Personality Disorders as a Possible Moderator of the Effects of Relational Interventions in Short-Term Psychoanalytic Psychotherapy with Depressed Adolescents

Korsgaard, Hans Ole; Ulberg, Randi; Hummelen, Benjamin; Midgley, Nick; Thorén, Agneta; Dahl, Hanne–Sofie Johnsen

doi:10.3390/ijerph191710952

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“…It has been argued that women with a lifelong pattern of poor object relations might especially profit from transference work to respond well to STPP [ 58 ]. In line with this, it seems that adolescents with cluster B personality disorder symptoms also do better with transference work than without [ 59 ]. The APQ interaction structure Working with low mentalization indicated that Sonja struggled with mentalising herself and others.…”

Section: Discussionmentioning

confidence: 79%

Examining Psychotherapeutic Processes with Depressed Adolescents: A Comparative Study of Two Psychodynamic Therapies

Calderón

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Elvejord

et al. 2022

IJERPH

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To understand processes associated with better or poorer psychotherapy outcomes is vital. This study examined and contrasted interaction patterns between one therapist and two depressed 17-year-old girls, Johanna (good outcome) and Sonja (poor outcome), in short-term psychoanalytic therapies selected from an RCT. Outcome data were collected regarding level of inter- and intra-personal functioning and symptoms of depression. Process data were obtained using the Adolescent Psychotherapy Q-Set on all available sessions. Analyses yielded five relational patterns or “interaction structures” in the two therapy processes; Three explained most of the variance in sessions with Johanna (i.e., ‘positive working alliance’, ‘therapist’s active use of psychodynamic techniques’, and ‘a receptive patient’) and two explained more of the variance in sessions with Sonja (i.e., ‘therapist using a more problem-solving and symptom-oriented approach’ and ‘patient displaying limited capacity for mentalization’). The processes in the two cases presented differences related to mentalization, psychological mindedness, and attachment style of the patients. The therapist used different therapeutic approaches, favouring more psychodynamic interventions in the good outcome case and a more problem-solving and symptom-oriented approach with the poor outcome case. In the latter case, the relationship seemed to be more of a struggle.

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Section: Discussionmentioning

confidence: 79%