Our study found that a course of twenty-four sessions of PFPP was effective in treating panic disorder and improving psychosocial function. In the course of their PFPP therapies, patients addressed intensely negative affect states within and without the transference, as well as conflicted feelings and fantasies. Our clinical impression is that time-limited psychoanalytic psychotherapy may have intensified the transference, potentially leading to more rapid symptomatic gains. Although brief psychotherapy limits the exploration of conflicts, this does not detract from the utility of this approach for these patients. Maintenance of treatment gains, as demonstrated by follow-up data after six months without treatment—see the PFPP open clinical trial (Milrod et al. 2001)—suggests that positive outcomes were not simply connected with an ongoing relationship with the therapist, or with avoidance of negative transferences.
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