Allan Abbass

Allan Abbass
  • allanabbass.com
  • Managing Director at Dalhousie University

About

196
Publications
122,722
Reads
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5,522
Citations
Current institution
Dalhousie University
Current position
  • Managing Director
Additional affiliations
January 1995 - May 1998
University of British Columbia
Position
  • Research Assistant
January 1998 - present
Dalhousie University
Position
  • Director, Centre for Emotions and Health

Publications

Publications (196)
Article
Full-text available
Objective Functional somatic disorders (FSD) are extremely common amongst neuropsychiatric and other specialty medicine referrals. Intensive Short-term Dynamic Psychotherapy (ISTDP) is an emotionally focused form of brief therapy that has been researched and developed specifically for the diagnostic assessment and treatment of FSD, amongst other co...
Article
Full-text available
Objectives: Interpersonal problems are a fundamental feature of depression, but study-level meta-analyses of their association with treatment outcome have been limited by heterogeneity in primary studies' analyses and reported results. We conducted a pre-registered individual participant data meta-analysis (IPD-MA) to examine this relationship for...
Article
Over the past 50 years, intensive short-term dynamic psychotherapy (ISTDP) has been developed, implemented, and evaluated with respect to the treatment of a broad spectrum of complex, chronic, and treatment-resistant conditions. This therapy was developed specifically to treat a range of patients, including those who are highly defensive, those who...
Article
Intensive Short-Term Dynamic Psychotherapy (ISTDP) has an increasing amount of evidence regarding its efficacy across various psychiatric conditions and specifically with depression. The aim of this study is to replicate the findings of controlled research by examining the effects of ISTDP in the treatment of depression in a large naturalistic samp...
Preprint
Full-text available
Intensive Short-Term Dynamic Psychotherapy (ISTDP) has an increasing amount of evidence regarding its efficacy across various psychiatric conditions and specifically with depression. The aim of this study is to replicate the findings of controlled research by examining the effects of ISTDP in the treatment of depression in a large naturalistic samp...
Preprint
Intensive Short-Term Dynamic Psychotherapy (ISTDP) has an increasing amount of evidence regarding its efficacy across various psychiatric conditions and specifically with depression. The aim of this study is to replicate the findings of controlled research by examining the effects of ISTDP in the treatment of depression in a large naturalistic samp...
Preprint
Intensive Short-Term Dynamic Psychotherapy (ISTDP) has an increasing amount of evidence regarding its efficacy across various psychiatric conditions and specifically with depression. The aim of this study is to replicate the findings of controlled research by examining the effects of ISTDP in the treatment of depression in a large naturalistic samp...
Article
Full-text available
Background Norwegian authorities have implemented treatment units devoted to medication-free mental health treatment nationwide to improve people’s freedom of choice. This article examines how medication-free treatment differs from treatment as usual across central dimensions. Methods The design was mixed methods including questionnaire data on pa...
Article
Full-text available
The COVID-19 pandemic spurred public health measures to reduce viral spread. Concurrently, increases in alcohol consumption and conflict in romantic partnerships were observed. Pre-pandemic research demonstrated a bidirectional association between couples’ conflict and drinking. Recent research shows one’s drinking motives (proximal predictors of d...
Preprint
Full-text available
Background Norwegian health authorities have implemented treatment units devoted to medication-free mental health treatment in all health regions to improve people’s freedom of choice. This article examines how medication-free treatment differs from treatment as usual across various central dimensions. Methods We used a mixed-methods design that in...
Preprint
Full-text available
Background: Norwegian health authorities have implemented treatment units devoted to medication-free mental health treatment in all health regions to improve people’s freedom of choice. This article examines how medication-free treatment differs from treatment as usual across various central dimensions. Methods: The design was a preplanned, paralle...
Article
Full-text available
To assess the current status of psychodynamic therapy (PDT) as an empirically supported treatment (EST), we carried out a pre-registered systematic umbrella review addressing the evidence for PDT in common mental disorders in adults, based on an updated model for ESTs. Following this model, we focused on meta-analyses of randomized controlled trial...
Article
In this journal Malhi et al. recommended cognitive-behavior therapy (CBT), antidepressants, and counseling ahead of short-term psychodynamic therapy (STPP) referring to UK NICE guidelines for depression. However, these recommendations continue the ambiguous and therefore confusing NICE guidelines, which on the one hand list the above treatments as...
Article
Intensive Short-Term Psychodynamic Therapy (ISTDP) has demonstrated promising evidence for the treatment of Functional Neurological Disorders (FND) including functional seizures. This paper aimed to further examine the therapeutic effects of a 3-session course of this treatment focusing on its potential to maintain reduced healthcare utility within...
Article
Full-text available
Background: Short-term psychodynamic psychotherapy (STPP) is frequently used to treat depression, but it is unclear which patients might benefit specifically. Individual participant data (IPD) meta-analyses can provide more precise effect estimates than conventional meta-analyses and identify patient-level moderators. This IPD meta-analysis examin...
Article
Full-text available
In early 2020, schools across Canada closed due to the COVID-19 pandemic, requiring parents to homeschool their children. We examined the association between homeschooling and romantic conflict among couples during the COVID-19 pandemic. Canadian couples (N = 756) completed online measures, including whether they were homeschooling, hours spent hom...
Article
Introduction: In early 2020, North American jurisdictions required households (e.g., romantic couples) to isolate together to help mitigate the spread of COVID-19. This study provides a first look at the interplay of depressive symptoms and conflict behaviors among isolating couples, including tests of predictions of the stress generation hypothesi...
Article
Full-text available
The approach of evidence-based medicine has been extended to psychotherapy. More than 20 years ago, criteria for empirically supported psychotherapeutic treatments (ESTs) were defined. Meanwhile a new model for empirically supported psychotherapeutic treatments has been proposed. While the empirical status of psychodynamic therapy (PDT) was assesse...
Article
Full-text available
A variety of contemporary cognitive behavioral therapy (CBT) frameworks have collectively converged on acceptance of emotion as a therapeutic process central to producing positive outcomes. However, evidence shows that not all patients respond to these treatments, such as those with more severe and complicated symptomatology and more entrenched emo...
Article
The purpose of this article was to raise awareness of an under-recognized but well-supported treatment for Functional Neurological Disorders (FND) termed Intensive Short-term Dynamic Psychotherapy (ISTDP). There has been significant interest in the role of psychological mechanisms in FND onset and maintenance with specific evidence for maladaptive...
Preprint
Purpose: Intensive Short Term Psychodynamic Therapy (ISTDP) has demonstrated promising evidence for the treatment of several Functional Neurological Disorders (FND) including dissociative seizures. However, its implementation in secondary mental health and specialist services within the English National Health Service (NHS) is scarce. The aim of th...
Article
Full-text available
Objective: A central tenet of psychodynamic theory of depression is the role of avoided anger. However empirical research has not yet addressed the question of for which patients and via hat pathways experiencing anger in sessions can help. The therapeutic alliance and acquisition of patient insight are important change processes in dynamic therapy...
Article
Full-text available
Purpose Medication has been a central part of treatment for severe mental disorders in Western medicine since the 1950s. In 2015, Norwegian Health Authorities decided that Norwegian health regions must have treatment units devoted to medication-free mental health treatment to enhance service users’ freedom of choice. The need for these units has be...
Article
Full-text available
In this journal, Malhi et al. (2021) present the 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders While we applaud their efforts to develop a comprehensive treatment guideline, we call attention to several factual errors leading to erroneous conclusions and recommendations with regard to...
Article
Full-text available
Homeschooling due to COVID-19 school closures is likely to increase conflict between work and family demands, potentially leading to adverse substance-use effects. We conducted a survey with 758 couples focusing on homeschooling, work–family conflict, and alcohol use (April 2020). The 211 homeschooling couples reported more work–family conflict tha...
Conference Paper
Full-text available
The COVID-19 pandemic resulted in families self-isolating under incredible stress. Viral containment strategies included school closures with parents left to homeschool their children with few supports from the educational system. Recent data show that those with children at home were more likely to drink heavily during the pandemic (Rodriguez et a...
Article
Full-text available
This study examines the effectiveness of psychotherapy provided by novice therapists, in an attempt to clarify the controversial relationship between treatment effectiveness and therapist experience. To achieve this, we examined the short- and long-term effec�tiveness of intensive short-term dynamic psychotherapy (ISTDP) in the treatment of patient...
Article
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Introduction Cyberchondria involves excessive and uncontrollable online searching of information about a perceived illness. This behavior can cause or maintain distress. Objectives Little is known about cyberchondria during the COVID-19 pandemic or how cyberchondria in one individual may cause distress in their significant other if they are self-i...
Article
Objective A recent meta-analysis of 17 randomized, controlled trials (RCTs) showed that Short-term Psychodynamic Psychotherapy (STPP) for functional somatic disorders (FSD) reduced somatic symptoms compared to wait list, minimal treatment, and treatment-as-usual controls. A clinically important yet unanswered question is how much improvement patien...
Article
Full-text available
Intensive short‐term dynamic psychotherapy (ISTDP) was developed to manage treatment impasses preventing the experiencing of feelings related to childhood attachment interruptions, such as parental loss. According to ISTDP theory, certain categories of patients will exhibit habitual patterns of responding within the treatment relationship (called d...
Article
In this article, Canadian psychotherapy researchers and teachers review the state of psychodynamic therapy (PDT) in Canada. We review the ways in which PDT has been implemented, developed and researched within the public and private sector, and how psychoanalytic and psychodynamic practitioners regionally have responded to the challenges of evidenc...
Article
The coronavirus or COVID-19 crisis has forced counsellors and therapists around the globe to use online videoconference programs to provide psychotherapy treatment, teaching, and supervision. Some varieties of psychotherapy have historically used video technology for these purposes. Intensive short-term dynamic psychotherapy (ISTDP), one such metho...
Article
Full-text available
Objectives Intensive short‐term dynamic psychotherapy (ISTDP) requires the technique of challenge to defenses when treating resistant patients. As the technique of challenge is difficult for some therapists to practice, it leads us to question whether challenge can be replaced by clarification of defenses without losing treatment effectiveness. Thi...
Article
Introduction: Functionalsomatic disorders (FSD) are common and costly, thereby driving the need for the development of effective brief treatment options. Short-term psychodynamic psychotherapy (STPP) is one candidate treatment method. Objective: To review and meta-analyze, where possible, randomized controlled trials (RCTs) of STPP for FSD. Met...
Article
Background : Depressed patients with chronic and complex health issues commonly relapse; therefore, examining longer-term outcomes is an important consideration. For treatment resistant depression (TRD), the post-treatment efficacy of time-limited Intensive Short-Term Dynamic Psychotherapy (ISTDP) has been demonstrated but longer-term outcomes and...
Article
Background Intensive Short-Term Dynamic Psychotherapy (ISTDP) is an intervention introduced by Davanloo in order to treat affective and somatic symptoms, and personality disorders. It is a brief intervention aimed to reach awareness of painful or forbidden emotions and consequently to override symptoms and self-destructive tendencies. In this revie...
Book
Originally published as a special issue of Psychoanalytic Psychotherapy, this collection was timed to coincide with the publication of the new NICE guideline for the treatment of depression, which will shape the context of NHS talking therapy services for the next decade. In 2005, Professor Lord Layard demonstrated for the first time that mental h...
Article
Full-text available
Objective: To assess the clinical- and cost-effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) for patients with chronic pain. Method: A sample of 228 pain patients were drawn from a larger naturalistic study of ISTDP. They received an average of 6.1 sessions delivered by 31 therapists. Psychiatric symptoms and interpersonal probl...
Article
This research examined the efficacy of intensive short-term dynamic psychotherapy (ISTDP) in the treatment of social anxiety disorder (SAD) and compared the therapeutic outcomes of ISTDP when feeling focus or defense work is emphasized. A three-group randomized design with 6-month follow-up was used. Forty-one subjects were selected among volunteer...
Article
What to conclude from a non-randomized clinical trial comparing dialectical behavior therapy and mentalization-based treatment in patients with borderline personality disorder? - Patrick Luyten, Falk Leichsenring, Allan Abbass, Mark Hilsenroth, Sven Rabung, Christiane Steinert
Article
In this article, we review Davanloo's metapsychology of the unconscious and how it can contribute to the current psychodynamic understanding and treatment of psychosis. In this framework, current attachment and emotions become connected with unconscious conflict-laden feelings about early attachment trauma at the core of the unconscious conflict. T...
Article
Introduction Posttraumatic stress disorder (PTSD) is associated with significant psychiatric morbidity and high healthcare costs. Objective The aim of this pilot study was to evaluate changes in healthcare costs and general psychiatric symptom severity in patients with PTSD following intensive short-term dynamic psychotherapy (ISTDP). Method Heal...
Article
Full-text available
Addiction programs are plagued with high dropout and relapse rates. A large proportion of patients suffering from addiction also suffer from personality disorders. Aim: A 30-day inpatient program based on intensive short-term dynamic psychotherapy was developed to address features of personality disorders such as anxiety regulation, emotion recogni...
Article
Full-text available
Why the concept of distinct psychotherapeutic approaches is indispensable - and why the tool box concept of psychotherapy cannot workBackground: In Germany, the official psychotherapy guidelines are oriented towards the model of distinct psychotherapeutic approaches. Within the German health care system this also applies to the training in psychoth...
Article
Objectives: Physical pain is prevalent among psychiatric outpatients, yet there has been little research regarding the types of pain reported. The purpose of this study was to survey outpatients seeking psychotherapy regarding pain locations and to examine associations between number of pain locations and psychiatric distress and alexithymia. Metho...
Article
Objective: Background regarding a recent debate between Cuijpers et al. (2019a, b) and the authors (Munder et al. 2019) about the efficacy of psychotherapy for depression is given. Method: A main reason for the discrepancy in Cuijpers et al.'s and our conclusions is discussed. Results: In our view the discrepancy is due, among other things, to a bl...
Article
The aim of this study was to evaluate changes in long-term health care costs and symptom severity after adjunctive intensive short-term dynamic psychotherapy (ISTDP) individually tailored and administered to patients with bipolar disorder undergoing standard psychiatric care. Eleven therapists with different levels of expertise delivered an average...
Article
Equivalence testing: reversed hypotheses, margins, and the need for controlling researcher allegiance - Volume 49 Issue 5 - Falk Leichsenring, Allan Abbass, Mark Hilsenroth, Patrick Luyten, Sven Rabung, Christiane Steinert
Article
Full-text available
Jurisdictions in Canada, notably in Ontario and Quebec, are proposing a laudable goal of increasing publicly funded access to psychotherapy. Ontario and Quebec will likely follow the lead of the Increasing Access to Psychotherapy (IAPT) program in the United Kingdom and train psychotherapists to provide cognitive–behavioural therapy. Results from I...
Article
To the Editor We are pleased to see JAMA Internal Medicine focus on psychotherapy for chronic pain in the recent article by Niknejad and colleagues.¹ We write to further the conversation by raising 2 points.
Article
Aims The aim of this study was to reanalyse the data from Cuijpers et al. 's (2018) meta-analysis, to examine Eysenck's claim that psychotherapy is not effective. Cuijpers et al ., after correcting for bias, concluded that the effect of psychotherapy for depression was small (standardised mean difference, SMD, between 0.20 and 0.30), providing evid...
Article
Aim: This research examined the experiences of patients with Medically Unexplained Symptoms (MUS) treated with Intensive Short-Term Dynamic Psychotherapy (ISTDP) within a family practice setting. Methods: Patients who had attended the MUS service were sent a semi-structured qualitative questionnaire about their symp�toms, and their relationship w...
Article
Background: Medically unexplained symptoms (MUS) are associated with frequent visits to health care providers, high costs, and frustration for patients and providers. Objective: To assess the impact of an Intensive Short-Term Dynamic Psychotherapy (ISTDP) service on physician attitudes and perspectives in two family practices. Design: Descriptiv...
Article
Equivalence and non-inferiority testing in psychotherapy research - Falk Leichsenring, Allan Abbass, Ellen Driessen, Mark Hilsenroth, Patrick Luyten, Sven Rabung, Christiane Steinert
Article
Full-text available
For psychotherapy of mental disorders, presently several approaches are available, such as interpersonal, humanistic, systemic, psychodynamic or cognitive behavior therapy (CBT). Pointing to the available evidence, proponents of CBT claim that CBT is the gold standard. Some authors even argue for an integrated CBT-based form of psychotherapy as the...
Article
Received: January 23, 2018 Accepted: February 11, 2018 Published online: April 10, 2018 Issue release date: August 2018
Article
Full-text available
The UK draft NICE guideline on depression in adults was sent out for stakeholder consultation between July and September 2017. The final guideline publication date currently remains ‘to be confirmed’. This paper sets out key concerns with the methodology employed in the guideline and its impact on recommendations for psychodynamic psychotherapies f...
Article
Full-text available
Introduction Short-term psychodynamic psychotherapy (STPP) is an empirically supported treatment that is often used to treat depression. However, it is largely unclear if certain subgroups of depressed patients can benefit specifically from this treatment method. We describe the protocol for a systematic review and meta-analysis of individual parti...
Article
This study investigated the relationship between alexithymia and physical complaints among psychiatric outpatients, and whether sex moderated this relationship. Participants (N = 185) completed measures of physical complaints (bodily symptom burden, pain severity, pain interference), alexithymia, current symptom (depression, anxiety) distress, and...
Article
Full-text available
The objective of this study was to evaluate the clinical- and cost-effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) for generalized anxiety disorder (GAD). We further aimed to examine if a key clinical process within the ISTDP framework, termed the level of mobilization of unprocessed complex emotions (MUCE), was related to outco...
Article
Full-text available
Medically unexplained symptoms (MUS) are known to be costly, complex to manage and inadequately addressed in primary care settings. In many cases, there are unresolved psychological and emotional processes underlying these symptoms, leaving traditional medical approaches insufficient. This paper details the implementation of an evidence-based, emot...
Article
Although psychodynamic therapy (PDT) is an evidence-based intervention for a broad spectrum of psychiatric conditions, there is often notable bias in the way PDT is depicted both in the popular media and in the scientific literature. This has contributed to a negative view of PDT, which hampers both patient access to this treatment and researcher a...
Article
This study examined the effects of trial therapy interviews using intensive short-term dynamic psychotherapy with 500 mixed sample, tertiary center patients. Furthermore, we investigated whether the effect of trial therapy was larger for patients who had a major unlocking of the unconscious during the interview compared with those who did not. Outc...
Article
Objectives: Evidence of the contribution of emotional processes to the emergence, maintenance, and experience of medically unexplained symptoms (MUS) suggests that clinical approaches which target these processes could be beneficial. In this study, qualitative methods were used to examine patients' perspectives and subjective experiences of emotio...
Article
Background While short-term psychodynamic psychotherapies have been shown effective for major depression, it is unclear if this could be a treatment of choice for depressed patients who have not sufficiently responded to existing treatments and commonly have chronic and complex health issues. Method This superiority trial used a single blind random...
Article
Reviews the book, Transference Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide by Frank E. Yeomans, John F. Clarkin, and Otto F. Kernberg (see record 2015-18407-000). Borne out of over a century of combined clinical experience Yeomans, Clarkin, and Kernberg provide simply a treasure trove of theoretically informed, empir...
Article
Replicability of findings is an essential prerequisite of research. For both basic and clinical research, however, low replicability of findings has recently been reported. Replicability may be affected by research biases not sufficiently controlled for by the existing research standards. Several biases such as researcher allegiance or selective re...
Article
Full-text available
Background: Kenny has proposed that severe music performance anxiety that is unresponsive to usual treatments such as cognitive-behaviour therapy may be one manifestation of unresolved attachment ruptures in early life. Intensive Short-Term Dynamic Psychotherapy specifically targets early relationship trauma. Accordingly, a trial of Intensive Short...
Article
Purpose: The purpose of this study was to examine preliminary evidence of intensive short-term dynamic psychotherapy (ISTDP) as a treatment option for psychogenic nonepileptic seizures (PNES) in terms of impact on healthcare costs, emotional wellbeing, and somatic symptoms. Method: Drawn from a sample of patients treated in a tertiary psychiatri...
Article
Among other points, the study by Connolly Gibbons and colleagues raises the ongoing challenge facing all psychiatrists using pharmacotherapy and psychotherapy: how to improve rates of remission in real-world clinical samples. The study found that more than 80% of all participants did not respond to treatment (22% of patients receiving CBT and 16% o...
Article
Background Intensive short-term dynamic psychotherapy (ISTDP), as developed by Habib Davanloo, is an intensive emotion-focused psychodynamic therapy with an explicit focus on handling resistance in treatment. A core assumption in ISTDP is that psychotherapeutic effects are dependent on in-session emotional processing in the form of an increase in c...

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