Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-29T02:22:06.776Z Has data issue: false hasContentIssue false

Brief Psychotherapy in Family Practice

A Controlled Prospective Intervention Trial

Published online by Cambridge University Press:  29 January 2018

Henry Brodaty
Affiliation:
Psychiatry Unit, Prince Henry Hospital, Sydney, New South Wales 2036, Australia
Gavin Andrews
Affiliation:
School of Psychiatry, University of New South Wales, Sydney, Australia

Summary

In a prospective (controlled) trial, the result in 18 patients receiving eight, weekly half-hour sessions of brief problem-oriented dynamic psychotherapy was compared with the result in an equal number receiving eight weekly half-hour sessions of family practitioner therapy and in another 20 receiving no additional therapy. The subjects were drawn from patients at ten suburban family practices in Sydney. They had had psychological complaints for at least six months. No differences between the three treatment groups were found in the final outcome, either in a symptom severity and social dysfunction factor or in a physical disability and medication factor.

Type
Research Article
Copyright
Copyright © 1983 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Andrews, G. (1981) A prospective study of life events and psychological symptoms. Psychological Medicine, 77, 795801.CrossRefGoogle Scholar
Andrews, G. & Brodaty, H. (1980) The general practitioner as psychotherapist. Medical Journal of Australia, 2, 655–9.CrossRefGoogle ScholarPubMed
Andrews, G. & Harvey, R. (1981) Does psychotherapy benefit neurotic patients? Archives of General Psychiatry, 38, 1203–8.CrossRefGoogle ScholarPubMed
Andrews, G., Tennant, C. & Brodaty, H. (1981) The need for psychiatric care. Medical Journal of Australia, 1, 593–4.CrossRefGoogle ScholarPubMed
Balint, M. (1964) The Doctor, His Patient and the Illness, 2nd ed. London: Pitman Paperback.Google Scholar
Battle, C., Imber, S. D., Hoehn-Saric, R. et al (1966) Target complaints as criteria of improvement. American Journal of Psychiatry, 20, 184–92.Google ScholarPubMed
Belloc, N. B., Breslow, L. &. Hochstim, J. R. (1971) Measurement of physical health in a general population survey. American Journal of Epidemiology, 93, 328–36.CrossRefGoogle Scholar
Brodaty, H., Andrews, G. & Austin, A. (1982) Psychiatric illness in general practice II: How is it managed? Australian Family Physician, 11, 682–6.Google Scholar
Brodaty, H., Andrews, G. & Grant, W. B. (1982) An attempt to predict who will benefit from brief psychotherapy in a general practice setting. Australian and New Zealand Journal of Psychiatry, 16, 6973.CrossRefGoogle Scholar
Candy, J., Balfour, F. H. G., Cawley, R. et al (1972) A feasibility study for a controlled trial of formal psychotherapy. Psychological Medicine, 2, 345–62.CrossRefGoogle ScholarPubMed
Castelnuovo-Tedesco, P. (1965) The Twenty-Minute Hour. Boston: Little Brown.Google Scholar
Conte, H. R. & Karasu, T. B. (1981) Psychotherapy for medically ill patients: review and critique of controlled studies. Psychosomatics, 22, 285–90.CrossRefGoogle ScholarPubMed
Derogatis, L. R., Lipman, R. S., Rickels, K. et al (1974) The Hopkins Symptom Checklist (HSCL): A self report symptom inventory. Behavioural Science, 19, 115.CrossRefGoogle ScholarPubMed
Earll, L. & Kincey, J. (1982) Clinical psychology in general practice: A controlled trial evaluation. Journal of the Royal College of General Practitioners, 32, 32–7.Google ScholarPubMed
Eysenck, H. J. & Eysenck, S. B. G. (1969) Personality Structure and Measurement. San Diego: Knapp.Google Scholar
France, R. & Robson, M. (1982) Work of the clinical psychologist in general practice: Preliminary communication. Journal of the Royal Society of Medicine, 75, 185–9.CrossRefGoogle ScholarPubMed
Garfield, S. L. (1978) Research on client variables in psychotherapy. In Handbook of Psychotherapy and Behaviour Change (eds. Garfield, S. L. and Bergin, A. E.). John Wiley: New York.Google Scholar
Gelder, M. G., Marks, I. M. & Wolff, H. H. (1967) Desensitization and psychotherapy in the treatment of phobic states: a controlled inquiry. British Journal of Psychiatry, 113, 5373.CrossRefGoogle Scholar
Goldberg, D. P. (1972) The Detection of Psychiatric Illness by Questionnaire. London: Oxford University Press.Google Scholar
Goldberg, D. P. & Blackwell, B. (1970) Psychiatric illness in general practice. A detailed study using a new method of case identification. British Medical Journal, 2, 439–43.CrossRefGoogle Scholar
Luborsky, L., Singer, B. & Luborsky, L. (1975) Comparative studies of psychotherapies. Is it true that “Everyone has won and all must have prizes?” Archives of General Psychiatry, 32, 9951008.CrossRefGoogle Scholar
Malan, D. H. (1963) A Study of Brief Psychotherapy. New York: Plenum Press.Google Scholar
Malan, D. H. (1973) The outcome problem in psychotherapy research. A historical review. Archives of General Psychiatry, 30, 719–29.Google Scholar
Malan, D. H. (1976a) The Frontier of Brief Psychotherapy. An Example of the Convergence of Research and Clinical Practice. New York: Plenum Press.Google Scholar
Malan, D. H. (1976b) Towards the Validation of Dynamic Psychotherapy. New York: Plenum Press.Google Scholar
Malan, D. H., Heath, S., Bacal, H. A. & Balfour, F. H. G. (1975) Psychodynamic changes in untreated neurotic patients. II. Apparently genuine improvements. Archives of General Psychiatry, 32, 110–26.CrossRefGoogle ScholarPubMed
Mowbray, R. M., Blair, W., Jubb, L. G. et al (1961) Pilot survey of psychiatric illness in general practice. Scottish Medical Journal, 6, 314–21.Google Scholar
Orne, M. T. & Wender, P. H. (1968) Anticipatory socialization for psychotherapy: Method and rationale. American Journal of Psychiatry, 124, 1202–12.CrossRefGoogle ScholarPubMed
Pardes, H. (1979) Future needs for psychiatrists and other mental health personnel. Archives of General Psychiatry, 36, 1401–8.CrossRefGoogle ScholarPubMed
Schlesinger, H. J., Mumford, E. & Glass, G. V. (1980) Mental health services and medical utilization. in Psychotherapy: Practice, Research, Policy (ed. Vandenbos, G. R.). Beverly Hills: Sage.Google Scholar
Shepherd, M., Cooper, B., Brown, A. C. & Kalton, G. (1966) Psychological Illness in General Practice. London: Oxford University Press.Google Scholar
Sifneos, P. E. (1967) Two different kinds of psychotherapy of short duration. American Journal of Psychiatry, 123, 1069–74.CrossRefGoogle ScholarPubMed
Sifneos, P. E. (1972) Short-term Psychotherapy and Emotional Crisis. Cambridge, Mass: Harvard University Press.Google Scholar
Spitzer, R. L., Gibbon, M. & Endicott, J. (1973) Global Assessment Scale. New York: Biometric Research, New York State Department of Mental Hygiene.Google Scholar
Waskow, I. E. & Parloff, M. B. (1975) Psychotherapy Change Measures. Washington, DC: Department of Health Education and Welfare.Google Scholar
Weissman, M. A., Prusoff, B. A., Thompson, W. D. et al (1978) Social adjustment by self-report in a community sample and in psychiatric outpatients. Journal of Nervous and Mental Disease, 166, 317–26.CrossRefGoogle Scholar
Weissman, M. A., Prusoff, B. A. & Klerman, G. L. (1978) Personality and the prediction of long term outcome of depression. American Journal of Psychiatry, 135, 797800.Google ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.