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When Is Transference Work Useful in Psychodynamic Psychotherapy? A Review of Empirical Research

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Part of the book series: Current Clinical Psychiatry ((CCPSY))

Abstract

The technical use of transference interpretations in psychoanalysis and psychodynamic psychotherapy has been debated extensively over a period of 100 years. More than 8,000 papers and book chapters have discussed the concept of transference. Up to year 2000, ten studies of brief dynamic psychotherapy had explored the association between dosage levels of transference interpretations and therapy outcome. Six studies reported negative correlations, and one initial study by Malan reported a positive correlation, between frequency of transference interpretations and outcome. All of the studies have more or less faulty designs. In this chapter, we present a study of immediate effects of transference interpretation Gabbard (Harvard Rev Psychiatry 1994;2:59–69) and a recent large-scale dismantling randomized clinical trial specifically designed to study long-term effects of transference interpretation Høglend (Am J Psychiatry 2006;163:1,739–46), Høglend (Am J Psychiatry 2008;165:763–71).

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References

  1. Freud S. Fragments of an analysis of a case of hysteria. In: Strachey J, editor. The standard edition of the complete psychological works of Sigmund Freud, vol. 1. London: Hogarth Press; 1953. p. 3–122.

    Google Scholar 

  2. Ehrenreich JH. Transference: one concept or many? Psychoanal Rev. 1989;76:37–65.

    PubMed  CAS  Google Scholar 

  3. Cooper AM. Changes in psychoanalytic ideas: transference interpretation. J Am Psychoanal Assoc. 1987;35:77–98.

    Article  PubMed  CAS  Google Scholar 

  4. Hoffman IZ. Ritual and spontaneity in the psychoanalytic process: a dialectical-constructivist view. Hillsdale: Analytic Press; 1998.

    Google Scholar 

  5. Stolorow RD, Brandchaft B, Atwood GE. Psychoanalytic treatment: an intersubjective approach. Hillsdale: Analytic Press; 1987.

    Google Scholar 

  6. Strachey J. The nature of the therapeutic action of psychoanalysis. Int J Psychoanal. 1934;15:127–59.

    Google Scholar 

  7. Gill MM. Analysis of transference, Theory and technique, vol. I. New York: International Universities Press; 1982.

    Google Scholar 

  8. Freud S. Papers on technique. In: Strachey J, editor. The standard edition of the complete psychological works of Sigmund Freud, vol. 2. London: Hogarth Press; 1953. p. 99–111.

    Google Scholar 

  9. Glover E. The technique of psychoanalysis. New York: International Universities Press; 1955.

    Google Scholar 

  10. Berliner B. Short psychoanalytic psychotherapy: its possibilities and its limitations. Bull Menninger Clin. 1941;5:204–11.

    Google Scholar 

  11. Deutsch F. Applied psychoanalysis. New York: Grune & Stratton; 1949.

    Google Scholar 

  12. Pumpian-Mindlin E. Considerations in the selection of patients for short-term therapy. Am J Psychother. 1953;7:641.

    PubMed  CAS  Google Scholar 

  13. Barber JP, Foltz C, DeRubeis RJ, Landis JR. Consistency of interpersonal themes in narratives about relationships. Psychother Res. 2002;12:139–58.

    Article  Google Scholar 

  14. Crits-Christoph P. The interpersonal interior of psychotherapy. Psychother Res. 1998;8:1–16.

    Google Scholar 

  15. Stone L. The psychoanalytic situation and transference: post-script to an earlier communication. J Am Psychoanal Assoc. 1967;15:3–58.

    Article  PubMed  CAS  Google Scholar 

  16. Westen D, Gabbard GO. Developments in cognitive neuroscience. II: Implications for theories of transference. J Am Psychoanal Assoc. 2002;50:99–134.

    Article  PubMed  Google Scholar 

  17. Ferenczi S, Rank O. The development of psychoanalysis. Trans. C. Newton. New York: Dover; 1956.

    Google Scholar 

  18. Reich W. Character analysis. Trans. T. Wolfe. Rangley, ME: Orgone Institute Press; 1945.

    Google Scholar 

  19. Sullivan HS. The interpersonal theory of psychiatry. New York: Norton; 1953.

    Google Scholar 

  20. Davanloo H. Basic principles and techniques in short-term dynamic psychotherapy. New York: Jason Aronson; 1978.

    Google Scholar 

  21. Malan DH. The frontier of brief psychotherapy: an example of the convergence of research and clinical practice. New York: Plenum; 1976.

    Book  Google Scholar 

  22. Sifneos P. Short-term dynamic psychotherapy: evaluation and technique. New York: Plenum; 1971.

    Google Scholar 

  23. Rangell L. The analyst at work. Synthesis and critique. Int J Psychoanal. 1984;65:125–40.

    PubMed  Google Scholar 

  24. Gill MM, Muslin H. Early interpretation of transference. J Am Psychoanal Assoc. 1976;24:779–94.

    Article  PubMed  CAS  Google Scholar 

  25. Gabbard GO, Westen D. Rethinking therapeutic action. Int J Psychoanal. 2003;84:823–41.

    Article  PubMed  Google Scholar 

  26. Gabbard GO. When is transference work useful in dynamic psychotherapy? Am J Psychiatry. 2006;163:1667–9.

    Article  PubMed  Google Scholar 

  27. Rosenzweig S. Some implicit common factors in diverse methods of psychotherapy. Am J Orthopsychiatry. 1936;6:422–5.

    Google Scholar 

  28. Frank JD. Therapeutic factors in psychotherapy. Am J Psychother. 1971;25:350–61.

    PubMed  CAS  Google Scholar 

  29. Wampold BE. Methodological problems in identifying efficacious psychotherapies. Psychother Res. 1997;7:21–43.

    Article  Google Scholar 

  30. Baskin TW, Tierney SC, Minamy T, Wampold BE. Establishing specificity in psychotherapy: a meta-analysis of structural equivalence of placebo controls. J Consult Clin Psychol. 2003;71:973–9.

    Article  PubMed  Google Scholar 

  31. Luborsky L, Spence D. Quantitative research on psychoanalytic therapy. In: Garfield SL, Bergin AE, editors. Handbook of psychotherapy and behavior change: an empirical analysis. 2nd ed. New York: Wiley; 1978.

    Google Scholar 

  32. Porter FA. The immediate effects of interpretation on patient response in short-term dynamic psychotherapy. Doctoral dissertation. New York: Colombia University; 1987.

    Google Scholar 

  33. Strisik P. In-session discussion about the therapist-client relationship as a facilitator of client experiencing (transference). Doctoral dissertation. Atlanta: Georgia State University; 1980.

    Google Scholar 

  34. Silberschatz G, Fretter PB, Curtis JT. How do interpretations influence the process of psychotherapy? J Consult Clin Psychol. 1986;54:646–52.

    Article  PubMed  CAS  Google Scholar 

  35. McCullough L, Winston H, Farber BA, Porter F, Pollack J, Laikin M, et al. The relationship of patient-therapist interaction to the outcome in brief dynamic psychotherapy. Psychother Theor Pract Res Training. 1991;28:525–33.

    Article  Google Scholar 

  36. Joyce AS, Piper WE. Interpretive work in short-term individual psychotherapy: an analysis using hierarchical linear modelling. J Consult Clin Psychol. 1996;64:505–12.

    Article  PubMed  CAS  Google Scholar 

  37. Banon E, Grenier EM, Bond M. Early transference interventions with male patients in psychotherapy. J Psychother Pract Res. 2001;10:79–97.

    PubMed  CAS  Google Scholar 

  38. Marmar CR, Weiss DS, Gaston L. Towards the validation of the California therapeutic alliance rating system. Psychol Assess. 1989;1:46–52.

    Article  Google Scholar 

  39. Piper WE, Azim HF, Joyce AS, McCallum M. Transference interpretations, therapeutic alliance, and outcome in short-term individual psychotherapy. Arch Gen Psychiatry. 1991;48:946–53.

    Article  PubMed  CAS  Google Scholar 

  40. Henry WP, Schacht TE, Strupp HH. Structural analysis of social behavior: application to a study of interpersonal process in differential psychotherapeutic outcome. J Consult Clin Psychol. 1986;54:27–31.

    Article  PubMed  CAS  Google Scholar 

  41. Piper WE, Ogrodniczuk JS, Joyce AS, McCallum M, Rosie JS, Kelly JG. Prediction of dropping out in time-limited, interpretive individual psychotherapy. Psychother Theor Pract Res Training. 1999;36:114–22.

    Article  Google Scholar 

  42. Gabbard GO, Horwitz L, Allen JG, Frieswyk S, Newsom G, Colson DB, et al. Transference interpretation in the psychotherapy of borderline patients: a high-risk, high-gain phenomenon. Harvard Rev Psychiatry. 1994;2:59–69.

    Article  CAS  Google Scholar 

  43. Gabbard GO, Horwitz L, Frieswyck S, Allen JG, Colson DB, Newsom G, et al. The effect of therapist interventions on the therapeutic alliance with borderline patients. J Am Psychoanal Assoc. 1988;36:697–727.

    Article  PubMed  CAS  Google Scholar 

  44. Horwitz L, Gabbard GO, Allen JG, Frieswyck S, Colson DB, Newsom G, et al. Borderline personality disorder: tailoring the psychotherapy to the patient. Washington, DC: American Psychiatric Press; 1996.

    Google Scholar 

  45. Malan DH. Toward the validation of dynamic psychotherapy. New York: Plenum; 1976.

    Book  Google Scholar 

  46. Marziali EA, Sullivan JM. Methodological issues in the content analysis of brief psychotherapy. Br J Med Psychol. 1980;53:19–27.

    Article  PubMed  CAS  Google Scholar 

  47. Marziali EA. Prediction of outcome of brief psychotherapy from therapist interpretive interventions. Arch Gen Psychiatry. 1984;41:301–4.

    Article  PubMed  CAS  Google Scholar 

  48. Piper WE, Delbane EG, Bienvenu J-P, de Carufel F, Garrant J. Relationships between the object focus of therapist interpretations and outcome of short-term individual psychotherapy. Br J Med Psychol. 1986;59:1–11.

    Article  PubMed  Google Scholar 

  49. Rosser R, Denford J, Heslop A, Kinston W, Macklin D, Minty K, et al. Breathlessness and psychiatric morbidity in chronic bronchitis and emphysema: a study of psychotherapeutic management. Psychol Med. 1983;13:93–110.

    Article  PubMed  CAS  Google Scholar 

  50. Azim HFA, Pipe W, Segal PM, Nixon GWH, Duncan SC. The quality of object relations scale. Bull Menninger Clin. 1991;55:323–43.

    PubMed  CAS  Google Scholar 

  51. Høglend P. Transference interpretations and long-term change after dynamic psychotherapy of brief to moderate length. Am J Psychother. 1993;47:494–507.

    PubMed  Google Scholar 

  52. Connoly MB, Crits-Christoph P, Shappel S, Barber JP, Luborsky L, Schaffer C. Relations of transference interpretations to outcome in the early sessions of brief supportive–expressive psychotherapy. Psychother Res. 1999;9:485–95.

    Google Scholar 

  53. Ogrodniczuk JS, Piper WE, Joyce AS, McCallum M. Transference interpretations in short-term dynamic psychotherapy. J Nerv Ment Dis. 1999;187:572–9.

    Article  Google Scholar 

  54. Henry WP, Strupp HH, Schacht TE, Gaston L. Psychodynamic approaches. In: Bergin AE, Garfield S, editors. Handbook of psychotherapy and behavior change. 4th ed. New York: Wiley; 1994. p. 467–508.

    Google Scholar 

  55. Stiles WB, Shapiro DA. Disabuse of the drug metaphor: psychotherapy process-outcome correlations. J Consult Clin Psychol. 1994;62:942–8.

    Article  PubMed  CAS  Google Scholar 

  56. Høglend P, Amlo S, Marble A, Bøgwald K-P, Sørbye Ø, Sjaastad MC, et al. Analysis of the patient–therapist relationship in dynamic psychotherapy: an experimental study of transference interpretations. Am J Psychiatry. 2006;163:1739–46.

    Article  PubMed  Google Scholar 

  57. Høglend P, Bøgwald KP, Amlo S, Marble A, Ulberg R, Sjaastad MC, et al. Transference interpretations in dynamic psychotherapy: do they really yield sustained effects? Am J Psychiatry. 2008;165:763–71.

    Article  PubMed  Google Scholar 

  58. Høglend P, Johansson P, Marble A, Bøgwald KP, Amlo S. Moderators of the effects of transference interpretations in brief dynamic psychotherapy. Psychother Res. 2007;17:162–74.

    Article  Google Scholar 

  59. Bøgwald KP, Dahlbender RW. Procedures for testing some aspects of the content validity of the psychodynamic functioning scales and the global assessment of functioning scale. Psychother Res. 2004;14:453–68.

    Article  Google Scholar 

  60. Hagtvet KA, Høglend P. Assessing precision of change scores in psychodynamic psychotherapy: a generalizability theory approach. Meas Eval Couns Dev. 2008;41:162–78.

    Google Scholar 

  61. Hersoug AG. Assessment of therapists’ and patients’ personality: relationship to therapeutic technique and outcome in brief dynamic psychotherapy. J Pers Assess. 2004;83:191–200.

    Article  PubMed  Google Scholar 

  62. Høglend P, Bogwald KP, Amlo S, Heyerdahl O, Sorbye O, Marble A, et al. Assessment of change in dynamic psychotherapy. J Psychother Pract Res. 2000;9:190–9.

    PubMed  Google Scholar 

  63. Høglend P. Analysis of transference in dynamic psychotherapy: a review of empirical research. Can J Psychoanal. 2004;12:280–300.

    Google Scholar 

  64. Alden LE, Wiggins JS, Pincus AL. Construction of circumplex scales for the inventory of interpersonal problems. J Pers Assess. 1990;55:521–36.

    PubMed  CAS  Google Scholar 

  65. Havik OE, Monsen JT, Høglend P, von der Lippe A, Lyngstad G, Stiles T, et al. Norwegian Multi-Site Study of Process and Outcome in Psychotherapy (NMSPOP). Research protocol. Bergen: Department of Clinical Psychology, University of Bergen; 1995.

    Google Scholar 

  66. Snow RE. Aptitude-treatment interaction as a framework for research on individual differences in psychotherapy. J Consult Clin Psychol. 1991;59:205–16.

    Article  PubMed  CAS  Google Scholar 

  67. Kraemer HC, Wilson GT, Fairburn CG, Agras WS. Mediators and moderators of treatment effects in randomized clinical trials. Arch Gen Psychiatry. 2002;59:877–83.

    Article  PubMed  Google Scholar 

  68. Høglend P. Selection for brief dynamic psychotherapy modified after Sifneos. Manual. Oslo: University of Oslo, Department of Psychiatry; 1994.

    Google Scholar 

  69. Høglend P. Suitability for brief dynamic psychotherapy: psychodynamic variables as predictors of outcome. Acta Psychiatr Scand. 1993;88:104–10.

    Article  PubMed  Google Scholar 

  70. Høglend P. Manual for process ratings of general skill, supportive interventions and specific techniques. Manual. Oslo: University of Oslo, Department of Psychiatry; 1994.

    Google Scholar 

  71. Ogrodniczuk JS, Piper WE. Measuring therapist technique in psychodynamic psychotherapies. Development and use of a new scale. J Psychother Pract Res. 1999;8:142–54.

    PubMed  CAS  Google Scholar 

  72. Bogwald KP, Hoglend P, Sorbye O. Measurement of transference interpretations. J Psychother Pract Res. 1999;8:264–73.

    PubMed  CAS  Google Scholar 

  73. Levy KN, Meehan KB, Kelly KM, et al. Change in attachment patterns and reflective function in a randomzed control trial of transference-focused psychotherapy for borderline personality disorder. J Consult Clin Psychol. 2006;74:1027–40.

    Article  PubMed  Google Scholar 

  74. Notman MT, Nadelson CC. Sex in the consulting room. J Am Acad Psychoanal Dyn Psychiatry. 2004;32:193–200.

    Article  PubMed  Google Scholar 

  75. Clarkin JF, Levy KN. The influence of client variables in psychotherapy. In: Lambert MJ, editor. Bergin and Garfield’s handbook of psychotherapy and behavior change. 5th ed. New York: Wiley; 2004. p. 194–226.

    Google Scholar 

  76. Zlotnick C, Shea MT, Pilkonis PA, et al. Gender, type of treatment, dysfunctional attitudes, social support, life events, and depressive symptoms over naturalistic follow-up. Am J Psychiatry. 1996;153:1021–7.

    PubMed  CAS  Google Scholar 

  77. Ogrodniczuk JS, Piper WE, Joyce AS, McCallum M. Effect of patient gender on outcome in two forms of short-term individual psychotherapy. J Psychother Pract Res. 2001;10(2):69–78.

    PubMed  CAS  Google Scholar 

  78. Ulberg R, Johansson P, Marble A, Høglend P. Patient sex as moderator of effects of transference interpretation in a randomized controlled study of dynamic psychotherapy. Can J Psychiatry. 2009;54:78–86.

    PubMed  Google Scholar 

  79. Høglend P, Heyerdahl O, Amlo S, Engelstad V, Fossum A, Sorby O, et al. Interpretations of the patient–therapist relationship in brief dynamic psychotherapy: effects on long-term mode specific changes. J Psychother Pract Res. 1993;2:296–306.

    PubMed  Google Scholar 

  80. Baron RM, Kenny DA. The moderator–mediator variable distinction in social psychological research: conceptual, strategic and statistical considerations. Psychol Bull. 1986;51:1173–82.

    CAS  Google Scholar 

  81. Schaefer R. Aspects of internalization. New York: International Universities Press; 1968.

    Google Scholar 

  82. Schlesinger N, Robbins F. A development view of the psychoanalytic process. Madison: International Universities Press; 1983.

    Google Scholar 

  83. Geller JD, Cooley RS, Hartley D. Images of the psychotherapist: a theoretical and methodological perspective. Imagination Cogn Pers. 1981;1:123–46.

    Article  Google Scholar 

  84. Geller JD, Faber BA. Factors influencing the process of internalization in psychotherapy. Psychother Res. 1993;3:166–80.

    Article  Google Scholar 

  85. Orlinsky DE, Geller JD, Tarragona M, Farber B. Patients’ representations of psychotherapy: a new focus for psychodynamic research. J Consult Clin Psychol. 1993;61:396–610.

    Google Scholar 

  86. Loewald H. On the therapeutic action of psychoanalysis. Int J Psychoanal. 1960;51:1–18.

    Google Scholar 

  87. Blum H. Psychic change: the analytic relationship(s) and agents of change. Int J Psychoanal. 1992;73:255–66.

    PubMed  Google Scholar 

  88. Rangell L. The psychoanalytic theory of change. Int J Psychoanal. 1992;73:415–27.

    PubMed  Google Scholar 

  89. Johansen P, Høglend P, Ulberg R, Bøgwald KP, Amlo S, Heyerdahl O, et al. The mediating role of insight for long-term improvements in psychodynamic therapy. J Consult Clin Psychol. 2010;78:438–48.

    Google Scholar 

  90. Piper WE, Joyce AS, McCallum M, Azim HFA. Concentration and correspondence of transference interpretations in short-term psychotherapy. J Consult Clin Psychol. 1993;61:586–95.

    Article  PubMed  CAS  Google Scholar 

  91. Høglend P, Piper WE. Focal adherence in brief dynamic psychotherapy: a comparison of findings from two independent studies. Psychother Theor Res Pract Training. 1995;32:618–28.

    Article  Google Scholar 

  92. Benjamin LS. Structural analysis of social behavior. Psychol Rev. 1974;81:392–425.

    Article  Google Scholar 

  93. Cooper S, Bond M, Audet C, Boss K, Csank P. The Psychodynamic intervention rating scale. Unpublished MS; 2002.

    Google Scholar 

  94. Muran JC. Early career award paper: a relational approach to understanding change: plurality and contextualism in a psychotherapy research program. Psychother Res. 2002;12:113–38.

    Article  Google Scholar 

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Authors and Affiliations

  1. Institute of Clinical Medicine, University of Oslo, Oslo, Norway

    Per Høglend M.D., Ph.D.

  2. Suny Upstate Medical University, Syracuse, NY, USA

    Glen O. Gabbard M.D. (Professor of Psychiatry)

  3. Baylor College of Medicine, Houston, TX, USA

    Glen O. Gabbard M.D. (Clinical Professor of Psychiatry)

Authors
  1. Per Høglend M.D., Ph.D.
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  2. Glen O. Gabbard M.D.
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  3. Glen O. Gabbard M.D.
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Corresponding author

Correspondence to Per Høglend M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Massachusetts General Hospital, Harvard Medical School, Department of Psychiatry, Parkman St., Boston, 02114, Massachusetts, USA

    Raymond A. Levy

  2. Massachusetts General Hospital, Harvard Medical School, Department of Psychiatry, Morrimac Street 101, Boston, 02114, Massachusetts, USA

    J. Stuart Ablon

  3. and Psychoanalysis, International Psychoanalytic University, Department of Clinical Psychology, Stromstr. 3, Berlin, 10555, Germany

    Horst Kächele

Appendix 23.1

Appendix 23.1

The Insight Scale. This dimension covers cognitive and emotional understanding of the main dynamics of inner conflicts, the related interpersonal patterns and repetitive behaviors, and connection to past experiences. Ability to understand and describe own vulnerability, reactions to stress, and coping abilities.

100

91

Unusual ability to describe genuinely personal wishes, fears, defences, and the related behavior and connections to earlier (childhood) experiences. High awareness of own vulnerability, attitudes, and interpersonal patterns, secondary gains. Open and curious about and reflects on the multiple levels and meanings of experience. Realistic judgment of self and others

90

81

Can account for inner conflicts, the related problems and repetitive behaviors, and connections to earlier experience. Aware of own vulnerability and reactions to stress. A tolerant and realistic sense of self and others in interpersonal disputes. May feel disillusionment but no bitterness or hopelessness

80

71

Can account for most important inner conflicts, related problems and repetitive behavior patterns, and personal attitudes. Connections to earlier experience may partly be forgotten. Aware of own vulnerability, stress reactions, and coping abilities. May blame self or others too much in interpersonal disputes but reflects freely and observes own reactions and learns from it (integration). Generally curious and tolerant. Realistic expectations about the future

70

61

Recognizes but cannot clearly describe the complex association between past experience, inner conflicts and present problems, and repetitive patterns. Reasonably aware of own vulnerability and strength and reactions to stress. Tendency to blame self or others too much in disputes. Occasionally, behavior and attitude may be unrecognized, but reflects and observes self in other areas

60

51

Understanding of inner conflicts and associations to past and present experience and behavior is somewhat unclear, or less emotionally integrated, or “learned.” Inadequate judgment of self and others but ability to observe and reflect with time. Vulnerability and stress reactions sometimes a surprise. Some defensive, unrecognized attitudes and behaviors. Rigid views of rights and wrongs. May look for superficial solutions. Recognizes symptoms as sign of disturbance

50

41

Superficial “learned” or misleading ideas of inner conflicts and past and present experience. Distortions of judgment of self versus others also when no disputes. Painful feelings accompanied by harsh self-blame or incorrectly ascribed to external factors. Little or no reflection on personal motives, unaware of important aspects of attitudes and behaviors (fundamentalism). May deny symptoms as sign of disturbance. Excessive pessimism or optimism

40

31

Does not recognize associations between behavior and internal dynamic components. Severely distorted perceptions/judgment of self or others. Disavows painful personal reactions. Can describe internal experiences but in a stereotyped, confusing, or misleading way. Denies signs of mental disturbance

30

21

Great difficulty describing internal experiences. Does not acknowledge associations between internal experiences and own behavior. Severe distortions/delusional ideas may be present

20

11

Disorganized or fragmented mental functioning. Breakdown of reality testing. Need outside assistance

10

Continuously disorganized in need of constant assistance for days

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Høglend, P., Gabbard, G.O., Gabbard, G.O. (2012). When Is Transference Work Useful in Psychodynamic Psychotherapy? A Review of Empirical Research. In: Levy, R., Ablon, J., Kächele, H. (eds) Psychodynamic Psychotherapy Research. Current Clinical Psychiatry. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-792-1_26

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