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Questions Concerning the Randomized Trial of Schema-Focused Therapy vs Transference-Focused Psychotherapy
Frank Yeomans, MD, PhD
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I’m writing as a consultant to the study in the June 2006 issue of the ARCHIVES, "Outpatient Psychotherapy for Borderline Personality Disorder: Randomized Trial of Schema-Focused Therapy vs Transference-Focused Psychotherapy."1 The topic is important, but I regretfully have to object to aspects of this study and question its conclusions. Besides the facts that (1) the patient group treated by psychodynamic therapists was more symptomatic and (2) a completers analysis, which I know was done, was not published, there is an issue concerning what therapy was delivered. The question of adherence is essential to any psychotherapy research and in this study, we must consider both observation of the therapists' work and the authors' "integrity check."
Giesen-Bloo et al1 state "all the therapists had previous therapy experience in their orientation with patients with BPD [borderline personality disorder]" and the transference-focused psychotherapy (TFP) therapists had an average . . . [Full Text of this Article]
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RELATED LETTER
Questions Concerning the Randomized Trial of Schema-Focused Therapy vs Transference-Focused Psychotherapy—Reply
Josephine Giesen-Bloo and Arnoud Arntz
Arch Gen Psychiatry. 2007;64(5):610-611.
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RELATED ARTICLE
Outpatient Psychotherapy for Borderline Personality Disorder: Randomized Trial of Schema-Focused Therapy vs Transference-Focused Psychotherapy
Josephine Giesen-Bloo, Richard van Dyck, Philip Spinhoven, Willem van Tilburg, Carmen Dirksen, Thea van Asselt, Ismay Kremers, Marjon Nadort, and Arnoud Arntz
Arch Gen Psychiatry. 2006;63(6):649-658.
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