The papers in this issue of this journal collectively illustrate how meaningful empirical research in psychoanalytic psychotherapy, both quantitative and qualitative, can be conducted in real-life settings without huge resources. The contribution of a psychoanalytic approach to working in mental health services within the public sector is amply demonstrated in these articles in their focus on treatments underpinned by a psychoanalytic model, and in challenging the biological supremacy in the understanding of the aetiology and treatment of psychiatric disorders. The first two papers add to the existing literature, some of which has been previously published in Psychoanalytic Psychotherapy, on a relatively recently developed short-term psychodynamic therapy, dynamic interpersonal therapy (DIT), which has been at the forefront of the expansion of evidence-based talking therapies available in the UKNational Health Service (NHS) by its inclusion within Improving Access to Psychological Therapy (IAPT) services in primary care settings. These two articles complement each other in that the first provides preliminary evidence for the effectiveness of this treatment model based on changes in symptoms measured by outcome monitoring, and the second focuses at the level of the individual patient in exploring their personal experiences of receiving therapy. In ‘Development of dynamic interpersonal therapy in complex care (DITCC): a pilot study’, Amra Rao and her colleagues describe the development of the DIT model in working with patients presenting with complex depression, and the results of a pilot study which found preliminary evidence of its effectiveness in this patient population in an improvement in wellbeing and distress and declines in depression and anxiety. Significantly, outcomes were measured on a session by session basis, a research method that is often viewed with suspicion by psychoanalytic clinicians due to fears that this breaches the boundaries of the therapeutic relationship and interferes with the development of the transference. However, if the frequency of data collection is viewed in itself an integral part of the boundaries of the interpersonal space between therapist and patient setting, this can be thought about within a transference countertransference framework as in any psychoanalytic therapy. Moreover, the measurement of the patient’s overt symptomatology in each session provides an immediate picture of his or her current functioning, which can be linked to their conscious and unconscious experience of the therapeutic relationship, and potentially allows its inevitable ruptures to be identified and repaired earlier than in a therapy where outcome monitoring occurs less often. Patient experience is the subject of the next two papers. ‘Dynamic interpersonal therapy as experienced by young adults’, by Caja Landström, Lisa Psychoanalytic Psychotherapy, 2019 Vol. 33, No. 2, 75–76, https://doi.org/10.1080/02668734.2019.1648046

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社论

本期杂志的论文共同说明了在没有大量资源的情况下，如何在现实生活中进行有意义的，定量和定性的心理分析心理治疗研究。这些文章充分展示了精神分析方法对公共部门精神卫生服务工作的贡献，重点在于以精神分析模型为基础的治疗，并在对病因学和精神疾病治疗的理解中挑战了生物至上主义。 。前两篇论文增加了现有文献，其中一些文献先前已发表在Psychoanalytic Psychotherapy上，涉及相对较新开发的短期心理动力疗法，动态人际关系疗法（DIT），英国国家卫生服务局（NHS）将其纳入了改善初级保健机构的心理治疗访问（IAPT）服务范围之内，因此一直在扩大循证谈话疗法的前沿。这两篇文章互为补充，第一篇文章基于通过结果监测所测量的症状变化，为该治疗模型的有效性提供了初步证据，第二篇文章则着眼于个体患者的水平，以探索他们接受治疗的个人经历。Amra Rao和她的同事在“复杂护理中动态人际关系治疗（DITCC）的开发：一项先导研究”中描述了DIT模型在与患有复杂性抑郁症的患者合作中的发展，一项前瞻性研究的结果发现了其对这种患者群体的健康和痛苦改善以及抑郁和焦虑感下降的有效性的初步证据。值得注意的是，结果是在每个疗程的基础上进行测量的，由于担心这种疗法会破坏治疗关系的范围并干扰移情的发展，因此，精神分析临床医生经常怀疑这种研究方法。但是，如果将数据收集的频率本身视为治疗师和患者环境之间人际空间边界的有机组成部分，则可以像任何精神分析疗法一样，在转移反向转移框架内考虑这一点。此外，在每个疗程中对患者明显症状的测量可立即反映出他或她当前的功能，这可以与他们对治疗关系的有意识和无意识经历相关联，并且有可能比在手术中更早地发现和修复其不可避免的破裂。一种结果监测较少发生的疗法。患者的经验是接下来两篇论文的主题。CajaLandström的《年轻人的动态人际关系治疗》，丽莎心理分析心理治疗，2019年第1期。33，第2号，75-76，https://doi.org/10.1080/02668734.2019.1648046 与可能较少监测结果的疗法相比，它有可能使其不可避免的破裂得以更早地发现和修复。患者的经验是接下来两篇论文的主题。CajaLandström的《年轻人的动态人际关系治疗》，丽莎心理分析心理治疗，2019年第1期。33，第2号，75-76，https://doi.org/10.1080/02668734.2019.1648046 与可能较少进行结果监测的疗法相比，它有可能使其不可避免的破裂得以更早地发现和修复。患者的经验是接下来两篇论文的主题。CajaLandström的《年轻人的动态人际关系治疗》，丽莎心理分析心理治疗，2019年第1期。33，第2号，75-76，https://doi.org/10.1080/02668734.2019.1648046