Short-term Psychoanalytic Psychotherapy (STPP) is a manualised, time-limited model of psychoanalytic psychotherapy comprising twenty-eight weekly sessions for the adolescent patient and seven sessions for parents or carers, designed so that it can be delivered within a public mental health system, such as Child and Adolescent Mental Health Services in the UK.
It has its origins in psychoanalytic theoretical principles, clinical experience, and empirical research suggesting that psychoanalytic treatment of this duration can be effective for a range of disorders, including depression, in children and young people. The manual explicitly focuses on the treatment of moderate to severe depression, both by detailing the psychoanalytic understanding of depression in young people and through careful consideration of clinical work with this group. It is the first treatment manual to describe psychoanalytic psychotherapy for adolescents with depression.
The treatment approach described in this manual has been used in a multi-site randomised controlled trial in the UK, 'Improving Mood with Psychoanalytic and Cognitive Therapies' (IMPACT) and internationally. It is presented here as a treatment to be used in routine clinical practice and will be of interest to child psychotherapists, multi-disciplinary professionals in young peopleâ€™s mental health, service providers, and researchers alike.
After describing theoretical models of depression and presenting an overview of STPP as a treatment model, the manual details the specific stages of the STPP process for the therapist and adolescent patient. It then describes the nature and scope of parallel work with parents and gives a detailed account of the function of supervision.
Jocelyn Catty, MA (Oxon), DPhil, is a Child and Adolescent Psychotherapist working with adolescents in a Child and Adolescent Mental Health Service in South London, and an adult psychotherapist in independent practice. She is Research Lead for the doctoral training in child psychotherapy at the Tavistock Centre and co-editor of the Tavistock Clinic Series. She was previously Senior Research Fellow in Mental Health at St George', University of London, with a special interest in the therapeutic alliance, and has published in social psychiatry, psychotherapy, and English literature.
Simon Cregeen is Head of Child and Adolescent Psychotherapy in Manchester and Salford CAMHS, and Central Manchester NHS Foundation Trust.
Carol Hughes, now retired, had a long career as a Consultant Child and Adolescent Psychotherapist within the NHS and social care.
Nick Midgley is Academic Course Director of the doctorate in Child and Adolescent Psychotherapy at the British Psychotherapy Foundation/Anna Freud Centre and Lecturer in the Research Department of Clinical Educational and Health Psychology, UCL.
Maria Rhode is Emeritus Professor of Child Psychotherapy at the Tavistock Clinic and the University of East London.
Margaret Rustin is a consultant child and adolescent psychotherapist at the Tavistock Clinic, London, and an Associate of the British Psychoanalytical Society. She has pioneered and supported the extension of training in psychoanalytic observational approaches to training across the United Kingdom and in a number of other countries.
"This manual is extraordinary. It manages to tackle eloquently the controversy over the danger of reductionist narrowing of the art of psychoanalysis versus the free, abundant, and creative intuiting of the nuances of transference and countertransference. Thus it is more than a manual-it is an important contribution to what Schore calls the "science of the art" of psychotherapy. Importantly, it begins by distinguishing depression in adolescence from that in childhood and in adulthood. The authors insist that psychoanalytic work with severely depressed adolescents must take account not only of the pathology, but also of the developmental tasks of adolescence-those concerned with finding a balance between developing an adult identity and maintaining appreciation of parental figures. We are left in no doubt of the necessity for finely detailed calibration of the differing and changing states of mind of both patient and his or her family, the skill required to carry this out, the urgency for such treatment to prevent the well-known relapses, and of course the research required to validate its effectiveness. For all the detail, it is also highly readable."-Dr Anne Alvarez, PhD, MACP, Consultant Child and Adolescent Psychotherapist
"This research-informed and comprehensive treatment manual covers not only the principles, aims, and techniques of STPP, but also theories of adolescent depression and developmental perspectives, the empirical evidence for psychoanalytic therapy, and a thorough description of the stages of treatment. This treatment is designed for young persons with clinical depression, including the severely depressed with long-standing complex relational difficulties. Reading the manual, I was struck by the tone of compassion and hopefulness also for â€œhopeless patientsâ€ that have lost almost all faith in the adult world. How therapists can use their own feelings as a source for better understanding their patients is masterfully described. I endorse this book with the highest level of enthusiasm."-Per Hoglend, Professor of Psychiatry, Institute of Clinical Medicine, University of Oslo
"This book is a very welcome and timely addition to the canon of psychoanalytic practice. The structured articulation of the psychoanalytic approach, which madethis approach amenable to testing in a modern state-of-the-art randomised controlled trial (RCT), is timely and necessary. This treatment manual manages to combine theory with compassionate and practical everyday NHS clinical practice. It carries the psychoanalytic tradition forwards, and I wholeheartedly commend it to trainees and experienced practitioners alike."Dr Raphael Kelvin, Consultant and Associate Lecturer in Child and Adolescent Psychiatry, Cambridge University, and National Clinical Lead for MindEd