Online psychodynamic psychotherapies: a scoping review. The case of bereavement support
DOI:
https://doi.org/10.13129/2282-1619/mjcp-3933Keywords:
Bereavement, Clinical Psychology, Online support, Psychodynamic psychotherapy.Abstract
Background: In order to comply with the 2020 health restrictions, many psychotherapeutic approaches have begun to hold online sessions, including psychodynamic psychotherapy, for which this modality marked a new procedure.
The authors are psychologists with a psychoanalytic background, who mostly work with bereaved people. They considered it essential to initiate research, not only on online psychodynamic psychotherapy, but also on the scientific results regarding this practice used explicitly in cases of bereavement.
For these reasons, two literature reviews were conducted according to the PRISMA protocol concerning: the use of online psychodynamic therapy in general (1), and its use in cases of bereavement (2).
Methods: The databases used were PubMed, Cochrane Library, and Google Scholar, Eric and Web of Science. Inclusion criteria contains peer-reviewed scientific articles published in English from 2010 to 2022, with a focus on online psychodynamic psychotherapy and bereavement cases. Exclusion criteria included non-peer-reviewed studies, non-English articles, systematic reviews, quantitative scale validation studies, research protocols, and studies primarily focused on training.
Compared with the research on the effectiveness of psychodynamic psychotherapy conducted online with all the different types of patients (1), only 5 research papers were selected from 842,103 articles.
Out of 431,372 articles on the use of psychodynamic teletherapy with bereaved patients (2), in the end no articles were selected.
Results: The results suggest that online psychotherapy involves a dynamic process very similar to face-to-face therapies. The small number of articles selected for both reviews underscores the need for further research on this topic.
Conclusions: Since psychodynamic psychotherapy is based on concepts that are difficult to standardize (such as countertransference or free association), it is possible that clinicians and researchers have not yet found specific ways to validate it online.References
Ahlquist, L. R., & Yarns, B. C. (2022). Eliciting emotional expressions in psychodynamic psychotherapies using telehealth: A clinical review and single case study using emotional awareness and expression therapy. Psychoanalytic Psychotherapy, 36(2), 124–140. https://doi.org/10.1080/02668734.2022.2037691
Backhaus, A., Agha, Z., Maglione, M. L., Repp, A., Ross, B., Zuest, D., … & Thorp, S. R. (2012). Videoconferencing psychotherapy: A systematic review. Psychological Services, 9(2), 111–131. https://doi.org/10.1037/a0027924
Clarkin, J. F., Levy, K. N., Lenzenweger, M. F., & Kernberg, O. F. (2007). Evaluating Three Treatments for Borderline Personality Disorder: A Multiwave Study. American Journal of Psychiatry, 164(6), 922–928. https://doi.org/10.1176/ajp.2007.164.6.922
Cohen, J. (1960). A Coefficient of Agreement for Nominal Scales. Educational and Psychological Measurement, 20(1), 37–46. https://doi.org/10.1177/001316446002000104
Di Nuovo, S. F., & Narzisi, V. (2021). Telepsychology: Acceptability of online assessment and treatment in users and professional psychologists. Mediterranean Journal of Clinical Psychology, 9(3). https://doi.org/10.13129/2282-1619/mjcp-3261
Ehrlich, L. T. (2019). Teleanalysis: Slippery Slope or Rich Opportunity? Journal of the American Psychoanalytic Association, 67(2), 249–279. https://doi.org/10.1177/0003065119847170
Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: A “transdiagnostic” theory and treatment. Behaviour Research and Therapy, 41(5), 509–528. https://doi.org/10.1016/S0005-7967(02)00088-8
Fonagy, P., Luyten, P., & Bateman, A. (2010). Translation: Mentalization-Based Treatment for Personality Disorders. In J. F. Clarkin, P. Fonagy, & G. O. Gabbard, Psychodynamic Psychotherapy for Personality Disorders: A Clinical Handbook (1st edition, pp. 159–186). American Psychiatric Publishing, Inc.
Fonagy, P., & Target, M. (2008). Psychodynamic treatments. In Rutter’s child and adolescent psychiatry, 5th ed (pp. 1079–1091). Wiley Blackwell. https://doi.org/10.1002/9781444300895.ch66
Gilliéron, E. (1995). Il primo colloquio in psicoterapia (A. Verdolin, Trans.). Borla.
Gordon, R. M., Shi, Z., Scharff, D. E., Fishkin, R. E., & Shelby, R. D. (2021a). An International Survey of the Concept of Effective Psychodynamic Treatment During the Pandemic. Psychodynamic Psychiatry, 49(3), 453–462. https://doi.org/10.1521/pdps.2021.49.3.453
Gordon, R. M., Shi, Z., Scharff, D. E., Fishkin, R. E., & Shelby, R. D. (2021b). International Survey of Negative and Positive Reactions to Psychoanalytic Distance Treatment at the Beginning of the Pandemic. International Journal of Psychology and Psychoanalysis, 7(1). https://doi.org/10.23937/2572-4037.1510053
Gurman, A. S., & Kniskern, D. P. (2014). Handbook Of Family Therapy. Routledge. https://doi.org/10.4324/9781315803661
Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012). The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses. Cognitive Therapy and Research, 36(5), 427–440. https://doi.org/10.1007/s10608-012-9476-1
Humer, E., Stippl, P., Pieh, C., Pryss, R., & Probst, T. (2020). Experiences of Psychotherapists With Remote Psychotherapy During the COVID-19 Pandemic: Cross-sectional Web-Based Survey Study. Journal of Medical Internet Research, 22(11), e20246. https://doi.org/10.2196/20246
Jesser, A., Muckenhuber, J., & Lunglmayr, B. (2022). Psychodynamic Therapist’s Subjective Experiences With Remote Psychotherapy During the COVID-19-Pandemic—A Qualitative Study With Therapists Practicing Guided Affective Imagery, Hypnosis and Autogenous Relaxation. Frontiers in Psychology, 12, 777102. https://doi.org/10.3389/fpsyg.2021.777102
Jesser, A., Muckenhuber, J., Lunglmayr, B., Dale, R., & Humer, E. (2021). Provision of Psychodynamic Psychotherapy in Austria during the COVID-19 Pandemic: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 18(17), 9046. https://doi.org/10.3390/ijerph18179046
Kaufman, E. A., Douaihy, A., & Goldstein, T. R. (2021). Dialectical Behavior Therapy and Motivational Interviewing: Conceptual Convergence, Compatibility, and Strategies for Integration. Cognitive and Behavioral Practice, 28(1), 53–65. https://doi.org/10.1016/j.cbpra.2019.07.004
Kealy, D., Sierra-Hernandez, C. A., Piper, W. E., Joyce, A. S., Weideman, R., & Ogrodniczuk, J. S. (2017). Short-Term Group Therapy for Complicated Grief: The Relationship Between Patients’ In-Session Reflection and Outcome. Psychiatry, 80(2), 125–138. https://doi.org/10.1080/00332747.2016.1220231
Landis, J. R., & Koch, G. G. (1977). The Measurement of Observer Agreement for Categorical Data. Biometrics, 33(1), 159–174. https://doi.org/10.2307/2529310
Leichsenring, F., Abbass, A., Heim, N., Keefe, J. R., Kisely, S., Luyten, P., Rabung, S., & Steinert, C. (2023). The status of psychodynamic psychotherapy as an empirically supported treatment for common mental disorders – an umbrella review based on updated criteria. World Psychiatry, 22(2), 286–304. https://doi.org/10.1002/wps.21104
Leichsenring, F., & Klein, S. (2014). Evidence for psychodynamic psychotherapy in specific mental disorders: A systematic review. Psychoanalytic Psychotherapy, 28(1), 4–32. https://doi.org/10.1080/02668734.2013.865428
Lindley, J. H., Richard. (2019). The Values of Psychotherapy. Routledge. https://doi.org/10.4324/9780429483684
Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., … & Lindenboim, N. (2006). Two-Year Randomized Controlled Trial and Follow-up of Dialectical Behavior Therapy vs Therapy by Experts for Suicidal Behaviors and Borderline Personality Disorder. Archives of General Psychiatry, 63(7), 757–766. https://doi.org/10.1001/archpsyc.63.7.757
Lipsitz, J. D., & Markowitz, J. C. (2013). Mechanisms of change in interpersonal therapy (IPT). Clinical Psychology Review, 33(8), 1134–1147. https://doi.org/10.1016/j.cpr.2013.09.002
Luborsky, L. (2000). Principles Of Psychoanalytic Psychotherapy: A Manual For Supportive-expressive Treatment. Basic Books.
Machado, L. F., Feijó, L. P., & Serralta, F. B. (2020). Online psychotherapy practice by psychodynamic therapists. Psico, 51(3), e36529. https://doi.org/10.15448/1980-8623.2020.3.36529
Mello, P. G., Silva, G. R., Donat, J. C., & Kristensen, C. H. (2013). An Update on the Efficacy of Cognitive-Behavioral Therapy, Cognitive Therapy, and Exposure Therapy for Posttraumatic Stress Disorder. The International Journal of Psychiatry in Medicine, 46(4), 339–357. https://doi.org/10.2190/PM.46.4.b
O’Cathain, A. (2010). Assessing the quality of mixed methods research: Towarda comprehensive framework. In Handbook of Mixed Methods in Social and Behavioral Research (SAGE Publications, Vol. 531). SAGE Publications, Inc. https://doi.org/10.4135/9781506335193
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., … & Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. International Journal of Surgery, 88, 105906. https://doi.org/10.1016/j.ijsu.2021.105906
Pennella, A. R., & Bignami, G. M. (2021). I didn’t think you were listening. Some Reflections on Online Setting and Patient Proxy in the Remote Clinical Relationship. Mediterranean Journal of Clinical Psychology, 9(3). https://doi.org/10.13129/2282-1619/mjcp-3155
Ren, Z., Sze, M. Y. T., Yan, W., Shu, X., Xie, Z., & Gordon, R. M. (2021). Future research from China on distance psychoanalytic training and treatment*. Psychoanalysis and Psychotherapy in China, 4(1), 49–58.
Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65(2), 98–109. https://doi.org/10.1037/a0018378
Simpson, S., Richardson, L., Pietrabissa, G., Castelnuovo, G., & Reid, C. (2021). Videotherapy and therapeutic alliance in the age of COVID-19. Clinical Psychology & Psychotherapy, 28(2), 409–421. https://doi.org/10.1002/cpp.2521
The jamovi project. (2022). jamovi. (Version 2.3) [Computer Software]. https://www.jamovi.org/
Tonkins, S. A. M., & Lambert, M. J. (1996). A treatment outcome study of bereavement groups for children. Child & Adolescent Social Work Journal, 13(1), 3–21. https://doi.org/10.1007/BF01876592
Wenzel, A. (2017). Basic Strategies of Cognitive Behavioral Therapy. Psychiatric Clinics, 40(4), 597–609. https://doi.org/10.1016/j.psc.2017.07.001
Wykes, T., Steel, C., Everitt, B., & Tarrier, N. (2008). Cognitive Behavior Therapy for Schizophrenia: Effect Sizes, Clinical Models, and Methodological Rigor. Schizophrenia Bulletin, 34(3), 523–537. https://doi.org/10.1093/schbul/sbm114
Yontef, G., & Fairfiend, M. (2007). Gestalt Therapy. In K. Jordan, The Quick Theory Reference Guide: A Resource for Expert and Novice Mental Health Professionals (Nova Science Publishers, pp. 83–106). Nova Publishers.
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