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THE BERLIN RESEARCH RESOURCE FOR THERAPEUTIC IMPASSES
The field of psychotherapy has come to a kind of maturation. Large scale, repeated meta-analytic findings on the shorter treatments of all kind basically agree that the portion of outcome variance explained by the kind of therapy on the average is around 10%; the outcome variation explained by the therapist´s capacity to establish a working treatment is around 20%; the outcome variation explained by the patient´s capacity to utilize treatment is around 30%. The rest is unexplained variance due to many factors etc. The most logical action – accepting these findings – is the support of patients´for mastering difficult situations in treatment – but excactly this has not yet been been conceptualized. We all agree that difficulties with patients will bring therapists to peer supervison (in Germany called intervision); why not have supervion for patients in difficult situations.
Long before treatments fail due to border crossing or obvious lack of care that make even the most patient patients leave, patients should be offered a facility to seek professional advice.
This research project will provide patients with a resource for scrupulous, impartial consultative review of a treatment and for recommendations for future care.
Protocols will be developed and researchers employed to discern and categorize the problems brought to the facility. Scientific papers that will inform and improve clinical practice are the goal of this work.
Recommendations will be made but no treatment will be available through the advisors of the project itself. The concept of the project uses a third person to disentangle problematic situations that hinder patients to better sttand through conflictual situation that other wose might lead to the experience of treatment failure.
It is therefore not a traditional “second opinion” offered to evaluate the suitability of a treatment before work is begun, nor will there be any possibility of using the project as an alternative treatment source. It will remain carefully and rigorously neutral in its study and recomendations.
Principal investigator: Horst Kaechele, MD, PhD
Associated researchers will be: Almuth Sellschopp, PhD; Jochen Eckert, PhD and others
Advisor: David Orlinsky, PhD
Click on the screen below to view Horst Kaechele’s introduction to the conference.
Below find a listing of the contents of the videos:
DVD 1: Welcome address from the host Prof.H Kaechele also reading the welcome address from the German Medical Association; from the president of German Society for Psychotherapy, Psychoanalysis, Psychosomatics and Depth-Psychology Dr.K. Muench. G. Roth (Bremen): Do we need biological measures for evaluating long-term treatments.A. Buchheim (Innsbruck), S. Taubner (Kassel), D. Wiswede (Ulm)& H. Kaechele (Ulm) : Neural correlates of attachment patterns in depressed patients: First findings of the HANSE-Neuro-Psychoanalysis Study.
J. Lehtonen (Helsinki): Molecular findings on serotonin transporter levels in relation to one-year psychodynamic psychotherapy of drug-naive patients with depression using the SPET brain imaging method.
DVD 2: Welcome address from Prof. R. Richter (president of the German Chamber for Psychological Psychotherapists) and from G. Schlessinger-Kipp (vice-president of the German Psychoanalytic Association). P. Fonagy London): Mentalisation as common factor in the pschotherapeutic process. F. Leichsenring (Giessen) & S. Rabung (Hamburg): The effectiveness of long-term psychodynamic psychotherapy.
DVD 3: T. Grande, W.Keller, Th. Jakobsen & G. Rudolf (Heidelberg-Berlin): Precnditions and effects of structural change in the Heidelberg-Berlin study of psychoanalytic long-term psychotherapy. R. Sandell (Stockholm): An individual difference perspective on treatment outcome.
DVD 4: P. Luyten (Louvain): Different folks need different strokes: An interpersonal-psychodynamic approach to the treatment of patients with personality disorders.B. Strauss (Jena):Do interpersonal and attachment characteristics tell us something about desirable treatment length?
DVD 5: Th. Jakobsen (Basel): What happens when the symptoms don’t change? C. Berghout (Amsterdam): A study of the effects of long-term psychoanalytic psychotherapy/psychoanalysis.
DVD 6: M. Leuzinger-Bohleber and colleagues (Frankfurt): Psychoanalytic and cognitive-behavioral treatments: First data on the LARC depression study. I. Harpaz-Rotem (New Haven): Pathway to therapeutc change: change in self-representation in long-term pschodynamic treatment of adolescents and young adults.
DVD 7: R. Krause (Saarbruecken): The German system for the evaluation of public payment of psychotherapeutic treatments. R. Richter (Berlin) Psycho-politics- comments from the president of the German Chamber of Psychological Psychotherapists H. Kaechele (Ulm): Recommendations for future psychoanalytic treatment research.