A Naturalistic Study of the Effectiveness of a Four-Session Format: The Brief Psychodynamic Intervention

Despland, Jean‐Nicolas; Drapeau, Martin; Roten, Yves de

doi:10.1093/brief-treatment/mhi026

Cited by 19 publications

(14 citation statements)

References 37 publications

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“…All patients were first asked to undergo short psychodynamic psychotherapy, according to the protocol developed in Lausanne by Gilliéron (27). Details of this technique are available elsewhere (27)(28)(29). Briefly, this psychotherapeutic approach is founded on the intention to contemplate the interactions between the somatic, psychic and environmental aspects of patients.…”

Section: Methodsmentioning

confidence: 99%

Combined Pharmacological and Short-Term Psychodynamic Psychotherapy for Probable Medication Overuse Headache: A Pilot Study

et al. 2009

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We studied the effects of short-term psychodynamic psychotherapy (STPP) and pharmacological therapy in 26 consecutive patients with probable medication overuse headache (pMOH). Patients underwent a standard in-patient detoxification protocol, lasting a mean of 7 days. Eleven patients overused non-steroidal anti-inflammatory drugs (NSAIDs), five a combination of NSAIDs and triptans, four triptans, four a combination of NSAIDs, and three triptans and ergot derivates. Preventive therapy was initiated during detoxification. The STPP protocol comprised the Brief Psychodynamic Investigation (BPI) and psychoanalysis-inspired psychotherapy. All patients (groups A and B) underwent the BPI and pharmacological therapy. Half of the patients (group B) also not randomly underwent psychoanalysis-inspired psychotherapy. We found a significant interaction between time and group for headache frequency and medication intake. At 12-month follow-up, a statistically greater decrease in headache frequency and medication intake was observed in group B than in group A (P = 0.0108 and P = 0.0097, respectively). The relapse rate was much lower in group B patients at both 6 and 12 months [15.3%, odds ratio (OR) 0.11, P = 0.016, and 23%, OR 0.18, P = 0.047, respectively] than in group A. The risk of developing chronic migraine (CM) during follow-up was higher in group A than in group B at 6 (OR 2.0, P = 0.047) and 12 months (OR 2.75, P = 0.005). Our study suggests that STPP in conjunction with drug withdrawal and prophylactic pharmacotherapy relieves headache symptoms in pMOH, reducing both long-term relapses and the burden of CM.

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Section: Methodsmentioning

confidence: 99%

Combined Pharmacological and Short-Term Psychodynamic Psychotherapy for Probable Medication Overuse Headache: A Pilot Study

et al. 2009

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“…We noted a rather high percentage of males in this sample. The patients were selected out of a larger sample recruited for a naturalistic study on BPI (Despland, Drapeau, & de Roten, 2005) with a total N of 122. Selection criteria were the presence of a full MDD diagnosis (single or recurrent episodes) for the entire sample and the presence of any comorbid PD for half of the sample.…”

Section: Methodsmentioning

confidence: 99%

“…All diagnoses were established by trained clinicians using the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM‐IV) Axis I and II Disorders (SCID‐I and SCID‐II) semistructured interviews for the DSM‐IV (First, Spitzer, Williams, & Gibbons, 2004; APA, 1994). Reliability of the diagnoses for the entire sample was reported elsewhere (Despland et al, 2005); mean kappas were considered sufficient (DSM‐IV Axis I: κ = .65; DSM‐IV Axis II: κ = .54).…”

Section: Methodsmentioning

confidence: 99%

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Reversible vision loss secondary to malnutrition in a woman with severe anorexia nervosa, purging type, and alcohol abuse

Mroczkowski¹,

Redgrave²,

Miller

et al. 2011

Intl J Eating Disorders

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Ophthalmologic complications of malnutrition are rare but include both oculomotor and visual sensory disturbances. Thiamine deficiency can cause both types of disorders. Vitamin B12 and folate deficiencies are typically associated with optic neuropathy. Clinicians treating eating disorders should be aware of the potential for vitamin deficiencies and associated visual loss in patients with anorexia nervosa. This case highlights the importance of a detailed dietary history to guide vitamin rehabilitation and to minimize or reverse nutritional visual loss.

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“…The four main objectives of BPI are the following: (a) developing an optimal plan to resolve the patient's crisis situation through the use of an initial dynamic interpretation, (b) establishing a psychodynamic and psychiatric diagnosis, (c) providing information on possible future therapeutic interventions and (d) furthering the development of early alliance (Despland, Drapeau, & de Roten, 2005).…”

Section: Treatmentmentioning

confidence: 99%

Early change in maladaptive defence style and development of the therapeutic alliance

Ambresin

Roten

Drapeau

et al. 2007

Clin Psychology and Psychoth

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This study examined the early change in maladaptive defence style (MDS), the development of the therapeutic alliance and the relationship between MDS and alliance in a short psychodynamic intervention. Sixty-eight outpatients from a psychiatric clinic completed a four-session psychodynamic intervention. Defence and alliance measures were collected at the intake and the final session. Patients who began the intervention with a poor alliance but ended with a good alliance (linear growth therapeutic alliance group) significantly decreased their use of maladaptive defences over the course of therapy, while patients in the high and low alliance groups did not. Results showed that at the end of the intervention, MDS and alliance were related across all patients. This relation concerned particularly the linear growth therapeutic alliance profile. These results suggest that the developing therapeutic alliance might reflect the collaborative work between the patient and the therapist as they try to understand the causes of the crisis. This understanding might help reduce maladaptive defences that were initially activated to ward off anxiety and distress.

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A Naturalistic Study of the Effectiveness of a Four-Session Format: The Brief Psychodynamic Intervention

Cited by 19 publications

References 37 publications

Combined Pharmacological and Short-Term Psychodynamic Psychotherapy for Probable Medication Overuse Headache: A Pilot Study

Combined Pharmacological and Short-Term Psychodynamic Psychotherapy for Probable Medication Overuse Headache: A Pilot Study

Reversible vision loss secondary to malnutrition in a woman with severe anorexia nervosa, purging type, and alcohol abuse

Early change in maladaptive defence style and development of the therapeutic alliance

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