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Supportive psychodynamic psychotherapy for psychosis

  • Bent Rosenbaum, Brian Martindale and Alison Summers

Summary

The UK National Institute for Health and Care Excellence guidance suggests that psychodynamic principles may be used to understand the experiences of people with psychosis. In this article we consider the application of psychodynamic principles in psychotherapy for psychosis, focusing on one particular model: supportive psychodynamic psychotherapy (SPP). We describe this approach with a detailed fictitious case example and discuss how SPP has developed through significant modifications of classical psychoanalytic therapy and the evidence base for it. We consider its overlap with cognitive–behavioural therapy, its advantages and disadvantages, and the arguments for making SPP available as a treatment option in services for psychosis.

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Copyright

Corresponding author

Bent Rosenbaum, Department of Psychology, University of Copenhagen, ⊘ster Farimagsgade 2A, 1353 Copenhagen K, Denmark. Email: bent.rosenbaum@dadlnet.dk

Footnotes

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This is the third in a series of articles in Advances that consider the contribution of psychodynamic approaches in psychosis: see also Martindale 2013; Summers 2013a.

Declaration of Interest

None.

Footnotes

References

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Adshead, G, Fonagy, P (2012) How does psychotherapy work? The self and its disorders. Advances in Psychiatric Treatment 18: 242–9.
Aaltonen, JSJ (2011) The comprehensive open-dialogue approach in Western Lapland: I. The incidence of non-affective psychosis and prodromal states. Psychosis 3: 179–91.
Arieti, S (1974) Interpretation of Schizophrenia. Crosby-Lockwood-Staple.
Beck, AT (1952) Successful outpatient psychotherapy of a chronic schizophrenic with a delusion based on borrowed guilt. Psychiatry 15: 305–12.
Bertschinger, H (1916) Process of recovery in schizophrenics. Psychoanalytic Review 3: 176–88.
Bjerre, P (1912) Zur Radikalbehandlung der chronischen Paranoia [Radical treatment of chronic paranoia]. Jahrbuch für Psychoanalyse und Psychopathologische Forschungen 3: 759–47.
Bion, WR (1957) Differentiation of the psychotic from the non-psychotic personalities. International Journal of Psychoanalysis 38: 266–75.
Bola, JR, Lehtinen, K, Cullberg, J et al (2009) Psychosocial treatment, antipsychotic postponement, and low-dose medication strategies in first-episode psychosis: a review of the literature. Psychosis 1: 418.
Bola, JR, Kao, DT, Soydan, H (2012) Antipsychotic medication for early-episode schizophrenia. Schizophrenia Bulletin 38: 23–5.
Borneo, A (2008) Your Choice. Results from the Your Treatment, Your Choice Survey: Final Report. Rethink.
Federn, P (1952) Ego Psychology and the Psychoses. Basic Books.
Frank, AF, Gunderson, JG (1990) The role of the therapeutic alliance in the treatment of schizophrenia: relationship to course and outcome. Archives of General Psychiatry 47: 228–36.
Freud, S (1940) An outline of psychoanalysis. Reprinted (1953–1974) in the Standard Edition of the Complete Psychological Works of Sigmund Freud (trans. & ed. Strachey, J.), vol. 14, 23: 141207.
Fromm-Reichmann, F (1959) Psychoanalysis and Psychotherapy. University of Chicago Press.
Frosch, J (1983) The Psychotic Process. International Universities Press.
Fuller, PR (2013) Surviving, Existing, or Living: Phase-Specific Therapy for Severe Psychosis. Routledge. In press.
Garfied, DAS (1995) Unbearable Affect. John Wiley & Sons.
Garrett, M, Turkington, D (2011) CBT for psychosis in a psychoanalytic frame. Psychosis 3: 213.
Hingley, SM (1997) Psychodynamic perspectives on psychosis and psychotherapy: II. Practice. British Journal of Medical Psychology 70: 313–24.
Jones, C, Hacker, D, Cormack, I et al (2012) Cognitive behaviour therapy versus other psychosocial treatments for schizophrenia (review). The Cochrane Library issue 5, doi: 10.1002/14651858.CD008712.pub2.
Kempf, EJ (1919) The psychoanalytic treatment of dementia praecox. Psychoanalytic Review 6: 1558.
Liotti, G, Gumley, A (2008) An attachment perspective on schizophrenia: the role of disorganized attachment, dissociation and mentalization. In Psychosis, Trauma and Dissociation: Emerging Perspectives on Severe Psychopathology (eds Moskowitz, A, Schafer, I, Dorahy, MJ) 117–34. John Wiley & Sons.
Lysaker, PH, Buck, KD (2010) Metacognitive capacity as a focus of individual psychotherapy in schizophrenia. In Metacognition and Severe Adult Mental Disorders: From Research to Treatment (eds Dimaggio, G, Lyskaker, PH) 217–32. Routledge.
Lysaker, PH, Buck, KD, Fogley, RL et al (2012) The mutual development of intersubjectivity and metacognitive capacity in the psychotherapy for persons with schizophrenia. Journal of Contemporary Psychotherapy, published online 31 August 2012; doi: 10.1007/s10879-012-9218-4.
Martindale, B, Summers, A (2013) The psychodynamics of psychosis. Advances in Psychiatric Treatment 19: 124–31.
McGlashan, TH (1983) Intensive individual psychotherapy of schizophrenia: a review of techniques. Archives of General Psychiatry 40: 909–20.
Morrison, AP, Barratt, S (2010) What are the components of CBT for psychosis? A Delphi study. Schizophrenia Bulletin 36: 136–42.
Morrison, AP, Hutton, P, Shiers, D et al (2012) Antipsychotics: is it time to introduce patient choice? British Journal of Psychiatry 201: 83–4.
National Institute for Health and Clinical Excellence (2009) Schizophrenia: Core Interventions in the Treatment and Management of Schizophrenia in Adults in Primary and Secondary Care (Updated Edition). British Psychological Society/Royal College of Psychiatrists.
Rosenbaum, B, Valbak, K, Harder, S et al (2005) The Danish National Schizophrenia Project: prospective, comparative longitudinal treatment study of first-episode psychosis. British Journal of Psychiatry 186: 394–9.
Rosenbaum, B, Valbak, K, Harder, S et al (2006) Treatment of patients with first episode psychosis: two-year outcome data from the Danish National Schizophrenia Project. World Psychiatry 5: 99102.
Rosenbaum, B, Harder, S (2007) Psychosis and the dynamics of the psychotherapy process. International Review of Psychiatry 19: 112.
Rosenbaum, B, Harder, S, Knudsen, P et al (2012) Supportive psychodynamic psychotherapy versus treatment as usual for first episode psychosis: two-year outcome. Psychiatry: Interpersonal and Biological Processes 75: 331–41.
Seikkula, JAB, Alakare, B, Aaltonen, J (2011) The comprehensive open-dialogue approach in Western Lapland: II. Long-term stability of acute psychosis outcomes in advanced community care. Psychosis 3: 192204.
Stone, MH, Albert, HD, Forrest, DV et al (1983) Treating Schizophrenic Patients: A Clinical Approach. McGraw-Hill.
Summers, A, Martindale, B (2013a) Using psychodynamic principles in formulation in everyday practice. Advances in Psychiatric Treatment 19: 203–11.
Summers, A, Rosenbaum, B (2013b) Psychodynamic psychotherapy for psychosis: empirical evidence. In Models of Madness: Psychological, Social and Biological Approaches to Psychosis (2nd edn) (eds Read, J, Dillon, J) Routledge. In press.
Warner, R (2003) How much of the burden of schizophrenia is alleviated by treatment? British Journal of Psychiatry 183: 375–6.
Watzke, B, Rüddel, H, Jürgensen, R et al (2010) Effectiveness of systematic treatment selection for psychodynamic and cognitive-behavioural therapy: randomised controlled trial in routine mental healthcare. British Journal of Psychiatry 197: 96105.

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Supportive psychodynamic psychotherapy for psychosis

  • Bent Rosenbaum, Brian Martindale and Alison Summers
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