Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
Tip: To print an article…

PEP-Web Tip of the Day

To print an article, click on the small Printer Icon located at the top right corner of the page, or by pressing Ctrl + P. Remember, PEP-Web content is copyright.

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Binder, J.L. (2013). Brief Dynamic Interpersonal Therapy: A Clinician's Guide, by Alessandra Lemma, Mary Target, and Peter Fonagy, Oxford, UK: Oxford University Press, 2011, 256 pages (paper-bound), $39.95. ISBN 978-0-19-960245-2. Psychoanal. Psychol., 30(1):105-109.

(2013). Psychoanalytic Psychology, 30(1):105-109

Brief Dynamic Interpersonal Therapy: A Clinician's Guide, by Alessandra Lemma, Mary Target, and Peter Fonagy, Oxford, UK: Oxford University Press, 2011, 256 pages (paper-bound), $39.95. ISBN 978-0-19-960245-2

Review by:
Jeffrey L. Binder, Ph.D., ABPP

The use of treatment manuals was expected to incite a “small revolution” in psychotherapy training and research (Luborsky & De Rubeis, 1984). Over 30 years of use has shown that expectations about their impact were overblown (Strupp & Anderson, 1997; Rønnestad & Ladany, 2006). The delivery of manualized treatments was going to be highly standardized, like medications in a drug trial. Indeed, treatment manuals were first created for use in randomized controlled trials for psychotherapies. But we have learned that psychotherapy training is a tricky business, involving a complex interplay of many factors (e.g., Rønnestad & Ladany, 2006). The specific guidelines and illustrative transcripts provided by treatment manuals are an improvement over the highly abstract discussions and overly condensed clinical illustrations characteristic of older psychotherapy texts. Manuals have played an important role in psychotherapy training by improving the quality of declarative knowledge acquired by trainees. Other components of training, however, determine how successfully declarative knowledge is transformed into the type of procedural knowledge required to competently conduct therapy.

Treatment manuals vary in the specificity of their guidelines and technical prescriptions across orientations (e.g., cognitive/behavioral manuals generally having more specific technical prescriptions than psychodynamic manuals) as well as within orientations. The early psychodynamic manuals were considered applicable to a wide range of problems and disorders and offered more general guidelines than prescriptions (e.g., Luborsky, 1984; Strupp & Binder, 1984). Requirements for federal funding of treatment research have resulted in the latest psychodynamic manuals being written for specific DSM-defined disorders (e.g., Milrod, Leon, Busch, Rudden, Schwalberg, Clarkin, et al., 2007). Ironically, although treatment manuals have become more DSM disorder-focused with techniques that target specific problems, the authors and users of these manuals have become more vocal in asserting that they have to be used flexibly, in order to adapt to evolving contextual circumstances in the therapy interchange.


[This is a summary excerpt from the full text of the journal article. The full text of the document is available to journal subscribers on the publisher's website here.]

Copyright © 2020, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.