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Long-term psychodynamic psychotherapy in complex mental disorders: update of a meta-analysis
- Authors:
- LEICHSENRING Falk, RABUNG Sven
- Journal article citation:
- British Journal of Psychiatry, 199(1), July 2011, pp.15-22.
- Publisher:
- Cambridge University Press
Psychodynamic psychotherapy is an umbrella concept encompassing treatments that include supportive-interpretive psychotherapeutic interventions. This meta-analysis focused on its use in complex mental disorders (defined as personality disorders, chronic mental disorders or multiple mental disorders). A literature search was used to identify relevant studies, and 10 controlled trial studies were identified as meeting the inclusion criteria, including psychodynamic psychotherapy lasting for at least one year or 50 sessions. The article discusses the analysis of the studies, including comparison of the effects of long-term psychodynamic psychotherapy with other forms of psychotherapy. The authors conclude that the analysis showed that long-term psychodynamic psychotherapy was superior to less intensive methods of psychotherapy in complex mental disorders, and that there were positive correlations between outcome and duration of therapy. They note that further research on long-term psychotherapy is needed.
Effect of feedback of treatment outcome in specialist mental healthcare: meta-analysis
- Authors:
- KNAUP Carina, et al
- Journal article citation:
- British Journal of Psychiatry, 195(1), July 2009, pp.15-22.
- Publisher:
- Cambridge University Press
Feedback of treatment outcome during the course of therapy (outcome management) is increasingly considered to be beneficial for improving the quality of mental healthcare. This study aimed to review the impact of feedback of outcome to practitioners and/or patients in specialist mental health services. A systematic search and meta-analysis of controlled trials using outcome management in mental health services published in English or German language. Twelve studies met inclusion criteria. Feeding back outcome showed a small, but significant positive short-term effect on the mental health of individuals that did not prevail in the long run. Subgroup analysis revealed no significant differences regarding feedback modalities. Outcome management did not contribute to a reduction of treatment duration. The authors conclude that evidence on the effects of outcome management in mental healthcare is promising. More targeted research is needed in order to identify the effective ingredients of outcome feedback and to assess its cost-effectiveness.
Integrating cognitive-behavioural psychotherapy for persons with schizophrenia into a psychiatric rehabilitation program: results of a three year trial
- Author:
- BRADSHAW William
- Journal article citation:
- Community Mental Health Journal, 36(5), October 2000, pp.491-500.
- Publisher:
- Springer
Emerging models of cognitive-behavioural treatment (CBT) offer promising new intervention strategies in the psychotherapy of schizophrenia. This study examines differences in outcomes of clients who received long-term day treatment programme (DTP) services compared to clients who received individual CBT that was included as part of their DTP treatment. Twenty-four clients were randomly assigned to DTP treatment or CBT/DTP treatment. Data on standardised measures of psychosocial functioning, symptomatology and rehospitalisation were collected over the course of three years of treatment. Results indicate significant improvement for the CBT/DTP group compared to the DTP group in the patterns of change over time for psychosocial functioning and symptomology. Discusses implications for service delivery to persons with schizophrenia and makes suggestions for future research.
The drugs don't work
- Author:
- WADDELL Helen
- Journal article citation:
- Community Care, 19.09.02, 2002, p.26.
- Publisher:
- Reed Business Information
Psychiatric service users and mental health professionals have long debated the merits of therapy as opposed to medication, or at the very least therapy in addition to psychiatric drugs. And with the safety of so-called "clean" SSRI (selective serotonin re-uptake inhibitor) antidepressant drugs being brought into question by users and professionals, the need for effective, client-focused rather than "clock-focused" therapies seems ever more important.
Treatment-induced suicide: suicidality as a potential effect of psychiatric drugs
- Author:
- LEHMANN Peter
- Journal article citation:
- Journal of Critical Psychology Counselling and Psychotherapy, 2(1), Spring 2002, pp.54-58.
Psychiatric treatment, particularly drug treatment, is a factor in causing depression. This paper examines probable links between psychiatric treatment and suicide.
Learning to conduct psychotherapy with psychotically disturbed patients
- Author:
- McKENNA Patricia
- Journal article citation:
- Clinical Supervisor (The), 19(1), 2000, pp.20-211.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A first experience working therapeutically with a psychotically-impaired individual challenges a psychologist-in-training with a number of issues. These include how best to establish a therapeutic stance toward symptoms of cognitive disorganisation and delusions, and countertransferential difficulties arising from the power differential between patient and therapist. These issues are explored in the context of a twice-weekly psychodynamic treatment with an involuntary patient on a locked inpatient facility. Challenges faced in this type of treatment are important training experiences, and can inform work with higher-functioning patients as well.
It's time to turn the tide
- Author:
- BARKER Phil
- Journal article citation:
- Nursing Times, 18.11.98, 1998, pp.70-72.
- Publisher:
- Nursing Times
The deepening crisis in acute patient psychiatric care services requires drastic action. Reports on what one example of nursing practice, the Tidal Model, has to offer.
Working alongside people with long term mental health problems
- Authors:
- PERKINS Rachel E., REPPER Julie M
- Publisher:
- Chapman and Hall
- Publication year:
- 1996
- Pagination:
- 235p.,bibliog.
- Place of publication:
- London
Concentrates specifically on day to day work with long term users of mental health services, focusing on empowering users as far as possible. Contains sections on: people and their needs; roles and relationships; contexts of support; therapeutic interventions; and challenges for the future.
Using a psychoanalytic model to approach acts of self-harm
- Author:
- EVANS Marcus
- Journal article citation:
- Nursing Times, 19.10.94, 1994, pp.38-40.
- Publisher:
- Nursing Times
Recent changes in health service policy mean that nurses working in out-patients settings are probably seeing more people with severe mental health needs. Draws on findings from the field of psychoanalysis to offer nurses some guidance on working in this field of practice.
Psychology on the streets: mental health practice with homeless persons
- Author:
- KUHLMAN Thomas
- Publisher:
- Wiley Interscience
- Publication year:
- 1994
- Pagination:
- 233p.,bibliog.
- Place of publication:
- New York
Practical guide for practitioners working with homeless people with mental health problems. Looks at the history of homelessness in the United States and goes on to look at resistance, countertransference, schizophrenia, single session interventions, and intermittent psychotherapy.