Latent trajectories of change for clients at a psychodynamic training clinic. Issue 7 (28th February 2019)

• Record Type: Journal Article
• Authors: Jankowski, Peter J.; Sandage, Steven J.; Bell, Chance A.; Rupert, David; Bronstein, Miriam; Stavros, George S.
• Is Part Of: Journal of clinical psychology. Volume 75:Issue 7(2019)
• Page Start: 1147
• Page End: 1168
• Publication Date: 2019-02-28
• Subjects: latent trajectories -- parallel growth -- practice‐based evidence -- psychoanalytic -- relational; Psychology -- Periodicals; 616.89
• DOI: 10.1002/jclp.22769
• Languages: English
• ISSNs: 0021-9762

Abstract

Abstract: Objective: Employing practice‐based research methods, we addressed the need to examine the effectiveness of psychodynamic treatment as a supplement to the efficacy evidence offered by randomized clinical trials. Method: We used person‐centered analyses to generate latent subgroups of clients ( N = 118; M age = 40.92; 53.4% female; 81.4% Caucasian; 80.5% heterosexual) receiving contemporary relational psychotherapy (CRP) at a psychodynamic community mental health training clinic. Results: Subgroups of clients reported a change in depression, social conflict, and anxiety symptomatology, and overall life satisfaction, depicted by significant quadratic growth curves. Findings also offered exploratory support for a theoretical proposition from CRP that improved relational functioning would correspond to improved affect dysregulation and overall life satisfaction. Conclusion: Clinical and training implications highlight the need to distinguish subgroups of "responders" and "nonresponders" to inform treatment.