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Psychodynamic Therapy for Oppositional Defiant Disorder: Changes in Personality, Object Relations, and Adaptive Function After Six Months of Treatment

Psychodynamic Therapy for Oppositional Defiant Disorder: Changes in Personality, Object Relations, and Adaptive Function After Six Months of Treatment

Abstract

Psychodynamic Therapy for Oppositional Defiant Disorder: Changes in Personality, Object Relations, and Adaptive Function After Six Months of Treatment SAGE Publications, Inc.2006DOI: 10.1177/00030651060540040108 Michael Bambery University of Detroit Mercy, mbambery@msn.com John H. Porcerelli Wayne State University School of Medicine Bridging the gap in youth psychotherapy outcome research between research findings stemming primarily from the tightly controlled research laboratory and the “real world” clinical setting has been the virtuous and necessary focus of many mental health researchers and clin- icians (Weisz, Doss, and Hawley 2005; Westen, Novotny, and Thompson- Brenner 2004). A criticism of many laboratory-based studies is that they do not reflect actual clinical practice. Weisz, Doss, and Hawley (2005) reported in their methodological analysis of youth psychotherapy out- come research from 1963 through 2002 that across disorders 13% of study sample participants had sought treatment or were self-referred, while 77% were recruited or had not sought treatment; only 1% of the studies reviewed met criteria for treatment representativeness (clinical representativeness of youth sampled, therapists who provided treatment, and settings of the treatment provided). “Learning-based” treatments were found to be eight to ten times more prevalent than “insight-based” treatment. For oppositional and conduct disorders specifically, only 4% of
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