The Efficacy of Psychodynamic Psychotherapy 
Jonathan Shedler 
University of Colorado Denver School of Medicine

Abstract

Empirical evidence supports the efficacy of psychodynamic psychotherapy.  Effect sizes for psychodynamic psychotherapy are as large as those reported for other therapies that have been actively promoted as "empirically supported" and "evidence based."  Additionally, patients who receive psychodynamic therapy maintain therapeutic gains and appear to continue to improve after treatment ends.  Finally, non-psychodynamic therapies may be effective in part because the more skilled practitioners utilize techniques that have long been central to psychodynamic theory and practice.  The perception that psychodynamic approaches lack empirical support does not accord with available scientific evidence and may reflect selective dissemination of research findings.

The efficacy of psychodynamic psychotherapy [pdf] 2010 by Jonathan Shedler, Ph.D. American Psychologist, American Psychological Association Vol. 65, No. 2, pp. 98–109. "Hailed as a contemporary classic and studied in clinical training programs around the world, this is the paper that firmly established psychodynamic therapy as an evidence-based treatment" (American Psychologist, American Psychological Association)

Where is the evidence for “evidence-based” therapy? [pdf] 2015 by Jonathan Shedler, Ph.D. The Journal of Psychological Therapies in Primary Care, Vol. 4, pp. 47–59.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I thank Mark Hilsenroth for his extensive contributions to this article;

Marc Diener for providing some of the information reported here; Robert

Feinstein, Glen Gabbard, Michael Karson, Kenneth Levy, Nancy McWilliams,

Robert Michels, George Stricker, and Robert Wallerstein for their

comments on drafts of the article; and the 500-plus members of the

Psychodynamic Research Listserv for their collective wisdom and support.

Correspondence concerning this article should be addressed

to Jonathan Shedler, Department of Psychiatry, University of Colorado

Denver School of Medicine, Mail Stop A011-04, 13001 East 17th

Place, Aurora, CO 80045. E-mail: jonathan@shedler.com

1 I use the terms psychoanalytic and psychodynamic interchangeably.

transcripts (note that the features listed below concern

process and technique only, not underlying principles that

inform these techniques; for a discussion of concepts and

principles, see Gabbard, 2004; McWilliams, 2004; Shedler,

2006a):

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