The Circumscribed Focus in Intensive Brief Dynamic Psychotherapy

Høglend, Per; Heyerdahl, Oscar

doi:10.1159/000288885

Cited by 15 publications

(12 citation statements)

References 17 publications

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“…Linking these findings to other process variables from this sample, Pesale and Hilsenroth () found that the use of greater exploratory dynamic techniques in early sessions was important for helping patients experience these sessions as more powerful, valuable, deep, full and special. Similarly and more generally, Hoglend and Heyerdahl () found that patients' capacities to ‘manifest verbal fluency’ were positively related to outcome as well as improved occupational and relational functioning at the end of treatment. Conceptually logical, this theme further relates to the therapeutic focus and relationship serving as a corrective experience for previous, maladaptive OR patterns.…”

Section: Discussionmentioning

confidence: 88%

Relationship Between Patient Pre‐treatment Object Relations Functioning and Psychodynamic Techniques Early in Treatment

Mullin

Hilsenroth

2012

Clin Psychology and Psychoth

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Consider more frequent use of psychodynamic techniques early in treatment with patients expressing more pathological object representations, particularly when these deficits are in the affective and identity domains. Lower patient object relations functioning may necessitate an in session focus on issues that are avoided or uncomfortable early in treatment. Lower patient object relations functioning may necessitate the need to address and explore labile affective expressions in session as they occur early in treatment. When patients are able to more adaptively express or manage aggressive impulses early within psychodynamic psychotherapy consider the integration of problem solving, goal oriented, future focused (i.e., CB) techniques.

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Section: Discussionmentioning

confidence: 88%

Relationship Between Patient Pre‐treatment Object Relations Functioning and Psychodynamic Techniques Early in Treatment

Mullin

Hilsenroth

2012

Clin Psychology and Psychoth

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“…The associations reported are not evidence of cause-effect relationships. The different aspects of moti vation are partly confounded by variables such as other psychodynamic selection criteria [29,33] and severity of psychiatric disturbance. On the other hand, our results are consistent with results from several studies of brief dy namic psychotherapy, and our results also differentiate two aspects of motivation for treatment, which have dif ferential predictive validity.…”

Section: Discussionmentioning

confidence: 99%

Motivation for Brief Dynamic Psychotherapy

Høglend

1996

Psychother Psychosom

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Background: Preliminary research indicates that motivation may be a key predictor of success in brief dynamic psychotherapy, but different aspects of motivation have not been studied as predictors. Methods: In this study 48 out-patients were clinically evaluated before therapy with regard to different aspects of motivation. Seven motivation items modified after Sifneos were rated by several experienced judges. Forty-three patients were treated and followed up 2 and 4 years after brief dynamic psychotherapy. The predictive validity of each of the motivation items was tested by their direct correlations with long-term outcome, and their collective predictive validity was tested by use of multiple regression analyses. Results: The interrater reliability was problematic for single items, but when the average scores of 4 judges were used, adequate reliabilities on 4 items were achieved. Two items, Motivation for change and Realistic expectations, showed the best predictive validity of long-term outcome. Conclusions: An Active engagement aspect of motivation may predict both successful and unsuccessful cases. Our data indicate that patients should be instructed about the principles and procedures of dynamic psychotherapy and they should be told why it is important for them to actively test alternative problem-solving strategies during and after therapy.

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“…Barth et al [5]identified ego resources, motivation for therapy, and motivation for change. Høglend and Heyerdahl [6]also identified the motivation for change, and added realistic expectation and identifiable focus. The variable ego resources is approximated by our factor 2 (stable personality), on which unstable work or school history, borderline pathology, and presence of severe behavior disorders have high negative loadings.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, patients’ ego resources, motivation for therapy, and an identifiable focus have been shown to distinguish between these groups in as yet unreplicated studies of brief psychotherapy [5, 6]. …”

Section: Discussionmentioning

confidence: 99%

“…Despite evidence for the effectiveness of brief, psychodynamically oriented psychotherapy (BPT) [1, 2]and some conditions that facilitate it [3, 4, 5, 6, 7], a body of replicated clinically useful criteria for the selection of patients that will benefit from it have yet to be identified. Few patients’ characteristics have consistently been shown to predict the outcome of psychotherapy to a significant degree [8, 9, 10].…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Some Criteria Used to Select Patients for Brief Psychodynamic Therapy

Sigal

Paris²,

Kardos³

et al. 1999

Psychother Psychosom

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Background and Objectives: The effectiveness of brief psychotherapy is established, but criteria for the selection of patients remain elusive. This study examines the usefulness of some widely used criteria for the selection of patients for brief psychodynamic therapy (BPT). Methods: A checklist of 39 criteria often used in a teaching hospital to screen patients for BPT was constructed. Scores derived from a principal components analysis of this checklist provided one set of predictor criteria. A second measure was derived from the consensual agreement of the independent ratings by 3 prominent advocates of BPT. A third predictor was derived from a similar analysis of items from the checklist on which consensual agreement for their relevance was obtained from the independent ratings of 23 BPT teachers in 16 university-affiliated hospitals. Reliable chart-based ratings of improvement in symptoms, increased insight, and improvement in general functioning of a convenience sample of 43 patients treated with BPT in the outpatient clinic of a teaching hospital served as outcome measures. Results: No correlation between any of the derived predictors and any of the measures of outcome was significant after a Bonferroni correction. Conclusion: Teachers and clinicians still do not have good criteria for the selection of patients who will benefit from BPT. Exclusion of severe behavior disorders may, however, improve outcome rates by more than 15%.

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The Circumscribed Focus in Intensive Brief Dynamic Psychotherapy

Cited by 15 publications

References 17 publications

Relationship Between Patient Pre‐treatment Object Relations Functioning and Psychodynamic Techniques Early in Treatment

Relationship Between Patient Pre‐treatment Object Relations Functioning and Psychodynamic Techniques Early in Treatment

Motivation for Brief Dynamic Psychotherapy

Evaluation of Some Criteria Used to Select Patients for Brief Psychodynamic Therapy

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