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J Psychother Pract Res 7:261-271, October 1998
© 1998 American Psychiatric Press, Inc.

Regular Article

A Randomized Prospective Study Comparing Supportive and Dynamic Therapies: Outcome and Alliance

David J. Hellerstein, M.D., Richard N. Rosenthal, M.D., Henry Pinsker, M.D., Lisa Wallner Samstag, M.A., J. Christopher Muran, Ph.D. and Arnold Winston, M.D.

Received May 13, 1997; revised April 8, 1998; accepted May 6, 1998. From Beth Israel Medical Center, New York, New York. Address correspondence to Dr. Hellerstein, Department of Psychiatry, Beth Israel Medical Center, First Avenue at 16th Street, New York, NY 10003.

The authors report preliminary results of Brief Supportive Psychotherapy (BSP) in the Beth Israel Brief Psychotherapy Program for a sample with primarily Cluster C Axis II disorders. This study compares 24 patients treated with BSP with 25 patients treated with Short-Term Dynamic Psychotherapy (STDP). STDP was chosen because its confrontational methods contrast dramatically to BSP, which emphasizes building self-esteem, reducing anxiety, and enhancing coping mechanisms. Videotaped therapies were based on manualized 40-session protocols. Similar degrees of improvement were seen in BSP and STDP at termination and at 6-month follow-up. A study of therapeutic alliance in BSP showed stable and high levels of alliance in good-outcome cases and more variability in poor-outcome cases. These preliminary findings are consistent with other studies and suggest supportive psychotherapy may be effective for many patients, leading to significant and lasting change. (The Journal of Psychotherapy Practice and Research 1998; 7:261–271)




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