The following information was originally published in The American Journal of Psychiatry, and sheds new light on the most effective treatment for those dealing with Bulimia. The researchers compared two modes of therapy, Cognitive Behavior Therapy and psychoanalytic psychotherapy. //www.apsa.org/About_Psychoanalysis/Psychoanalytic_Psychotherapy.aspx
In this study from Copenhagen, 20 weeks of cognitive-behavioral therapy
(CBT) was found to be markedly superior to 2 years of psychoanalytic psychotherapy.
The research was reviewed recently in an editorial article. Following is an overview of the key points. You may read the full article for additional information.
• Cognitive-behavioral therapy (CBT) was found to be “markedly superior” than psychoanalytic psychotherapy.
• The improvement was “the most dramatic that we have seen in the literature” according to the authors.
• The article highlights the potency of CBT and the impressive maintenance of progress over the 19-month follow-up
• The findings stand in stark contrast to the widespread claim that there are no differences in outcomes between the various psychological treatments.
The review points out the following interesting insights about the research.
“What makes these findings even more striking is that the study was initiated by the two lead authors (who developed the psychoanalytic treatment used in the trial which was shown to be less effective) and it was conducted at a clinic that specializes in psychoanalytic therapy. “
“The psychoanalytic treatment enjoyed virtually every advantage over enhanced CBT in this study: a considerably larger dose (more than 70 sessions over 2 years versus 20 sessions over 20 weeks)”.
“CBT achieved a dramatically better outcome. Moreover, it did so with no indication that it led to symptom substitution.”
The article concludes with this powerful comment,
“Our sense is that this will prove to be a landmark study as it provides one of the clearest examples of the superiority of one well-implemented psychological treatment over another. This study also provides powerful additional evidence in support of the efficacy of CBT as the evidence-based treatment of choice for bulimia nervosa .
Dr. Brogdon, Founder and Director of Canopy Cove Eating Disorder Treatment Center commented, ‘The Copenhagen research reflects the positive results we’ve seen for over 20 years. Although this specific research focused on the effectiveness with Bulimia, we have also seen CBT have a high success rate in treating clients who are dealing with Anorexia, Bulimia and EDNOS.”
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