Review of Time-Limited Dynamic Psychotherapy: A Guide to Clinical Practice (original) (raw)
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Time-Limited Dynamic Psychotherapy: An Integrative Attachment Relational--Experiential Approach
PsycEXTRA Dataset, 2010
Time-limited dynamic psychotherapy (TLDP) is an interpersonal, timesensitive approach for patients with chronic, pervasive, dysfunctional ways of relating. This article presents TLDP theory, assumptions, goals, formulation strategies, and empirical findings, emphasizing its integrative elements. The focus on corrective, interpersonal experiences and cyclical transactional processes provides opportunities for integration from theoretical, technique, and common factors perspectives. The therapist discerns cyclical maladaptive patterns to understand the patient's inflexible, self-perpetuating, selfdefeating expectations and negative self-appraisals that lead to maladaptive interactions with others. The goal of TLDP is to help patients change these dysfunctional interpersonal patterns by fostering new experiences and new understandings that emanate from the therapeutic relationship. A case example is presented to illustrate, and a TLDP training program is described. We don't say cure. We say you had a corrective emotional experience.-Therapist (Billy Crystal) to gangster/patient (Robert DeNiro) in the movie Analyze This Although I was invited to submit an article to this issue on integratively oriented brief psychotherapies, let me be clear at the outset that the original model of time-limited dynamic psychotherapy (TLDP) was never explicitly designed to be an integrative therapy. However, there are at least five reasons why TLDP is "integration friendly" and already contains integrative elements. First, TLDP's focus on the importance of interpersonal relatedness, corrective emotional experiences, and patterned, recursive, transactional processes provides ample opportunities for therapeutic inte
Time-Limited Dynamic Psychotherapy: An Integrative Attachment Interpersonal-Experiential Approach
PsycEXTRA Dataset, 2009
Time-limited dynamic psychotherapy (TLDP) is an interpersonal, timesensitive approach for patients with chronic, pervasive, dysfunctional ways of relating. This article presents TLDP theory, assumptions, goals, formulation strategies, and empirical findings, emphasizing its integrative elements. The focus on corrective, interpersonal experiences and cyclical transactional processes provides opportunities for integration from theoretical, technique, and common factors perspectives. The therapist discerns cyclical maladaptive patterns to understand the patient's inflexible, self-perpetuating, selfdefeating expectations and negative self-appraisals that lead to maladaptive interactions with others. The goal of TLDP is to help patients change these dysfunctional interpersonal patterns by fostering new experiences and new understandings that emanate from the therapeutic relationship. A case example is presented to illustrate, and a TLDP training program is described. We don't say cure. We say you had a corrective emotional experience.-Therapist (Billy Crystal) to gangster/patient (Robert DeNiro) in the movie Analyze This Although I was invited to submit an article to this issue on integratively oriented brief psychotherapies, let me be clear at the outset that the original model of time-limited dynamic psychotherapy (TLDP) was never explicitly designed to be an integrative therapy. However, there are at least five reasons why TLDP is "integration friendly" and already contains integrative elements. First, TLDP's focus on the importance of interpersonal relatedness, corrective emotional experiences, and patterned, recursive, transactional processes provides ample opportunities for therapeutic inte
Principles of Psychotherapy: By Irving Weiner. New York: John Wiley & Sons, 1998. 328 pp
Clinical Psychology Review, 2002
How prescriptive should an author be in explaining the practice of psychodynamic psychotherapy? One extreme is to emphasize a broad range of common practices, presenting several different methods of case formulation, responses to resistance, or guidelines for interpretation. This method can provide clinicians with a well-stocked toolbox that they can select from based on their own penchants and the needs of their clients. But even if the author is careful to include criteria for determining which techniques to use, the lack of clear direction can leave readers paralyzed or without a firm understanding of potential difficulties, especially if they are inexperienced therapists. The opposite extreme, typified by treatment manuals, is to advocate strongly for one coherent style, presenting a relatively prescriptive method. If done well, acknowledging some limitations and subjectivity, this method gives therapists firm rules to cling to while navigating through psychotherapy, rules that reflect established clinical wisdom. However, especially when wandering far from empirically supported recommendations, the author risks being dogmatic and failing to give readers clear ideas on when and how it would be appropriate to break the rules he has handed down. In Principles of Psychotherapy, Irving Weiner leans toward the latter method, providing a valuable step-by-step approach to the general practice of psychodynamic psychotherapy. Yet sometimes in recommending his methods in unequivocal terms, he fails to address how the same goals might be reached by different means. While broadening his approach would have lengthened the book, it might also have made his ideas more compelling to some readers by providing a more comprehensive context in which to understand and evaluate them.
Effects of training in time-limited dynamic psychotherapy: Changes in therapist behavior
Journal of Consulting and Clinical Psychology, 1993
The present study explored the effects on therapeutic outcomes of training therapists in brief manualized therapy. As part of the Vanderbilt II project, each of 16 therapists (8 psychiatrists and 8 clinical psychologists) treated 2 moderately disturbed adult patients using his or her customary short-term treatment methods; they then received a year of training in a manualized form of brief dynamic therapy, Time-Limited Dynamic Psychotherapy (TLDP); finally, they administered TLDP to 2 additional patients. It was hypothesized that training would result in improved outcomes generally and that differentially greater improvement would be seen in patients commonly considered less suitable for brief dynamic therapy. Outcome data obtained at termination failed to support either hypothesis. Measurements of interpersonal dependency obtained at a one-year follow-up were consistent with the first hypothesis, but the follow-up data were inconsistent with the second. A systematic review of the 32 posttraining cases suggested that the majority of the therapists had not achieved basic competence at TLDP.
Issues in research on short-term dynamic psychotherapy
Clinical Psychology Review, 1999
In this article, we review the development of short-term dynamic psychotherapy (STDP) and introduce some of the important questions to be addressed in studying STDP. We begin by surveying some of the areas not covered in this special edition (e.g., the efficacy of STDP, recent developments in dynamic formulation) because they were recently reviewed elsewhere. We then introduce the four articles included in this special miniseries. We conclude by looking at which questions could benefit from further study and recommend that more data be gathered regarding (a) the differences between the many different forms of STDP; (b) the efficacy of these forms of therapies for specific disorders, including personality disorders; (c) the essential theoretically relevant processes occurring in those treatments; (d) matching patients to different therapies; (e) the interrelations between different therapeutic processes; and (f) the different strategies for teaching STDP.
Journal of Consulting and Clinical Psychology, 1993
The present study explored the effects on therapeutic outcomes of training therapists in brief manualized therapy. As part of the Vanderbilt II project, each of 16 therapists (8 psychiatrists and 8 clinical psychologists) treated 2 moderately disturbed adult patients using his or her customary short-term treatment methods; they then received a year of training in a manualized form of brief dynamic therapy, Time-Limited Dynamic Psychotherapy (TLDP); finally, they administered TLDP to 2 additional patients. It was hypothesized that training would result in improved outcomes generally and that differentially greater improvement would be seen in patients commonly considered less suitable for brief dynamic therapy. Outcome data obtained at termination failed to support either hypothesis. Measurements of interpersonal dependency obtained at a one-year follow-up were consistent with the first hypothesis, but the follow-up data were inconsistent with the second. A systematic review of the 32 posttraining cases suggested that the majority of the therapists had not achieved basic competence at TLDP.