Early Intervention for Borderline Personality Disorder: Psychodynamic Therapy in Adolescents

Salzer, Simone; Cropp, Carola; Streeck-Fischer, Annette

doi:10.13109/zptm.2014.60.4.368

Cited by 16 publications

(8 citation statements)

References 32 publications

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“…Two studies investigated psychodynamic psychotherapy in the treatment of borderline personality disorder. One of these was an observational study of 28 participants receiving psychodynamic psychotherapy (Salzer, Cropp, & Streeck-Fischer, 2014). At the end of treatment, 39% of the participants had remitted and statistically significant improvements were observed on a range of other measures.…”

Section: Personality Disordersmentioning

confidence: 99%

“…Seven of the studies (30%) had an active comparison group, three of which were treatment as usual (Balottin et al, 2014;Rossouw & Fonagy, 2012;Salzer et al, 2013), while the other four compared psychoanalytic treatment to therapeutic approaches including cognitive-behavioural therapy, family therapy and psychosocial interventions (Goodyer et al, 2016;Kolaitis et al, 2014;Laezer, 2015;Ryynänen et al, 2015). Of the remaining studies, four (24%) had a passive comparison group as they had a waitlist control group (Edlund & Carlberg, 2016;Edlund et al, 2014;Göttken et al, 2014;Weitkamp et al, 2014), while two (12%) used a community comparison group (Atzil-Slonim et al, 2011 and five (29%) had no control group or did not report outcomes of the control group (Clausen et al, 2012;Emanuel et al, 2014;Gatta et al, 2016;Krischer et al, 2013;Milrod et al, 2013;Salzer et al, 2014;Seiffge-Krenke & Nitzko, 2011;Stefini et al, 2013;Sugar & Berkovitz, 2011a, 2011b. The finding that only a third of the studies had a suitable active comparison group is perhaps unsurprising given that many of the studies were observational and carried out in naturalistic settings.…”

Section: Assessment Of Study Qualitymentioning

confidence: 99%

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Psychodynamic psychotherapy for children and adolescents: an updated narrative review of the evidence base

Midgley

O’Keeffe

French

et al. 2017

Journal of Child Psychotherapy

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Introduction Psychodynamic psychotherapy with children and adolescents is an approach to working with young people that draws on psychoanalytic ideas, whilst also integrating ideas from other disciplines, including developmental psychology, attachment theory and neuroscience (Alvarez, 2012; Kegerreis & Midgley, 2014; Lanyardo & Horne, 2009). Although the term 'psychodynamic therapy' covers a range of approaches, most of them share what Kegerreis & Midgley (2014) refer to as "the central idea ... that behaviour, emotions and responses have an inherent logic and meaning-a way in which the child's problems, despite their apparent unhelpfulness, make some kind of emotional sense. Their roots lie in the internal world of the child that has been built up from his earliest experiences and relationships" (p.38) i. In 2011, we published a critical review of the evidence base for psychodynamic therapy with children and adolescents (Midgley & Kennedy, 2011). In that paper, we identified 34 studies, published before March 2011, which formally evaluated therapy outcomes for children aged 3-18. Of these studies, nine were randomised controlled trials (RCTs), three had a quasiexperimental design, eight were controlled observation studies and fourteen were observational studies without a control group. Psychodynamic therapy

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Section: Personality Disordersmentioning

confidence: 99%

Section: Assessment Of Study Qualitymentioning

confidence: 99%

Psychodynamic psychotherapy for children and adolescents: an updated narrative review of the evidence base

Midgley

O’Keeffe

French

et al. 2017

Journal of Child Psychotherapy

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“…Interestingly, children who were offered psychodynamic psychotherapy continued to improve beyond the end of therapy (the so-called "sleeper effect"), so that at a 2 year follow-up they were more likely to be in a non-clinical range on measures of global functioning. An RCT study was carried out in Germany to examine the effectiveness of psychodynamic therapy with adolescents with emotional disorders (co-morbid with conduct disorders) in an inpatient setting (Salzer et al, 2014). Sixty-eight adolescents (14-19 years old) were randomized to receive inpatient psychodynamic treatment or to be in the waitlist group (Salzer et al, 2014;Cropp et al, 2019).…”

Section: Emotional Disordersmentioning

confidence: 99%

The Evidence-Base for Psychodynamic Psychotherapy With Children and Adolescents: A Narrative Synthesis

et al. 2021

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Despite a rich theoretical and clinical history, psychodynamic child and adolescent psychotherapy has been slow to engage in the empirical assessment of its effectiveness. This systematic review aims to provide a narrative synthesis of the evidence base for psychodynamic therapy with children and adolescents. Building on two earlier systematic reviews, which covered the period up to 2017, the current study involved two stages: an updated literature search, covering the period between January 2017 and May 2020, and a narrative synthesis of these new studies with those identified in the earlier reviews. The updated search identified 37 papers (28 distinct studies). When combined with papers identified in the earlier systematic reviews, this resulted in a combined total of 123 papers (82 distinct studies). The narrative synthesis of findings indicates that there is evidence of effectiveness for psychodynamic therapy in treating a wide range of mental health difficulties in children and adolescents. The evidence suggests this approach may be especially effective for internalizing disorders such as depression and anxiety, as well as in the treatment of emerging personality disorders and in the treatment of children who have experience of adversity. Both the quality and quantity of empirical papers in this field has increased over time. However, much of the research demonstrates a range of methodological limitations (small sample sizes, lack of control groups etc.), and only 22 studies were Randomized Controlled Trials. Further high-quality research is needed in order to better understand the effectiveness of psychodynamic psychotherapy for children and young people.

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“…The Goettingen Group Model has been influential mainly in Germany. However, some of the work from our group is translated into English, a few studies have recently been published in English (Leichsenring et al, 2010; Salzer et al, 2014). And a former head of our group, Karl König, was the first German to have the honour to hold a Foulkes lecture—in 1987 (König, 1987).…”

Section: Variability Within One Conceptmentioning

confidence: 99%

One group analysis and many. Response to Farhad Dalal’s ‘One group analysis or many?’

Schmitz¹

2018

Group Analysis

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Responding to Farhad Dalal's question 'one group analysis or many?' the author looks at contextual factors of working with groups, claiming that group therapists are different in different groups and adjusting to setting variables. He describes aspects of the 'Goettingen Model of Group Psychotherapy'. This model offers variability in conducting groups within one theoretical concept. Different scientific approaches are integrated in order to adjust to different patients and settings. Many aspects (e.g. a marked intersubjective approach and working with an 'responsive' mode ('antwortender modus') are close to Dalal's thinking. In contrast to Dalal, however, empirical evidence and evidence based therapies are seen as valuable parts of group psychotherapies and group analysis. Within this conceptual frame, working in and with groups is both-one group analysis and many.

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Early Intervention for Borderline Personality Disorder: Psychodynamic Therapy in Adolescents

Abstract: These clinically relevant improvements demonstrate the effectiveness of psychodynamic therapy in adolescents with borderline personality disorder and stress the usefulness of an early intervention for these patients.

Cited by 16 publications

References 32 publications

Psychodynamic psychotherapy for children and adolescents: an updated narrative review of the evidence base

Psychodynamic psychotherapy for children and adolescents: an updated narrative review of the evidence base

The Evidence-Base for Psychodynamic Psychotherapy With Children and Adolescents: A Narrative Synthesis

One group analysis and many. Response to Farhad Dalal’s ‘One group analysis or many?’

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