Intensive short-term dynamic psychotherapy provided by novice psychotherapists: effects on symptomatology and psychological structure in patients with anxiety disorders

This study examines the effectiveness of psychotherapy provided by novice therapists, in an attempt to clarify the controversial relationship between treatment effectiveness and therapist experience. To achieve this, we examined the short- and long-term effectiveness of intensive short-term dynamic...

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Main Authors: Diego Rocco, Vincenzo Calvo, Vito Agrosì, Francesca Bergami, Luce Maria Busetto, Silvia Marin, Giovanna Pezzetta, Luca Rossi, Lorenzo Zuccotti, Allan Abbass
Format: Article
Language:English
Published: PAGEPress Publications 2021-04-01
Series:Research in Psychotherapy
Subjects:
Online Access:https://researchinpsychotherapy.org/index.php/rpsy/article/view/503
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author Diego Rocco
Vincenzo Calvo
Vito Agrosì
Francesca Bergami
Luce Maria Busetto
Silvia Marin
Giovanna Pezzetta
Luca Rossi
Lorenzo Zuccotti
Allan Abbass
author_facet Diego Rocco
Vincenzo Calvo
Vito Agrosì
Francesca Bergami
Luce Maria Busetto
Silvia Marin
Giovanna Pezzetta
Luca Rossi
Lorenzo Zuccotti
Allan Abbass
author_sort Diego Rocco
collection DOAJ
description This study examines the effectiveness of psychotherapy provided by novice therapists, in an attempt to clarify the controversial relationship between treatment effectiveness and therapist experience. To achieve this, we examined the short- and long-term effectiveness of intensive short-term dynamic psychotherapy (ISTDP) in the treatment of patients with the Diagnostic and Statistical Manual of Mental Disorder, IV edition - Text Revision anxiety disorders, as provided by novice psychology trainees. Twenty-two patients with anxiety disorders were provided ISTDP. Patients improved significantly on all outcome indices, including the global assessment of functioning, the symptom checklist and the inventory of interpersonal problems, at the end of the treatment and at 6 and 12 month follow-up. In addition to these results, there was marked structural personality change as evidenced by ratings on the Shedler Westen assessment procedure (SWAP-200), at the same assessment moments; the SWAP-200 psychological health index score showed a meaningful increase in adaptive psychological resources and capacities, while the mean number of personality diagnoses decreased from the beginning to the end of therapy, and all patients maintaining their gains in 6-12 month follow-up. We conclude that ISTDP provided by novice psychotherapists is efficacious in bringing broad and in-depth change to pathology that can perpetuate anxiety disorders and other psychiatric conditions.
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spelling doaj.art-b588285582494523a80f7e014476e30b2022-12-21T23:11:26ZengPAGEPress PublicationsResearch in Psychotherapy2499-75522239-80312021-04-0124110.4081/ripppo.2021.503Intensive short-term dynamic psychotherapy provided by novice psychotherapists: effects on symptomatology and psychological structure in patients with anxiety disordersDiego Rocco0Vincenzo Calvo1Vito Agrosì2Francesca Bergami3Luce Maria Busetto4Silvia Marin5Giovanna Pezzetta6Luca Rossi7Lorenzo Zuccotti8Allan Abbass9Department of Developmental and Social Psychology, University of Padova, PadovaDepartment of Philosophy, Sociology, Pedagogy and Applied Psychology, University of Padova, PadovaC.I.S.S.P.A.T. Centro Italiano Studio Sviluppo Psicoterapie A breve Termine, PadovaC.I.S.S.P.A.T. Centro Italiano Studio Sviluppo Psicoterapie A breve Termine, PadovaC.I.S.S.P.A.T. Centro Italiano Studio Sviluppo Psicoterapie A breve Termine, PadovaC.I.S.S.P.A.T. Centro Italiano Studio Sviluppo Psicoterapie A breve Termine, PadovaC.I.S.S.P.A.T. Centro Italiano Studio Sviluppo Psicoterapie A breve Termine, PadovaC.I.S.S.P.A.T. Centro Italiano Studio Sviluppo Psicoterapie A breve Termine, PadovaC.I.S.S.P.A.T. Centro Italiano Studio Sviluppo Psicoterapie A breve Termine, PadovaCentre for Emotions and Health, Dalhousie UniversityThis study examines the effectiveness of psychotherapy provided by novice therapists, in an attempt to clarify the controversial relationship between treatment effectiveness and therapist experience. To achieve this, we examined the short- and long-term effectiveness of intensive short-term dynamic psychotherapy (ISTDP) in the treatment of patients with the Diagnostic and Statistical Manual of Mental Disorder, IV edition - Text Revision anxiety disorders, as provided by novice psychology trainees. Twenty-two patients with anxiety disorders were provided ISTDP. Patients improved significantly on all outcome indices, including the global assessment of functioning, the symptom checklist and the inventory of interpersonal problems, at the end of the treatment and at 6 and 12 month follow-up. In addition to these results, there was marked structural personality change as evidenced by ratings on the Shedler Westen assessment procedure (SWAP-200), at the same assessment moments; the SWAP-200 psychological health index score showed a meaningful increase in adaptive psychological resources and capacities, while the mean number of personality diagnoses decreased from the beginning to the end of therapy, and all patients maintaining their gains in 6-12 month follow-up. We conclude that ISTDP provided by novice psychotherapists is efficacious in bringing broad and in-depth change to pathology that can perpetuate anxiety disorders and other psychiatric conditions.https://researchinpsychotherapy.org/index.php/rpsy/article/view/503Intensive short-term dynamic psychotherapyoutcomeanxiety disorderstrainees.
spellingShingle Diego Rocco
Vincenzo Calvo
Vito Agrosì
Francesca Bergami
Luce Maria Busetto
Silvia Marin
Giovanna Pezzetta
Luca Rossi
Lorenzo Zuccotti
Allan Abbass
Intensive short-term dynamic psychotherapy provided by novice psychotherapists: effects on symptomatology and psychological structure in patients with anxiety disorders
Research in Psychotherapy
Intensive short-term dynamic psychotherapy
outcome
anxiety disorders
trainees.
title Intensive short-term dynamic psychotherapy provided by novice psychotherapists: effects on symptomatology and psychological structure in patients with anxiety disorders
title_full Intensive short-term dynamic psychotherapy provided by novice psychotherapists: effects on symptomatology and psychological structure in patients with anxiety disorders
title_fullStr Intensive short-term dynamic psychotherapy provided by novice psychotherapists: effects on symptomatology and psychological structure in patients with anxiety disorders
title_full_unstemmed Intensive short-term dynamic psychotherapy provided by novice psychotherapists: effects on symptomatology and psychological structure in patients with anxiety disorders
title_short Intensive short-term dynamic psychotherapy provided by novice psychotherapists: effects on symptomatology and psychological structure in patients with anxiety disorders
title_sort intensive short term dynamic psychotherapy provided by novice psychotherapists effects on symptomatology and psychological structure in patients with anxiety disorders
topic Intensive short-term dynamic psychotherapy
outcome
anxiety disorders
trainees.
url https://researchinpsychotherapy.org/index.php/rpsy/article/view/503
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