Paul: Right...good point and I certainly agree. I'm sure there's plenty of shaping going on in the therapeutic context. All good therapists pay attention to what works. Even Freud noted that insight alone is rarely if ever sufficient for clinical improvement; one needs also to "work through" (his terms) the underlying conflict. Perhaps this "working through" (often involving repeated exposure to unpleasant memories and stressful life situations) is actually the core therapeutic element in psychodynamic treatment. Still, my key point is that what most psychodynamic therapists probably view as largely incidental to treatment efficacy could (? - we of course don't know without dismantling studies) actually be the key therapeutic ingredient.

...Scott

----- Original Message ----- From: "Paul Brandon" <[EMAIL PROTECTED]>
To: "Teaching in the Psychological Sciences" <[email protected]>
Sent: Thursday, March 02, 2006 1:49 PM
Subject: Re: Psychotherapy claims


At 11:00 AM -0500 3/2/06, Scott Lilienfeld wrote:
Hi All: Thanks much for the kind words and for posting this letter to the list, Stephen. As for the claim regarding short-term psychodynamic treatments, several recent meta-analyses have shown promising research support for several disorders, including depression. I don't find the evidence as convincing or as extensive as that for several other treatments, particularly behavioral and cognitive-behavioral (which is why I wrote "perhaps"), but I do think that we consider it carefully. My own hypothesis is that these treatments do often work largely because they adventitiously incorporate behavioral techniques, but that possibility requires testing using dismantling techniques.

A good point, Scott, but I'm not sure that the behavior is really 'adventitious'. Even psychodynamic psychotherapists are behaving organisms, and I'd expect their behavior (treatment practices in this case) to be shaped by their outcomes. Of course, their behavior of _reporting_ what they do is under the control of a different set of reinforcement contingencies, and should not be expected to completely correspond to their actual treatment practices.
--
The best argument against Intelligent Design is that fact that
people believe in it.

* PAUL K. BRANDON                    [EMAIL PROTECTED]  *
* Psychology Dept               Minnesota State University  *
* 23 Armstrong Hall, Mankato, MN 56001     ph 507-389-6217  *
*                http://krypton.mnsu.edu/~pkbrando/             *

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