Posted by Dinah on December 26, 2003, at 18:32:44
In reply to Re: Therapist Orientation? CBT or psychodynamic? » Dinah, posted by mattdds on December 26, 2003, at 16:25:42
Since my therapist has done both CBT and more psycho-dynamic therapy with me, I think I might post an issue, and how he might approach it from either side. And how I'm not sure there is that much difference in effect.
I'll look through my workbook and see if something pops into mind.
Maybe some other folks with a bit of familiarity with both could do the same thing, with their therapists' different approaches. I'll bet that we find out there are more similarities than differences.
I'm not familiar with all of the outcome studies. But I do remember reading recently that the therapist/client relationship as viewed by the client accounted for most of the therapy satisfaction rating. I'm not sure satisfaction is identical with success though. I also remember the grand rounds presentation on CBT outcome studies (linked from here) that showed that the outcome was better for people with some types of personality than others.
You might have to factor in other things as well. For example, I had excellent results with CBT for my OCD. I still have the occasional panic attack (one last night even), but I handle them much better. But when the OCD got under control, my mood disorder worsened. And it doesn't seem as amenable to CBT.
The brain is so darn complicated.
Dinah
P.S. Matt. Though you might hear me complain about pure CBT sometimes, you'd equally hear me complain about pure Freudian psychoanalysis. Most of the books I own that I want to ditch are classic psychoanalytic books. I always read a few pages and my eyes glaze over when they're not rolling. And I did a consultation with a psychiatrist once who thought perfectly normal interpersonal feelings had to be transference - it made me as crazy as CBT biofeedback guy did. But that's just me. :) I'm sure they've helped plenty of people.
poster:Dinah
thread:293462
URL: http://www.dr-bob.org/babble/psycho/20031221/msgs/293608.html