MedWorm: Psychodynamic Therapy

Crisis-repair sequences - considerations on the classification and assessment of breaches in the therapeutic relationship

BMC Medical Research Methodology - Latest articles — Fri, 03 Feb 2012 05:00:00 +0100

Conclusions: The findings of the study give insight into basic mechanisms of change within the therapeutic relationship. A phenomenological discussion of how a crisis is defined is useful to create a methodological approach to the operationalization of crises, to differentiate specific characteristics and to specifically link these characteristics to the outcome in future studies. The methodological deliberations might be applyable to different research areas where the analysis of fluctuations in a variable of interest over time is relevant. (Source: BMC Medical Research Methodology - Latest articles)

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Collaboration in Psychodynamic Psychotherapy

Journal of Clinical Psychology — Fri, 27 Jan 2012 07:33:25 +0100

The concept of the collaborative relationship between patient and therapist has its roots in the psychodynamic literature. We trace the concept of collaboration in psychodynamic psychotherapy from classical psychoanalysis to contemporary psychoanalysis and psychodynamic therapies. The active collaboration between the participants central to Bordin's pan‐theoretical perspective on the alliance is highlighted. Developments in alliance‐fostering techniques and in relational therapy offer the clinician innovative ways to enhance the collaboration and to repair strained or ruptured collaboration. A case study illustrates how the collaborative work in psychodynamic therapy serves as both a means of productive work and as an arena for exploring the evolving here‐and‐now matrix of the rela...

Is Long-Term Psychodynamic Psychotherapy Worthwhile?

Psychology Today Anxiety Center — Sat, 14 Jan 2012 20:37:17 +0100

All of the studies were conducted by advocates of long-term psychodynamic therapy and that makes all the more surprising the uniformity of the negative results. After all, investigator allegiance is typically a stronger predictor of the outcome of a clinical trial evaluating a psychotherapy than the therapy being evaluated.read more (Source: Psychology Today Anxiety Center)

A Randomised Controlled Trial on hypnotherapy for Irritable Bowel Syndrome: design and methodological challenges (the IMAGINE study)

BMC Gastroenterology — Tue, 20 Dec 2011 05:00:00 +0100

DiscussionIf hypnotherapy is effective and if there is no difference in efficacy between individual and group hypnotherapy, this group form of treatment could be offered to more IBS patients, at lower costs.Trial registration:Trial register: Current Controlled TrialsRegistration number: ISRCTN22888906 (Source: BMC Gastroenterology)

A Quality-Based Review of Randomized Controlled Trials of Cognitive-Behavioral Therapy for Depression: An Assessment and Metaregression.

The American Journal of Psychiatry — Tue, 08 Nov 2011 05:00:00 +0100

Conclusions:On average, randomized controlled trials of CBT and of psychodynamic therapy did not differ significantly in quality. In CBT trials, low quality appeared to reduce the reliability and validity of trial results. These findings highlight the importance of discerning quality in individual psychotherapy trials and also point toward specific methodological standards for the future. PMID: 22193528 [PubMed - as supplied by publisher] (Source: The American Journal of Psychiatry)

Richard F. Summers and Jacques P. Barber: Psychodynamic Therapy: A Guide to Evidenced-Based Practice

Clinical Social Work Journal — Tue, 18 Oct 2011 15:58:33 +0100

Content Type Journal ArticleCategory Book ReviewPages 1-3DOI 10.1007/s10615-011-0364-zAuthors David M. Goodman, Cambridge Health Alliance, Harvard Medical School, 1493 Cambridge St, Cambridge, MA 02139, USAJeb Fowler, Cambridge Health Alliance, Harvard Medical School, 1493 Cambridge St, Cambridge, MA 02139, USA Journal Clinical Social Work JournalOnline ISSN 1573-3343Print ISSN 0091-1674 (Source: Clinical Social Work Journal)

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Suicide attempts: prevention of repetition.

Canadian Journal of Psychiatry — Sat, 01 Oct 2011 04:00:00 +0100

Conclusions: There is a need for more research addressing the problem in definitions of outcomes and measurement of the dependent variables, gender-specific effects, and inclusion of high-risk groups. There is a need for the development and evaluation of new approaches that support collaboration with community resources and more careful assessment and comparisons of existing treatments with different populations. PMID: 22014695 [PubMed - in process] (Source: Canadian Journal of Psychiatry)

Prevalence and risk factors for recurrence of depression five years after short term psychodynamic therapy

Journal of Affective Disorders — Tue, 13 Sep 2011 03:39:47 +0100

Conclusions: The long-term efficacy of PDT (with or without antidepressants) seemed to be comparable with other psychotherapies for depression. But the high recurrence rate urges us to shift the focus of depression treatment to improving long-term outcome and to the prevention of recurrence, in particular for young women and patients with residual symptoms of depression. (Source: Journal of Affective Disorders)

Add-On Sertraline Nixed for Moderate Postpartum DepressionAdd-On Sertraline Nixed for Moderate Postpartum Depression

Medscape Today Headlines — Tue, 06 Sep 2011 18:11:59 +0100

Sertraline added to brief psychodynamic therapy does not confer any added significant benefit in the treatment of moderate postpartum depression. Medscape Medical News (Source: Medscape Today Headlines)

Working with Chinese Patients: Are there Conflicts Between Chinese Culture and Psychoanalysis?

International Journal of Applied Psychoanalytic Studies — Thu, 01 Sep 2011 04:00:00 +0100

ABSTRACTDespite differences between Chinese culture and Western culture (Sun, 2004), modern Chinese are gradually accepting psychoanalysis and psychodynamic therapy as options for dealing with psychological problems and inner conflicts (Gerlach, 1999). Through my own experience of being analyzed and vignettes from my clinical practice as a Chinese analytic psychotherapist, I argue that: (1) although there are conflicts at philosophic and cultural levels between Chinese culture and psychoanalysis, modern Chinese may have varying experiences in psychoanalytic and psychodynamic situations and (2) such cultural conflicts cannot be ignored or regarded only as defenses in the psychoanalytic situation in China. Copyright © 2011 John Wiley & Sons, Ltd. (Source: International Journal of Applie...

Evaluating the outcomes of psychotherapies: The Personality Health Index.

Psychoanalytic Psychology — Sun, 17 Jul 2011 23:00:00 +0100

This paper introduces two related measures that can be used to evaluate, describe, and track changes in personality functioning. Both are derived from the Shedler-Westen Assessment Procedure (SWAP-200). The first measure is the Personality Health Index (PHI) that offers an assessment of personality functioning that may be applied to the study of outcome in any treatment purporting to affect overall psychological health, such as long-term psychodynamic therapy and psychoanalysis. Preliminary studies suggest robust construct validity for the PHI. The second measure, RADIO, uses the item content of the SWAP-200 to categorize personality functioning into five domains: Reality testing and thought process, Affect regulation and tolerance, Defensive organization, Identity integration, and Object ...

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Carl Jung, part 1: Taking inner life seriously | Mark Vernon

Guardian Unlimited Science — Mon, 30 May 2011 10:00:01 +0100

Achieving the right balance between what Jung called the ego and self is central to his theory of personality developmentIf you have ever thought of yourself as an introvert or extrovert; if you've ever deployed the notions of the archetypal or collective unconscious; if you've ever loved or loathed the new age; if you have ever done a Myers-Briggs personality or spirituality test; if you've ever been in counselling and sat opposite your therapist rather than lain on the couch – in all these cases, there's one man you can thank: Carl Gustav Jung.The Swiss psychologist was born in 1875 and died on 6 June 1961, 50 years ago next week. His father was a village pastor. His grandfather – also Carl Gustav – was a physician and rector of Basel University. He was also rumoured to be an illeg...

9 Ways to Make the Most Out of Therapy

Psych Central — Mon, 21 Mar 2011 19:18:34 +0100

Therapy can be tricky. Before even walking in the door for their first appointment, many people already have a variety of preconceived notions. And these beliefs can become blocks in treatment, interfering with the therapeutic process. Below two seasoned psychologists debunk common myths about psychotherapy and offer pointers on making the most out of therapy. Misconceptions and Concerns About Psychotherapy According to Ryan Howes, Ph.D, psychologist, writer and professor in Pasadena, California, “Some clients expect their therapists to give them direct advice, telling them who to date and what to study and when to break up.” It’s easy to think this way considering that TV therapists dole out advice without hesitation. “But most therapists resist giving advice because they believe ...

Psychodynamic Therapy for Somatic Disorder Meta-Analysis Raises More Questions than Answers

Psychotherapy and Psychosomatics — Tue, 08 Mar 2011 17:22:55 +0100

Psychother Psychosom 2011;80:182–183 (DOI:10.1159/000320578) (Source: Psychotherapy and Psychosomatics)

Book Review: Brain Over Binge

Psych Central — Fri, 25 Feb 2011 18:08:43 +0100

Bulimia had consumed Kathryn Hansen’s life for six years. Sudden, often unpredictable urges drove her to eat uncontrollably and then to exercise for hours at a time. One simple realization, “The only cause of binge eating is an urge to binge,” let her attain swift, complete recovery, with no worries about a relapse. Brain Over Binge: Why I Was Bulimic, Why Conventional Therapy Didn’t Work, and How I Recovered For Good posits that the root of the disorder lies in its neurological underpinnings and is, in fact, the result of a healthy but misdirected brain. Hansen writes as a layperson, with bulimics as her primary audience. Her findings are also applicable to individuals with other eating disorders, particularly binge-eating disorder (BED). In addition to H...

The effectiveness of behavioural therapy for the treatment of depression in older adults: a meta‐analysis

International Journal of Geriatric Psychiatry — Wed, 09 Feb 2011 00:00:00 +0100

ConclusionsBehavioural therapy in depressed older adults appears to have comparable effectiveness with alternative psychotherapies. Further research is recommended with the need for larger sample sizes, more clarity on trial design and the intervention, longer term follow‐up and concomitant economic evaluations. Copyright © 2011 John Wiley & Sons, Ltd. (Source: International Journal of Geriatric Psychiatry)

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Methods and mechanisms in the efficacy of psychodynamic psychotherapy.

American Psychologist — Mon, 07 Feb 2011 00:00:00 +0100

Comments on the original article, "The efficacy of psychodynamic psychotherapy," by J. Shedler (see record 2010-02208-012). Shedler summarized a large body of research that shows psychodynamic therapy to have a substantial effect size, comparable to that for many empirically supported treatments. This is an important finding, in part refuting the concerns raised by Bornstein (2001, 2002) regarding the future of psychodynamic approaches had there been no substantial changes in how practitioners and researchers approached the science to demonstrate efficacy. Further, Shedler showed that the efficacy of psychoanalytic psychotherapy is due to therapeutic methods commonly employed in cognitive behavior therapy (CBT), one of the most frequently cited empirically supported approaches for a wide r...

When it comes to evaluating psychodynamic therapy, the devil is in the details.

American Psychologist — Mon, 07 Feb 2011 00:00:00 +0100

Comments on the original article, "The efficacy of psychodynamic psychotherapy," by J. Shedler (see record 2010-02208-012). As Shedler noted, some researchers have reflexively and stridently dismissed psychodynamic therapy (PT) as ineffective without granting outcome studies on this modality a fair hearing. We applaud Shedler’s efforts to bring PT into the scientific mainstream and hope that his article encourages investigators to evaluate claims regarding PT’s efficacy with a more objective eye. Nevertheless, as Shedler also observed, one reason for the scientific community’s premature dismissal of PT is traceable to some psychodynamic practitioners’ historical antipathy toward controlled research and propensity to overstate PT’s efficacy. Regrettably, Shedler falls prey to the ...

Science or ideology?

American Psychologist — Mon, 07 Feb 2011 00:00:00 +0100

Responds to the comments by D. McKay (see record 2011-02175-008); B. D. Thombs, L. R. Jewett, and M. Bassel (see record 2011-02175-009); M. D. Anestis, J. C. Anestis, and S. O. Lilienfeld (see record 2011-02175-010); and W. W. Tryon and G. S. Tryon (see record 2011-02175-011) on the current author's original article, "The efficacy of psychodynamic psychotherapy" (see record 2010-02208-012). The academic psychology literature is filled with pronouncements about psychodynamic theory, often stated in authoritative tones, that present a picture of psychodynamic treatment that is unrecognizable to me and to other contemporary psychodynamic practitioners. Several of the comments about my article perpetuate this tradition and, I am sorry to say, introduce disinformation into the pages of the Amer...

When it comes to evaluating psychodynamic therapy, the devil is in the details.

The American Psychologist — Tue, 01 Feb 2011 00:00:00 +0100

Authors: Anestis MD, Anestis JC, Lilienfeld SO Comments on the original article, "The efficacy of psychodynamic psychotherapy," by J. Shedler (see record 2010-02208-012). As Shedler noted, some researchers have reflexively and stridently dismissed psychodynamic therapy (PT) as ineffective without granting outcome studies on this modality a fair hearing. We applaud Shedler's efforts to bring PT into the scientific mainstream and hope that his article encourages investigators to evaluate claims regarding PT's efficacy with a more objective eye. Nevertheless, as Shedler also observed, one reason for the scientific community's premature dismissal of PT is traceable to some psychodynamic practitioners' historical antipathy toward controlled research and propensity to overstate PT's efficacy...

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Is there room for criticism of studies of psychodynamic psychotherapy?

The American Psychologist — Tue, 01 Feb 2011 00:00:00 +0100

Authors: Thombs BD, Jewett LR, Bassel M Comments on the original article, "The efficacy of psychodynamic psychotherapy," by J. Shedler (see record 2010-02208-012). Shedler declared unequivocally that "empirical evidence supports the efficacy of psychodynamic therapy" (p. 98). He did not mention any specific criticisms that have been made of evidence on psychodynamic psychotherapies or address possible distinctions between evidence for short-term versus long-term psychodynamic psychotherapies. Instead, he attributed dissenting views to biases in evidence dissemination and review, which he suggested are rooted in a "lingering distaste in the mental health professions professions for past psychoanalytic arrogance and authority" related to a "hierarchical medical establishment that denied ...

Methods and mechanisms in the efficacy of psychodynamic psychotherapy.

The American Psychologist — Tue, 01 Feb 2011 00:00:00 +0100

Authors: McKay D Comments on the original article, "The efficacy of psychodynamic psychotherapy," by J. Shedler (see record 2010-02208-012). Shedler summarized a large body of research that shows psychodynamic therapy to have a substantial effect size, comparable to that for many empirically supported treatments. This is an important finding, in part refuting the concerns raised by Bornstein (2001, 2002) regarding the future of psychodynamic approaches had there been no substantial changes in how practitioners and researchers approached the science to demonstrate efficacy. Further, Shedler showed that the efficacy of psychoanalytic psychotherapy is due to therapeutic methods commonly employed in cognitive behavior therapy (CBT), one of the most frequently cited empirically supported ap...

Psychodynamic Psychotherapy

Psychiatric Times — Wed, 05 Jan 2011 01:30:02 +0100

Many psychiatrists, residents, and other mental health professionals believe that psychodynamic therapy lacks empirical support or that other psychotherapies are more effective. (Source: Psychiatric Times)

[Initial and extension applications for psychodynamic therapy according to the German Guidelines for Psychotherapy.]

Zeitschrift fur Psychosomatische Medizin und Psychotherapie — Sun, 24 Oct 2010 00:55:03 +0100

This study examines the initial and extension requests submitted for evaluation for psychodynamic therapies according to the German Guidelines for Psychotherapy. The question is posed as to what influences are important in the selection of therapists for these two types of request. Methodology: In the context of the MARS study, we evaluated a total of 362 randomly chosen requests submitted between May 2007 and June 2008, 128 of which were initial requests and 234 of which were requests for an extension. The evaluation of the reports proceeded on the basis of a previously developed documentation system with various modules comprising information on the sociodemographics and morbidity of the patients as well as information on the therapists themselves. Further modules are assessed in this re...

Psychodynamic Therapy Appears To Be Of Little Help For Obsessions

Health News from Medical News Today — Wed, 06 Oct 2010 09:00:00 +0100

This study demonstrates that supplemental brief dynamic therapy in the treatment of patients with obsessive compulsive-disorder with concurrent major depressive disorder (who are receiving effective medication) has no significant clinical effect on both obsessive and depressive symptoms. When obsessions and compulsions afflict a person, one wonders whether psychoanalysis or related brief psychotherapies may help. This was tested in a study performed by researchers of the University of Torino in the current issue of Psychotherapy and Psychosomatics... (Source: Health News from Medical News Today)

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Some Practical Tips on Social Anxiety

Psychology Today Relationships Center — Wed, 25 Aug 2010 11:48:01 +0100

Psychotherapy research: do we know what works for whom? [EDITORIALS]

The British Journal of Psychiatry — Mon, 02 Aug 2010 09:00:55 +0100

Clinical decision-making about suitability for psychological therapies is hampered by limitations of psychotherapy research and our lack of understanding of therapeutic mechanisms. Watzke et al’s important randomised controlled study offers apparent validation for clinical judgement in relation to suitability for psychodynamic psychotherapy but also highlights the negative effects of unselected assignment to this type of treatment. Here, I consider why systematic selection for this form of treatment may be important and suggest how the limited effectiveness of psychodynamic therapy for an unselected group of patients may be addressed by more systematic treatment delivery and the ongoing monitoring of intermediate treatment outcomes. (Source: The British Journal of Psychiatr...

Effectiveness of systematic treatment selection for psychodynamic and cognitive-behavioural therapy: randomised controlled trial in routine mental healthcare [PAPERS]

The British Journal of Psychiatry — Mon, 02 Aug 2010 09:00:55 +0100

Conclusions Since systematic treatment selection seems to be able to optimise treatment outcome, at least for PDT, pursuing systematic treatment assignment strategies in mental healthcare settings is a worthwhile endeavour. (Source: The British Journal of Psychiatry)

A longitudinal study of emotional experience, expressivity, and psychopathology in psychotherapy inpatients and psychologically healthy persons

Journal of Clinical Psychology — Sat, 17 Jul 2010 23:00:00 +0100

The authors investigated changes of emotional experience and expressivity in 34 inpatients undergoing psychodynamic therapy and in 29 healthy persons who were assessed at parallel time intervals. Participants completed 2 measures of psychopathology (Symptom Checklist-90 Revised and Inventory of Interpersonal Problems-64) and took part in relationship episode interviews. The emotional experiences they reported and their nonverbal emotional expressivity during the interviews were assessed by independent raters. Regardless of when they were assessed, the patients reported a greater number of emotions and a greater variety of emotions. Psychopathology in the patient group decreased in the course of treatment, but there were no systematic changes in the emotional domain. The findings challenge ...

Changes in trainees' intention use and volunteer clients' evaluations of sessions during early skills training.

Psychotherapy: Theory, Research, Practice, Training — Sun, 04 Jul 2010 23:00:00 +0100

Volunteer clients (N = 96) evaluated sessions conducted by prepracticum trainees prior to and after the trainees received instruction in interpersonal–psychodynamic therapy. The relationship between changes in therapeutic style, measured by intension use, and changes in volunteer clients' session evaluations were examined with growth curve analyses. After training, trainees increased their focus on client emotions and on the therapeutic relationship and decreased their verbal activity. Increased session smoothness was related to decreases in trainee verbal activity and to increases in trainee flexibility. Increases in volunteer clients' perceptions of trainee expertness, attractiveness, and trustworthiness were related to trainees' increased focus on client emotions and increased focus o...

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The mediating role of insight for long-term improvements in psychodynamic therapy.

Journal of Consulting and Clinical Psychology — Sun, 30 May 2010 23:00:00 +0100

Conclusions: Insight seems to be a key mechanism of change in dynamic psychotherapy. Our results bridge the gap between clinical theory and empirical research. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (Source: Journal of Consulting and Clinical Psychology)

Is cognitive-behavioral therapy more effective than other therapies? A meta-analytic review.

Clinical Psychology Review — Mon, 24 May 2010 23:00:00 +0100

Authors: Tolin DF Cognitive-behavioral therapy (CBT) is effective for a range of psychiatric disorders. However, it remains unclear whether CBT is superior to other forms of psychotherapy, and previous quantitative reviews on this topic are difficult to interpret. The aim of the present quantitative review was to determine whether CBT yields superior outcomes to alternative forms of psychotherapy, and to examine the relationship between differential outcome and study-specific variables. From a computerized literature search through September 2007 and references from previous reviews, English-language articles were selected that described randomized controlled trials of CBT vs. another form of psychotherapy. Of these, only those in which the CBT and alternative therapy condition were ju...

Comparing cognitive behavioral therapy and integrated cognitive behavioral therapy/psychodynamic therapy in group treatment for partner violent men.

Psychotherapy: Theory, Research, Practice, Training — Mon, 22 Mar 2010 05:00:00 +0100

This was a pilot study comparing the effectiveness of cognitive–behavioral therapy (CBT; n = 18) with integrated CBT and psychodynamic therapy (CBT/PT; n = 27) in reducing partner violence. The study examined differences between the two treatment groups at posttreatment with regard to attachment dimensions, interpersonal problems, psychological/behavioral functioning, and general symptom and relationship distress. Results indicated that the CBT/PT groups showed significantly more improvement than the CBT groups on measures of partner violence, attachment, and interpersonal problems at posttreatment. Conversely, the CBT groups showed significantly more improvement than the CBT/PT groups on measures of psychological/behavioral functioning and general symptom and relationship distress. Fina...

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Development of a Clinician Report Measure to Assess Psychotherapy for Depression in Usual Care Settings

Administration and Policy in Mental Health and Mental Health Services Research — Fri, 26 Feb 2010 06:46:11 +0100

Abstract Although mental health policy initiatives have called for quality improvement in depression care, practical tools to describe the quality of psychotherapy for depression are not available. We developed a clinician-report measure of adherence to three types of psychotherapy for depression—cognitive behavioral therapy, interpersonal therapy, and psychodynamic therapy. A total of 727 clinicians from a large, national managed behavioral health care organization responded to a mail survey. The measure demonstrated good psychometric properties, including appropriate item-scale correlations, internal consistency reliability, and a three-factor structure. Our results suggest that this questionnaire may be a promising approach to describing psychotherapy for depression i...

Talk Therapy: Off the Couch and into the Lab

Scientific American - Official RSS Feed — Tue, 23 Feb 2010 05:00:00 +0100

We report this not as disinterested observers, but as psychotherapists and researchers on the process and efficacy of therapy. Our book , “Handbook of Evidence-Based Psychodynamic Psychotherapy,” summarized the body of research through last year and another will follow late this year. Still, we can state as fact: The movement to establish an evidence base for psychodynamic therapy has taken a giant new step forward. [More] (Source: Scientific American - Official RSS Feed)

The efficacy of psychodynamic psychotherapy.

American Psychologist — Tue, 09 Feb 2010 15:18:48 +0100

Empirical evidence supports the efficacy of psychodynamic therapy. Effect sizes for psychodynamic therapy are as large as those reported for other therapies that have been actively promoted as “empirically supported” and “evidence based.” In addition, patients who receive psychodynamic therapy maintain therapeutic gains and appear to continue to improve after treatment ends. Finally, nonpsychodynamic therapies may be effective in part because the more skilled practitioners utilize techniques that have long been central to psychodynamic theory and practice. The perception that psychodynamic approaches lack empirical support does not accord with available scientific evidence and may reflect selective dissemination of research findings. (PsycINFO Database Record (c) 2009 APA, all righ...

Effects of Psychodynamic Therapy Last

Medical Headlines From Ivanhoe.com — Fri, 29 Jan 2010 05:00:00 +0100

Psychodynamic psychotherapy, which focuses on the psychological roots of emotional suffering, has proven effective for a wide range of mental health symptoms, including depression, anxiety, panic and stress-related physical ailments. (Source: Medical Headlines From Ivanhoe.com)

According To New Study, Psychodynamic Psychotherapy Brings Lasting Benefits

Health News from Medical News Today — Tue, 26 Jan 2010 11:00:00 +0100

Psychodynamic psychotherapy is effective for a wide range of mental health symptoms, including depression, anxiety, panic and stress-related physical ailments, and the benefits of the therapy grow after treatment has ended, according to new research published by the American Psychological Association. Psychodynamic therapy focuses on the psychological roots of emotional suffering. Its hallmarks are self-reflection and self-examination, and the use of the relationship between therapist and patient as a window into problematic relationship patterns in the patient's life... (Source: Health News from Medical News Today)

Deinstitutionalization revisited: a 5-year follow-up of a randomized clinical trial of hospital-based rehabilitation versus specialized assertive intervention (OPUS) versus standard treatment for patients with first-episode schizophrenia spectrum disorders.

Psychological Medicine — Mon, 11 Jan 2010 00:00:00 +0100

CONCLUSIONS: The study indicates that hospital-based rehabilitation together with weekly supportive psychodynamic therapy was associated with a continued increased use of psychiatric bed days and days in supported housing. The data cannot justify using hospital-based rehabilitation in first-episode psychosis. PMID: 20059798 [PubMed - as supplied by publisher] (Source: Psychological Medicine)

New law offers hope on insurance coverage of therapies

L.A. Times - Health — Sat, 09 Jan 2010 19:04:34 +0100

The healthcare industry favors psychotherapies that have been found effective in randomized controlled studies. Thus, cognitive behavioral therapies are typically covered while lengthier, more costly treatments such as psychodynamic therapy are often truncated or not covered. Reports suggest that roughly two-thirds of privately insured Americans are enrolled in plans that limit duration of treatment based on research findings. (Source: L.A. Times - Health)

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Could repressive coping be a mediating factor in the symptom profile of individuals diagnosed with schizophrenia?

Journal of Psychiatric and Mental Health Nursing — Sat, 09 Jan 2010 00:00:00 +0100

This paper considers the potential impact of identifying individual coping style on the concept of schizophrenia within the framework of the stress vulnerability model. There is discussion of the role of psychological theories in our understanding of schizophrenia and the experience of those who live with this condition. The concept of individual coping style, with particular attention to repressive coping style, is considered and the research on the impact of coping style on the person's mental and physical well-being is discussed. Whether this way of thinking about and understanding repression is helpful in how we understand schizophrenia is then considered. Possible implications of identifying repression in people with schizophrenia by using the idea of coping style as a measure of this...

Preliminary relationships between adherence and outcome in dynamic deconstructive psychotherapy.

Psychotherapy: Theory, Research, Practice, Training — Tue, 22 Dec 2009 15:01:12 +0100

This study examined adherence to specific psychotherapeutic techniques as a predictor of outcome in dynamic deconstructive psychotherapy (DDP), a new psychodynamic therapy for treatment-resistant clients with borderline personality disorder (BPD). Ten clients dually diagnosed with BPD and alcohol use disorders underwent 12 months of DDP. Outcome indexes included measures of borderline symptoms, depression, dissociation, social support, alcohol misuse, parasuicide, and institutional care. Independent raters coded videorecorded sessions on adherence to DDP techniques, using a scale developed for this study, as well as therapeutic alliance and standard cognitive–behavioral and psychodynamic techniques. The adherence instrument demonstrated excellent interrater and test–retest reliability....

Psychotherapy integration as practiced by experts.

Psychotherapy: Theory, Research, Practice, Training — Tue, 22 Dec 2009 15:01:12 +0100

Twenty-four psychotherapists who were experts in psychotherapy integration and had a mean of 32 years of clinical experience completed a questionnaire assessing their practice history and fidelity to various psychodynamic, cognitive–behavioral, humanistic, and family systems theories. They then completed the 100-item Psychotherapy Process Q set (Jones, Hall, & Parke, 1991) modified to be a self-report questionnaire, based on a client they had treated using integrative therapy. Most therapists reported some influence of all 4 orientations, but almost three-quarters indicated that only 1 was a salient influence. Principal components factor analysis revealed 4 factors representing 4 integrative practice styles, which were then correlated with prior prototypes of cognitive–behavioral, psyc...

Prior Treatment and Its Effect on Outcome [Letters to the Editor]

Am J Psychiatry — Tue, 01 Dec 2009 18:02:01 +0100

(Source: Am J Psychiatry)

Drs. Leichsenring, Salzer, and Leibing Reply [Letters to the Editor]

Am J Psychiatry — Tue, 01 Dec 2009 18:02:01 +0100

(Source: Am J Psychiatry)

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Assessing changes in psychoanalytic psychodynamic therapy with an early adolescent.

Rorschachiana — Fri, 09 Oct 2009 10:24:09 +0100

This paper describes changes in personality functioning according to Exner’s Rorschach Comprehensive System (CS) in an early adolescent boy, Gabriele, referred for anxiety and obsessive compulsive symptoms. The DSM-IV diagnosis was General Anxiety Disorder (GAD). The therapy lasted about 2 years, and sessions were all audio-taped to create a more objective database. A total of 50 sessions were analyzed. The therapist employed a broadly defined, object-relations-focused, psychodynamic framework, with particular emphasis placed on balancing supportive versus insight-oriented modes of therapy (Skean, 2005). After a brief introduction of Gabriele’s clinical history and anamnesis, the paper illustrates (a) changes in the symptoms from the beginning to the end of the supportive psychodynamic...

A Different Perspective in Listening: Understanding Transference Interpretation and the Nature of Therapeutic Action in Dynamic Psychotherapy [Letters to the Editor]

Am J Psychiatry — Thu, 01 Oct 2009 17:01:37 +0100

(Source: Am J Psychiatry)

Drs. Gabbard and Horowitz Reply [Letters to the Editor]

Am J Psychiatry — Thu, 01 Oct 2009 17:01:37 +0100

(Source: Am J Psychiatry)

Trainee theoretical orientation: Profiles and potential predictors.

Journal of Psychotherapy Integration — Wed, 30 Sep 2009 17:27:05 +0100

The goal of this study was to provide data on the theoretical orientations of a sample of therapists in-training, as well as to investigate constructs that may help to predict identification with a particular theoretical orientation(s). Data on therapist theoretical orientation and personality were gathered from 46 graduate student therapists in 4 APA accredited clinical and counseling psychology programs. Although psychodynamic therapy was the most strongly endorsed single theoretical framework across the sample, the orientation with the highest mean rating was an eclectic/integrative approach. A 2-step cluster analysis was used to create orientation profiles to further explore psychotherapy integration, which produced a 3-cluster solution: (a) humanistic/systems/psychodynamic, (b) psycho...

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Development of a Patient-Report Measure of Psychotherapy for Depression

Administration and Policy in Mental Health and Mental Health Services Research — Wed, 16 Sep 2009 12:55:23 +0100

Abstract Despite clear indications of need to improve depression treatment, practical tools that efficiently measure psychotherapy are not available. We developed a patient-report measure of psychotherapy for depression that assesses Cognitive Behavioral (CBT), Interpersonal (IPT), and Psychodynamic therapies. 420 patients with depression from a large managed behavioral health care organization completed the measure. The three subscales measuring CBT, IPT, and Psychodynamic Therapy showed good internal consistency, appropriate item-total correlations, and were supported by a 3-factor structure. Our results suggest that a patient questionnaire is a promising approach for assessing psychotherapy in quality improvement interventions. Content Type Journal ArticleCategory Ori...

Creating coherence in real-life decision processes: Reasons, differentiation and consolidation

Scandinavian Journal of Psychology — Mon, 10 Aug 2009 23:00:00 +0100

Svenson, O. & Jakobsson, M. (2009). Creating coherence in real-life decision processes: Reasons, differentiation and consolidation. Scandinavian Journal of Psychology. Differentiation and Consolidation Theory describes human decision making as a process in which attractiveness values are restructured in order to reach a decision and support the decision made. Here, the theory was developed to include reasons pro and con alternatives and tested on students making decisions between two university psychotherapy training programs (cognitive-behavioral and psychodynamic therapy). Before and also after the decision, the attractiveness of the chosen alternative was upgraded and the non-chosen alternative downgraded. Different measures of evaluations of an alternative, such as "best" or "worse" co...

Psychodynamic Psychotherapy Outcome for Generalized Anxiety Disorder [Editorials]

Am J Psychiatry — Sun, 02 Aug 2009 23:00:00 +0100

(Source: Am J Psychiatry)

Short-Term Psychodynamic Psychotherapy and Cognitive-Behavioral Therapy in Generalized Anxiety Disorder: A Randomized, Controlled Trial [Articles]

Am J Psychiatry — Sun, 02 Aug 2009 23:00:00 +0100

CONCLUSIONS: The results suggest that CBT and short-term psychodynamic psychotherapy are beneficial for patients with generalized anxiety disorder. In future research, large-scale multicenter studies should examine more subtle differences between treatments, including differences in the patients who benefit most from each form of therapy. (Source: Am J Psychiatry)

Personal Accounts: Severe Mental Illness and Psychotherapy [Columns]

Psychiatr Serv — Thu, 30 Jul 2009 23:00:00 +0100

(Source: Psychiatr Serv)

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Time-Limited Dynamic Psychotherapy as a Model for Short-Term Inpatient Groups

Journal of Contemporary Psychotherapy — Thu, 30 Jul 2009 19:40:54 +0100

Abstract The present article proposes a method, practiced by the author, to adapt time-limited dynamic psychotherapy (TLDP), a short-term individual psychodynamic therapy, for use with inpatient psychotherapy groups. Characteristics of TLDP which suggest the usefulness of such an adaptation, including short-term duration, specific treatment focus, rapid conceptualizations and broad selection of patients, and emphasis on the here-and-now in therapy, are discussed. The general approach to treatment, a supportive stance that involves an identification of maladaptive interpersonal issues, and then working on these issues without directly confronting the patients, is described. Specific therapeutic techniques for common inpatient group situations are also discussed. Content T...

[Articles] Evaluation of an Outpatient Intervention for Women With Severe Depression and a History of Childhood Trauma

Psychiatr Serv — Sun, 28 Jun 2009 23:00:00 +0100

CONCLUSIONS: An outpatient intervention that screened for and focused on childhood traumas and that helped patients understand current psychosocial difficulties as a repetition of past traumas was effective in reducing psychiatric symptoms and improving interpersonal relationships and social role functioning among women with severe depression and a history of childhood trauma. (Source: Psychiatr Serv)

Evaluation of an Outpatient Intervention for Women With Severe Depression and a History of Childhood Trauma [Articles]

Psychiatr Serv — Sun, 28 Jun 2009 23:00:00 +0100

[Community News] Technology Connects Residents to Psychodynamic Therapy

Psychiatr News — Fri, 01 May 2009 04:00:00 +0100

(Source: Psychiatr News)

[Treatment in Psychiatry] Insight, Transference Interpretation, and Therapeutic Change in the Dynamic Psychotherapy of Borderline Personality Disorder

Am J Psychiatry — Fri, 01 May 2009 04:00:00 +0100

(Source: Am J Psychiatry)

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Depression in older adults.

Annual Review of Clinical Psychology — Thu, 09 Apr 2009 13:54:13 +0100

Authors: Fiske A, Wetherell JL, Gatz M Depression is less prevalent among older adults than among younger adults, but it can have serious consequences. More than half of cases represent a first onset in later life. Although suicide rates in the elderly are declining, they are still higher than in younger adults and are more closely associated with depression. Depressed older adults are less likely to endorse affective symptoms and more likely to display cognitive changes, somatic symptoms, and loss of interest than are depressed younger adults. Risk factors leading to the development of late-life depression likely comprise complex interactions among genetic vulnerabilities, cognitive diathesis, age-associated neurobiological changes, and stressful events. Insomnia is an often overlooke...

Psychodynamic Therapy

About.com Borderline Personality Disorder — Sat, 07 Mar 2009 05:00:00 +0100

A definition of psychodynamic therapy. (Source: About.com Borderline Personality Disorder)

The efficacy of a brief supportive psychodynamic therapy in treating anxious-depressive disorder in Daily Hospital.

Collegium Antropologicum — Sun, 01 Mar 2009 00:00:00 +0100

Authors: Brajković L, Jevtović S, Bilić V, Bras M, Loncar Z Study objective is to determine the efficacy of brief supportive psychodynamic therapy in treating anxious-depressive disorder in Daily hospital within the Psychological Medicine Clinic. The study comprised a total of 45 male subjects, in which an admission to the Daily Hospital was indicated. On the occasion of the hospital admission, as well as following the completion of a one month-lasting partial hospitalisation within the Daily Hospital, the subjects had undergone testing using a number of psychological instruments. There weren't established statistically significant differences in clinical presentations of the treated patients. A partial, one month-lasting hospitalisation, did not yield any changes in ...

Role of health care professionals in multidisciplinary pain treatment facilities in Canada.

Pain Research and Management — Sat, 21 Feb 2009 04:34:27 +0100

CONCLUSION: Different health care professionals play a variety of important roles in MPTF in Canada. However, few of them are involved on a full-time basis and the extent to which pain is assessed and treated in a truly multidisciplinary manner is questionable. PMID: 19225605 [PubMed - as supplied by publisher] (Source: Pain Research and Management)

Seven Questions for David D. Burns

Psychology Today Relationships Center — Wed, 07 Jan 2009 17:43:44 +0100

The author of the "most prescribed self-help book" has a lot to say about the Seven Questions. Brace yourself, he doesn't pull any punches. The intent of this project is illumination of the diverse theories, techniques and personalities influencing contemporary psychotherapy. Today the outspoken Dr. Burns imparts his knowledgeable, provocative and substantial opinions. David D. Burns (M.D., Stanford University, 1970), is an Adjunct Clinical Professor of Psychiatry Emeritus at the Stanford University School of Medicine and has served as visiting scholar at Harvard Medical School. His Feeling Good has sold over 4 million copies and is the book most often recommended for individuals suffering from depression by American and Canadian mental health professionals. I've even prescribed...

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[Clinical Case Conference] Complex Sexualized Transferences When the Patient is Male and the Therapist Female

Am J Psychiatry — Mon, 01 Dec 2008 05:00:00 +0100

(Source: Am J Psychiatry)

Bond disorders of a patient with asthma: a case study.

J Physiol Pharmacol — Mon, 01 Dec 2008 05:00:00 +0100

Authors: Wilczynska-Kwiatek A The issue of treatment and providing preventive activities in bronchial asthma is still not fully investigated. Besides the medical aspect, psychiatrists and psychologists point to psychosomatic aspects, since psycho-social factors can evoke intensification of asthma symptoms, and also become the consequences of that disease. Previous psychosomatic investigations show that chronic illness makes the patients reveal extended dependence on others. Patients may also tend to perceive other people as being responsible for their health problems. Such an attitude is usually caused by the disease process and the feeling of threat related to disease symptoms. In the present article I discuss the case of a patient with diagnosed bronchial asthma who was in the course...

[Clinical Case Conference] The Role of Culture in Psychodynamic Psychotherapy: Parallel Process Resulting From Cultural Similarities Between Patient and Therapist

Am J Psychiatry — Mon, 03 Nov 2008 05:00:00 +0100

(Source: Am J Psychiatry)

Comparison of therapeutic action, style and content in cognitive-behavioural and psychodynamic group therapy under clinically representative conditions

Clinical Psychology — Fri, 10 Oct 2008 04:00:00 +0100

It is still an open question whether psychotherapists adhere to their therapeutic conceptions in routine practice (clinician's treatment adherence) and thus to what extent the two most common approaches, cognitive-behavioural (CBT) and psychodynamic therapy (PDT), differ from each other as theoretically expected (treatment differentiation). This holds true especially in case of group therapy.The study compares essential process components of CBT and PDT group treatments under clinically representative conditions using non-participating observer ratings. Results demonstrate that CBT group therapists use more cognitive, behavioural and psychoeducational strategies, foster self-efficacy to a larger extent and are more supporting and empathetic. PDT group therapists use more interpretative and...

The effectiveness of interventions to reduce psychological harm from traumatic events among children and adolescents a systematic review.

American Journal of Preventive Medicine — Wed, 13 Aug 2008 11:16:40 +0100

Authors: Wethington HR, Hahn RA, Fuqua-Whitley DS, Sipe TA, Crosby AE, Johnson RL, Liberman AM, Mościcki E, Price LN, Tuma FK, Kalra G, Chattopadhyay SK, Children and adolescents in the U.S. and worldwide are commonly exposed to traumatic events, yet practitioners treating these young people to reduce subsequent psychological harm may not be aware of-or use-interventions based on the best available evidence. This systematic review evaluated interventions commonly used to reduce psychological harm among children and adolescents exposed to traumatic events. Guide to Community Preventive Services (Community Guide) criteria were used to assess study design and execution. Meta-analyses were conducted, stratifying by traumatic exposures. Evaluated interventions were conducted in high-...

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Supportive-expressive psychodynamic therapy for cocaine dependence: A closer look.

Psychoanalytic Psychology — Tue, 15 Jul 2008 07:02:24 +0100

Using data from the National Institute on Drug Abuse Collaborative Cocaine Treatment Study, this article focuses on the outcomes of patients who received supportive-expressive (SE) psychodynamically oriented psychotherapy (plus group drug counseling; GDC). Short-term SE for cocaine dependent individuals, while not the most efficacious treatment examined in the study (individual drug counseling [IDC] plus GDC was), produced large improvements in cocaine use. In addition, there was evidence that SE was superior to IDC on change in family/social problems at the 12-month follow-up assessment, particularly for those patients with relatively more severe difficulties in this domain at baseline. For patients who achieved abstinence early in treatment, SE produced comparable drug use outcomes to ID...

[Articles] Transference Interpretations in Dynamic Psychotherapy: Do They Really Yield Sustained Effects?

Am J Psychiatry — Mon, 02 Jun 2008 04:00:00 +0100

CONCLUSIONS: The goal of transference interpretation is sustained improvement of the patient’s relationships outside of therapy. Transference interpretation seems to be especially important for patients with long-standing, more severe interpersonal problems. (Source: Am J Psychiatry)

[SPECIAL ARTICLES] Teaching the Teachers: A Model Course for Psychodynamic Psychotherapy Supervisors

Acad Psychiatry — Thu, 08 May 2008 04:00:00 +0100

CONCLUSION: While current Residency Review Committee guidelines do not define standards for competency in psychotherapy supervision, the authors suggest that a course containing these principles of psychodynamic psychotherapy supervision be a prerequisite for those supervising residents. New and veteran supervisors reported learning essential aspects of supervision unknown before their course enrollment. (Source: Acad Psychiatry)

Using psychodynamic, cognitive behavioral, and control mastery prototypes to predict change: A new look at an old paradigm for long-term single-case research.

Journal of Counseling Psychology — Thu, 01 May 2008 08:04:16 +0100

This article illustrates a method of testing models of change in individual long-term psychotherapy cases. A depressed client was treated with 208 sessions of control mastery therapy (CMT), an unmanualized approach that integrates elements of psychodynamic therapy (PDT) and cognitive behavioral therapy (CBT). Panels of experts developed prototypes of ideal PDT, CBT, and CMT process using the Psychotherapy Process Q-set (PQS; J. S. Ablon & E. E. Jones, 1999; E. E. Jones, L. A. Parke, & S. Pulos, 1992; E. E. Jones & S. M. Pulos, 1993). Independent observers rated every 4th session (N = 53) with the PQS. Using correlations between ideal and actual PQS ratings followed by paired t tests, the authors compared adherence to the CMT prototype with adherence to plausible alternative models advocate...

A manual-based psychodynamic therapy for treatment-resistant borderline personality disorder.

Psychotherapy: Theory, Research, Practice, Training — Thu, 01 May 2008 07:54:48 +0100

The authors introduce a manual-based treatment, labeled dynamic deconstructive psychotherapy, developed for those patients with borderline personality disorder who are most difficult to engage in therapy, such as those having co-occurring substance use disorders. This treatment model is based on the hypothesis that borderline pathology and related behaviors reflect impairment in specific neurocognitive functions, including association, attribution, and alterity that form the basis for a coherent and differentiated self. Dynamic deconstructive psychotherapy aims to activate and remediate neurocognitive self-capacities by facilitating elaboration of affect-laden interpersonal experiences and integration of attributions, as well as providing novel experiences in the patient-therapist relation...

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[Editorials] Psychotherapies and Lasting Change

Am J Psychiatry — Thu, 01 May 2008 04:00:00 +0100

(Source: Am J Psychiatry)

Length of psychodynamic therapy predicts long-term outcomes

MedWire News - Psychiatry — Mon, 21 Apr 2008 08:49:28 +0100

Short-term psychodynamic psychotherapy produces benefits in patients with psychiatric symptoms more quickly than long-term therapy, but long-term therapy is more beneficial in the longer term, Finnish study findings suggest. (Source: MedWire News - Psychiatry)

Clinical Holistic Medicine: Avoiding the Freudian Trap of Sexual Transference and Countertransference in Psychodynamic Therapy

TheScientificWorldJOURNAL: Newly published articles. — Mon, 14 Apr 2008 00:00:00 +0100

Sexual transference and countertransference can make therapy slow and inefficient when libidinous gratification becomes more important for both the patient and the therapist than real therapeutic progress. Sexual transference is normal when working with a patient’s repressed sexuality, but the therapeutic rule of not touching often hinders the integration of sexual traumas, as this needs physical holding. So the patient is often left with sexual, Oedipal energies projected onto the therapist as an “idealized father” figure. The strong and lasting sexual desire for the therapist without any healing taking place can prolong therapy for many years, as it often does in psychodynamic psychotherapy and psychoanalysis. We call this problem “Freud’s Trap”. Freud used intimate bodywork,...

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Mentalization Based Therapy (MBT)

Psych Central — Mon, 17 Mar 2008 15:06:38 +0100

Mentalization based therapy (MBT) is a specific type of psychodynamically-oriented psychotherapy designed to help people with borderline personality disorder (BPD). Its focus is helping people to differentiate and separate out their own thoughts and feelings from those around them. People with borderline personality disorder tend to have unstable and intense relationships, and may unconsciously exploit and manipulate others. They may find it difficult or impossible to recognize the effects their behavior has on other people, to put themselves in other people’s shoes and to empathize with others. Mentalization is the capacity to understand both behavior and feelings and how they’re associated with specific mental states, not just in ourselves, but in others as well. It is the...

Clinical Holistic Medicine (Mindful Short-Term Psychodynamic Psychotherapy Complimented with Bodywork) in the Treatment of Schizophrenia (ICD10-F20/DSM-IV Code 295) and Other Psychotic Mental Diseases

TheScientificWorldJOURNAL: Newly published articles. — Tue, 18 Dec 2007 00:00:00 +0100

Clinical holistic medicine (CHM) has developed into a system that can also be helpful with mentally ill patients. CHM therapy supports the patient through a series of emotionally challenging, existential, and healing crises. The patient’s sense of coherence and mental health can be recovered through the process of feeling old repressed emotions, understanding life and self, and finally letting go of negative beliefs and delusions. The Bleuler’s triple condition of autism, disturbed thoughts, and disturbed emotions that characterizes the schizophrenic patient can be understood as arising from the early defense of splitting, caused by negative learning from painful childhood traumas that made the patient lose sense of coherence and withdraw from social contact. Self-insight gained throug...

Effects of psychotherapy and other behavioral interventions on clinically depressed older adults: a meta-analysis.

Aging and Mental Health — Thu, 01 Nov 2007 04:00:00 +0100

CONCLUSIONS: We conclude that cognitive-behavioral therapy and reminiscence are particularly well-established and acceptable forms of depression treatment. Interventions with 7-12 sessions may optimize effectiveness while minimizing dropout rates. For physically and cognitively impaired patients, modifications in treatment format and/or content might be useful, such as combining psychotherapy with social work interventions and pharmacotherapy. PMID: 18074252 [PubMed - indexed for MEDLINE] (Source: Aging and Mental Health)

A Short History of Clinical Holistic Medicine

TheScientificWorldJOURNAL: Newly published articles. — Fri, 05 Oct 2007 00:00:00 +0100

Clinical holistic medicine has its roots in the medicine and tradition of Hippocrates. Modern epidemiological research in quality of life, the emerging science of complementary and alternative medicine, the tradition of psychodynamic therapy, and the tradition of bodywork are merging into a new scientific way of treating patients. This approach seems able to help every second patient with physical, mental, existential or sexual health problem in 20 sessions over one year. The paper discusses the development of holistic medicine into scientific holistic medicine with discussion of future research efforts. (Source: TheScientificWorldJOURNAL: Newly published articles.)

[Editorials] Psychodynamic Psychotherapy for Personality Disorders

Am J Psychiatry — Wed, 26 Sep 2007 04:00:00 +0100

(Source: Am J Psychiatry)

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[Articles] Two Primary Configurations of Psychopathology and Change in Thought Disorder in Long-Term Intensive Inpatient Treatment of Seriously Disturbed Young Adults

Am J Psychiatry — Wed, 26 Sep 2007 04:00:00 +0100

CONCLUSIONS: Seriously disturbed anaclitic and introjective patients expressed therapeutic progress in different but theoretically consistent ways. (Source: Am J Psychiatry)

Clinical Holistic Medicine: How to Recover Memory Without “Implanting” Memories in

TheScientificWorldJOURNAL: Newly published articles. — Mon, 17 Sep 2007 00:00:00 +0100

In conclusion “clinical holistic medicine” has developed a strategy for avoiding implanting memories. (Source: TheScientificWorldJOURNAL: Newly published articles.)

[Clinical Case Conference] Alternative Perspectives on Psychodynamic Psychotherapy of Borderline Personality Disorder: The Case of "Ellen"

Am J Psychiatry — Wed, 29 Aug 2007 04:00:00 +0100

(Source: Am J Psychiatry)

[Results of psychoanalytic long-term therapy in specific diagnostic groups: improvement in symptoms and interpersonal relationships]

Zeitschrift fur Psychosomatische Medizin und Psychotherapie — Sun, 19 Aug 2007 00:52:31 +0100

CONCLUSIONS: The authors emphasize the clinical relevance of the examined diagnostic groups and relatively large effects achieved by the psychoanalytic treatment. Furthermore, the occurrence of comorbid diagnoses and their consequences are discussed. The authors stress that the specific effects of psychoanalytic therapy can only be very insufficiently tapped by the outcome measures referring to symptoms and interpersonal problems. PMID: 17688781 [PubMed - in process] (Source: Zeitschrift fur Psychosomatische Medizin und Psychotherapie)

[Results of psychoanalytic long-term therapy in specific diagnostic groups: Improvement in symptoms and interpersonal relationships.]

Zeitschrift fur Psychosomatische Medizin und Psychotherapie — Mon, 13 Aug 2007 14:36:52 +0100

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[RESEARCH ARTICLES] Does Psychiatry Residency Training Reflect the "Real World" of Psychiatry Practice? A Survey of Residency Graduates

Acad Psychiatry — Wed, 11 Jul 2007 04:00:00 +0100

CONCLUSIONS: Our graduates from 1983 to 2003 considered residency good preparation for the world of practice and reported that psychopharmacology should be emphasized during training. Respondents expressed a strong desire for continued training in psychodynamic therapy, despite growing emphasis on short-term therapies and biological treatments. (Source: Acad Psychiatry)

[Articles] Therapist Affect Focus and Patient Outcomes in Psychodynamic Psychotherapy: A Meta-Analysis

Am J Psychiatry — Thu, 31 May 2007 04:00:00 +0100

CONCLUSIONS: These data indicate that therapist facilitation of patient affective experience/expression is associated with patient improvement over the course of psychodynamic psychotherapy. Although the size of this relationship was not significantly related to methodological quality, results suggest the importance of close supervision of actual techniques through the use of audio- or videotapes. Additionally, results highlight the importance of defining outcome in a multidimensional way to properly assess theoretically relevant effects. (Source: Am J Psychiatry)

Psychodynamic Psychotherapy for Panic Disorder?

Medscape FamilyMedicine Headlines — Fri, 13 Apr 2007 16:00:00 +0100

First-ever report of efficacy for panic-focused psychodynamic therapy. Studies needed to test whether this benefit lasts long-term and compares directly with CBT and medications. Journal Watch (Source: Medscape FamilyMedicine Headlines)

[Letters to the Editor] Dr. Gabbard Replies

Am J Psychiatry — Mon, 02 Apr 2007 04:00:00 +0100

(Source: Am J Psychiatry)

[Letters to the Editor] Reactive Depression and Remission Rates in the STAR*D Trials

Am J Psychiatry — Mon, 02 Apr 2007 04:00:00 +0100

(Source: Am J Psychiatry)

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Postnatal depression

Clinical Evidence — Sun, 01 Apr 2007 00:00:00 +0100

New options added for St John's Wort (Hypericum perforatum), Infant massage by mother, and Physical exercise. New evidence; conclusions changed for Psychodynamic therapy. New evidence; previous conclusions confirmed for Selective serotonin reuptake inhibitor antidepressants (fluoxetine, paroxetine, and sertraline), Cognitive behavioural therapy (individual), Interpersonal psychotherapy, and Non-directive counselling. (Source: Clinical Evidence)

Psychodynamic Therapy Effective for Panic Disorder

Anxiety, Addiction and Depression Treatments — Tue, 20 Mar 2007 14:10:01 +0100

(Source: Anxiety, Addiction and Depression Treatments)

[Columns] Innovations: Psychotherapy: What Creates and Sustains Commitment to the Practice of Psychotherapy?

Psychiatr Serv — Wed, 07 Feb 2007 07:00:00 +0100

Qualitative methods were used to identify characteristics of "passionately committed psychotherapists" (experienced psychotherapists who would describe themselves as having found the vocation that suits them better than any other) identified by peers in the Utah public mental health system. Six themes were identified by all 15 interviewees: balance between work and nonwork passions, adaptiveness and openness, transcendence (the belief that the practice of psychotherapy has extraordinary significance), intentional learning, personal fit with the role, and passion-supporting beliefs. These are characteristics that psychotherapists should nurture in themselves, that program supervisors should seek in potential employees, and that training programs should develop in trainees. (Source: Psychiat...

In Rigorous Test, Talk Therapy Works for Panic Disorder

NYT — Tue, 06 Feb 2007 01:31:53 +0100

The research is one of the most significant steps in a small but growing effort to study how psychodynamic therapy works, and for whom. (Source: NYT)

Borderline personality disorder treated with the conversational model: a replication study.

Comprehensive Psychiatry — Mon, 22 Jan 2007 16:48:02 +0100

This study looks at a group of patients with BPD treated with outpatient psychotherapy using the conversational model of Hobson and Meares. The study group is compared, first, with the original cohort previously reported by Stevenson and Meares [Stevenson J, Meares R. An outcome study of psychotherapy for patients with borderline personality disorder. Am J Psychiatry 1992;149(3):358-62] and, second, with a wait-list "treatment-as-usual" control group. Patients were recruited well after initiation of the program and, hence, can be seen as a group treated under more usual clinical conditions rather than as a cohort subject to the initial wave of research enthusiasm. Subjects were rated at baseline and 12 months on a range of symptomatic, functional, and objective measures. The rate and degre...

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Childhood depression: a place for psychotherapy: an outcome study comparing Individual Psychodynamic Psychotherapy and Family Therapy

European Child & Adolescent Psychiatry — Wed, 03 Jan 2007 18:24:20 +0100

Conclusions??This study provides evidence supporting the use of focused forms of both Individual Psychodynamic Therapy and Family Therapy for moderate to severe depression in children and young adolescents. Content TypeJournal Article JournalEuropean Child & Adolescent PsychiatryOnline ISSN 1435-165XPrint ISSN 1018-8827 (Source: European Child & Adolescent Psychiatry)

Clinical Holistic Medicine: Psychodynamic Short-Time Therapy Complemented with Bodywork. A Clinical Follow-Up Study of 109 Patients

TSW Holistic Health — Mon, 30 Oct 2006 00:00:00 +0100

This is a study of 109 patients who attended the Research Clinic for Holistic Medicine in Copenhagen during the 2004–2006 period, grouped according to the symptoms they presented with. Every new patient was asked to answer a 10-question composite questionnaire containing QOL1, QOL5, and four questions on ability to function socially, ability to function sexually, ability to love, and ability to work, rated on a 5-point Likert scale, on initial contact and after 1–3 months, when the patient had received about five treatments, the patient was asked to complete the questionnaire again, and finally again after 1 year. All had been to their general practitioner first with their problems and 30% had been in psychological/psychiatric treatment before. The patients were treated with short-time...

Using Homework in Psychodynamic Psychotherapy.

Journal of Psychotherapy Integration — Tue, 01 Aug 2006 02:06:00 +0100

This article describes an assimilative, integrative model of psychodynamic therapy that incorporates homework and describes its use in a series of clinical cases. Although the indications for and impact of homework vary from case to case, conclusions are drawn as to the most effective approaches to incorporating homework in a psychodynamic model. (PsycINFO Database Record (c) 2006 APA, all rights reserved) (Source: Journal of Psychotherapy Integration)

[RESEARCH] Psychological interventions to improve glycaemic control in patients with type 1 diabetes: systematic review and meta-analysis of randomised controlled trials

BMJ Online First — Tue, 27 Jun 2006 06:00:00 +0100

Conclusion Psychological treatments can slightly improve glycaemic control in children and adolescents with diabetes but have no effect in adults. (Source: BMJ Online First)

[CLINICAL SYNTHESIS] The Essentials of Psychodynamic Psychotherapy

FOCUS — Mon, 15 May 2006 06:00:00 +0100

This article describes and discusses the clinically useful tenets of the psychodynamic view and the attractive explanatory power the approach offers regarding behavior, motivation, and adaptation. Central psychodynamic techniques, such as constructing useful interpretive interventions and ensuring a patient’s emotional and physical safety by establishing professional boundaries, are reviewed. (Source: FOCUS)

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[Psychodynamic therapy foci in inpatient psychotherapy--relations to self-assessment scales and individual therapeutic goals]

Zeitschrift fur Psychosomatische Medizin und Psychotherapie — Sun, 01 Jan 2006 05:00:00 +0100

DISCUSSION: The clinical implications and the implications for quality management are discussed. PMID: 17156599 [PubMed - indexed for MEDLINE] (Source: Zeitschrift fur Psychosomatische Medizin und Psychotherapie)

Psychodynamic therapy for oppositional defiant disorder: changes in personality, object relations, and adaptive function after six months of treatment.

Journal of the American Psychoanalytic Association — Sun, 01 Jan 2006 05:00:00 +0100

Authors: Bambery M, Porcerelli JH PMID: 17354508 [PubMed - indexed for MEDLINE] (Source: Journal of the American Psychoanalytic Association)

Psychodynamic therapy for borderline personality disorder and co-occurring alcohol use disorders: a newly designed ongoing study.

Journal of the American Psychoanalytic Association — Sun, 01 Jan 2006 05:00:00 +0100

Authors: Gregory RJ, Chlebowski S, Kang D, Remen A, Soderberg M PMID: 17354507 [PubMed - indexed for MEDLINE] (Source: Journal of the American Psychoanalytic Association)

Cognitive-behavioral therapy and psychodynamic psychotherapy: techniques, efficacy, and indications.

American Journal of Psychotherapy — Sun, 01 Jan 2006 05:00:00 +0100

CONCLUSIONS: Although there is substantial evidence for the efficacy of cognitive-behavioral therapy and some evidence for the efficacy of psychodynamic psychotherapy, further studies are required to improve the positive outcome rates of treatment responders in specific mental disorders. For psychodynamic psychotherapy further studies of specific forms of treatment in specific mental disorders are required to corroborate the available results. PMID: 17066756 [PubMed - indexed for MEDLINE] (Source: American Journal of Psychotherapy)

[CLINICAL SYNTHESIS] Psychodynamic Approaches to Personality Disorders

FOCUS — Mon, 05 Sep 2005 06:00:00 +0100

Personality disorders are pervasive in practice despite their relegation to a separate axis in the DSM system. The psychodynamically informed clinician may recognize personality disorders because of the recreation in the clinical setting of a pattern of object relationships. Representations of self in relation to others connected by affect states become etched in neural networks in the course of development and become repetitive patterns of relatedness. Recent research suggests that the clinician’s countertransference may be a useful way to detect the presence of specific personality disorders. Moreover, biological alterations in the hypothalamic-pituitary-adrenal axis and amygdala secondary to trauma may contribute to these relatedness patterns. A growing body of evidence suggests t...

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[INFLUENTIAL PUBLICATION] The Effectiveness of Psychodynamic Therapy and Cognitive Behavior Therapy in the Treatment of Personality Disorders: A Meta-Analysis

FOCUS — Mon, 05 Sep 2005 06:00:00 +0100

Conclusions: There is evidence that both psychodynamic therapy and cognitive behavior therapy are effective treatments of personality disorders. Since the number of studies that could be included in this meta-analysis was limited, the conclusions that can be drawn are only preliminary. Further studies are necessary that examine specific forms of psychotherapy for specific types of personality disorders and that use measures of core psychopathology. Both longer treatments and follow-up studies should be included. (Source: FOCUS)

Treatment of child obesity

Annals of Diagnostic Paediatric Pathology — Thu, 19 Feb 2004 20:46:59 +0100

Prevention of obesity should have the highest priority and be started as early in life as possible in high-risk families. This review covers the most promising areas of today's research aimed at finding better ways of treating obesity in the future and an overview of the treatment choices available at present. The cause of obesity is genetic in approximately 40-50% of adults and probably a larger proportion of children. This means that it is possible to remain overweight without a higher calorie intake than that of individuals of normal weight who lack the genetic susceptibility to obesity. Treatment is recommended from 10 years of age with a slightly hypocaloric diet (1500 kcal) and a reduced fat content (30 energy-percent). Exercise is often provided naturally by the child before this ag...