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Letters |

Analyzing Effectiveness of Long-term Psychodynamic Psychotherapy

Aaron T. Beck, MD; Sunil S. Bhar, PhD
JAMA. 2009;301(9):930-933. doi:10.1001/jama.2009.179.
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To the Editor: In their meta-analysis of the effectiveness of LTPP, Drs Leichsenring and Rabung1 concluded that LTPP was significantly superior to shorter-term methods of psychotherapy with regard to overall outcome, target problems, and personality functioning. There are multiple problems with their meta-analysis that mitigate the scientific credibility of this conclusion.

First, the designation of “shorter-term methods of psychotherapy” included 5 treatments that did not constitute formal psychotherapy as it is generally understood. These treatments consisted of a waitlist control condition, nutritional counseling, standard psychiatric care, low-contact routine treatment, and treatment as usual (TAU) in the community. Such “mixing apples and oranges” is problematic in meta-analyses.

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March 4, 2009
Brett D. Thombs, PhD; Marielle Bassel, BA; Lisa R. Jewett, BA
JAMA. 2009;301(9):930-933. doi:10.1001/jama.2009.177.
March 4, 2009
Levente Kriston, PhD; Lars Hölzel, MA; Martin Härter, MD, PhD
JAMA. 2009;301(9):930-933. doi:10.1001/jama.2009.178.
March 4, 2009
Stefan Roepke, MD; Babette Renneberg, PhD
JAMA. 2009;301(9):930-933. doi:10.1001/jama.2009.180.
March 4, 2009
Falk Leichsenring, DSc; Sven Rabung, PhD
JAMA. 2009;301(9):930-933. doi:10.1001/jama.2009.181.
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