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Individual Psychodynamic Psychotherapy

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Tasman’s Psychiatry
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Abstract

The majority of all encounters with patients in American psychiatry involve some form of psychotherapy, and many of these interventions are based on the principles of psychodynamic psychotherapy. Further, the principles of psychodynamic based treatments has been adapted to psychiatric practice around the world, often in conjunction with regional customs and culture. Examples include Tao Psychotherapy in Korea and Morita Therapy in Japan. The psychodynamic psychotherapist assumes that: people feel and behave as they do for specific reasons; people are frequently unaware of why they feel or behave in a certain fashion; past events and experiences, often outside of awareness, determine how people feel about themselves and their world: the need to master psychological pain and discomfort is compelling and accounts for why many people behave consistently and predictably in often self-defeating or disappointing ways; and the power of the therapeutic relationship is predicated on the physician’s ability to provide a safe forum for examining psychological problems, feelings, and behaviors by maintaining open, nonjudgmental, and empathic rapport with the patient.

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References

  • Abbas, A. A., Rabung, S., Leischenrig, F., et al. (2013). Psychodynamic psychotherapy for children and adolescents: A meta-analysis of short-term psychodynamic models. Journal of the American Academy of Child and Adolescent Psychiatry, 52(8), 863–875.

    Article  Google Scholar 

  • Abbass, A. A., Hanckock, J. T., Henderson, J., et al. (2006). Short-term psychodynamic psychotherapies for common mental disorders. Cochrane Database of Systematic Reviews, 4, CD004687.

    Google Scholar 

  • Abbass, A., Town, J., & Driessen, E. (2011). The efficacy of short-term psychodynamic psychotherapy for depressive disorders with comorbid personality disorder. Psychiatry, 75(1), 58–71.

    Article  Google Scholar 

  • Abbass, A. A., Kisely, S. R., Town, J. M., Leichsenring, F., Driessen, E., De Maat, S., Gerber, A., Dekker, J., Rabung, S., Rusalovska, S., & Crowe, E. (2014). Short-term psychodynamic psychotherapies for common mental disorders. Cochrane Database Syst Rev, (7):CD004687. https://doi.org/10.1002/14651858.CD004687.pub4. PMID: 24984083.

  • American Psychiatric Association Practice Guidelines. (2002). APA Publishing, Washington, DC.

    Google Scholar 

  • Anderson, M. C., & Green, C. (2001). Suppressing unwanted memories by executive control. Nature, 410, 366–369.

    Article  CAS  PubMed  Google Scholar 

  • Anderson, M. C., & Levy, B. J. (2006). Encouraging the nascent cognitive neuroscience of repression. Behavioral and Brain Sciences, 29, 511–513.

    Article  Google Scholar 

  • APA. (1985). Peer review manual (3rd ed.). American Psychiatric Association.

    Google Scholar 

  • APA. (1993). Practice guideline for major depressive disorder in adults. American Journal of Psychiatry, 150(Suppl), 1–26.

    Google Scholar 

  • APA. (2000). Diagnostic and statistical manual of mental disorders (Text revision (DSM-IV-TR)) (4th ed., pp. 807–813). American Psychiatric Association.

    Google Scholar 

  • APA. (2013). Diagnostic and statistical manual of mental disorders (DSM-5) (5th ed., pp. 749–759). American Psychiatric Publishing.

    Google Scholar 

  • Bachrach, H. M., Galatzer-Levi, R., Skolnikoff, A., et al. (1991). On the efficacy of psychoanalysis. Journal of the American Psychoanalytic Association, 39, 871–916.

    Article  CAS  PubMed  Google Scholar 

  • Barber, J. P. (1994). Efficacy of short-term dynamic psychotherapy: Past, present, and future. The Journal of Psychotherapy Practice and Research, 3, 108–121.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Bateman, A., & Fonagy, P. (2001). Treatment of borderline personality disorder with psychoanalytically oriented partial hospitalization program: An 18-month follow-up. American Journal of Psychiatry, 158, 36–42.

    Article  CAS  PubMed  Google Scholar 

  • Bateman, A., & Fonagy, P. (2010). Mentalization based treatment for borderline personality disorder. World Psychiatry, 9(1), 11–5. https://doi.org/10.1002/j.2051-5545.2010.tb00255.x. PMID: 20148147; PMCID: PMC2816926.

  • Baxter, L. R., Schwartz, J. M., Bergman, K. S., et al. (1992). Caudate glucose metabolic rate changes with both drug and behavior therapy for OCD. Archives of General Psychiatry, 49, 681–689.

    Article  CAS  PubMed  Google Scholar 

  • Benjenk, I., & Chen, J. (2020). Trends in self-payment for outpatient psychiatrist visits. JAMA Psychiatry, 77(12), 1305–1307. https://doi.org/10.1001/jamapsychiatry.2020.2072. PMID: 32667644; PMCID: PMC7364367.

  • Beutel, M. E., Stark, R., Pan, H., et al. (2010). Changes of brain activation prepost short-term psychodynamic inpatient psychotherapy: An fMRI study of panic disorder patients. Psychiatry Research, 184(2), 96–104.

    Article  PubMed  Google Scholar 

  • Blue, H. C., & Gonzalez, C. A. (1992). The meaning of ethnocultural difference: Its impact on and use in the psychotherapeutic process. New Directions for Mental Health Services, 55, 73–84.

    Article  Google Scholar 

  • Boag, S. (2006). Can repression become a conscious process? Behavioral and Brain Sciences, 29, 513–514.

    Article  Google Scholar 

  • Bögels, S., Wijts, P., & Sallaerts, S. (2003). Analytic psychotherapy versus cognitive–behavioral therapy for social phobia. Presented at the European Congress for Cognitive and Behavioural Therapies, 10–13 September 2003, Prague.

    Google Scholar 

  • Bremner, J. D., Randall, P., Vermetten, E., et al. (1997). Magnetic resonance imaging based measurement of hippocampal volume in posttraumatic stress disorder related to childhood physical and sexual abuse: A preliminary report. Biological Psychiatry, 41, 23–31.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Brody, A. L., Saxena, S., Stoessel, P., et al. (2001). Regional brain metabolism changes in patients with major depression treated with either paroxetine or interpersonal therapy. Archives of General Psychiatry, 58, 631–640.

    Article  CAS  PubMed  Google Scholar 

  • Brom, D., Kleber, R. J., & Defares, P. B. (1989). Brief psychotherapy for posttraumatic stress disorders. Journal of Consulting and Clinical Psychology, 57, 607–612.

    Article  CAS  PubMed  Google Scholar 

  • Buchheim, A., Viviani, R., Kessler, H., et al. (2012). Changes in prefrontal-limbic function in major depression after 15 months of long-term psychotherapy. PLoS One, 7(3), e33745. https://doi.org/10.1371/journal.pone.0033745

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Burnand, Y., Andreoli, A., Kolatte, E., et al. (2002). Psychodynamic psychotherapy and clomipramine in the treatment of major depression. Psychiatric Services, 53, 585–590.

    Article  PubMed  Google Scholar 

  • Caligor, E., KerbergOF, C. J. F., & Yeomans, F. E. (2018). Psychodynamic psychotherapy for personality pathology:Treating self and interpersonal Functioniong. American Psychiatric Association Publishing.

    Google Scholar 

  • Carlos, A. D., Barnett, B. S., & Frank, R. G. (2020). Behavioral health parity efforts in the US. The Journal of the American Medical Association, 324(5), 447–448. https://doi.org/10.1001/jama2020.3505

    Article  Google Scholar 

  • Caspi, A. S., McClay, J., Moffitt, T. E., et al. (2002). Role of genotype in the cycle of violence in maltreated children. Science, 297(5582), 851–854.

    Article  CAS  PubMed  Google Scholar 

  • Castonguay, L. G., Constantino, M. J., & Holtforth, M. G. (2006). The working alliance: Where are we and where should we go. Psychotherapy, Theory, Research, Practice, Training, 43, 271–279.

    Article  Google Scholar 

  • Clarkin, J. F., Yeomans, F., & Kernberg, O. F. (1999). Psychotherapy of borderline personality disorder: Focusing on object relations. Wiley.

    Google Scholar 

  • Comas-Diaz, L., & Jacobsen, F. M. (1991). Ethnocultural transference and countertransference in the therapeutic dyad. American Journal of Orthopsychiatry, 61, 392–402.

    Article  CAS  PubMed  Google Scholar 

  • Comas-Diaz, L., & Jacobsen, F. M. (2001). Ethnocultural allodynia. Journal of Psychotherapy Practice and Research, 10, 246–252.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Cooper, P. J., Murray, L., Wilson, A., et al. (2003). Controlled trial of the short and long-term effect of psychological treatment of post-partum depression I Impact on maternal mood. British Journal of Psychiatry, 182, 412–419.

    Article  Google Scholar 

  • Crits-Christoff, P., Gibbons, M. B. C., & Herron, B. H. (2006). Psychotherapy. Theory, Research, Practice, Training, 43, 280–285.

    Google Scholar 

  • Crits-Christoph, P., Siqueland, L., Blaine, J., et al. (1999). Psychosocial treatments for cocaine dependence: National Institute on Drug Abuse collaborative cocaine treatment study. Archives of General Psychiatry, 56, 493–502.

    Article  CAS  PubMed  Google Scholar 

  • Crits-Christoph, P., Siqueland, L., McCalmont, E., et al. (2001). Impact of psychosocial treatments on associated problems of cocaine-dependent patients. Journal of Consulting and Clinical Psychology, 69, 825–830.

    Article  CAS  PubMed  Google Scholar 

  • Cuijpers, P., Karyotaki, E., Reijnders, M., et al. (2018). Who benefits from psychotherapies for adult depression? A meta-analytic update of the evidence. Cognitive Behaviour Therapy, 47, 91–106.

    Article  PubMed  Google Scholar 

  • Cuijpers, P., Karyotaki, E., Eckshtain, D., et al. (2020). Psychotherapy for depression across different age groups: A systematic review and meta-analysis. JAMA Psychiatry, 77(7), 694–702. https://doi.org/10.1001/jamapsychiatry.2020.0164

    Article  PubMed  PubMed Central  Google Scholar 

  • Davanloo, H. (1978). Short-term dynamic psychotherapy. Jason Aronson.

    Google Scholar 

  • de Maat, S., de Jonghe, F., de Kraker, R., et al. (2013). The current state of the empirical evidence for psychoanalysis: A meta-analytic approach. Harvard Review of Psychiatry, 21(3), 107–137. https://doi.org/10.1097/HRP.0b013e318294f5fd

    Article  PubMed  Google Scholar 

  • Docherty, J. P. (Section Ed.). (1985). Therapeutic alliance and treatment outcome. In R. E. Hales & A. J. Francis (Eds.), Psychiatry update. American psychiatric association annual review (Vol. 4, pp. 525–633). American Psychiatric Press.

    Google Scholar 

  • Doidge, N., Simon, B., Gillies, L. A., et al. (1994). Characteristics of psychoanalytic patients under a nationalized health plan: DSM-III-R diagnoses, previous treatment and childhood traumata. American Journal of Psychiatry, 151, 586–590.

    Article  CAS  PubMed  Google Scholar 

  • Eagle, M. N. (2011). From classical to contemporary psychoanalysis: A critique and integration. Routledge.

    Book  Google Scholar 

  • Eriksson, P. S., Perfilieva, E., Bjork-Eriksson, T., et al. (1998). Neurogenesis in the adult hippocampus. Nature Medicine, 11, 1313–1317.

    Article  Google Scholar 

  • Etkin, A., Pittenger, C., Polan, H. J., et al. (2005). Toward a neurobiology of psychotherapy: Basic science and clinical applications. Journal of Neuropsychiatry and Clinical Neurosciences, 17, 145–157.

    Article  PubMed  Google Scholar 

  • Eysenck, H. J. (1952). The effects of psychotherapy: An evaluation. Journal of Consulting Psychology, 16, 319–324.

    Article  CAS  PubMed  Google Scholar 

  • Fairburn, C. G., Kirk, J., O’Connor, M., et al. (1986). A comparison of two psychological treatments for bulimia nervosa. Behaviour Research and Therapy, 24, 629–643.

    Article  CAS  PubMed  Google Scholar 

  • Fawzy, F. I., Fawzy, N. W., Hyun, C. S., et al. (1993). Malignant melanoma. Effects of an early structured psychiatric intervention, coping, and affective state on recurrence and survival 6 years later. Archives of General Psychiatry, 50, 681–689.

    Article  CAS  PubMed  Google Scholar 

  • Fonagy, P. (2001). Attachment theory and psychoanalysis. Other Press.

    Google Scholar 

  • Fonagy, P. (2015a). Pragmatic randomized controlled trial of long-term psychoanalytic psychotherapy for treatment-resistant depression: The Tavistock Adult Depression Study (TADS). World Psychiatry, 14(3), 312–321. https://doi.org/10.1002/wps.20267

    Article  PubMed  PubMed Central  Google Scholar 

  • Fonagy, P. (2015b). The effectiveness of psychodynamic psychotherapies: An update. World Psychiatry, 14(2), 137–150. https://doi.org/10.1002/wps.20235

    Article  PubMed  PubMed Central  Google Scholar 

  • Fonagy, P., Gergley, G., Jurist, E., et al. (2002). Affect regulation, mentalization, and the development of the self. Other Press.

    Google Scholar 

  • Foulks, E. F., Bland, I. J., & Shervington, D. (1995). Psychotherapy across cultures. In J. M. Oldham & M. B. Riba (Eds.), American psychiatric press review of psychiatry (Vol. 14, pp. 511–528). American Psychiatric Press.

    Google Scholar 

  • Frank, J. D., & Frank, J. B. (1991). Persuasion and healing: A comparative study of psychotherapy (3rd ed.). Johns Hopkins University Press.

    Book  Google Scholar 

  • Frank, E., Kupfer, D., Perel, J. M., et al. (1990). Three-year outcomes for maintenance therapies in recurrent depression. Archives of General Psychiatry, 46, 1093–1099.

    Article  Google Scholar 

  • Furmark, T., Tillfors, M., & Marteinsdottir, I. (2002). Common changes in cerebral blood flow in patients with social phobia treated with citalopram or cognitive-behavior therapy. Archives of General Psychiatry, 59, 425–433.

    Article  PubMed  Google Scholar 

  • Gabbard, G. O. (1994). Psychodynamic psychiatry in clinical practice: The DSM-IV edition. American Psychiatric Press.

    Google Scholar 

  • Gabbard, G. O. (Ed.). (1995). Treatments of psychiatric disorders (2nd ed.). American Psychiatric Press.

    Google Scholar 

  • Gabbard, G. O. (2000). A neurobiologically informed perspective on psychotherapy. British Journal of Psychiatry, 177, 117–122.

    Article  CAS  Google Scholar 

  • Garner, D. M., Rockert, W., Davis, R., et al. (1993). Comparison of cognitive-behavioral and supportive-expressive therapy for bulimia nervosa. American Journal of Psychiatry, 150, 37–46.

    Article  CAS  PubMed  Google Scholar 

  • Georg, K. A., Cierpka, M., & Pfeifer-Schroder, P. et al. (2020). The efficacy of brief parent-infant psychotherapy for treating early regulatory disorders: A randomized-controlled trial. JAACAP Published: September 22, 2020. https://doi.org/10.1016/j.jaac.2020.06.016

  • Goldapple, K., Segal, Z., Garspm, C., et al. (2004). Modulation of cortical-limbic pathways in major depression: Treatment specific effects of cognitive behavior therapy. Archives of General Psychiatry, 61, 34–41.

    Article  PubMed  Google Scholar 

  • Goodwin, P. J., Leszcz, M., Ennis, M., et al. (2001). The effect of group psychosocial support on survival in metastatic breast cancer. New England Journal of Medicine, 345, 1719–1726.

    Article  CAS  PubMed  Google Scholar 

  • Gowers, S., Norton, K., Halek, C., et al. (1994). Outcome of outpatient psychotherapy in a random allocation treatment study of anorexia nervosa. International Journal of Eating Disorders, 15, 165–177.

    Article  CAS  PubMed  Google Scholar 

  • Greenberg, J. (2012). Psychoanalysis in North America after Freud. In G. Gabbard, B. Litowitz, & P. Williams (Eds.), Textbook of psychoanalysis (2nd ed., p. 32). American Psychiatric Publishing.

    Google Scholar 

  • Greenson, R. R. (1967). The technique and practice of psychoanalysis. International Universities Press.

    Google Scholar 

  • Gregory, R. J., Chlebowski, S., Kang, D., et al. (2008). A controlled trial of psychodynamic psychotherapy for co-occurring borderline personality disorder and alcohol use disorder. Psychotherapy: Theory, Research, Practice, Training, 45(1), 28–41.

    Article  Google Scholar 

  • Gregory, R. J., DeLucia-Deranja, E., & Mogle, J. A. (2010). Dynamic deconstructive psychotherapy versus optimized community care for borderline personality disorder. Journal of Nervous and Mental Disease, 198(4), 292–298.

    Article  PubMed  Google Scholar 

  • Guntrip, J. S. (1971). Psychoanalytic theory, therapy, and the self. Basic Books.

    Google Scholar 

  • Hamilton, J., Guthrie, E., Creed, F., et al. (2000). A randomized controlled trial of psychotherapy in patients with chronic functional dyspepsia. Gastroenterology, 119, 661–669.

    Article  CAS  PubMed  Google Scholar 

  • Hatcher, R. L., & Barends, A. W. (2006). How a return to theory could help alliance research. Psychotherapy, Theory, Research, Practice, Training, 43, 292–299.

    Article  Google Scholar 

  • Hellerstein, D. J., Pinsker, H., Rosenthal, R. N., et al. (1994). Supportive therapy as the treatment model of choice. Journal of Psychotherapy Practice and Research, 3, 300–306.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Hellerstein, D. J., Rosenthal, R. N., Pinsker, H., et al. (1998). A randomized prospective study comparing supportive and dynamic therapies: Outcome and alliance. Journal of Psychotherapy Practice and Research, 7, 261–271.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Herman, J. L. (1992). Trauma and recovery. Basic Books.

    Google Scholar 

  • Høglend, P., Amio, S., Marble, A., et al. (2006). Analysis of the patient–therapist relationship in dynamic psychotherapy: An experimental study of transference interpretations. American Journal of Psychiatry, 163, 1739–1746.

    Article  PubMed  Google Scholar 

  • Høglend, P., Bøgwald, K. P., Amlo, S., Marble, A., Ulberg, R., Sjaastad, M. C., Sørbye, O., Heyerdahl, O., & Johansson, P. (2008). Transference interpretations in dynamic psychotherapy: Do they really yield sustained effects? The American Journal of Psychiatry, 165(6), 763–771. https://doi.org/10.1176/appi.ajp.2008.07061028

    Article  PubMed  Google Scholar 

  • Horowitz, M. J., Marmar, C., Krupnick, J., et al. (1984). Personality styles and brief psychotherapy. Basic Books.

    Google Scholar 

  • Horowitz, M. J., Milbrath, C., & Stinson, C. H. (1995). Signs of defensive control locate conflicted topics in discourse. Archives of General Psychiatry, 52, 1040–1047.

    Article  CAS  PubMed  Google Scholar 

  • Horvath, A. (2006). The alliance in context: Accomplishments, challenges, and future directions. Psychotherapy, Theory, Research, Practice, Training, 43, 258–263.

    Article  Google Scholar 

  • Howard, K. I., Kopta, S. M., Krause, M. S., et al. (1986). The dose–effect relationship in psychotherapy. American Psychologist, 41, 159–164.

    Article  CAS  PubMed  Google Scholar 

  • Husby, R. (1985). Short-term dynamic psychotherapy. IV. Comparison or recorded changes in 33 neurotic patients 2 and 5 years after end of treatment. Psychotherapy and Psychosomatics, 43, 23–27.

    Article  CAS  PubMed  Google Scholar 

  • Jacobson, E. (1964). The self and the object world. International Universities Press.

    Google Scholar 

  • Joffe, R., Segal, Z., & Singer, W. (1996). Change in thyroid hormone levels following response to cognitive therapy for major depression. American Journal of Psychiatry, 153, 411–413.

    Article  CAS  PubMed  Google Scholar 

  • Kandel, E. R. (1999). Biology and the future of psychoanalysis: A new intellectual framework for psychiatry revisited. The American Journal of Psychiatry, 156(4), 505–524. https://doi.org/10.1176/ajp.156.4.505

    Article  CAS  PubMed  Google Scholar 

  • Karasu, T. B. (Ed.). (1989). Treatment of psychiatric disorders. American Psychiatric Association.

    Google Scholar 

  • Kaufman, J., Plotsky, P., Nemeroff, C., et al. (2000). Effects of adverse experiences on brain structure and function: Clinical implications. Biological Psychiatry, 48, 778–790.

    Article  CAS  PubMed  Google Scholar 

  • Kay, J. (2006). Focus the Journal of Lifelong Learning in Psychiatry Spring, IV(2), 167–172.

    Google Scholar 

  • Kay, J. (2017a). Psychotherapy by psychiatrists: Why choose a bugle when you can play the trumpet? Academic Psychiatry, 41, 24–29.

    Article  PubMed  Google Scholar 

  • Kay, J. (2017b). The WPA-lancet psychiatry commission on the future of psychiatry. The Lancet Psychiatry, 782. https://doi.org/10.1016/S2215-0366(17)30333-4

  • Kay, J., & Yager, J. (2020, August). How reading current literature stimulates Duh and Yawn responses: An analysis of causes and potential interventions. Psychiatric Times, XXXVII(8), 1–16.

    Google Scholar 

  • Kendler, K. S., Kessler, R. C., Neale, M. C., et al. (1995). Stressful life events, genetic liability, and onset of major depression in women. American Journal of Psychiatry, 152, 833–842.

    Article  CAS  PubMed  Google Scholar 

  • Kendler, K. S., Kuhn, J. W., Vittum, J., et al. (2005). The interaction of stressful live events and a serotonin transporter polymorphism in the prediction of episodes of major depression: A replication study. Archives of General Psychiatryy, 62, 529–535.

    Article  CAS  Google Scholar 

  • Kernberg, O. F. (1975). Borderline conditions and pathological narcissism. Jason Aronson.

    Google Scholar 

  • Kernberg, O. F. (2014, April). The twilight of the training analysis system. Psychoanalytic Review, 101(2), 151–174. https://doi.org/10.1521/prev.2014.101.2.151. PMID: 24731043.

  • Klein, M. (1975). Envy and gratitude: And other works 1946–1963. Hogarth Press.

    Google Scholar 

  • Knekt, P., Lidnfors, O., Härkänen, T., et al. (2008). 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. Psychological Medicine, 38(5), 689–703.

    Article  CAS  PubMed  Google Scholar 

  • Knekt, P., Laaksonen, M. A., Raitasalo, R., Haaramo, P., & Lindfors, O. (2010). Changes in lifestyle for psychiatric patients three years after the start of short- and long-term psychodynamic psychotherapy and solution-focused therapy. European Psychiatry, 25(1), 1–7. https://doi.org/10.1016/j.eurpsy.2009.03.006

    Article  CAS  PubMed  Google Scholar 

  • Knekt, P., Lindfors, O., Laaksonen, M. A., et al. (2011). 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. Journal of Affective Disorders, 132(1–2), 37–47. https://doi.org/10.1016/j.jad.2011.01.014

    Article  PubMed  Google Scholar 

  • Kohut, H. (1971). The analysis of the self. International Universities Press.

    Google Scholar 

  • Kohut, H. (1978). Introspection, empathy and psychoanalysis. In P. Ornstein (Ed.), The search for the self (pp. 205–232). International Universities Press.

    Google Scholar 

  • Kohut, H. (1984). How does analysis cure? A. Goldberg, ed, with P. Stepansky. Chicago & London: University of Chicago Press.

    Google Scholar 

  • Kopta, S. M., Howard, K. I., & Lowery, J. L. et al. (1992). The psychotherapy dosage model and clinical significance: Estimating how much is enough for psychological symptoms. Presented at the Society for Psychotherapy, June 1992, Berkley, CA.

    Google Scholar 

  • Krupnick, J. L., & Pincus, H. A. (1992). The cost-effectiveness of psychotherapy: A plan for research. American Journal of Psychiatry, 149, 1295–1305.

    Article  CAS  PubMed  Google Scholar 

  • Lambert, M. J., Shapiro, D. A., & Bergin, A. E. (1986). The effectiveness of psychotherapy. In S. L. Garfield & A. E. Bergin (Eds.), Handbook of psychotherapy and behavior change (3rd ed., pp. 157–211). Wiley.

    Google Scholar 

  • Lazar, S. G. (Ed.). (2010). Psychotherapy is worth it: A comprehensive review of its cost effectiveness. American Psychiatric Association Publishing.

    Google Scholar 

  • LeDoux, J. (1996). The emotional brain: The mysterious underpinnings of emotional life. Touchstone Books.

    Google Scholar 

  • Lehrer, D. S., & Kay, J. (2002). The neurobiology of psychotherapy. In M. Hersen & W. Sledge (Eds.), The encyclopedia of psychotherapy (pp. 207–221). Academic.

    Chapter  Google Scholar 

  • Leichsenring, F., & Leibling, E. (2003). The effectiveness of psychodynamic psychotherapy and cognitive behavior therapy in the treatment of personality disorders: A meta-analysis. American Journal of Psychiatry, 160, 1223–1232.

    Article  PubMed  Google Scholar 

  • Leichsenring, F., & Rabung, S. (2012). Long-term psychodynamic psychotherapy in complex mental disorders: Update of a meta-analysis. British Journal of Psychiatry, 199(1), 15–22.

    Article  Google Scholar 

  • Leichsenring, F., Rabung, S., & Lebling, E. (2004). The efficacy of short-term psychodynamic psychotherapy in specific psychiatric disorders: A meta-analysis. Archives of General Psychiatry, 61, 1208–1216.

    Article  PubMed  Google Scholar 

  • Leichsenring, F., Hiller, W., Weissberg, M., & Leibing, E. (2006). Cognitive-behavioral therapy and psychodynamic psychotherapy: Techniques, efficacy, and indications. American Journal of Psychotherapy, 60(3), 233–259. https://doi.org/10.1176/appi.psychotherapy.2006.60.3.233

    Article  PubMed  Google Scholar 

  • Leichsenring, F., Jaeger, U., Masuhr, O., Dally, A., Dümpelmann, M., Fricke-Neef, C., Steinert, C., & Spitzer, C. (2019). Changes in Personality Functioning After Inpatient Psychodynamic Therapy: A Dimensional Approach to Personality Disorders. Psychodyn Psychiatry, 47(2), 183–196. https://doi.org/10.1521/pdps.2019.47.2.183. PMID: 31107165.

  • Leuzinger-Bohleber, M., Hautzinger, M., Fiedler, G., et al. (2019). Outcome of psychoanalytic and cognitive-behavioural long-term therapy with chronically depressed patients: A controlled trial with preferential and randomized allocation. Canadian Journal of Psychiatry, 64(1), 47–58. https://doi.org/10.1177/0706743718780340

    Article  PubMed  Google Scholar 

  • Levy, K. N., Meehan, K. B., Keelly, K. M., et al. (2006). Change in attachment patterns and reflective function in a randomized controlled trial of transference-focused psychotherapy for borderline personality disorder. Journal of Consulting and Clinical Psychology, 74, 1027–1040.

    Article  PubMed  Google Scholar 

  • Liggan, D. Y., & Kay, J. (1999). Some neurobiological aspects of psychotherapy. Journal of Psychotherapy Practice and Research, 8, 103–114.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Luborsky, L. (1984). Principles of psychoanalytic psychotherapy: A manual for supportive–expressive (SE) treatment. Basic Books.

    Google 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, 995–1008.

    Article  CAS  PubMed  Google Scholar 

  • Luborsky, L., Diguer, L., Luborsky, E., et al. (1993). The efficacy of psychodynamic psychotherapy: Is it true that “everyone has won and all must have prizes”? In N. E. Miller, L. Luborsky, J. P. Barber, et al. (Eds.), Psychodynamic treatment research: A handbook for clinical practice (pp. 447–514). Basic Books.

    Google Scholar 

  • Mahler, M. S., Pine, F., & Bergman, A. (1975). The psychological birth of the human infant: Symbiosis and individuation. Basic Books.

    Google Scholar 

  • Malan, D. H. (1976). The frontier of brief psychotherapy. Plenum Press.

    Book  Google Scholar 

  • Mann, J. (1973). Time-limited psychotherapy. Harvard University Press.

    Book  Google Scholar 

  • Markowitz, J. C., & Friedman, R. A. (2020). NIMH’s straight and neural path: The road to killing clinical psychiatric research. Published Online: 23 Sep 2020 https://doi.org/10.1176/appi.ps.202000057

  • Marsella, A. J. (1989). Ethnocultural issues in the assessment of psychopathology. In S. Wetler (Ed.), Measuring mental illness: Psychometric assessment for clinicians (pp. 231–256). American Psychiatric Press.

    Google Scholar 

  • Martin, S. D., Martin, E., Rai, S. S., et al. (2001). Brain blood flow changes in depressed patients treated with venlafaxine or interpersonal psychotherapy. Archives of General Psychiatry, 58, 641–648.

    Article  CAS  PubMed  Google Scholar 

  • Matt, G. E., & Navarro, A. M. (1997). What meta-analyses have and have not taught us about psychotherapy effects: A review and future directions. Clinical Psychology Review, 17(1), 1–32. https://doi.org/10.1016/s0272-7358(96)00042-6

    Article  CAS  PubMed  Google Scholar 

  • McGrath, C. L., Kelly, M. E., Holtzheimer, P. E., et al. (2013). Toward a neuroimaging treatment selection biomarker for major depressive disorder. JAMA Psychiatry, 70, 821–829.

    Article  PubMed  PubMed Central  Google Scholar 

  • McNeilly, C. L., & Howard, K. I. (1991). The effects of psychotherapy: A reevaluation based on dosage. Psychotherapy Research, 1, 74–78.

    Article  Google Scholar 

  • Meissner, W. W. (2006). The therapeutic alliance – A proteus in disguise. Psychotherapy: Theory, Research, Practice, Training, 43, 264–270.

    Article  CAS  Google Scholar 

  • Meyer, E., Derogatis, L. R., Miller, M. J., et al. (1981). Addition of time-limited psychotherapy to medical treatment in a general medical clinic: Results at one-year follow-up. Journal of Nervous and Mental Disease, 169, 780–790.

    Article  PubMed  Google Scholar 

  • Mezzich, J. E., Kleinman, A., Fabrega, J., et al. (Eds.). (1993). Revised cultural proposals for DSM-IV (Technical report). NIMH Cultural and Diagnosis Group.

    Google Scholar 

  • Milrod, B. (2017). The evolution of meta-analysis in psychotherapy research. The American Journal of Psychiatry. Published Online: 1 October 2017 https://doi.org/10.1176/appi.ajp.2017.17050539

  • Milrod, B., Busch, F., Leon, A. C., et al. (2001). A pilot open trial of brief psychodynamic pyschotherapy for panic disorder. Journal of Psychotherapy Practice and Research, 10, 239–245.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Milrod, B., Leon, A. C., Busch, F., et al. (2007). A randomized controlled clinical trial of psychoanalytic psychotherapy for panic dsorder. American Journal of Psychiatry, 164(2), 265–272.

    Article  PubMed  Google Scholar 

  • Misch, D. A. (2000). Basic strategies of dynamic supportive psychotherapy. The Journal of Psychotherapy Practice and Research, 9, 173–189.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Mitchell, S. A., & Aron, L. (Eds.). (1999). Relational psychoanalysis: The emergence of a tradition. Analytic Press.

    Google Scholar 

  • Monsen, K., & Monsen, J. T. (2000). Chronic pain and psychodynamic body therapy: A controlled outcome study. Psychotherapy, 37, 257–269.

    Article  Google Scholar 

  • Mumford, E., Schlesinger, H. J., & Glass, G. V. (1982). The effects of psychological intervention on recovery from surgery and heart attacks: An analysis of the literature. American Journal of Public Health, 72, 141–152.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mumford, E., Schlesinger, H. J., Glass, G. V., et al. (1984). A new look at evidence about reduced cost of medical utilization following mental health treatment. American Journal of Psychiatry, 141, 1145–1158.

    Article  CAS  PubMed  Google Scholar 

  • Munroe-Blum, H., & Marziali, E. (1995). A controlled trial of short-term group treatment for borderline personality disorder. Journal of Personality Disorders, 9, 190–198.

    Article  Google Scholar 

  • Novalis, P. N., Rojcewicz, S. J., & Peele, R. (1993). Clinical manual of supportive psychotherapy. American Psychiatric Press.

    Google Scholar 

  • Olfson, M., & Marcus, S. C. (2010). Trends in outpatient psychotherapy. American Journal of Psychiatry, 167(12), 1456–1463.

    Article  PubMed  Google Scholar 

  • Olfson, M., & Pincus, H. A. (1994). Outpatient psychotherapy in the United States. I. Volume, costs, and user characteristics. American Journal of Psychiatry, 151, 1281–1288.

    Article  CAS  PubMed  Google Scholar 

  • Ornstein, P. H., & Kay, J. (1990). Development of psychoanalytic self psychology: A historical–conceptual overview. In A. Tasman, S. M. Goldfinger, & C. A. Kaufmann (Eds.), American psychiatric press review of psychiatry (Vol. 9, pp. 303–322). American Psychiatric Press.

    Google Scholar 

  • Ornstein, P. H., & Ornstein, A. (1985). Clinical understanding and explaining: The empathic vantage point. In A. Goldberg (Ed.), Progress in self psychology (Vol. 1, pp. 43–61). Guilford Press.

    Google Scholar 

  • Pinsker, H., Rosenthal, R., & McCullough, L. (1992). Dynamic supportive psychotherapy. In P. Crits-Christoph & J. P. Barber (Eds.), Handbook of short-term dynamic psychotherapy (pp. 220–247). Basic Books.

    Google Scholar 

  • Reiss, D., Hetherington, E. M., & Plomin, R. (1995). Genetics questions for environmental studies: Differential parenting and psychopathology in adolescence. Archives of General Psychiatry, 52, 925–936.

    Article  CAS  PubMed  Google Scholar 

  • Richards, A. (2015). Psychoanalysis in crisis: The danger of ideology. Psychoanalytic Review, 102(3), 389–405.

    Article  PubMed  Google Scholar 

  • Richardson, J. L., Shelton, D. R., Krailo, M., et al. (1990). The effect of compliance with treatment on survival among patients with hematologic malignancies. Journal of Clinical Oncology, 8, 356–364.

    Article  CAS  PubMed  Google Scholar 

  • Rockland, L. H. (1989). Supportive therapy: A psychodynamic approach. NY Basic Books.

    Google Scholar 

  • Roffman, J. L., Witte, J. M., Tanner, A. S., et al. (2014). Neural predictors of successful brief psychodynamic psychotherapy for persistent depression. Psychotherapy and Psychosomatics, 83(6), 364–370. https://doi.org/10.1159/000364906

    Article  PubMed  Google Scholar 

  • Rosenblum, L. A., & Andrews, M. W. (1994). Influences of environmental demand on maternal behavior and infant development. Acta Paediatrica Supplementum, 397, 57–63.

    Article  CAS  Google Scholar 

  • Saarinen, P. I., Lehtonen, J., Joensuu, M., et al. (2005). An outcome of psychodynamic psychotherapy: A case study of the change in serotonin transporter binding and the activation of the dream screen. American Journal f Psychotherapy, 59, 61–73.

    Article  Google Scholar 

  • Sacheim, H. A. (2001). Functional brain circuits in major depression and remission. Archives of General Psychiatry, 58, 649–650.

    Article  Google Scholar 

  • SAMHSA. (2011). SAMHSA’s national registry of evidence-based programs and practice. http://nrepp.samhsa.gov. Accessed 23 Oct 2013.

  • Schlesinger, H. J. (2014). Ending & beginning: On terminating psychotherapy and psychoanalysis. Routledge.

    Google Scholar 

  • Schlesinger, H. J., Mumford, E., Glass, G. V., et al. (1983). Mental health treatment and medical care utilization in a fee-for-service system: Outpatient mental health treatment following the onset of a chronic disease. American Journal of Public Health, 73, 423–429.

    Article  Google Scholar 

  • Shapiro, D. A., Barkham, M., Rees, A., et al. (1994). Effects of treatment duration and severity of depression on the effectiveness of cognitive-behavioral and psychodynamic-interpersonal psychotherapy. Journal of Consulting and Clinical Psychology, 62, 522–534.

    Article  CAS  PubMed  Google Scholar 

  • Shea, T., Elkin, I., Imber, S., et al. (1992). Course of depressive symptoms over follow-up: Findings from the National Institute of Mental Health Treatment of Depression Collaborative Research Program. Archives of General Psychiatry, 49, 782–787.

    Article  CAS  PubMed  Google Scholar 

  • Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65(2), 98–109.

    Article  PubMed  Google Scholar 

  • Shedler, J. (2017). Where is the evidence for “evidence based” therapy? Psychiatric Clinics of North America, 41, 3129–3329. https://doi.org/10.1016/j.psc.2018:02.001

    Article  Google Scholar 

  • Shields, G. S., Spahr, C. M., & Slavich, G. M. (2020). Psychosocial interventions and immune system function: A systematic review and meta-analysis of randomized clinical trials [published online ahead of print, 2020 June 3]. JAMA Psychiatry, 77, e200431. https://doi.org/10.1001/jamapsychiatry.2020.0431

    Article  Google Scholar 

  • Sifneos, P. (1979). Short-term dynamic psychotherapy. Plenum Press.

    Book  Google Scholar 

  • Smith, M. L., Glass, G. V., & Miller, T. I. (1980). The benefits of psychotherapy. Johns Hopkins University Press.

    Google Scholar 

  • Solms, M. L. (2018). The neurobiological underpinnings of psychoanalytic theory and therapy. Frontiers in Behavioral Neuroscience, 12, 294. Published 2018 Dec 4. https://doi.org/10.3389/fnbeh.2018.00294

    Article  PubMed  PubMed Central  Google Scholar 

  • Spiegel, D., Bloom, J. R., Kraemer, H. C., et al. (1989). Effect of psychosocial treatment on survival of patients with metastatic breast cancer. Lancet, 2, 888–891.

    Article  CAS  PubMed  Google Scholar 

  • Spielmans, G. I., & Flückiger, C. (2018). Moderators in psychotherapy meta-analysis. Psychotherapy Research, 28(3), 333–346. https://doi.org/10.1080/10503307.2017.1422214

    Article  PubMed  Google Scholar 

  • Steinert, C., Munder, T., Rabung, S., Hoyer, J., & Leichsenring, F. (2017). Psychodynamic therapy: As efficacious as other empirically supported treatments? A meta-analysis testing equivalence of outcomes. The American Journal of Psychiatry, 174(10), 943–953. https://doi.org/10.1176/appi.ajp.2017.17010057

    Article  PubMed  Google Scholar 

  • Stiles, W. B. (1992). Producers and consumers of psychotherapy research ideas. Journal of Psychotherapy Practice and Research, 1, 305–307.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Stoffers, J. M., Völlm, B. A., Rücker, G., et al. (2012). Psychological therapies for people with borderline personality disorder. Cochrane Database of Systematic Reviews, 2012(8), CD00565.

    Google Scholar 

  • Strupp, H. H. (1986). The nonspecific hypothesis of therapeutic effectiveness: A current assessment. American Journal of Orthopsychiatry, 56, 513–552.

    Article  PubMed  Google Scholar 

  • Strupp, H. H., & Binder, J. L. (1984). Psychotherapy in a new key: A guide to time-limited dynamic psychotherapy. Basic Books.

    Google Scholar 

  • Sullivan, H. S. (1953). The interpersonal theory of psychiatry. W. W. Norton.

    Google Scholar 

  • Suomi, S. (1991). Early stress and adult emotional reactivity in rhesus monkeys. In G. R. Bock & J. Whelan (Eds.), Childhood environmental and adult disease: CIBA foundation symposium 156 (pp. 171–188). Wiley.

    Google Scholar 

  • Svartberg, M., Stiles, T. C., & Seltzer, M. H. (2004). Randomized controlled trial of the effectiveness of short-term dynamic psychotherapy and cognitive therapy for Cluster C personality disorders. American Journal of Psychiatry, 161, 810–817.

    Article  PubMed  Google Scholar 

  • Talley, P. F., Strupp, H. H., & Butler, S. F. (Eds.). (1994). Psychotherapy research and practice: Bridging the gap. Basic Books.

    Google Scholar 

  • Taylor, D. (2018). Psychoanalytic and psychodynamic therapies for depression: The evidence base. BJPsych Advances. https://doi.org/10.1192/apt.bp107.004382

  • Thase, M. E., Fasiczka, A. L., Berman, S. R., et al. (1998). Electroencephalographic sleep profiles before and after. Archives of General Psychiatry, 55, 138–144.

    Article  CAS  PubMed  Google Scholar 

  • Thompson, L. W., Gallagher, D., & Breckenridge, J. S. (1987). Comparative effectiveness of psychotherapies for depressed elders. Journal of Consulting and Clinical Psychology, 55, 385–390.

    Article  CAS  PubMed  Google Scholar 

  • Town, J. M., Diener, M. J., Abbass, A., Leichsenring, F., Driessen, E., & Rabung, S. (2012). A meta-analysis of psychodynamic psychotherapy outcomes: Evaluating the effects of research-specific procedures. Psychotherapy (Chicago, Ill.), 49(3), 276–290. https://doi.org/10.1037/a0029564

    Article  PubMed  Google Scholar 

  • Vaillant, G. E. (1992). Ego mechanisms of defense: A guide for clinicians and researchers. American Psychiatric Press.

    Google Scholar 

  • Viinamaki, J., Kuikka, J., Tiilonen, J., et al. (1998). Change in monamine transporter density relation to clinical recovery: A case-controlled study. Nordic Journal of Psychiatry, 52, 39–44.

    Article  Google Scholar 

  • Wallerstein, R. S. (1986). Forty-two lives in treatment: A study of psychoanalysis and psychotherapy. Guilford Press.

    Google Scholar 

  • Wallerstein, R. S. (1995). Research in psychodynamic psychotherapy. In H. J. Schwartz, E. Bleiberg, & S. H. Weissman (Eds.), Psychodynamic concepts in general psychiatry (pp. 431–445). American Psychiatric Press.

    Google Scholar 

  • Wallin, D. J. (2007). Attachment in psychotherapy. The Guilford Press.

    Google Scholar 

  • Weiss, J. (1993). How psychotherapy works: Process and technique. Guilford Press.

    Google Scholar 

  • Weiss, J. (1995). Clinical applications of control-mastery theory. Current Opinion in Psychiatry, 8, 154–156.

    Article  Google Scholar 

  • Werman, D. S. (1984). The practice of supportive psychotherapy. Brunner/Mazel.

    Google Scholar 

  • Westen, D., Novotny, C. M., & Thompson-Brenner, H. (2004). The empirical status of empirically supported psychotherapies: Assumptions, findings, and reporting in controlled clinical trials. Psychological Bulletin, 130, 631–663.

    Article  PubMed  Google Scholar 

  • Wilborg, I. M., & Dahl, A. A. (1996). Does brief psychodynamic psychotherapy reduce the relapse rate of panic disorder? Archives of General Psychiatry, 53, 689–694.

    Article  Google Scholar 

  • Winston, A., Laikin, M., Pollack, J., et al. (1994). Short-term psychotherapy of personality disorders. American Journal of Psychiatry, 151, 190–194.

    Article  CAS  PubMed  Google Scholar 

  • Winston, A., Rosenthal, R. N., & Pinsker, H. (2004). Introduction to supportive psychotherapy. American Psychiatric Publishing.

    Google Scholar 

  • Wong, P. S. (1999). Anxiety, signal anxiety, and unconscious anticipation: Neuroscientific evidence for an unconscious signal function in humans. Journal of the American Psychoanalytic Association, 47, 817–841.

    Article  CAS  PubMed  Google Scholar 

  • Woody, G. E., McLellan, A. T., Luborsky, L., et al. (1995). Psychotherapy in community methadone programs: A validation study. American Journal of Psychiatry, 152, 1302–1308.

    Article  CAS  PubMed  Google Scholar 

  • Zetzel, E. R. (1956). Current concepts of transference. International Journal of Psychoanalysis, 37, 369–378.

    CAS  PubMed  Google Scholar 

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Kay, J. (2023). Individual Psychodynamic Psychotherapy. In: Tasman, A., et al. Tasman’s Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-030-42825-9_11-1

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