Evolving Concepts in Psychodynamic Psychotherapy

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Psychiatry".

Deadline for manuscript submissions: closed (31 October 2022) | Viewed by 4945

Special Issue Editor


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Guest Editor
Department of Neurosciences, University of Torino, Torino, Italy
Interests: short-term psychodynamic psychotherapy; brief dynamic therapy; bipolar disorder; major depressive disorder; treatment-resistant depression; obsessive-compulsive disorder; psychopharmacological treatments; perinatal psychiatry; translational psychiatry; peripheral biomarkers of mood disorders

Special Issue Information

Dear Colleagues,

While psychoanalysis has evolved considerably since Freud laid its foundations, and a multitude of schools of psychodynamic psychotherapy with different theoretical and practical approaches now exist, some of Freud's original principles remain essential. However, the psychoanalytic model wasn’t based on systematic research and efficacy studies have been neglected in psychodynamic psychotherapy for a long time. Nowadays, research on psychodynamic psychotherapy in the clinical practice setting faces numerous obstacles, such as limited funding, resistance of clinicians, continuity of research staff, adherence to specific treatment manuals, and the use of reliable and valid measures for diagnoses and treatment outcomes. Furthermore, little is known about how the influence of the therapist's subjective characteristics and non-therapy specific factors can be adjusted for a research setting.

In the last decades, the interest for short-term psychodynamic psychotherapies has increased and these time-limited techniques have become more important, giving a particular care to evaluation of results and applicability in public health services. Various meta-analyses, including some with innovative models based on individual participant data, have addressed the efficacy of short-term psychodynamic psychotherapies in specific psychiatric disorders such as major depression. However, the efficacy of time-limited techniques compared to long-term psychodynamic psychotherapies is still a matter of debate, especially in complex mental disorders.

Since the DSM-III was published in 1980, psychiatric nosography chose to change its framework (previously based on psychoanalytic model) and to adopt a descriptive, Kraepelinian approach that persists worldwide to this day. Nevertheless, selected psychoanalytic ideas are still useful in psychiatry, and bio-psycho-social integrations remain a challenge in order to understand and treat patients with psychiatric disorders.

This Special Issue, entitled “Evolving Concepts in Psychodynamic Psychotherapy” will address benefits/limits as well as methodological issues of integrating psychodynamic therapy techniques in patients with various psychiatric disorders. Submissions of original clinical trials and observational studies on psychodynamic psychotherapies, as well as high quality scoping reviews, systematic reviews, meta-analyses, and reviews of reviews/umbrella reviews are welcome.

Prof. Gianluca Rosso
Guest Editor

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Keywords

  • psychodynamic psychotherapy
  • short-term psychodynamic psychotherapy
  • long-term psychodynamic psychotherapy
  • brief dynamic therapy
  • time-limited psychodynamic psychotherapy
  • psychoanalysis
  • psychotherapy
  • integrated treatments
  • psychosocial treatments

Published Papers (2 papers)

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Review

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11 pages, 472 KiB  
Review
A Psychoanalytic-Derived Brief Psychotherapeutic Approach in the Treatment of Major Depression: Monotherapy Studies
by Gabriele Di Salvo, Matteo Bianco, Elena Teobaldi, Giuseppe Maina and Gianluca Rosso
Medicina 2022, 58(10), 1335; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina58101335 - 23 Sep 2022
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Abstract
Over the years, short term psychodynamic therapy (STPP) has been broadly researched in order to evaluate its efficacy in the treatment of major psychiatric disorders. In particular, a consistent number of studies focused on assessing clinical outcomes of the principal psychodynamic techniques in [...] Read more.
Over the years, short term psychodynamic therapy (STPP) has been broadly researched in order to evaluate its efficacy in the treatment of major psychiatric disorders. In particular, a consistent number of studies focused on assessing clinical outcomes of the principal psychodynamic techniques in treating depressive disorders. We conducted a narrative review in which we aimed to evaluate the efficacy of STPP in monotherapy in major depressive disorder and to assess possible features that may correlate with its clinical use. Databases searched were PubMed, Ovid, Scopus, PsycINFO and Cochrane Libraries from inception to July 2022. Our research underlined that STPP in monotherapy is particularly effective in moderately severe depression and in preventing depressive relapses. Moreover, a case-by-case evaluation of its efficacy should be performed when considering STPP for the treatment of major depression with other comorbid psychiatric conditions. Although such key points emerged from scientific evidence, STPP should be better studied in the long-term perspective; further research is needed to define the clinical scenarios in which STPP can be considered a first-line approach as monotherapy in major depressive disorder compared to medications or other types of psychotherapy. Full article
(This article belongs to the Special Issue Evolving Concepts in Psychodynamic Psychotherapy)
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11 pages, 716 KiB  
Case Report
The Use of Dynamic Cognitive Behavioural Therapy (DCBT) in Social Anxiety Disorder (SAD): A Theoretical Integration Initiative
by M. Siyabend Kaya
Medicina 2022, 58(12), 1759; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina58121759 - 30 Nov 2022
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Abstract
Psychotherapy theorists can often become fervent advocates of the schools they follow and place the doctrines of the theories they adopt above all else. This situation can sometimes turn into a war of theories between researchers as well. However, therapists should not aim [...] Read more.
Psychotherapy theorists can often become fervent advocates of the schools they follow and place the doctrines of the theories they adopt above all else. This situation can sometimes turn into a war of theories between researchers as well. However, therapists should not aim to shape therapy sessions according to their methods but to use them in line with clients’ needs. Although it is emphasised that the integration of both psychoanalytic and cognitive behavioural therapy techniques, which is going to be named dynamic cognitive behavioural therapy (DCBT) in this case report, will provide more effective and permanent treatment, a discernible gap exists regarding the integration of these theories and their use in psychotherapy. Taking into account this gap, it is considered important to use this approach with a client who has a social anxiety disorder (SAD). Therefore, this study aims to describe the almost forgotten DCBT approach step by step through a case report and reveal the effectiveness of this approach. As a result, DCBT seems to be effective in the treatment of SAD. Full article
(This article belongs to the Special Issue Evolving Concepts in Psychodynamic Psychotherapy)
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