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Background <p>Intensive short-term dynamic psychotherapy (ISTDP) is a&#xa0;psychodynamic treatment model that can achieve medium to strong effects in patients with functional (primary) pain.</p> Objectives <p>We aim to summarize the theoretical background, therapeutic techniques, and evidence of ISTDP.</p> Materials and methods <p>Narrative literature review.</p> Results and conclusions <p>Unlike usual psychodynamic psychotherapy, ISTDP is a&#xa0;highly focused approach. In the treatment of primary pain patients, the aim is to help patients experience their unconscious conflictual feelings that cause various anxiety symptoms (e.g., muscular tension, nausea, gastrointestinal cramps) and are maintained by defense mechanisms. By improving affect tolerance, overcoming maladaptive defense mechanisms, and processing the repressed complex feelings, there is a&#xa0;reduction or even remission from primary pain. ISTDP achieves medium to strong effects in terms of pain reduction and, thus, appears to be superior to cognitive behavioral therapy in the treatment of primary pain. However, further research is needed.</p>

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Intensive psychodynamische Kurzzeittherapie chronischer Schmerzen

  • 期刊论文

  • 发表日期：

    2025年5月30日

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  • Matthias Michal,
  • Pierre-Alain Emmenegger,
  • Michelle Brehm

摘要

Background

Intensive short-term dynamic psychotherapy (ISTDP) is a psychodynamic treatment model that can achieve medium to strong effects in patients with functional (primary) pain.

Objectives

We aim to summarize the theoretical background, therapeutic techniques, and evidence of ISTDP.

Materials and methods

Narrative literature review.

Results and conclusions

Unlike usual psychodynamic psychotherapy, ISTDP is a highly focused approach. In the treatment of primary pain patients, the aim is to help patients experience their unconscious conflictual feelings that cause various anxiety symptoms (e.g., muscular tension, nausea, gastrointestinal cramps) and are maintained by defense mechanisms. By improving affect tolerance, overcoming maladaptive defense mechanisms, and processing the repressed complex feelings, there is a reduction or even remission from primary pain. ISTDP achieves medium to strong effects in terms of pain reduction and, thus, appears to be superior to cognitive behavioral therapy in the treatment of primary pain. However, further research is needed.