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<title><![CDATA[Online First Publication: Journal of Psychotherapy Integration]]></title>
<description><![CDATA[Journal of Psychotherapy Integration is the official journal of SEPI, the Society for the Exploration of Psychotherapy Integration. The journal is devoted to publishing original peer-reviewed papers that move beyond the confines of single-school or single-theory approaches to psychotherapy and behavior change, and that significantly advance our knoweldge of psychotherapy integration. The journal publishes papers presenting new data, theory, or clinical techniques relevant to psychotherapy integration, as well as papers that review existing work in the area.]]></description>
<link>https://psycnet.apa.org</link>
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<title>Online First Publication: Journal of Psychotherapy Integration</title>
<link>https://psycnet.apa.org</link>
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<lastBuildDate>Mon, 20 Oct 2025 06:09:52 GMT</lastBuildDate>
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<copyright><![CDATA[Copyright 2025 American Psychological Association]]></copyright>
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<item>
<title><![CDATA[Patient racial/ethnic differences in the relative valuing of therapist identity-specific effectiveness data for personalized referrals.]]></title>
<description><![CDATA[Irrespective of theoretical orientation, psychotherapists possess measurement-based effectiveness differences when treating patients with different racial/ethnic identities. Moreover, naturalistic matching of patients to therapists’ identity-specific strengths has demonstrated preliminary efficacy. Underscoring the patient-centeredness of such matching, diverse psychotherapy patients—and especially people of color (POC)—have indicated they would generally value it. Moreover, one study showed that POC were willing to forgo other valued preferences (e.g., receiving preferred treatment and small copay) more or less readily depending on a prospective therapist’s success level in treating past patients with a similar racial/ethnic identity (Constantino et al., 2024). These results placed the valuing of provider effectiveness data in a relative preference context for historically marginalized individuals. However, it is unknown if POC’s relative valuing differs from White individuals, which could further inform personalized treatment decision-making. Accordingly, this exploratory study tested such differences among treatment-familiar adults who identified as White (<em>n</em> = 146) or as POC (<em>n</em> = 162). Drawing on an adapted discounting method, participants generally indicated they would sacrifice other common treatment preferences to see a therapist with a success rate ranging from ∼67%–86% in treating patients with like racial/ethnic identities. Comparatively, POC versus White individuals noted they would require a significantly lower therapist race/ethnicity-specific success rate to sacrifice seeing a more experienced provider, meeting in a convenient location, receiving a preferred treatment, and having a small copay. Results inform how to weigh patients’ multifaceted treatment preferences, including when and for whom to prioritize matching to therapists’ data-driven and race/ethnicity-specific strengths. (PsycInfo Database Record (c) 2025 APA, all rights reserved)]]></description>
<guid isPermaLink="false">https://psycnet.apa.org/record/2026-55870-001</guid>
<pubDate>Thu, 28 Aug 2025 00:00:00 GMT</pubDate>
<dc:title>Patient racial/ethnic differences in the relative valuing of therapist identity-specific effectiveness data for personalized referrals.</dc:title>
<dc:description><![CDATA[Irrespective of theoretical orientation, psychotherapists possess measurement-based effectiveness differences when treating patients with different racial/ethnic identities. Moreover, naturalistic matching of patients to therapists’ identity-specific strengths has demonstrated preliminary efficacy. Underscoring the patient-centeredness of such matching, diverse psychotherapy patients—and especially people of color (POC)—have indicated they would generally value it. Moreover, one study showed that POC were willing to forgo other valued preferences (e.g., receiving preferred treatment and small copay) more or less readily depending on a prospective therapist’s success level in treating past patients with a similar racial/ethnic identity (Constantino et al., 2024). These results placed the valuing of provider effectiveness data in a relative preference context for historically marginalized individuals. However, it is unknown if POC’s relative valuing differs from White individuals, which could further inform personalized treatment decision-making. Accordingly, this exploratory study tested such differences among treatment-familiar adults who identified as White (<em>n</em> = 146) or as POC (<em>n</em> = 162). Drawing on an adapted discounting method, participants generally indicated they would sacrifice other common treatment preferences to see a therapist with a success rate ranging from ∼67%–86% in treating patients with like racial/ethnic identities. Comparatively, POC versus White individuals noted they would require a significantly lower therapist race/ethnicity-specific success rate to sacrifice seeing a more experienced provider, meeting in a convenient location, receiving a preferred treatment, and having a small copay. Results inform how to weigh patients’ multifaceted treatment preferences, including when and for whom to prioritize matching to therapists’ data-driven and race/ethnicity-specific strengths. (PsycInfo Database Record (c) 2025 APA, all rights reserved)]]></dc:description>
<dc:identifier>10.1037/int0000374</dc:identifier>
<dc:type>Journal Article</dc:type>
<content:encoded><![CDATA[<p>Journal of Psychotherapy Integration, Aug 28, 2025, No Pagination Specified; <a href="https://psycnet.apa.org/record/2026-55870-001">doi:10.1037/int0000374</a></p>Irrespective of theoretical orientation, psychotherapists possess measurement-based effectiveness differences when treating patients with different racial/ethnic identities. Moreover, naturalistic matching of patients to therapists’ identity-specific strengths has demonstrated preliminary efficacy. Underscoring the patient-centeredness of such matching, diverse psychotherapy patients—and especially people of color (POC)—have indicated they would generally value it. Moreover, one study showed that POC were willing to forgo other valued preferences (e.g., receiving preferred treatment and small copay) more or less readily depending on a prospective therapist’s success level in treating past patients with a similar racial/ethnic identity (Constantino et al., 2024). These results placed the valuing of provider effectiveness data in a relative preference context for historically marginalized individuals. However, it is unknown if POC’s relative valuing differs from White individuals, which could further inform personalized treatment decision-making. Accordingly, this exploratory study tested such differences among treatment-familiar adults who identified as White (<em>n</em> = 146) or as POC (<em>n</em> = 162). Drawing on an adapted discounting method, participants generally indicated they would sacrifice other common treatment preferences to see a therapist with a success rate ranging from ∼67%–86% in treating patients with like racial/ethnic identities. Comparatively, POC versus White individuals noted they would require a significantly lower therapist race/ethnicity-specific success rate to sacrifice seeing a more experienced provider, meeting in a convenient location, receiving a preferred treatment, and having a small copay. Results inform how to weigh patients’ multifaceted treatment preferences, including when and for whom to prioritize matching to therapists’ data-driven and race/ethnicity-specific strengths. (PsycInfo Database Record (c) 2025 APA, all rights reserved) ]]></content:encoded>
</item>
<item>
<title><![CDATA[Integrating interoceptive interventions in posttraumatic stress disorder and chronic pain treatment: A clinical framework for psychotherapy integration.]]></title>
<description><![CDATA[Current clinical approaches to treating co-occurring posttraumatic stress disorder and chronic pain often address these conditions separately despite their shared underlying mechanisms and interconnected maintenance patterns. Systematically integrating interoceptive awareness and processing interventions into trauma-focused treatments offers a more effective approach to addressing this complex comorbidity. Clinical experience and emerging research suggest that interoceptive integration must be carefully balanced within trauma-focused protocols to enhance rather than impede trauma processing. This perspective outlines how interoceptive approaches can be woven into established trauma-focused treatments while maintaining therapeutic fidelity and avoiding the pitfall of using bodily awareness as an avoidance strategy. Practical considerations are presented for implementing this integrated approach across diverse trauma-focused modalities, with particular attention to assessment, intervention timing, and the challenge of maintaining trauma focus while incorporating interoceptive elements for the treatment of pain. This framework provides clinicians with practical strategies for integrating interoceptive awareness into trauma-focused treatments while highlighting areas requiring further research and development. (PsycInfo Database Record (c) 2025 APA, all rights reserved)]]></description>
<guid isPermaLink="false">https://psycnet.apa.org/record/2026-55874-001</guid>
<pubDate>Mon, 25 Aug 2025 00:00:00 GMT</pubDate>
<dc:title>Integrating interoceptive interventions in posttraumatic stress disorder and chronic pain treatment: A clinical framework for psychotherapy integration.</dc:title>
<dc:description><![CDATA[Current clinical approaches to treating co-occurring posttraumatic stress disorder and chronic pain often address these conditions separately despite their shared underlying mechanisms and interconnected maintenance patterns. Systematically integrating interoceptive awareness and processing interventions into trauma-focused treatments offers a more effective approach to addressing this complex comorbidity. Clinical experience and emerging research suggest that interoceptive integration must be carefully balanced within trauma-focused protocols to enhance rather than impede trauma processing. This perspective outlines how interoceptive approaches can be woven into established trauma-focused treatments while maintaining therapeutic fidelity and avoiding the pitfall of using bodily awareness as an avoidance strategy. Practical considerations are presented for implementing this integrated approach across diverse trauma-focused modalities, with particular attention to assessment, intervention timing, and the challenge of maintaining trauma focus while incorporating interoceptive elements for the treatment of pain. This framework provides clinicians with practical strategies for integrating interoceptive awareness into trauma-focused treatments while highlighting areas requiring further research and development. (PsycInfo Database Record (c) 2025 APA, all rights reserved)]]></dc:description>
<dc:identifier>10.1037/int0000375</dc:identifier>
<dc:type>Journal Article</dc:type>
<content:encoded><![CDATA[<p>Journal of Psychotherapy Integration, Aug 25, 2025, No Pagination Specified; <a href="https://psycnet.apa.org/record/2026-55874-001">doi:10.1037/int0000375</a></p>Current clinical approaches to treating co-occurring posttraumatic stress disorder and chronic pain often address these conditions separately despite their shared underlying mechanisms and interconnected maintenance patterns. Systematically integrating interoceptive awareness and processing interventions into trauma-focused treatments offers a more effective approach to addressing this complex comorbidity. Clinical experience and emerging research suggest that interoceptive integration must be carefully balanced within trauma-focused protocols to enhance rather than impede trauma processing. This perspective outlines how interoceptive approaches can be woven into established trauma-focused treatments while maintaining therapeutic fidelity and avoiding the pitfall of using bodily awareness as an avoidance strategy. Practical considerations are presented for implementing this integrated approach across diverse trauma-focused modalities, with particular attention to assessment, intervention timing, and the challenge of maintaining trauma focus while incorporating interoceptive elements for the treatment of pain. This framework provides clinicians with practical strategies for integrating interoceptive awareness into trauma-focused treatments while highlighting areas requiring further research and development. (PsycInfo Database Record (c) 2025 APA, all rights reserved) ]]></content:encoded>
</item>
<item>
<title><![CDATA[Psychotherapy integration from the bottom up: A unifying, science-based view of psychotherapy’s infrastructure.]]></title>
<description><![CDATA[Fragmentation of the field of psychotherapy carries heavy costs to all stakeholders, yet reaching consensus on core science has remained challenging. The present article adds to existing efforts to consolidate theory by adopting the strategy of zooming in rather than out to identify the infrastructure and science underlying therapeutic action and to suggest how they connect with existing techniques across diverse orientations and therapies. The final targets of psychotherapy—products of information processing in subcortical “survival circuits”—are described as entrenched maladaptive patterns. These are repeatable response patterns that are entrenched (i.e., resistant to change), due in large part to nonconscious appraisal of the aims of psychotherapy as threatening to the maintenance and availability of survival circuits. The logic embodied in survival circuits is determined by schemas, widely recognized as targets of psychotherapy and based on autonomous, nonconscious “thinking fast” cognition. The final steps of psychotherapeutic action are explained by three low-level mechanisms: adding to available responses through new learning, inhibiting responses temporarily through extinction, and bringing about enduring change through memory reconsolidation. Primary requirements for the mechanism of memory reconsolidation are reactivation of maladaptive schemas juxtaposed with provision of disconfirming information in nonverbal form for processing within subcortical structures. These requirements are described as corresponding to techniques widely represented in diverse orientations and therapies. The article describes the art of psychotherapy as using connotative, experiential, and nonverbal communication to support “common factors” while shaping communication to reach subcortical structures where transformative change takes place. (PsycInfo Database Record (c) 2025 APA, all rights reserved)]]></description>
<guid isPermaLink="false">https://psycnet.apa.org/record/2026-48751-001</guid>
<pubDate>Thu, 07 Aug 2025 00:00:00 GMT</pubDate>
<dc:title>Psychotherapy integration from the bottom up: A unifying, science-based view of psychotherapy’s infrastructure.</dc:title>
<dc:description><![CDATA[Fragmentation of the field of psychotherapy carries heavy costs to all stakeholders, yet reaching consensus on core science has remained challenging. The present article adds to existing efforts to consolidate theory by adopting the strategy of zooming in rather than out to identify the infrastructure and science underlying therapeutic action and to suggest how they connect with existing techniques across diverse orientations and therapies. The final targets of psychotherapy—products of information processing in subcortical “survival circuits”—are described as entrenched maladaptive patterns. These are repeatable response patterns that are entrenched (i.e., resistant to change), due in large part to nonconscious appraisal of the aims of psychotherapy as threatening to the maintenance and availability of survival circuits. The logic embodied in survival circuits is determined by schemas, widely recognized as targets of psychotherapy and based on autonomous, nonconscious “thinking fast” cognition. The final steps of psychotherapeutic action are explained by three low-level mechanisms: adding to available responses through new learning, inhibiting responses temporarily through extinction, and bringing about enduring change through memory reconsolidation. Primary requirements for the mechanism of memory reconsolidation are reactivation of maladaptive schemas juxtaposed with provision of disconfirming information in nonverbal form for processing within subcortical structures. These requirements are described as corresponding to techniques widely represented in diverse orientations and therapies. The article describes the art of psychotherapy as using connotative, experiential, and nonverbal communication to support “common factors” while shaping communication to reach subcortical structures where transformative change takes place. (PsycInfo Database Record (c) 2025 APA, all rights reserved)]]></dc:description>
<dc:identifier>10.1037/int0000371</dc:identifier>
<dc:type>Journal Article</dc:type>
<content:encoded><![CDATA[<p>Journal of Psychotherapy Integration, Aug 07, 2025, No Pagination Specified; <a href="https://psycnet.apa.org/record/2026-48751-001">doi:10.1037/int0000371</a></p>Fragmentation of the field of psychotherapy carries heavy costs to all stakeholders, yet reaching consensus on core science has remained challenging. The present article adds to existing efforts to consolidate theory by adopting the strategy of zooming in rather than out to identify the infrastructure and science underlying therapeutic action and to suggest how they connect with existing techniques across diverse orientations and therapies. The final targets of psychotherapy—products of information processing in subcortical “survival circuits”—are described as entrenched maladaptive patterns. These are repeatable response patterns that are entrenched (i.e., resistant to change), due in large part to nonconscious appraisal of the aims of psychotherapy as threatening to the maintenance and availability of survival circuits. The logic embodied in survival circuits is determined by schemas, widely recognized as targets of psychotherapy and based on autonomous, nonconscious “thinking fast” cognition. The final steps of psychotherapeutic action are explained by three low-level mechanisms: adding to available responses through new learning, inhibiting responses temporarily through extinction, and bringing about enduring change through memory reconsolidation. Primary requirements for the mechanism of memory reconsolidation are reactivation of maladaptive schemas juxtaposed with provision of disconfirming information in nonverbal form for processing within subcortical structures. These requirements are described as corresponding to techniques widely represented in diverse orientations and therapies. The article describes the art of psychotherapy as using connotative, experiential, and nonverbal communication to support “common factors” while shaping communication to reach subcortical structures where transformative change takes place. (PsycInfo Database Record (c) 2025 APA, all rights reserved) ]]></content:encoded>
</item>
<item>
<title><![CDATA[Alliance rupture–repair and treatment outcome in youth psychotherapy: A systematic review.]]></title>
<description><![CDATA[While extensive research has investigated alliance rupture–repair processes in adult psychotherapy, there is a need for a better understanding of rupture–repair and its association with outcome in child and adolescent psychotherapy. This study aims to fill this gap and provide the first systematic narrative synthesis of the existing empirical research on the association between alliance rupture–repair processes and therapeutic outcomes among adolescents. This systematic review included six studies. The findings from these studies indicate that successful rupture–repair processes are associated with improved therapeutic outcomes and reduced dropout rates. These results should be interpreted with caution because of the limited number of studies, small sample sizes, methodological limitations, and observed heterogeneity. This review also highlights a significant research gap in child therapy on this topic. Despite these limitations, it underscores the association between successful rupture–repair and improved therapeutic outcomes and treatment retention, particularly in adolescent psychotherapy. Further research, especially in child therapy, is essential to deepen our understanding of this relationship. (PsycInfo Database Record (c) 2025 APA, all rights reserved)]]></description>
<guid isPermaLink="false">https://psycnet.apa.org/record/2026-34455-001</guid>
<pubDate>Mon, 30 Jun 2025 00:00:00 GMT</pubDate>
<dc:title>Alliance rupture–repair and treatment outcome in youth psychotherapy: A systematic review.</dc:title>
<dc:description><![CDATA[While extensive research has investigated alliance rupture–repair processes in adult psychotherapy, there is a need for a better understanding of rupture–repair and its association with outcome in child and adolescent psychotherapy. This study aims to fill this gap and provide the first systematic narrative synthesis of the existing empirical research on the association between alliance rupture–repair processes and therapeutic outcomes among adolescents. This systematic review included six studies. The findings from these studies indicate that successful rupture–repair processes are associated with improved therapeutic outcomes and reduced dropout rates. These results should be interpreted with caution because of the limited number of studies, small sample sizes, methodological limitations, and observed heterogeneity. This review also highlights a significant research gap in child therapy on this topic. Despite these limitations, it underscores the association between successful rupture–repair and improved therapeutic outcomes and treatment retention, particularly in adolescent psychotherapy. Further research, especially in child therapy, is essential to deepen our understanding of this relationship. (PsycInfo Database Record (c) 2025 APA, all rights reserved)]]></dc:description>
<dc:identifier>10.1037/int0000369</dc:identifier>
<dc:type>Journal Article</dc:type>
<content:encoded><![CDATA[<p>Journal of Psychotherapy Integration, Jun 30, 2025, No Pagination Specified; <a href="https://psycnet.apa.org/record/2026-34455-001">doi:10.1037/int0000369</a></p>While extensive research has investigated alliance rupture–repair processes in adult psychotherapy, there is a need for a better understanding of rupture–repair and its association with outcome in child and adolescent psychotherapy. This study aims to fill this gap and provide the first systematic narrative synthesis of the existing empirical research on the association between alliance rupture–repair processes and therapeutic outcomes among adolescents. This systematic review included six studies. The findings from these studies indicate that successful rupture–repair processes are associated with improved therapeutic outcomes and reduced dropout rates. These results should be interpreted with caution because of the limited number of studies, small sample sizes, methodological limitations, and observed heterogeneity. This review also highlights a significant research gap in child therapy on this topic. Despite these limitations, it underscores the association between successful rupture–repair and improved therapeutic outcomes and treatment retention, particularly in adolescent psychotherapy. Further research, especially in child therapy, is essential to deepen our understanding of this relationship. (PsycInfo Database Record (c) 2025 APA, all rights reserved) ]]></content:encoded>
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