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Review essay Patrick Casement: Learning from the Patient

  • I outline the arguments advanced by Lester Luborsky and Hans H. Strupp on the current controversy regarding empirically supported treatment (EST). I support Luborsky's criticisms of some current attempts to provide empirical support for psychoanalytic treatment, but, unable to endorse the conclusion that therapies are equally effective, I argue that substantial evidence does exist to guide clinicians, even if this evidence is not yet accessible through a mechanical process of review. I also suggest that Luborsky's >open verdict< on the length-of-treatment issue is too conservative: Longer psychoanalytic treatments have been repeatedly associated with superior outcomes across a range of measures. I agree with Strupp that the current emphasis on EST is probably motivated primarily by economic rather than ethical conditions. However, I criticize Strupp's largely negative treatment of the issue of treatment >manualization< and argue that, though manualization is a mixed blessing, only a clear, structured, and coherent framework that guides the therapeutic process can enable the therapist to withstand the interpersonal pressures inevitably generated in the consulting room. I conclude by arguing that there is a need for refinement of the concepts and methods by which outcomes are evaluated in order to help psychoanalysis and psychotherapy become a more specific family of treatments for particular conditions.

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Metadaten
Author:Peter Fonagy
Parent Title (English):Psychoanalytic Dialogues Vol. 11 (2001), pp. 647-658.
Document Type:Reviews
Language:English
Year of first Publication:2001
Release Date:2017/11/20
Format:xerox upon request / Fotokopie auf Anfrage
IdNo:Fonagy_P_2001a
Erich Fromm's Library and Erich Fromm Archive:Reviews / Rezensionen
Licence (German):
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