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Biomedical subjects

L Horwitz

Publications and source records attributed to L Horwitz.

At least 55 records · Page 3Linked to original sources
PubMed1976

Therapeutic outcome as rated by patients, therapists, and judges.

The views of patients, therapists, and research judges were compared as to the degree of success attained in 22 cases of long-term psychotherapy and 15 cases of psychoanalysis. Across all cases, there was a tendency for therapists to overrate their success, as compared to the other two sources; this, together with a tendency of therapists to overlook or misperceive patients' dissatisfaction with treatment outcome, suggested that the failure to recognize and deal with the patient's negative feelings was a factor in a substantial number of unsuccessful treatments. The research judges rated the psychoanalytic cases as successful with much less frequency than either patients or treating analysts; the disparity seemed partly due to differing frames of reference, but may also have relected the participants' needs to feel that their efforts had been worthwhile.

Humans↗
PubMedDate not supplied

Transference interpretation in the psychotherapy of borderline patients: a high-risk, high-gain phenomenon.

The effectiveness of transference interpretation in the psychodynamic psychotherapy of patients with borderline personality disorder has been highly controversial. Both highly expressive approaches that stress the value of transference interpretation and supportive strategies that eschew transference work have been advocated in the literature. We review this literature and identify three emerging trends in thought: (1) Primarily interpretive approaches should be reserved for patients with greater levels of ego strength. (2) Whichever technique is used, a strong therapeutic alliance is the foundation of treatment. (3) Expressive and supportive techniques should not be juxtaposed as polarized opposites; supportive interventions often pave the way for transference interpretation. Our psychotherapy process study revealed that transference interpretations tended to have greater impact--both positive and negative--than other interventions made with patients with borderline personality disorder. We conclude that such factors as neuropsychologically based cognitive dysfunction, a history of early trauma, patterns of object relations involving interpersonal distance, masochistic tendencies, and anaclitic rather than introjective psychopathology are among the patient characteristics that influence the impact of transference interpretation on the therapeutic alliance. Bias toward expressive technique and countertransference issues appear to be relevant to the therapist's difficulty in shifting to a more supportive approach when indicated.

Adult↗