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Document Typology: Report
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Title of document: Predictive value of object relations
Name of author(s): Raimundas Alekna
Name of publisher: Magazine ""Medicine news today "" 2009 t.t.43
Language of the publication: English
Language of the review: English
The concept of object relations has been shown to be relevant for the process and outcome of psychodynamic psychotherapies. However, little is known about its relevance for the psychotherapeutic treatment of depression. In this study, we explored the predictive value of object relational functioning (ORF) for the therapeutic alliance and outcome of short-term psychodynamic supportive psychotherapy in patients with mild to moderately severe depression. The ORF of 81 patients was rated by using the Developmental Profile. The overall maturity of ORF measured at baseline was higher in patients who showed a better treatment response. In multiple regression analysis, the adaptive level of individuation appeared to be specifically predictive of outcome. Patients with a recurrent depression showed less mature levels of ORF, lower adaptive levels and a higher score on the symbiotic level. No association was found between ORF and therapeutic alliance during treatment. In contrast to the single measure of alliance early in therapy, the growth of the alliance was related to outcome. The study indicated the relevance of ORF for depression and established that it is distinctive from the actual therapeutic alliance.
Reviewer's comments on the document:
James Donovan provides a model for short-term object relations couples therapy, while at the same time offering an easy-to-read primer on object relations that gives the practitioner a step-by-step model replete with examples for using object relations in practice. The goal of this short-term therapy is that couples emerge with an awareness of these internalised object relations and their significance. This book builds on previously successful couples work by advising the therapist to focus on the core, recurring impasse that threatens the couples relationship and stirs old wounds, and gives detailed intervention strategies that focus on the mediation and resolution of the core fight
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