Behavior Therapy vs Insight-Oriented Therapy for Repeated Suicide Attempters

Liberman, Robert Paul

doi:10.1001/archpsyc.1981.01780350060007

Cited by 147 publications

(109 citation statements)

References 16 publications

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“…One study described a group-based psychodynamic intervention (Liberman and Eckman, 1981), and all other treatments were delivered in an individual format. Audio or video recording of psychodynamic treatment sessions was implemented in 24 studies, and not used or not reported in 22 studies.…”

Section: Inclusion Of Studiesmentioning

confidence: 99%

A meta-analysis of psychodynamic psychotherapy outcomes: Evaluating the effects of research-specific procedures.

et al. 2012

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The aim of this research was to examine the extent to which the use of research-specific procedures in psychodynamic psychotherapy impacts upon treatment effectiveness and which variables moderate this potential relationship. Effects of audio/video recording of sessions, use of treatment manuals, and checks of treatment fidelity were examined. A meta-analysis was conducted on randomized controlled trials of psychodynamic psychotherapy. Forty-six independent treatment samples totaling 1615 patients were included. The magnitude of change between pretreatment and posttreatment aggregated across all studies (45 treatment samples) for overall outcome was large (d ϭ 1.01), and further improvement was observed between posttreatment and an average 12.8-month follow-up (d ϭ 0.18). Subgroup analyses comparing studies that used research-specific procedures and those that did not revealed that for posttreatment data no differences in treatment effects were found. However, the use of treatment manuals and fidelity checks were significantly associated with improvement between the end of treatment and follow-up assessment. Within the limitations of analyses, this data offered preliminary evidence that use of research-specific procedures does not contribute in a negative manner to posttreatment outcomes in psychodynamic psychotherapy, and their use contributes to positive differences that emerge with time. These findings, although observational in nature, make a case for reconsidering how dimensions of clinical utility and experimental control may be integrated in psychodynamic psychotherapy to enable further elucidation of principles that evidently work.

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Section: Inclusion Of Studiesmentioning

confidence: 99%

A meta-analysis of psychodynamic psychotherapy outcomes: Evaluating the effects of research-specific procedures.

et al. 2012

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“…Linehan and Heard (1993) have shown that cognitive behavioral approaches can be helpful in curtailing parasuicide in cluster B personality disorder. Also in cluster B personality disorder, Liberman and Eckman (1981) found that insight-oriented and behavior therapy was helpful in curbing suicidal behavior over a 2-year period. It is possible that these approaches would be helpful in major depression, particularly where this type of axis II pathology is comorbid.…”

Section: Somatic Treatment Strategiesmentioning

confidence: 99%

Suicide: Risk factors and prevention in refractory major depression

1997

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The literature regarding risk factors for suicidal behavior in the context of major depressive episode is reviewed. An organized framework for prevention strategies is provided. Risk factors for suicide in major depression can be organized according to whether their effect is on the threshold for suicidal acts or whether they serve mainly as triggers or precipitants of suicidal acts. For patients sufficiently depressed to present for evaluation and treatment, severity of depression is a poor guide to risk for suicidal acts. The best predictors relate to the threshold or predisposition to suicidal acts in response to major depression. Although available literature on suicidal behavior focuses on major depression in general, the findings may be usefully applied in refractory depression. Guidelines for assessment and management of suicidal behavior in major depression are offered. Depression and Anxiety 5:202–211, 1997. © 1997 Wiley‐Liss, Inc.

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“…The first strategy is to compare 2 specific treatments or one treatment augmented by an additional intervention (99,101). This makes it difficult to interpret a lack of differences, however, which is a likely problem because this design by nature does not seek to maximize between group differences.…”

Section: Psychosocial Studiesmentioning

confidence: 99%

Treatment Outcome of Personality Disorders

1998

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Objective: To review the treatment outcome of personality disorders. Method: A literature search of studies pertaining to personality disorder and outcome was conducted, and studies that focused primarily on Axis II were retained. Of these, naturalistic outcome studies were distinguished from those that addressed treatment outcome specifically. The treatment outcome studies were examined in terms of type of treatment intervention, dependent variables, and outcome. Results: Contrary to contemporary assumptions about Axis II, a substantial number of treatment outcome studies were identified. Trends in the assumptions underlying psychosocial and pharmacologic approaches were identified on the basis of dependent variables. Conclusion: There is evidence that effective treatments exist to alleviate symptoms and reduce symptomatic behaviours that accompany personality disorders. What these results hold for the idea of remission from personality disorder is considered.

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Behavior Therapy vs Insight-Oriented Therapy for Repeated Suicide Attempters

Cited by 147 publications

References 16 publications

A meta-analysis of psychodynamic psychotherapy outcomes: Evaluating the effects of research-specific procedures.

A meta-analysis of psychodynamic psychotherapy outcomes: Evaluating the effects of research-specific procedures.

Suicide: Risk factors and prevention in refractory major depression

Treatment Outcome of Personality Disorders

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