Based on 10 years of previous research by the Vanderbilt research team, a specialized form of time-limited dynamic psychotherapy (TLDP) has been developed. This study is designed to test the following hypothesis: (1) TLDP is a set of specifiable principles and techniques that can be taught to experienced therapists and will influence the manner in which these therapists conduct treatment; (2) therapy conducted along TLDP guidelines will improve therapeutic process and outcome; and (3) the greatest relative improvements of process and outcome will occur in patients whose potential for dynamic psychotherapy is considered low. The basic design calls for a comparison of the process and outcome of therapy (maximum 25 hours) conducted prior to therapists' training in TLDP (i.e., """"""""therapy as usual"""""""") with process and outcome of therapy conducted after TLDP training. Patients will be placed along a continuum of potential for dynamic psychotherapy, and each therapist will be assigned a realtively """"""""high"""""""" and a relatively """"""""low"""""""" potential patient, both before and after TLDP training. Fourteen therapists will each treat two patients before and after TLDP training (n=56). The intensive study of individual patient-therapist dyads will be a significant feature of data analysis. Therapists will be well-trained and reasonably experienced psychologists and psychiatrists. Patients will evidence moderately severe and chronoc characterological difficulties, comparable to outpatient psychiatric populations, who may be more or less suitable for dynamic psychotherapy. Comprehensive assessments will be made prior to therapy, during therapy, at termination, and one year later. It is anticipated that this research will accomplish the following goals: (1) advance scientific understanding of the therapeutic process; (2) expand the range of patients who might benefit from the time-limited dynamic psychotherapy; and (3) result in a specialized training program (based on a treatment manual) that will have direct clinical applications.

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Research Project (R01)
Project #
Application #
Study Section
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
Vanderbilt University Medical Center
Schools of Arts and Sciences
United States
Zip Code
Hilliard, R B; Henry, W P; Strupp, H H (2000) An interpersonal model of psychotherapy: linking patient and therapist developmental history, therapeutic process, and types of outcome. J Consult Clin Psychol 68:125-33
Henry, W P (1996) Structural analysis of social behavior as a common metric for programmatic psychopathology and psychotherapy research. J Consult Clin Psychol 64:1263-75
Henry, W P; Strupp, H H; Butler, S F et al. (1993) Effects of training in time-limited dynamic psychotherapy: changes in therapist behavior. J Consult Clin Psychol 61:434-40
Henry, W P; Schacht, T E; Strupp, H H et al. (1993) Effects of training in time-limited dynamic psychotherapy: mediators of therapists' responses to training. J Consult Clin Psychol 61:441-7
Kelly, T A; Strupp, H H (1992) Patient and therapist values in psychotherapy: perceived changes, assimilation, similarity, and outcome. J Consult Clin Psychol 60:34-40
Henry, W P; Schacht, T E; Strupp, H H (1990) Patient and therapist introject, interpersonal process, and differential psychotherapy outcome. J Consult Clin Psychol 58:768-74
Johnson, M E; Popp, C; Schacht, T E et al. (1989) Converging evidence for identification of recurrent relationship themes: comparison of two methods. Psychiatry 52:275-88
Strupp, H H; Butler, S F; Rosser, C L (1988) Training in psychodynamic therapy. J Consult Clin Psychol 56:689-95
Butler, S F; Binder, J L (1987) Cyclical psychodynamics and the triangle of insight: an integration. Psychiatry 50:218-31
Henry, W P; Schacht, T E; Strupp, H H (1986) Structural analysis of social behavior: application to a study of interpersonal process in differential psychotherapeutic outcome. J Consult Clin Psychol 54:27-31