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Related Experiment Videos

Whatever happened to intensive psychotherapy?

K Z Altshuler1

  • 1Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas 75235-9070.

The American Journal of Psychiatry
|April 1, 1990
PubMed
Summary

Intensive psychotherapy training is declining. Few residency programs and psychotherapy research studies utilize once-a-week or more frequent patient sessions for long-term treatment.

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Area of Science:

  • Psychiatry
  • Psychology
  • Clinical Psychology

Background:

  • Long-term psychotherapy is a cornerstone of mental health treatment.
  • Training requirements and research paradigms shape the delivery of psychotherapy.

Purpose of the Study:

  • To assess current training requirements for long-term psychotherapy in residency programs.
  • To evaluate the frequency of intensive psychotherapy in outcome-related research.

Main Methods:

  • Survey distributed to 163 psychotherapy residency programs regarding training requirements.
  • Analysis of 41 psychotherapy protocols from the Society for Psychotherapy Research annual meeting.

Main Results:

  • Over 100 residency programs do not require patients to be seen more than once weekly.
  • Intensive psychotherapy (more than once-a-week sessions for 6+ months) is rarely featured in outcome research.

Conclusions:

  • Intensive psychotherapy is decreasing in both clinical training and research settings.
  • This trend may impact the availability and evidence base for in-depth psychotherapeutic interventions.

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