Background

Klerman, Weissman and colleagues developed IPT as a treatment arm for a pharmacotherapy study of depression. They recognized that many outpatients in clinical practice received

Handbook of Evidence-based Psychotherapies: A Guide for research and practice. Edited by C. Freeman & M. Power. Copyright © 2007 John Wiley & Sons, Ltd.

talking therapy as well as medication and felt that their study would gain face validity by including both modalities. Yet they had no idea what was actually practised in the surrounding offices in New England - as indeed we have little grasp of what is presumably eclectic psychotherapy practice in the community today. Being researchers, they developed a psychotherapy based on research data, as well as to some degree on existing interpersonal theory.

Interpersonal therapy is based on principles derived from psychosocial and life events research into depression, which has demonstrated relationships between depression and complicated bereavement, role disputes (such as bad marriages), role transitions (and meaningful life changes) and interpersonal deficits. Life stressors can trigger depressive episodes in vulnerable individuals and conversely depressive episodes compromise psychosocial functioning, leading to further negative life events. In contrast, social supports protect against depression. Interpersonal therapy theory borrows from the post-World War II work of Adolph Meyer, Harry Stack Sullivan (1953), as well as the attachment theory of John Bowlby and others. Sullivan, who popularized the term 'interpersonal', emphasized that life events occurring after the early childhood years influenced psychopathology. This idea, which seems commonplace enough today, was radical in an era dominated by psychoanalysis, when the focus was almost exclusively on early childhood experiences. Interpersonal therapy uses this principle for practical, not aetiological practical purposes. Interpersonal therapists do not presume to know the cause of a depressive episode, whose aetiology is presumably multifactorial, but instead pragmatically use the connection between current life events and onset of depressive symptoms to help patients understand and combat their episode of illness.

Letting Go, Moving On

Letting Go, Moving On

Learning About Letting Go, Moving On Can Have Amazing Benefits For Your Life And Success! Don't be held back by the past - face your guilt and fears and move on! Letting go is merely arriving at a decision, no more allowing something from the past tense to influence your life today or to cut down your inner sense of peace and welfare.

Get My Free Ebook


Post a comment