Open Door Review III


Introduction
6

Preface by Stefano Bolognini, President of the IPA
6

Preface by Mark Solms, Chair of the Research Committee of the IPA
7

About the contributors
8

Introduction to the Third Edition
9

1. From Past to Present
18

Development of a plurality during the one hundred year old history of research of psychoanalysis
19

Conceptual research in psychoanalysis
34

Psychoanalytic research in Latin Ameria: challenges
38

2. Epistemological and Methodological Issues on Process and Outcome Research
42

Research issues in psychoanalysis
43

Methodological considerations in evaluating the outcome of psychoanalysis
62

3. Description of Studies
82

Naturalistic studies, pre-post studies, quasi-experimental studies
83

Adelphi University: Psychodynamic psychotherapy process and outcome research team
84

Changes in symptoms and interpersonal problems during the first 2 years of long-term psychoanalytic psychotherapy and psychoanalysis
86

The Munich Attachment- and Effectiveness Project (MBWP)
87

The Frankfurt-Hamburg Long Term Therapy Study
89

The Heidelberg-Berlin study: psychodynamic change in two forms of long term psychoanalytic therapy
91

Stuttgart TRANS-OP study
93

Implementing panic-focused psychodynamic psychotherapy into clinical practice
94

Milan study on facilitated psychoanalytic treatment for adults in collaboration with mental health services
95

The DPV Follow-Up Study
97

Patterns of inner change and their relation with patient characteristics and outcome in a psychoanalytic hospitalization-based treatment for personality disordered patients
98

Naturalistic outcomes of evidence-based therapies for borderline personality disorder at a university clinic: a quasi randomized trial
101

Prediction of medium-term outcome in Cluster B Personality disorder following residential and outpatient psychosocial treatment
102

Factors affecting change in private psychotherapy patients of senior psychoanalysts: an effectiveness study
105

From selection to outcome
107

Change variables in the psychoanalytic treatment of children and adolescents: a research report
108

Long-term psychoanalytic treatment of ADHD and ODD children: The Frankfurt ADHD and ODD Effectiveness Study
111

Studies of child analysis practice in the U.S.
113

How effective are long-term psychoanalytic treatments in adolescents? A comparison between the evaluations of the patients, their parents and their therapists
115

Treatment and rehabilitation of severely traumatized refugees
117

From self-integration in personal schemas of morally incongruent experiences to self-awareness of mental states: a qualitative study among a sample of Portugese war veterans
118

Psychotherapy utilization and care for severely disturbed patients
120

Effectiveness of psychoanalytic psychotherapy for children and adolescents with severe anxiety, depressive and disruptive psychopathology in a naturalistic treatment setting
120

Rorschach perception and thinking domain and mentalization based treatment: an outcome study
122

Alexithymia and outcome in psychotherapy
124

Gender and perversion
126

Dismantling the difference
128

Experimental treatment studies
129

Short-term psychodynamic psychotherapy and cognitive-behavioural therapy in generalised anxiety disorder: a randomised, controlled trial
130

Munich Psychotherapy Study (MPS) - a three year follow-up study: psychoanalytic vs. psychodynamic therapy for depression
131

Munich Psychotherapy Study (MPS) - a three year follow-up study: comparison of cognitive-behavioural therapy with psychoanalytic and psychodynamic therapy for depressed patients
132

Helsinki Psychotherapy Study
133

Patient predictors of psychotherapy outcome in the Helsinki Study
135

The effects of scheduled waiting for psychotherapy of depression
137

Mentalisation-based treatment of BPD
138

The LAC Depression Study
139

The INDDEP study: inpatient and day hospital treatment for depression - symptom course and predictor of change
141

Erica Process and Outcome Study (EPOS) of goal directed, time-limited child psychotherapy with parental counselling
142

Psychodynamic interpersonal therapy (PIT) for patients with multi-somatoform disorders (PISO)
143

The efficacy of a psychoanalytic psychotherapy for panic disorders: Panic-Focused Psychodynamic Psychotherapy (PFPP)
145

The Personality Disorders Institute (PDI) of the Weill Cornell Medical College
147

The Munich-New York Collaborative Study (MNYS): the psychodynamic treatment of BPO
148

The Vienna-Munich TFP Study: an RCT on transference-focused psychotherapy vs. treatment by experienced community psychotherapists for borderline personality disorder
152

Manualized supportive-expressive psychotherapy versus nonmanualized community-delivered psychodynamic therapy for patients with personality disorders: bridging efficacy and effectiveness
154

The Danish National Schizophrenia Project (DNS II): prospective, comparative, longitudinal, multicentre study of psychodynamic psychotherapy of first-episode psychosis. A controlled design of non-selected, consecutively referred/admitted patients
156

Anna Freud Centre/UCL: Improving mood with psychoanalytic and cognitive therapies (IMPACT Study)
161

Leipzig Psychoanalytic Child Therapy (PaCT)
162

EVA-luation of two psychoanalytic prevention/intervention programs “Early Steps” and “Faustlos” in day-care centers with children at risk: a cluster randomized controlled trial
163

The influence of a secure attachment relationship under conditions of high risk
165

The Catamnesis in Project EVA: first results
167

The connection between styles of attachment and social behaviour in children of a high risk sample - empirical study utilizing the Child Attachment Interviews and the Strengths and Difficulties Questionnaire
168

FIRST STEPS: a psychoanalytically based early prevention for immigrant families: a cluster randomized trial
172

Risk indicators in early emotional development: detection, intervention and follow-up in the first level of care with an interdisciplinary approach. Uruguay
174

Cost-effectiveness studies
176

The effects of long-term psychoanalytic treatment on healthcare utilization and work impairment and their associated costs
177

Cost-effectiveness of therapies of different mode and length
178

Cost-offset effect of psychotherapy in reducing medical health service utilization
179

Process studies
181

Helping alliance
182

The role of alliance in the relationship between therapist competence and outcome in brief psychodynamic psychotherapy
182

Accuracy of therapist perceptions of patients’ alliance: exploring the divergence
184

Alliance in individual psychotherapy
185

The working alliance and the stability of therapeutic outcomes in the treatment of depressed patients: a process-outcome study
187

Therapeutic alliance and psychotherapy process
188

Psychological intervention and change in depression process studies
191

Psychological intervention and change in depression. Adolescent psychotherapy: therapeutic alliance, subjective change and relational patterns
193

Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review
194

Repairing alliance ruptures
197

Investigating the impact of alliance-focused training on interpersonal process and therapists’ capacity for experiential reflection
199

Transference
201

To what extent is alliance affected by transference? An empirical exploration
200

Experimental study of transference work (FEST)
203

An experimental study of transference interpretations
204

Countertransference
204

Countertransference as object of empirical research?
206

Countertransference phenomena and personality pathology in clinical practice: an empirical investigation
209

Long-term effects of analysis of the patient-therapist relationship in the context of patients’ personality pathology and therapists’ parental feeling
211

Attachment
213

AAI predicts patients’ in-session interpersonal behavior and discourse
213

Therapist
214

Therapists’ professional and personal characteristics as predictors of working alliance and outcome in psychotherapy
214

Stockholm Outcome of Psychotherapy and Psychoanalysis Project (STOPPP): therapeutic identity
216

The therapeutic attitude: negotiating a “dark continent”
217

Studying psychotherapy process with the PQS: therapists’ techniques in psychoanalysis and short-term and long-term psychoanalytic psychotherapy: are they different?
218

Therapist variables and patient outcome
219

To become a psychotherapist - a clinical challenge for students and a pedagogic challenge for teachers
220

Development of an adherence-scale for differentiation between psychodynamic psychotherapy and psychoanalysis
220

Defense
223

Change in defense mechanisms and coping over the course of short-term psychotherapy for adjustment disorder
223

Dreams
224

Trauma, dream, and psychic change in psychoanalyses
224

The Zürich-Ulm Study of Dreams: aggregating single cases (USD)
226

Posttraumatic dreams and symbolisation
227

Posttraumatic dreams and symbolisation: a follow-up study
227

Change
230

Assessment methods for psychoanalytic observation
230

The mechanisms of change in the treatment of borderline personality disorder with Transference Focused Psychotherapy
232

Relatedness and differentiation in the therapeutic dyad - an empirical investigation of psychoanalytic and psychotherapeutic change processes
233

Moderators of change in psychoanalytic, psychodynamic, and cognitive-behavioral therapy
235

Interactive regulation processes and their relationship with psychotherapeutic changes - Chilean Millennium Nucleus: “Psychological intervention and change in depression”. Process Study 1
237

Analysis of depressive patients’ verbal expressions throughout the psychotherapeutic process - Chilean Millennium Nucleus “Psychological intervention and change in depression”. Process Study 2
239

Patients’ perception about termination in psychoanalytic treatments: a qualitative research study
241

Changes in object relations following intensive psychoanalytically oriented inpatient treatment
243

Dyadic affective interactive patterns in the intake interview as a predictor of outcome
244

Patient and therapist perspective on therapeutic action in psychoanalysis and psychoanalytic psychotherapy: helpful and hindering factors
245

Changes in mental representations and personality configurations after psychoanalysis and psychoanalytic psychotherapy
247

The Inventory of Personality Organization (IPO): its validity in Argentine populations through non-clinical and clinical samples comparison groups
249

The patient-therapist interaction and the recognition of affects during the process of psychodynamic psychotherapy for depression
251

Psychological intervention and change in depression: depression, a complex phenomenon: understanding the syndrome and treatment response
252

Psychological intervention and change in depression: exploring depressive experiences
254

Psychological intervention and change in depression: failure in psychotherapy from the experience of patients diagnosed with depression: a qualitative comparative study
255

Facial affective relationship offers of patients with panic disorders
257

Metaphors and affect
258

Fibromyalgia, facial expression and emotional experience
259

Facial experience and experience of emotions in psychodynamic interviews with patients with PTSD in comparison to healthy subjects
260

Childhood-onset versus acute, adult-onset traumatized patients
261

Cost-offset effect of psychotherapy in reducing medical health service utilization
262

Relational and classical elements in psychoanalyses: an empirical study with case illustrations
264

Clinical and systematic clinical studies
266

Research in child psychoanalysis: twenty-five-year follow-up of a severely disturbed child
267

Psychoanalytic treatment of a patient with a neurotic depression: a systematic clinical single case study
269

Assessing change in analysis terminable
270

The “Medea-Fantasy” - an unconscious determinant of psychogenic sterility
270

What do patients want?
272

A single-case study on the process and outcome
274

Evaluation of psychic change through the application of empirical and clinical techniques for a two-year treatment
275

A German specimen case of psychoanalysis
276

Verbal expression of emotions in the stage-wise progress of a case of long-term psychodynamic therapy
277

Chilean Millennium Nucleus: “Psychological intervention and change in depression”. Process-outcome research 1: foci on psychotherapy
278

An empirical investigation of analytic process: contrasting a good and poor outcome case
280

Department of Dynamic and Clinical Psychology, “Sapienza” University of Rome: single cases and process-outcome
281

Beneath the surface of the therapeutic interaction: the psychoanalytic method in modern dress
284

A metasynthesis of published case studies through Lacan’s L-schema: transference in perversion
285

A review of basic characteristics of patient, therapist, therapy and research method
286

Clinician reports of personality pathology of patients beginning and patients ending psychoanalysis
288

Department of Dynamic and Clinical Psychology, “Sapienza” University of Rome: single cases and process-outcome
290

Assessing personality change in psychotherapy with the SWAP-200: a case study
293

Outcomes of psychoanalytical crisis interventions after prenatal diagnostics
294

Systematic case studies of psychoanalyses with chronically depressed patients within the frame of the LAC Depression Study
296

Further psychoanalytical studies
297

The Geneva Early Childhood Street Project: the effects of maternal interpersonal violence-related posttraumatic stress on the parent-toddler relationship and subsequent child social-emotional development
298

The Montevideo study of attachment and narrative
301

Uruguayan Psychoanalytic Association Research Department: high and low frequency in our psychoanalytic practice today
303

Psychoanalytic practice in Latin America
304

Scenic memory of the Shoah - on the transgenerational transmission of extreme trauma in Germany
304

Conceptual studies
307

The conscious id
308

Towards a better use of psychoanalytic concepts: a model illustrated using the concept of enactment
309

Unconscious phantasy and its conceptualizations: an attempt at conceptual integration
310

What is conceptual research in psychoanalysis?
311

Conceptual and clinical research
312

Criteria for judging results: a study about conceptualization of goals in psychoanalysis
313

Psychoanalytic considerations on psychopathology and conceptual research
314

What does Generalized Anxiety Disorder mean for psychoanalysts? An empirical qualitative approach about its conceptualization in the psychoanalytic framework
316

The Three-Level Model for Observing Patient Transformations (3-LM)
318

Neuropsychoanalytical studies
320

Psychoanalytical dream theory and brain mechanisms
321

Serotonin-transporter (SERT) densities in dynamic psychotherapy of depression
322

Gen environment relations in depression: Chilean Millennium Nucleus; “Psychological intervention and change in depression”
324

Changes in brain functions in chronic depressed patients after long-term psychoanalytic compared with cognitive behavioural treatments: Frankfurt fMRI/EEG Depression Study (FRED)
326

Neuroimaging and attachment with “children-at-risk”
328

The Hanse-Neuro-Psychoanalysis-Study
328

Neural changes in prefrontal-limbic function in chronically depressed patients after 15 months of psychoanalytic therapy using the Adult Attachment Projective Picture System (AAP) as an individualized paradigm
330

Neural correlates of therapeutic changes in chronically depressed patients in psychoanalytic psychotherapy with the Operationalized Psychodynamic Diagnosis (OPD)
332

fMRI-monitoring of an ongoing psychoanalysis
334

Zurich Depression Study
335

Neural predictors of successful brief psychodynamic psychotherapy for persistent depression
337

4. A Meta-Analysis on Outcome Studies on Longterm Psychoanalytical Treatments and Psychoanalyses
338

Evidence for psychodynamic psychotherapy in specific mental disorders: a systematic review
339

5. References
363

6. Appendix
384

Bibliography of research reviews and studies
385

Index of authors
407

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