How to practice brief psychodynamic psychotherapy: The core conflictual relationship theme method.

Book, Howard E.

doi:10.1037/10251-000

Cited by 130 publications

(197 citation statements)

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“…material, see www.karger.com/doi/10.1159/000364906) for a detailed description of the psychotherapy intervention and process measurement. Briefly, all participants received 16 sessions of weekly, individual psychotherapy using the Core Conflictual Relationship Theme (CCRT) manual [7], administered by 1 of 4 trained study therapists. The CCRT approach is based on the supportive-expressive model of psychodynamic psychotherapy.…”

Section: Methodsmentioning

confidence: 99%

Neural Predictors of Successful Brief Psychodynamic Psychotherapy for Persistent Depression

Roffman

Witte

Tanner

et al. 2014

Psychother Psychosom

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Background: Psychodynamic psychotherapy has been used to treat depression for more than a century. However, not all patients respond equally well, and there are few reliable predictors of treatment outcome. Methods: We used resting ¹⁸F-fluorodeoxyglucose positron emission tomography (¹⁸FDG-PET) scans immediately before and after a structured, open trial of brief psychodynamic psychotherapy (n = 16) in conjunction with therapy process ratings and clinical outcome measures to identify neural correlates of treatment response. Results: Pretreatment glucose metabolism within the right posterior insula correlated with depression severity. Reductions in depression scores correlated with a pre- to posttreatment reduction in right insular metabolism, which in turn correlated with higher objective measures of patient insight obtained from videotaped therapy sessions. Pretreatment metabolism in the right precuneus was significantly higher in patients who completed treatment and correlated with psychological mindedness. Conclusions: Resting brain metabolism predicted both clinical course and relevant psychotherapeutic process during short-term psychodynamic psychotherapy for depression.

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Section: Methodsmentioning

confidence: 99%

Neural Predictors of Successful Brief Psychodynamic Psychotherapy for Persistent Depression

Roffman

Witte

Tanner

et al. 2014

Psychother Psychosom

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“…All clinicians in each group received a minimum of 3½ hours of supervision per week (1½ hours of individual and 2 hours of group) on the therapeutic model of assessment (TMA; Finn & Tonsager, 1992Fischer, 1994), clinical interventions, the organization of collaborative feedback, psychodynamic theory, group discussion and a review of videotaped case material. Also, (2003), Strupp and Binder (1984), Wachtel (1993), and Book (1998), as well as selected readings on psychological assessment, psychodynamic theory and psychodynamic psychotherapy.…”

Section: Patientsmentioning

confidence: 99%

“…Furthermore, an exploration of historical and current relational episodes, a mental status exam and an assessment of all DSM-IV symptom criteria for schizophrenia, major depressive/manic/mixed episode, dysthymia and many anxiety symptoms were included. The desired outcomes of this initial meeting are for the clinician to 'develop empathic connections with the clients', 'work collaboratively with clients to defi ne individualized assessment goals' (Finn & Tonsager, 1997, p. 379;Fischer, 1994), as well as identify an initial core confl ictual relational theme (CCRT; Book, 1998;Luborsky & Crits-Christoph, 1997;Luborsky, 1984).…”

Section: Semi-structured Diagnostic Interviewmentioning

confidence: 99%

“…The W is understood in the context of a real or imagined relationship, and the RO is rooted in the context of this wish. The RS includes both the actions/behaviours and the feelings/affect associated with this response (Book, 1998;Luborsky & Crits-Christoph, 1997;Luborsky, 1984).…”

Section: Semi-structured Diagnostic Interviewmentioning

confidence: 99%

“…Included at the end of the semi-structured interview was an early memory (EMs) protocol developed by Fowler, Hilsenroth and Handler (1995). The EMs were elicited using an interpersonal approach in which the clinician was present to record the patient's responses, inquire/follow-up on clinically relevant themes and provide interpretation of predominant CCRTs (Book, 1998;Luborsky & Crits-Christoph, 1997;Luborsky, 1984). The development of an initial CCRT at this time in the therapeutic assessment is designed to help build rapport by demonstrating to the patient that the clinician has been attentively listening for key relational concerns throughout the diagnostic interview.…”

Section: Semi-structured Diagnostic Interviewmentioning

confidence: 99%

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Effects of graduate clinicians' personal therapy on therapeutic alliance

Gold

Hilsenroth

2009

Clin Psychology and Psychoth

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This study investigates the effects of clinician personal therapy on therapeutic alliance early in treatment. Therapists who had received personal therapy assessed 30 outpatients, and therapists who had not undergone personal therapy assessed 30 outpatients. These groups of patients were matched on key demographic, diagnostic and psychiatric severity data. Results demonstrated no significant group differences on patient-rated alliance. Significant differences were observed for the therapist-rated alliance variables of therapist confidence, goal and task agreement, as well as overall alliance, with higher scores from those therapists who had received personal therapy. In addition, significant differences were found in the number of therapy sessions attended, with the treatments of those therapists who had received personal therapy being twice as long. The impact of personal therapy in relation to structured training and a therapeutic model of assessment on graduate clinicians' ability to form positive collaborative relationships with their patients is discussed.

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Brief Psychotherapies

Messer¹,

Sanderson²,

Gurman³

2003

Handbook of Psychology

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Several factors have contributed to the increasing popularity of brief forms of psychotherapy. Among the most significant are: (1) cost‐saving measures such as managed care which has decreased the number of therapy sessions covered and (2) scientific studies demonstrating the efficacy of brief therapies for a variety of problems. These factors and others, such as the sharp increase of two‐earner families and the consequent decrease in leisure time, have increased the acceptance of brief therapy by clients and therapists as an alternative to long‐term, traditional therapies. Brief therapy is not merely less therapy. As will be reviewed in this chapter, there are several brief psychotherapies that are structured and planned to maximize efficiency. Factors such as formulating and working within a therapeutic focus, setting time limits and goals, and increased therapist activity all have the potential to bring about change in a timely way. This chapter provides a state‐of‐the‐art review of six major forms of brief psychotherapy: Brief Psychodynamic Therapy, Cognitive Behavior Therapy, Brief Marital and Family Therapy, Brief Experiential Therapy, Strategic Therapy, and Brief Integrative‐Eclectic Therapy. The following information is presented for each of these modes of psychotherapy: Historical overview, selection criteria, techniques used in therapy, theory of change, supporting research, and future directions.

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How to practice brief psychodynamic psychotherapy: The core conflictual relationship theme method.

Cited by 130 publications

References 0 publications

Neural Predictors of Successful Brief Psychodynamic Psychotherapy for Persistent Depression

Neural Predictors of Successful Brief Psychodynamic Psychotherapy for Persistent Depression

Effects of graduate clinicians' personal therapy on therapeutic alliance

Brief Psychotherapies

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