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Psychodynamic Psychiatrists to Meet Alongside the APA in San Francisco
The American Academy of Psychoanalysis and Dynamic Psychiatry welcomes all psychiatrists interested in psychotherapy and psychodynamics and has as its mission keeping psychodynamic therapy as an integral part of the psychiatric profession. Here, more on the 57th annual meeting of the AAPDP in May. (Source: Psychiatric Times)
Source: Psychiatric Times - February 20, 2013 Category: Psychiatry Source Type: news

[In Process Citation].
CONCLUSION: Determining whether a patient should receive psychodynamic psychotherapy is a differentiated process of clinical judgement. More research is needed into the process of clinical judgement. This could, for instance, compare the advantages of selection based on systematic clinical judgement over randomised selection.[tijdschrift voor psychiatrie 55(2013)1, 35-44]. PMID: 23315695 [PubMed - in process] (Source: Tijdschrift voor Psychiatrie)
Source: Tijdschrift voor Psychiatrie - January 30, 2013 Category: Psychiatry Authors: de Jonge AL, Van HL, Peen J Tags: Tijdschr Psychiatr Source Type: research

Exploring the meaning of visual and auditory hallucinations: A commentary on Pixley's discussion of the difficulties in addressing hallucinations during psychodynamic therapy.
Pixley (this issue, pp. 382–392) reviews and discusses the way psychoanalytic and psychodynamic theories address hallucinations, noting the possible limitations of these theories. In this commentary, I suggest that there are challenges in addressing hallucinations that are beyond any particular approach of psychotherapy, and that exploring the personal meaning of hallucinations is accordingly important. In addition, I will suggest that cognitive models, as well as narrative approaches to insight in psychosis, provide frameworks for the exploration and interpretations of the hallucinatory experience. (PsycINFO Database Re...
Source: Journal of Psychotherapy Integration - January 7, 2013 Category: Psychiatry & Psychology Authors: Hasson-Ohayon, Ilanit Source Type: research

Some difficulties with psychodynamic psychotherapy attending to benign auditory and visual hallucinations.
This article discusses some potential difficulties arising from psychoanalytic theory and tradition that may hinder psychodynamic psychotherapists' exploration and discussion of benign auditory and visual hallucinations (AVH) with their patients and the mental health community. Reports of AVH are relatively common in nonpsychiatric populations. Varied theoretical approaches to psychosis, psychoanalysis' positivist tradition against its clinical emphasis on patient subject experience, and the seemingly magical and unquantifiable techniques used in psychodynamic therapy to make meaning of hallucinations are speculated to con...
Source: Journal of Psychotherapy Integration - October 15, 2012 Category: Psychiatry & Psychology Authors: Pixley, Margaret M. Source Type: research

Comparison of cognitive-behaviour therapy with psychoanalytic and psychodynamic therapy for depressed patients - a three-year follow-up study.
CONCLUSION: Psychoanalytic therapy shows significantly longer-lasting effects compared to cognitive-behaviour therapy three years after termination of treatment, which is discussed as a dose-effect. PMID: 22987495 [PubMed - in process] (Source: Zeitschrift fur Psychosomatische Medizin und Psychotherapie)
Source: Zeitschrift fur Psychosomatische Medizin und Psychotherapie - September 29, 2012 Category: Psychiatry Authors: Huber D, Zimmermann J, Henrich G, Klug G Tags: Z Psychosom Med Psychother Source Type: research

[Psychotherapeutic approaches for patients with somatoform disorders.]
This report provides information on how to effectively deal with those patients. Furthermore it describes transtherapeutic targets and explains three therapeutic phases: establishing a therapeutic relationship, developing a model of the disorder and establishing coping strategies. As a last point a cognitive-behavioral treatment study, a psychodynamically-oriented study, a group intervention study and a new approach, a combination of cognitive-behavioral therapy and emotion regulation training, are presented. PMID: 22892943 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - August 15, 2012 Category: Neurology Authors: Gottschalk JM, Rief W Tags: Nervenarzt Source Type: research

The psychodynamics of transference--a virtual reality model.
CONCLUSIONS: Virtual worlds offer a helpful analogy in teaching complex psychoanalytic concepts, such as transference. PMID: 22876527 [PubMed - in process] (Source: American Journal of Psychotherapy)
Source: American Journal of Psychotherapy - August 11, 2012 Category: Psychiatry & Psychology Authors: Gorrindo T, Groves JE Tags: Am J Psychother Source Type: research

Psychodynamic therapy for depression in women with infants and young children.
CONCLUSIONS: Psychodynamic therapy appears well suited for the population of women in this study, especially when administered on an individual basis. The model employed here emphasized receiving and developing empathic emotional attunement, insight into one's relationships and early experiences, and a process for expressing feelings and resolving problems. Compared to group and combination therapies, the individual treatment may afford the greatest opportunity for receiving and developing these features and, thus, the best outcomes. PMID: 22876529 [PubMed - in process] (Source: American Journal of Psychotherapy)
Source: American Journal of Psychotherapy - August 11, 2012 Category: Psychiatry & Psychology Authors: Kurzweil S Tags: Am J Psychother Source Type: research

Longer term outcome of cognitive-behavioural and psychodynamic psychotherapy in routine mental health care: Randomised controlled trial.
Abstract We investigated the comparative effectiveness of cognitive-behavioural (CBT) and psychodynamic therapy (PDT) under clinically representative conditions as a subtrial of a prior study (Watzke et al., 2010, BJP). A consecutive sample of 147 patients with common mental disorders was randomised to either CBT or PDT in routine mental health care. In a primary per-protocol analysis patients randomised to CBT had a significantly better longer term outcome in the primary outcome symptom severity (General Severity Index of the SCL-14; p=.001; partial η(2)=0.073) as well as in health related quality of life (Menta...
Source: Behaviour Research and Therapy - August 11, 2012 Category: Psychiatry & Psychology Authors: Watzke B, Rüddel H, Jürgensen R, Koch U, Kriston L, Grothgar B, Schulz H Tags: Behav Res Ther Source Type: research

[Psychodynamic therapy of depression.]
Authors: PMID: 22814633 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)
Source: Der Nervenarzt - July 21, 2012 Category: Neurology Tags: Nervenarzt Source Type: research

Enhancing Psychodynamic Therapy with Cognitive-Behavioral Therapy in the Treatment of Grief
Abstract  Working with grieving clients requires an understanding of the affects, cognitions, and relational factors influencing clients’ unique process of mourning. Much has been written from the perspective of psychodynamic theories and techniques as well as from a cognitive-behavioral perspective to assist clients who are grieving. However, combining the approaches offers a unique opportunity to draw on the strengths of each theoretical framework as the included case descriptions illustrate, specifically in the areas of counterfactuals and guilt, inhibited grief, and adjusting to the psychosocial aspects...
Source: Clinical Social Work Journal - June 22, 2012 Category: Psychiatry & Psychology Tags: Clinical Social Work Journal Source Type: research

Meditation over Medication for Irritable Bowel Syndrome? On Exercise and Alternative Treatments for Irritable Bowel Syndrome
Abstract  Complimentary alternative treatment regimens are widely used in irritable bowel syndrome (IBS), but the evidence supporting their use varies. For psychological treatment options, such as cognitive behavioral therapy, mindfulness, gut-directed hypnotherapy, and psychodynamic therapy, the evidence supporting their use in IBS patients is strong, but the availability limits their use in clinical practice. Dietary interventions are commonly included in the management of IBS patients, but these are primarily based on studies assessing physiological function in relation to dietary components, and to a less...
Source: Current Gastroenterology Reports - June 4, 2012 Category: Gastroenterology Tags: Current Gastroenterology Reports Source Type: research

Integrated cognitive–behavioral and psychodynamic psychotherapy for intimate partner violent men.
This article reviews the effectiveness of current treatments for partner-violent men, examines relationship and personality variables related to IPV and its treatment, and presents an emerging IPV treatment model that combines CBT and psychodynamic therapy. The article addresses how psychodynamic therapy is integrated into the more content-based elements of CBT. (PsycINFO Database Record (c) 2012 APA, all rights reserved) (Source: Psychotherapy: Theory, Research, Practice, Training)
Source: Psychotherapy: Theory, Research, Practice, Training - May 28, 2012 Category: Psychiatry & Psychology Authors: Lawson, David M.; Kellam, Melanie; Quinn, Jamie; Malnar, Stevie G. Source Type: research

Effectiveness of a cognitive behavioral intervention in patients with medically unexplained symptoms: cluster randomized trial
This study involves a community based cluster randomized trial in primary healthcare centres in Madrid (Spain).The number of patients required is 242 (121 in each arm), all between 18 and 65 of age with medically unexplained symptoms that had seeked medical attention in primary care at least 10 times during the previous year. The main outcome variable is the quality of life measured by the SF-12 questionnaire on Mental Healthcare. Secondary outcome variables include number of consultations, number of drug (prescriptions) and number of days of sick leave together with other prognosis and descriptive variables. Main effectiv...
Source: BMC Family Practice - May 2, 2012 Category: Primary Care Authors: Alberto López García-FrancoMa. Isabel del-Cura GonzálezLuis Caballero MartinezTeresa Sanz CuestaMarta Isabel Díaz GarcíaMa. Teresa Rodriguez MonjeMarcela ChahuaInmaculada Muñoz SanchezDolores Serrano GonzálezTeresa Rollán LlanderasEsther Nieto Bla Source Type: research

Therapists' professional and personal characteristics as predictors of outcome in short- and long-term psychotherapy
Conclusions: Therapist characteristics apparently are important determinants of effectiveness of short- and long-term psychotherapy. If confirmed in future studies, results may be applied in training and supervision of therapists as well as in fitting therapy forms with therapist dispositions to maximize treatment benefits. (Source: Journal of Affective Disorders)
Source: Journal of Affective Disorders - March 14, 2012 Category: Neurology Authors: Erkki Heinonen, Olavi Lindfors, Maarit A. Laaksonen, Paul Knekt Tags: Research reports Source Type: research

The effect of adding psychodynamic therapy to antidepressants in patients with major depressive disorder. A systematic review of randomized clinical trials with meta-analyses and trial sequential analyses
Abstract: Background: Major depressive disorder afflicts an estimated 17% of individuals during their lifetimes at tremendous suffering and costs. Psychodynamic therapy may be a treatment option for depression, but the effects have only been limitedly assessed in systematic reviews.Method: Using Cochrane systematic review methodology, we compared the benefits and harms of psychodynamic therapy versus ‘no intervention’ or sham for major depressive disorder. We accepted any co-intervention, including antidepressants, as long as it was delivered similarly in both intervention groups. Trials were identified by searching th...
Source: Journal of Affective Disorders - February 21, 2012 Category: Neurology Authors: Janus Christian Jakobsen, Jane Lindschou Hansen, Erik Simonsen, Christian Gluud Tags: Reviews Source Type: research

Carvalho to Participate in APsaA Teachers Academy
Dr. Cletus Carvalho, director of the University of Kentucky College of Medicines Psychiatry Residency Program and medical director for UKs Adult Inpatient Psychiatry Unit, has been chosen as one of six members to participate in second class of the American Psychoanalytic Associations Psychoanalytic and Psychodynamic Teachers Academy - a professional program development for teachers of psychoanalysis and psychodynamic therapy. (Source: UK College of Medicine News)
Source: UK College of Medicine News - February 15, 2012 Category: Universities & Medical Training Tags: 7H000 appointment psychiatry Source Type: news

Crisis-repair sequences - considerations on the classification and assessment of breaches in the therapeutic relationship
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)
Source: BMC Medical Research Methodology - Latest articles - February 3, 2012 Category: Research Authors: Antje GumzElmar BrahlerMichael GeyerRainer Erices Source Type: research

Collaboration in Psychodynamic Psychotherapy
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 ho...
Source: Journal of Clinical Psychology - January 27, 2012 Category: Psychiatry & Psychology Authors: Hadas WisemanOrya TishbyJacques P. Barber Tags: Article Source Type: research

Is Long-Term Psychodynamic Psychotherapy Worthwhile?
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)
Source: Psychology Today Anxiety Center - January 14, 2012 Category: Psychiatry & Psychology Authors: James C. Coyne, Ph.D. Tags: Anxiety Depression Therapy added expense british journal of psychiatry cognitive behavior therapy comparative effectiveness consenting adults costly burden depression anxiety exposure therapy frequent sessions Freud health care c Source Type: news

A Randomised Controlled Trial on hypnotherapy for Irritable Bowel Syndrome: design and methodological challenges (the IMAGINE study)
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)
Source: BMC Gastroenterology - December 20, 2011 Category: Gastroenterology Authors: Carla FlikYanda van RoodWijnand LaanAndre SmoutBas WeustenPeter WhorwellNiek de Wit Source Type: research

A Quality-Based Review of Randomized Controlled Trials of Cognitive-Behavioral Therapy for Depression: An Assessment and Metaregression.
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)
Source: The American Journal of Psychiatry - November 8, 2011 Category: Psychiatry Authors: Thoma NC, McKay D, Gerber AJ, Milrod BL, Edwards AR, Kocsis JH Tags: Am J Psychiatry Source Type: research

Richard F. Summers and Jacques P. Barber: Psychodynamic Therapy: A Guide to Evidenced-Based Practice
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)
Source: Clinical Social Work Journal - October 18, 2011 Category: Psychiatry & Psychology Tags: Clinical Social Work Journal Source Type: research

Suicide attempts: prevention of repetition.
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)
Source: Canadian Journal of Psychiatry - October 1, 2011 Category: Psychiatry Authors: Daigle MS, Pouliot L, Chagnon F, Greenfield B, Mishara B Tags: Can J Psychiatry Source Type: research

Prevalence and risk factors for recurrence of depression five years after short term psychodynamic therapy
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)
Source: Journal of Affective Disorders - September 12, 2011 Category: Neurology Authors: D. Koppers, J. Peen, S. Niekerken, R. Van, J. Dekker Tags: Brief reports Source Type: research

Add-On Sertraline Nixed for Moderate Postpartum DepressionAdd-On Sertraline Nixed for Moderate Postpartum Depression
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)
Source: Medscape Today Headlines - September 6, 2011 Category: Consumer Health News Tags: Psychiatry News Source Type: news

Working with Chinese Patients: Are there Conflicts Between Chinese Culture and Psychoanalysis?
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 canno...
Source: International Journal of Applied Psychoanalytic Studies - September 1, 2011 Category: Psychiatry & Psychology Authors: Jie Zhong Tags: Research Article Source Type: research

Evaluating the outcomes of psychotherapies: The Personality Health Index.
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 ...
Source: Psychoanalytic Psychology - July 17, 2011 Category: Psychiatry & Psychology Authors: Waldron, Sherwood; Moscovitz, Seymour; Lundin, John; Helm, Fonya Lord; Jemerin, John; Gorman, Bernard Source Type: research

Carl Jung, part 1: Taking inner life seriously | Mark Vernon
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 ag...
Source: Guardian Unlimited Science - May 30, 2011 Category: Science Authors: Mark Vernon Tags: Mental health Psychology Science World news guardian.co.uk Comment Comment is free Source Type: news

9 Ways to Make the Most Out of Therapy
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...
Source: Psych Central - March 21, 2011 Category: Psychiatry Authors: Margarita Tartakovsky, M.S. Tags: Cognitive-Behavioral DBT Eclectic General Psychodynamic Psychotherapy Rational-Emotive Treatment Amp Brainwashing Chicago Psychologist Co Workers Coach John Common Myths Confidentiality Laws Crazy Comments Discerning Consum Source Type: news

Psychodynamic Therapy for Somatic Disorder Meta-Analysis Raises More Questions than Answers
Psychother Psychosom 2011;80:182–183 (DOI:10.1159/000320578) (Source: Psychotherapy and Psychosomatics)
Source: Psychotherapy and Psychosomatics - March 8, 2011 Category: Psychiatry & Psychology Source Type: research

Book Review: Brain Over Binge
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 bul...
Source: Psych Central - February 25, 2011 Category: Psychiatry Authors: Elissa Malcohn Tags: Book Reviews Bulimia Disorders Personal Stories Behav Binge Eating Disorder Bingeing Brain Chemistry Bulimics Complete Recovery Conventional Therapy Conventional Treatments Developmental Psychology Gym Workouts Kathryn Hansen Source Type: news

The effectiveness of behavioural therapy for the treatment of depression in older adults: a meta‐analysis
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)
Source: International Journal of Geriatric Psychiatry - February 8, 2011 Category: Geriatrics Authors: Zara SamadStephen BrealeySimon Gilbody Tags: Review Article Source Type: research

Methods and mechanisms in the efficacy of psychodynamic psychotherapy.
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 psychot...
Source: American Psychologist - February 6, 2011 Category: Psychiatry & Psychology Authors: McKay, Dean Source Type: research

When it comes to evaluating psychodynamic therapy, the devil is in the details.
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 t...
Source: American Psychologist - February 6, 2011 Category: Psychiatry & Psychology Authors: Anestis, Michael D.; Anestis, Joye C.; Lilienfeld, Scott O. Source Type: research

Science or ideology?
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 p...
Source: American Psychologist - February 6, 2011 Category: Psychiatry & Psychology Authors: Shedler, Jonathan Source Type: research

Science or ideology?
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 contempora...
Source: The American Psychologist - January 31, 2011 Category: Psychiatry & Psychology Authors: Shedler J Tags: Am Psychol Source Type: research

When it comes to evaluating psychodynamic therapy, the devil is in the details.
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 ...
Source: The American Psychologist - January 31, 2011 Category: Psychiatry & Psychology Authors: Anestis MD, Anestis JC, Lilienfeld SO Tags: Am Psychol Source Type: research

Is there room for criticism of studies of psychodynamic psychotherapy?
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 prof...
Source: The American Psychologist - January 31, 2011 Category: Psychiatry & Psychology Authors: Thombs BD, Jewett LR, Bassel M Tags: Am Psychol Source Type: research

Methods and mechanisms in the efficacy of psychodynamic psychotherapy.
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 psy...
Source: The American Psychologist - January 31, 2011 Category: Psychiatry & Psychology Authors: McKay D Tags: Am Psychol Source Type: research

Psychodynamic Psychotherapy
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)
Source: Psychiatric Times - January 4, 2011 Category: Psychiatry Source Type: news

[Initial and extension applications for psychodynamic therapy according to the German Guidelines for Psychotherapy.]
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 ...
Source: Zeitschrift fur Psychosomatische Medizin und Psychotherapie - October 23, 2010 Category: Psychiatry Authors: Lieberz K, Krumm B, Adamek L, Mühlig S Tags: Z Psychosom Med Psychother Source Type: research

Psychodynamic Therapy Appears To Be Of Little Help For Obsessions
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)
Source: Health News from Medical News Today - October 6, 2010 Category: Consumer Health News Tags: Psychology / Psychiatry Source Type: news

Some Practical Tips on Social Anxiety
Social anxiety refers to the fear of being around people due to the threat of embarrassment.  People who are socially anxious frequently freeze and are unable to seek the very company their hearts desire.  They may make adaptations: they may decide that they “hate” being around people; they may isolate and play video games; they may absorb themselves in their work, but no matter what they do, this anxiety always exists at baseline whether they are being social or not. The issue with social anxiety, as with most forms of anxiety, is that the anxieties and fears are not just conscious.  “Dealing” with ...
Source: Psychology Today Relationships Center - August 25, 2010 Category: Psychiatry & Psychology Authors: Srini Pillay, M.D. Tags: Anxiety Relationships Stress adaptations anxieties assumption avoidance baseline embarrasment embarrassment fear Fears fundamental assumptions havoc hearts human brain imperfections nbsp performance anxiety pubic spea Source Type: news

Psychotherapy research: do we know what works for whom? [EDITORIALS]
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 ...
Source: The British Journal of Psychiatry - August 2, 2010 Category: Psychiatry Authors: Fonagy, P. Tags: EDITORIALS Source Type: research

Effectiveness of systematic treatment selection for psychodynamic and cognitive-behavioural therapy: randomised controlled trial in routine mental healthcare [PAPERS]
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)
Source: The British Journal of Psychiatry - August 2, 2010 Category: Psychiatry Authors: Watzke, B., Ruddel, H., Jurgensen, R., Koch, U., Kriston, L., Grothgar, B., Schulz, H. Tags: PAPERS Source Type: research

A longitudinal study of emotional experience, expressivity, and psychopathology in psychotherapy inpatients and psychologically healthy persons
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 ...
Source: Journal of Clinical Psychology - July 17, 2010 Category: Psychiatry & Psychology Authors: Daniel Leising, Tilman Grande, Rainer Faber Source Type: research

Changes in trainees' intention use and volunteer clients' evaluations of sessions during early skills training.
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 vo...
Source: Psychotherapy: Theory, Research, Practice, Training - July 4, 2010 Category: Psychiatry & Psychology Authors: Kivlighan, Dennis M., Jr. Source Type: research

The mediating role of insight for long-term improvements in psychodynamic therapy.
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)
Source: Journal of Consulting and Clinical Psychology - May 30, 2010 Category: Psychiatry & Psychology Authors: Johansson, Paul; Høglend, Per; Ulberg, Randi; Amlo, Svein; Marble, Alice; Bøgwald, Kjell-Petter; Sørbye, Øystein; Sjaastad, Mary Cosgrove; Heyerdahl, Oscar Source Type: research