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Am J Psychiatry 1994; 151:190-194
Copyright © 1994 by American Psychiatric Association
Short-term psychotherapy of personality disorders
A Winston, M Laikin, J Pollack, LW Samstag, L McCullough and JC Muran
Department of Psychiatry, Beth Israel Medical Center, New York, NY 10003.
OBJECTIVE: The efficacy of short-term psychotherapy has become an area of
increasing interest. The primary objective of this study was to assess the
results of two forms of short-term psychotherapy in patients with
personality disorders. METHOD: Eighty-one patients with personality
disorders were randomly assigned to brief adaptive psychotherapy,
short-term dynamic psychotherapy, or a waiting list for therapy. Outcome at
termination of therapy for the treatment groups and at the end of the
waiting period for the waiting list group was evaluated by means of ratings
of target complaints and scores on the SCL-90 and the Social Adjustment
Scale. In addition, for 38 of the treated patients, target complaints were
reevaluated an average of 1.5 years after treatment ended. RESULTS:
Patients in the two therapy conditions improved significantly on all
measures in comparison with the patients on the waiting list. There was no
significant difference between the results in the two therapy conditions.
The waiting list period averaged approximately 15 weeks; treatment averaged
40 weeks. At follow-up, after an average of 1.5 years, target complaint
ratings were not significantly different from those at the termination of
therapy. CONCLUSIONS: These data indicate that brief adaptive psychotherapy
and short-term dynamic psychotherapy are effective for patients with
certain types of personality disorder and that the two therapy approaches
do not differ in overall outcome.
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