Long-term effects of transference interpretation in dynamic psychotherapy of personality disorders.
Summary of "Long-term effects of transference interpretation in dynamic psychotherapy of personality disorders."
BACKGROUND:
Only a few treatment studies of personality disorders (PD) patients are on longer-term psychotherapy, general outcome measures are used, and follow-up periods are usually short. More studies of long-term therapies, using outcome measures of core psychopathology, are needed.
METHOD:
This study is a dismantling randomized controlled clinical trial, specifically designed to study long-term effects of transference interpretation. Forty-six patients with mainly cluster C personality disorders were randomly assigned to 1 year of dynamic psychotherapy with or without transference interpretations. The outcome measures were remission from PD, improvement in interpersonal functioning, and use of mental health resources in the 3-year period after treatment termination.
RESULTS:
After therapy with transference interpretation PD-patients improved significantly more in core psychopathology and interpersonal functioning, the drop-out rate was reduced to zero, and use of health services was reduced to 50%, compared to therapy without this ingredient. Three years after treatment termination, 73% no longer met diagnostic criteria for any PD in the transference group, compared to 44% in the comparison group.
CONCLUSIONS:
PD-patients with co-morbid disorders improved in both treatment arms in this study. However, transference interpretation improved outcome substantially more. Long-term psychotherapy that includes transference interpretation is an effective treatment for cluster C personality disorders and milder cluster B personality disorders.
Affiliation
Department of psychiatry, University of Oslo, PO Box 85, Vinderen, 0319 Oslo, Norway.
Journal Details
This article was published in the following journal.
Name: European psychiatry : the journal of the Association of European Psychiatrists
ISSN: 1778-3585
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20810254
- DOI: http://dx.doi.org/10.1016/j.eurpsy.2010.05.006
Medical and Biotech [MESH] Definitions
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The separation or resolution of the psyche into its constituent elements. The term has two separate meanings: 1. a procedure devised by Sigmund Freud, for investigating mental processes by means of free association, dream interpretation and interpretation of resistance and transference manifestations; and 2. a theory of psychology developed by Freud from his clinical experience with hysterical patients. (From Campbell, Psychiatric Dictionary, 1996).
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