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FEST is designed to investigate long-term effects of transference work in dynamic psychotherapy.
=&.4$'! We randomly assigned 100 patients to 1 year of dynamic psychotherapy with a low to moderate level of transference work or to the same type of therapy without transference work. The same therapists administered both treatments after extensive training. Treatment integrity was documented with ratings ofmore than 450 full sessions. The only component that differed between the two treatments was use of a low to moderate frequency of transference work interventions. Thus, the design makes it possible to study causal effects of transference work. ;&2-5.2! There was no overall effect of transference work. However, patients with a low quality of object relations benefited significantly more from therapy with transference work compared to therapy without transference work (1). This effect was sustained during a 3-year followup period (2). Patients with mature relationships and greater psychological resources benefited equally well from both treatments. Furthermore, female patients responded significantly better than men to therapy with work (3). Among the 46 patients with one or more personality disorders, 17 of 23 patients (74%) no longer met diagnostic criteria for any personality disorder in the transference group, versus 10 of 23 patients (43%) in the comparison group. The dropout rate was 0% in the transference group and 22% in the comparison group. Patients who did not receive transference work had about four times more additional mental health specialist treatment during the 3-year follow-up period, compared with patients who received transference work (4). All the therapists in this study had extensive experience and were specifically trained to deliver the two treatments, which limits generalizability to ordinary clinical practice. H*2/-22*$#! The long-term effect of transference work among patients with low-quality object relations was mediated (explained) by increased gain of insight during therapy (5). Several studies suggest that changes in insight or self-understanding are specific to dynamic psychotherapy and are not associated with other treatments, such as cognitive-behavioral therapy or antidepressant medication. FEST
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