Commentary on “‘Trust comes from a sense of feeling one’s self understood by another mind’: An interview with Peter Fonagy”.

Comments on an article by Duschinsky et al. (see record 2019-26304-001). Issues that had been controversial a decade ago in psychoanalytic psychotherapy are mostly no longer so. There is, for example, little discussion now about the advantages or disadvantages of a relational approach: The overwhelming evidence favoring an interpersonal frame of reference for both development and adult functioning is generally accepted. Similarly, the large number of studies showing psychodynamic psychotherapy to be efficacious in a range of diagnostic conditions has multiplied, and the defenders of a narrowly defined view of evidence-based practice have been by and large exposed as ideologues. However, we are no clearer about why psychotherapy is effective, and speculations concerning “common factors” raise as many questions as they answer. Therapeutic alliance may indeed be predictive of the outcome of therapy, but is this to do with attachment, or some other aspect of social-cognitive function? (PsycINFO Database Record (c) 2019 APA, all rights reserved)