{"id":"https://openalex.org/W2980976835","doi":null,"title":"Therapists' views on the challenges and helpful factors in long-term psychoanalytic therapy for treatment-resistant depression","display_name":"Therapists' views on the challenges and helpful factors in long-term psychoanalytic therapy for treatment-resistant depression","publication_year":2018,"publication_date":"2018-10-25","ids":{"openalex":"https://openalex.org/W2980976835","mag":"2980976835"},"language":"en","primary_location":{"id":"pmh:oai:eprints.ucl.ac.uk.OAI2:10058803","doi":null,"is_oa":false,"landing_page_url":"http://discovery.ucl.ac.uk/10058803/","pdf_url":null,"source":{"id":"https://openalex.org/S4306400024","display_name":"UCL Discovery (University College London)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I45129253","host_organization_name":"University College London","host_organization_lineage":["https://openalex.org/I45129253"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Doctoral thesis, UCL (University College London).","raw_type":"Thesis"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5011578521","display_name":"Guy Maissis","orcid":"https://orcid.org/0000-0001-9011-6004","observed_orcids":["https://orcid.org/0000-0001-9011-6004"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Guy Maissis","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5011578521"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11132","display_name":"Psychoanalysis and Psychopathology Research","score":0.9179999828338623,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11132","display_name":"Psychoanalysis and Psychopathology Research","score":0.9179999828338623,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10214","display_name":"Psychotherapy Techniques and Applications","score":0.0778999999165535,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13118","display_name":"Psychological Treatments and Disorders","score":0.0020000000949949026,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/treatment-resistant-depression","display_name":"treatment-resistant depression","score":0.9800000190734863},{"id":"https://openalex.org/keywords/therapist-perspectives","display_name":"therapist perspectives","score":0.7139999866485596},{"id":"https://openalex.org/keywords/therapeutic-relationship","display_name":"therapeutic relationship","score":0.968999981880188},{"id":"https://openalex.org/keywords/containment","display_name":"containment","score":0.9110000133514404},{"id":"https://openalex.org/keywords/remission-maintenance","display_name":"remission maintenance","score":0.8080000281333923},{"id":"https://openalex.org/keywords/supervision","display_name":"supervision","score":0.4259999990463257},{"id":"https://openalex.org/keywords/therapeutic-change","display_name":"therapeutic change","score":0.32600000500679016}],"concepts":[{"id":"https://openalex.org/C43450049","wikidata":"https://www.wikidata.org/wiki/Q7256338","display_name":"Psychoanalytic theory","level":2,"score":0.6829911470413208},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.6568676233291626},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.6358272433280945},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.6227618455886841},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5416572093963623},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.5298542380332947},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.4920456111431122},{"id":"https://openalex.org/C83849319","wikidata":"https://www.wikidata.org/wiki/Q7295720","display_name":"Rating scale","level":2,"score":0.45680564641952515},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.39550256729125977},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.31018567085266113},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.25805309414863586},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.08133405447006226},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C139719470","wikidata":"https://www.wikidata.org/wiki/Q39680","display_name":"Macroeconomics","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:eprints.ucl.ac.uk.OAI2:10058803","doi":null,"is_oa":false,"landing_page_url":"http://discovery.ucl.ac.uk/10058803/","pdf_url":null,"source":{"id":"https://openalex.org/S4306400024","display_name":"UCL Discovery (University College London)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I45129253","host_organization_name":"University College London","host_organization_lineage":["https://openalex.org/I45129253"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Doctoral thesis, UCL (University College London).","raw_type":"Thesis"},{"id":"mag:2980976835","doi":null,"is_oa":false,"landing_page_url":"https://discovery.ucl.ac.uk/id/eprint/10058803/","pdf_url":null,"source":{"id":"https://openalex.org/S4306508231","display_name":"Doctoral thesis, UCL (University College London).","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"Doctoral thesis, UCL (University College London).","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.98580002784729}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":6,"referenced_works":["https://openalex.org/W1505468096","https://openalex.org/W1910858324","https://openalex.org/W1935330353","https://openalex.org/W1979290264","https://openalex.org/W2033240825","https://openalex.org/W2986548773"],"related_works":["https://openalex.org/W7006385160","https://openalex.org/W6987665864","https://openalex.org/W2113367546","https://openalex.org/W2148412064","https://openalex.org/W7008810209","https://openalex.org/W4402226005","https://openalex.org/W4402500453","https://openalex.org/W4246376018","https://openalex.org/W4255763828","https://openalex.org/W7066760354"],"abstract_inverted_index":{"Background:":[0],"The":[1,34,151,251],"Tavistock":[2],"Adult":[3],"Depression":[4,18,105],"Study":[5],"(TADS)":[6],"demonstrated":[7],"that":[8,25,89],"long-":[9],"term":[10],"psychoanalytic":[11,50,168],"therapy":[12,184,294],"is":[13,280],"more":[14,229],"effective":[15,167,210],"for":[16],"Treatment-Resistant":[17],"(TRD)":[19],"than":[20],"treatment":[21],"as":[22,102,157,218,221,245],"usual,":[23],"reporting":[24],"30%":[26],"of":[27,36,44,121,130,176,182,202,212,233,243,249,253,266,271,286,290,298],"the":[28,42,45,58,64,95,115,128,174,183,206,241,258,269,275,284,293,296],"patients":[29,88,122,134,143,213],"reached":[30],"partial":[31,91],"remission.":[32,203],"Aim:":[33],"aim":[35],"this":[37],"study":[38],"was":[39,73,100,192,216],"to":[40,63,75,173,194,225,282],"explore":[41],"experiences":[43],"therapists,":[46],"who":[47,86,135,144],"provided":[48],"TADS\u2019":[49],"therapies,":[51],"and":[52,60,67,142,161,165,185,236,261,268,295],"in":[53,274],"particular,":[54],"their":[55,125,137,180,187],"views":[56,181],"on":[57,124,179,186,199,301],"challenges":[59],"helpful":[61],"factors":[62],"therapeutic":[65,163,207,259,299],"process":[66],"its":[68],"outcome.":[69,303],"Methods:":[70],"Thematic":[71],"analysis":[72,113,152],"used":[74],"analyse":[76],"23":[77],"Private":[78],"Theories":[79],"Interviews,":[80],"which":[81],"were":[82,171,238,262],"conducted":[83],"with":[84,257],"therapists":[85,224],"treated":[87],"experienced":[90],"remission":[92,99,138],"after":[93],"completing":[94],"18-month":[96],"treatment.":[97],"Partial":[98],"defined":[101],"a":[103,131,219,246],"Hamilton":[104],"Rating":[106],"Scale":[107],"score":[108],"<":[109],"12.":[110],"Secondary":[111],"exploratory":[112],"compared":[114],"emerging":[116],"themes":[117,156],"between":[118],"two":[119,154],"groups":[120],"based":[123],"outcome":[126],"at":[127],"end":[129],"42-month":[132],"follow-up:":[133],"sustained":[136],"(n":[139,147],"=":[140,148],"11)":[141],"did":[145],"not":[146],"12).":[149],"Results:":[150],"identified":[153,196],"main":[155],"helpful:":[158],"\u2018a":[159],"containing":[160],"meaningful":[162],"relationship\u2019":[164],"\u2018an":[166],"intervention\u2019.":[169],"Challenges":[170],"attributed":[172],"effects":[175,252,297],"patients\u2019":[177,200,227,254,276,288],"pathology":[178,228,255],"therapists.":[188],"Only":[189],"\u2018insight":[190],"gain\u2019":[191],"found":[193],"be":[195],"differently":[197],"depending":[198],"sustainment":[201],"Conclusion:":[204],"Establishing":[205],"relationship":[208],"through":[209],"containment":[211],"over":[214],"time":[215],"highlighted":[217],"priority,":[220],"it":[222],"enabled":[223],"address":[226],"directly.":[230],"A":[231],"multitude":[232],"pathological":[234],"mechanisms":[235,285],"techniques":[237],"used,":[239],"supporting":[240],"view":[242],"TRD":[244],"broad":[247],"category":[248],"depression.":[250],"interfered":[256],"efforts,":[260],"mitigated":[263],"by":[264],"use":[265],"supervision":[267],"support":[270],"others\u2019":[272],"involved":[273],"care.":[277],"Further":[278],"research":[279],"needed":[281],"understand":[283],"establishing":[287],"sense":[289],"safety":[291],"within":[292],"changes":[300],"long-term":[302]},"counts_by_year":[],"updated_date":"2026-10-13T10:08:12.033832","created_date":"2019-10-25T00:00:00"}