For most people who work, social and occupational competence is inherent to a sense of well-being and support. When occupational competence is questioned by themselves or others, patients may present to clinicians with complaints of dysfunction in the work setting. For these patients, addressing work issues with immediacy and brevity may quickly resolve difficulties, preventing further escalation. Mann's model of time-limited brief psychodynamic therapy may prove to be a useful tool in addressing these issues. The author reviews the current literature regarding occupational dysfunction combined with literature supporting the usefulness of Mann's model of time-limited brief dynamic psychotherapy. A case is discussed demonstrating the integration of Mann's model into a current occupational theme, elucidating the central conflict as it pertains to the occupational setting.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author .
2.
Bergner, R.M. (1998). Therapeutic approaches to problems of meaninglessness . American Journal of Psychotherapy, 52, 72-87.
3.
Bergner, R.M. (1999). Status enhancement: A further path to therapeutic change. American Journal of Psychotherapy, 53, 201-214.
4.
Binder, J.L., Henry, W.P., & Strupp, H.H. (1987). An appraisal of selection criteria for dynamic psychotherapies and implications for setting time limits. Psychiatry, 50, 154-166.
5.
Blodgett, N. (1986). Legal relief from tension: Work-induced stress spurs worker's comp claims. American Bar Association Journal , 17-18.
6.
Brodsky, C.M. (1996). The psychiatry of work. Occupational Medicine: State of the Art Reviews, 11, 685-698.
7.
Chrzanowski, G. (1980). Problem patients or troublemakers? Dynamic and therapeutic considerations. American Journal of Psychotherapy , 34, 26-38.
8.
Crits-Christoph, P. (1992). The efficacy of brief dynamic psychotherapy: A meta-analysis. American Journal of Psychiatry, 149, 151-158.
9.
Custer, V.L., & Wassink, K.E. (1991). Occupational therapy intervention for an adult with depression and suicidal tendencies. American Journal of Occupational Therapy, 45, 845-848.
10.
Davanloo, H. (1978). Evaluation and criteria for selection of patients for short-term dynamic psychotherapy. Psychotherapy and Psychosomatics , 29, 307-308.
11.
Dickstein, L.J. (2000). Other additional conditions that may be a clinical focus. In B. Saddock & V. Saddock (Eds.), Comprehensive textbook of psychiatry (7th ed., pp. 1918-1922). Baltimore: Williams & Wilkins.
12.
Donovan, J.M. (1987). Brief dynamic psychotherapy: Toward a more comprehensive model. Psychiatry, 50, 167-183.
13.
Erikson, E.H. (1950). Childhood and society (2nd ed.). New York: W. W. Norton .
14.
Farber, B.A. (2000). Introduction: Understanding and treating burnout in a changing culture. Journal of Clinical Psychology, 56, 589-594.
15.
Free, N.K., Green, B.L., Grace, M.C., Chernus, L.A., & Whitman, R.M. (1985). Empathy and outcome in brief focal dynamic therapy . American Journal of Psychiatry, 142, 917-921.
16.
Giannandrea, P.F. (1985). Psychodynamic approach to occupational psychiatry: Comparative case studies and review. American Journal of Psychotherapy , 39, 421-430.
17.
Gillieron, E. (1987). Setting and motivation in brief psychotherapy . Psychotherapy and Psychosomatics, 47, 105-112.
18.
Gustafson, J.P. (1984). An integration of brief dynamic psychotherapy . American Journal of Psychiatry, 141, 935-944.
19.
Hayes, R.L., & Halford, W.K. (1993). Generalization of occupational therapy effects in psychiatric rehabilitation. American Journal of Occupational Therapy, 47, 161-167.
20.
Healy, C.M., & McKay, M.F. (2000). Nursing stress: The effects of coping strategies and job satisfaction in a sample ofAustralian nurses. Journal of Advanced Nursing, 31, 681-688.
21.
Hellerstein, D.J., Rosenthal, R.N., Pinsker, H., Samstag, L.W., Muran, J.C., & Winston, A. (1998). A randomized prospective study comparing supportive and dynamic therapies. Outcome and alliance. Journal of Psychotherapy Practice and Research, 7, 261-271.
22.
Hoglend, P. (1996). Motivation for brief dynamic psychotherapy. Psychotherapy and Psychosomatics, 65, 209-215.
23.
Hoglend, P., & Heyerdahl, O. (1994). The circumscribed focus in intensive brief dynamic psychotherapy. Psychotherapy and Psychosomatics, 61, 163-170.
24.
Horowitz, L.M., Rosenberg, S.E., & Bartholomew, K. (1993). Interpersonal problems, attachment styles, and outcome in brief dynamic psychotherapy. Journal of Consulting & Clinical Psychology, 61, 549-560.
25.
Jarrett, R.B., & Rush, A.J. (1994). Short-term psychotherapy of depressive disorders: Current status and future directions. Psychiatry, 57, 115-132.
26.
Joyce, A.S., & Piper, W.E. (1990). An examination of Mann's model of time-limited individual psychotherapy. Canadian Journal of Psychiatry, 35(1), 41-49.
27.
Krupnick, J.L., & Horowitz, M.J. (1985). Brief psychotherapy with vulnerable patients: An outcome assessment. Psychiatry, 48, 223-233.
28.
Laor, I., & Granek, M. (1997). Working through the experience of time in time-limited therapy. American Journal of Psychotherapy, 51, 580-592.
29.
Lehmer, M., & Bentley, A. (1997). Treating work stress: An alternative to workers' compensation. Journal of Occupational and Environmental Medicine , 39(1), 63-67.
30.
Mann, J. (1973). Time-limited psychotherapy. Cambridge, MA: Harvard University Press.
31.
Marziali, E.A. (1984). Prediction of outcome of brief psychotherapy from therapist interpretive interventions. Archives of General Psychiatry, 41, 301-304.
32.
Murphy, L.R. (1996). Stress management in work settings: A critical review of the health effects. American Journal of Health Promotion , 11, 112-135.
33.
Mushet, G., & Donaldson, L. (2000). A psychotherapist in the house: A service for distressed junior doctors. British Journal of Medical Psychology , 73, 377-380.
34.
Pflanz, S. (1999). Psychiatric illness and the workplace: Perspectives for occupational medicine in the military. Military Medicine , 164, 401-406.
35.
Pines, A.M. (2000). Treating career burnout: A psychodynamic existential perspective. Journal of Clinical Psychology, 56, 633-642.
Randolph, S.A. (1984). Stress, working women, and an occupational stress model. Occupational Health Nurse, 32, 622-625.
38.
Robbins, D.B., Kaminer, A.J., Schussler, T., & Pomper, I.H. (1976). The psychiatric patient at work. American Journal of Public Health, 66, 655-659.
39.
Schaeffer, J.A. (1998). Transference and countertransference interpretations: Harmful or helpful in short-term dynamic therapy? American Journal of Psychotherapy, 52, 1-17.
40.
Seago, J.A., & Faucett, J. (1997). Job strain among registered nurses and other hospital workers. Journal of Nursing Administration, 27(5), 19-25.
41.
Sifneos, P.E. (1981). Short-term dynamic psychotherapy: Its history, its impact and its future. Psychotherapy and Psychosomatics , 35, 224-229.
42.
Smith, C.S., & Sulsky, L.M. (1995). An investigation of job-related coping strategies across multiple stressors and samples. In L. R. Murphy, J. J. Hurrell Jr., S. L. Sauter, & G. P. Keita (Eds.), Job stress interventions. Washington, DC: American Psychological Association .
43.
Smith, M.L., & Glass, G.V. (1977). Meta-analysis of psychotherapy outcome studies . American Journal of Psychology, 32, 752-760.
44.
Sperry, L., Kahn, J.P., & Heidel, S.H. (1994). Workplace mental health consultation: A primer of organizational and occupational psychiatry. General Hospital Psychiatry, 16, 103-111.
