Brief Dynamic Interpersonal Therapy: A Clinician's Guide: Second Edition

Author(s) : Alessandra Lemma, Author(s) : Mary Hepworth, Author(s) : Peter Fonagy, Author(s) : Patrick Luyten, Author(s) : Deborah Abrahams

Brief Dynamic Interpersonal Therapy: A Clinician's Guide: Second Edition

Book Details

  • Publisher : Oxford University Press
  • Published : May 2024
  • Cover : Paperback
  • Pages : 424
  • Category :
    Individual Psychotherapy
  • Catalogue No : 97865
  • ISBN 13 : 9780198867470
  • ISBN 10 : 0198867476
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Dynamic Interpersonal Therapy (DIT) is a brief psychodynamic psychotherapy developed for the treatment of mood disorders. It is now offered in the UK in NHS for the treatment of depression and has been applied worldwide in public health care settings as well as private settings.

This book is a user-friendly, practical guide for the implementation of a brief psychodynamic intervention in routine clinical practice as well as in research protocols. It has been substantially updated since the first edition in 2011 with the addition of 5 new chapters to reflect new applications of the model in complex care, for patients with functional and somatic disorders and for internet delivered DIT and it outlines the changes in the training of DIT practitioners. It sets out clearly the theoretical framework, as well as the rationale and strategies for applying DIT with patients presenting with mood disorders (depression and anxiety). Throughout, it is illustrated with detailed examples that help the reader to implement the approach in their practice.

The book will be required reading to support training initiatives in DIT, as well as providing a resource for mental health professionals specialising in psychodynamic psychotherapy and wishing to work within a limited time frame.

Table of Contents


1. Why Dynamic Interpersonal Therapy for Mood Disorders?
2. Key Analytic Models and Psychoanalytic Concepts Informing DIT
3. Core Features and Strategies
4. The Initial Phase
5. The Interpersonal-Affective Focus
6. The Middle Phase
7. Techniques
8. Working in the Transference
9. The Ending Phase
10. When Things Go Wrong
11. Frequently Asked Questions
12. Research on psychotherapy outcomes, fidelity and mechanisms of change in DIT
13. DIT for Complex Care (DITCC)
14. DIT for Patients with Functional Somatic Disorders
15. Internet-Delivered Dynamic Interpersonal Therapy (i-DIT) for Depression and Anxiety
16. Future Directions for DIT

About the Author(s)

Alessandra Lemma is the Unit Director, Psychological Therapies Development Unit, Tavistock and Portman NHS Foundation Trust, and the Clinical Director of the Psychological Interventions Research Centre, University College London. She is a Fellow of the British Psychoanalytical Society. She is Visiting Professor, Psychoanalysis Unit, University College London, and Honorary Professor of Psychological Therapies at Essex University. She is the Regional Editor (London) of the International Journal of Psychoanalysis and General Editor of the New Library of Psychoanalysis book series (Routledge). She has published several books and papers on psychotherapy, psychoanalysis, the body, and trauma. Alessandra Lemma is also a Winner of the Levy-Goldfarb Award for Child Psychoanalysis.

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Mary Hepworth is a Professor of Psychoanalysis at University Collge London. After training in clinical psychology at Oxford, she worked in public health settings for ten years, and trained as a psychoanalyst. Her academic career has been at University College London (UCL), teaching psychology and psychoanalytic theory, and researching in adult and child attachment, treatment outcomes across therapies, and the blending of quantitative and qualitative research methods, especially analysis of interview narratives. She also worked for several years at the Anna Freud Centre which is affiliated with UCL and hosted some of the research and treatment developments, including DIT; she served as Professional Director there 2003-13. In parallel, she has also maintained a clinical practice in psychotherapy and psychoanalysis.

Peter Fonagy is Freud Memorial Professor of Psychoanalysis and Director of the Sub-Department of Clinical Health Psychology at University College London. He is Chief Executive of the Anna Freud Centre, London. He is a clinical psychologist and a training and supervising analyst in the British Psychoanalytical Society in child and adult analysis. He has published over 200 chapters and articles and has authored or edited several books.

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Patrick Luyten, PhD, is Associate Professor in the Faculty of Psychology and Educational Sciences, University of Leuven, Belgium; Reader in the Research Department of Clinical, Educational, and Health Psychology, University College London, United Kingdom; and Visiting Professor at the Yale Child Study Center. His research focuses on the role of personality, stress, and interpersonal processes in depression, chronic fatigue syndrome, and fibromyalgia. He is also currently involved in studies on mentalization-based treatment of patients with borderline personality disorder. Dr. Luyten serves on the editorial boards of several scientific journals and is a recipient of the Psychoanalytic Research Exceptional Contribution Award from the International Psychoanalytical Association. He also maintains a private practice.

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Deborah Abrahams is a psychoanalytic psychotherapist and chartered clinical psychologist with over 25 years of clinical experience, including 15 years in the NHS. She is a dynamic interpersonal therapy (DIT) practitioner, supervisor and trainer as well as Programme Director of DIT at the Anna Freud Centre. Deborah is a senior member of the British Psychotherapy Foundation and has a private psychotherapy practice in North West London offering supervision, psychoanalytic and psychodynamic psychotherapy.

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