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Reviews and Overviews
Published Online: 10 June 2024

Good-Enough Therapy: A Review of the Empirical Basis of Good Psychiatric Management

Publication: American Journal of Psychotherapy

Abstract

In this review, the question of whether good psychiatric management (GPM) has a sufficient, or good-enough, evidence base is examined from two complementary perspectives. First, the author reviews research that has investigated whether GPM reduces symptoms of borderline personality disorder. Analyses at the group and individual levels have indicated that symptoms may decrease among patients receiving GPM. Second, the author reviews research that has investigated the processes through which change occurs in GPM. Studies that have shown process changes toward emotional balance, interpersonally effective functioning, and a more coherent and reality-based autobiographical narrative are discussed. To fully answer the question of whether GPM is good enough, more controlled trials are needed to demonstrate effectiveness, mechanisms of change, and broad implementation in culturally diverse populations.

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Information

Published In

Go to American Journal of Psychotherapy
Go to American Journal of Psychotherapy
American Journal of Psychotherapy

History

Received: 17 October 2023
Revision received: 20 December 2023
Accepted: 1 February 2024
Published online: 10 June 2024

Keywords

  1. good psychiatric management
  2. borderline personality disorder
  3. effectiveness
  4. process research
  5. psychotherapy research

Authors

Details

Ueli Kramer, Ph.D. [email protected]
Department of Psychiatry, University of Lausanne, Lausanne, Switzerland; Department of Psychology, University of Windsor, Windsor, Ontario, Canada.

Notes

Send correspondence to Dr. Kramer ([email protected]).

Competing Interests

The author reports no financial relationships with commercial interests.

Funding Information

This work was supported by the Swiss National Science Foundation through grant 100014_179457.

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