Catalogue Search | MBRL
Are you sure you want to remove the book from the shelf?
{{itemTitle}}
8,021
result(s) for
"Psychoanalytic Therapy"
Sort by:
Time Present and Time Past
This remarkable collection of papers is divided into three sections: clinical issues; psychoanalysis and the life cycle; and underlying theories of practice. The papers span the years 1951 to 2004, recording five decades of British psychoanalysis, through various angles. Pearl King’s outstanding contribution to British psychoanalysis has shaped the psychoanalytic community in this country as it is today, and the papers in this volume chart the progress of the author as a psychoanalyst, with the background of various important events in the psychoanalytic community.
The papers in the clinical part include a unique, lengthy case study of the psychoanalysis of a four-year-old boy, and a follow-up of his life over five decades later. After reading the paper at the age of 54, the patient agreed to write his own version of his life, which is included in the book. The second part of the book, on psychoanalysis and the life cycle, includes renowned chapters on ageing. The author looks at the ageing psychoanalyst as well as the characteristics of analysis with older patients. The third part discusses the theories underlying Pearl King’s practice and puts forward her views on such concepts as alienation, transference, and the importance of time in psychoanalytic work with patients.
eBook
Childhood trauma and differential response to long-term psychoanalytic versus cognitive–behavioural therapy for chronic depression in adults
Childhood trauma is a major risk factor for chronic depression. It has been suggested that adults with chronic depression who have experienced childhood trauma may require long-term treatment owing to a breakdown of basic trust and related difficulties in developing a productive therapeutic relationship.
As empirical studies have been preliminary and scarce, we studied the effects of psychoanalytic therapy (PAT) versus cognitive-behavioural therapy (CBT) for chronic depression in adults with a history of childhood trauma. In this subgroup, we expected a greater symptom reduction in PAT compared with CBT.
In a large trial of long-term psychotherapies for chronic depression (LAC-Study; Clinical Trial Register ISRCTN91956346), 210 adults received open-ended CBT or PAT in an out-patient setting and were examined yearly over 5 years on the Beck Depression Inventory - II (BDI-II). Based on a linear mixed model approach, we tested participant-reported childhood trauma based on the Childhood Trauma Questionnaire (CTQ) as a predictor and moderator of treatment outcome. CTQ subscales were examined exploratively.
Depressive symptoms decreased over time (
= -4.55, s.e. = 0.90, 95% CI -6.32 to -2.81,
= -5.08;
< 0.001). A significant three-way interaction between childhood trauma, time and therapy group (
= -0.05, s.e. = 0.02, 95% CI -0.09 to -0.01,
= -2.42;
= 0.016) indicated that participants with childhood trauma profited especially well from PATs.
Our results indicate differential benefits from PAT compared with CBT among adults with chronic depression and a history of childhood trauma. The results have important implications for differential indication and policy.
Journal Article
Dosage effects of psychodynamic and schema therapy in people with comorbid depression and personality disorder: four-arm pragmatic randomised controlled trial
Higher intensity of psychotherapy might improve treatment outcome in depression, especially in those with comorbid personality disorder.
To compare the effects of 25 individual sessions (weekly) of two forms of psychotherapy - short-term psychoanalytic supportive psychotherapy (SPSP) and schema therapy - with the same treatments given for 50 sessions (twice weekly) in people with depression and personality disorder. Trial registration: NTR5941.
We conducted a pragmatic, double-randomised clinical trial and, over 37 months, recruited 246 adult out-patients with comorbid depression/dysthymia and personality disorder. A 2 × 2 factorial design randomised participants to 25 or 50 sessions of SPSP or schema therapy. The primary outcome was change in depression severity over 1 year on the Beck Depression Inventory II (BDI-II). Secondary outcomes were remission both of depression and personality disorder.
Compared with 25 sessions, participants who received 50 sessions showed a significantly greater decrease in depressive symptoms over time (time × session dosage,
< 0.001), with a mean difference of 5.6 BDI points after 1 year (
-0.53, 95% CI -0.18 to 0.882,
= 0.003). Remission from depression was also greater in the 50-session group (74%
58%,
= 0.025), as was remission of personality disorder (74%
56%,
0.010).
Greater intensity of psychotherapy leads to better outcomes of both depression and personality status in people with comorbid depression and personality disorder.
Journal Article
Implementing Panic-Focused Psychodynamic Psychotherapy into Clinical Practice
Objective:
To determine the effectiveness of manualized panic-focused psychodynamic psychotherapy (PFPP) in routine care in Germany.
Method:
German psychoanalysts were trained according to the PFPP manual. Fifty-four consecutive outpatients with panic disorder (with or without agoraphobia) were randomly assigned in a 2:1 ratio to PFPP or cognitive-behavioural therapy (CBT) plus exposure therapy. Subjects (female 57.4%; mean age 36.2 years) had high rates of psychiatric (68.5%) and somatic (64.8%) comorbidity, and previous psychiatric treatments (57.4%). Assessments were performed pre- and posttreatment and at 6-month follow-up. The primary outcome measure was the Panic Disorder Severity Scale.
Results:
Both treatments were highly effective. In patients randomized to PFPP, remission was achieved in 44.4% at termination and by 50% at follow-up (CBT 61.1 % and 55.6%, respectively). No significant differences were found. Emotional awareness, a posited moderator of good outcome in psychotherapies, was significantly higher in the CBT group at baseline. It was found to be a strong moderator of treatment effectiveness in both treatments. After adjusting for initial Levels of Emotional Awareness Scale (LEAS) scores, effect sizes (ESs) for the primary outcome were Cohen d = 1.28, from pre- to posttreatment, and d = 1.03, from pretreatment to follow-up, for PFPP, and d = 1.81 and 1.28 for CBT, respectively.
Conclusions:
PFPP was implemented effectively into clinical practice by psychoanalysts in the community in a sample with severe mental illness with large ESs. Assessment of LEAS may facilitate the identification of patients suitable for short-term psychotherapy.
(Clinical Trial Registration Number: German Clinical Trials Register, DRKS00000245; Universal Trial Number, U1111-1112-4245)
Journal Article
Psychoanalytic Psychotherapy in the Independent Tradition
A collection of clinical essays by seven senior members of the British Association of Psychotherapists. Each essay provides a true case study of the painful states a person can break down into, and the associated torments and dramas they go through with their therapist in finding new ways of feeling and doing.
eBook