Insight and therapeutic change : an empirical study of the association between insight and therapeutic change in short-term psychodynamic and cognitive therapy in treatment of cluster C personality disorders : a randomized, controlled trail
Objective: The objective in the present study was to examine the association between Insight and therapeutic change, and whether the increase on Insight and its association with therapeutic change differ among patients receiving short-term psychodynamic therapy (STPD) compared with patients receiving cognitive therapy (CT).
Method: The clinical data material used in this study derives from a randomized controlled trial on 48 patients with cluster C personality disorder receiving short-term psychodynamic therapy (STPD) or cognitive therapy (CT) over a series of forty sessions. Videotaped sessions early and late in treatment were analyzed using the Achievement of Therapeutic Objectives Scale (ATOS).
Results: Patients level of Insight increased significantly during therapy for both the STPD and CT patient group. Insight was also found to be significantly associated with therapeutic change. However, we found no significant interaction effect between change in Insight and type of therapy.
Conclusion: The results presented in this study could suggest that insight operates as a common process mechanism or factor associated with therapeutic change across both STPD and CT.