Pub Date : 2023-04-03DOI: 10.1080/02668734.2023.2230773
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Pub Date : 2023-04-03DOI: 10.1080/02668734.2023.2197617
Peter Lilliengren
Randomized Controlled Trials (RCTs) are currently considered ‘gold standard’ for evaluating psychosocial interventions, including psychodynamic psychotherapies (PDTs). The aim of this review is to summarize all available RCTs involving PDTs. A thorough search yielded 298 studies published between 1967 and 2022. The number of studies has increased over time with 123 (41.2%) published in the last 10 years. Most studies have been conducted in western countries, evaluating PDTs of brief duration (<40 sessions) for adults with mood (k = 67, 22.5%), psychosomatic (k = 38, 12.8%), anxiety (k = 35, 11.7%), or personality disorders (k = 29, 9.7%). The studies have utilized comparative (k = 233, 78.2%), additive (k = 33, 11.1%), parametric (k = 30, 10.1%) and dismantling designs (k = 2, 0.7%) and includes a total of 374 comparisons. Categorization of outcomes suggests that PDTs typically outperforms inactive controls, while comparisons with active treatments, inclugding Cognitive-Behavior Therapy (CBT), typically indicate no statistical difference. While the evidence-base for PDTs is growing, there are still major limitations and many research questions yet to be addressed. There is a pressing need for disseminating the existing research for PDTs to policy makers and the general public, as well as integrating findings in psychodynamic training curriculums.
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Pub Date : 2023-03-27DOI: 10.1080/02668734.2023.2188912
Aneliya Gonsard
{"title":"From trauma to harming others. Therapeutic work with delinquent, violent and sexually harmful children and young people","authors":"Aneliya Gonsard","doi":"10.1080/02668734.2023.2188912","DOIUrl":"https://doi.org/10.1080/02668734.2023.2188912","url":null,"abstract":"","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"37 1","pages":"195 - 198"},"PeriodicalIF":0.8,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43026010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-16DOI: 10.1080/02668734.2022.2152606
Published in Psychoanalytic Psychotherapy (Vol. 36, No. 3, 2022)
发表于《精神分析与心理治疗》(Vol. 36, No. 3, 2022)
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Pub Date : 2023-01-16DOI: 10.1080/02668734.2022.2161605
Lopa Winters
I was drawn to this book given a longstanding interest in the themes. The bold title felt particularly timely, poignant and relevant given disturbing recent world events. The murder of George Floyd, the ensuing Black Lives Matter movement, the impact of COVID-19 upon large group dynamics, and Brexit. Over the pandemic period I have been faculty for a number of Group Relations Conferences and have seen powerful and painful themes of exclusion or hostility based upon race, class, gender and many other divides increasingly played out in this context. Since agreeing to review this book, war has broken out in Ukraine and the sum of the above events and my lived experience of working as a psychiatrist in the state health system, as well as consulting to both national and international groups in private sectors during this period, have made me even more curious as to how we may understand the underlying dynamics and make sense of who and where we are now. As a British-Asian growing up as a second generation immigrant in the United Kingdom I have always been interested in groups and how they act out collective unconscious phantasies towards the threat of ‘the other’. I enjoyed how Volkan started this book by sharing his own context and story so openly to bring the theoretical content to light and reference any possible blind spots in his own accounts. The book continued with many beautifully and simply described narrative experiences and examples of events that I was easily able to visualise and feel whilst reading the text. This enabled me as a reader to truly place myself in an engaged and learning state of mind. The brief sections under each headline meant the theory could be understood in the context of real-life data; rather than remaining abstract, Simple metaphors such as ‘the tent’ we create as a group helped complex theory to resonate and land. The reader feels guided, hand-held through the steps of Volkan’s thoughts as he gradually describes meanings related to events. Concepts such as propaganda and its origins, the differences between rational actor leaders (who factor in no unconscious process) and the dangers
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Pub Date : 2023-01-16DOI: 10.1080/02668734.2022.2158210
G. Ivey, Lesley Denmeade
Despite extensive research on telepsychology, less attention has been devoted to psychodynamic therapy (PDT), especially trainee psychologists’ experience of learning and conducting online PDT. Using inductive thematic analysis, this study explored the experiences of student psychologists learning and conducting PDT via video-based web platforms. Semi-structured interviews were conducted with 10 Australian trainee psychologists, all completing the psychodynamic component of their clinical psychology training. Interviews addressed participants’ experiences of online PDT learning and psychotherapy practice, generating five main themes: (1) technological barriers and their impacts, (2) overcoming telepsychology limitations through awareness and adaptation, (3) benefits of telepsychology, (4) effectiveness of psychodynamic telepsychology, and (5) experience of online psychotherapy learning. Participants reported that the paucity of sensory information, client resistance, distraction, problems maintaining therapy boundaries, supervisor opposition, and technological limitations made online PDT difficult to conduct and less effective than in-person treatment. However, some participants noted that the anxiety of commencing PDT delivery was reduced online, and that the ‘layer of separation’ assisted countertransference management. Notwithstanding its inherent limitations, online PDT was perceived to be relatively effective, but this requires specific training in adapting traditional psychodynamic techniques. Furthermore, PDT may be effectively learned online, but is an inferior alternative to in-person training.
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Pub Date : 2023-01-02DOI: 10.1080/02668734.2022.2130408
Henning Jordet, Morten Kjølbye
This article is a presentation of mentalization-based supervision with regard to focus, goals and means. The article is based on current theory of mentalization, and clinical practice with mentalization-based supervision. It presents a dimension to be considered in mentalization-based supervision, where the goal of stimulating mentalization is always in focus. This is illustrated in a sequence from a supervision session. It is possible to determine what mentalization-based supervision is and extract what makes it different of other psychotherapy supervision.
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Pub Date : 2023-01-02DOI: 10.1080/02668734.2023.2186071
P. Cundy
Welcome to the first issue of 2023. The APP recently changed its name, rebranding as the Association for Psychoanalytic Psychotherapy in the Public Sector. One of the reasons for this name change was a recognition of the breadth of settings beyond the NHS which use applied psychoanalytic thinking and practice. This includes not only the UK public sector but also numerous international settings, some of which were described in our recent ‘State of the Psychoanalytic Nation’ series of special issues (Cundy, 2022; Yakeley, 2020, 2021). The journal aims to reflect this scope, and welcomes contributions from around the globe. To this end Golan Shahar was appointed to the newly created role of ‘International Editor’ last year. Consequently I am delighted that this is a truly international issue, with each article originating from a different country. In our first paper, Nicole Canin (UK) offers a 25-year scoping review of psychoanalytic journal articles on premature birth from 1997 to 2021. Her findings highlight the trauma of premature birth, both for the infant and its parents. Prematurity may also place the parent-infant relationship at risk. The therapeutic imperative of interacting with the infant as a person is strongly emphasised. The evidence suggests that working in the NICU is emotionally challenging. However, a case is made for the critical role that psychoanalytic practitioners can play in supporting those impacted by premature infancy. Canin identifies gaps in the literature describing the experiences of siblings and fathers of premature infants, and the intersubjective processes that occur between premature infants and their parents. She highlights an overall lack of articles on the topic of prematurity, perhaps a consequence of the intensity of emotional pain inherent in working in this field, and argues that this area requires further attention given the prevalence of prematurity and its profound impact on infant development and parenting. The second article, by Fabiola Cortezia and Tagma Donelli from Brazil, continues our focus on the new-born. In ‘Parent-infant psychoanalytic psychotherapy when child development is at risk: process assessment’ they present a case study of a baby, her parents and a psychotherapist to describe the process and therapeutic interventions when child development is at risk. Developmental risk was assessed using the Risk Indicators for Child Development (IRDI). Thirty parent-infant psychotherapy sessions conducted over nine months were recorded in audio and video for subsequent analysis and classification by two independent observers. Frequency analysis and qualitative analysis of the collected data were performed. The results showed that there was a change in the types and number of therapeutic interventions used over the course of the treatment. The interventions which occurred the most were those specific to parent-infant psychoanalytic psychotherapy when child development is at risk, Psychoanalytic Psycho
{"title":"Editorial","authors":"P. Cundy","doi":"10.1080/02668734.2023.2186071","DOIUrl":"https://doi.org/10.1080/02668734.2023.2186071","url":null,"abstract":"Welcome to the first issue of 2023. The APP recently changed its name, rebranding as the Association for Psychoanalytic Psychotherapy in the Public Sector. One of the reasons for this name change was a recognition of the breadth of settings beyond the NHS which use applied psychoanalytic thinking and practice. This includes not only the UK public sector but also numerous international settings, some of which were described in our recent ‘State of the Psychoanalytic Nation’ series of special issues (Cundy, 2022; Yakeley, 2020, 2021). The journal aims to reflect this scope, and welcomes contributions from around the globe. To this end Golan Shahar was appointed to the newly created role of ‘International Editor’ last year. Consequently I am delighted that this is a truly international issue, with each article originating from a different country. In our first paper, Nicole Canin (UK) offers a 25-year scoping review of psychoanalytic journal articles on premature birth from 1997 to 2021. Her findings highlight the trauma of premature birth, both for the infant and its parents. Prematurity may also place the parent-infant relationship at risk. The therapeutic imperative of interacting with the infant as a person is strongly emphasised. The evidence suggests that working in the NICU is emotionally challenging. However, a case is made for the critical role that psychoanalytic practitioners can play in supporting those impacted by premature infancy. Canin identifies gaps in the literature describing the experiences of siblings and fathers of premature infants, and the intersubjective processes that occur between premature infants and their parents. She highlights an overall lack of articles on the topic of prematurity, perhaps a consequence of the intensity of emotional pain inherent in working in this field, and argues that this area requires further attention given the prevalence of prematurity and its profound impact on infant development and parenting. The second article, by Fabiola Cortezia and Tagma Donelli from Brazil, continues our focus on the new-born. In ‘Parent-infant psychoanalytic psychotherapy when child development is at risk: process assessment’ they present a case study of a baby, her parents and a psychotherapist to describe the process and therapeutic interventions when child development is at risk. Developmental risk was assessed using the Risk Indicators for Child Development (IRDI). Thirty parent-infant psychotherapy sessions conducted over nine months were recorded in audio and video for subsequent analysis and classification by two independent observers. Frequency analysis and qualitative analysis of the collected data were performed. The results showed that there was a change in the types and number of therapeutic interventions used over the course of the treatment. The interventions which occurred the most were those specific to parent-infant psychoanalytic psychotherapy when child development is at risk, Psychoanalytic Psycho","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"434 22","pages":"1 - 3"},"PeriodicalIF":0.8,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41315031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-02DOI: 10.1080/02668734.2023.2186065
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