The Effectiveness of Long-Term Psychoanalytic Therapy: A Systematic Review of Empirical Studies

Maat, Saskia de; Jonghe, Frans de; Schoevers, Robert A.; Dekker, Jack

doi:10.1080/10673220902742476

Cited by 171 publications

(103 citation statements)

References 60 publications

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“…In the field of psychodynamic treatment of adults this situation began to change in recent years, with the publication of a number of important reviews and meta-analyzes (De Matt, Jonghe, Schoevers & Dekker, 2009;Gerber et al, 2011;Leichsenring, 2005;Leichsenring & Rabung, 2008;Leichsenring, Rabung, & Leibing, 2004;Shedler, 2012;Town, Diener, Abbass, Leichsenring, Driesse, & Rabung, 2012). Based on Randomized Controlled Trials (RCT) or not, these revisions showed that psychodynamic psychotherapy is at least equal to other forms of treatment regarded as evidence-based and that patients receiving this treatment not only keep the gains after its end, but often continue to improve.…”

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confidence: 99%

Interaction structures in the psychodynamic therapy of a boy diagnosed with Aspergerâ€™s disorder: a single-case study

Ramires

Carvalho

Schmidt

et al. 2015

ResPsy

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Abstract.It is important to investigate the outcomes of psychotherapy and, especially, its process. Regarding child psychodynamic psychotherapy, available studies are in smaller numbers. Therefore, we still do not fully know the mechanisms of change in treatments with this age group. The Child Psychotherapy Q-Set (CPQ) was designed to analyze the therapeutic process with children. It permits one to identify interaction structures (i.e., repetitive patterns of interaction) and how they change in the course of a treatment. Based on these assumptions, the aim of this study was to identify and to analyze the interaction structures in the psychodynamic therapy of a boy diagnosed with Asperger's disorder and possible changes in his psychic organization. A mixed longitudinal study, based on the Systematic Case Study procedure, was performed. Approximately 30 months of the boy's psychotherapy were analyzed using the CPQ. The Rorschach method was used as the outcome measure. Four interaction structures were identified, using the CPQ: Active, confident and lively child, competing with connected, mentalizing and accepting therapist; Withdrawn and defensive child with uncertain, unresponsive and didactic therapist; Accepting therapist with demanding, provocative and hostile child; and Reassuring, supportive, nondirective therapist with a compliant and not spontaneous child. Two interaction structures varied over time. Some changes in Rorschach variables were detected after two years of treatment.

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mentioning

confidence: 99%

Interaction structures in the psychodynamic therapy of a boy diagnosed with Aspergerâ€™s disorder: a single-case study

Ramires

Carvalho

Schmidt

et al. 2015

ResPsy

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“…Therefore, numerous studies have been carried out in recent years on the effectiveness of psychodynamic therapies, and the findings support the effectiveness of this therapy on mild and complex mental health problems (1). Meta-analyses show the impact of psychodynamic therapies on the symptoms of many psychiatric disorders, for example, personality disorders (17), Depression (18,19), Schizophrenia (20,21); and even in long-term psychoanalytic therapy (2,22,23). But Kazdin (24) believes that no evidence-based explanation can be offered on how and why the intervention of a psychodynamic psychotherapist can result in changes in patients, and more research is needed on the mechanisms of change and variables involved in the effectiveness of the psychodynamic therapy.…”

Section: Discussionmentioning

confidence: 99%

Assessing Mastery Through Psychotherapy: Psychometric Properties of the Persian Version of the Mastery Scale

Shateri

Lavasani

Farid

et al. 2018

Iran J Psychiatry Behav Sci

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Objectives: Considering the importance of assessing the range of phenomena that can change in psychodynamic therapy, and lack of appropriate assessment scale in Persian language, the present study assessed the reliability of the Persian mastery scale. The mastery scale is a comprehensive research tool for assessing a patient's mastery of transference-related interpersonal conflicts during the treatment process. Methods: After preparing the Persian version of the mastery scale through the forward-backward translation process, a sample of 36 relationship episodes was rated by three independent judges. Data were collected in Mashhad, Iran in 2015. The psychometric properties of the instrument, including inter-rater reliability and test-retest analysis were assessed. Results: The test-retest correlations of the 3 judges were (0.80, 0.91 and 0.95), highly significant at P < 0.0001 and the inter-rater reliability indicated a good level of agreement (The ICC (3, 3) 0.84, 95% CI [0.72, 0.90]). Conclusions: The current study has provided evidence that the Persian mastery scale is a reliable instrument for assessing changes in inner capacities and resources through psychodynamic treatments. However, further studies are required to investigate the validity of this scale.

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“…There is evidence supporting the effectiveness of LTDP and psychoanalysis (de Maat et al 2009), especially in long-term follow-ups (Knekt et al 2008(Knekt et al , 2011Huber et al 2013). There is also some indirect evidence that LTDP is superior to other psychotherapies in treating complex patients with chronic depression and previous treatment failures (Leichsenring & Rabung, 2008, 2010Fonagy et al in press).…”

Section: Long-term Dynamic Psychotherapy (Ltdp)mentioning

confidence: 99%

What we know, what we do not know, and where are we heading? Efficacy and acceptability of psychological interventions for depression

Solomonov

Barber

2015

Epidemiol Psychiatr Sci

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In the past several decades, increasing evidence supports the efficacy of psychotherapies for depression. The vast majority of findings from meta-analyses, randomized clinical trials (RCTs) and naturalistic studies have demonstrated that well-established psychotherapies (behavioural activation, problem-solving therapy, psychodynamic therapy, cognitive-behavioural therapy, interpersonal therapy and emotion-focused therapy) are superior to no-treatment and control conditions, and are in most cases equally effective in treating depression. However, despite this abundant support for psychotherapies, studies have also consistently shown high drop-out rates, high percentages of non-respondent patients who experience treatment failures, and mixed findings regarding the enduring effects of psychotherapy. Thus, there is a need to develop more personalised treatment models tailored to patients' needs. A new integrative sequential stepwise approach to the treatment of depression is suggested. Key words: Behaviour therapy, cognitive therapy, depression, evidence-based psychiatry, psychoanalysis and psychodynamic therapies. What do we know about the efficacy of psychotherapies for depression?Depression is a pervasive mental condition which interferes with all domains of one's functioning and it is one of the most common problems leading people to seek treatment (e.g. Summers & Barber, 2010). Recent studies have shown that the approximated cumulative incidence of depression diagnosis from childhood to adulthood is between 32.54 and 51% (Rohde et al. 2012;Angst et al. 2015).In the past several decades, over 400 randomised clinical trials have investigated the efficacy of psychotherapy for depression (Cuijpers, 2015). Despite the heated debate regarding the superiority of one treatment over others, there is fairly wide acceptance of the 'Dodo Bird Verdict ' (Luborsky et al. 1975), at least in the case of depression, suggesting that all treatments are more or less equally effective (Cuijpers et al. 2008;Barth et al. 2013). Furthermore, research in the past two decades has taught us that psychotherapeutic treatments of depression are superior to waitlist and other control conditions (Barth et al. 2013;Lambert, 2013), and that psychotherapy combined with anti-depressant medication is more effective than medication alone (Barber et al. 2013;Köhler et al. 2013;Hollon et al. 2014;Fonagy, 2015;Leichsenring et al. 2015). There is also evidence suggesting that some types of psychotherapies are not only as effective as medication, but also have higher long-term enduring effects (Hollon & Ponniah, 2010;Cuijpers et al. 2013b). We begin by briefly reviewing some of the major findings that have arisen from the literature on treatments of depression, focusing only on the best-known and more widely researched. Behavioural activation (BA)BA is one of the most accepted and widely used behavioural treatments. Meta analyses found BA to be as effective as cognitive-behavioural therapy, and superior to control conditions (Cuijpers et al. 2007;Mazzuc...

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The Effectiveness of Long-Term Psychoanalytic Therapy: A Systematic Review of Empirical Studies

Cited by 171 publications

References 60 publications

Interaction structures in the psychodynamic therapy of a boy diagnosed with Aspergerâ€™s disorder: a single-case study

Interaction structures in the psychodynamic therapy of a boy diagnosed with Aspergerâ€™s disorder: a single-case study

Assessing Mastery Through Psychotherapy: Psychometric Properties of the Persian Version of the Mastery Scale

What we know, what we do not know, and where are we heading? Efficacy and acceptability of psychological interventions for depression

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