The term borderline was first used by Adolf Stern in 1938. He used the expression to describe a group of patients who were not able to benefit from classical psychoanalysis and who did not appear to fit into the standard neurotic or psychotic classifications. These patients, although initially appearing to be good psychotherapeutic cases, would develop a fairly specific pattern of acting out which manifested into severe transference problems that became difficult to treat within the scope of psychoanalysis. At that time psychopathology was viewed as a continuum which ran from normal to neurotic to psychotic. The patient who did not fit clearly into these criteria was considered to be suffering from a borderline group of neuroses.
When you begin looking for professional help the terms counselling and psychotherapy can easily cause confusion. As you read through therapy websites you will find that some services offer counselling, some offer psychotherapy, and some offer both. So what does it all mean? This article will help you understand the difference between these two approaches so that you can the most suitable therapist for you. This is not a technical explanation of the differences – just a brief, jargon-free explanation to help the consumer who is looking for a therapist. Definitions will vary between clinicians so when looking for a therapist it may be helpful to ask directly how they personally define the differences. The following is how we at Auckland City Therapy distinguish the difference between each approach.
How effective is psychodynamic psychotherapy?
Jonathan Schedler Ph.D. conducted a meta-analysis looking at how psychodynamic psychotherapy compared with other forms of treatment such as cognitive behavioural therapy (CBT). Psychodynamic psychotherapy proved significantly more effective than CBT (and medication) and showed that the benefits of psychodynamic therapy continued to grow when followed up at one and five year intervals.