The DOI matches its Crossref record.
Comparing the process in psychodynamic and cognitive-behavioral therapies.
Abstract
Archival records were used to compare the therapy process in 30 brief psychodynamic and 32 cognitive-behavioral therapies. Verbatim transcripts of 186 treatment sessions were rated with the Psychotherapy Process Q-set, designed to provide a standard language for the description of process. Results demonstrated that although some features were common to both treatments, there were important differences. Cognitive-behavioral therapy promoted control of negative affect through the use of intellect and rationality combined with vigorous encouragement, support, and reassurance from therapists. In psychodynamic psychotherapies, there was an emphasis on the evocation of affect, on bringing troublesome feelings into awareness, and on integrating current difficulties with previous life experience, using the therapist-patient relationship as a change agent. The clinical theoretical precepts underlying psychodynamic treatments received considerable support. In cognitive-behavioral therapies, there was evidence for the importance of developmental, as opposed to rationalist, intervention strategies for treatment outcome.
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“Research indicates that combining psychoanalytic techniques with cognitive therapy enhances treatment outcomes, whereas cognitive techniques alone demonstrate limited association with long-term improvements (123).”
From Psychoanalytically informed MDMA-assisted therapy for pathological narcissism: a novel theoretical approach (2025) · cites this paper as [123]
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Blum, L. D. (2022) · Culture Medicine and Psychiatry · doi:10.1007/s11013-022-09767-4
“Likewise, psychotherapies with more listening and less instructing appear to have an advantage (Jones and Pulos 1993).”
BackgroundLemma, A. (2003) · doi:10.1002/9780470713426.refs
(2008) · Vandenhoeck & Ruprecht eBooks · doi:10.13109/9783666401008.259
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Nardi, S. C. D. S., Feijó, L. P., Bittencourt, A. A., Serralta, F. B., & Benetti, S. P. D. C. (2023) · Avances en Psicología Latinoamericana · doi:10.12804/revistas.urosario.edu.co/apl/a.9224
Eso era entonces, esto es ahora. Psicoterapia psicoanalítica para el resto de nosotros
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Goodman, G., Clark, A., & Chung, H. (2026) · Sexual Health & Compulsivity · doi:10.1080/26929953.2026.2623014
“This low percentage is consistent with other researchers using the PQS (35%–Coombs et al., 2002, p. 238; 34%–Goodman et al., 2014; 43%–Jones et al., 1993, p. 387; 37%–Jones & Price, 1998, p. 39; 34%–Jones & Price, 1998, p. 47; 42%–Jones & Pulos, 1993, p. 313; 35%–Josephs et al., 2014, p. 158).”
InfluentialPsychodynamic Psychotherapy and Older Adults
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“Psychodynamic therapists tend to reject “advice-giv - ing” or focusing solely on behavioral change, in contrast to many other forms of therapy in which therapists may outline specific behavioral instructions, such as to exercise or to engage in pleasurable activities [ 25].”
Vancappel, A., Dufour, J., Angeneau, L., Brennstuhl, M., El‐Hage, W., Gandolphe, M., Hiton, S., Khalfla, S., Nandrino, J., Raffard, S., et al. (2026) · Annales Médico-psychologiques revue psychiatrique · doi:10.1016/j.amp.2026.06.022
Metadata
- Authors
- Jones, E. E., & Pulos, S. M.
- Affiliations
- University of California, Berkeley (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1993
- Volume
- 61
- Issue
- 2
- Pages
- 306-316
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2011642517
- Cited by
- 301
- References
- 0
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 5 · 2023: 9 · 2022: 4 · 2021: 9 · 2020: 14 · 2019: 8 · 2018: 15 · 2017: 6 · 2016: 5 · 2015: 15 · 2014: 14 · 2013: 15 · 2012: 12
- FWCI
- 3.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01mh038348-06)
- National Institute of Mental Health (R01 MH 38348)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Keywords
- psychodynamic psychotherapy, cognitive behavioral therapy, therapeutic process, Psychotherapy Process Q-Set, brief psychotherapy, emotional awareness, therapeutic relationship
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Outcome and Process Assessment, Health Care, Psychoanalytic Therapy, Psychotherapy, Brief, Q-Sort, Cognitive Behavioral Therapy
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