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Erschienen in: Journal of Contemporary Psychotherapy 1/2008

01.03.2008 | Original Paper

What is IPT? The Basic Principles and the Inevitability of Change

verfasst von: Scott Stuart

Erschienen in: Journal of Contemporary Psychotherapy | Ausgabe 1/2008

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Abstract

Interpersonal Psychotherapy (IPT) is an empirically validated treatment for a number of psychiatric disorders. Like all psychotherapies, IPT can be described by its theoretical foundations and its primary targets, tactics, and techniques. The need for continued creativity in IPT and other treatments is reviewed, and several specific proposals for change in IPT based on clinical observations and theoretical considerations are discussed. A paradigm for collaboration between academic research and clinical observation required for continued creativity is offered. Change is inevitable, and the empirically validated therapies such as IPT will be even more effective as they incorporate and test new and creative elements.
Fußnoten
1
Additional details regarding IPT can be found in: Interpersonal Psychotherapy: A Clinician’s Guide by Scott Stuart and Michael Robertson, Basic Books, 2003. The text includes information about the practical conduct of IPT and a review of the empirical data supporting its use. Unfortunately the scope of this paper precludes a detailed discussion of IPT techniques; the reader is referred to the text for additional information in this regard.
 
2
The only study to address dosing in any fashion was recently published by Frank et al. (2007) Randomized Trial of Weekly, Twice-Monthly, and Monthly Interpersonal Psychotherapy as Maintenance Treatment for Women With Recurrent Depression. American Journal of Psychiatry, 164, 761–767. in which women with recurrent depression were assigned after remission to one of 3 maintenance treatments: once-weekly IPT, bi-weekly IPT, or once-monthly IPT. There was no difference in recurrence rates between groups.
 
Literatur
Zurück zum Zitat Ainsworth, M. D. (1969). Object relations, dependency, and attachment: A theoretical view of the infant-mother relationship. Child Development, 40, 969–1027.PubMedCrossRef Ainsworth, M. D. (1969). Object relations, dependency, and attachment: A theoretical view of the infant-mother relationship. Child Development, 40, 969–1027.PubMedCrossRef
Zurück zum Zitat Ainsworth, M. S., Blehar, M. C., Waters, E., et al. (1978). Patterns of attachment: A psychological study of the strange situation. MahWah, N J: Erlbaum. Ainsworth, M. S., Blehar, M. C., Waters, E., et al. (1978). Patterns of attachment: A psychological study of the strange situation. MahWah, N J: Erlbaum.
Zurück zum Zitat Barber, J. P., & Muenz, L. R. (1996). The role of avoidance and obsessiveness in matching patients to cognitive and interpersonal psychotherapy: Empirical findings from the treatment for depression collaborative research program. Journal of Consulting and Clinical Psychology, 64, 951–958.PubMedCrossRef Barber, J. P., & Muenz, L. R. (1996). The role of avoidance and obsessiveness in matching patients to cognitive and interpersonal psychotherapy: Empirical findings from the treatment for depression collaborative research program. Journal of Consulting and Clinical Psychology, 64, 951–958.PubMedCrossRef
Zurück zum Zitat Beck, A. T., Rush, A. J., Shaw, B. F, & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press. Beck, A. T., Rush, A. J., Shaw, B. F, & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.
Zurück zum Zitat Benjamin, L. S. (1996a). Interpersonal diagnosis and treatment of personality disorders (2nd ed.). New York: Guilford. Benjamin, L. S. (1996a). Interpersonal diagnosis and treatment of personality disorders (2nd ed.). New York: Guilford.
Zurück zum Zitat Benjamin, L. S. (1996b). Introduction to the special section on structural analysis of social behavior. Journal of Consulting & Clinical Psychology, 64, 1203–1212.CrossRef Benjamin, L. S. (1996b). Introduction to the special section on structural analysis of social behavior. Journal of Consulting & Clinical Psychology, 64, 1203–1212.CrossRef
Zurück zum Zitat Bowlby, J. (1969). Attachment. New York: Basic Books. Bowlby, J. (1969). Attachment. New York: Basic Books.
Zurück zum Zitat Bowlby, J. (1973). Attachment and loss: Volume 2. Separation. New York: Basic Books. Bowlby, J. (1973). Attachment and loss: Volume 2. Separation. New York: Basic Books.
Zurück zum Zitat Bowlby, J. (1977a). The making and breaking of affectional bonds, II: Some principles of psychotherapy. British Journal of Psychiatry, 130, 421–431.PubMedCrossRef Bowlby, J. (1977a). The making and breaking of affectional bonds, II: Some principles of psychotherapy. British Journal of Psychiatry, 130, 421–431.PubMedCrossRef
Zurück zum Zitat Bowlby, J. (1977b). The making and breaking of affectional bonds: Etiology and psychopathology in the light of attachment theory. British Journal of Psychiatry, 130, 201–210.PubMed Bowlby, J. (1977b). The making and breaking of affectional bonds: Etiology and psychopathology in the light of attachment theory. British Journal of Psychiatry, 130, 201–210.PubMed
Zurück zum Zitat Bowlby, J. (1988). Developmental psychiatry comes of age. American Journal of Psychiatry, 145, 1–10.PubMed Bowlby, J. (1988). Developmental psychiatry comes of age. American Journal of Psychiatry, 145, 1–10.PubMed
Zurück zum Zitat Brenner, C. (1973). An elementary textbook of psychoanalysis. New York: Anchor Press. Brenner, C. (1973). An elementary textbook of psychoanalysis. New York: Anchor Press.
Zurück zum Zitat Brody, A. L., Saxena, S., Stoessel, P., et al. (2001). Regional brain metabolic changes in patients with major depression treated with either paroxetine or interpersonal therapy: Preliminary findings. Archives of General Psychiatry, 58, 631–640.PubMedCrossRef Brody, A. L., Saxena, S., Stoessel, P., et al. (2001). Regional brain metabolic changes in patients with major depression treated with either paroxetine or interpersonal therapy: Preliminary findings. Archives of General Psychiatry, 58, 631–640.PubMedCrossRef
Zurück zum Zitat Brown, G. W. (1998). Genetic and population perspectives on life events and depression. Social Psychiatry and Psychiatric Epidemiology, 33, 363–372.PubMedCrossRef Brown, G. W. (1998). Genetic and population perspectives on life events and depression. Social Psychiatry and Psychiatric Epidemiology, 33, 363–372.PubMedCrossRef
Zurück zum Zitat Confucious (1893). Confucian analects, the great learning, and the doctrine of the mean (trans. J. Legge). New York: Dover Publications, Inc. Confucious (1893). Confucian analects, the great learning, and the doctrine of the mean (trans. J. Legge). New York: Dover Publications, Inc.
Zurück zum Zitat Davanloo, H. (1980). Short-term dynamic psychotherapy. Northvale: Aronson. Davanloo, H. (1980). Short-term dynamic psychotherapy. Northvale: Aronson.
Zurück zum Zitat Elkin, I., Parloff, M. B., Hadley, S. W., & Autry, J. H. (1985). NIMH treatment of depression collaborative research program. Background and research plan. Arch Gen Psychiatry, 42, 305–316.PubMed Elkin, I., Parloff, M. B., Hadley, S. W., & Autry, J. H. (1985). NIMH treatment of depression collaborative research program. Background and research plan. Arch Gen Psychiatry, 42, 305–316.PubMed
Zurück zum Zitat Elkin, I., Shea, M. T., Watkins, J. T., Imber, S. D., Sotcky, S. M.,Collins, F. L., Glass, D. R., Pilkonis, P. A., Leber, W. R., Doherty, J. P, Fiester, S. J., & Parloff, M. B. (1989). NIMH treatment of depression collaborative research program: I. General effectiveness of treatments. Archives of General Psychiatry, 46, 971–982.PubMed Elkin, I., Shea, M. T., Watkins, J. T., Imber, S. D., Sotcky, S. M.,Collins, F. L., Glass, D. R., Pilkonis, P. A., Leber, W. R., Doherty, J. P, Fiester, S. J., & Parloff, M. B. (1989). NIMH treatment of depression collaborative research program: I. General effectiveness of treatments. Archives of General Psychiatry, 46, 971–982.PubMed
Zurück zum Zitat Ellis, A. (1970). The essence of rational psychotherapy: A comprehensive approach to treatment. New York: Institute for Rational Living. Ellis, A. (1970). The essence of rational psychotherapy: A comprehensive approach to treatment. New York: Institute for Rational Living.
Zurück zum Zitat Engel, G. L. (1980). The clinical application of biopsychosocial models. American Journal of Psychiatry, 137, 535–544.PubMed Engel, G. L. (1980). The clinical application of biopsychosocial models. American Journal of Psychiatry, 137, 535–544.PubMed
Zurück zum Zitat Erikson, E. H. (1998). The life cycle completed: A review (1985, reprinted 1994). New York, NY: WW Norton & Co. Erikson, E. H. (1998). The life cycle completed: A review (1985, reprinted 1994). New York, NY: WW Norton & Co.
Zurück zum Zitat Frank, E., Kupfer, D. J., Buysse, D. J., et al. (2007). Randomized trial of weekly, twice-monthly, and monthly interpersonal psychotherapy as maintenance treatment for women with recurrent depression. American Journal of Psychiatry, 164, 761–767.PubMedCrossRef Frank, E., Kupfer, D. J., Buysse, D. J., et al. (2007). Randomized trial of weekly, twice-monthly, and monthly interpersonal psychotherapy as maintenance treatment for women with recurrent depression. American Journal of Psychiatry, 164, 761–767.PubMedCrossRef
Zurück zum Zitat Frank, E., Kupfer, D. J., Perel, J. M., et al. (1990). Three-year outcomes for maintenance therapies in recurrent depression. Archives of General Psychiatry, 47, 1093–1099.PubMed Frank, E., Kupfer, D. J., Perel, J. M., et al. (1990). Three-year outcomes for maintenance therapies in recurrent depression. Archives of General Psychiatry, 47, 1093–1099.PubMed
Zurück zum Zitat Henderson, S., Byrne, D. G., & Duncan-Jones, P. (1982). Neurosis and the social environment. Sydney: Academic Press. Henderson, S., Byrne, D. G., & Duncan-Jones, P. (1982). Neurosis and the social environment. Sydney: Academic Press.
Zurück zum Zitat Howard, K. I., Kopta, S. M., Krause, M. S., et al. (1986). The dose-effect relationship in psychotherapy. American Psychologist, 41, 159–164.PubMedCrossRef Howard, K. I., Kopta, S. M., Krause, M. S., et al. (1986). The dose-effect relationship in psychotherapy. American Psychologist, 41, 159–164.PubMedCrossRef
Zurück zum Zitat Kiesler, D. J. (1991). Interpersonal methods of assessment and diagnosis. In C. R. Snyder, & D. R. Forsyth (Eds.), Handbook of social and clinical psychology: The health perspective (pp. 438–468). Elmsford: Pergamon Press. Kiesler, D. J. (1991). Interpersonal methods of assessment and diagnosis. In C. R. Snyder, & D. R. Forsyth (Eds.), Handbook of social and clinical psychology: The health perspective (pp. 438–468). Elmsford: Pergamon Press.
Zurück zum Zitat Kiesler, D. J. (1992). Interpersonal circle inventories: Pantheoretical applications to psychotherapy research and practice. Journal of Psychotherapy Integration, 2, 77–99. Kiesler, D. J. (1992). Interpersonal circle inventories: Pantheoretical applications to psychotherapy research and practice. Journal of Psychotherapy Integration, 2, 77–99.
Zurück zum Zitat Kiesler, D. J. (1996). Contemporary interpersonal theory and research: Personality, psychopathology, and psychotherapy. New York: John Wiley & Sons. Kiesler, D. J. (1996). Contemporary interpersonal theory and research: Personality, psychopathology, and psychotherapy. New York: John Wiley & Sons.
Zurück zum Zitat Kiesler, D. J., & Watkins, L. M. (1989). Interpersonal complimentarity and the therapeutic alliance: A study of the relationship in psychotherapy. Psychotherapy, 26, 183–194. Kiesler, D. J., & Watkins, L. M. (1989). Interpersonal complimentarity and the therapeutic alliance: A study of the relationship in psychotherapy. Psychotherapy, 26, 183–194.
Zurück zum Zitat Klerman, G. L., DiMascio, A., Weissman, M. M., et al. (1974). Treatment of depression by drugs and psychotherapy. American Journal of Psychiatry, 131, 186–191.PubMed Klerman, G. L., DiMascio, A., Weissman, M. M., et al. (1974). Treatment of depression by drugs and psychotherapy. American Journal of Psychiatry, 131, 186–191.PubMed
Zurück zum Zitat Klerman, G. L., & Weissman, M. M. (1993). New applications of interpersonal psychotherapy. Washington, D.C.: American Psychiatric Press. Klerman, G. L., & Weissman, M. M. (1993). New applications of interpersonal psychotherapy. Washington, D.C.: American Psychiatric Press.
Zurück zum Zitat Klerman, G. L., Weissman, M. M., Rounsaville, B., & Chevron, E. S. (1984). Interpersonal psychotherapy of depression. New York: Basic Books. Klerman, G. L., Weissman, M. M., Rounsaville, B., & Chevron, E. S. (1984). Interpersonal psychotherapy of depression. New York: Basic Books.
Zurück zum Zitat Linehan, M. M. (1987). Dialectical behavior therapy: A cognitive behavioral approach to parasuicide. Journal of Personality Disorders, 1, 328–333. Linehan, M. M. (1987). Dialectical behavior therapy: A cognitive behavioral approach to parasuicide. Journal of Personality Disorders, 1, 328–333.
Zurück zum Zitat Luty, S. E., Joyce, P. R., Mulder, R. T., et al. (1998). Relationship between interpersonal psychotherapy problem areas with temperament and character: A pilot study. Depression & Anxiety, 8, 154–159.PubMedCrossRef Luty, S. E., Joyce, P. R., Mulder, R. T., et al. (1998). Relationship between interpersonal psychotherapy problem areas with temperament and character: A pilot study. Depression & Anxiety, 8, 154–159.PubMedCrossRef
Zurück zum Zitat Martin, S. D., Martin, E., Rai, S. S., et al. (2001). Brain blood flow changes in depressed patients treated with interpersonal psychotherapy or venlafaxine hydrochloride: Preliminary findings. Archives of General Psychiatry, 58, 641–648.PubMedCrossRef Martin, S. D., Martin, E., Rai, S. S., et al. (2001). Brain blood flow changes in depressed patients treated with interpersonal psychotherapy or venlafaxine hydrochloride: Preliminary findings. Archives of General Psychiatry, 58, 641–648.PubMedCrossRef
Zurück zum Zitat McBride, C., Atkinson, L., Quilty, L. C., et al. (2006). Attachment as a moderator of treatment outcome in major depression: A randomized control trial of interpersonal psychotherapy versus cognitive behavior therapy. Journal of Consulting and Clinical Psychology, 74, 1041–1054.PubMedCrossRef McBride, C., Atkinson, L., Quilty, L. C., et al. (2006). Attachment as a moderator of treatment outcome in major depression: A randomized control trial of interpersonal psychotherapy versus cognitive behavior therapy. Journal of Consulting and Clinical Psychology, 74, 1041–1054.PubMedCrossRef
Zurück zum Zitat Nathan, P. E., Stuart, S., & Dolan, S. (2000). Research on psychotherapy efficacy and effectiveness: Between Scylla and Charybdis? Psychological Bulletin, 126, 964–981.PubMedCrossRef Nathan, P. E., Stuart, S., & Dolan, S. (2000). Research on psychotherapy efficacy and effectiveness: Between Scylla and Charybdis? Psychological Bulletin, 126, 964–981.PubMedCrossRef
Zurück zum Zitat Parkes, C. M. (1965). Bereavement and mental illness. British Journal of Medical Psychology, 38, 1–26.PubMed Parkes, C. M. (1965). Bereavement and mental illness. British Journal of Medical Psychology, 38, 1–26.PubMed
Zurück zum Zitat Parkes, C. M. (1971). Psycho-social transitions: A field of study. Scial Science and Medicine, 5, 101–115.CrossRef Parkes, C. M. (1971). Psycho-social transitions: A field of study. Scial Science and Medicine, 5, 101–115.CrossRef
Zurück zum Zitat Paykel, E. S., DiMascio, A., Klerman, G. L., et al. (1976). Maintenance therapy of depression. Pharmakopsychiatrie Neuropsychopharmakologie, 9, 127–136. Paykel, E. S., DiMascio, A., Klerman, G. L., et al. (1976). Maintenance therapy of depression. Pharmakopsychiatrie Neuropsychopharmakologie, 9, 127–136.
Zurück zum Zitat Reay, R., Stuart, S., & Owen, C. (2003). Implementation and effectiveness of Interpersonal Psychotherapy in a community mental health service. Australasian Psychiatry, 11, 284–289.CrossRef Reay, R., Stuart, S., & Owen, C. (2003). Implementation and effectiveness of Interpersonal Psychotherapy in a community mental health service. Australasian Psychiatry, 11, 284–289.CrossRef
Zurück zum Zitat Reynolds, S., Stiles, W. B., Barkham, M., et al. (1996). Acceleration of changes in session impact during contrasting time-limited psychotherapies. Journal of Consulting and Clinical Psychology, 64, 577–586.PubMedCrossRef Reynolds, S., Stiles, W. B., Barkham, M., et al. (1996). Acceleration of changes in session impact during contrasting time-limited psychotherapies. Journal of Consulting and Clinical Psychology, 64, 577–586.PubMedCrossRef
Zurück zum Zitat Sifneos, P. E. (1987). Short-term dynamic psycotherapy. New York: Plenum. Sifneos, P. E. (1987). Short-term dynamic psycotherapy. New York: Plenum.
Zurück zum Zitat Stuart, S., & Noyes, R. Jr. (1999). Attachment and interpersonal communication in somatization. Psychosomatics, 40, 34–43.PubMed Stuart, S., & Noyes, R. Jr. (1999). Attachment and interpersonal communication in somatization. Psychosomatics, 40, 34–43.PubMed
Zurück zum Zitat Stuart, S., & Robertson, M. (2003). Interpersonal psychotherapy: A clinician’s guide. London: Edward Arnold Ltd. Stuart, S., & Robertson, M. (2003). Interpersonal psychotherapy: A clinician’s guide. London: Edward Arnold Ltd.
Zurück zum Zitat Sullivan, H. S. (1953). The interpersonal theory of psychiatry. New York: Norton. Sullivan, H. S. (1953). The interpersonal theory of psychiatry. New York: Norton.
Zurück zum Zitat Weissman, M. M., Klerman, G. L., Prusoff, B. A., et al. (1981). Depressed outpatients: Results after one year of treatment with drugs and/or interpersonal psychotherapy. Archives of General Psychiatry, 38, 51–55.PubMed Weissman, M. M., Klerman, G. L., Prusoff, B. A., et al. (1981). Depressed outpatients: Results after one year of treatment with drugs and/or interpersonal psychotherapy. Archives of General Psychiatry, 38, 51–55.PubMed
Zurück zum Zitat Weissman, M. M., Markowitz, J. W., & Klerman, G. L. (2000). Comprehensive guide to interpersonal psychotherapy. New York: Basic Books. Weissman, M. M., Markowitz, J. W., & Klerman, G. L. (2000). Comprehensive guide to interpersonal psychotherapy. New York: Basic Books.
Zurück zum Zitat Weissman, M. M., & Paykel, E. S. (1974). The depressed woman: A study of social relationships. Chicago: University of Chicago Press. Weissman, M. M., & Paykel, E. S. (1974). The depressed woman: A study of social relationships. Chicago: University of Chicago Press.
Zurück zum Zitat Wolfson, L., Miller, M., Houck, P., et al. (1997). Foci of interpersonal psychotherapy (IPT) in depressed elders: Clinical and outcome correlates in a combined IPT/nortriptyline protocol. Psychotherapy Research, 7, 45–56. Wolfson, L., Miller, M., Houck, P., et al. (1997). Foci of interpersonal psychotherapy (IPT) in depressed elders: Clinical and outcome correlates in a combined IPT/nortriptyline protocol. Psychotherapy Research, 7, 45–56.
Metadaten
Titel
What is IPT? The Basic Principles and the Inevitability of Change
verfasst von
Scott Stuart
Publikationsdatum
01.03.2008
Verlag
Springer US
Erschienen in
Journal of Contemporary Psychotherapy / Ausgabe 1/2008
Print ISSN: 0022-0116
Elektronische ISSN: 1573-3564
DOI
https://doi.org/10.1007/s10879-007-9063-z

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