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R. Peter Hobson - One of the best experts on this subject based on the ideXlab platform.
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Brief Psychoanalytic Therapy
2016Co-Authors: R. Peter HobsonAbstract:In recent years, there has been a drive to develop briefer and more focal psychodynamic interventions, with the hope of satisfying the ever-increasing need for mental health support. This book outlines the principles and practice of Brief Psychoanalytic Therapy. It starts with an introductory chapter that distils those aspects of psychoanalysis that provide a basis for the approach. This is followed by an overview of themes and variations in six forms of brief psychodynamic Therapy. The remainder of the book is focused on clinical practice. Treatment and Adherence Manuals detail the specifics of therapist orientation and technique, and a formal research study that compares the approach with Interpersonal Therapy is described. Case histories of individual treatments unfolding over time are complemented by detailed examination of short sequences of patient-therapist dialogue from transcribed sessions. The result is a picture of a Psychoanalytic treatment that, while brief, is disciplined and coherent in its concentrated focus on analyzing the transference and countertransference in the therapeutic relationship.
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A first case history
Brief Psychoanalytic Therapy, 2016Co-Authors: R. Peter HobsonAbstract:The purpose of this chapter is to introduce Brief Psychoanalytic Therapy through the case history of a woman who presented with fatigue and a variety of medical ailments. Descriptions are given of the initial assessment consultation and then the course of 16 sessions of Brief Psychoanalytic Therapy. The clinical material represented illustrates both the therapist’s orientation and style of intervention, and the patient’s step-by-step development in the direction of more open, trusting, and fulfilling attitudes toward other people and the possibilities of life. The nature as well as the influence of the therapist’s focus on the transference and countertransference receive special attention.
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The place of Brief Psychoanalytic Therapy
Brief Psychoanalytic Therapy, 2016Co-Authors: R. Peter HobsonAbstract:The concluding chapter serves as an overview of the origins, challenges, limitations, and potential specialness of Brief Psychoanalytic Therapy. Here it is important to acknowledge, rather than gloss over, doubts and uncertainties that surround the approach. Should this be viewed as a discrete and distinctive 16-session treatment—which in some respects it is, especially in its narrow focus on working in the transference—or is it more a style of therapeutic engagement, one that could (for instance) constitute an element within a more eclectic approach? How far is the term “Psychoanalytic” justified? In essence, Brief Psychoanalytic Therapy is an attempt to achieve a quality and depth of communication that promises to have special value in promoting a patient’s psychic integration and health.
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Brief Psychoanalytic Therapy
Oxford Clinical Psychology, 2016Co-Authors: R. Peter HobsonAbstract:This book outlines the principles and practice of Brief Psychoanalytic Therapy. An introductory chapter distills those aspects of psychoanalysis that provide a basis for the approach. Special attention is given to how a therapist may promote a patient’s development by registering and containing emotional states that the patient is unable to manage alone. This is followed by an overview of themes and variations in six forms of brief psychodynamic Therapy. The remainder of the book is concerned less with theory than with clinical practice. Treatment and Adherence Manuals detail the specifics of therapist orientation and technique, and a formal research study comparing the approach with Interpersonal Therapy is reported. Case histories of individual treatments unfolding over time are complemented by detailed examination of short sequences of patient–therapist dialogue from transcribed sessions. What emerges is a picture of a Psychoanalytic treatment that, while brief, is disciplined and coherent in its concentrated focus on analyzing the transference and countertransference in the therapeutic relationship.
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Is Brief Psychoanalytic Therapy distinctive? A research study
Brief Psychoanalytic Therapy, 2016Co-Authors: R. Peter HobsonAbstract:This chapter describes a formal study of therapeutic interventions in Brief Psychoanalytic Therapy (BPT). The aim of the study was to examine whether the therapeutic approach has distinctive qualities when compared with another relationship-oriented treatment, Interpersonal Therapy (IPT). The materials studied were transcripts from seven sessions of BPT and seven sessions of IPT, each involving different patients and different therapists. Separate therapists “blind” to treatment were asked to rate the transcripts for characteristics captured on a series of adherence scales, including BPT and IPT Adherence Scales. The results indicated very substantial differences between the treatments, with BPT more “interpretive” and IPT more “supportive” in nature.
Cord Benecke - One of the best experts on this subject based on the ideXlab platform.
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a comparison of Psychoanalytic Therapy and cognitive behavioral Therapy for anxiety panic agoraphobia and personality disorders apd study presentation of the rct study design
Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie, 2016Co-Authors: Cord Benecke, Hermann Staats, Dorothea Huber, Johannes Zimmermann, Miriam Henkel, Heinrich Deserno, Silke Wiegandgrefe, Henning SchauenburgAbstract:Zusammenfassung Ein Vergleich zwischen Analytischer Psychotherapie und Kognitiver Verhaltenstherapie bei Angststorungen (Panik/Agoraphobie) plus Personlichkeitsstorungen (APS-Studie): Vorstellung des RCT-Studiendesigns Fragestellung: Angststorungen, insbesondere Panikstorungen und Agoraphobie, sind weitverbreitete psychische Storungen, die eine hohe Komorbiditat mit Personlichkeitsstorungen aufweisen. Randomisierte kontrollierte Studien, die sich mit dieser sehr relevanten Gruppe von Patienten befassen, fehlen bisher. Methode: Die multizentrisch durchgefuhrte Studie zu Angst- und Personlichkeitsstorungen (APS) untersucht 200 Patienten mit Panikstorung und/oder Agoraphobie mit komorbiden Personlichkeitsstorungen in einer randomisierten, kontrollierten Vergleichsstudie zwischen Analytischer Psychotherapie (Psychoanalytic Therapy, PT) und Kognitiver Verhaltenstherapie (cognitive behavioral Therapy, CBT), wobei jede Gruppe 100 Patienten enthalt. Jeder Patient wird uber einen Zeitraum von sechs Jahren untersuc...
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A Comparison of Psychoanalytic Therapy and Cognitive Behavioral Therapy for Anxiety (Panic/Agoraphobia) and Personality Disorders (APD Study): Presentation of the RCT Study Design.
Zeitschrift fur Psychosomatische Medizin und Psychotherapie, 2016Co-Authors: Cord Benecke, Hermann Staats, Dorothea Huber, Johannes Zimmermann, Miriam Henkel, Heinrich Deserno, Silke Wiegand-grefe, Henning SchauenburgAbstract:Zusammenfassung Ein Vergleich zwischen Analytischer Psychotherapie und Kognitiver Verhaltenstherapie bei Angststorungen (Panik/Agoraphobie) plus Personlichkeitsstorungen (APS-Studie): Vorstellung des RCT-Studiendesigns Fragestellung: Angststorungen, insbesondere Panikstorungen und Agoraphobie, sind weitverbreitete psychische Storungen, die eine hohe Komorbiditat mit Personlichkeitsstorungen aufweisen. Randomisierte kontrollierte Studien, die sich mit dieser sehr relevanten Gruppe von Patienten befassen, fehlen bisher. Methode: Die multizentrisch durchgefuhrte Studie zu Angst- und Personlichkeitsstorungen (APS) untersucht 200 Patienten mit Panikstorung und/oder Agoraphobie mit komorbiden Personlichkeitsstorungen in einer randomisierten, kontrollierten Vergleichsstudie zwischen Analytischer Psychotherapie (Psychoanalytic Therapy, PT) und Kognitiver Verhaltenstherapie (cognitive behavioral Therapy, CBT), wobei jede Gruppe 100 Patienten enthalt. Jeder Patient wird uber einen Zeitraum von sechs Jahren untersuc...
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is it all about the higher dose why Psychoanalytic Therapy is an effective treatment for major depression
Clinical Psychology & Psychotherapy, 2015Co-Authors: Johannes Zimmermann, Dorothea Huber, Günther Klug, Henriette Lofflerstastka, Sarah Alhabbo, Astrid Bock, Cord BeneckeAbstract:Empirical evidence for the effectiveness of long-term psychodynamic psychoTherapy (LTPP) in patients with mood disorders is growing. However, it is unclear whether the effectiveness of LTPP is due to distinctive features of psychodynamic/Psychoanalytic techniques or to a higher number of sessions. We tested these rival hypotheses in a quasi-experimental study comparing Psychoanalytic Therapy (i.e., high-dose LTPP) with psychodynamic Therapy (i.e., low-dose LTPP) and cognitive–behavioural Therapy (CBT) for depression. Analyses were based on a subsample of 77 subjects, with 27 receiving Psychoanalytic Therapy, 26 receiving psychodynamic Therapy and 24 receiving CBT. Depressive symptoms, interpersonal problems and introject affiliation were assessed prior to treatment, after treatment and at the 1-, 2- and 3-year follow-ups. Psychoanalytic techniques were assessed from three audiotaped middle sessions per treatment using the PsychoTherapy Process Q-Set. Subjects receiving Psychoanalytic Therapy reported having fewer interpersonal problems, treated themselves in a more affiliative way directly after treatment and tended to improve in depressive symptoms and interpersonal problems during follow-up as compared with patients receiving psychodynamic Therapy and/or CBT. Multilevel mediation analyses suggested that post-treatment differences in interpersonal problems and introject affiliation were mediated by the higher number of sessions, and follow-up differences in depressive symptoms were mediated by the more pronounced application of Psychoanalytic techniques. We also found some evidence for indirect treatment effects via Psychoanalytic techniques on changes in introject affiliation during follow-up. These results provide support for the prediction that both a high dose and the application of Psychoanalytic techniques facilitate therapeutic change in patients with major depression. Copyright © 2014 John Wiley & Sons, Ltd. Key Practitioner Message Psychoanalytic Therapy is an effective treatment for major depression, especially in the long run. The differential effectiveness of Psychoanalytic Therapy cannot be fully explained by its higher dose. Distinctive features of Psychoanalytic technique (e.g., focusing on patients' dreams, fantasies, sexual experiences or childhood memories) may play an important role in establishing sustained therapeutic change.
Dorothea Huber - One of the best experts on this subject based on the ideXlab platform.
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A Comparison of Psychoanalytic Therapy and Cognitive Behavioral Therapy for Anxiety (Panic/Agoraphobia) and Personality Disorders (APD Study): Presentation of the RCT Study Design.
Zeitschrift fur Psychosomatische Medizin und Psychotherapie, 2016Co-Authors: Cord Benecke, Hermann Staats, Dorothea Huber, Johannes Zimmermann, Miriam Henkel, Heinrich Deserno, Silke Wiegand-grefe, Henning SchauenburgAbstract:Zusammenfassung Ein Vergleich zwischen Analytischer Psychotherapie und Kognitiver Verhaltenstherapie bei Angststorungen (Panik/Agoraphobie) plus Personlichkeitsstorungen (APS-Studie): Vorstellung des RCT-Studiendesigns Fragestellung: Angststorungen, insbesondere Panikstorungen und Agoraphobie, sind weitverbreitete psychische Storungen, die eine hohe Komorbiditat mit Personlichkeitsstorungen aufweisen. Randomisierte kontrollierte Studien, die sich mit dieser sehr relevanten Gruppe von Patienten befassen, fehlen bisher. Methode: Die multizentrisch durchgefuhrte Studie zu Angst- und Personlichkeitsstorungen (APS) untersucht 200 Patienten mit Panikstorung und/oder Agoraphobie mit komorbiden Personlichkeitsstorungen in einer randomisierten, kontrollierten Vergleichsstudie zwischen Analytischer Psychotherapie (Psychoanalytic Therapy, PT) und Kognitiver Verhaltenstherapie (cognitive behavioral Therapy, CBT), wobei jede Gruppe 100 Patienten enthalt. Jeder Patient wird uber einen Zeitraum von sechs Jahren untersuc...
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a comparison of Psychoanalytic Therapy and cognitive behavioral Therapy for anxiety panic agoraphobia and personality disorders apd study presentation of the rct study design
Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie, 2016Co-Authors: Cord Benecke, Hermann Staats, Dorothea Huber, Johannes Zimmermann, Miriam Henkel, Heinrich Deserno, Silke Wiegandgrefe, Henning SchauenburgAbstract:Zusammenfassung Ein Vergleich zwischen Analytischer Psychotherapie und Kognitiver Verhaltenstherapie bei Angststorungen (Panik/Agoraphobie) plus Personlichkeitsstorungen (APS-Studie): Vorstellung des RCT-Studiendesigns Fragestellung: Angststorungen, insbesondere Panikstorungen und Agoraphobie, sind weitverbreitete psychische Storungen, die eine hohe Komorbiditat mit Personlichkeitsstorungen aufweisen. Randomisierte kontrollierte Studien, die sich mit dieser sehr relevanten Gruppe von Patienten befassen, fehlen bisher. Methode: Die multizentrisch durchgefuhrte Studie zu Angst- und Personlichkeitsstorungen (APS) untersucht 200 Patienten mit Panikstorung und/oder Agoraphobie mit komorbiden Personlichkeitsstorungen in einer randomisierten, kontrollierten Vergleichsstudie zwischen Analytischer Psychotherapie (Psychoanalytic Therapy, PT) und Kognitiver Verhaltenstherapie (cognitive behavioral Therapy, CBT), wobei jede Gruppe 100 Patienten enthalt. Jeder Patient wird uber einen Zeitraum von sechs Jahren untersuc...
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is it all about the higher dose why Psychoanalytic Therapy is an effective treatment for major depression
Clinical Psychology & Psychotherapy, 2015Co-Authors: Johannes Zimmermann, Dorothea Huber, Günther Klug, Henriette Lofflerstastka, Sarah Alhabbo, Astrid Bock, Cord BeneckeAbstract:Empirical evidence for the effectiveness of long-term psychodynamic psychoTherapy (LTPP) in patients with mood disorders is growing. However, it is unclear whether the effectiveness of LTPP is due to distinctive features of psychodynamic/Psychoanalytic techniques or to a higher number of sessions. We tested these rival hypotheses in a quasi-experimental study comparing Psychoanalytic Therapy (i.e., high-dose LTPP) with psychodynamic Therapy (i.e., low-dose LTPP) and cognitive–behavioural Therapy (CBT) for depression. Analyses were based on a subsample of 77 subjects, with 27 receiving Psychoanalytic Therapy, 26 receiving psychodynamic Therapy and 24 receiving CBT. Depressive symptoms, interpersonal problems and introject affiliation were assessed prior to treatment, after treatment and at the 1-, 2- and 3-year follow-ups. Psychoanalytic techniques were assessed from three audiotaped middle sessions per treatment using the PsychoTherapy Process Q-Set. Subjects receiving Psychoanalytic Therapy reported having fewer interpersonal problems, treated themselves in a more affiliative way directly after treatment and tended to improve in depressive symptoms and interpersonal problems during follow-up as compared with patients receiving psychodynamic Therapy and/or CBT. Multilevel mediation analyses suggested that post-treatment differences in interpersonal problems and introject affiliation were mediated by the higher number of sessions, and follow-up differences in depressive symptoms were mediated by the more pronounced application of Psychoanalytic techniques. We also found some evidence for indirect treatment effects via Psychoanalytic techniques on changes in introject affiliation during follow-up. These results provide support for the prediction that both a high dose and the application of Psychoanalytic techniques facilitate therapeutic change in patients with major depression. Copyright © 2014 John Wiley & Sons, Ltd. Key Practitioner Message Psychoanalytic Therapy is an effective treatment for major depression, especially in the long run. The differential effectiveness of Psychoanalytic Therapy cannot be fully explained by its higher dose. Distinctive features of Psychoanalytic technique (e.g., focusing on patients' dreams, fantasies, sexual experiences or childhood memories) may play an important role in establishing sustained therapeutic change.
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Psychoanalytic versus psychodynamic Therapy for depression a three year follow up study
Psychiatry MMC, 2013Co-Authors: Dorothea Huber, Gerhard Henrich, John F Clarkin, Guenther KlugAbstract:The aim of this study was to investigate the effectiveness of long-term Psychoanalytic and psychodynamic psychotherapies. In a prospective, randomized outcome study, Psychoanalytic (mean duration: 39 months, mean dose: 234 sessions) and psychodynamic (mean duration: 34 months, mean dose: 88 sessions) Therapy were compared at post-treatment and at one-, two-, and three-year follow-up in the treatment of patients with a primary diagnosis of unipolar depression. All treatments were carried out by experienced psychotherapists. Primary outcome measures were the Beck Depression Inventory and the Scales of Psychological Capacities, and secondary outcome measures were the Global Severity Index of the Symptom Checklist 90-R, the Inventory of Interpersonal Problems, the Social Support Questionnaire, and the INTREX Introject Questionnaire. Interviewers at pre- and post-treatment and at one-year follow-up were blinded; at two- and three-year follow-up, all self-report instruments were mailed to the patients. Analyses of covariance, effect sizes, and clinical significances were calculated to contrast the groups. We found significant outcome differences between treatments in terms of depressive and global psychiatric symptoms, personality functioning, and social relations at three-year follow-up, with Psychoanalytic Therapy being more effective. No outcome differences were found in terms of interpersonal problems. We concluded that Psychoanalytic Therapy associated with its higher treatment dose shows longer-lasting effects.
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Patterns of interpersonal problems and their improvement in depressive and anxious patients treated with Psychoanalytic Therapy
Bulletin of the Menninger Clinic, 2010Co-Authors: Simone Salzer, Eric Leibing, Thorsten Jakobsen, Gerd Rudolf, Josef Brockmann, Jochen Eckert, Dorothea Huber, Günther Klug, Gerhard Henrich, Tilmann GrandeAbstract:Interpersonal problems were studied in 121 patients treated with Psychoanalytic Therapy using the Inventory of Interpersonal Problems. Four characteristic subtypes were identified, which differed in the quality and flexibility of their interpersonal behavior. Independent of the predominant type of interpersonal problems, the psychoTherapy treatment led to strong decreases in interpersonal distress and increases in interpersonal differentiation. Psychoanalytic Therapy was highly effective for all identified interpersonal subtypes and seems to help patients achieve more satisfactory relationships.
Johannes Zimmermann - One of the best experts on this subject based on the ideXlab platform.
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a comparison of Psychoanalytic Therapy and cognitive behavioral Therapy for anxiety panic agoraphobia and personality disorders apd study presentation of the rct study design
Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie, 2016Co-Authors: Cord Benecke, Hermann Staats, Dorothea Huber, Johannes Zimmermann, Miriam Henkel, Heinrich Deserno, Silke Wiegandgrefe, Henning SchauenburgAbstract:Zusammenfassung Ein Vergleich zwischen Analytischer Psychotherapie und Kognitiver Verhaltenstherapie bei Angststorungen (Panik/Agoraphobie) plus Personlichkeitsstorungen (APS-Studie): Vorstellung des RCT-Studiendesigns Fragestellung: Angststorungen, insbesondere Panikstorungen und Agoraphobie, sind weitverbreitete psychische Storungen, die eine hohe Komorbiditat mit Personlichkeitsstorungen aufweisen. Randomisierte kontrollierte Studien, die sich mit dieser sehr relevanten Gruppe von Patienten befassen, fehlen bisher. Methode: Die multizentrisch durchgefuhrte Studie zu Angst- und Personlichkeitsstorungen (APS) untersucht 200 Patienten mit Panikstorung und/oder Agoraphobie mit komorbiden Personlichkeitsstorungen in einer randomisierten, kontrollierten Vergleichsstudie zwischen Analytischer Psychotherapie (Psychoanalytic Therapy, PT) und Kognitiver Verhaltenstherapie (cognitive behavioral Therapy, CBT), wobei jede Gruppe 100 Patienten enthalt. Jeder Patient wird uber einen Zeitraum von sechs Jahren untersuc...
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A Comparison of Psychoanalytic Therapy and Cognitive Behavioral Therapy for Anxiety (Panic/Agoraphobia) and Personality Disorders (APD Study): Presentation of the RCT Study Design.
Zeitschrift fur Psychosomatische Medizin und Psychotherapie, 2016Co-Authors: Cord Benecke, Hermann Staats, Dorothea Huber, Johannes Zimmermann, Miriam Henkel, Heinrich Deserno, Silke Wiegand-grefe, Henning SchauenburgAbstract:Zusammenfassung Ein Vergleich zwischen Analytischer Psychotherapie und Kognitiver Verhaltenstherapie bei Angststorungen (Panik/Agoraphobie) plus Personlichkeitsstorungen (APS-Studie): Vorstellung des RCT-Studiendesigns Fragestellung: Angststorungen, insbesondere Panikstorungen und Agoraphobie, sind weitverbreitete psychische Storungen, die eine hohe Komorbiditat mit Personlichkeitsstorungen aufweisen. Randomisierte kontrollierte Studien, die sich mit dieser sehr relevanten Gruppe von Patienten befassen, fehlen bisher. Methode: Die multizentrisch durchgefuhrte Studie zu Angst- und Personlichkeitsstorungen (APS) untersucht 200 Patienten mit Panikstorung und/oder Agoraphobie mit komorbiden Personlichkeitsstorungen in einer randomisierten, kontrollierten Vergleichsstudie zwischen Analytischer Psychotherapie (Psychoanalytic Therapy, PT) und Kognitiver Verhaltenstherapie (cognitive behavioral Therapy, CBT), wobei jede Gruppe 100 Patienten enthalt. Jeder Patient wird uber einen Zeitraum von sechs Jahren untersuc...
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is it all about the higher dose why Psychoanalytic Therapy is an effective treatment for major depression
Clinical Psychology & Psychotherapy, 2015Co-Authors: Johannes Zimmermann, Dorothea Huber, Günther Klug, Henriette Lofflerstastka, Sarah Alhabbo, Astrid Bock, Cord BeneckeAbstract:Empirical evidence for the effectiveness of long-term psychodynamic psychoTherapy (LTPP) in patients with mood disorders is growing. However, it is unclear whether the effectiveness of LTPP is due to distinctive features of psychodynamic/Psychoanalytic techniques or to a higher number of sessions. We tested these rival hypotheses in a quasi-experimental study comparing Psychoanalytic Therapy (i.e., high-dose LTPP) with psychodynamic Therapy (i.e., low-dose LTPP) and cognitive–behavioural Therapy (CBT) for depression. Analyses were based on a subsample of 77 subjects, with 27 receiving Psychoanalytic Therapy, 26 receiving psychodynamic Therapy and 24 receiving CBT. Depressive symptoms, interpersonal problems and introject affiliation were assessed prior to treatment, after treatment and at the 1-, 2- and 3-year follow-ups. Psychoanalytic techniques were assessed from three audiotaped middle sessions per treatment using the PsychoTherapy Process Q-Set. Subjects receiving Psychoanalytic Therapy reported having fewer interpersonal problems, treated themselves in a more affiliative way directly after treatment and tended to improve in depressive symptoms and interpersonal problems during follow-up as compared with patients receiving psychodynamic Therapy and/or CBT. Multilevel mediation analyses suggested that post-treatment differences in interpersonal problems and introject affiliation were mediated by the higher number of sessions, and follow-up differences in depressive symptoms were mediated by the more pronounced application of Psychoanalytic techniques. We also found some evidence for indirect treatment effects via Psychoanalytic techniques on changes in introject affiliation during follow-up. These results provide support for the prediction that both a high dose and the application of Psychoanalytic techniques facilitate therapeutic change in patients with major depression. Copyright © 2014 John Wiley & Sons, Ltd. Key Practitioner Message Psychoanalytic Therapy is an effective treatment for major depression, especially in the long run. The differential effectiveness of Psychoanalytic Therapy cannot be fully explained by its higher dose. Distinctive features of Psychoanalytic technique (e.g., focusing on patients' dreams, fantasies, sexual experiences or childhood memories) may play an important role in establishing sustained therapeutic change.
Ian Hodges - One of the best experts on this subject based on the ideXlab platform.
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Queering psychoanalysis: power, self and identity in Psychoanalytic Therapy with sexual minority clients
Psychology and Sexuality, 2011Co-Authors: Ian HodgesAbstract:In this article I consider whether Psychoanalytic psychoTherapy can be gay affirmative and ask to what extent is Psychoanalytic practice able to incorporate a queer account of heteronormativity in work with sexual minority patients/clients. I discuss the often pathologising vocabulary of psychoanalysis and go on to consider its theoretical use in providing a complex and practical understanding of the oppression of sexual minority persons, along with a model of therapeutic work and Oedipal relations which may contribute to helping sexual minority patients/clients work through the impact of growing up and making a life in a heteronormative culture. Thus, in this article I seek to address the question of how a queering of the foundations of Psychoanalytic Therapy may offer a means of effectively challenging heteronormativity both throughout our wider culture and within Psychoanalytic theory and practice itself.
