Recommended Conferences

Neuroscience Psychiatry

Dubai, UAE

2nd International Conference on Clinical Psychiatry

Miami, USA

Psychology and Mental Health

Chicago, USA
Related Subjects
 

Randomized, controlled trial of the effectiveness of short-Term dynamic psychotherapy and cognitive therapy for cluster C personality disorders

Author(s): Svartberg M, Stiles T, Seltzer M

Abstract

OBJECTIVE: This study compared the effectiveness of short-term dynamic psychotherapy and cognitive therapy for outpatients with cluster C personality disorders. METHOD: Patients (N=50) who met the criteria for one or more cluster C personality disorders and not for any other personality disorders were randomly assigned to receive 40 weekly sessions of short-term dynamic psychotherapy or cognitive therapy. The most common axis I disorders in the patient group were anxiety and depression diagnoses. Therapists were experienced, full-time clinicians and were receiving manual-guided supervision. Outcome variables included symptom distress, interpersonal problems, and core personality pathology. Measures were administered repeatedly during and after treatment, and change was assessed longitudinally by means of growth modeling procedures. RESULTS: The overall patient group showed, on average, statistically significant improvements on all measures during treatment and also during a 2-year follow-up period. Significant changes in symptom distress after treatment were found for the group of patients who received short-term dynamic psychotherapy but not for the cognitive therapy patients. Despite these differences in intragroup changes, no statistically significant differences between the short-term dynamic psychotherapy group and cognitive therapy group were found on any measure for any time period. Two years after treatment, 54% of the short-term dynamic psychotherapy patients and 42% of the cognitive therapy patients had recovered symptomatically, whereas approximately 40% of the patients in both groups had recovered in terms of interpersonal problems and personality functioning. CONCLUSIONS: Both short-term dynamic psychotherapy and cognitive therapy have a place in the treatment of patients with cluster C personality disorders. However, factors other than treatment modality may discriminate better between successful and poor outcomes. Such factors should be explored in future studies.

Similar Articles

Defense mechanisms, 136: Theoretical, research, and clinical perspectives

Author(s): Hentschel U, Smith G, Draguns JG, Ehlers W

The wisdom of the ego

Author(s): Vaillant GE

Early change in maladaptive defense style and development of the therapeutic alliance

Author(s): Ambresin G, de Roten Y, Drapeau M, Despland JN

Patient defense/therapist interventions

Author(s): Winston B, Winston A, Samstag LW, Muran JC

A guide to conducting consensual qualitative research

Author(s): Hill C, Thompson BJ, Nutt-Williams E

Consensual qualitative research: An update

Author(s): Hill C, Knox S, Thompson BJ, Williams EN, Hess SA, et al.

Short-term psychodynamic psychotherapy for somatic disorders

Author(s): Abbass A, Kisely S, Kroenke K

Treating affect phobia: A manual for short-term dynamic psychotherapy

Author(s): McCullough L, Kuhn N, Andrews S, Kaplan A, Wolf J, et al.

Desensitization of conflicted feelings: Using the ATOS to measure early change in a single-case affect phobia therapy treatment

Author(s): Bhatia M, Gil Rodriguez M, Fowler DM, Godin JEG, Drapeau M, McCullough L

The effects of confrontation and clarification on patient affective and defensive responding

Author(s): Salerno M, Farber BA, McCullough L, Winston A, Trujillo M

How to address patients' defenses: A pilot study of the accuracy of defence interpretation and alliance

Author(s): Junod O, de Roten Y, Martinez E, Drapeau M, Despland JN

Accuracy of defense interpretations in three character types

Author(s): Perry JC, Petraglia J, Olson TR, Presniak MD, Metzger JA

Interpretation in projection

Author(s): Quinodoz D