Good News for Psychodynamic Psychotherapy!Psychodynamic psychotherapy, sometimes known as "the talking cure," is based on Freud's ideas that current problems and symptoms are largely based long-standing psychological conflicts that can be determined by examining a person's past and the present interactions of the therapist-client relationship. While psychoanalysis and psychodynamic therapy were once considered by almost everyone to be the "gold standard" for psychological treatment, they have fallen out of favor during the past couple of decades. Psychodynamic training programs have been shutting down in droves, partially because there has been lack of "scientific proof" that this method works (because it is so individualized and depends so significantly on the relationship between therapist and client) but mostly because it is costly in terms of time and money. Once managed care and wider use of psychotropic medications became major factors in determining treatment, therapy that requires between two and four sessions per week (and their related fees) fell into general disfavor. Additionally, becoming a well-trained psychodynamic therapist or (ultimately) psychoanalyst took years of specialized training.Many people who were initially trained in psychodynamic and psychoanalytic theory have been disappointed to see how short-term and cognitive-behavioral techniques (which can be standardized for studies) have replaced the more intensive and uncovering type of work for almost all problems. Now an article just published in theJournal of the American Medical Association (JAMA, October 1, 2008)has reported that psychodynamic therapy that lasted at least a year or for more than 50 sessions had better overall outcomes for 96% of people who experience complex psychological problems (such as depression and anxiety), compared with people receiving shorter-term psychotherapy.Short-term and cognitive-behavioral techniques can be very useful for some types of problems and issues (particularly problem-solving, very specific issues, and as an adjunct to treatment with medication ), plus generally involve fewer sessions and therefore lower costs. People who experience long-term dissatisfaction with their lives, problems which keep interfering with life or relationships over and over again, or want to examine the quality and meaning of their lives can often do better with the longer and more frequent psychodynamic psychotherapies. These types of problems are generally rooted in more complex interactions of past experiences and relationships that require more time to get into and to examine with some effectiveness; then more time in therapy is needed to work out and practice new ways of thinking and acting.Here is the link to the New York Times article that reported on this exciting evaluation of psychoanalysis and psychodynamic treatment:http://www.nytimes.com/2008/10/01/health/01psych.html?partner=permalink&exprod=permalinkHello World!Welcome to my blog.What I am hoping to accomplish here is to have a relatively- immediate and casual place to post articles, tidbits, and musings related to the rather largely-encompassing subjects of psychology, psychotherapy, and (in all honesty) life. If all goes well, there will also be responses, musings, and tidbits from readers.Because this is my first foray into the blogosphere, I suspect that there will be a certain process of trial and error -- although I hope not too many errors. I will be moderating comments, which means that I can and will delete posts that do not fit into what I consider a professionally-centered endeavor.Most specifically, I hope that there will be information and ideas here that readers will find helpful, interesting, and/or informative.Thanks for reading.
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