Recasting Psychodynamics into a Behavioral Framework: A Review of the Theory of Psychopathology, Treatment Efficacy, and Process of Change of the Affect Phobia Model

Journal of Contemporary Psychotherapy

Volumn 47, Issue 1, 2017, Pages 1-10

  Julien, Dominic ^a,b   O’Connor, Kieron P ^b  

^a UNIVERSITÉ DE MONTRÉAL   (Canada)

^b CENTRE DE RECHERCHE DE L INSTITUT UNIVERSITAIRE EN SANTÉ MENTALE DE MONTRÉAL   (Canada)

Author keywords

Affect phobia; Psychodynamics; Psychotherapy, psychodynamic; Review; Treatment outcome

Indexed keywords

ANXIETY DISORDER; ARTICLE; COGNITIVE THERAPY; DEPRESSION; FOLLOW UP; HUMAN; MEDLINE; MENTAL DISEASE; PERSONALITY DISORDER; PHOBIA; PILOT STUDY; PREGNANT WOMAN; PSYCHODYNAMICS; PSYCHOTHERAPY; PSYCINFO; RANDOMIZED CONTROLLED TRIAL (TOPIC); THERAPY EFFECT;

EID: 84957549529     PISSN: 00220116     EISSN: 15733564     Source Type: Journal    
DOI: 10.1007/s10879-016-9324-9     Document Type: Article

References (34)

1. Abbas, A., Town, J., & Driessen, E. (2011). The efficacy of short-term psychodynamic psychotherapy for depressive disorders with comorbid personality disorder. Psychiatry, 74, 58–71.
2. Berggraf, L., Ulvenes, P. G., Hoffart, A., McCullough, L., & Wampold, B. E. (2014a). Growth in sense of self and sense of others predicts reduction in interpersonal problems in short-term dynamic but not in cognitive therapy. Psychotherapy Research, 24, 456–469. doi:10.1080/10503307.2013.840401.
3. Berggraf, L., Ulvenes, P. G., Oktedalen, T., Hoffart, A., Stiles, T., McCullough, L., & Wampold, B. E. (2014b). Experience of affects predicting sense of self and others in short-term dynamic and cognitive therapy. Psychotherapy, 51, 246–257.
4. Berggraf, L., Ulvenes, P. G., Wampold, B. E., Hoffart, A., & McCullough, L. (2012). Properties of the Achievement of Therapeutic Objectives Scale (ATOS): A generalizability theory study. Psychotherapy Research, 22, 327–347. doi:10.1080/10503307.2011.653997.
5. Bhatia, M., Rodriguez, M. G., Fowler, D. M., Godin, J. E., Drapeau, M., & McCullough, L. (2009). Desensitization of conflicted feelings: Using the ATOS to measure early change in a single-case affect phobia therapy treatment. Archives of Psychiatry and Psychotherapy, 11, 31–38.
6. Dornelas, E. A., Ferrand, J., Stepnowski, R., Barbagallo, J., & McCullough, L. (2010). A pilot study of affect-focused psychotherapy for antepartum depression. Journal of Psychotherapy Integration, 20, 364–382. doi:10.1037/a0022035.
7. Driessen, E., Cuijpers, P., de Maat, S. C. M., Abbass, A. A., de Jonghe, F., & Dekker, J. J. M. (2010). The efficacy of short-term psychodynamic psychotherapy for depression: A meta-analysis. Clinical Psychology Review, 30, 25–36. doi:10.1016/j.cpr.2009.08.010.
8. Elliott, R., Watson, J. C., Goldman, R. N., & Greenberg, L. S. (2004). Learning emotion-focused therapy: The process-experiential approach to change. Washington, DC, US: American Psychological Association.
9. Ezriel, H. (1952). Notes on psychoanalytic group therapy: II. Interpretation. Research Psychiatry, 15, 119–126.
10. Johansen, P.-O., Krebs, T. S., Svartberg, M., Stiles, T. C., & Holen, A. (2011). Change in defense mechanisms during short-term dynamic and cognitive therapy in patients with Cluster C personality disorders. Journal of Nervous and Mental Disease, 199, 712–715. doi:10.1097/NMD.0b013e318229d6a7.
11. Johansson, R., Björklund, M., Hornborg, C., Karlsson, S., Hesser, H., Ljótsson, B., et al. (2013). Affect-focused psychodynamic psychotherapy for depression and anxiety through the Internet: A randomized controlled trial. PeerJ, 1, e102. doi:10.7717/peerj.102.
12. Kallestad, H., Valen, J., McCullough, L., Svartberg, M., Hoglend, P., & Stiles, T. C. (2010). The relationship between insight gained during therapy and long-term outcome in short-term dynamic psychotherapy and cognitive therapy for Cluster C personality disorders. Psychotherapy Research, 20, 526–534. doi:10.1080/10503307.2010.492807.
13. Koss, M. P., & Butcher, J. N. (1986). Research on brief psychotherapy. In S. L. Garfield & A. E. Bergin (Eds.), Handbook of psychotherapy and behavior change (pp. 624–670). New York: Wiley.
14. Kuhn, N. S., & McCullough, L. (2002). Short-term dynamic psychotherapy: Resolving character pathology by treating affect phobias. In S. G. Hofmann & M. C. Tompson (Eds.), Treating chronic and severe mental disorders: A handbook of empirically supported interventions (pp. 403–418). New York: Guilford Press.
15. Malan, D. H. (1979). Individual psychotherapy and the science of psychodynamics. London: Butterworth.
16. McCullough, L. (1999). Short-term psychodynamic therapy as a form of desensitization: Treating affect phobias. In Session: Psychotherapy in Practice, 4, 35–53. doi:10.1002/(SICI)1520-6572(199924)4:4.
17. McCullough, L. (2001). Desensitization of affect phobias in short-term dynamic psychotherapy. In M. F. Solomon, R. J. Neborsky, L. McCullough, M. Alpert, F. Shapiro, & D. Malan (Eds.), Short-term therapy for long-term change (pp. 54–82). New York: W. W. Norton & Co.
18. McCullough, L., Kuhn, N., Andrews, S., Kaplan, A., Wolf, J., & Hurley, C. L. (2003a). Treating affect phobia: A manual for short-term dynamic psychotherapy. New York: Guilford Press.
19. McCullough, L., Kuhn, N., Andrews, S., Valen, J., Hatch, D., & Osimo, F. (2003b). The reliability of the Achievement of Therapeutic Objectives Scale: A research and teaching tool for brief psychotherapy. Journal of Brief Therapy, 2, 75–90.
20. McCullough, L., & Magill, M. (2009). Affect-focused short-term dynamic therapy. In R. A. Levy & J. S. Ablon (Eds.), Handbook of evidence-based psychodynamic psychotherapy: Bridging the gap between science and practice (pp. 249–277). Totowa: Humana Press.
21. McCullough-Vaillant, L. (1997). Changing character: Short-term anxiety-regulating psychotherapy for restructuring defenses, affets, and attachment. New York: Basic Books.
22. Menninger, K. (1958). Theory of psychoanalytic technique. New York: Basic Books.
23. Messer, S. B. (2001). What makes brief psychodynamic therapy time efficient. Clinical Psychology: Science and Practice, 8, 5–22. doi:10.1093/clipsy.8.1.5.
24. Norcross, J. C., Gold, J. R., Fensterheim, H., Greenberg, L., & McCullough, L. (2000). Clinical exchange: The architectural failure. Journal of Psychotherapy Integration, 10, 1–35.
25. Ryum, T., Stiles, T. C., Svartberg, M., & McCullough, L. (2010). The role of transference work, the therapeutic alliance, and their interaction in reducing interpersonal problems among psychotherapy patients with Cluster C personality disorders. Psychotherapy: Theory, Research, Practice, Training, 47, 442–453. doi:10.1037/a0021183.
26. Ryum, T., Store-Valen, J., Svartberg, M., Stiles, T. C., & McCullough, L. (2014). Factor analysis of the Achievement of Therapeutic Objectives Scale (ATOS) in short-term dynamic psychotherapy and cognitive therapy. Psychological Assessment, 26, 925–934. doi:10.1037/a0036570.
27. Schanche, E., Nielsen, G. H., McCullough, L., Valen, J., & Mykletun, A. (2010). Training graduate students as raters in psychotherapy process research: Reliability of ratings with the Achievement of Therapeutic Objectives Scale (ATOS). Nordic Psychology, 62, 4–20. doi:10.1027/1901-2276/a000013.
28. Schanche, E., Stiles, T. C., McCullough, L., Svartberg, M., & Nielsen, G. H. (2011). The relationship between activating affects, inhibitory affects, and self-compassion in patients with Cluster C personality disorders. Psychotherapy, 48, 293–303. doi:10.1037/a0022012.
29. Svartberg, M., Stiles, T. C., & Seltzer, M. H. (2004). Randomized, controlled trial of the effectiveness of short-term dynamic psychotherapy and cognitive therapy for Cluster C personality disorders. The American Journal of Psychiatry, 161, 810–817. doi:10.1176/appi.ajp.161.5.810.
30. Ulvenes, P. G., Berggraf, L., Hoffart, A., Levy, R. A., Ablon, J., McCullough, L., & Wampold, B. E. (2012). Can two psychotherapy process measures be dependably rated simultaneously? A generalizability study. Journal of Counseling Psychology, 59, 638–644.
31. Ulvenes, P. G., Berggraf, L., Wampold, B. E., Hoffart, A., Stiles, T., & McCullough, L. (2014). Orienting patient to affect, sense of self, and the activation of affect over the course of psychotherapy with Cluster C patients. Journal of Counseling Psychology, 61, 315–324. doi:10.1037/cou0000028.
32. Valen, J., Ryum, T., Svartberg, M., Stiles, T. C., & McCullough, L. (2011). The Achievement of Therapeutic Objectives Scale: Interrater reliability and sensitivity to change in short-term dynamic psychotherapy and cognitive therapy. Psychological Assessment, 23, 848–855. doi:10.1037/a0023649.
33. Winston, A., Laikin, M., Pollack, J., Wallner Samstag, L., McCullough, L., & Muran, J. C. (1994). Short-term psychotherapy of personality disorders. American Journal of Psychiatry, 151, 190–194.
34. Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner’s guide. New York: The Guilford Press.