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At least 19 recordsLinked to original sources
PubMed1996

[Cognitive therapy and psychoanalytical therapy of limited personalities: a critical consideration].

Comparative studies of psychoanalytical and cognitive approaches to psychotherapy for borderline personalities reveal not only convergences of opinion, particularly concerning the importance of the relationship with the therapist, but also noteworthy differences. Different types of cognitive therapy are to be distinguished by their highly structural nature and by the learning of cognitive capacity with a view to reducing the severity of emotional and behavioral disorders. The different types of analytical therapy attempt a reorganisation of the personality by referring to a complex psychopathological model, allowing an overview of mental functions and of transferral interaction, and attempt to modify them.

Affect↗
PubMed1983

[Psychoanalytic therapy in adolescence].

Psychoanalytic therapies in adolescence can be classified into four groups: the analytic cure or "standard cure", psychoanalytic psychotherapy (PP), psychoanalytic psychodrama and psychoanalytic relaxation psychotherapy. In other instances, the psychoanalyst works with the adolescent's family or with the staff working in an institution for adolescents, but this does not involve a direct relationship between the psychoanalyst and the adolescent. In adolescence, PP and psychodrama seem to be the most readily used psychoanalytical methods.

Adolescent↗
PubMed2005

Are psychodynamic and psychoanalytic therapies effective?: A review of empirical data.

There is a need for empirical outcome research in psychodynamic and psychoanalytic therapy. However, both the approach of empirically supported therapies (EST) and the procedures of evidence-based medicine (EBM) have severe limitations making randomised controlled trials (RCTs) an absolute standard. After a critical discussion of this approach, the author reviews the empirical evidence for the efficacy of psychodynamic psychotherapy in specific psychiatric disorders. The review aims to identify for which psychiatric disorders RCTs of specific models of psychodynamic psychotherapy are available and for which they are lacking, thus providing a basis for planning further research. In addition, results of process research of psychodynamic psychotherapy are presented. As the methodology of RCTs is not appropriate for psychoanalytic therapy, effectiveness studies of psychoanalytic therapy are reviewed as well. Studies of psychodynamic psychotherapy published between 1960 and 2004 were identified by a computerised search using Medline, PsycINFO and Current Contents. In addition, textbooks and journal articles were used. Twenty-two RCTs were identified of which 64% had not been included in the 1998 report by Chambless and Hollon. According to the results, for the following psychiatric disorders at least one RCT providing evidence for the efficacy of psychodynamic psychotherapy was identified: depressive disorders (4 RCTs), anxiety disorders (1 RCT), post-traumatic stress disorder (1 RCT), somatoform disorder (4 RCTs), bulimia nervosa (3 RCTs), anorexia nervosa (2 RCTs), borderline personality disorder (2 RCTs), Cluster C personality disorder (1 RCT), and substance-related disorders (4 RCTs). According to results of process research, outcome in psychodynamic psychotherapy is related to the competent delivery of therapeutic techniques and to the development of a therapeutic alliance. With regard to psychoanalytic therapy, controlled quasi-experimental effectiveness studies provide evidence that psychoanalytic therapy is (1) more effective than no treatment or treatment as usual, and (2) more effective than shorter forms of psychodynamic therapy. Conclusions are drawn for future research.

Empirical Research↗
PubMedDate not supplied

The role of suggestion in the psychoanalytic therapies.

The concept of suggestion in the psychoanalytic therapies is considered as it appears in the literature and in current practice. Bibring's definition of the technique of suggestion is extended differentiating overt and covert suggestion from the effects of unconscious transference fantasies. The use of suggestion as a technique is viewed as antithetical to the aims of exploratory psychoanalytic therapy and presents serious problems in the resolution of transference issues when it is used either inadvertently or as a parameter of the therapy.

Communication↗
PubMed1984

[Values and goals in psychoanalytic therapy 1984].

The purpose of psychoanalytic therapy (quite nonproblematic at the beginnings of psychoanalysis) as well as the conception of the values imminent in the process of treatment have been extended more and more toward the patient's personality structure and his acceptance of himself. Moreover, under the influence of work, oriented on theoretically conceived methods, the factors of the very process of treatment-perception, regression, catharsis etc.--have often been made into an aim in themselves and into a purpose. Consequently there is a certain danger that the therapeutic responsibility toward the patient's social milieu is being neglected. In the present state of availability of psychiatric care the analyst is involved in the treatment of patients suffering from a wide range of disorders to which corresponds an equally wide range of values and aims. It is discussed in how far the present school-like organization of psychiatric training allows for the necessary flexibility to adequately deal with the various expectations concerning values and aims in different patients.

Germany, West↗
PubMed2005

The Göttingen study of psychoanalytic therapy: first results.

Results of a naturalistic study of the effectiveness of psychoanalytic therapy are reported. Outcome data are presented for a sample of N = 36 patients who were treated with psychoanalytic therapy. For a sample of n = 23 of these patients, data for 1-year follow-up are available at present. According to the results, psychoanalytic therapy yielded significant improvements in symptoms (Symptom Checklist 90-R, SCL-90-R and rating of psychoanalysts), in interpersonal problems (Inventory of Interpersonal Problems, IIP), in quality of life (Questionnaire of Quality of Life, FLZ), in well-being (Questionnaire of Changes in Experience and Behaviour VEV) and in target problems defined by the patients (Goal Attainment Scaling, GAS). Large effect sizes between 1.28 and 2.48 were found in symptoms (GSI of the SCL-90-R), interpersonal problems (IIP-total), quality of life (FLZ-total), well-being (VEV) and target problems (GAS). At 1-year follow-up, all improvements proved to be stable or even increased. The self-reported improvements in symptoms were corroborated by the ratings of the psychoanalysts. At the end of therapy, 77% of the patients showed clinically significant improvements. In the 1-year follow-up group, this was true for 80%. Further results are presented and discussed.

Adaptation, Psychological↗
PubMed1999

Making the case for psychoanalytic therapies in the current psychiatric environment.

A variety of political, economic, and scientific forces have caused psychoanalytic therapies to become marginalized in psychiatry. These therapies are given short shrift in recently developed treatment guidelines, which are based largely on notions of empirical validation narrowly construed. Questions about the efficacy of psychoanalytic therapy can be meaningfully addressed by systematic assessment of available knowledge and potential data bases and by explicit efforts to locate the role of psychoanalytic therapies alongside other modalities. Several steps that might lend the psychoanalytic therapies greater credibility are proposed: (1) define the distinguishing features; (2) identify clear indications and contraindications; (3) systematically collect case histories of successfully treated mentally ill (diagnosable) patients; (4) increase vigilance (together with the patient) toward assessing progress in treatment.

Humans↗
PubMedDate not supplied

[Stability of therapeutic outcome after child- and adolescent psychoanalytical therapy--a five-year catamnesis].

In the Heidelberg study about psychoanalytic therapy with children and adolescents 133 cases have been studied in a naturalistic design. Up to now results were published on the basis of assessments of experts only. This follow-up study has investigated the stability of therapy outcomes from the perspectives of different raters. For that outcome has been rated five years after the end of treatment by experts, parents and children themselves. Good outcomes have been stabile and have shown even after five years. Single variables showed further improvement in the time of follow-up, for example the social communicative impairment with parents. Thus the high rate of successful longterm psychoanalytic therapies with children and adolescents could be confirmed from different rater perspectives.

Adolescent↗