Differential effects of two forms of psychoanalytic therapy: Results of the Heidelberg-Berlin study

História recente e perspectivas atuais da pesquisa de resultados em psicoterapia psicanalítica de longa duração

“…With regard to assessed treatments, we did not find detailed descriptions of treatments used, except in the studies by Leichsenring et al 36 , Huber et al 42 and Grande et al 16 This is certainly one of the factors limiting the reach of our conclusions in this study, but not disregarding them.…”

“…In the studies comparing psychotherapy and psychoanalysis, two results are presented: one showing inexistence of consistent differences between the treatments, confirming that, when well indicated, psychoanalysis and psychoanalytic psychotherapy bring great therapeutic benefits; 16,35,37 and another study showing the superiority of psychoanalysis. 26,27,36,41 In two of those studies, 36,41 the authors believe that such superiority is limited by the issue of treatment duration and intensity.…”

“…Most comparison groups, when present, were not described as the most adequate for comparisons. However, in the study by Grande et al, 16 despite the heterogeneity of groups under investigation in diagnostic terms, there was concern over sample pairing, and Wilczek et al 39 performed statistical tests evaluating the comparability of assessed groups. Experienced therapists were usually selected to conduct the treatment, except for the study by Freedman et al 31 at Hospital de Clínicas de Porto Alegre (Brazil), in which the therapists were psychiatrists receiving training.…”

“…19 Table 3 presents the summary of nine outcome studies over this period (one was mentioned earlier). Therapists (209) Control ( Brockmann et al 21 Behavioral psychotherapy (31) Psychoanalysis ( Wilczek et al 39 Psychoanalytic psychotherapy (36 (17) Medication (5) Without therapy (7) Design Grande et al 16 Psychodynamic therapy (27) Psychoanalytic therapy (32) Design: prospective naturalistic 43 A globalized world brings us unquestionable benefits, such as democratization of knowledge and the possibility of exchanging ideas with researchers all over the world in "our own office. "…”

“…Therefore, whenever we refer to this treatment modality, we will use the term "psychoanalysis" and, in only one study, "psychoanalytic therapy," 16 using the term "psychotherapy" (psychoanalytic, analytic-oriented, psychodynamic or dynamic) to the treatment approach originated from it.…”