Open Door Review III

"#0!12($0*(E(#0%21$6(!$*(0%27($)*!2*&!(#0!%07)D*$($)*!):!2::07(6! &B%$*D!(#0!1%)7066!):!1647#)&4*29$7!1647#)(#0%214!:)%!&01%066$)*>!

=#)<2!/_!V2!![+,--^>! "#0!12($0*(E(#0%21$6(!$*(0%27($)*!2*&!(#0!%07)D*$($)*!):!2::07(6!&B%$*D!(#0!1%)7066!):!1647#)&4*29$7! 1647#)(#0%214!:)%!&01%066$)*>! /$%#)?@+&N">#+@B&"!&'(A?-",-%#@:A _! gJ _!P..EPd\_!+,-->! =&.4$'! The perceptions of patients (n=25) and their therapists of the process of psychodynamic psychotherapy for depression were assessed during the first treatment year using 23 scales: Formation of the treatment contract, emergence of a rational treatment alliance, recognition of depression and hopelessness within treatment setting, emergence of affective relationship between the patient and the therapist, current self experience, intimate object relationships (state and dealing with them), social object relationships (state and dealing with them), dealing with aggressions, work and other occupational problems (state and dealing with them), reactivation of negative and withdrawn affects within the therapeutic relationship, object ambivalence (positive and negative affects and thoughts), working with depressive mental contents and hopelessness, experiences of being understood and mirrored in therapy, recognition of changes therapy has made possible. :*#'*#Y2! Patients and therapists independently evaluated the impact of these subjects on the therapeutic experience of the patients during the one-year long treatment period. The estimations by the patients and therapists were concordant in the majority of the scales,reflecting mutual tuning and working alliance within the therapeutic couple. The roles of affects and frustrating subjects in the treatment relationship were , however, evaluated significantly differently by the patients and therapists. The results highlight the importance of working on the expression of affects, especially with those of aggressive contents in the psychotherapy of depression.

The validation of the findings by factor analysis in relation to the treatment outcome is in progress.

G$#.1/.\!

Prof. J. Lehtonen University of Eastern Finland and the University Hospital of Kuopio Departments of Psychiatry, Clinical Physiology and Forensic Psychiatry, Niuvanniemi Hospital National Institute of Health and Welfare, Helsinki E-mail: johannes.lehtonen@fimnet.fi

PVT

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