Reflections on supportive psychotherapy in the 21<sup>st</sup> century

Rasmussen, Brian; Kealy, David

doi:10.1080/02650533.2019.1648245

Cited by 3 publications

(2 citation statements)

References 52 publications

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“…The therapists were provided weekly supervision by PLH and SFM, who reviewed all DRT sessions via video recordings and conducted 90-min weekly supervision sessions to ensure treatment fidelity. The therapists conducting PST were trained by DK, an expert with extensive experience in conducting and researching supportive psychotherapy (see Kealy et al, 2019; Rasmussen & Kealy, 2020). Therapists were provided 90-min weekly supervision sessions in PST by DK, who reviewed all sessions via video recordings to ensure treatment fidelity.…”

Section: Methodsmentioning

confidence: 99%

The efficacy of group psychotherapy for adults with perfectionism: A randomized controlled trial of dynamic-relational therapy versus psychodynamic supportive therapy.

Hewitt¹,

Kealy²,

Mikail³

et al. 2023

Journal of Consulting and Clinical Psychology

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Objective: This randomized controlled trial investigated the efficacy of group dynamic-relational therapy (DRT) relative to group psychodynamic supportive therapy (PST) in treating perfectionism and improving psychological functioning. Hypothesis: Psychodynamically informed therapies, particularly DRT, will be efficacious in treating perfectionism and functioning outcomes. Method: Based on a comprehensive conceptualization of perfectionism, 80 community-recruited, highly perfectionistic individuals were randomly allocated to 12 sessions of group DRT (n = 41; 5 groups) or group PST (n = 39; 5 groups). Patients completed measures of trait perfectionism, perfectionistic self-presentation, perfectionistic cognitions, symptom distress, life satisfaction, and work and social adjustment at pre-, mid-, and posttreatment and 6 months posttreatment. Results: Multigroup latent growth curve modeling revealed significant (p < .05) decreases in all perfectionism components and improvements in all functioning outcomes from pretreatment to 6-month follow-up in both DRT and PST. Likewise, analyses revealed substantial reliable improvement across conditions for all perfectionism components. Last, moderate-to-large between-group differences favoring DRT over PST were found for self-oriented perfectionism, perfectionistic self-promotion, nondisplay of imperfection, nondisclosure of imperfection, and work and social adjustment. Conclusion: Findings provide evidence for the use of psychodynamic approaches in the treatment of perfectionism and support the relative efficacy of DRT for components of perfectionism. What is the public health significance of this article?This study found evidence supporting the efficacy of psychodynamically informed treatments for perfectionism, a pernicious vulnerability factor in many disorders and dysfunctions. Results also indicated that dynamic-relational therapy was superior to psychodynamic supportive therapy for most components of perfectionism and work and social adjustment. The findings support the importance of psychodynamic group psychotherapy approaches, and dynamic-relational therapy in particular, in treating perfectionism.

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Section: Methodsmentioning

confidence: 99%

The efficacy of group psychotherapy for adults with perfectionism: A randomized controlled trial of dynamic-relational therapy versus psychodynamic supportive therapy.

Hewitt¹,

Kealy²,

Mikail³

et al. 2023

Journal of Consulting and Clinical Psychology

Self Cite

View full text Add to dashboard Cite

show abstract

“…Extending this work, we recently completed a randomized controlled trial comparing DRT with a supportive psychotherapy (PST) control (the UBC TPS II; Hewitt, Kealy, et al, 2022). Again, we used well-trained senior clinical psychology graduate students under the direct supervision of PLH and SFM for the DRT (Hewitt et al, 2017) or Dr. David Kealy, an expert in psychodynamic supportive treatment (e.g., Kealy et al, 2019;Rasmussen & Kealy, 2020) for the PST, to ensure fidelity and adherence in both treatment approaches. Thirty-seven patients in the DRT group and 33 patients in the PST groups completed 12 sessions of group psychotherapy and follow-up.…”

Section: Dynamic-relational Group Psychotherapymentioning

confidence: 99%