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Chapter 3 - A Brief Description of the Empirical Basis of Psychodynamic Psychotherapy

from Part 1: - An Overview of the Model

Published online by Cambridge University Press:  25 August 2023

Adam Polnay
Affiliation:
The State Hospital, Carstairs and Royal Edinburgh Hospital, Edinburgh
Victoria Barker
Affiliation:
East London NHS Foundation Trust, London
David Bell
Affiliation:
British Psychoanalytic Society
Allan Beveridge
Affiliation:
Royal College of Psychiatrists, London
Adam Burley
Affiliation:
Rivers Centre, Edinburgh
Allyson Lumsden
Affiliation:
NHS Greater Glasgow and Clyde
C. Susan Mizen
Affiliation:
Devon and Exeter NHS Foundation Trust, Exeter
Lauren Wilson
Affiliation:
Royal Edinburgh Hospital, Edinburgh
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Summary

There is a growing body of research pertaining to the empirical basis of psychodynamic psychotherapy, with contributions from various angles. These include clinical trials, studies of live therapy sessions (process research), transference and countertransference research. Our aim here is to give a readable and clinically relevant brief description of the empirical basis of psychodynamic psychotherapy, making links to other parts of this book where topics are described clinically.

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Publisher: Cambridge University Press
Print publication year: 2023

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References

Lorenzo-Luaces, L, DeRubeis, RJ. Miles to go before we sleep: advancing the understanding of psychotherapy by modeling complex processes. Cogn Ther Res 2018;42(2):212–7.CrossRefGoogle Scholar
Solms, ML. The Neurobiological Underpinnings of Psychoanalytic Theory and Therapy. Frontiers in Behavioral Neuroscience 2018;12.CrossRefGoogle Scholar
Abbass, AA, Kisely, SR, Town, JM et al. Short‐term psychodynamic psychotherapies for common mental disorders. Cochrane Database of Systematic Reviews 2014;(7).Google Scholar
Plakun, EM, Shapiro, ER. Psychodynamic psychotherapy for PTSD. J Clin Psychiatry 2000;61(10):787–8.Google ScholarPubMed
Sachsse, U, Vogel, C, Leichsenring, F. Results of psychodynamically oriented trauma-focused inpatient treatment for women with complex posttraumatic stress disorder (PTSD) and borderline personality disorder (BPD). Bull Menninger Clin 2006;70(2):125–44.Google Scholar
Vitriol, VG, Ballesteros, ST, Florenzano, RU et al. Evaluation of an outpatient intervention for women with severe depression and a history of childhood trauma. Psychiatr Serv 2009;60(7):936–42.CrossRefGoogle Scholar
Keefe, JR, McMain, SF, McCarthy, KS et al. A meta-analysis of psychodynamic treatments for borderline and cluster C personality disorders. Personal Disord 2020;11(3):157–69.CrossRefGoogle ScholarPubMed
Mullin, ASJ, Hilsenroth, MJ, Gold, J et al. Changes in object relations over the course of psychodynamic psychotherapy. Clin Psychol Psychother 2017;24(2):501–11.CrossRefGoogle ScholarPubMed
Fonagy, P, Rost, F, Carlyle, J-A et al. Pragmatic randomized controlled trial of long-term psychoanalytic psychotherapy for treatment-resistant depression: the Tavistock Adult Depression Study (TADS). World Psychiatry 2015;14(3):312–21.Google Scholar
Taylor, D, Carlyle, J, McPherson, S et al. Tavistock Adult Depression Study (TADS): a randomised controlled trial of psychoanalytic psychotherapy for treatment-resistant/treatment-refractory forms of depression. BMC Psychiatry 2012;12(1):60.CrossRefGoogle ScholarPubMed
Brom, D, Kleber, RJ, Defares, PB. Brief psychotherapy for posttraumatic stress disorders. J Consult Clin Psychol 1989;57(5):607–12.CrossRefGoogle ScholarPubMed
Levy, KN, Meehan, KB, Kelly, KM et al. Change in attachment patterns and reflective function in a randomized control trial of transference-focused psychotherapy for borderline personality disorder. J Consult Clin Psychol 2006;74(6):1027–40.CrossRefGoogle Scholar
Leichsenring, F, Klein, S, Salzer, S. The efficacy of psychodynamic psychotherapy in specific mental disorders: a 2013 update of empirical evidence. Contemporary Psychoanalysis 2014;50(1–2):89130.Google Scholar
Leichsenring, F, Rabung, S. Long-term psychodynamic psychotherapy in complex mental disorders: update of a meta-analysis. BJP 2011;199(1):1522.CrossRefGoogle ScholarPubMed
Blomberg, J, Lazar, A, Sandell, R. Long-term outcome of long-term psychoanalytically oriented therapies: first findings of the Stockholm Outcome of Psychotherapy and Psychoanalysis study. Psychotherapy Research 2001;11(4):361–82.Google Scholar
Sandell, R, Blomberg, J, Lazar, A et al. Varieties of long-term outcome among patients in psychoanalysis and long-term psychotherapy. A review of findings in the Stockholm Outcome of Psychoanalysis and Psychotherapy Project (STOPP).Int J Psychoanal 2000;81 ( Pt 5):921–42.Google Scholar
Monsen, J, Odland, T, Faugli, A et al. Personality disorders and psychosocial changes after intensive psychotherapy: a prospective follow-up study of an outpatient psychotherapy project, 5 years after end of treatment. Scand J Psychol 1995;36(3):256–68.CrossRefGoogle ScholarPubMed
Lampe, A, Hofmann, P, Gast, U et al. Long-term course in female survivors of childhood abuse after psychodynamically oriented, trauma-specific inpatient treatment: a naturalistic two-year follow-up. Z Psychosom Med Psychother 2014;60(3):267–82.Google Scholar
Knekt, P, Lindfors, O, Laaksonen, MA et al. Quasi-experimental study on the effectiveness of psychoanalysis, long-term and short-term psychotherapy on psychiatric symptoms, work ability and functional capacity during a 5-year follow-up. J Affect Disord 2011;132(1–2):3747.CrossRefGoogle ScholarPubMed
Knekt, P, Lindfors, O, Härkänen, T et al. Randomized trial on the effectiveness of long-and short-term psychodynamic psychotherapy and solution-focused therapy on psychiatric symptoms during a 3-year follow-up. Psychol Med 2008;38(5):689703.CrossRefGoogle Scholar
Elkjaer, H, Kristensen, E, Mortensen, EL et al. Analytic versus systemic group therapy for women with a history of child sexual abuse: 1-year follow-up of a randomized controlled trial. Psychol Psychother 2014;87(2):191208.Google Scholar
Krupnick, JL. Brief psychodynamic treatment of PTSD. J Clin Psychol 2002;58(8):919–32.Google Scholar
Lindy, JD. Focal psychoanalytic psychotherapy of posttraumatic stress disorder. In Wilson, JP, Raphael, B, eds. International Handbook of Traumatic Stress Syndromes. Boston, MA: Springer US; 1993. pp. 803–9.Google Scholar
Blagys, MD, Hilsenroth, MJ. Distinctive features of short-term psychodynamic-interpersonal psychotherapy: a review of the comparative psychotherapy process literature. Clinical Psychology: Science and Practice 2000;7(2):167–88.Google Scholar
Jones, EE. Therapeutic Action: A Guide to Psychoanalytic Therapy. Northvale, N.J: Jason Aronson; 2000.Google Scholar
Shedler, J. The efficacy of psychodynamic psychotherapy. Am Psychol 2010;65(2):98109.CrossRefGoogle ScholarPubMed
Ablon, J, Jones, E. How expert clinicians’ prototypes of an ideal treatment correlate with outcome in psychodynamic and cognitive-behavioral therapy. Psychotherapy Research 1998;8(1):7183.Google Scholar
Jones, EE, Pulos, SM. Comparing the process in psychodynamic and cognitive-behavioral therapies. J Consult Clin Psychol 1993;61(2):306–16.Google Scholar
Castonguay, LG, Goldfried, MR, Wiser, S et al. Predicting the effect of cognitive therapy for depression: a study of unique and common factors. Journal of Consulting and Clinical Psychology 1996;64(3):497504.Google Scholar
Vocisano, C, Klein, DN, Arnow, B et al. Therapist variables that predict symptom change in psychotherapy with chronically depressed outpatients. Psychotherapy: Theory, Research, Practice, Training 2004;41(3):255–65.CrossRefGoogle Scholar
Høglend, P. Exploration of the patient-therapist relationship in psychotherapy. AJP 2014;171(10):1056–66.Google Scholar
Høglend, P, Amlo, S, Marble, A et al. Analysis of the patient-therapist relationship in dynamic psychotherapy: an experimental study of transference interpretations. Am J Psychiatry 2006;163(10):1739–46.CrossRefGoogle ScholarPubMed
Amlo, S, Engelstad, V, Fossum, A et al. Interpretations of the patient-therapist relationship in brief dynamic psychotherapy: effects on long-term mode-specific changes. J Psychother Pract Res 1993;2(4):296306.Google ScholarPubMed
Gabbard, GO, Horwitz, L, Allen, JG et al. Transference interpretation in the psychotherapy of borderline patients: a high-risk, high-gain phenomenon. Harvard Review of Psychiatry 1994;2(2):5969.Google Scholar
Gabbard, GO. When is transference work useful in dynamic psychotherapy? AJP 2006;163(10):1667–9.Google ScholarPubMed
Hayes, JA, Owen, J, Bieschke, KJ. Therapist differences in symptom change with racial/ethnic minority clients. Psychotherapy 2015;52(3):308–14.Google Scholar
Barkham, M, Lutz, W, Lambert, MJ, Saxon, D. Therapist effects, effective therapists, and the law of variability. In How and Why Are Some Therapists Better Than Others?: Understanding Therapist Effects. Washington, DC: American Psychological Association; 2017. pp. 1336.Google Scholar
Baldwin, S, Imel, Z. Therapist effects: Findings and methods. In Lambert, M, ed. Bergin and Garfield’s Handbook of Psychotherapy and Behavior Change. Hoboken, NJ: Wiley & Sons; 2013. pp. 258–97.Google Scholar
Leichsenring, F, Rabung, S. Effectiveness of long-term psychodynamic psychotherapy: a meta-analysis. The Journal of the American Medical Association 2008;300(13):1551–65.CrossRefGoogle ScholarPubMed
Cologon, J, Schweitzer, RD, King, R et al. Therapist reflective functioning, therapist attachment style and therapist effectiveness. Adm Policy Ment Health 2017;44(5):614–25.CrossRefGoogle ScholarPubMed
Nissen-Lie, HA, Rønnestad, MH, Høglend, PA et al. Love yourself as a person, doubt yourself as a therapist? Clin Psychol Psychother 2017;24(1):4860.Google Scholar
Saxon, D, Barkham, M. Patterns of therapist variability: therapist effects and the contribution of patient severity and risk. J Consult Clin Psychol 2012;80(4):535–46.Google ScholarPubMed
Hayes, JA, McAleavey, AA, Castonguay, LG et al. Psychotherapists’ outcomes with white and racial/ethnic minority clients: first, the good news. Journal of Counseling Psychology 2016;63(3):261–8.Google Scholar
Knight, ZG. Black client, white therapist: Working with race in psychoanalytic psychotherapy in South Africa. The International Journal of Psychoanalysis 2013;94(1):1731.Google Scholar
Thomas, LK. Empires of mind: colonial history and its implications for counselling and psychotherapy. Psychodynamic Practice 2013;19(2):117–28.CrossRefGoogle Scholar
Morales, K, Keum, BT, Kivlighan, DM et al. Therapist effects due to client racial/ethnic status when examining linear growth for client- and therapist-rated working alliance and real relationship. Psychotherapy (Chic) 2018;55(1):919.Google Scholar
Owen, J, Leach, MM, Wampold, B et al. Client and therapist variability in clients’ perceptions of their therapists’ multicultural competencies. Journal of Counseling Psychology 2011;58(1):19.CrossRefGoogle ScholarPubMed
Soto, A, Smith, TB, Griner, D et al. Cultural adaptations and therapist multicultural competence: Two meta-analytic reviews. J Clin Psychol 2018;74(11):1907–23.CrossRefGoogle ScholarPubMed
Chang, DF, Yoon, P. Ethnic minority clients’ perceptions of the significance of race in cross-racial therapy relationships. Psychother Res 2011;21(5):567–82.CrossRefGoogle ScholarPubMed
Zetzel, ER. Current concepts of transference. Int J Psychoanal 1956;37(4–5):369–76.Google ScholarPubMed
Freud, S. On the beginning of treatment: further recommendations on the technique of psychoanalysis. In Strachey, J, ed. The Standard Edition of the Complete Psychological Works of Sigmund Freud. London: Hogarth Press; 1913. pp. 122–44.Google Scholar
Owen, J, Hilsenroth, MJ. Interaction between alliance and technique in predicting patient outcome during psychodynamic psychotherapy. J Nerv Ment Dis 2011;199(6):384–9.Google Scholar
Høglend, P, Hersoug, AG, Bøgwald, K-P et al. Effects of transference work in the context of therapeutic alliance and quality of object relations. J Consult Clin Psychol 2011;79(5):697706.CrossRefGoogle ScholarPubMed
Nienhuis, JB, Owen, J, Valentine, JC et al. Therapeutic alliance, empathy, and genuineness in individual adult psychotherapy: a meta-analytic review. Psychother Res 2018;28(4):593605.Google Scholar
Castonguay, LG, Hill, CE, eds. How and Why are Some Therapists Better Than Others?: Understanding Therapist Effects. Illustrated edition. Washington, DC: American Psychological Association; 2017.CrossRefGoogle Scholar
Heinonen, E, Lindfors, O, Härkänen, T et al. Therapists’ professional and personal characteristics as predictors of working alliance in short-term and long-term psychotherapies. Clin Psychol Psychother 2014;21(6):475–94.Google Scholar
Ardito, RB, Rabellino, D. Therapeutic alliance and outcome of psychotherapy: historical excursus, measurements, and prospects for research. Front Psychol 2011;2:270.Google Scholar
Samstag, LW, Muran, JC. Ruptures, repairs, and reflections: contributions of Jeremy Safran. Res Psychother 2019;22(1):376.Google Scholar
Safran, JD, Muran, JC. Negotiating the Therapeutic Alliance: A Relational Treatment Guide. 1st edition. New York: Guilford Press; 2000.Google Scholar
Stiles, WB, Glick, MJ, Osatuke, K et al. Patterns of alliance development and the rupture-repair hypothesis: are productive relationships U-shaped or V-shaped? Journal of Counseling Psychology 2004;51(1):8192.CrossRefGoogle Scholar
Piper, WE, Azim, HF, Joyce, AS et al. Transference interpretations, therapeutic alliance, and outcome in short-term individual psychotherapy. Arch Gen Psychiatry 1991;48(10):946–53.CrossRefGoogle ScholarPubMed
Loughead, JW, Luborsky, L, Weingarten, CP et al. Brain activation during autobiographical relationship episode narratives: a core conflictual relationship theme approach. Psychother Res 2010;20(3):321–36.CrossRefGoogle ScholarPubMed
Reiss, D, Kirtchuk, G. Interpersonal dynamics and multidisciplinary teamwork. Advances in Psychiatric Treatment 2009;15(6):462–9.Google Scholar
Betan, E, Heim, AK, Zittel Conklin, C et al. Countertransference phenomena and personality pathology in clinical practice: an empirical investigation. Am J Psychiatry 2005;162(5):890–8.Google Scholar
Colli, A, Ferri, M. Patient personality and therapist countertransference. Curr Opin Psychiatry 2015;28(1):4656.Google Scholar
Colson, DB, Allen, JG, Coyne, L et al. An anatomy of countertransference: staff reactions to difficult psychiatric hospital patients. Hosp Community Psychiatry 1986;37(9):923–8.Google ScholarPubMed

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