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Objective: Few studies have explored the effectiveness of short-term psychodynamic psychotherapy in children and adolescents. We aimed to investigate its efficacy in a heterogeneous group of young patients. We also wanted to check any relation between the improvement and patients' age, sex, or diagnostic category.
Methods: We recruited a group of 123 patients (11 to 19 years old) with a diagnosis of psychiatric disorders confirmed by Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS). All participants received eight sessions of psychodynamic psychotherapy ("Brief Individuation Psychotherapy" by Senise). They were assessed using the Clinical Global Impression (Severity at baseline, Improvement after treatment), and the Children's Global Assessment Scale (C-GAS).
Results: We found a clinically meaningful improvement in most patients (CGI-I 3 or lower; 79 out of 123, 64.2%) and a statistically significant improvement in the overall functioning (as measured by the C-GAS; p<0.001). We found no effect of age or sex of the patient on results obtained; patients with an externalizing disorder had significantly poorer results.
Conclusion: Our study, although lacking a control group, supports the possibility to use short-term psychodynamic psychotherapy in the treatment of psychiatric disorders in preadolescents and adolescents affected by psychiatric disorders.
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http://dx.doi.org/10.30773/pi.2021.0015 | DOI Listing |
Psychodyn Psychiatry
September 2025
Private practice, Tampa, Florida; Assistant Professor of Psychiatry, University of Central Florida College of Medicine; Adjunct Assistant Professor of Psychiatry, Tufts University School of Medicine.
Paleologic thinking, a prelogical mode of reasoning described by Silvano Arieti, is characterized by emotion-driven, retrospective reasoning and has been observed in severe mental illnesses such as schizophrenia. The author explores its relevance to borderline personality disorder, an area that has been historically understudied. Patients with borderline personality disorder often regress into paleologic modes of thought during interpersonal distress, resulting in illogical conclusions driven by feelings rather than evidence.
View Article and Find Full Text PDFPsychodyn Psychiatry
September 2025
Clinical Professor of Psychiatry, New York Medical College.
A survey of 20 older psychodynamic psychiatrists was conducted to determine practice metrics, venues of clinical care, and clinician's subjective observations. The post-pandemic normalization of teletherapy, societal acceptance of psychoactive medication into the practice of psychotherapy, significant advances in medical care for older persons, and increased utility of computer technology have enabled clinicians to work into their later years. The integration of supportive therapeutic techniques with psychoanalytic principles coupled with long-term weekly or biweekly treatment has largely replaced intensive formal psychoanalytic therapy of an earlier era.
View Article and Find Full Text PDFIn transference-focused psychotherapy (TFP), an evidence-based treatment for patients with borderline personality disorder (BPD), the attention paid to establishing and tracking goals is both organizing and distinctive. The objective of this article is to describe TFP's unusual emphasis on first elucidating and then focusing on a patient's concrete, measurable personal goals. We review the critical distinction between the patient's goals and the therapist's goals.
View Article and Find Full Text PDFPsychodyn Psychiatry
September 2025
Clinical Professor of Psychiatry, Columbia University, and Editor, Psychodynamic Psychiatry.
In this issue of , we publish the clinical article "Older Psychodynamic Psychiatrists: Practice Metrics and Subjective Observations," by Douglas Ingram and Myron Glucksman. The authors queried in depth a convenience sample of 20 psychodynamic psychiatrists 65 years of age or older who were still actively practicing and reporting deep satisfaction. A similar unpublished study by Judith Kantrowitz of psychoanalysts in the same age group found high degrees of investment and engagement in their survey participants.
View Article and Find Full Text PDFReflecting on early-career experiences working with patients with severe personality disorders in a therapeutic community, this article explores the counter-transference challenges faced by novice clinicians. I discuss how intense patient projections can activate unresolved conflicts within therapists, often influencing their clinical responses. Countertransference is examined as a co-created experience shaped by both therapist and patient dynamics.
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