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Busch, F.N. Milrod, B.L. Sandberg, L.S. (2009). A Study Demonstrating Efficacy of a Psychoanalytic Psychotherapy for Panic Disorder: Implications for Psychoanalytic Research, Theory, and Practice. J. Amer. Psychoanal. Assn., 57(1):131-148.

(2009). Journal of the American Psychoanalytic Association, 57(1):131-148

Research Section

A Study Demonstrating Efficacy of a Psychoanalytic Psychotherapy for Panic Disorder: Implications for Psychoanalytic Research, Theory, and Practice

Fredric N. Busch, Barbara L. Milrod and Larry S. Sandberg

Systematic research on psychoanalytic treatments has been limited by several factors, including a belief that clinical experience can demonstrate the effectiveness of psychoanalysis, rendering systematic research unnecessary, the view that psychoanalytic research would be difficult or impossible to accomplish, and a concern that research would distort the treatment being delivered. In recent years, however, many psychoanalysts have recognized the necessity of research in order to obtain a more balanced assessment of the role of psychodynamic psychotherapy and psychoanalysis in a contemporary treatment armamentarium, as well as to allow appropriate evaluation and potentially greater acceptance by the broader mental health and medical communities. In this context, studies were conducted of a psychodynamic treatment, Panic-Focused Psychodynamic Psychotherapy (PFPP), initially in an open trial and then in a randomized controlled trial (RCT) in comparison with a less active treatment, Applied Relaxation Training (ART; Cerny et al. 1984), for adults with primary DSM-IV panic disorder. The results of the RCT demonstrated the

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