The place for psychodynamic therapy and obstacles to its provision

Journal title PSICOTERAPIA E SCIENZE UMANE
Author/s Susan G. Lazar
Publishing Year 2021 Issue 2021/4
Language Italian Pages 18 P. 605-622 File size 366 KB
DOI 10.3280/PU2021-004004
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Psychodynamic therapy has been shown to provide specific benefits for patients with personality disorders, chronic depressive and anxiety disorders, and chronic complex disorders. The intensity (i.e., weekly frequency) and duration of psychodynamic therapy have independent positive ef-fects. Obstacles to the provision of psychodynamic therapy include a bias privileging brief treat-ments, especially cognitive-behavior therapy (CBT), seen as a gold standard of treatment despite difficulties with the design and validity of its supporting research and the ability to generalize from it. There are also difficulties with the diagnostic methods of the illnesses studied. Another obstacle to the provision of psychodynamic therapy lies in insurance company protocols, for ex-ample in the United States, that violate the Mental Health Parity Act and focus on conserving in-surers’ costs rather than the provision of optimum treatment to patients.

Keywords: Psychody-namic therapy; Personality disorders; Chronic depressive and anxiety disorders; Chronic complex disorders; Evidence-based psychotherapy

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Susan G. Lazar, Il ruolo della terapia psicodinamica e gli ostacoli alla sua diffusione in "PSICOTERAPIA E SCIENZE UMANE" 4/2021, pp 605-622, DOI: 10.3280/PU2021-004004