The DOI matches its Crossref record; 133 of the 133 references it cites were found in a registry or an index.
The efficacy of psychodynamic psychotherapy
Abstract
Empirical evidence supports the efficacy of psychodynamic therapy. Effect sizes for psychodynamic therapy are as large as those reported for other therapies that have been actively promoted as "empirically supported" and "evidence based." In addition, patients who receive psychodynamic therapy maintain therapeutic gains and appear to continue to improve after treatment ends. Finally, nonpsychodynamic therapies may be effective in part because the more skilled practitioners utilize techniques that have long been central to psychodynamic theory and practice. The perception that psychodynamic approaches lack empirical support does not accord with available scientific evidence and may reflect selective dissemination of research findings.
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“This phenomenon, known as the “sleeper effect,” implies that psychoanalytic therapy initiates ongoing processes of change that continue to evolve even after therapy has ended (121).”
From Psychoanalytically informed MDMA-assisted therapy for pathological narcissism: a novel theoretical approach (2025) · cites this paper as [121]
In the citing paper
“Its effect sizes range from 0.78 to 1.46, comparable to or even exceeding those of other evidence-based treatments (120, 121).”
From Psychoanalytically informed MDMA-assisted therapy for pathological narcissism: a novel theoretical approach (2025) · cites this paper as [121]
In the citing paper
“Research suggests that the benefits of psychoanalytic therapy not only endure, but its effect size may actually increase over time, reaching up to 1.51 at long-term follow-up (120, 121).”
From Psychoanalytically informed MDMA-assisted therapy for pathological narcissism: a novel theoretical approach (2025) · cites this paper as [121]
Citations
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WALSH, R. N. (2011) · American Psychologist · doi:10.1037/a0021769 · Cited by 763
Lane, R. D., Ryan, L., Nadel, L., & Greenberg, L. S. (2014) · Behavioral and Brain Sciences · doi:10.1017/s0140525x14000041 · Cited by 611
An overview of and recommendations for more accessible digital mental health services
Lattie, E. G., Stiles-Shields, C., & Graham, A. K. (2022) · Nature Reviews Psychology · doi:10.1038/s44159-021-00003-1 · Cited by 446
Synchrony in Psychotherapy: A Review and an Integrative Framework for the Therapeutic Alliance
Koole, S. L., & Tschacher, W. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.00862 · Cited by 456
“The alliance has remained a major focus in contemporary psychoanalytic approaches, which regard the patient-therapist relationship as a bond that can become deeply meaningful and highly emotionally charged for the patient (Shedler, 2010).”
BackgroundExpanding the lens of evidence-based practice in psychotherapy: A common factors perspective.
Laska, K. M., Gurman, A. S., & Wampold, B. E. (2014) · Psychotherapy · doi:10.1037/a0034332 · Cited by 443
Metadata
- Authors
- Shedler, J.
- Affiliations
- University of Colorado Anschutz (US)
- Corresponding author
- Shedler, Jonathan
- Venue
- American Psychologist
- Published
- 2010
- Volume
- 65
- Issue
- 2
- Pages
- 98-109
- ISSN
- 0003-066X (ISSN-L)
- 1935-990X
- OpenAlex
- W2133566473
- Cited by
- 1,452
- References
- 133
- Citations by year
- 2026: 66 · 2025: 98 · 2024: 54 · 2023: 63 · 2022: 77 · 2021: 80 · 2020: 95 · 2019: 92 · 2018: 105 · 2017: 93 · 2016: 90 · 2015: 108 · 2014: 97 · 2013: 112 · 2012: 91
- FWCI
- 116.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Psychologist (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- psychodynamic psychotherapy, treatment efficacy, effect size, empirically supported treatments, evidence-based practice, research dissemination
- MeSH terms
- Mental Disorders, Humans, Physician-Patient Relations, Psychoanalysis, Psychotherapy, Meta-Analysis as Topic, Randomized Controlled Trials as Topic, Treatment Outcome
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