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Related Experiment Videos

Change after long-term psychoanalytic psychotherapy.

Alexander Wilczek1, Jacques P Barber, J Petter Gustavsson

  • 1Department of Clinical Neuroscience, Psychotherapy Section, Karolinska Institutet, Stockholm, Sweden. alexander.wilczek@pi.ki.se

Journal of the American Psychoanalytic Association
|February 3, 2005
PubMed
Summary

Long-term psychoanalytic psychotherapy significantly reduced patient suffering and character pathology. Patients completing treatment showed improvements in crucial life aspects, unlike those not in therapy.

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Area of Science:

  • Psychology
  • Psychotherapy Research

Background:

  • Psychoanalytic psychotherapy is a traditional, long-term treatment.
  • There is a lack of published studies evaluating its effectiveness.

Purpose of the Study:

  • To evaluate the effects of long-term psychoanalytic psychotherapy in a naturalistic setting.
  • To assess changes in symptomatic suffering and character pathology.

Main Methods:

  • A naturalistic study involving 55 individuals selected for long-term psychoanalytic psychotherapy (average 3 years).
  • Psychotherapists had an average of 15 years of experience.
  • Evaluations used the Karolinska Psychodynamic Profile (KAPP) and Karolinska Scales of Personality.

Main Results:

  • 36 patients who completed psychotherapy showed substantial reductions in symptomatic suffering and character pathology.

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  • Improvements were observed across eight KAPP subscales related to character aspects.
  • Individuals not engaging in treatment did not show similar changes.

    • Conclusions:

    • Long-term psychoanalytic psychotherapy is effective in reducing symptomatic suffering.
    • The treatment enhances patients' capacity to handle crucial life aspects and improves personality organization.