Longer-term psychodynamic psychotherapy has advantages over brief approaches to self-improvement like CBT and metacognition.
Managing and controlling emotions and behaviors are the focus of most psychological treatments today.Psychodynamic psychotherapy promotes insight into distress by focusing on emotional reactions from childhood.Learning emotional and behavioral control is very much in vogue. There is instruction in schools, in the workplace, and in the larger world of interpersonal relationships.
Hippocrates said, “It is quite as important to know what kind of a patient the disease has got as to know what sort of a disease the patient has got.” This may apply to emotional learning and elaboration as well. Studies comparing the length of time symptom remission lasts with CBT and psychodynamic therapies show differences. Symptom improvement lasts longer with psychodynamic therapy, showed Shedler in his study of several meta-analyses. CBT treatment effects decay a year or so after treatment ends. Psychodynamic treatments last for more than five years after therapy ends, Shedler reports.
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