Association Between Insight and Outcome of Psychotherapy: Systematic Review and Meta-Analysis

Jennissen, Simone; Huber, Julia; Ehrenthal, Johannes C.; Schauenburg, Henning; Dinger, Ulrike

doi:10.1176/appi.ajp.2018.17080847

Cited by 107 publications

(77 citation statements)

References 62 publications

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“…In other words, we believe that the patient demonstrated personality plasticity in response to the intervention employed. Psychodynamic theory postulates that higher levels of self‐understanding result in fewer negative automatic reactions to stress and challenges, more positive emotional experiences, and greater freedom to choose adaptive interpersonal and health‐related behaviours (Jennissen et al ., ).…”

Section: Discussionmentioning

confidence: 97%

From Soma To Psyche: An Outcome Evaluation Of Psychodynamic Psychotherapy In A Patient With Somatic Symptoms And Chronic Diseases

Laskoski¹,

Serralta²,

Barros³

et al. 2020

Brit J Psychotherapy

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CLÁUDIO LAKS EIZIRIKThis paper presents and discusses the outcomes of the psychodynamic psychotherapy of a patient with somatic symptom disorder and chronic diseases in a naturalistic setting. The entire treatment included 120 weekly sessions and lasted 30 months. It was interrupted by the patient. The treatment was considered successful in terms of its results. Regarding symptomatic evaluation (assessed by Outcome Questionnaire, OQ-45), the patient showed an improvement, especially during the three-month follow-up assessment period, showing a change from dysfunction to functionality. In relation to personality evaluation (assessed by the Shedler-Westen Assessment Procedure, SWAP-200), although structural changes were not completed, the patient achieved a high level of overall functioning (i.e. strengthening of the ego). The clinical evaluation and the measures provided by the instruments were in agreement. This study showed that psychodynamic psychotherapy can help patients who show characteristics such as chronic diseases and operative functioning. Moreover, the pluralistic perspective used for evaluating treatment outcome proved to be very hopeful for improving our understanding of the patient's idiosyncrasies.

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Section: Discussionmentioning

confidence: 97%

From Soma To Psyche: An Outcome Evaluation Of Psychodynamic Psychotherapy In A Patient With Somatic Symptoms And Chronic Diseases

Laskoski¹,

Serralta²,

Barros³

et al. 2020

Brit J Psychotherapy

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“…That self-esteem gains were not associated with the experience of the alliance suggests the possibility of a different mechanism by or in the context of which patients with higher QOR modify self-esteem through intensive group psychotherapy. Individuals with higher QOR may enter treatment with expectations of being responded to in a reasonable manner, thus deriving less of a corrective relational experience and perhaps utilizing other aspects of the program-such as insight (Jennissen, Huber, Ehrenthal, Schauenburg, & Dinger, 2018), affect (Diener, Hilsenroth, & Weinberger, 2007), or social rehabilitation activities (Korostiy, Kozhyna, & Zelenskaya, 2013) to foster more adaptive self-appraisals.…”

Section: Discussionmentioning

confidence: 99%

“…Individuals with higher QOR may enter treatment with expectations of being responded to in a reasonable manner, thus deriving less of a corrective relational experience and perhaps utilizing other aspects of the program-such as insight (Jennissen, Huber, Ehrenthal, Schauenburg, & Dinger, 2018), affect (Diener, Hilsenroth, & Weinberger, 2007), or social rehabilitation activities (Korostiy, Kozhyna, & Zelenskaya, 2013) to foster more adaptive self-appraisals. These patients, whose lifelong relational patterns were relatively more coherent and stable, fared just as well as low-QOR patients in self-esteem improvement over the course of treatment.…”

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confidence: 99%

Improving self‐esteem through integrative group therapy for personality dysfunction: Investigating the role of the therapeutic alliance and quality of object relations

et al. 2019

Self Cite

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Objective We aimed to investigate change in self‐esteem through intensive group treatment for personality dysfunction, by exploring: (a) the relationship between patients’ experience of therapeutic alliance and improvement in self‐esteem during treatment, including patients’ quality of object‐relations (QOR) as a possible moderator; and (b) the association between improvement in self‐esteem during treatment, and depressive symptoms 9 months later. Method Eighty patients with personality dysfunction, consecutively enrolled in a group‐oriented treatment program, were assessed at pretreatment, posttreatment, and 9 months follow‐up. Results Especially for patients with lower QOR, alliance predicted self‐esteem change during treatment. In addition, change in self‐esteem during treatment predicted follow‐up depression severity, even when controlling for within‐treatment symptom change. Conclusions Patients with impoverished inner relational representations may benefit more from a secure alliance in terms of improving their self‐esteem. Change in self‐esteem may also be important in preventing relapse of depressive symptoms in people with personality dysfunction.

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“…Several recent articles have highlighted the importance of psychotherapy process variables and the beneficial impact of a strong therapeutic relationship (e.g., Farber et al 2018;Fluckiger et al 2018). These articles help to document the research support for well-known psychotherapy process issues, such as positive regard for the client (Farber et al 2018), mutuality in session (Cornelius-White et al 2018), client insight (Jennissen et al 2018), and therapist genuineness (Kolden et al 2018). Although these core process variables were emphasized many years ago, recent research has documented their impact of treatment outcome.…”

Section: Discussionmentioning

confidence: 99%

“The Nominees for Best Article …”: Awards for the Most Valuable Papers on Psychotherapy in 2018

Overholser

2019

J Contemp Psychother

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Each year, many important articles are published that make valuable contributions to the field of psychotherapy. It is helpful to remain informed about recent developments in the field, and respect the useful refinements that are being proposed in various journal articles. Unfortunately, with so many journals in the field, it can be challenging to find the best articles, and some important papers may be overlooked. In recent years, the situation has become even worse with the expansion of many new and often predatory journals, publishing inferior papers. The Journal of Contemporary Psychotherapy awards program has two main goals. First, the review of the recent literature helps to highlight the useful papers published during the previous year. Second, the awards program helps to praise the best and inspire the rest, aiming to motivate the field to publish high quality papers. The awards selection process involved a review of numerous academic articles published during 2018 in 60 different professional journals. Then, a panel of judges reviewed 52 finalists for ten possible awards. Adequate agreement was found to provide awards for nine different categories of research studies or review articles. Each winning paper is reviewed, and most authors provide a behind-the-scenes look at the work involved in their valuable contribution to the field of psychotherapy.

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Association Between Insight and Outcome of Psychotherapy: Systematic Review and Meta-Analysis

Abstract: The findings support the importance of insight for psychotherapy outcome. Insight may be a relevant mechanism of change across different treatment modalities.

Cited by 107 publications

References 62 publications

From Soma To Psyche: An Outcome Evaluation Of Psychodynamic Psychotherapy In A Patient With Somatic Symptoms And Chronic Diseases

From Soma To Psyche: An Outcome Evaluation Of Psychodynamic Psychotherapy In A Patient With Somatic Symptoms And Chronic Diseases

Improving self‐esteem through integrative group therapy for personality dysfunction: Investigating the role of the therapeutic alliance and quality of object relations

“The Nominees for Best Article …”: Awards for the Most Valuable Papers on Psychotherapy in 2018

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