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Examining Psychotherapeutic Processes with Depressed Adolescents: A Comparative Study of Two Psychodynamic Therapies

Author

Listed:
  • Ana Calderon

    (Escuela de Psicología, Universidad Gabriela Mistral, Santiago 7500533, Chile)

  • Knut Arne Hooper Storeide

    (Department of Psychology, University of Oslo, Forskningsveien 3, 0370 Oslo, Norway)

  • Cecilie Elvejord

    (Department of Psychology, University of Oslo, Forskningsveien 3, 0370 Oslo, Norway)

  • Helene Amundsen Nissen-Lie

    (Department of Psychology, University of Oslo, Forskningsveien 3, 0370 Oslo, Norway)

  • Randi Ulberg

    (Faculty of Medicine, University of Oslo, 0372 Oslo, Norway
    Research Unit, Division of Mental Health, Vestfold Hospital Trust, 3103 Tønsberg, Norway
    Department of Psychiatry, Diakonhjemmet Hospital, Forskningsveien 7, 0370 Oslo, Norway)

  • Hanne-Sofie Johnsen Dahl

    (Department of Psychology, University of Oslo, Forskningsveien 3, 0370 Oslo, Norway
    Research Unit, Division of Mental Health, Vestfold Hospital Trust, 3103 Tønsberg, Norway)

Abstract

To understand processes associated with better or poorer psychotherapy outcomes is vital. This study examined and contrasted interaction patterns between one therapist and two depressed 17-year-old girls, Johanna (good outcome) and Sonja (poor outcome), in short-term psychoanalytic therapies selected from an RCT. Outcome data were collected regarding level of inter- and intra-personal functioning and symptoms of depression. Process data were obtained using the Adolescent Psychotherapy Q-Set on all available sessions. Analyses yielded five relational patterns or “interaction structures” in the two therapy processes; Three explained most of the variance in sessions with Johanna (i.e., ‘positive working alliance’, ‘therapist’s active use of psychodynamic techniques’, and ‘a receptive patient’) and two explained more of the variance in sessions with Sonja (i.e., ‘therapist using a more problem-solving and symptom-oriented approach’ and ‘patient displaying limited capacity for mentalization’). The processes in the two cases presented differences related to mentalization, psychological mindedness, and attachment style of the patients. The therapist used different therapeutic approaches, favouring more psychodynamic interventions in the good outcome case and a more problem-solving and symptom-oriented approach with the poor outcome case. In the latter case, the relationship seemed to be more of a struggle.

Suggested Citation

  • Ana Calderon & Knut Arne Hooper Storeide & Cecilie Elvejord & Helene Amundsen Nissen-Lie & Randi Ulberg & Hanne-Sofie Johnsen Dahl, 2022. "Examining Psychotherapeutic Processes with Depressed Adolescents: A Comparative Study of Two Psychodynamic Therapies," IJERPH, MDPI, vol. 19(24), pages 1-20, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:16939-:d:1005823
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    References listed on IDEAS

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    1. Hans Ole Korsgaard & Randi Ulberg & Benjamin Hummelen & Nick Midgley & Agneta Thorén & Hanne-Sofie Johnsen Dahl, 2022. "Personality Disorders as a Possible Moderator of the Effects of Relational Interventions in Short-Term Psychoanalytic Psychotherapy with Depressed Adolescents," IJERPH, MDPI, vol. 19(17), pages 1-12, September.
    2. Barış Can & Sibel Halfon, 2021. "Interaction Structures in Psychodynamic Psychotherapy for Adolescents," IJERPH, MDPI, vol. 18(24), pages 1-15, December.
    3. Louis Guttman, 1954. "Some necessary conditions for common-factor analysis," Psychometrika, Springer;The Psychometric Society, vol. 19(2), pages 149-161, June.
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