The active ingredients of dynamic interpersonal therapy (DIT): an exploration of clients’ experiences

Leonidaki, Venetia; Lemma, Alessandra; Hobbis, Imogen

doi:10.1080/02668734.2017.1418761

Cited by 6 publications

(3 citation statements)

References 29 publications

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“…In contrast to the psychodynamic/psychoanalytic studies of Leonidaki et al [21], Palmstierna and Werbart [19] and von Below et al [23], which mainly reported relational and intrapersonal factors as helpful, the present psychodynamic study found it was helpful for therapists to also offer advice or tips for everyday life. Practical factors were also reported for other adults [24], elderly individuals [39] and adolescents [40].…”

Section: Therapist Activitiescontrasting

confidence: 98%

“…One study not included in the meta-analysis found that patients felt it was helpful to work through obstacles, such as a strained relationship with the therapist [20]. Others have found a secure attachment to the therapist, understanding of interpersonal and emotional patterns (insight) and restoration of a coherent life story to be helpful factors [21]. Werbart and Levander [22] reported the importance of working through the patients' unrealistic wishes for what to achieve through therapy.…”

Section: Introductionmentioning

confidence: 99%

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Improvement in Psychodynamic Psychotherapy for Depression: A Qualitative Study of the Patients’ Perspective

Løvgren

Røssberg

Engebretsen

et al. 2020

IJERPH

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The patient’s perspective on improvement in psychotherapy is crucial for tailoring the therapy he or she is receiving. The present study aimed at exploring the factors aiding and the patients’ experiences of improvement in time-limited psychodynamic psychotherapy for depression. Semi-structured, in-depth interviews were conducted with ten adult patients who received up to 28 sessions of manualized psychodynamic psychotherapy in the Norwegian study “Mechanisms of change in psychotherapy” (the MOP study). The post-therapy interviews addressed the participants’ experiences from therapy. The data were analyzed with thematic content analysis and hermeneutic interpretation. The analysis identified four helpful dimensions: “Therapist activities” comprised supporting and acknowledging, advising and offering tips for everyday life, questioning and pressuring. “Patient activities” included opening up, caring for oneself and showing agency. “Facilitators” for improvement were learning from therapy, learning to receive therapy and agreed goals. “Achievements” comprised new perspectives and understandings, increased self-awareness and mastery and changed thinking and feeling. Improvements from psychodynamic therapy seemed reliant on the degree to which the therapy could activate and be relevant to the patients’ everyday life. Tailoring therapy for patients with depression should link the focus on symptoms and ways of thinking and feeling with their life circumstances.

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Section: Therapist Activitiescontrasting

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Improvement in Psychodynamic Psychotherapy for Depression: A Qualitative Study of the Patients’ Perspective

Løvgren

Røssberg

Engebretsen

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…This limits the extent and range of sensory sampling of the environment, and so the variety of priors or hypotheses available to account for them. Both the “breaking” (i.e., creative destruction) of priors and the “making” (i.e., creative construction) of new ones are inhibited (c.f., Holmes, 2010; Leonidaki et al., 2018).…”

Section: Free Energy Attachment and Psychopathologymentioning

confidence: 99%

“Surprise” and the Bayesian Brain: Implications for Psychotherapy Theory and Practice

Holmes

Nolte

2019

Front. Psychol.

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The free energy principle (FEP) has gained widespread interest and growing acceptance as a new paradigm of brain function, but has had little impact on the theory and practice of psychotherapy. The aim of this paper is to redress this. Brains rely on Bayesian inference during which “bottom-up” sensations are matched with “top-down” predictions. Discrepancies result in “prediction error.” The brain abhors informational “surprise,” which is minimized by (1) action enhancing the statistical likelihood of sensory samples, (2) revising inferences in the light of experience, updating “priors” to reality-aligned “posteriors,” and (3) optimizing the complexity of our generative models of a capricious world. In all three, free energy is converted to bound energy. In psychopathology energy either remains unbound, as in trauma and inhibition of agency, or manifests restricted, anachronistic “top-down” narratives. Psychotherapy fosters client agency, linguistic and practical. Temporary uncoupling bottom-up from top-down automatism and fostering scrutinized simulations sets a number of salutary processes in train. Mentalising enriches Bayesian inference, enabling experience and feeling states to be “metabolized” and assimilated. “Free association” enhances more inclusive sensory sampling, while dream analysis foregrounds salient emotional themes as “attractors.” FEP parallels with psychoanalytic theory are outlined, including Freud’s unpublished project, Bion’s “contact barrier” concept, the Fonagy/Target model of sexuality, Laplanche’s therapist as “enigmatic signifier,” and the role of projective identification. The therapy stimulates patients to become aware of and revise the priors’ they bring to interpersonal experience. In the therapeutic “duet for one,” the energy binding skills and non-partisan stance of the analyst help sufferers face trauma without being overwhelmed by psychic entropy. Overall, the FEP provides a sound theoretical basis for psychotherapy practice, training, and research.

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La « surprise » et le cerveau bayésien : conséquences pour la théorie et la pratique de la psychothérapie

Holmes

Nolte

2019

In Analysis

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The active ingredients of dynamic interpersonal therapy (DIT): an exploration of clients’ experiences

Cited by 6 publications

References 29 publications

Improvement in Psychodynamic Psychotherapy for Depression: A Qualitative Study of the Patients’ Perspective

Improvement in Psychodynamic Psychotherapy for Depression: A Qualitative Study of the Patients’ Perspective

“Surprise” and the Bayesian Brain: Implications for Psychotherapy Theory and Practice

La « surprise » et le cerveau bayésien : conséquences pour la théorie et la pratique de la psychothérapie

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