Changes in Rorschach Teaching

To investigate recent changes in Rorschach instruction, a double postcard questionnaire was distributed to all APA-approved doctoral programs in clinical psychology asking for information about the number and type of Rorschach courses. The data were compared with 1961 and 1966 surveys. A trend toward fewer Rorschach courses per university and a decrease in courses specifically on the Rorschach is evident. Changing views toward projective techniques may be a contributing factor, but the addition of areas such as behavior modification and community psychology into the training programs is also compressing the more traditional courses.     

Intensive Short-Term Dynamic Psychotherapy nach Habib Davanloo

Essentially the seventies – keen on experimenting – have given birth to the audiovisually supported psychoanalytical system of IS-TDP,developed by Habib Davanloo,Montreal. His unusual active and systematic challenge to the patient's resistances voids the absorbing complications of a transferenceneurosis by initiating three psychodynamic changes: intensification and cristallization of the defenses,prominent rise of mixed transference feelings, revival of an unconscious therapeutic coalition.This leads to a highly compressed transference-dynamic that finally discharges into an unresisting breakthrough of deeply repressed feelings: components of primitive rage, tenderness and pain.The patient's intrapsychic process itself replaces the therapist by an important person of the past.Repeatedly working through the emerging guilt is the most determinant factor now and during the whole therapy.The initial-interview already creates valuable connections to the unconscious and designates the further process until the pathogenic core structure is melted.Thus shortness of therapy is a methodical result.     

Short-Term Psychoanalytic Supportive Psychotherapy for Depressed Patients

Short-Term Psychoanalytic Supportive Psychotherapy (SPSP) is a face-to-face, individual psychotherapy, consisting of sixteen sessions in six months (first eight weekly, then eight fortnightly sessions). It is rooted in psychoanalytic theory. Its primary aim is to cure depression. A secondary goal is to reduce a patient's vulnerability to depression. The emphasis is on supportive techniques that counter regression and foster psychological growth. The putative process consists in experiencing a relational dissonance, i.e., feeling two contradictory relationships in the therapeutic situation simultaneously, one determined by the past, the other by the present. We assume an important curative factor is to experience, mostly unconsciously, an adequate gratification of developmental needs inadequately met in early infancy and, therefore, manifesting themselves in the archaic aspects of the therapeutic relationship. SPSP unfolds as a discourse in which we distinguish nine levels. Each regards a specific subject, which at that level is the focus of the interaction between patient and therapist. The efficacy of SPSP in ambulatory patients presenting a DSM-IV defined, mild to moderate major depressive disorder has been tested in five randomized clinical trials. The results have been aggregated in a mega-analysis. They suggest that, in the treatment of outpatients with mild to moderate major depressive disorder, SPSP and pharmacotherapy are equally efficacious and that the combination of SPSP and pharmacotherapy is more efficacious than pharmacotherapy alone but not than SPSP alone. We, therefore, consider SPSP a valuable extension to the existing options for the treatment of depressed patients.     

Limited Goals in Short-Term Group Psychotherapy with Institutionalized Delinquent Adolescent Boys

This paper applies a specific view of familylike dynamics to psychoanalytic group psychotherapy. Pathological forms of protectiveness and scapegoating are both involved in which the symptomatic individuals maintain an enmeshment with the group which saves them from anxieties associated with change. As the scapegoat, the problem patient becomes the spokesperson for a group transference involving the therapist(s), group members, and a developmentally internalized family. The primary technical error is the tendency for the therapist, in the guise of appropriate technique, to unconsciously collude with a scapegoating process thereby discouraging differentiation and growth. Viewing the group from the perspective of pathological versus healthy forms of family interaction helps to highlight certain problems in the therapist's interventions.     

Time-Limited Dynamic Psychotherapy as a Model for Short-Term Inpatient Groups

The present article proposes a method, practiced by the author, to adapt time-limited dynamic psychotherapy (TLDP), a short-term individual psychodynamic therapy, for use with inpatient psychotherapy groups. Characteristics of TLDP which suggest the usefulness of such an adaptation, including short-term duration, specific treatment focus, rapid conceptualizations and broad selection of patients, and emphasis on the here-and-now in therapy, are discussed. The general approach to treatment, a supportive stance that involves an identification of maladaptive interpersonal issues, and then working on these issues without directly confronting the patients, is described. Specific therapeutic techniques for common inpatient group situations are also discussed.     

Training Mental Health Clinicians to Lead Short-Term Psychotherapy Groups in an HMO

No abstract available for this article.     

A Preliminary Report on Short-Term Group Psychotherapy on An Acute Adolescent Male Service

This article alerts us to consider depression as a relatively frequent cause of impasse in the course of group psychotherapy. The authors recommend the combined use of antidepressant medication along with group psychotherapy when such depression is confirmed independently outside the group. Common obstacles and pitfalls preventing successful combined treatment are reviewed; the depressive logjam is differentiated from common resistance; and profiles of responders versus nonresponders are described. A rationale of the combined treatment, its results, and implications for group therapists are all delineated.     

Holt's Rorschach Measure of Adaptive Regression,Mathematical Artifact,and Prediction of Psychotherapy Outcome

In Holt's primary process system for scoring the Rorschach, a summary score of adaptive regression is derived by combining the “Defense Demand” (DD) and “Defense Effectiveness” (DE) scores associated with most responses. The adaptive regression score is criticized because its computation involves a mathematical artifact which in effect creates a score that is very similar to the simpler DE measure. An alternative method for considering DD and DE jointly as a measure of adaptive regression is presented, and this alternative method is illustrated with data from a recent psychotherapy study.     

A Muscle Awareness Model for Changes in Rorschach Human Movement Responses

The present series of studies sought to provide evidence that M would increase under any conditions which make an S more aware of his muscles. The studies demonstrated that at least in women, M increased over a variety of conditions involving heightened muscle awareness. Specifically M increased in conditions utilizing muscle activation, deactivation, hypnosis, and focusing thoughts on the body musculature. The muscle awareness model unlike the sensory-tonic model accounts for increases in M following hyperactivity as well as inhibition.     

Short-Term Psychodynamic Psychotherapy for personality disorders: a critical review of randomized controlled trials

The research evidence for Short-Term Psychodynamic Psychotherapy (STPP) in the treatment of personality disorders (PD) was examined through consideration of studies utilizing randomized controlled designs. An extensive literature search revealed eight published Randomized Controlled Trials (RCT) of moderate study quality. A critical review of this literature is offered to provide an evidence-based guidance for clinicians and implications for treatments are discussed. Preliminary conclusions suggest STPP may be considered an efficacious empirically-supported treatment option for a range of PDs, producing significant and medium to long-term improvements for a large percentage of patients. Further research is recommended to allow comparisons with alternative evidence-based approaches.