The Effectiveness of Psychoanalytic Psychotherapy: the Role of Treatment Duration, Frequency of Sessions, and the Therapeutic Relationship
This is an effectiveness study of treatment outcome that relies on patients' perception of their mental health during and after psychoanalytic psychotherapy. Ninety-nine outpatients attending the IPTAR Clinical Center (ICC) responded to the Effectiveness Questionnaire (EQ) adapted from that dev...
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| Veröffentlicht in: | Journal of the American Psychoanalytic Association 1999-06, Vol.47 (3), p.741-772 |
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| container_title | Journal of the American Psychoanalytic Association |
| container_volume | 47 |
| creator | Freedman, Norbert Hoffenberg, Joan D. Vorus, Neal Frosch, Allan |
| description | This is an effectiveness study of treatment outcome that relies on patients' perception of their mental health during and after psychoanalytic psychotherapy. Ninety-nine outpatients attending the IPTAR Clinical Center (ICC) responded to the Effectiveness Questionnaire (EQ) adapted from that developed by Consumer Reports. Effectiveness is studied from various perspectives. Findings indicated (1) an incremental gain in effectiveness scores from six to over twenty-four months of therapy; (2) an incremental gain with greater session frequency from one to two or three weekly sessions; (3) facilitation of effectiveness by the experience of a positive relationship with the therapist; (4) an interplay between clinical syndrome and treatment conditions. A method giving clinical validity to the quantitative findings is described. Brief summaries of two recorded interviews reveal differential reconstruction of events that had occurred during treatment. The findings are discussed from the vantage point of two hypotheses: cognitive dissonance and internalization of therapeutic experience. |
| doi_str_mv | 10.1177/00030651990470031001 |
| format | Article |
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Ninety-nine outpatients attending the IPTAR Clinical Center (ICC) responded to the Effectiveness Questionnaire (EQ) adapted from that developed by Consumer Reports. Effectiveness is studied from various perspectives. Findings indicated (1) an incremental gain in effectiveness scores from six to over twenty-four months of therapy; (2) an incremental gain with greater session frequency from one to two or three weekly sessions; (3) facilitation of effectiveness by the experience of a positive relationship with the therapist; (4) an interplay between clinical syndrome and treatment conditions. A method giving clinical validity to the quantitative findings is described. Brief summaries of two recorded interviews reveal differential reconstruction of events that had occurred during treatment. The findings are discussed from the vantage point of two hypotheses: cognitive dissonance and internalization of therapeutic experience.</description><identifier>ISSN: 0003-0651</identifier><identifier>EISSN: 1941-2460</identifier><identifier>DOI: 10.1177/00030651990470031001</identifier><identifier>PMID: 10586399</identifier><identifier>CODEN: JAPOAE</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Analytical psychotherapy ; Biological and medical sciences ; Effectiveness ; Factor Analysis, Statistical ; Female ; Follow-Up Studies ; Humans ; Individual psychotherapy ; Medical sciences ; Mental Disorders - therapy ; Mental health ; Models, Theoretical ; Outcome Assessment (Health Care) - methods ; Outcome Assessment (Health Care) - statistics & numerical data ; Patients ; Perceptions ; Physician-Patient Relations ; Predictors ; Psychoanalytic Therapy - standards ; Psychoanalytic Therapy - statistics & numerical data ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapies. 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Ninety-nine outpatients attending the IPTAR Clinical Center (ICC) responded to the Effectiveness Questionnaire (EQ) adapted from that developed by Consumer Reports. Effectiveness is studied from various perspectives. Findings indicated (1) an incremental gain in effectiveness scores from six to over twenty-four months of therapy; (2) an incremental gain with greater session frequency from one to two or three weekly sessions; (3) facilitation of effectiveness by the experience of a positive relationship with the therapist; (4) an interplay between clinical syndrome and treatment conditions. A method giving clinical validity to the quantitative findings is described. Brief summaries of two recorded interviews reveal differential reconstruction of events that had occurred during treatment. The findings are discussed from the vantage point of two hypotheses: cognitive dissonance and internalization of therapeutic experience.</description><subject>Adult</subject><subject>Analytical psychotherapy</subject><subject>Biological and medical sciences</subject><subject>Effectiveness</subject><subject>Factor Analysis, Statistical</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Individual psychotherapy</subject><subject>Medical sciences</subject><subject>Mental Disorders - therapy</subject><subject>Mental health</subject><subject>Models, Theoretical</subject><subject>Outcome Assessment (Health Care) - methods</subject><subject>Outcome Assessment (Health Care) - statistics & numerical data</subject><subject>Patients</subject><subject>Perceptions</subject><subject>Physician-Patient Relations</subject><subject>Predictors</subject><subject>Psychoanalytic Therapy - standards</subject><subject>Psychoanalytic Therapy - statistics & numerical data</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapies. Psychological and clinical counseling</subject><subject>Self-Assessment</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><subject>Treatments</subject><subject>United States</subject><issn>0003-0651</issn><issn>1941-2460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkc9u1DAQxq0K1C6FN0AoB9RTAx7biW1uVek_qRKoLOfI64zZVNlk8SSV8go8Nc7uSnCo4OTx-Pd9Y_tj7C3wDwBaf-ScS14WYC1XOtXAORyxBVgFuVAlf8EWM5LPzAl7RfTIuQCh4ZidAC9MKa1dsF_LNWZXIaAfmifskCjrQ_aVJr_uXefaaWj8YTusMbrt9ClLRfbQtziTy4hu2GA3ZJ_H6Iam786z64g_R-z8NAPfkmXq0nnmunonXe58cJydH7DdiWjdbF-zl8G1hG8O6yn7fn21vLzN77_c3F1e3OdeFWbIFRgIvk5vVrLWtZBWOx7SkSkColphUWu3MgJqFE5qq7D0yI0tdWqVRspTdrb33cY-3ZOGatOQx7Z1HfYjVaWVshTK_BcsdMF5-scEqj3oY08UMVTb2GxcnCrg1RxW9VxYSfbu4D-uNlj_Jdqnk4D3B8CRd22IrvMN_eHAWC1EwmCPkfuB1WM_xhQc_Xv2b1p6qu4</recordid><startdate>19990601</startdate><enddate>19990601</enddate><creator>Freedman, Norbert</creator><creator>Hoffenberg, Joan D.</creator><creator>Vorus, Neal</creator><creator>Frosch, Allan</creator><general>SAGE Publications</general><general>Sage</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>19990601</creationdate><title>The Effectiveness of Psychoanalytic Psychotherapy: the Role of Treatment Duration, Frequency of Sessions, and the Therapeutic Relationship</title><author>Freedman, Norbert ; Hoffenberg, Joan D. ; Vorus, Neal ; Frosch, Allan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c458t-4181fcd47043d7d2397a0f45885fee4be5d7ab821de2a3794e6ce0896721d6833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Analytical psychotherapy</topic><topic>Biological and medical sciences</topic><topic>Effectiveness</topic><topic>Factor Analysis, Statistical</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Individual psychotherapy</topic><topic>Medical sciences</topic><topic>Mental Disorders - therapy</topic><topic>Mental health</topic><topic>Models, Theoretical</topic><topic>Outcome Assessment (Health Care) - methods</topic><topic>Outcome Assessment (Health Care) - statistics & numerical data</topic><topic>Patients</topic><topic>Perceptions</topic><topic>Physician-Patient Relations</topic><topic>Predictors</topic><topic>Psychoanalytic Therapy - standards</topic><topic>Psychoanalytic Therapy - statistics & numerical data</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychotherapies. 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| ispartof | Journal of the American Psychoanalytic Association, 1999-06, Vol.47 (3), p.741-772 |
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| language | eng |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List |
| subjects | Adult Analytical psychotherapy Biological and medical sciences Effectiveness Factor Analysis, Statistical Female Follow-Up Studies Humans Individual psychotherapy Medical sciences Mental Disorders - therapy Mental health Models, Theoretical Outcome Assessment (Health Care) - methods Outcome Assessment (Health Care) - statistics & numerical data Patients Perceptions Physician-Patient Relations Predictors Psychoanalytic Therapy - standards Psychoanalytic Therapy - statistics & numerical data Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapies. Psychological and clinical counseling Self-Assessment Surveys and Questionnaires Time Factors Treatments United States |
| title | The Effectiveness of Psychoanalytic Psychotherapy: the Role of Treatment Duration, Frequency of Sessions, and the Therapeutic Relationship |
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