I want to me too Allen's concern regarding the admixture of observational 
studies and randomized controlled studies in this meta-analysis. Also, 
there's this:

On 2 Oct 2008 at 5:14, Allen Esterson wrote:
 
> 2. The Abstract says there were 11 randomized controlled trials included in
> the meta-analysis. I would be interested to know what these "controlled
> trials" consisted of. It has always been recognized that it is very
> difficult to find a means of having controls for long-term psychotherapy,
> and here we are told there 11 such randomized control trials since 1960. 
> 
> 
> Before taking this meta-analysis seriously I would want to know if, for
> each of the 11 randomized controlled studies, there was a control group who
> received regular non-psychodynamic psychotherapy (or counselling) over an
> equivalent period.

Yes. Note that the studies were called "randomized controlled", not 
"placebo-controlled". I suspect that many of these may well have used no 
treatment as the control rather than a credible placebo condition. If so 
the findings are no big deal, because we've known for a long time that 
there's a substantial  placebo effect associated with psychodynamic 
therapy. Psychodynamic therapy does work. It just isn't any better than a 
good fake treatment. And expensive.

My first attempt to request a reprint failed when the e-mail request 
bounced back. I'm trying again with another e-mail address.

Stephen

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Stephen L. Black, Ph.D.          
Professor of Psychology, Emeritus   
Bishop's University      e-mail:  [EMAIL PROTECTED]
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