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Latent trajectories of change for clients at a psychodynamic training clinic
Author(s) -
Jankowski Peter J.,
Sandage Steven J.,
Bell Chance A.,
Rupert David,
Bronstein Miriam,
Stavros George S.
Publication year - 2019
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.22769
Subject(s) - psychology , psychodynamic psychotherapy , psychodynamics , mental health , anxiety , clinical psychology , exploratory research , depression (economics) , affect (linguistics) , psychotherapist , psychiatry , communication , sociology , anthropology , economics , macroeconomics
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.