The relationship between insight gained during therapy and long-term outcome in short-term dynamic psychotherapy and cognitive therapy for cluster C personality disorders

Psychotherapy Research : Journal of the Society for Psychotherapy Research
Håvard KallestadTore Charles Stiles

Abstract

This study examined whether 49 patients from a randomized controlled trial developed insight during therapy and whether insight predicted long-term outcome in short-term dynamic psychotherapy (STDP) and cognitive therapy (CT) for Cluster C personality disorders. Videotaped sessions early and late in treatment were analyzed using the Achievement of Therapeutic Objectives Scale. Patients' level of insight increased significantly during STDP but not CT. After controlling for early symptom change and early insight, insight near the end of therapy predicted improvement of symptom severity and interpersonal functioning during a 2-year follow-up period. These results support the theoretical assumption that insight may be a factor in the change process, central to STDP. Within CT, gain of insight did not predict long-term improvement.

References

Sep 19, 2003·The International Journal of Psycho-analysis·Glen O Gabbard, Drew Westen
Dec 8, 2004·Archives of General Psychiatry·Falk LeichsenringEric Leibing
Oct 7, 2009·Journal of Consulting and Clinical Psychology·Mary Beth Connolly GibbonsSarah Ring-Kurtz

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Citations

Feb 16, 2012·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Lene BerggrafLeigh McCullough
Sep 20, 2011·International Review of Psychiatry·Katherine L Dixon-GordonAlexander L Chapman
Mar 3, 2018·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Falk LeichsenringPaul Crits-Christoph
Apr 19, 2018·Psychotherapy Research : Journal of the Society for Psychotherapy Research·John R KeefeBarbara L Milrod
Jan 20, 2018·Psychotherapy Research : Journal of the Society for Psychotherapy Research·John R Keefe, Robert J Derubeis
Aug 3, 2021·Frontiers in Psychology·Eugenia I Gorlin, Vera Békés

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