Long-Term Outcome of Long-Term Psychoanalytically Oriented Therapies: First Findings of the Stockholm Outcome of Psychotherapy and Psychoanalysis Study

Blomberg, Johan; Lazar, Anna; Sandell, Rolf

doi:10.1093/ptr/11.4.361

Cited by 82 publications

(68 citation statements)

References 21 publications

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“…The Stockholm Outcome of Psychoanalysis Project, for example, has demonstrated that patients gained in strength and capacity after treatment had ended (Sandell et al, 2000;Blomberg et al, 2001). …”

Section: Psychotherapies For Depressionmentioning

confidence: 99%

Psychoanalytic and psychodynamic therapies for depression: the evidence base

Taylor¹

2008

Adv. psychiatr. treat

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This article argues that the current approach to guideline development for the treatment of depression is not supported by the evidence: clearly depression is not a disease for which treatment efficacy is best determined by shortterm randomised controlled trials. As a result, important findings have been marginalised. Different principles of evidencegathering are described. When a wider range of the available evidence is critically considered the case for dynamic approaches to the treatment of depression can be seen to be stronger than is often thought. Broadly, the benefits of shortterm psychodynamic therapies are equivalent in size to the effects of antidepressants and cognitive-behavioural therapy (CBT). The benefits of CBT may occur more quickly, but those of shortterm psychodynamic therapies may continue to increase after treatment. There may be a ceiling on the effects of shortterm treatments of whatever type. Longerterm psychodynamic treatments may improve associated social, work and personal dysfunctions as well as reductions in depressive symptoms.David Taylor, a consultant psychotherapist at the Tavistock & Portman NHS Foundation Trust (120 Belsize Lane, London NW3 5BA, UK. Email: dtaylor@taviport.nhs.uk), is the clinical lead of the Tavistock Adult Depression Study (a randomised controlled trial of 60 sessions of weekly psychoanalytic psychotherapy v. treatment as usual for patients with chronic, refractory depression). He is a training and supervising psychoanalyst at the Institute of Psychoanalysis.

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Section: Psychotherapies For Depressionmentioning

confidence: 99%

Psychoanalytic and psychodynamic therapies for depression: the evidence base

Taylor¹

2008

Adv. psychiatr. treat

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“…Furthermore, we examined whether or not our patients could be identified as clinical cases according to specific criteria. In this, we followed other researchers who had shown that it is possible to use statistically defined cutoff values and combine different instruments to come to a global assessment of the percentage of clinical cases in a certain patient population (Blomberg et al, 2001;Puschner, Kraft, Kächele, & Kordy, 2007;Sandell et al, 2000).…”

Section: Bulletin Of the Menninger Clinicmentioning

confidence: 99%

“…Third, the definition of a clinical case is crucial in this discussion. In this, we followed other studies (Blomberg et al, 2001;Derogatis & Lazarus, 1994;Puschner et al, 2007;Sandell et al, 2000) and tried to make an even more conservative estimate of the number of clinical cases. This was done by adding the criteria that a person would be considered a clinical case if this shows on several symptom questionnaires and/or several MMPI-2 clinical scales and/or several Rorschach Special Indices.…”

Section: Bulletin Of the Menninger Clinicmentioning

confidence: 99%

Identifying clinical cases among patients assigned to psychoanalytic treatment

Berghout¹,

Zevalkink²

2008

Bulletin of the Menninger Clinic

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“…The Stockholm Outcome of Psychotherapy and Psychoanalysis Project (STOPP) [19][20][21] followed 756 persons who received national insurance-funded treatment for up to three years in psychoanalysis or psychoanalytic psychotherapy. Outcome was assessed in terms of symptoms, social relations, morale or existential attitude, general health, health care utilization, and working capacity, as measured by qualitative interviews, self-report inventories, questionnaires, and official records.…”

Section: Long-term Psychodynamic Psychotherapymentioning

confidence: 99%

Psicoterapia psicodinâmica e o tratamento do jogo patológico

Rosenthal

2008

Rev. Bras. Psiquiatr.

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A b s t r a c t Objective: The search for empirically based treatments for pathological gambling is in its infancy, with relatively few clinical trials and an absence of naturalistic studies. Treatment retention of gamblers has been a problem; cognitive-behavioral treatment and pharmacotherapy studies report especially high dropout rates. Psychodynamic approaches, with their emphasis on the therapeutic relationship, and the meaning of the patient's self-destructive and seemingly irrational behaviors, and on obstacles to selfforgiveness, might improve outcome. Method: After a description of psychodynamic psychotherapy, the literature on both shortterm and longer therapies is reviewed regarding their efficacy for a variety of disorders. With regard to pathological gambling, the author summarizes the early psychoanalytic literature then reviews the more recent psychodynamic psychotherapy literature on pathological gambling. Results: A review of the recent psychodynamic psychotherapy literature on pathological gambling failed to disclose a single randomized controlled study of treatment efficacy or effectiveness. However, there are eight positive outcome studies described as multi-modal eclectic; half of those seem to utilize psychodynamic approaches. Two of the more successful programs are described. Conclusions: A review of the outcomes literature for psychodynamic psychotherapy demonstrates efficacy for a variety of disorders sufficient to justify a clinical trial for pathological gambling. Short-term psychodynamic psychotherapy, with its focus on core issues, may be particularly applicable to the pathological gambler's need to avoid or escape intolerable affects and problems. Longer therapies may be needed to modify an avoidant coping style and defenses.Descriptors: Pathological gambling; Psychodynamic psychotherapy; Multimodal, treatment; Dynamic formulation; Treatment effectiveness Resumo Objetivo: A busca por tratamentos com base empírica para o jogo patológico está em sua infância, havendo relativamente poucos ensaios clínicos e uma ausência de estudos naturalísticos. A adesão dos jogadores ao tratamento tem sido um problema, sendo que o tratamento cognitivo-comportamental e os estudos farmacoterápicos relatam índices particularmente altos de abandono. As abordagens psicodinâmicas, com sua ênfase na relação terapêutica e no significado dos comportamentos autodestrutivos e aparentemente irracionais, e nos obstáculos à capacidade de se perdoar, poderiam melhorar o desfecho. Método: Após uma descrição da psicoterapia psicodinâmica, foi feita uma revisão da literatura que investigou a eficácia de tratamentos psicoterápicos de curto e longo prazo para uma série de transtornos. Com relação ao jogo patológico, foi feito um resumo da literatura psicanalítica inicial ) e a seguir foi revisada a literatura mais recente sobre a utilização da psicoterapia psicodinâmica no jogo patológico. Resultados: A pesquisa da literatura recente sobre psicoterapia psicodinâmica não revelou nenhum estudo controlado aleatorizado sobr...

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Long-Term Outcome of Long-Term Psychoanalytically Oriented Therapies: First Findings of the Stockholm Outcome of Psychotherapy and Psychoanalysis Study

Cited by 82 publications

References 21 publications

Psychoanalytic and psychodynamic therapies for depression: the evidence base

Psychoanalytic and psychodynamic therapies for depression: the evidence base

Identifying clinical cases among patients assigned to psychoanalytic treatment

Psicoterapia psicodinâmica e o tratamento do jogo patológico

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