Short term psychodynamic psychotherapy (STPP) for clients with complex and enduring difficulties within NHS mental health services: a case series

Castillo, Javier Malda; Valavanis, Sophie; Algorta, Guillermo Pérez

doi:10.1080/02668734.2020.1802615

Cited by 3 publications

(3 citation statements)

References 32 publications

(26 reference statements)

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“…Dropout rates in the current study were lower than those reported in CBT pilot studies for DS (Goldstein, Deale, Mitchell-O'Malley, Toone, & Mellers, 2004). A possible explanation for the high rates of adherence and low dropout rates demonstrated in this and previous studies of ISTDP with complex populations (Malda-Castillo et al, 2020) is the emotional focus of the treatment, with particular emphasis in attachment manoeuvres and how they can enhance or damage the therapeutic relationship.…”

Section: Discussioncontrasting

confidence: 61%

Three sessions of intensive short-term dynamic psychotherapy (ISTDP) for patients with dissociative seizures: a pilot study

Castillo

Beton

Coman

et al. 2022

Psychoanalytic Psychotherapy

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Intensive Short Term Psychodynamic Therapy (ISTDP) has demonstrated promising evidence for the treatment of several Functional Neurological Disorders (FND) including dissociative seizures. However, its implementation in secondary mental health and specialist services within the English National Health Service (NHS) is scarce. The aim of this pilot study was to explore the estimates of the therapeutic effects of a 3-session course of this treatment as well as establish safety and acceptability for a complex patient group. Method: The study followed a mixed methods case series design and recruited 18 patients from secondary adult mental health care and specialist neurology services. Participants completed self-report outcome measures at the start, at the end and 1-month following the completion of therapy. Three open ended questions examined their therapy experiences qualitatively and these were analysed through thematic analysis. Results: All participants who started the treatment (N=17) completed the intervention and attendance rates were very high (95%). No serious adverse effects were observed, and the CORE-OM and BSI showed improvements both at the end of the treatment and at follow-up. Healthcare utilisation was also reduced including acute medications, A&E attendances, and crisis line usage. Conclusions: The results provide preliminary support for the safe use of ISTDP in this complex group of participants but further evidence from controlled and randomized studies is warranted.

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Section: Discussioncontrasting

confidence: 61%

Three sessions of intensive short-term dynamic psychotherapy (ISTDP) for patients with dissociative seizures: a pilot study

Castillo

Beton

Coman

et al. 2022

Psychoanalytic Psychotherapy

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“…Short-term psychodynamic psychotherapy (STPP) is effective for treating depression in adults (Leichsenring et al, 2004;Abbass et al, 2014;Steinert et al, 2017), and there is growing evidence that it may be beneficial for adolescents too . STPP is an umbrella term that captures a range of brief psychodynamic/psychoanalytic therapies that share common goals and processes (Malda Castillo et al, 2020). It usually comprises up to 30 weekly sessions and the focus of STPP goes beyond symptom reduction.…”

Section: Introductionmentioning

confidence: 99%

Individualized Psychotherapy Treatment of Young People With Mental Disorders

2022

Frontiers Research Topics

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Frontiers is more than just an open-access publisher of scholarly articles: it is a pioneering approach to the world of academia, radically improving the way scholarly research is managed. The grand vision of Frontiers is a world where all people have an equal opportunity to seek, share and generate knowledge. Frontiers provides immediate and permanent online open access to all its publications, but this alone is not enough to realize our grand goals. Frontiers Journal SeriesThe Frontiers Journal Series is a multi-tier and interdisciplinary set of open-access, online journals, promising a paradigm shift from the current review, selection and dissemination processes in academic publishing. All Frontiers journals are driven by researchers for researchers; therefore, they constitute a service to the scholarly community. At the same time, the Frontiers Journal Series operates on a revolutionary invention, the tiered publishing system, initially addressing specific communities of scholars, and gradually climbing up to broader public understanding, thus serving the interests of the lay society, too. Dedication to QualityEach Frontiers article is a landmark of the highest quality, thanks to genuinely collaborative interactions between authors and review editors, who include some of the world's best academicians. Research must be certified by peers before entering a stream of knowledge that may eventually reach the public -and shape society; therefore, Frontiers only applies the most rigorous and unbiased reviews. Frontiers revolutionizes research publishing by freely delivering the most outstanding research, evaluated with no bias from both the academic and social point of view. By applying the most advanced information technologies, Frontiers is catapulting scholarly publishing into a new generation.

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“…Short-term psychodynamic psychotherapy (STPP) is effective for treating depression in adults (Leichsenring et al, 2004;Abbass et al, 2014;Steinert et al, 2017), and there is growing evidence that it may be beneficial for adolescents too (Abbass et al, 2013;Midgley et al, 2021). STPP is an umbrella term that captures a range of brief psychodynamic/psychoanalytic therapies that share common goals and processes (Malda Castillo et al, 2020). It usually comprises up to 30 weekly sessions and the focus of STPP goes beyond symptom reduction.…”

Section: Introductionmentioning

confidence: 99%

Psychotherapy Dropout: Using the Adolescent Psychotherapy Q-Set to Explore the Early In-Session Process of Short-Term Psychodynamic Psychotherapy

et al. 2021

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Research suggests that short-term psychodynamic psychotherapy (STPP) is an effective treatment for depression in adolescence, yet treatment dropout is a major concern and what leads to dropout is poorly understood. Whilst studies have begun to explore the role of patient and therapist variables, there is a dearth of research on the actual therapy process and investigation of the interaction between patient and therapist. This study aims to address this paucity through the utilisation of the Adolescent Psychotherapy Q-set (APQ) to examine the early treatment period. The sample includes 69 adolescents aged 16–18 years with major depressive disorder receiving STPP as part of the First Experimental Study of Transference Work–in Teenagers (FEST-IT) trial. Of these, 21 were identified as dropouts and were compared to completers on pre-treatment patient characteristics, symptomatology, functioning, and working alliance. APQ ratings available for an early session from 16 of these drop out cases were analysed to explore the patient-therapist interaction structure. Results from the Q-factor analysis revealed three distinct interaction structures that explained 54.3% of the total variance. The first described a process of mutual trust and collaboration, the second was characterised by patient resistance and emotional detachment, the third by a mismatch and incongruence between therapist and adolescent. Comparison between the three revealed interesting differences which taken together provide further evidence that the reasons why adolescents drop out of therapy vary and are multidimensional in nature.

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Short term psychodynamic psychotherapy (STPP) for clients with complex and enduring difficulties within NHS mental health services: a case series

Cited by 3 publications

References 32 publications

Three sessions of intensive short-term dynamic psychotherapy (ISTDP) for patients with dissociative seizures: a pilot study

Three sessions of intensive short-term dynamic psychotherapy (ISTDP) for patients with dissociative seizures: a pilot study

Individualized Psychotherapy Treatment of Young People With Mental Disorders

Psychotherapy Dropout: Using the Adolescent Psychotherapy Q-Set to Explore the Early In-Session Process of Short-Term Psychodynamic Psychotherapy

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