The effectiveness of psychological treatments in psychiatry

Peter Fonagy; Joel Paris

doi:10.1017/CBO9780511544392.007

5 - The effectiveness of psychological treatments in psychiatry

from Part II - Summary of treatment modalities in psychiatric disorders

Published online by Cambridge University Press: 12 May 2010

Peter Fonagy and

Joel Paris

Edited by

Peter Tyrer and

Kenneth R. Silk

Show author details

Peter Fonagy: Affiliation:
University College London; Chief Executive The Anna Freud Centre Sub-Department of Clinical Health Psychology University College London London UK
Joel Paris: Affiliation:
Institute of Community and Family Psychiatry SMBD-Jewish General Hospital Montreal, QC Canada
Peter Tyrer: Affiliation:
Imperial College of Science, Technology and Medicine, London
Kenneth R. Silk: Affiliation:
University of Michigan, Ann Arbor

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Summary

Editor's note

Psychotherapy appears to be effective when compared to naturalistic outcome. While the benefits of psychotherapy may differ across different disorders and different types of psychotherapy may be more effective for certain disorders and less effective for other disorders, repeatedly psychotherapy has shown itself to be more effective than naturalistic outcome. While there are many different types of psychotherapy, they essentially fall into two large classes, the psychodynamic therapies, which includes interpersonal psychotherapy, and the behavioral and cognitive-behavioral therapies. There are also a number of other therapies classified as supportive therapy and experiential therapy. Group and systems, including family, therapy can be subsumed under the above groupings. Currently, there is great attention being paid to both the behavioral (including cognitive-behavioral) and the interpersonal psychotherapies because these seem amenable to study via randomized control methodology. These therapies are also time-limited which facilitates their empirical study because there is a specified time limit or time point at which outcome can be measured. What the essential ingredients are that contribute to a successful therapy remain speculative, but client factors, therapist factors, and the maintenance of a healthy and positive alliance between client and therapist appear to be major influences. Others factors include a well-defined contract, encouraging openness in the patient, and maintaining a focus on current life problems and relationships. There is little evidence to support long-term open-ended therapy no matter what the approach.

Type: Chapter
Information: Cambridge Textbook of Effective Treatments in Psychiatry , pp. 98 - 115

DOI: https://doi.org/10.1017/CBO9780511544392.007 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2008

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5 - The effectiveness of psychological treatments in psychiatry

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