Open Door Review

About 30 original contributions have been published from this study within the areas of effectiveness, suitability, therapist factors, alliance, measurement methods, statistical methods, and qualitative research. A number of current sub-studies within these areas are ongoing (see cited literature above and our homepage). @)15-1.*$#! This study assesses the effectiveness of short-term vs long-term therapy during a very long time period from start of treatment. It also gives criteria, based on multiple patient perspectives, for whom long- term therapy seems necessary and who may recover by short-term therapy. The importance of auxiliary treatment in the evaluation of the sufficiency of treatment is introduced as a key element of outcome. The role of the therapeutic alliance in the prediction and mediation of the change processes will also be possible. The findings can thus be applied in clinical practice. The study will also give information on which therapist factors are suitable for long-term and which for short-term therapy and can thus be taken into account in therapist training. Limitations include the absence of a control group and manualization of the psychodynamic therapies.

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Dr. Paul Knekt, National Institute for Health and Welfare, P.O. Box 30, 00271 Helsinki, Email: paul.knekt@thl.fi Website: www.thl.fi/hps !

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