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psychodynamic psychotherapy; insight-oriented therapy
Procedure:
- focuses on unconscious processes as they are manifested in the patient's present behavior
- goals are
- patient self-awareness
- patient understanding of the influence of the past on present behavior
- operates on an interpretive-supportive continuum
- emphasis is placed on more interpretive or supportive interventions depending on the patient's needs
- involves careful attention to the therapist-patient interaction, with thoughtfully timed interpretation of transference & resistance embedded in a sophisticated appreciation of the therapist's contribution to the two-person interaction
- focuses on issues such as:
a) unresolved grief
b) self integration
c) existential concerns
d) interpersonal problems
- duration of therapy:
a) no generally accepted standard
b) range: 3 months to 20 years
Contraindications:
- agoraphobia (no evidence base)
Notes:
- unclear how this differs from cognitive behavioral therapy other than contraindication for agoraphobia [4]
Related
cognitive-behavioral therapy (CBT)
Specific
brief dynamic therapy (BDT)
General
psychotherapy
References
- Leichsenring F, Rabung S.
Effectiveness of long-term psychodynamic psychotherapy:
a meta-analysis.
JAMA. 2008 Oct 1;300(13):1551-65.
PMID: 18827212
- Leichsenring F et al
Short-term psychodynamic psychotherapy and cognitive-behavioral
therapy in generalized anxiety disorder: A randomized,
controlled trial.
Am J Psychiatry 2009 Jul 1;
PMID: 19570931
http://dx.doi.org/10.1176/appi.ajp.2009.09030441
- Chapter 7-Brief Psychodynamic Therapy
Bookshelf ID: NBK64952
http://www.ncbi.nlm.nih.gov/books/NBK64952/
- NEJM Knowledge+