The indication and agreement to initiate treatment during the initial evaluation of psychodynamic psychotherapy

Authors

  • Marina Bento Gastaud Universidade Federal do Rio Grande do Sul (UFRGS) [Federal University of Rio Grande do Sul] Post-Graduation Program in Medical Sciences: Psychiatry
  • Fernando Basso Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) Post-Graduation Program in Psychology
  • Lucas Seiki Mestre Okabayashi Universidade Federal do Rio Grande do Sul (UFRGS) [Federal University of Rio Grande do Sul] Post-Graduation Program in Medical Sciences: Psychiatry
  • Maria Lúcia Tiellet Nunes Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) Post-Graduation Program in Psychology
  • Cláudio Laks Eizirik Universidade Federal do Rio Grande do Sul (UFRGS) [Federal University of Rio Grande do Sul] Post-Graduation Program in Medical Sciences: Psychiatry

DOI:

https://doi.org/10.4013/ctc.2015.81.01

Abstract

This naturalistic and longitudinal study, following 557 outpatients who sought psychodynamic psychotherapy, aimed to verify factors associated with non-indication for psychodynamic psychotherapy and to establish predictors of non-agreement to initiate treatment for patients indicated for this treatment. It found that patients consulting for somatic or att ention problems and/or with a low educational level were less likely to be indicated for psychodynamic psychotherapy; patients perceiving their symptoms as intense were more likely to be indicated for this treatment. The following were the predictors of non-agreement to initiate psychodynamic psychotherapy: low educational level, low family income, diagnosis of schizophrenia, schizotypal or delusional disorders, depressive problems and/or never experiencing psychotherapy. Psychodynamic psychotherapy, as every other treatment, appears to be suitable for a specific group of patients. Unless the technique performed by psychotherapists during psychodynamic psychotherapy’s initial stages is improved, the relevance of referring a non-concordant profi le to this psychotherapeutic modality is herein discussed.

Keywords: treatment indication, treatment compliance, suitability, premature discontinuation, psychodynamic psychotherapy.

Author Biographies

Marina Bento Gastaud, Universidade Federal do Rio Grande do Sul (UFRGS) [Federal University of Rio Grande do Sul] Post-Graduation Program in Medical Sciences: Psychiatry

psychologist, PhD degree in Medical Sciences: Psychiatry

Fernando Basso, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) Post-Graduation Program in Psychology

psychologist

Lucas Seiki Mestre Okabayashi, Universidade Federal do Rio Grande do Sul (UFRGS) [Federal University of Rio Grande do Sul] Post-Graduation Program in Medical Sciences: Psychiatry

Medical student

Maria Lúcia Tiellet Nunes, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) Post-Graduation Program in Psychology

psychologist, PhD degree in Psychology

Cláudio Laks Eizirik, Universidade Federal do Rio Grande do Sul (UFRGS) [Federal University of Rio Grande do Sul] Post-Graduation Program in Medical Sciences: Psychiatry

psychoanalyst, PhD degree in Medical Sciences: Psychiatry, former president of International Psychoanalytic Association

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Published

2015-03-30

Issue

Vol. 8 No. 1 (2015): Jan-Jun

Section

Articles

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