My research has been in two closely related areas: Project A """"""""Factors Influencing the Outcomes of Psychotherapy"""""""" (long-term change), and Project B """"""""Factors Influencing the Appearance of Neurotic and Psychosomatic Symptoms During Psychotherapy"""""""" (short-term change) primarily based upon the symptom-context method developed by the PI. In both projects the long-term goal is the same--to understand the factors influencing personality change. For both projects I am now at the point where the basic foundations and directions have been established by my previous work, and the work is ready to be carried to its logical conclusions. For Project A, two main directions will be explored: (a) the pretreatment characteristics of patient, especially psychological health-sickness; (b) the conditions for the formation of helping alliances where we have developed new measures and shown promising results. For Project B, my aim now is to expand the research beyond the few cases which have been done so far to a large sample for each type of patient. We have already begun in this direction and have shown that some of the main concepts having to do with necessary short-term preconditions for symptoms are useful also in understanding the curative factors in psychotherapy outcome.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Scientist Award (K05)
Project #
5K05MH040710-21
Application #
3076108
Study Section
Research Scientist Development Review Committee (MHK)
Project Start
1978-09-01
Project End
1992-02-28
Budget Start
1990-03-01
Budget End
1991-02-28
Support Year
21
Fiscal Year
1990
Total Cost
Indirect Cost
Name
University of Pennsylvania
Department
Type
Schools of Medicine
DUNS #
042250712
City
Philadelphia
State
PA
Country
United States
Zip Code
19104
Luborsky, L; Diguer, L; Luborsky, E et al. (1993) Psychological health-sickness (PHS) as a predictor of outcomes in dynamic and other psychotherapies. J Consult Clin Psychol 61:542-8
Luborsky, L; Barber, J P; Beutler, L (1993) Introduction tp Special Section: a briefing on curative factors in dynamic psychotherapy. J Consult Clin Psychol 61:539-41
Fried, D; Crits-Christoph, P; Luborsky, L (1992) The first empirical demonstration of transference in psychotherapy. J Nerv Ment Dis 180:326-31
Crits-Christoph, P; Luborsky, L; Gay, E et al. (1991) What makes Susie cry? A symptom-context study of family therapy. Fam Process 30:337-45
Luborsky, L; Barber, J P; Crits-Christoph, P (1990) Theory-based research for understanding the process of dynamic psychotherapy. J Consult Clin Psychol 58:281-7
Luborsky, L; Crits-Christoph, P (1989) A relationship pattern measure: the core conflictual relationship theme. Psychiatry 52:250-9
Crits-Christoph, P; Luborsky, L; Dahl, L et al. (1988) Clinicians can agree in assessing relationship patterns in psychotherapy. The Core Conflictual Relationship Theme method. Arch Gen Psychiatry 45:1001-4
Crits-Christoph, P; Cooper, A; Luborsky, L (1988) The accuracy of therapists' interpretations and the outcome of dynamic psychotherapy. J Consult Clin Psychol 56:490-5
Woody, G E; McLellan, A T; Luborsky, L et al. (1987) Twelve-month follow-up of psychotherapy for opiate dependence. Am J Psychiatry 144:590-6
Luborsky, L; Crits-Christoph, P; Mellon, J (1986) Advent of objective measures of the transference concept. J Consult Clin Psychol 54:39-47

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