La réalisation symbolique by Marguerite Sechehaye

By Marguerite Sechehaye

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STPP was significantly superior to CBT in the number of abstinent days and in the improvement of general psychiatric symptoms. Effectiveness of Psychoanalytic Therapy in Patients with Complex Psychiatric Disorders: Evidence from Naturalistic Studies As discussed above, the methodology of RCT is hardly applicable to LTPP lasting several years. Thus, for these long-term treatments, effectiveness studies (naturalistic studies) are the appropriate method of research [9, 12, 13, 15, 100]. The National Institute of Mental Health in the USA (NIMH) has specifically called for more effectiveness research [101].

Oberbracht, C. Effektivita¨t und Effizienz psychoanalytischer Langzeittherapie: Die Praxisstudie Analytische Langzeitpsychotherapie [Effectiveness and efficiency of long-term psychoanalytic therapy: The practice study of long-term psychoanalytic therapy]. , eds. Psychoanalyse des Glau¨ bens. Gießen: Psychosozial Verlag; 2004. 106. , & Staats, H. The effectiveness of psychoanalytic therapy. First results of the ‘‘Gottingen study of of psychoanalytic and psycho¨ dynamic therapy’’. Int J Psychoanal 2005; 86: 433–55.

Leichsenring psychotherapy research the defining features of RCTs such as randomization, use of treatment manuals, focus on specific mental disorder and frequently excluding patients with a poor prognosis raise the question as to whether RCTs are sufficiently representative of clinical practice [7–14]. Furthermore, the methodology of RCT with its use of treatment manuals and randomized control conditions is hardly applicable to long-term psychotherapy lasting several years [12, 15]. Contrary to RCTs, naturalistic studies (effectiveness studies) are conducted under the conditions of clinical practice.

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