PMID- 10396131
OWN - NLM
STAT- MEDLINE
DCOM- 19990803
LR  - 20151119
IS  - 0937-2032 (Print)
IS  - 0937-2032 (Linking)
VI  - 49
IP  - 5
DP  - 1999 May
TI  - [The Dusseldorf short-term dynamic psychotherapy project (DKZP)].
PG  - 142-52
AB  - Time-limited psychodynamic therapies in the outpatient setting are offered for a 
      broad spectrum of psychogenic disorders. Meta-analyses prove their effectiveness 
      mainly for neurotic disorders. We are interested in the suitability of the here 
      applied CMP/SASB model (Tress et al. 1996) of psychodynamic short-term therapy 
      for patients with psychosomatic and severe personality disorders. We extensively 
      present the concept of Cyclic Mal-adaptive Pattern (CMP) in its clinically 
      relevant parts as the core of psychogenic pathological developments. Particularly 
      the introject, as the patient's attitude towards him- or herself, is of great 
      importance for therapeutic change and its follow-up development. Within the DKZP 
      (Duesseldorf Short-Term Psychotherapy Project), 36 male and female therapists, 
      mostly interns at the local university clinic, treated 82 patients (m: 23/f: 59) 
      with personality disorders (n = 26) and psychosomatic disorders (n = 31) as 
      research groups and, in comparison, neurotic patients (n = 25) in a naturalistic 
      design. 68 treatments have been completed so far, 11 patients have dropped out, 
      the remaining 3 are still in therapy. Relevant research instruments are the 
      Beeintrachtigungsschwere Score (BSS, an impairment score), Global Assessment of 
      Functioning Scale (GAF), Cyclic Maladaptive Pattern (CMP), Symptom Check List 
      (SCL-90-R), and Structural Analysis of Social Behavior (SASB) including process 
      and content ratings, as well as the Intrex questionnaire. The treatments last 25 
      sessions. We carried out follow-up examinations after 6 months, 1 year, 2, and 5 
      years. Effect sizes for the whole sample by BSS and GAF are remarkably high, with 
      further increase at follow-up interviews. Psychosomatic patients came off best, 
      but personality disorders in comparison to neurotic patients profited 
      surprisingly well. Effect sizes in self-rating (SCL and Intrex) were less high. 
      However, in self-rating the changes of social functions are not sufficiently 
      addressed. As a result, our form of focal therapy is well suited not only for 
      neuroses, but also for psychosomatic disorders and personality disorders. An 
      enlargement of the indication spectrum for this form of psychodynamic therapy to 
      include these disorders is well founded and promising.
FAU - Junkert-Tress, B
AU  - Junkert-Tress B
AD  - Klinisches Institut, Heinrich-Heine-Universitat Dusseldorf.
FAU - Tress, W
AU  - Tress W
FAU - Scheibe, G
AU  - Scheibe G
FAU - Hartkamp, N
AU  - Hartkamp N
FAU - Maus, J
AU  - Maus J
FAU - Hildenbrand, G
AU  - Hildenbrand G
FAU - Schmitz, N
AU  - Schmitz N
FAU - Franz, M
AU  - Franz M
LA  - ger
PT  - Clinical Trial
PT  - English Abstract
PT  - Journal Article
TT  - Das Dusseldorfer Kurzzeitpsychotherapie-Projekt (DKZP).
PL  - Germany
TA  - Psychother Psychosom Med Psychol
JT  - Psychotherapie, Psychosomatik, medizinische Psychologie
JID - 8002823
SB  - IM
MH  - Adult
MH  - Female
MH  - Germany
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Personality Disorders/psychology/*therapy
MH  - Psychiatric Status Rating Scales
MH  - Psychophysiologic Disorders/psychology/*therapy
MH  - *Psychotherapy, Brief
MH  - Self-Assessment
MH  - Surveys and Questionnaires
EDAT- 1999/07/09 00:00
MHDA- 1999/07/09 00:01
CRDT- 1999/07/09 00:00
PHST- 1999/07/09 00:00 [pubmed]
PHST- 1999/07/09 00:01 [medline]
PHST- 1999/07/09 00:00 [entrez]
PST - ppublish
SO  - Psychother Psychosom Med Psychol. 1999 May;49(5):142-52.