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Am J Psychiatry 1986; 143:582-589
Copyright © 1986 by American Psychiatric Association


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Comprehensive analysis of change after brief dynamic psychotherapy

MJ Horowitz, CR Marmar, DS Weiss, NB Kaltreider and NR Wilner

This report provides data on symptom levels by using group means as well as categories of clinical relevance as they change over the course of treatment and also examines change "beyond symptoms" as levels of adaptive functioning. This approach allows a more comprehensive analysis of change in a series of patients with pathological grief reactions treated with brief dynamic psychotherapy. The different perspectives on outcome of the patient, the evaluating clinician, the treating clinician, and independent judges are compared. The findings from all perspectives indicate that major symptom relief occurred in the majority of patients, with less change in adaptive abilities.


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