Dan and Dr. Krueger explore the concept of personality disorders and the alternative model of personality disorders (AMPD). Can personality disorders be seen as extreme versions of regular personality traits, and can these traits have both adaptive and maladaptive features depending on the context? Then, Dr. Krueger goes over the importance of understanding the individual and their goals when working with personality disorders, rather than viewing them as unremittingly pathological.

Special Guest:
Dr. Rober Krueger
HiTop Website
The Personality Inventory for DSM-5 (PID-5)
Practitioner's Guide to the Alternative Model of Personality Disorders

Keywords: personality disorders, DSM-5, clinical case conceptualization, alternative model, AMPD, diagnostic criteria, self-related dysfunction, personality traits, psychiatric classification

Takeaways

Understanding a person's personality is important in clinical case conceptualization.

The decision-making process behind the alternative model for personality disorders involved considering the scientific evidence and the impact on individuals who have already been diagnosed.

The Alternative Model for Personality Disorders (AMPD) includes criterion A (self-related dysfunction) and criterion B (personality traits).

There is a tension between making psychiatric classification more scientifically justifiable and clinically beneficial while considering the impact on individuals.

Self-report measures for criterion A may have limitations, and additional perspectives, such as expert judgments and collateral data, can provide a more comprehensive understanding of personality pathology.

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Join in on another brilliant episode of Psychotherapy & Applied Psychology. This week, Dan is joined by Dr. Robert Krueger and discuss the ongoing studies of personality disorders.

Dr. Krueger is a clinical psychologist and member of the DSM-5 Personality Disorders Workgroup. Dan and Dr. Krueger discuss the importance of understanding a person's personality in clinical case conceptualization as well as the tension between wanting to make psychiatric classification more scientifically justifiable and clinically beneficial. Dr. Krueger provides an overview of the Alternative Model for Personality Disorders (AMPD) and the criteria for diagnosis, as well as the distinction between criterion A (self-related dysfunction) and criterion B (personality traits).

Stay tuned for Part 2!

Special Guest:
Dr. Rober Krueger
HiTop Website
The Personality Inventory for DSM-5 (PID-5)
Practitioner's Guide to the Alternative Model of Personality Disorders

Keywords: personality disorders, DSM-5, clinical case conceptualization, alternative model, AMPD, diagnostic criteria, self-related dysfunction, personality traits, psychiatric classification

Takeaways

Understanding a person's personality is important in clinical case conceptualization.

The decision-making process behind the alternative model for personality disorders involved considering the scientific evidence and the impact on individuals who have already been diagnosed.

The Alternative Model for Personality Disorders (AMPD) includes criterion A (self-related dysfunction) and criterion B (personality traits).

There is a tension between making psychiatric classification more scientifically justifiable and clinically beneficial while considering the impact on individuals.

Self-report measures for criterion A may have limitations, and additional perspectives, such as expert judgments and collateral data, can provide a more comprehensive understanding of personality pathology.

Sound Bites

"I find it hard to do clinical case conceptualization without thinking about a person's personality."

"The DSM exerts a strong kind of way of influencing the way people think about cases and in our culture more broadly."

"The DSM-5 Personality Disorders Workgroup had a number of psychologists involved, which is somewhat unusual."

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Special Guest:
Dr. James Boswell

Society for Psychotherapy Research

Keywords

low motivation, readiness to change, diminished outcome expectations, non-directive approach, motivational interviewing, humanistic principles, ambivalence, transdiagnostic cognitive behavioral therapy, tailor therapy, therapeutic process, client-therapist relationship, matching, therapist selection, outcomes, preferences, routine outcome monitoring, therapist effectiveness, strengths and weaknesses

Takeaways

• Low motivation and readiness to change are related concepts in therapy.
• Therapists should have discussions with clients about their concerns and difficulties with change.
• Motivational interviewing principles and humanistic principles are important in working with clients who are low on motivation.
• Therapists should explore ambivalence about change and therapy, and work on building motivation and hope.
• Transdiagnostic cognitive behavioral therapy combines different disorder-specific treatments into one approach, providing a more efficient and evidence-based therapy.
• Therapists should tailor their approach based on the client's primary problem and explore their expectations and concerns.
• Bringing the therapeutic process into the room and using the client-therapist relationship can be effective in therapy, even when using a cognitive behavioral approach. 
• Matching clients with therapists based on characteristics like race or gender doesn't consistently lead to better outcomes.
• Matching black clients with a strong preference for black therapists can have a positive impact.
• Routine outcome monitoring feedback can be used to identify patterns of therapist effectiveness.
• Matching clients based on therapist outcomes can lead to more effective therapy.
• Therapists have concerns about how outcome data will be used and the potential consequences.
• There is a need for resources and training to help therapists improve in specific areas.
• The use of technology and AI could enhance process research and therapist training.
• The field needs to explore how to make use of session-level data to understand therapist effectiveness.
• Therapists and clients generally support the idea of using data to guide therapist selection.
• There is pushback from therapists who question the validity of outcome data and concerns about being pigeonholed.
• Resources for further exploration include articles by James Boswell and Michael Constantino on context responsive integration and the book 'Responsiveness in Psychotherapy' edited by Watson and Wiseman.

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In this episode of Psychotherapy and Applied Psychology, Dan is joined by Dr. James Boswell as they chat tailoring psychotherapy treatments to clients.

Dan and Dr. Boswell explore the challenges and strategies of tailoring psychotherapy to individual clients. Dr. Boswell discusses his own experiences as a graduate student, the importance of having a supportive mentor and stresses the growing need for empathy and problem-solving when working with overwhelmed graduate students. Dr. Boswell also highlights the significance of collaboration and client preferences in therapy, as well as the role of outcome and process research in tailoring treatment. The two then discuss the use of routine outcome monitoring and the "if-then" approach of therapy.

Stay tuned for Part 2!

Special Guest:
Dr. James Boswell
Society for Psychotherapy Research

Keywords

tailoring psychotherapy, individual clients, challenges, strategies, graduate students, mentorship, empathy, problem-solving, collaboration, client preferences, outcome research, process research, routine outcome monitoring, if-then approach, markers

Takeaways

• Having a supportive mentor is crucial for graduate students who may feel overwhelmed by the demands of their program.
• Tailoring therapy to individual clients involves considering their preferences, expectations, and unique characteristics.
• Outcome research focuses on what works in therapy, while process research explores how and why therapy works.
• Routine outcome monitoring and the if-then approach can help therapists identify markers and adjust treatment accordingly.
• Collaboration and client feedback are essential in tailoring therapy and ensuring its effectiveness.

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On this episode, Dan is once again joined by Dr. Ron Levant

Join in on Part 2 of this amazing episode as Dan and Dr. Levant continue to talk masculinity, mental health, relationships, and societal perceptions. Dr. Levant shares insights on emotional intimacy, stress management, and the impact of masculine norms on mental health. He also discusses his personal journey, trauma, and the evolution of fatherhood. 

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On this episode, Dan is joined by Dr. Ron Levant.

Check out Part 1 of this amazing episode as Dan and Dr. Levant discuss a range of topics including Dr. Levant's work on the Fatherhood Project, the impact of masculine norms on emotional expression, and the development of the Male Role Norms Inventory. He also delves into the concept of normative male alexithymia and its implications for mental health and stress management. Then, Dan and Dr. Levant explore the importance of emotional expression for men and the need for interventions to address normative male alexithymia.

Stay tuned for Part 2!

Special guest: Dr. Ronald F Levant
TheToughStandard.com
Assessing and Treating Emotionally Inexpressive Men - 1st Edition - Ma (routledge.com)
https://www.amazon.com/Psychology-Masculinities-Ronald-Levant-ABPP/dp/1433826909

Keywords: Normative male alexithymia, gender roles, fatherhood, parent education, emotionally inexpressive men

Takeaways
Research on parent education often excludes dads, highlighting the need for father-friendly programs.

Cultural and societal norms play a significant role in shaping gender roles and expectations.

The concept of normative male alexithymia suggests that boys who conform to masculine norms may lose their facial expressivity over time.

Women have played a crucial role in challenging traditional gender roles and gaining financial independence.

Interventions and programs are needed to address emotionally inexpressive men and help them navigate societal expectations.

Sound Bites
"Research is me search."

"Maybe it wasn't that Ron LeVant just sucked at being a father, but that men of my generation had really not been prepared to be hands-on parents."

"We're going to help you become a better dad the way you might've learned a sport like golf or tennis."

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Join in on Part 2 of the conversation with Dan and his guest Dr. Nadya Fouad as they continue to discuss women's career development in this episode of Psychotherapy & Applied Psychology, 

Dr. Fouad joins in from the Counseling Psychology division of the Department of Educational Psychology at the University of Wisconsin. Join Dan and Dr. Fouad as they discuss women's career development, cultural contexts, and the impact of societal changes on career choices. In Part 1, they delve into the challenges of balancing work and family, the evolution of women's roles in the workforce, the intersectionality of gender, race, and relationship dynamics that adds complexity to women's career development, and so much more!

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In this episode of Psychotherapy & Applied Psychology, Dan is joined by Dr. Nadya Fouad as they discuss women's career development.

Dr. Fouad joins in from the Counseling Psychology division of the Department of Educational Psychology at the University of Wisconsin. Join Dan and Dr. Fouad as they discuss women's career development, cultural contexts, and the impact of societal changes on career choices. In Part 1, they delve into the challenges of balancing work and family, the evolution of women's roles in the workforce, the intersectionality of gender, race, and relationship dynamics that adds complexity to women's career development, and so much more!

Keep an eye out for Part 2 next week!

Special Guest:
Dr. Nadya Fouad

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In this conversation, Dan chats with Dr. Ken miller about his work in the area civilian mental health in war zones.

In this conversation, Dr. Miller discusses his journey from studying adolescent suicide to working with refugees affected by armed conflict. Dr. Miller explains the importance of addressing both war-related trauma and day-to-day stressors in the lives of civilians affected by war. He highlights the need to prioritize parents' well-being in interventions and shares an example of a stress management technique called counting the breath. Miller emphasizes the impact of these interventions on improving parents' mental health and parenting practices. In this conversation, Dr. Miller discusses stress management techniques, mindfulness, and deescalation techniques that can be used to manage triggers and maintain emotional well-being. He emphasizes the importance of addressing the social determinants of distress and creating supportive environments for children. Dr. Miller also shares his experiences working with fathers and the impact they have on their children's development. He highlights the need for practitioners to go beyond individual therapy and consider the larger social and cultural contexts when working with refugees and immigrants. Lastly, Dr. Miller reflects on the ongoing conflicts in Ukraine and Gaza and the importance of creating safety and ending the Israel-Palestine war for healing to occur.

Links to Dr. Miller's work:
Book: War Torn
Book: The Mental Health of Refugees
Film: Unholy Ground
Blog: The Refuge Experience
Blog: Dispatches from the Field: War, Culture, and Mental Health
Connect with Ken on LinkedIn
See Dr. Miller's Academic Work

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In this conversation, Dan  chats with Dr. Matthew Large about his experiences in the field of mental health, his research on suicide prediction, and how Suicide Risk Assessment can often times be ineffective. 

Dan and Dr. Large dive into a number of hard-hitting  topics in this 7th episode: the challenges of balancing clinical work and research, the limitations of Suicide Risk Assessment, and more! Dr. Large shares personal stories on their career and what led  to a life in medicine and psychiatry. They also touch on the progress and changes in the field of mental health, including the closure of asylums and the improvement in the treatment of mental illness. The conversation explores the limitations of suicide risk assessment and the over-reliance on categorizing patients as high or low risk. Dr. Large touches on how risk assessment tools have modest predictive abilities and that suicide is a complex and unpredictable phenomenon. Dan and Dr. Large suggest that clinicians should prioritize building rapport with patients and providing individualized care rather than relying solely on risk assessment.

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