Psychodynamic psychotherapy: developing the evidence base

Yakeley, Jessica

doi:10.1192/apt.bp.113.012054

Cited by 18 publications

(14 citation statements)

References 46 publications

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“…The effect sizes observed were sizable, and similar to those observed in previous studies of people with ID (Skelly et al , 2017; Beail et al , 2005). The effect sizes were also in accordance with the finding that psychodynamic therapy is broadly effective for people in enduring emotional pain, as found by meta-analytic reviews in the USA, UK and Australia (respectively, Shedler, 2010; Yakely, 2013; Gaskin, 2012). There may have been a relationship of better-maintained well-being in people with more ability, and possibly more initial “internal” dysregulation of functioning on first meeting the clients with lower intellectual functioning; but these factors did not co-vary with therapeutic change.…”

Section: Discussionsupporting

confidence: 85%

An open trial of psychodynamic psychotherapy for people with mild-moderate intellectual disabilities with waiting list and follow up control

Skelly¹,

McGeehan²,

Usher

2018

AMHID

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Purpose The purpose of this paper is to examine the outcome of psychodynamic psychotherapy for people with intellectual disabilities (ID), which has a limited but supportive evidence base. Design/methodology/approach The study is a systematic open trial of flexible-length psychodynamic therapy offered in an urban community to 30 people with mild and moderate ID, presenting with significant emotional distress on the Psychological Therapies Outcome Scale for people with intellectual disabilities (PTOS-ID). Allocation to therapy was made according to an established stepped care approach according to need, and the mean number of sessions was 22.03 (range 7–47). Treatment fidelity was checked via notes review and cases excluded from analysis where there were other significant psychological interventions. Findings On both self-report (PTOS-ID) and independent ratings (Health of the Nation Outcome Scales-Learning Disability (HoNOS-LD)) recipients of therapy: did not improve while waiting for therapy; improved significantly during therapy, with large pre–post effect sizes; and retained improvements at six-month follow-up. Research limitations/implications While it is important to conduct further controlled trials, the findings provide support for previous studies. High rates of abuse and neglect were found in the sample, suggesting that more trauma-informed and relational approaches should be explored for this client group. Originality/value No other study of this size has been completed which used dedicated standardised outcome measures, with this therapy type, with both waiting list and follow-up control and with account of model fidelity.

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Section: Discussionsupporting

confidence: 85%

An open trial of psychodynamic psychotherapy for people with mild-moderate intellectual disabilities with waiting list and follow up control

Skelly¹,

McGeehan²,

Usher

2018

AMHID

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“…Among them, the most frequent issue would be the insufficiency of samples not represented in clinical practice. Finally, the psychoanalytic terms themselves would also receive oppositions, with other disciplines denying that unconscious mind, conflicts, and fantasies can be measured [89]. All the above complications would hinder the integration of different fields and long-term investigations in neuropsychodynamics.…”

Section: Discussionmentioning

confidence: 99%

Precision Medicine: Neuropsychodynamic Psychiatry Model of Major Depressive Disorder

Huang¹

2021

Advances in Social Science, Education and Humanities Research

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Major Depressive Disorder (MDD) is one of the most extensive types of psychiatric disorders. It refers to various symptoms and considerable rates of relapse, where episodes rarely resolve completely even with intensive psychiatric care. There has been growing concern over the ineffectiveness in treating MDD in reductionist domination in the psychiatry domain. The recent development of neuropsychodynamics offers an integrative model incorporating a holistic understanding of the human mind in terms of neuroscience and psychoanalytic theories and provides a potentially effective cure for MDD. In this review, MDD in the neuropsychodynamic model is manifested as an abnormal operation of the self. The chief feature refers to the increasing inward focus of the self and decreasing outward direction of the environment. To argue for the necessity of utilizing neuropsychodynamic methodology in assessing and treating MDD, the advantages of the model were discussed.

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“…La recherche concernant l'efficacité et les applications potentielles de la thérapie psychodynamique a connu un développement considérable au cours des dernières années, et ce, malgré les problèmes méthodologiques inhérents à l'étude de cette approche (Yakeley, 2014). Son efficacité a été démontrée dans le traitement de diverses pathologies (Constantinidès, 2011 ;Leichsenring, 2004Leichsenring, et 2015Fonagy, 2015) et cela, en comparaison avec la thérapie cognitivo-comportementale (Driessen, 2015), une approche plus souvent étudiée.…”

Section: Recherche Et Données Probantesunclassified