Psychodynamic Therapy Still Works for Treatment of Schizophrenia

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• felix a

  January 18th, 2013 at 11:42 PM

  developing newer therapies is a good thing.but the older ones should not be discarded wither.improvements could be made and the older and newer methods could be used in tandem.at the end of the day what produces the best results whether in isolation or in tandem is what should be encouraged and that may not always be the newer techniques.

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• Fallon

  January 19th, 2013 at 4:13 AM

  I will give you that there are times when you want to seek out something exciting and different all for the sake of making some advances in science. I get that because I think that through further research and study you do generally find ways to better serve a given population and perhaps even offer them the hope that they have not felt for a long time. But this should not be at the expense of giving up on something that continues to work. I want to take two steps ahead all the time too, but many times we need to be happy with what we have, and as the old saying goes, if it ain’t broke, don’t fix it.

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• Cate

  January 19th, 2013 at 12:31 PM

  I think we have to separate treatment from palliative add-ons, both of which have value. Psychosis Spectrum Disorders typically are treated with medicines, and over time we will continue to see medicines improve. Research into things like COX-2 inhibitors and inflammation is interesting, as are other research-based approaches. Once the medical illness is addressed, to the extent we currently can, the person who has that illness should be able to have any palliative therapy they want, meaning any therapy that makes them feel better and more able to cope with being very ill. But the practitioner should be honest enough to use a therapy best suited to client need, not just operate from their own preferred toolset. Honestly, folks, most people who are that ill will benefit from simple compassionate listening.

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• adrian

  January 19th, 2013 at 12:36 PM

  its always true with all things,isnt it?newer one comes along and the older is forgotten. but its always a good idea to step back and see if the older one has some advantages over the new. maybe we can derive the best of both?

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• Lud

  January 21st, 2013 at 4:56 AM

  Yeah, I am like the others.

  I too think that it is great when we set out to learn new things and discover new ways to improve the lives of others. But that doesn’t mean that we have to throw away the things that have also continued to work in the past. We can learn from that, grow from that, even come up with some new ideas from that. But just because something is new or unique doesn’t necessarily make it better.

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• devon

  January 22nd, 2013 at 12:14 AM

  maybe they should try out both forms side by side in a study involving a large number of people.then they could deduce which works better.and even then one form may be better suited for an individual even though it may not prove to be the BETTER of the two!so individualization may well be more important than the the absolute performance.

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• Alexander

  January 31st, 2013 at 12:47 PM

  What Rosenbaum have been doing here is remarkable. Remember that outside Scandinavia psychodynamic approaches to schizophrenia largely have frowned upon the last decades. The long tradition of a humanistic, need adapted, phenomenologically informed, psychodynamic approach (with solid doses of klein and bion) is still alive in parts of psychiatry here. One interesting aspect is that this study was done in the “field”, covering 1/4th of Denmarks population. It thus means we have good reason to asume it works in the real world, compared to a flood of small RCT’s conducted under quite different conditions. There’s a manual available if you contact Rosenbaum, his email is in the article

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