Pub Date : 2022-12-20DOI: 10.1080/02668734.2022.2130409
Fabíola Scherer Cortezia, T. Donelli
The aim of this study is understanding the psychotherapeutic process in parent-infant psychoanalytic psychotherapy when child development is at risk, focusing on therapeutic interventions. Participants in the research were a 4-month-old baby at the beginning of psychotherapy, whose development was at risk – assessed from the Risk Indicators for Child Development (IRDI) - her parents and a psychotherapist. Thirty parent-infant psychotherapy sessions were carried out over nine months, being recorded in audio and video and subsequently described in detail for classification and intervention analysis by two independent judges. 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 throughout the treatment. The interventions which occurred the most were those specific to parent-infant psychoanalytic psychotherapy when child development is at risk, referred to as prosody. It is known that there is still much to be explored, and further studies would be needed to understand how other interventions in parent-infant psychoanalytic psychotherapy when child development is at risk are characterized, considering that this case may have its specificities, taking into account the history of the family and also the background and personal characteristics of the psychotherapist.
{"title":"Parent-infant psychoanalytic psychotherapy when child development is at risk: process assessment","authors":"Fabíola Scherer Cortezia, T. Donelli","doi":"10.1080/02668734.2022.2130409","DOIUrl":"https://doi.org/10.1080/02668734.2022.2130409","url":null,"abstract":"The aim of this study is understanding the psychotherapeutic process in parent-infant psychoanalytic psychotherapy when child development is at risk, focusing on therapeutic interventions. Participants in the research were a 4-month-old baby at the beginning of psychotherapy, whose development was at risk – assessed from the Risk Indicators for Child Development (IRDI) - her parents and a psychotherapist. Thirty parent-infant psychotherapy sessions were carried out over nine months, being recorded in audio and video and subsequently described in detail for classification and intervention analysis by two independent judges. 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 throughout the treatment. The interventions which occurred the most were those specific to parent-infant psychoanalytic psychotherapy when child development is at risk, referred to as prosody. It is known that there is still much to be explored, and further studies would be needed to understand how other interventions in parent-infant psychoanalytic psychotherapy when child development is at risk are characterized, considering that this case may have its specificities, taking into account the history of the family and also the background and personal characteristics of the psychotherapist.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"37 1","pages":"41 - 62"},"PeriodicalIF":0.8,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41755310","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 : 2022-12-15DOI: 10.1080/02668734.2022.2147580
Naomi Entwistle, A. Polnay, Tom C. Russ
Many patients referred for psychodynamic psychotherapy are also seen by other services. Due to the complex interplay between psychological distress, physical symptoms and care-seeking behaviour, engagement with a psychotherapy department has the potential either to increase or decrease use of other services. This service evaluation compared 268 patients’ service use in the year preceding and following contact with an NHS psychodynamic psychotherapy department using t-tests. There were no significant changes from before therapy to afterwards for the sample as a whole. However, for sub-groups who made regular use of services at baseline, a full course of psychotherapy (16+ sessions) was associated with a statistically significant reduction in outpatient contacts, both for mental health (N = 32, mean 11.69 appointment per year pre-therapy vs 5.16 post-therapy, p = 0.01) and medical services (N = 23, from mean 9.65 to 3.00, p < 0.01). No compensatory changes were found in either A&E or inpatient contacts, suggesting this represents an overall reduction in service use. Due to the study design, it was not possible to establish causality; there may be other reasons for this observed reduction such as natural illness course. These findings tentatively support the existing literature that psychodynamic psychotherapy is associated with a reduction in use of wider services.
{"title":"Service impact: how patients use mental health and medical services before and after psychodynamic psychotherapy","authors":"Naomi Entwistle, A. Polnay, Tom C. Russ","doi":"10.1080/02668734.2022.2147580","DOIUrl":"https://doi.org/10.1080/02668734.2022.2147580","url":null,"abstract":"Many patients referred for psychodynamic psychotherapy are also seen by other services. Due to the complex interplay between psychological distress, physical symptoms and care-seeking behaviour, engagement with a psychotherapy department has the potential either to increase or decrease use of other services. This service evaluation compared 268 patients’ service use in the year preceding and following contact with an NHS psychodynamic psychotherapy department using t-tests. There were no significant changes from before therapy to afterwards for the sample as a whole. However, for sub-groups who made regular use of services at baseline, a full course of psychotherapy (16+ sessions) was associated with a statistically significant reduction in outpatient contacts, both for mental health (N = 32, mean 11.69 appointment per year pre-therapy vs 5.16 post-therapy, p = 0.01) and medical services (N = 23, from mean 9.65 to 3.00, p < 0.01). No compensatory changes were found in either A&E or inpatient contacts, suggesting this represents an overall reduction in service use. Due to the study design, it was not possible to establish causality; there may be other reasons for this observed reduction such as natural illness course. These findings tentatively support the existing literature that psychodynamic psychotherapy is associated with a reduction in use of wider services.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"37 1","pages":"141 - 154"},"PeriodicalIF":0.8,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43200385","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 : 2022-10-04DOI: 10.1080/02668734.2022.2124441
D. Maroti, Henrik Hallberg, K. Lindqvist, Jakob Mechler
During the last years, a number of trials on internet-delivered psychodynamic treatment (IPDT) have shown promising results. In this article we discuss whether two important facets of psychodynamic therapy, that of the therapeutic relationship (especially the transference) and that of emotional processing, are applicable and useful in IPDT. We argue that the therapist role in IPDT does not need to be mainly a supportive one. In this article we try to illustrate that working with the transference relationship and facilitating deep emotional processing is possible in IPDT, potentially adding to the effect of solely taking a supportive stance in guiding through the self-help material. We argue that unguided treatments might make less sense when based on psychodynamic theory due to the lack of a therapeutic relationship and conclude by stating that future research on IPDT could use dismantling designs to establish what therapeutic techniques that are associated with change.
{"title":"Using psychodynamic principles in guided internet-delivered therapy (IPDT)","authors":"D. Maroti, Henrik Hallberg, K. Lindqvist, Jakob Mechler","doi":"10.1080/02668734.2022.2124441","DOIUrl":"https://doi.org/10.1080/02668734.2022.2124441","url":null,"abstract":"During the last years, a number of trials on internet-delivered psychodynamic treatment (IPDT) have shown promising results. In this article we discuss whether two important facets of psychodynamic therapy, that of the therapeutic relationship (especially the transference) and that of emotional processing, are applicable and useful in IPDT. We argue that the therapist role in IPDT does not need to be mainly a supportive one. In this article we try to illustrate that working with the transference relationship and facilitating deep emotional processing is possible in IPDT, potentially adding to the effect of solely taking a supportive stance in guiding through the self-help material. We argue that unguided treatments might make less sense when based on psychodynamic theory due to the lack of a therapeutic relationship and conclude by stating that future research on IPDT could use dismantling designs to establish what therapeutic techniques that are associated with change.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"37 1","pages":"63 - 83"},"PeriodicalIF":0.8,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48478966","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 : 2022-10-02DOI: 10.1080/02668734.2022.2124440
I. Urlić, E. Klain, S. Ivezic, B. Restek-Petrović, M. Grah
This paper describes the implementation of psychodynamic treatments in Croatia, and the development of training programmes and professional bodies to facilitate this approach. The article is written in three parts, commencing with a historical overview. This is followed by a detailed description of the development of Group Analysis in Croatia. The paper concludes with a comprehensive report of the RIPEPP programme, a psychodynamic intervention for people experiencing psychosis and members of their families.
{"title":"Croatia: the development of a psychodynamic approach to the comprehensive treatment of persons with psychic disorders","authors":"I. Urlić, E. Klain, S. Ivezic, B. Restek-Petrović, M. Grah","doi":"10.1080/02668734.2022.2124440","DOIUrl":"https://doi.org/10.1080/02668734.2022.2124440","url":null,"abstract":"This paper describes the implementation of psychodynamic treatments in Croatia, and the development of training programmes and professional bodies to facilitate this approach. The article is written in three parts, commencing with a historical overview. This is followed by a detailed description of the development of Group Analysis in Croatia. The paper concludes with a comprehensive report of the RIPEPP programme, a psychodynamic intervention for people experiencing psychosis and members of their families.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"347 - 362"},"PeriodicalIF":0.8,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47923692","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 : 2022-10-02DOI: 10.1080/02668734.2022.2131140
P. Cundy
Welcome to the third and final part of our special issue series entitled ‘State of the Psychoanalytic Nation’ which has charted the ways in which psychoanalytic psychotherapy has been developed, implemented, and researched within the public sectors of various nations around the world. This edition brings together accounts from Japan, India, Israel, Russia, Croatia and France. It concludes with a comprehensive overview of Psychoanalytic Psychotherapy in Europe over the last thirty years. We begin with a paper entitled ‘The health insurance system and psychoanalytic psychotherapy in Japan: the association with evidence-based practice’ by Akiyoshi Okada. Japan, like France, uses a system of universal public health insurance. Since 1958 this has enabled access to individual psychoanalytic psychotherapy. However, influenced by NICE, Japan has been exploring medical technology and cost-effectiveness evaluation since 2012. While the establishment of NICE in the UK was primarily intended to reduce the regional disparities in healthcare and ensure equity of access to cost-effective medical treatments, Japan appears to be primarily concerned with reducing the growing cost of medical care. This has led to clinical practice guidelines promoting ‘evidence-based psychiatry’ in Japan. Due to the lack of an evidence-base for psychoanalytic psychotherapy in Japan this has had a significant impact on its provision in the public health insurance system. Psychoanalytic psychotherapy is currently facing a crisis of survival within Japan’s health insurance system, and without research evidence the future outlook for its expansion appears to be limited. Psychoanalysis in India can be traced back to 1922, but the second paper, by Abdul Salam, Amala Shanker and Malika Verma, describes how it soon fell into decline. The authors point to a number of contributing factors, including cultural differences between European and Indian conceptualisations of relationships and the mind; the association of psychoanalysis with colonialism; and an emphasis on academia rather than clinical practice. However, the authors point to a regrowth of psychoanalytically informed clinical practice. India was one of the first developing nations to recognize the need to address mental health and launched its National Mental Health Programme in 1982. This programme was delivered at district level with the objective of providing community mental health services in primary care by training a mental health team consisting of a psychiatrist, psychologist, psychiatric social workers, and nurses in each district, along with public education to increase awareness and reduce stigma. However, the programme faced challenges integrating these services into the communities in which they functioned. Due to the very large population of India Psychoanalytic Psychotherapy, 2022 Vol. 36, No. 4, 283–287, https://doi.org/10.1080/02668734.2022.2131140
{"title":"Editorial","authors":"P. Cundy","doi":"10.1080/02668734.2022.2131140","DOIUrl":"https://doi.org/10.1080/02668734.2022.2131140","url":null,"abstract":"Welcome to the third and final part of our special issue series entitled ‘State of the Psychoanalytic Nation’ which has charted the ways in which psychoanalytic psychotherapy has been developed, implemented, and researched within the public sectors of various nations around the world. This edition brings together accounts from Japan, India, Israel, Russia, Croatia and France. It concludes with a comprehensive overview of Psychoanalytic Psychotherapy in Europe over the last thirty years. We begin with a paper entitled ‘The health insurance system and psychoanalytic psychotherapy in Japan: the association with evidence-based practice’ by Akiyoshi Okada. Japan, like France, uses a system of universal public health insurance. Since 1958 this has enabled access to individual psychoanalytic psychotherapy. However, influenced by NICE, Japan has been exploring medical technology and cost-effectiveness evaluation since 2012. While the establishment of NICE in the UK was primarily intended to reduce the regional disparities in healthcare and ensure equity of access to cost-effective medical treatments, Japan appears to be primarily concerned with reducing the growing cost of medical care. This has led to clinical practice guidelines promoting ‘evidence-based psychiatry’ in Japan. Due to the lack of an evidence-base for psychoanalytic psychotherapy in Japan this has had a significant impact on its provision in the public health insurance system. Psychoanalytic psychotherapy is currently facing a crisis of survival within Japan’s health insurance system, and without research evidence the future outlook for its expansion appears to be limited. Psychoanalysis in India can be traced back to 1922, but the second paper, by Abdul Salam, Amala Shanker and Malika Verma, describes how it soon fell into decline. The authors point to a number of contributing factors, including cultural differences between European and Indian conceptualisations of relationships and the mind; the association of psychoanalysis with colonialism; and an emphasis on academia rather than clinical practice. However, the authors point to a regrowth of psychoanalytically informed clinical practice. India was one of the first developing nations to recognize the need to address mental health and launched its National Mental Health Programme in 1982. This programme was delivered at district level with the objective of providing community mental health services in primary care by training a mental health team consisting of a psychiatrist, psychologist, psychiatric social workers, and nurses in each district, along with public education to increase awareness and reduce stigma. However, the programme faced challenges integrating these services into the communities in which they functioned. Due to the very large population of India Psychoanalytic Psychotherapy, 2022 Vol. 36, No. 4, 283–287, https://doi.org/10.1080/02668734.2022.2131140","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"283 - 287"},"PeriodicalIF":0.8,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41433860","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 : 2022-10-02DOI: 10.1080/02668734.2022.2124534
B. Martindale
In 1988, the APP hosted a conference on psychoanalytic psychotherapy (PP) in the public sector in other European countries. This taught us that Britain had much to learn from other countries as well as much to share. The APP realised the need for a European Federation of PP in the public sector (EFPP) to represent and facilitate the field. The APP therefore joined with representatives from the Association of Child Psychotherapy and the Institute of Group Analysis and in 1991 formally created such an organisation by linking with similar representatives from European Union countries. This article takes an overview of PP in European countries, comparing the situation now in 2022 with the time of the founding of the EFPP in 1991. Despite significant setbacks in some countries, the indications are that PP has made very significant process in most countries in terms of the number of training organisations and practitioners in all four EFPP sections. The impact on public mental health provision is impressive in some countries but remains limited if not very limited in many. The article reviews some of the factors that have led to progress and setbacks, pinpointing ‘lessons’ and warning signs.
{"title":"Changes in psychoanalytic therapy in Europe over three decades. Then and now","authors":"B. Martindale","doi":"10.1080/02668734.2022.2124534","DOIUrl":"https://doi.org/10.1080/02668734.2022.2124534","url":null,"abstract":"In 1988, the APP hosted a conference on psychoanalytic psychotherapy (PP) in the public sector in other European countries. This taught us that Britain had much to learn from other countries as well as much to share. The APP realised the need for a European Federation of PP in the public sector (EFPP) to represent and facilitate the field. The APP therefore joined with representatives from the Association of Child Psychotherapy and the Institute of Group Analysis and in 1991 formally created such an organisation by linking with similar representatives from European Union countries. This article takes an overview of PP in European countries, comparing the situation now in 2022 with the time of the founding of the EFPP in 1991. Despite significant setbacks in some countries, the indications are that PP has made very significant process in most countries in terms of the number of training organisations and practitioners in all four EFPP sections. The impact on public mental health provision is impressive in some countries but remains limited if not very limited in many. The article reviews some of the factors that have led to progress and setbacks, pinpointing ‘lessons’ and warning signs.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"383 - 436"},"PeriodicalIF":0.8,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45476166","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 : 2022-09-26DOI: 10.1080/02668734.2022.2109716
Charlotte Burton
{"title":"Respark. Igniting hope and joy after trauma and depression","authors":"Charlotte Burton","doi":"10.1080/02668734.2022.2109716","DOIUrl":"https://doi.org/10.1080/02668734.2022.2109716","url":null,"abstract":"","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"37 1","pages":"103 - 106"},"PeriodicalIF":0.8,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41319897","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 : 2022-09-23DOI: 10.1080/02668734.2022.2109715
Aner Govrin, G. Shahar, Sharon Ziv-Beiman
We present what the current state of affairs in Israel concerning psychoanalytic psychotherapy. First, we present a succinct historical account of the unfolding of the psychoanalytic perspective (including psychoanalysis and psychoanalytic psychotherapy) in Israel, with a particular focus on its contentious relationship with other psychotherapy schools of thought. We then locate a two-decade-long developmental process, culminating with the hegemony of the psychoanalytic school within Israeli psychiatry, psychology and psychotherapy, leading to strife and a political fight within the psychology profession to diffuse this hegemony. Somewhat paradoxically, that this fight succeeded eventually has led to the growth of Israeli psychoanalysis. The psychoanalytic school – and psychoanalytic psychotherapy – are now more accessible to applied psychology disciplines beyond clinical psychology (i.e., applied-developmental, educational, rehabilitative, and medical psychology), and psychoanalytic thought informs both the theory and practice of other, non-psychoanalytic schools of psychotherapy (e.g., cognitive-behavioral therapy/CBT). Psychoanalytic training programs are flourishing, and three research universities currently offer a Doctor of Philosophy (Ph.D.) degree in psychoanalytic theory. Psychoanalysis and psychoanalytic psychology also impact the political activism. Future concerns are also discussed, primarily the shrinking (but still very vibrant) representation of psychoanalytic psychotherapy within departments of psychology at research universities in Israel.
{"title":"Psychoanalytic psychotherapy in Israel: a tale of hegemony, strife, and (apparent) growth","authors":"Aner Govrin, G. Shahar, Sharon Ziv-Beiman","doi":"10.1080/02668734.2022.2109715","DOIUrl":"https://doi.org/10.1080/02668734.2022.2109715","url":null,"abstract":"We present what the current state of affairs in Israel concerning psychoanalytic psychotherapy. First, we present a succinct historical account of the unfolding of the psychoanalytic perspective (including psychoanalysis and psychoanalytic psychotherapy) in Israel, with a particular focus on its contentious relationship with other psychotherapy schools of thought. We then locate a two-decade-long developmental process, culminating with the hegemony of the psychoanalytic school within Israeli psychiatry, psychology and psychotherapy, leading to strife and a political fight within the psychology profession to diffuse this hegemony. Somewhat paradoxically, that this fight succeeded eventually has led to the growth of Israeli psychoanalysis. The psychoanalytic school – and psychoanalytic psychotherapy – are now more accessible to applied psychology disciplines beyond clinical psychology (i.e., applied-developmental, educational, rehabilitative, and medical psychology), and psychoanalytic thought informs both the theory and practice of other, non-psychoanalytic schools of psychotherapy (e.g., cognitive-behavioral therapy/CBT). Psychoanalytic training programs are flourishing, and three research universities currently offer a Doctor of Philosophy (Ph.D.) degree in psychoanalytic theory. Psychoanalysis and psychoanalytic psychology also impact the political activism. Future concerns are also discussed, primarily the shrinking (but still very vibrant) representation of psychoanalytic psychotherapy within departments of psychology at research universities in Israel.","PeriodicalId":54122,"journal":{"name":"Psychoanalytic Psychotherapy","volume":"36 1","pages":"312 - 330"},"PeriodicalIF":0.8,"publicationDate":"2022-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42183267","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}
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