Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-22T07:50:25.245Z Has data issue: false hasContentIssue false

Effectiveness of Time-limited Therapy

Carried Out by Trainees Comparison of Two Methods

Published online by Cambridge University Press:  02 January 2018

B. Brockman
Affiliation:
Midland Centre for Forensic Psychiatry, All Saints Hospital (previously Guy's Hospital)
A. Poynton
Affiliation:
Guy's Hospital
A. Ryle*
Affiliation:
St Thomas' Hospital
J. P. Watson
Affiliation:
Guy's Hospital
*
St Thomas' Hospital, London SE1 7EH

Abstract

Common neurotic and personality disorders account for widespread personal restriction and suffering. The need for effective, economically feasible treatment methods is widely acknowledged and the range of conditions successfully treated by available methods needs to be established. This study is concerned with two methods of brief psychotherapy; our aim was the essentially pragmatic one of investigating how far relatively long-term NHS out-patients with neurotic, personality, and interpersonal problems could be successfully and economically treated by the kind of therapists available in NHS settings. It is generally believed by psychoanalytically-oriented therapists that brief therapy requires high levels of training and experience; this is tested here, in that all the therapies were strictly time-limited, and none of the therapists had completed advanced training.

Type
Papers
Copyright
Copyright © 1987 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

Beck, A. T. (1976) Cognitive Therapy and the Emotional Disorders. New York, International Universities Press.Google Scholar
Beck, A. T., Ward, C. M., Mendelson, M., Mock, J. E. & Erdaugh, J. C. (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 561571.Google Scholar
Crown, S. & Crisp, A. H. (1979) Manual of the Crown-Crisp Experiential Index. London: Hodder & Stoughton.Google Scholar
DeWitt, K. N., Kaltreider, N. B., Weiss, D. S. & Horowitz, M. J. (1983) Judging change in psychotherapy – reliability of clinical formulations. Archives of General Psychiatry, 40, 11211128.Google Scholar
DiMascio, A., Weissman, M. M., Prisoff, B. A., New, C. & Zeilling, M. (1979) Differential symptom reduction by drugs and psychotherapy in acute depression. Archives of General Psychiatry, 36, 14501456.Google Scholar
Fiske, D. W., Hunt, H. F., Luborsky, L., Orne, M. T., Parloff, M. B., Reisen, M. F. & Turna, A. H. (1970). Planning of research on effectiveness of psychotherapy. Archives of General Psychiatry, 22, 2232.Google Scholar
Försterling, F. (1980) Attributional aspects of cognitive behaviour modification: a theoretical approach and suggestions for techniques. Cognitive Therapy and Research, 4, 2737.Google Scholar
Goldberg, D. P. (1972) The Detection of Psychiatric Illness by Questionnaire (Maudesley Monograph No. 21). Oxford University Press.Google Scholar
Keller, A. (1984) Planned brief psychotherapy in clinical practice. British Journal of Medical Psychology, 57, 347361.Google Scholar
Luborsky, L., Mintz, J., Auerbach, A., Christoph, P., Bachrach, H., Todd, T., Johnson, M., Cohen, M. & O'Brien, C. P. (1980) Predicting the outcome of therapy. Archives of General Psychiatry, 37, 471481.Google Scholar
Malan, D. H. (1976) The Frontiers of Brief Psychotherapy. London: Tavistock.Google Scholar
Mann, J. & Goldman, R. (1982) A Casebook of Time-Limited Psychotherapy. McGraw Hill.Google Scholar
Mintz, J. (1981) Measuring outcome in psychodynamic psychotherapy. Archives of General Psychiatry, 38, 503506.Google Scholar
Murphy, P. M., Cramer, D. & Lillie, F. J. (1984) The relationship between corrective factors perceived by patients in their psychotherapy and treatment outcome: an exploratory study. British Journal of Medical Psychology, 57, 187192.Google Scholar
Ryle, A. (1976) Frames and Cages: The Repertory Grid Approach to Human Understanding. London: Sussex University Press.Google Scholar
Ryle, A. (1979a) The focus in brief interpretive psychotherapy: dilemmas, traps and snags as target problems. British Journal of Psychiatry, 134, 4654.Google Scholar
Ryle, A. (1979b) Defining goals and assessing change in brief psychotherapy: a pilot study using target ratings and the dyad grid. British Journal of Medical Psychology, 52, 223233.Google Scholar
Ryle, A. (1980) Some measures of goal attainment in focussed integrated active psychotherapy: a study of fifteen cases. British Journal of Psychology, 137, 475486.Google Scholar
Ryle, A. (1981) Dyad grid dilemmas in patients and control subjects. British Journal of Medical Psychology, 54, 353358.Google Scholar
Ryle, A. (1982) Psychotherapy: A Cognitive Integration of Theory and Practice. London: Academic Press.Google Scholar
Ryle, A. (1986) The psychotherapy of depression: which cognitive changes are of research interest? British Journal of Cognitive Psychotherapy, 4, 5460.Google Scholar
Shapiro, M. B. (1966) The single case in clinical psychological research. Journal of General Psychology, 74, 323.CrossRefGoogle ScholarPubMed
Shapiro, M. B., Shapiro, D. A. (1981) Comparative credibility of treatment rationales: three tests of expectancy theory. British Journal of Clinical Psychology, 20, 111122.CrossRefGoogle ScholarPubMed
Sifneous, P. E. (1972) Short-Term Psychotherapy and Emotional Crisis. Cambridge, Mass.: Harvard University Press.Google Scholar
Slater, P. (1972) Notes on INGRID ‘72’. London: Institute of Psychiatry.Google Scholar
Smith, M. L. & Glass, G. V. (1977) Meta-analysis of psychotherapy outcome studies. American Psychologist, 32, 752760.Google Scholar
Stiles, W. B., Shapiro, D. A. & Elliot, R. (1986) Are all psychotherapies equivalent? American Psychologist, 41, 165180.Google Scholar
Strupp, H. H., Fox, R. E. & Lessler, K. (1969) Patients View their Psychotherapy. Baltimore: John Hopkins Press.Google Scholar
Teasdale, J. D. (1983) Change in cognition during depression – psychopathological implications: discussion paper. Journal of the Royal Society of Medicine, 76, 10381044.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.