title: Practice-based evidence: patients who did not respond to group analysis.
abstract: Evidence-based psychotherapy is typically based on treatment outcome for the "average" patient in aggregate designs; reports on individual non-responders are rarely published. In this observational study, we explored factors that might have contributed to non-response in long-term dynamic group psychotherapy. Eight patients (14%) who did not change were compared with 48 treatment responders on clinical variables, and their case stories were retrospectively scrutinized for explanatory factors. The non-responders had less initial distress, stayed for shorter durations in therapy, and were more dissatisfied with their group and therapists. Based on detailed case stories, attempts are made to tease out idiographic hypotheses why each patient did not change during group analysis.
authors: Institute of Clinical Medicine, Medical Faculty, University of Oslo and Oslo University Hospital, Aker in Oslo, Norway. steinar.lorentzen@medisin.uio.no
authors: Steinar
authors: S
authors: Lorentzen
authors: Per
authors: P
authors: Høglend
authors: Egil W
authors: EW
authors: Martinsen
authors: Esther
authors: E
authors: Ringdal
mesh_terms: D000328:Adult; D003866:Depressive Disorder / Q000523:psychology / Q000628:therapy; D019263:Dysthymic Disorder / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy; D011569:Psychiatric Status Rating Scales; D011615:Psychotherapy, Group; D017211:Treatment Failure; D016896:Treatment Outcome