PIT SIG

Latest news: November 2019

Dates for 2019 PIT SIG meetings announced. Click here for further details.

NEW LEVEL 1 PIT CPD COURSE LAUNCHED! PIT SIG UK is delighted to announce a new five-day introductory course in PIT, developed in collaboration with the University of Manchester. The course is taking place on the 9th-13th September 2019 at the University and will provide attendees with a basic knowledge of the approach, including the ability to use Level 1 PIT practical and formulation skills as an adjunct to other therapeutic models (including CBT). Click here for further information.

New Level 2 PIT course recently approved and due for launch soon. The University of Manchester have recently approved a new course offering advanced training and clinical supervision in PIT for people who wish to use the model as a standalone therapy in their clinical role. We will be releasing further information about this shortly.

NIHR gives 4m funding boost to research on PIT. NHS funding body the National Institute for Health Research has recently invested nearly 4m in two projects investigating the efficacy of PIT. The FReSH START study is investigating PIT as one of several treatments for people with a history of self-harm, while WORSHIP-III is a pragmatic trial of PIT for women offenders with repeat self-harm.

Research on PIT

There have been numerous research studies on PIT, including studies of its efficacy as a psychological treatment, on the process of PIT, and on PIT training. A list of relevant references is provided below. Click on a reference to open its abstract and, where possible, a complete version of the article in a separate window. If you encounter problems with this, please check that your browser allows pop-ups from this site.

Evidence of efficacy for depression

 

Shapiro, D. A., Barkham, M., Hardy, G. E., & Morrison, L. A. (1990). The Second Sheffield Psychotherapy Project: rationale, design and preliminary outcome data. British Journal of Medical Psychology, 63, 97-108.

Shapiro, D., Rees, A., Barkham, M. & Hardy, G. (1995). Effects of Treatment Duration and Severity of Depression on the Maintenance of Gains after Cognitive-Behavioural and Psychodynamic-Interpersonal Psychotherapy. Journal of Consulting and Clinical Psychology, 63 (3): 378-387.

Barkham, M., Rees, A., Shapiro, D. A., Stiles, W. B. et al (1996). Outcome of time-limited psychotherapy in applied settings: replicating the Second Sheffield Psychotherapy Project. Journal of Consulting and Clinical Psychology, 64: 1079-1085.

Guthrie, E., Moorey, J., Margison, F., Barker, H., Palmer, S., McGrath, G., Tomenson, B. & Creed, F. (1999). Cost-effectiveness of Brief Psychodynamic-Interpersonal Therapy in High Utilizers of Psychiatric Services. Archives of General Psychiatry, 56; 519-526.

Evidence of efficacy for functional ('medically unexplained') symptoms

Sattel, H., Lahmann, C., Gündel, H,. Guthrie, E., Kruse, J., Noll-Hussong, M., Ohmann, C., Ronel, J., Sack, M., Sauer, N., Schneider, G. & Henningsen, P. (2012). Brief psychodynamic interpersonal psychotherapy for patients with multisomatoform disorder: randomised controlled trial. British Journal of Psychiatry, 100, 60-67.

Guthrie, E., Creed, F., Dawson, D. & Tomenson, B. (1991). A controlled Trial of Psychological Treatment for the Irritable Bowel Syndrome.  Gastroenterology, 100: 450-457.

Hamilton, J., Guthrie, E., Creed, F., Thompson, D., Tomenson, B., Bennett, R., Moriarty, K., Stephens, W. & Liston, R.  (2000). A Randomised Controlled Trial of Psychotherapy in Patients with Chronic Functional Dyspepsia.  Gastroenterology, 119: 661-669

Creed, F., Fernandes, L., Guthrie, E., Palmer, S., Ratcliffe, J., Read, N., Rigby, C., Thompson, D. & Tomenson B. North of England IBS Research Group. (2003). The cost-effectiveness of psychotherapy and paroxetine for severe irritable bowel syndrome. Gastroenterology, 124(2):303-17

Creed, F., Guthrie, E., Ratcliffe, J., Fernandes, L., Rigby, C., Tomenson, B., Read, N., & Thompson, D.G. (2005). Reported sexual abuse predicts impaired functioning but a good response to psychological treatments in patients with severe irritable bowel syndrome.    Psychosomatic Medicine, 67:490-499

Creed, F., Ratcliffe, J., Fernandes, L., Palmer, S., Rigby, C., Tomenson, B., Guthrie, E., Read, N. & Thompson, D.  (2005). Outcome in severe irritable bowel syndrome with and without accompanying depressive, panic and neurasthenic disorders.  British Journal of Psychiatry, 186: 507-15

Creed, F., Guthrie, E., Ratcliffe, J., Fernandes, L., Rigby, C., Tomenson, B., Read, N. & Thompson DG.  (2005). Does psychological treatment help only those patients with severe irritable bowel syndrome who also have concurrent psychiatric disorder?  Australian and New Zealand Journal of Psychiatry; 39:807-815

Creed, F., Tomenson, B., Guthrie, E., Ratcliffe, J., Fernandes, L., Read, N., Palmer, S. & Thompson, D. G.   (2008). The relationship between somatisation and outcome in patients with severe irritable bowel syndrome. Journal of Psychosomatic Research, 64 (6): 613-20

Hyphantis, T., Guthrie, E., Tomenson, B. & Creed, F. (2009). Psychodynamic interpersonal therapy and improvement in interpersonal difficulties in people with severe irritable bowel syndrome. Pain. 145; 196-203.

Reuber, M., Burness, C., Howlett, S., Brazier, J., Grunewald, R. (2007) Tailored
psychotherapy for patients with functional neurological symptoms: a
pilot study. Journal of Psychosomatic Research, 63, 625–632.

Mayor, R., Howlett, S., Grunewald, R. & Reuber, M. (2010). Long-term outcome of brief augmented psychodynamic interpersonal therapy for psychogenic non-epileptic seizures: Seizure control and healthcare utilization. Epilepsia, 51, 1169-1176.

Evidence of efficacy for self harm

Guthrie, E., Kapur, N., Mackway-Jones, K., Chew-Graham, C., Moorey, J., Mendel, E., Marino-Francis, F., Sanderson, S., Turpin, C., Boddy, G. & Tomenson B.  (2001). Randomised controlled trial of brief psychological intervention after deliberate self-poisoning.  British Medical Journal, 323: 135-138

Guthrie, E., Kapur, N., Mackway-Jones, K., Chew-Graham, C., Moorey, J., Mendel, E., Marino-Francis, F., Sanderson, S., Turpin, C. & Boddy, G.  (2003). Predictors of outcome following brief psychodynamic-interpersonal therapy for deliberate self-poisoning.  Australian and New Zealand Journal of Psychiatry, 37:532-536

Evidence of efficacy for borderline personality disorder

Korner, A., Gerull, F., Meares, R., & Stevenson, J. (2006). Borderline personality disorder treated with the conversational model: a replication study. Comprehensive Psychiatry, 47, 406-411

Stevenson, J. & Meares, R. (1992). An outcome study of psychotherapy for patients with borderline personality disorder. American Journal of Psychiatry, 149, 358-62

Stevenson, J., Meares, R. & D'Angelo, R. (2005). Five year outcome of outpatient psychotherapy with borderline patients. Psychological Medicine, 35, 79-87.

Evidence that PIT is effective in routine clinical practice

Paley, G., Cahill, J., Barkham, M., Shapiro, D., Jones, J., Patrick, S. & Reid, E. (2008). The effectiveness of psychodynamic interpersonal therapy in routine clinical practice: A benchmarking comparison. Psychology and Psychotherapy: Theory, Research and Practice, 81, 157-175.

Evidence that PIT can be used by relatively inexperienced therapists, and that it can be taught easily and quickly to practitioners with some previous experience of counseling/psychotherapy techniques

Shaw, C. M, Margison, F. R, Guthrie, E. A & Tomenson, B. (2001). Psychodynamic interpersonal therapy by inexperienced therapists in a naturalistic setting: A pilot study. European Journal of Psychotherapy, Counselling & Health, 4(1), 87-101

Mackay, H. C., West, W., Moorey, J., Guthrie, E. &  Margison, F. (2001). Counsellors’ experiences of changing their practice.  Journal of Counselling and Psychotherapy Research,1:33-37

Guthrie, E.,   Margison, F.,  Mackay, H.,  Chew-Graham, C.,  Moorey, J. & Sibbald, B.  (2004). Effectiveness of psychodynamic interpersonal therapy training for primary care counsellors.  Psychotherapy Research, 14(2) 161–175.

 

Studies on PIT process

Elliott, R., Shapiro, D.A., Firth-Cozens, J., Stiles, W.B., Hardy, G.E.,
Llewelyn & Margison, F.R. (1994). Comprehensive process analysis of insight events in cognitive-behavioural and psychodynamic-interpersonal psychotherapies. Journal of Counselling Psychology, 41, 449-463. 

Hardy, G.E., Stiles, W.B., Barkham, M., & Startup, M. (1998). Therapist Responsiveness to Client Interpersonal Styles During Time-Limited Treatments for Depression. Journal of Consulting and Clinical Psychology, 66, 304-312.

Goldfried, M. R., Castonguay, L. G., Hayes, A. M., Drozd, J. F., &
Shapiro, D. A. (1997). A comparative analysis of the therapeutic focus in cognitive-behavioral and psychodynamic-interpersonal sessions. Journal of Consulting and Clinical Psychology, 65, 740-748.

Hardy, G. E., Aldridge, J., Davidson, C., Rowe, C., Reilly, S., & Shapiro,
D. A. (1999). Therapist responsiveness to client attachment styles and issues observed in client-identified significant events in psychodynamic-interpersonal psychotherapy. Psychotherapy Research, 9, 36-53.

Hardy, G.E., Barkham, M., Shapiro, D.A., Reynolds,S., Rees, A., & Stiles,
W.B. (1995a). Credibility and outcome of cognitive-behavioural and psychodynamic-interpersonal psychotherapy. British Journal of Clinical Psychology, 34, 555-569. 

Hardy, G.E., Barkham, M., Shapiro, D.A., Rees, A., Stiles, W.B., &
Reynolds, S. (1995b). Impact of cluster C personality disorders outcomes of contrasting brief psychotherapies for depression. Journal of Consulting and Clinical Psychology, 63, 997-1004.

Hardy, G. E. & Shapiro, D. A. (1985). Therapist response modes in
Prescriptive vs. Exploratory psychotherapy. British Journal of Clinical Psychology, 24, 235-245.

Kerr, S., Goldfried, M., Hayes, A., Castonguay., & Goldsamt, L. (1992).
Interpersonal and Intrapersonal Focus in Cognitive–Behavioral and Psychodynamic–Interpersonal Therapies: A Preliminary Analysis of the Sheffield Project. Psychotherapy Research, 2(4), 266-276.

Mackay, H. C., Barkham, M., & Stiles, W. B. (1998). Staying with the
feeling: An anger event in psychodynamic-interpersonal therapy. Journal of Counseling Psychology, 45, 279-289.

Mackay, H. C., Barkham, M., Stiles, W. B., & Goldfried, M. R. (2002).
Patterns of client emotion in helpful sessions of cognitive-behavioral and psychodynamic-interpersonal therapy. Journal of Counseling Psychology, 49, 376-380.

Raue, P.J., Goldfried, M.R., Barkham, M. (1997). The therapeutic
alliance in psychodynamic-interpersonal and cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology, 65, 582-7
.

Reynolds, S., Stiles, W. B., Barkham B., Shapiro, D. A., Hardy, G. E., &
Rees, A. (1996). Acceleration of changes in session impact during contrasting time limited psychotherapies. Journal of Consulting and Clinical Psychology, 64, 577-586.

Shapiro, D. A., Barkham, M., Rees, A., Hardy, G. E, Reynolds, S., &
Startup, M. (1994). Effects of treatment duration and severity of depression on the effectiveness of cognitive-behavioural and psychodynamic-interpersonal psychotherapy. Journal of Consulting and Clinical Psychology, 62, 522-534.

Shapiro, D. A., Barkham, M., Rees, A., Hardy, G. E, Reynolds, S., &
Startup, M. (1995). Effects of treatment duration and severity of depression on the maintenance of gains following cognitive-behavioural and psychodynamic-interpersonal psychotherapy. Journal of Consulting and Clinical Psychology, 63, 378-387.

Stiles, W.B., Agnew-Davies, R., Hardy, G.E., Barkham, M., & Shapiro,
D.A. (1998). Relations of the alliance with psychotherapy outcome: Findings in the Second Sheffield Psychotherapy Project.  Journal of Consulting and Clinical Psychology, 66, 791-802.

Stiles, W. B., Barkham, M., Shapiro, D. A., & Firth-Cozens, J. (1992).
Treatment order and thematic continuity between contrasting psychotherapies: Exploring an implication of the assimilation model. Psychotherapy Research, 2, 112-124.

Stiles, W. B., & Shapiro, D. A. (1995). Verbal exchange structure of brief
psychodynamic-interpersonal and cognitive-behavioral psychotherapy. Journal of Consulting and Clinical Psychology, 63, 15-27.

Stiles, W.B., Shapiro, D.A. & Firth-Cozens, J.A. (1988a). Do sessions of
different treatments have different impacts? Journal of Counseling Psychology, 35, 391-396. 

Stiles, W. B., Shapiro, D. A. & Firth-Cozens, J. A. (1988b). Verbal
response mode use in contrasting psychotherapies: A within-subjects comparison. Journal of Consulting and Clinical Psychology, 56, 727-733.

Stiles, W.B., Startup, M., Hardy, G.E., Barkham, M., Rees, A., Shapiro,
D.A. & Reynolds, S. (1996). Therapist session intentions in cognitive-behavioural and psychodynamic-interpersonal psychotherapy. Journal of Counselling Psychology, 43, 402-414. 

 

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