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Psychotherapy research: do we know what works for whom?

Fonagy, P; (2010) Psychotherapy research: do we know what works for whom? British Journal of Psychiatry , 197 (2) 83 - 85. 10.1192/bjp.bp.110.079657. Green open access

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Abstract

Clinical decision-making about suitability for psychological therapies is hampered by limitations of psychotherapy research and our lack of understanding of therapeutic mechanisms. Watzke et al's important randomised controlled study offers apparent validation for clinical judgement in relation to suitability for psychodynamic psychotherapy but also highlights the negative effects of unselected assignment to this type of treatment. Here, I consider why systematic selection for this form of treatment may be important and suggest how the limited effectiveness of psychodynamic therapy for an unselected group of patients may be addressed by more systematic treatment delivery and the ongoing monitoring of intermediate treatment outcomes.

Type: Article
Title: Psychotherapy research: do we know what works for whom?
Open access status: An open access version is available from UCL Discovery
DOI: 10.1192/bjp.bp.110.079657
Publisher version: http://dx.doi.org/10.1192/bjp.bp.110.079657
Language: English
Additional information: This is an author-produced electronic version of an article accepted for publication in the British Journal of Psychiatry. The definitive publisher-authenticated version is available online at http://bjp.rcpsych.org.
Keywords: Term psychodynamic psychotherapy, metaanalysis
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/133700
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