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PSYART  December 2004, Week 2

PSYART December 2004, Week 2

Subject:

The efficacy of psychodynamic treatment: comment

From:

Norman Holland <[log in to unmask]>

Reply-To:

Institute for Psychological Study of the Arts <[log in to unmask]>

Date:

Mon, 13 Dec 2004 18:24:59 -0500

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (56 lines)

This comes from a cautionary friend who is a learned and rigorous
psychoanalyst/psychologist:

    Re. the Leichsenring Dec. Archives, 2004 piece the comments
that I
 >> read are maybe a little too sanguine: 1. Only short term
therapy is
 >> evaluated not relevant to most psychodynamic treatment; 2. Their
 >> meta-analysis while better than most still has serious
problems. For
 >> instance, one should not include studies with quite different
years
 >> such as 1970 and 2004. At its best meta-analysis is a weak
 >> statistical too, even if the adage garbage in garbage out -
diamonds
 >> in diamonds out is remembered. 3. To not compare the intervention
 >> (psychodynamic therapy) with another (cheaper, swifter, less
humane
 >> etc.)treatment is a weakness.  The FDA uses the same flawed
method in
 >> evaluating new drugs thereby amplifying the sales of the
 >> pharmaceutical industry of more expensive "me too" drugs; 4. The
 >> Archives is not distributed to all psychiatrists, is not the most
 >> influential journal, and suffers from the handicap of political
 >> influence only slightly less that the American Journal of
Psychiatry
 >> which goes to 1700 members of the American Psychiatry
Association. To
 >> ward of the charge of biologic bias by the therapy community the
 >> editors sometimes throw a sop to this group unrelated to the
quality
 >> of the work. of The ranking of journals in Psychiatry is
unlike that
 >> of  Science Journals. Science, Nature, and the New England
Journal of
 >> Medicine have a wide-spread general reputation.Psychiatric
journals
 >> are  difficult to rate. The best papers usually are in specialty
 >> journals like Sleep, Biological Psychiatry and in the Am.
Journal and
 >> rarely in the Archives.  For psychotherapy the most influential
 >> journal is the American Journal of Psychotherapy; Finally 5.
Anyone
 >> today talking about the placebo effect need be a little more
detailed
 >> and specific. I think that the paper by Jittler, Beyerstein and
 >> Beyerstein on this topic, (Scientific Review of Alternative
Medicine
 >> 7 (2): 41-60, 2003-4), is a brilliant comprehensive discussion of
 >> this topic which is probably of interest to PsyArt activists.

                         --Best,

                                     Norm
Norm Holland
[log in to unmask]

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