Henrietta Lacks – American and European System Cannibalizing Black Genes

institutional racism and health

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Healing Fact:

The C.O.W.S. Compensatory Call-In on Saturday, June 16th 9:00PM Eastern/ 6:00PM Pacific

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Talkshoe:http://www.talkshoe.com/tc/97250

Black Talk Radio Network:http://blacktalkradionetwork.com/page/the-context-of-white-supremacy

The Context of White Supremacy hosts the Compensatory Call-In. We invite non-white listeners to dial with their codified concepts, observations, problem solving-techniques, research and other information that will help Replace White Supremacy With Justice Immediately. We’ll use these sessions to improve our ability to use the best words possible to converse about White Supremacy/Racism. We’ll review news reports from the past seven days and hope to hear what projects non-white people are engaged in.

HD Number: 760-569-7676 CODE 564943#*6 to Talk to Host

Talkshoe Number: 724-444-7444 Code 97250#*8 to Talk to Host

SKYPE: FREECONFERENCECALLHD.7676 CODE 564943#

The C.O.W.S. archives:

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Healthy Ethnic Identity Development: Questions

Questions Assessing Healthy Ethnic Identity Development

v To what ethnic group do you belong? What do you formally call your ethnic group? How much do you know about your ethnic group?  Where did you get the information? How much of your information was written by or told to you by members of your own ethnic group? Do those accounts vary from what your family told you? In what way?

v Does your family belong to more than one ethnic group?  Are you familiar with the history of all of those groups?  Why not? Are you interested in finding out more? How will you begin?

v How proud are you of your ethnic group?  Are there times you feel ashamed of your group?  If so, what triggers those feelings of shame?  What are the main ethnic stereotypes of your group?  How are you different from those stereotypes?  How are you the same?

v Are all of the members of your family the same  skin colour?  Do they vary in skin shade?  Do they vary in hair texture?  Do they vary in body type?  Does your family prize a particular body type or physical characteristic? Is there one body type or physical characteristic that is devalued in your family?  How did this happen?  What happens to the people in your family who have this characteristic? Has anyone ever been favored or abused because of certain physical characteristics? Have you ever had these experiences?

v Has anyone in your family ever expressed shame about your ethnic group? How did you respond?  How did others respond?  Has anyone ever confessed a racist or discriminatory act toward member(s) of another ethnic group? Does anyone use derogatory language toward members of your own ethnic group?  Has anyone ever been the victim of discrimination because they were members of your ethnic group?  Has anyone in your family ever experienced privilege because they belonged to your ethnic group? Have you ever had these experiences?

v Have you ever been rejected in personal relationships because you belonged to your ethnic group?  Has anyone ever accepted you solely because you were a member of your ethnic group?  Have you ever rejected a personal relationship because of the ethnic group of the person?

v Have you ever been a victim of racial discrimination?  Have you ever been a victim of racial harassment?  Have you ever been a victim of racial abuse?  Did you fight back?  How?  Describe that experience? Were you successful?

v Have you ever been a victim of racialized traumatic abuse? (victim of physical abuse, sexual abuse, torture, imprisonment, because of your race or cultural group) Describe how you survived?  What helped to get you through this experience?

v Do you find yourself feeling prejudiced against certain members of your cultural group?  What are their characteristics?  Where did those feelings originate?  Why do you think they persist in you?  How do you benefit from this prejudice?  Do you want to change it?  Why?  Why not?

v How assertive are you with members of your own ethnic group when you do not agree with their point of view?  Are there ways in which you vastly differ from members of your ethnic group?  In what ways?  How did the difference evolve?  Have you ever been shamed for that difference?  Why?  Have you been valued for that difference?  Why?

v Would you date or marry someone outside your cultural group?  Why?  Why not?  Have you had romantic or sexual feelings toward members of another cultural group?  Have you ever acted on these feelings?  Why or why not?

Featured Healer: Dr. Na’Im Akbar

Three books by Na’im Akbar

THE COMMUNITY OF SELF
(Revised)

2. NATURAL PSYCHOLOGY and HUMAN TRANSFORMATION
(Foreword by Nathan McCall)

3. VISIONS FOR BLACK MEN

All Published by Mind Productions & Associates, Inc.
Tallahassee, Florida
(904) 222-1764

BIOGRAPHICAL SKETCH

Na’im Akbar is a Clinical Psychologist in the Department of Psychology at Florida State University in Tallahassee. He has been described by ESSENCE magazine as “one of the world’s preeminent African-American psychologists and a pioneer in the development of an African-centered approach to modern psychology.” A graduate of the University of Michigan, he has authored several books related to the personality development of African-American people. He is a past president of the National Association of Black Psychologists.

Dr. Akbar has made numerous appearances in the national media including, The Oprah Winfrey Show, BET’s Our Voices, Tony Brown’s Journal, The Phil Donahue Show and The Geraldo Show. He has been lauded for his outstanding lectures at over 300 colleges, community settings and conferences throughout the United States, Europe, Africa, and Asia. Not only have I attended several of Brother Dr. Akbar’s lectures, I think I have purchased every one of his offerings on tape. As Dr Akbar says, “Psychology represents an extremely important field of knowledge because it is the model for understanding the human being and the human potential.” Dr. Akbar, a Muslim, says that none of the concepts in his works are limited to any particular cultural group. Of course, we at Cultural Expressions embrace the healing wisdom of Ifa to facilitate our human transformation process. Like Dr. Na’im Akbar, however, our “primary commitment is to heal and restore the historically oppressed African people.”

According to Dr. Na’im Akbar, “The Community of Self was never intended to be a scholarly production addressed to only experts in the field of psychology.” It was written for the uninitiated and it can and should be used as a tool to help us understand ourselves and grow ourselves. The first chapter, also the title chapter, lays the groundwork for Dr. Akbar’s powerful little book (80 pages). In this chapter, Dr. Akbar explains how the Community of Self has specialists within it just like one would find in any other community.

The earliest citizens in the self community, says Akbar, are the drives or instincts which are the movers of the self. There are two types/classes of drives. One is movement towards what gives pleasure and the other is the reverse in that it moves one away from what causes pain or dissatisfaction. In a word, we humans have an affinity for pleasure and an aversion to pain. “If the drives are given free rein, they will drive the entire community to seek only pleasure.” And concludes Akbar, “If man is defined as mind, the person ruled by demands of the body is not a man.” Senses are defined as the windows of the community into the outside world. “The senses are to the community of self what communication is to communities of people.” They give only incomplete information about things and are therefore not capable of making judgments. “We must conclude, says Akbar, “that the senses are an important part of the community, but they make a poor ruler over the self.”

Another prominent citizen of the self community is the ego. The ego uses the tool of emotion to speak up for the rights of the individual and is therefore vital for the life of the community. And when it is not properly developed, the community fails to support itself. An overdeveloped ego, however is a detriment to the community. Yoruba priestess Iyanla Vanzant says ego is an acronym for Easing God Out and Dr. Akbar does not disagree with her assessment. He warns us that the ego fails to concern itself with things which it cannot see and can therefore be a tyrannical ruler over the community. Akbar therefore concludes that ego is a necessary citizen but “not an appropriate ruler over the self.”

Memory is another important member of the community of self. Like a library, it “stores the many records of experience that have gone into the building of the person.” “Without memory, there would be little continuity in the community,” says Akbar, “But, we can also see that if memory rules the community, the community lives in the past.”

Reason is another important member of selfhood. “Reason brings order and organization to the information brought in by the senses.” It lets know that our senses give us incomplete information and works throughout the community keeping order and organization. Reason judges only on the basis of facts and if it tried to rule the community, the self becomes like a machine because unfeeling order destroys peace and happiness within the self.

As the conscience begins to develop, the element of justice is introduced into the community. Conscience gives upward direction to the community of self, but Akbar warns us that, “An unchecked conscience, however, can be as disruptive to the self community as the other parts previously discussed. The over-developed conscience can demand nothing short of perfection and its self-sacrificing tendency can become greedy for punishment.” Conscience doesn’t have the restraint to rule the community.

Dr. Akbar tells us the ruler over the self community is the Will. He says man’s Will has the ability to pull the mind and flesh in the direction of Truth. Akbar defines the Will as “the Divine representative within the person when working with the higher parts of conscience and guided by the proper direction.” And “when the Will achieves rulership over the self community, the self grows to be the proper ruler over the earth.” In a word, if we are to restore our communities, we must first understand and develop our communities of self.

Chapter One is the foundation for the stimulating discussions found in the remaining chapters. Dr. Akbar discusses principles of human development such as Developing Responsibility For Self, The Power of Self Knowledge, Self and Society Working Together, Diet For The Mind and Education Of The African-American Child.

The Community Of Self is written to assist us in correcting some serious problems in our psychology, our education our economics, our families and our religious thinking.
Read, enjoy, study, and inculcate.

“Several years ago while serving time in prison, I began the long and awkward struggle to understand the behaviors that had led me to such a tragic point. At that time, I knew I desperately needed to change my life which had been filled with crime, violence, and disregard for the lives of others. What I didn’t know was how much change I was capable of bringing about.

During my incarceration, another inmate gave me a book that he said might shed some light on what I was attempting to accomplish. It was Na’im Akbar’s Natural Psychology and Human Transformation.”

Nathan McCall, Author and Journalist

Natural Psychology and Human Transformation is based on the existence of specific and predictable patterns in the created physical world that serve as an image for the structure of the natural world. “Probably the most basic idea that is acquired from the observation of nature,” says Dr. Akbar, “is an appreciation for order and the presence of a plan.” And concludes Dr. Akbar, “The obvious implication from the presence of such a precise plan is the recognition of a Planner.” He makes a distinction between the natural psychology of the ancients and the grafted psychology of the Western world. The “root knowledge” of the ancients was based on the assumption “that human beings are fundamentally spiritual entities whose physical forms are only reflections or a material expression of their true spiritual nature.”

Grafted psychology is based on the assumption that the essence of human life is its physical manifestation. In a word, “what you see is what you get.” Grafted psychology therefore gives a distorted and retarded image of the human being and our human capabilities. Natural Psychology offers several examples of this despiritualized school of thought including the “Freudian psychoanalytic types.”

The dominant essay in this work is taken from the book of Nature which Akbar describes as humanity’s very first Divine book. He develops the spiritual implications in the process of transformation as seen in the metamorphosis of the butterfly and shows the reader its applicability to human and societal growth.

Nathan McCall, author of Makes Me Wanna Holler, sums it up when he says, “Natural Psychology revealed to me a truth that was so simple that it had been so easy to overlook: That you can’t reach your human potential if you don’t know—fully—how much potential you have.”

Visions For Black Men specifically applies this ‘worm to butterfly’ conversion to the potential transformation process inherent in the African-American male. We are reminded that the caterpillar has to become a butterfly or it will die while we humans have choices to make. Akbar says;

“One of the interesting things about the human being is that he can stay a worm forever and appear to be a thriving form of life.” We never have to become human butterflies to appear alive in this world. One of the things that is unique about the human being is that he has an option that either he will be or not be. If he chooses not to be he can die proudly as a slimy, hairy worm……The point of our discussion is that we need to understand that we all have the potential to be butterflies.”

The title of the first section of Visions is From Maleness to Manhood. Dr. Akbar defines a male as a biological entity whose essence is described by no more or no less than his biology. Maleness says Akbar is a mentality dictated by appetite and guided by instincts, urges, desires or feelings. It is also driven by passion. Dr. Akbar eloquently develops these arguments and asks and answers the question, “What is the nature of an entire group whose minds are stuck in the “male” stage?”

“These observations, he says, “are hopefully disturbing to our many chronologically mature brothers who can find images of themselves characterized in these descriptions of the “male mentality.” Our implication is quite clear:, he continues, If these qualities represent your predominant mode of interaction, you are almost quite literally stuck in your worm stage of development.”

Visions for Black Men walks the reader through the stages of development that eventually result in Black Manhood. Section 2, Transcending Images of Black Manhood, focuses on the relevance of Scriptural metaphors. He compares the admonitions of Pharaoh’s and Herod’s advisors that “You must kill off the male children who are born in the land of the captives” with the actions of the CIA, FBI and the “other planners of the Trilateral Commission. “What we see in America today,” he concludes, “is not a replication but the actualization of the symbolic prophecy of what would happen in this time.” A decree has gone out that every African male must die. And one form of “death” is the “death” that removes you from productive opportunities to operate in the society. “The vast majority of the creative black minds in America who are males are locked up in prisons during their most productive years,” says Akbar. Section 3, Exodus into Manhood and Section 4, Defining Black Manhood are equally challenging and engaging and also provide instructions on how to restore African manhood to those of us whom our society has not viewed as the chosen people. Through Visions For Black Men, we “discover the startling prediction of the mystical tradition of Ancient Africa—that the descendants of a once-great nation will rise again.”

I’ve often go to my bookshelf and pull out, The Community of Self, Natural Psychology and Human Transformation and Visions For Black Men and with each new reading, I invariably discover some new insight and my inner voice hears a message it hadn’t heard before. I have developed an intimate relationship with the works of Dr. Na’im Akbar and I recommend you do the same. You will grow each time you embrace them.

Babalawo Omobowale Adubiifa is an associate priest in the Temples/Shrines of Chief Bolu Fatunmise of Ile Ife, Nigeria and Atlanta, Ga. He is also Langston X. Thomas, J.D., freelance journalist, a past president of Huntsville Alabama’s NAACP and a current member of the Huntsville Human Relations Commission. His email address is adubifa@hiwaay.net

The Natural Psychology

Welcome to the Black Think Tank

Welcome to the Black Think Tank

via Welcome to the Black Think Tank.

via Welcome to the Black Think Tank.

The Effects of Chronic Racial Discrimination

From Cornell News Service, here is a news release regarding fascinating research on the effects of racial discrimination.

* * *

Many studies have shown that experiencing chronic racial discrimination chips away at the mental health of African-Americans.

But a new Cornell study sheds light on precisely how – and to what effect – chronic racial discrimination erodes mental health.

The study found blacks may, in general, have poorer mental health as a result of two mechanisms: First, chronic exposure to racial discrimination leads to more experiences of daily discrimination and, second, it also results in an accumulation of daily negative events across various domains of life, from family and friends to health and finances. The combination of these mechanisms, reports Anthony Ong, assistant professor of human development in the College of Human Ecology at Cornell, places blacks at greater risk for daily symptoms of depression, anxiety and negative moods.

“As a result, African-Americans experience high levels of chronic stress. And individuals who are exposed to more daily stress end up having fewer resources to cope with them,” said Ong.

The study, one of the first to look at the underlying mechanisms through which racial discrimination operates to affect the daily mental health of African-Americans, was conducted with Cornell graduate student Thomas Fuller-Rowell and Anthony Burrow, assistant professor of psychology at Loyola University-Chicago; it is published in the June issue of the Journal of Personality and Social Psychology (96:6).

The researchers examined the ways that chronic discrimination exerts a direct influence on daily mental health and an indirect influence through daily stress (i.e., daily racial discrimination and negative events) by analyzing daily questionnaires from 174 African-Americans for 14 days. Participants answered questions daily about the frequency of racially stressful encounters, mental health symptoms, mood and stressors across life domains.

“What we found was that it is the daily discrimination and daily stress that are driving the psychological distress,” Ong said.

The authors noted that racial discrimination in this country “is a ubiquitous experience in the lives of African-Americans,” citing various studies that reported that between half to three-quarters of black respondents report experiencing racial discrimination. They also cite a 2003 review of 32 studies that found a positive link between perceptions of racial discrimination and mental illness in all but one of the studies.

Based on the new study, Ong emphasized that the tendency for serious stressors, such as racial discrimination, to expand and generate additional stressors – a process called stress proliferation – requires that interventions cast a wide net.

“It is not enough that interventions target one problem,” Ong noted, “even if it appears to be a serious stressor, when there might be multiple hardships and demands that are instrumental in structuring people’s daily lives. Chronic exposure to racial discrimination provides a poignant illustration of the proliferation of stress stemming from repeated discriminatory experiences.”

Revisiting Fanon

Fanon Revisited:
Exploring the Relationship Between
African-Centered Psychology and Fanonian Psychology
by
DeReef F. Jamison Ph.D.
Savannah State University, Africana Studies Program
(excerpted from the original paper)http://www.jpanafrican.com/docs/vol3no8/3.8FanonRevisited.pdf

Applied Cultural Psychology
While Fanon argues that ultimately it is important for people of African descent to eventually be mutually recognized as human beings by Europeans, African-centered psychologists posit that it is more important from a mental health perspective that people  of African descent recognize their cultural selves first and place less emphasis on the need for European acceptance and/or recognition. Kambon (1998) interprets Fanon as saying that “Blacks must ultimately reject both the terms and limiting conditions of white and Black… as equally unacceptable and, thus, transcend to the level of ‘human beingness’ (p. 330). Wilson (1999) is even more to the point in acknowledging what he perceives as being the problematic nature of mutual recognition when he
contends:
Much of the pathology of Afrikan people today is this vain hope that somehow
the white man will become color blind and will not see us for whom and what we
are, that somehow we will be looked upon as some kind of abstraction-not just a
man, a human being only-without culture, without recognition, without identity.
Too many…want to shed our Afikanity for this kind of bogus, abstract existence,
which is not existence at all, and which is the ultimate acceptance of invisibility
(p. 51).
Thus, for African-centered psychologists, it is important to be recognized as a human being that exists within a cultural context and not just as a universal human being void of cultural specificity.
The correlation between culture and mental disorder is critical. Based on a reconceptualization of how mental illness is defined and understood, Black psychologists went about the task of creating new diagnostic systems that addressed mental illness from a cultural specific approach (Jamison, 2009). Kambon also argues that the origin of African American mental illness must be placed in a cultural context. Kambon (1998) states “Cultural Misorientation is [a] basic African personality disorder because it predisposes all other forms of African mental disorders associated with the European societal condition of cultural oppression” (p. 352). Similarly, Verges (1996) asserts that Fanon’s importance to the psychology of the oppressed was: (1) to insist on the importance of the cultural context in which symptoms appear and (2) to demonstrate that therapeutic institutions need to maintain a concrete link and a structural similarity to the local culture of the patients. Fanon’s articulation of the psychology of the oppressed openly “asked the vexed question about the relationship between culture and the psyche. Did culture determine the psyche, or were there universal human psychological mechanisms” (1996, p. 90). Thus, Fanon initiates a discourse centered on the relationship between culture and psychological diagnosis.
186
The Journal of Pan African Studies, vol.3, no.8, June 2010
According to Verges (1996), “Fanon…. concluded that the addition of day care centers
created and developed in highly industrialized countries could be transplanted in a so-called under-developed country without losing any of its value. Day care centers represent the form of psychiatric service most suitable to treat mental illness” (p. 94). Fanon’s work with day-care clinics in Algeria included the use of culturally specific techniques that incorporated traditional cultural practices of the population he served. Unlike the European colonials that incorporated the indigenous culture in order to control and manipulate traditions, Fanon incorporated the indigenous cultural understandings in an attempt to blend pre-colonial understandings with the contemporary situation. This blending recognized the importance of understanding and implementing the cultural values, beliefs and practices of the people he was treating. Even with his Marxist leanings, Fanon was clear that the religion/spirituality of his patients was not the
mere opiate of the masses, but a crucial component of understanding mental illnesses and howthey emerged within a cultural context. Verges (1996) suggests Fanon understood “that medical practitioners must know the historical and societal conditions of formation of the society in which they exercise, as well as its cultural practices and beliefs… Such a practice would end up ignoring, denying the subjectivities of its patients” (p. 96). Thus, as a shrewd student of the relationship between culture and psychology, Fanon understood that the implementation of cultural specific techniques are linked to improving the mental health of marginalized groups that have been historically oppressed and denied access to mental health care.

Jung’s Red Book

A new biography, Jung the Mystic: The Esoteric Dimensions of Carl Jung’s Life and Teachings, highlights Jung’s a life-long fascination with the otherworldly and transcendent aspects of human experience. It rightly places Jung in the context of other major mystical seekers and teachers, such as Rudolf Steiner, G. I. Gurdjieff, and Emanuel Swedenborg.

Gary Lachman
The book’s author is Gary Lachman, a widely respected writer on esoteric themes (as well as a founding member of the 80s rock band Blondie!). Lachman explores how, as a professional adult, Jung tended to hide and even deny this spiritual/esoteric/occult aspect of his life. Two dramatic personal experiences, thirty years apart, were to finally transform Jung into an openly mystical psychologist and an inspiration for today’s transpersonal movement. And between those two experiences came the creation of his great masterpiece, a hand-written book which for decades was virtually unknown outside his immediate family: The Red Book. In 2009, the Red Book was finally allowed to be published for the first time, an event which continues to generate a lot of buzz. Some see it as a work of literary genius, others see it as evidence of a psychotic breakdown. I’m with Lachman — I think it is a good idea to see The Red Book in the context of the current of mysticism and other-worldly weirdness running throughout Jung’s life. Lachman shows that even as a child, Jung was immersed in a world in which spirituality and the paranormal were the norm.

Doing and Being

Doing and Being: Mindfulness, Health, and Quiet Ego Characteristics Among Buddhist Practitioners
September 16, 2010 — barry
H. A. Wayment, B. Wiist, B. M. Sullivan, M. A. Warren (2010) Doing and Being: Mindfulness, Health, and Quiet Ego Characteristics Among Buddhist Practitioners. Journal of Happiness Studies , Online first , 11 Sept 2010.

ABSTRACT: We examined the relationship between meditation experience, psychological mindfulness, quiet ego characteristics, and self-reported physical health in a diverse sample of adults with a range of Buddhist experience (N = 117) gathered from a web-based survey administered to Buddhist practitioners around the world between August 1, 2007 and January 31, 2008.

Practicing meditation on a regular basis and greater experience with Buddhism was related to higher psychological mindfulness scores. Psychological mindfulness was correlated with a latent variable called “quiet ego characteristics” that reflected measures based on Bauer and Wayment’s (Transcending self-interest: psychological explorations of the quiet ego. American Psychological Association, Washington, DC, pp 7–19, 2008) conceptual and multidimensional definition of a “quiet ego”: wisdom, altruism, sense of interdependence with all living things, need for structure (reversed), anger/verbal aggression (reversed), and negative affectivity (reversed). In turn, quiet ego characteristics were positively related to self-reported health.

Our findings provide continuing support for the key role psychological mindfulness may play in psychological and physical well-being.

Near-Death Experiences

Implications of Near-Death Experiences for a Postmaterialist Psychology
February 25, 2010 — barry
Implications of Near-Death Experiences for a Postmaterialist Psychology by Bruce Greyson

from Psychology of Religion and Spirituality, Volume 2, Issue 1, February 2010, Pages 37-45

Classical physics, anchored in materialist reductionism, offered adequate descriptions of everyday mechanics but ultimately proved insufficient for describing the mechanics of extremely high speeds or small sizes, and was supplemented nearly a century ago by quantum physics, which includes consciousness in its formulation. Materialist psychology, modeled on the reductionism of classical physics, likewise offered adequate descriptions of everyday mental functioning but ultimately proved insufficient for describing mentation under extreme conditions, such as the continuation of mental function when the brain is inactive or impaired, such as occurs near death. “Near-death experiences” include phenomena that challenge materialist reductionism, such as enhanced mentation and memory during cerebral impairment, accurate perceptions from a perspective outside the body, and reported visions of deceased persons, including those not previously known to be deceased. Complex consciousness, including cognition, perception, and memory, under conditions such as cardiac arrest and general anesthesia, when it cannot be associated with normal brain function, require a revised psychology anchored not in 19th-century classical physics but rather in 21st-century quantum physics that includes consciousness in its conceptual formulation.

Long Term Psychotherapy Works Best

Psychotherapy Works Best Over the Long Term


TUESDAY, Sept. 30 (HealthDay News) — People with complex mental disorders or personality disorders would benefit from long-term psychodynamic psychotherapy that lasts at least a year or longer, according to new research.

Published in the Oct. 1 issue of the Journal of the American Medical Association, the German study found that compared to the more commonly used short-term therapy, long-term psychotherapy left people better off. In fact, the number of therapy sessions the patients had was directly correlated to improvements in symptoms.

“Long-term psychodynamic psychotherapy was significantly superior to shorter forms of psychotherapy applied in the control groups. This was true with regard to overall effectiveness, target problems, and personality functioning,” said the study’s lead author, Falk Leichsenring, a professor of psychotherapy research in the department of psychosomatic medicine and psychotherapy at the University of Giessen in Germany.

“With regard to overall effectiveness, on average, patients with complex mental disorders were better off after treatment with long-term psychodynamic psychotherapy than 96 percent of the patients in the comparison groups. Thus, this meta-analysis provides evidence that long-term psychodynamic psychotherapy is an effective treatment for complex mental disorders,” said Leichsenring.

“This study provides a great value for doctors and for patients, and one would hope could have an influence on policy decisions,” added Dr. Charles Goodstein, a clinical professor of psychiatry at the New York University School of Medicine and Langone Medical Center in New York City.

Complex mental disorders include problems such as depression or anxiety that continue for long periods of time. Psychodynamic therapy, according to Leichsenring, is therapy that puts the focus on the therapist-patient relationship and the importance of developing that relationship. Leichsenring said this is a key difference between this type of therapy and some of the shorter-term options, such as cognitive behavioral therapy.

Leichsenring and his colleague, Sven Rabung, from University Medical Center Hamburg-Eppendorf, reviewed the medical literature to find studies that compared long-term psychodynamic therapy lasting a year or more to other forms of therapy. They found 23 studies with 1,053 patients. Eleven of the studies were randomized, controlled trials, and 12 were observational studies.

Overall effectiveness, resolution of the target problem, and personality functioning were superior in the long-term psychodynamic therapy groups than in the comparison groups, according to the analysis.

The bottom line: “Long-term psychodynamic psychotherapy is superior to short-term treatments in patients with complex mental disorders,” Leichsenring said.

But the problem, according to Goodstein, is that insurance companies often don’t want to pay for long-term therapy, perhaps believing medications and short-term therapy are more cost-effective options.

For someone who’s just started having symptoms — considered an acute problem — short-term therapy may be helpful, according to Goodstein. But, for those who’ve had mental health symptoms chronically, short-term therapy may boost them to a “barely livable level” but not to a good quality of life.

So, what’s the ideal number of visits? It really depends on the individual and their specific problem, but Leichsenring said, “there is evidence that most patients with acute distress benefit sufficiently from 25 sessions. For patients with chronic distress, about 50 sessions are required to achieve a response rate of 70 percent. For patients with personality disorders, there is evidence that about 200 sessions, or 2 years of treatment, are required to achieve recovery in 75 percent of the patients.”

More information

To learn more about psychotherapy, including psychodynamic psychotherapy, visit the America Psychiatric Association’s Healthy Minds Web site.

SOURCES: Falk Leichsenring, D.Sc., professor, psychotherapy research, department of psychosomatic medicine and psychotherapy, University of Giessen, Germany; Charles Goodstein, M.D., clinical professor, psychiatry, New York University School of Medicine and NYU Langone Medical Center, New York City; Oct. 1, 2008, Journal of the American Medical Association

By Serena Gordon
HealthDay Reporter