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Can we do psychoanalytic outcome research? A feasibility study.

S C Vaughan, R D Marshall, R A Mackinnon

    The International Journal of Psycho-Analysis
    |September 1, 2000
    PubMed
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    Rigorous studies on long-term psychodynamic treatments are feasible. This study shows psychodynamic therapies, including psychoanalysis, can yield positive outcomes and retain patients in research protocols.

    Area of Science:

    • Psychiatry
    • Psychology
    • Clinical Research

    Background:

    • Long-term psychodynamic treatments are widely used but lack rigorous outcome studies.
    • Previous research has faced challenges in patient recruitment and retention for psychodynamic therapy studies.

    Purpose of the Study:

    • To assess the feasibility of recruiting and retaining patients in psychodynamic treatments for research.
    • To evaluate patient and therapist adherence to study protocols.
    • To gather preliminary data on treatment outcomes after one year.

    Main Methods:

    • A feasibility study involving patients undergoing psychoanalysis (N=9) and psychodynamic psychotherapy (N=15).
    • Data collection at baseline, six months, and one year, including self-report measures, structured interviews, and audio recordings.

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  • Analysis of recruitment rates, retention, compliance, and clinical changes.

    • Main Results:

    • Recruitment rates were 27% for psychoanalysis and 83% for psychotherapy.
    • High retention rates were observed among participants who remained in treatment.
    • Significant positive changes were noted on various measures after one year, despite a small sample size.
    • Over 60% of patients presented with current Axis I disorders (affective or anxiety).

    Conclusions:

    • Demonstrating therapeutic effects of psychodynamic treatments, including psychoanalysis, is possible through rigorous research.
    • Improving clinical perceptions of research is crucial for future methodologically sound outcome studies.
    • Feasibility of conducting outcome research in psychodynamic treatments is supported by high retention and positive preliminary results.