SOWO 753
Spring 2015
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
SCHOOL OF SOCIAL WORK
Course Number: SOWO 753
Course Title: Interpersonal Psychotherapy
Semester and Year: Spring 2015
Instructor: Betsy (Sarah E.) Bledsoe
Office Hours: by appointment (TTK 524)
E-mail: bledsoe@email.unc.edu
Telephone: 919-843-6543
Course Description: This practice course focuses on interpersonal psychotherapy, an empirically-supported
intervention for depression in adolescents and adults. Adaptations for other mental health disorders are
discussed.
Course Objectives: At the conclusion of this course, students will:
1. Understand the historical and theoretical context of interpersonal psychotherapy (IPT) for depression and the
epidemiology and diagnosis of depression framed in the context of social work values and ethics.
2. Be able to apply interpersonal psychotherapy for the treatment of depression consisting of:
 initial sessions including the interpersonal inventory, identification of interpersonal problem area and case
formulation,
 middle session focused on the four interpersonal problem areas: grief, interpersonal disputes, role
transitions, and interpersonal deficits, and
 termination of both successful and unsuccessful treatment
3. Demonstrate an ability to apply IPT therapeutic techniques
4. Understand the therapist’s role in IPT and be able to identify and respond to common therapeutic issues and
patient questions
5. Have knowledge of the empirical evidence related to IPT for mood and non-mood disorders
6. Be familiar with the application of IPT with diverse populations as well as adaptations of IPT for
intervention with mental health diagnoses including adaptations for other mood disorders and non-mood
disorders.
EXPANDED DESCRIPTION: This course is an advanced practice course that builds on required foundation HBSE
and direct practice courses. It is designed to increase students’ competencies in both assessment and intervention
using IPT, an empirically supported psychotherapy. IPT was originally developed as an outpatient treatment for
adults with major depression and its value has been supported with numerous clinical trials. IPT has since been
adapted to treat other mental health disorders.
Clinicians interested in learning IPT generally begin with didactic work and supervision in the application of
IPT for the treatment of major depression in adults, as IPT was developed for use with psychiatric disorder in
this population. Therefore, the focus of the course will be on the use of IPT to treat major depression in adults.
Adaptations of IPT for the treatment of depression in specific populations and other mood and non-mood
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psychiatric diagnoses – including empirical evidence regarding the value of each adaptation - will be presented
but will not be reviewed in detail given the time limitations of this course. Empirical evidence to date does not
support the use of IPT outside of the treatment and prevention of psychiatric disorders and symptoms. However,
given the prevalence of major depression alone, it is likely that any social worker directly serving individuals or
families will encounter clients who may benefit from their knowledge of IPT.
By the end of the course, students will be more confident in their ability to assess, articulate a case formulation
and provide treatment for clients with major depression using IPT. Advanced practice skills that will be
addressed throughout the course include psychoeducation, contracting, conducting an interpersonal inventory,
exploratory techniques, encouragement of affect, clarification, communication analysis, use of the therapeutic
role, behavioral change techniques, and handling non-response to treatment. Case material and experiential
exercises will be used to increase students’ practice skills. Students will also become familiar with empirical
evidence on the use of IPT with specific disorders and populations to support evidence-based practice. While
IPT is an empirically supported intervention for major depression and has been adapted for treatment of other
psychiatric disorders, there are certain cases where IPT may not be indicated based on empirical studies.
REQUIRED TEXT: Weissman, M.M., Markowitz, J.C., & Klerman, G.L. (2000). Comprehensive Guide to
Interpersonal Psychotherapy. New York: Basic Books.
The required text is available in the UNC Bookstore.
Additional required readings for this course can be obtained via the course website or the UNC electronic
library.
RELATED READINGS: See attached bibliography.
TEACHING METHODS: This course will involve interactive class discussion, role play, individual and group
supervision, technique demonstration, and student case presentations. These teaching strategies will be used to
help students master the theoretical approaches and necessary skills needed to treat adult and adolescent clients
with major depression using IPT. It is expected that each student will be actively involved in this course; thus,
active participation in class discussion, role-play, and case presentation is mandatory.
CLASS ASSIGNMENTS: All class assignments, with the exception of the final assignment, are due at the
beginning of class and should be turned in both electronically prior to the beginning of class (using the
blackboard class web-site or email) and in hard copy to the instructor at the beginning of the class session on the
day the assignment is due. If you are unable to be in class on the day an assignment is due you should make
arrangements with a classmate to turn in a hard copy of your assignment. The final assignment should be turned
in both electronically and in hard copy (in the instructor’s mail box, 1st Floor, School of Social Work, TTK), no
later than 5pm on the Monday following class 7.
In order to be as objective as possible in my grading of your assignments, use your student PID number.
DO NOT USE YOUR NAME.
Assignment 1. Brief Case Description (10% of Course Grade) Due Week 2: For this 1-2 page assignment
you will provide a basic, written description of the case you will be role playing across the 7 week course. This
brief description should contain information that you might expect in a good referral – basic demographic
information, known health history, prominent symptoms, and a short summary of the presenting problem. When
conceptualizing this case you will want to frame the presenting problem associated with the onset of the current
episode of depression in an interpersonal context. While you should NOT provide a case formulation, you want
to choose or create a case that can be formulated using an interpersonal framework. This means that there
should be a clear interpersonal event that is associated with the onset of the current episode of major depression.
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Spring 2015
It will be up to your role-play partner (the therapist) to determine the case formulation in collaboration with the
client you will be role playing.
If you plan to use a case from your current practice, rather than the case you will roll play in class, to complete
the remainder of the assignments for this course, please plan on role playing the patient in that case for your
partner who will play the part of the therapist. While you will not be the therapist for the case from your current
practice in the in-class role play, this will allow you an opportunity to see how another therapist might handle
issues with the same client using IPT. If you use a case from your current practice or a real case from previous
experience, issues of confidentiality must be respected.
For learning purposes, all students will be expected to describe a case where major depression is a primary
diagnosis though you may choose a case with comorbid diagnoses. However, students should NOT choose a
case with current comorbid substance abuse or dependence, psychotic disorder, or mania.
Please bring 2 copies of this assignment to class and email one copy to the instructor. One copy will be turned in
to the instructor. The second copy will be given to your role-play partner to assist that person in completing
assignment two.
Assignment 2. Case Formulation Assignment (30% of Course Grade – see attached grading rubric) Due
Week 4: Case formulation using an interpersonal model in the initial sessions of treatment is paramount to the
application of IPT for depressed clients. In this assignment, students will demonstrate an ability to formulate a
case using IPT. This formulation should be based on either the role play completed in class where you are in the
role of the therapist OR a case from your current practice. If a true case example is used (past or present), issues
of confidentiality must be respected. The written assignment will include a discussion of dealing with
depression (diagnosis, explanation of diagnosis and treatment, using the ‘sick role’), relating depression to the
interpersonal context (interpersonal inventory, identification of major problem areas) and presenting the IPT
case formulation and contract. The contract should include the number of agreed upon sessions and an initial
plan for termination. This paper should be written in the format of case notes (example will be posted on the
class website under assignment 2) and should be approximately 4-8 pages long, double-spaced and in 12-point
font with 1 inch margins. This case will be the foundation for the remaining class assignments.
If you choose a case from your current practice for this assignment you should be reasonably sure that you will
be able to work weekly with this case using IPT in order to complete the remaining assignments. It is suggested
that you also role play (as the patient) the practice based case so that, in the event that the true case terminates
early, you will still be able to complete the assignment based off of your in-class role play.
If you choose to use the in-class role play to complete this assignment, please include a copy of your role play
partner’s brief case description when you turn in this assignment. If any sources outside of class reading (either
assigned or optional) are used, these should be cited and referenced using APA formatting.
Assignment 3: Clinical Intervention Assignment (30% of Course Grade – see attached grading rubrics).
Case notes 1-3 due no later than the beginning of class weeks 5, 6, and 7, respectively. Final case note 4
with reflection and questions (see attached grading rubric) due Monday by 11:59pm following class 7.
This assignment is designed to give students an opportunity to demonstrate competency in the application of
IPT. It should include a description of the application of IPT with either a real or fictional character role played
in class or a current case example from your practice. If a case example, issues of confidentiality must be
respected. This assignment will build on the initial case formulation assignment and will include a description
of the middle and termination sessions in the format of one set of 4 case notes that build on assignment one,
initial case formulation. Application of specific IPT techniques appropriate to each phase (middle, termination)
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of treatment and IPT problema area (grief, role disputes, role transitions) should be apparent in the case notes.
Application should reflect a culturally acceptable approach to treatment.
Because the time limitations of the course do not allow for completion of IPT treatment (12-16 sessions),
students using IPT with a current client may focus on the treatment to date and, in the final case note, present a
plan for future sessions including termination. Students using an in-class role play to complete this assignment
may use the strategy above or jump forward in treatment. Students are strongly encouraged to role play
termination in class seven. This will allow you an opportunity to practice the skills of termination – whether
your client has achieved remission, recovery, or requires ongoing treatment for depression.
Students are encouraged to turn in case note assignments as early as possible. Having feedback from the prior
class’s case note should enhance your learning experience in the current class’s role play. However, to receive
feedback prior to the next class, students will need to submit case notes earlier than the assignment due date.
Student’s who submit case notes within 2 days of class will receive feedback prior to the next class session.
Other notes will be graded in the order they are received and feedback prior to the next class session cannot be
guaranteed. Notes are considered late if they are not submitted by the beginning of the next class session. An
electronic copy will be sufficient for notes submitted early. Please e-mail early submission directly to the
instructor: bledsoe@email.unc.edu.
Each case note should be approximately 1-3 pages typed, double spaced. The final case note, due Monday by
11:59pm following class 7, should include a brief reflection on your experience with the application of IPT
including any challenges, remaining questions or reflections on how you might have handled the case
differently. This reflection should be approximately 1-2 pages typed, double spaced –making the final case note
approximately 2-5 pages in length. Please use 12-point font and 1 inch margins. If any sources outside of class
readings (either assigned or optional) are used, these should be cited and referenced using APA formatting.
Assignment 4: Class Attendance and Participation (30% of Course Grade): As this course is designed,
participation in class activities is essential for learning course material and completing assignments and is
therefore required. Attendance and participation in discussion, role play, group work, and case presentation is
mandatory. To recognize the importance of attendance and participation in this course and the commitment
expected from students, attendance and active participation will be counted as 30% of the course grade. 94-100
(H) is assigned to those students who have attended all classes and have been regular and active participants in
discussion and in presenting past or current case scenarios. 80-93 (P) is for students who have missed one class
but who regularly and actively participate or for students who have attended all classes but do not fully
participate in class discussion and case conference on a regular basis. 70-80 is for students who do not
participate actively in class and have missed one class. Under 70 means that the student has: 1) missed two or
more classes; 2) that a student has demonstrated through class discussion and activities that s/he has not done
the readings to prepare for class; or 3) for a student who actively disengages from class activities.
Attendance and Participation: Attendance at all class sessions is expected; it is important to be on time so as
not to disrupt class or miss material. We will be covering a great deal of information in each class. If you will
not be able to attend a class, let the instructor know as soon as possible. It is your responsibility to obtain
handouts, information about class content, and information about announcements, etc., from your classmates if
you are unable to attend a class. Role play and supervision are an important and essential part of this course.
Therefore, students with more than one absence will receive an “L” unless they have made prior
arrangements with the instructor and their role play partner. Students with more than two absences will
receive an “F” unless they have made prior arrangements with the instructor and their role play partner.
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Spring 2015
In order to fully participate in and benefit from each class session, students must complete required readings and
come to class prepared to discuss and apply those reading to case examples. If an emergency arises, please
contact the instructor and your role play partner as soon as possible to make arrangements to make up materials
and role play assignments.
Grading System: H = 94 and above, P = 80 to 93, L = 70 to 79, F = 69 and below
Late Assignments: Late assignments are strongly discouraged. To obtain permission to submit an
assignment after the deadline, the student must seek approval from the instructor before the assignment is due.
If permission for late submission is not granted before breaking a deadline, the grade will automatically
be reduced 10%, and another 10% reduction will occur each day, including weekends. In case of an
emergency, a late paper may be accepted without penalty at the discretion of the instructor. However, the
student must alert the instructor to the emergency within a reasonable time period and negotiate a new due date
with the instructor in order for any late penalty to be waived.
Avoid having last minute computer failures prevent you from turning papers in on time. Plan ahead! Keep
backups; don’t rely on having computers, printers, servers, and email programs working perfectly a half-hour
before class.
Cell Phone Policy: Cell phones can be disruption to the learning process. Most students are expected to turn off
their cell phones during class. Students who are on-call or have personal/family responsibilities that necessitate
having access to a cell phone are asked to adjust cell-phones or pagers to vibrate and to be respectful of other
students if they must answer a page or call by stepping out of class PRIOR to answering the call.
Policy on Academic Dishonesty: Please refer to the APA Style Guide, The SSW Manual, and the SSW Writing
Guide for information on attribution of quotes, plagiarism and appropriate use of assistance in preparing
assignments.
All written assignments should contain a signed pledge from you stating that, "I have not given or received
unauthorized aid in preparing this written work". In keeping with the UNC Honor Code, if reason exists to
believe that academic dishonesty has occurred, a referral will be made to the Office of the Student Attorney
General for investigation and further action as required.
Policy on Accommodations for Students with Disabilities: Students with disabilities which affect their
participation in the course must notify the instructor if they wish to have special accommodations in
instructional format, examination format, etc.
APA Formatting: Unlike many of your courses, assignments do not need to follow APA formatting as we will
be turning in ‘case’ notes from our in class role plays and reflections on using IPT. However, it is an
expectation of this course that you will correctly cite any material NOT included in the course syllabus
following the most recent edition of the APA manual. You should include a reference list at the end of your
assignment if you choose to use outside materials to support your work. If you are not familiar with this style,
please refer to the manual, the study guide on the School’s Writing Resources Page:
http://ssw.unc.edu/students/writing.
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COURSE OUTLINE
Class 1: Introductions, Course Overview, Introduction to Interpersonal Psychotherapy (IPT)
Class 2: Initial Sessions: Beginning Tasks of IPT
Class 3: Middle Sessions: Focal Goals and Strategies - Grief (Complicated Bereavement) & Interpersonal
Disputes
Class 4: Middle Sessions: Focal Goals and Strategies - Role Transitions & Interpersonal Deficits
Class 5: Specific Techniques and Common Problems
Class 6: Tasks of Termination in IPT
Class 7: Adaptations of IPT
Week 1: Introduction, Course Overview & Introduction to IPT
1.
Introductions
2.
Course overview
3.
Historical context and empirical evidence supporting IPT for major depression
4.
Epidemiology and morbidity of major depression
5.
What is IPT?
6.
Interpersonal theoretical groundwork
7.
Assessment for diagnosis of major depression
Assigned Reading:
Weissman, Overview of IPT (pp. 1-18).
Weissman, Chapter 2, An Outline of IPT (pp. 19-26).
Optional Reading:
Weissman, Chapter 10, Efficacy Data for Acute Treatment of Major Depression (pp. 163-172).
Class 2: Initial Sessions: Beginning Tasks of IPT
1.
Dealing with depression
2.
Using the sick role
3.
Conducting an interpersonal inventory
4.
Choosing an interpersonal focus (problem area)
5.
Contract and interpersonal case formulation
BRIEF CASE DESCRIPTION DUE AT THE BEGINNING OF CLASS.
Assigned Reading:
Weissman, Chapter 2, The Initial Phase (pp. 27-60).
Markowitz, J.C. & Swartz, H.A. (1997). Case formulation in interpersonal psychotherapy of depression. In T.D.
Eels (Ed.) Handbook of psychotherapy case formulation (p.p. 192-222). New York: Guilford.
Class 3: Middle Sessions: Focal Goals and Strategies - Grief (Complicated Bereavement) & Interpersonal
Disputes
1.
Tasks of the middle sessions
2.
Strategies and techniques for facilitating change
3.
Grief (complicated bereavement) – goals and strategies
4.
Interpersonal disputes – goals and strategies
Assigned Reading:
Weissman, Chapter 3, Greif (Complicated Bereavement) (pp. 61-74).
Weissman, Chapter 4, Interpersonal Role Disputes (pp. 75-88).
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Spring 2015
Optional Reading:
Shear, K., Gorscak, B. & Simon, N. (2006). Treatment of complicated grief following violent death. In E.K.
Rynearson (Ed.), Violent Death: Resilience and Intervention Beyond Crisis (pp. 157-174). New York:
Routlege, Taylor & Francis Group.
Class 4: Middle Sessions: Focal Goals and Strategies - Role Transitions & Interpersonal Deficits
1.
Role transitions – goals and strategies
2.
Interpersonal deficits – goals and strategies
CASE FORMULATION DUE AT THE BEGINNING OF CLASS
Assigned Reading:
Weissman, Chapter 5, Role Transitions (pp. 89-102).
Weissman, Chapter 4, Interpersonal Deficits (pp. 103-117).
Optional Reading:
Weissman, Chapter 12, IPT for Dysthymic Disorder (IPT-D) (pp. 185-194).
Class 5: Specific Techniques and Common Problems
1.
Exploratory techniques
2.
Encouragement of affect
3.
Clarification
4.
Communication analysis
5.
Use of therapeutic relationship
6.
Behavior change techniques
7.
Anticipating and handling common problems
8.
Adherence and common client concerns
CASE NOTE 1 DUE AT THE BEGINNING OF CLASS
Assigned Reading:
Weissman, Chapter 8, Specific Techniques (pp. 123-138).
Weissman, Chapter 9, Common Problems (pp. 139-162).
Weissman, Appendix A: An Integrative Case Example (pp. 403-434).
Class 6: Tasks of Termination in IPT
1.
Tasks of termination
2.
Difficulties with termination
3.
Indications for long-term treatment
4.
Maintenance IPT
CASE NOTE 2 DUE AT THE BEGINNING OF CLASS
Assigned Reading:
Weissman, Chapter 7, Termination of Treatment (pp. 117-122).
Optional Reading:
Spanier, C. & Frank, E. (1998). Maintenance interpersonal Psychotherapy: A preventive treatment for
depression. In J.C. Markowitz (Ed.), Interpersonal Psychotherapy (pp. 67-98). Washington, DC:
American Psychiatric Press.
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Class 7: Adaptations of IPT
1.
Interpersonal psychotherapy for depressed adolescents
2.
Adaptations of IPT for specific populations and other mood and non-mood mental health diagnoses
3.
Wrap up and evaluations
CASE NOTE 3 DUE AT THE BEGINNING OF CLASS
Assigned Reading:
Weissman, M.M., Markowitz, J.C., & Klerman, G.L. (2007). Clinicians Quick Guide to Interpersonal
Psychotherapy. Section II: Adaptations of IPT for Mood Disorders (pp. 87-128) & Section III:
Adaptations of IPT for Non-Mood Disorders (pp. 129-148). New York: Oxford University Press.
Optional Reading:
Mufson, L. & Moreau. (1998). Interpersonal Psychotherapy for Adolescent Depression. In J.C. Markowitz (Ed.),
Interpersonal Psychotherapy (pp. 35-66). Washington, DC: American Psychiatric Press.
Mufson, L., Doreta, K.P., Moreau, D. & Weissman, M.M. (2004). Interpersonal Psychotherapy for Depressed
Adolescents (2nd Ed). Chapter 20: A comprehensive description of an IPT-A case (pp. 251-278).
MONDAY FOLLOWING CLASS 7: CASE NOTE 4 AND REFLECTION DUE BY 11:59PM
BIBLIOGRAPHY:
American Psychiatric Association (2000) Diagnostic and Statistical Manual IV-TR. Washington, D.C.: Author.
INTRODUCTORY WORKS:
Cutler, Janice L., Goldyne, Adam, Markowitz, John C., Devlin, Michael J., & Glick, Robert A. 2004.
Comparing cognitive behavioral therapy, interpersonal therapy, and psychodynamic therapy. American
Journal of Psychiatry, 161(9), 1567-1573.
Markowitz, John C., Svartberg, Martin, & Swartz, H.A. (1998). Is IPT time-limited psychodynamic
psychotherapy? Journal of Psychotherapy Practice and Research, 7, 185-195.
Ravitz, Paula. 2004. The interpersonal fulcrum - interpersonal therapy for treatment of depression. Canadian
Journal of Psychiatry Bulletin, February, 15-19.
Stuart, Scott. 2006. Interpersonal psychotherapy: A guide to the basics. Psychiatric Annals, 35, 542-549.
Weissman, Myrna M. 2006. A brief history of Interpersonal Psychotherapy. Psychiatric Annals, 36, 553-537.
REFERENCE WORKS
Klerman, Gerald L. & Weissman, Myrna M. 1993. New applications of interpersonal psychotherapy.
Washington, DC: American Psychiatric Press.
Markowtiz, J.C. (Ed). 1998. Interpersonal psychotherapy. Review of Psychiatry series, Volume 17. Series
Editors: Oldham, J.M., Riba, M.B. Washington, DC: American Psychiatric Press.
Stuart, Scott, & Robertson, Michael. 2003. Interpersonal psychotherapy: A clinician’s guide. London: Edward
Arnold (Oxford University Press).
BIBLIOGRAPHIES
Bledsoe, S.E. (2010). Interpersonal Psychotherapy. In E. J. Mullen (Ed.), Social Work: Oxford Bibliographies
Online. New York: Oxford University Press.
Interpersonal Psychotherapy Institute Bibliography of IPT
International Society for Interpersonal Psychotherapy Publications
UK IPT Network References
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EMPIRICAL EVIDENCE
Brody, Arthur J., Saxena, Sanjaya, Stoessel, Paula, Gillies, Laurie A., Fairbanks, Lynn A., Alborzian, Shervin,
Phelps, Michael E., Huang, Sung-Cheng, Wu, Hsiao-Ming, Ho, Matthew L., Ho, Mai K., Au, Scott C.,
Maidment, Karron, & Baxter, Lewis R. 2001. Regional brain metabolic changes in patients with major
depression treated with either paroxetine or interpersonal psychotherapy: Preliminary findings. Archives of
General Psychiatry, 58, 631-640.
Cuijpers, Pim, van Straten, Annemieke, Andersson, Gerhard, & van Oppen, Patricia. 2008. Psychotherapy for
depression in adults: a meta-analysis of comparative outcome studies. Journal of Consulting and Clinical
Psychology, 76, 909–922.
Elkin, Irene, Shea, M. Tracie, Watkins, John T., Imber, Stanley D., Stotsky, Stuart M., Collins, Joseph F., Glass,
David R., Pilkonis, Paul A., Leber, William R., Docherty, John P., Fiester, Susan J., & Parloff, Morris B.
1989. National Institute of Mental Health treatment of depression collaborative research program: General
effectiveness of treatments. Archives of General Psychiatry, 46, 971-982.
Martin, Stephen D., Martin, Elizabeth, Rai, Santoch S., Richardson, Mark A., & Royall, Robert. 2001. Brain
blood flow changes in depressed patients treated with interpersonal psychotherapy or venlafaxine
hydrochloride. Archives of General Psychiatry, 58, 641-648.
Weissman, Myna M., Klerman, Gerald L., Prusoff, Brigitte A., Sholomskas, Diane, & Padian, Nancy. 1981.
Depressed outpatients: Results one year after treatment with drugs and/or interpersonal psychotherapy.
Archives of General Psychiatry, 38, 52-55.
ORIGINAL PUBLISHED MANUALS FOR DEPRESSION
Klerman, Gerald L., Weissman, Myrna M., Rounsaville, Bruce J., & Chevron, Eve S. 1984. Interpersonal
psychotherapy for depression. New York: Basic Books.
Weissman, Myrna M., Markowitz, John C., & Klerman, Gerald L. 2007. Clinicians Quick Guide to
Interpersonal Psychotherapy. New York: Oxford University Press.
Weissman, Myrna M., Markowitz, John C., & Klerman, Gerald L. 2000. Comprehensive guide to interpersonal
psychotherapy. New York: Basic Books.
Translations
Hovaguimian, Théodore & Markowitz, John C. 2003. La Psychothérapie Interpersonnelle de la Depression.
Genee: Editions Medicine & Hygiene Societe.
Klerman, Gerald L., Weissman, Myrna M., Rounsaville, B.J., & Chevron, E.S. 1997. Interpersonal
psychotherapy of depression. (H. Mizushima, M. Shimada, and Y. Ono, Trans.) Tokyo: Iwasaki Gakujyutsa.
Klerman, Gerald L., Weissman, Myrna M., Rounsaville, Bruce J., Shramm, Elizabeth, Bohus, Martin, & von
Calker, Dietrich. 1996. Interpersonelle Psychotherapie. Bei Depressionen und Anderen Psychischen
Störungen. New York: Schattauer.
Klerman, Gerald L., Weissman, Myrna M., Rounsaville, B.J., & Chevron, E.S. 1989. In G. Berti Ceroni (Ed.),
Psicoterapia interpersoanle della depression (P. Galezzi, Trans.). Torino, Italy: Bollati Borighieri.
Weissman, Myrna M., Markowitz, John C., Klerman, Gerald L. 2006. Guide de psychotherapie interpersonnelle
(S. Patry, Trans.). New York: Basic Books.
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CLINICAL REFERENCES
Barber, Jaques P. & Muenz, Larry R. 1996. The role of avoidance and obsessiveness in matching patients to
cognitive and interpersonal psychotherapy: empirical findings from the Treatment for Depression
Collaborative Research Program. Journal of Consulting and Clinical Psychology, 64, 951-958.
Blatt, Sydney J., Quinlan, Donald M., Zuroff, David C., & Pilkonis, Paul A. 1996. Interpersonal factors in brief
treatment of depression: further analyses of the National Institute of Mental Health Treatment of Depression
collaborative Research Program. Journal of Consulting and Clinical Psychology, 64, 162-171.
Carter, Janet D., Luty, Suzanne B., McKenzie, Janice M., Mulder, Roger T., Frampton, Christopher M., &
Joyce, Peter R. 2010. Patient predictors of response to cognitive behaviour therapy and interpersonal
psychotherapy in a randomised clinical trial for depression. Journal of Affective Disorders, (in press).
Cyranowski, Jill M., Bookwala, Jamila, Feske, Ulrike, Houck, Patricia, Pilkonis, Paul, Kostelnick, Brian, &
Frank, Ellen. 2002. Adult attachment profiles, interpersonal difficulties, and response to interpersonal
psychotherapy in women with recurrent major depression. Journal of Social and Clinical Psychology, 21,
191-217.
Markowitz, John C., & Swartz, Holly A. 2006. Case formulation in interpersonal psychotherapy of depression.
In T.D. Eells (Ed.), Handbook of psychotherapy case formulation. (2nd ed.) New York: Guilford.
Weissman, Myrna M. 1995. Mastering Depression: A Patient’s Guide to Interpersonal Psychotherapy. Albany,
NY: Graywind Publications, Inc.
Weissman, Myrna M. 2005. Mastering depression through interpersonal psychotherapy: Monitoring forms.
NewYork: Oxford University Press.
ADAPTATIONS AND MODIFICATIONS FOR MOOD DISORDERS
Maintenance Treatment of Depression
Frank, Ellen 1991. Interpersonal psychotherapy as a maintenance treatment for patients with recurrent
depression. Psychotherapy, 28, 259-266.
Frank, Ellen, Kupfer, David J., Perel, James M., Cornes, Cleon D., Jarrett, David B., Mallinger, Alan G., Thase,
Michael E., McEachran, Ann B., & Grochocinski, Victoria S. 1990. Three-year outcomes for maintenance
therapies in recurrent depression. Archives of General Psychiatry, 47, 1093-1099.
Frank, Ellen, Kupfer, David J., Wagner, Eric F., McEachran, Ann B., & Cornes, Cleon. 1991. Efficacy of
interpersonal psychotherapy as a maintenance treatment of recurrent depression: Contributing factors.
Archives of General Psychiatry, 48, 1053-1059.
Pregnancy, Pregnancy Loss, Postpartum Depression, and Maternal Depression
Grote, Nancy K., Swartz, Holly A., Geibel, Sharon L., Zuckoff, Allan, Houck, Patricia A., & Frank, Ellen. 2009.
A randomized controlled trial of culturally relevant, brief interpersonal psychotherapy for perinatal
depression. Psychiatric Services, 60, 313-321.
Neugebauer, Richard, Kline, J., Markowitz, John C., Bleiberg, K., Baxi, L., Rosing, M., Levin, B., Keith, J.
2006. Pilot randomized controlled trial of interpersonal counseling for subsyndromal depression following
miscarriage. Journal of Clinical Psychiatry, 67, 1299-1304.
O’Hara, Michael W., Stuart, Scott, Gorman, Laura L. & Wenzel, Amy. 2000. Efficacy of interpersonal
psychotherapy for postpartum depression. Archives of General Psychiatry, 57, 1039-1045.
Spinelli, Margaret G., & Endicott, Jean. 2003. Controlled clinical trial of interpersonal psychotherapy versus
parenting education program for depressed pregnant women. American Journal of Psychiatry, 160, 555-562.
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Spring 2015
Swartz, Holly A., Frank, Ellen, Zuckoff, Allan, Cyranowski, Jill M., Houck, Patricia R., Cheng, Yu, Fleming,
Dana, Grote, Nancy K., Brent, David A., & Shear, M. Katherine. 2008. Brief interpersonal psychotherapy
for depressed mothers whose children are receiving psychiatric treatment. American Journal of Psychiatry,
165, 1155–1162.
Dysthymic Disorder
Browne, Gina, Steiner, Meir, Roberts, Jacqueline, Gafni, Amiram, Byrne, Carolyn, Dunn, Edward, Bell,
Barbara, Mills, Michael, Chalklin, Lori, Wallik, David, & Kraemer, James. 2002. Sertraline and/or
interpersonal psychotherapy for patients with dysthymic disorder in primary care: 6-month comparison with
longitudinal 2-year follow-up of effectiveness and cost. Journal of Affective Disorders, 68, 317-330.
Feijò de Mello, Marcelo, Myczowisk, Luciana Maria, & Menezes, Paulo Rossi. 2001. A randomized controlled
trial comparing moclobemide and moclobemide plus interpersonal psychotherapy in the treatment of
dysthymic disorder. Journal of Psychotherapy Practice and Research, 10, 117-123Markowitz, John C.
1998. Interpersonal psychotherapy for dysthymic disorder. Washington, DC: American Psychiatric
Publishing.
Markowitz, John C., Kocsis, James H., Bleiberg, Kathryn L., Christos, Paul J., & Sacks, Michael H. 2005. A
comparative trial of psychotherapy and pharmacotherapy for “pure” dysthymic patients. Journal of Affective
Disorders, 89, 167-175.
Bipolar Disorder
Frank, Ellen 2005. Treating bipolar disorder: A Clinician’s guide to interpersonal and social rhythm therapy.
New York: Guilford.
Frank, Ellen, Kupfer, David J., Thase, Michael E., Mallinger, Alan G., Swartz, Holly A., Fagolini, Andrea M.,
Grochosinski, Victoria; Houck, Patricia, Scott, John, Thompson, Wesley, & Monk, Timothy. 2005. Twoyear outcomes for interpersonal and social rhythm therapy in individuals with bipolar I disorder. Archives of
General Psychiatry, 62, 996-1004.
Frank, Ellen, Swartz, Holly A., & Kupfer, David J. 2000. Interpersonal and social rhythm therapy: Managing the
chaos of bipolar disorder. Biological Psychiatry, 48, 593-604.
APPLICATIONS FOR SPECIFIC POPULATIONS, FORMATS, AND SETTINGS
Depression in Adolescents
Mufson, Laura, Pollack Dorata, Kristen, Moreau, Donna, & Weissman, Myrna M. 2011. Interpersonal
psychotherapy for depressed adolescents (2nd ed). New York: Guilford.
Mufson, Laura, Pollack Dorta, Kristen, Wickramaratne, Priya, Normura, Yoko, Olfson, Mark, & Weissman,
Myrna M. (2004b). A randomized effectiveness trial of interpersonal psychotherapy for depressed
adolescents. Archives of General Psychiatry, 61, 577-583.
Depression in Older Adults
Bosmans, Judith E., van Schaik, Digna J.F., Heymans, Martijn W., van Marwijk, Harm W., van Hout, Hein P.,
de Bruijne, Martine C. 2007. Cost-effectiveness of interpersonal psychotherapy for elderly primary care
patients with major depression. Int J Technol Assess Health Care, 23, 480-487.
Hinrichsen, Gregory A. & Clougherty, Kathleen F. 2006. Interpersonal psychotherapy for depressed older
adults. Washington, DC: American Psychological Association.
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Reynolds, Charles F., III, Dew, Mary Amanda, Pollock, Bruce G., Mulsant, Benoit H., Frank, Ellen, Miller,
Mark D., Houck, Patricia R., Mazumdar, Sati, Butters, Meryl A., Stack, Jacqueline A., Schlernitzauer, Mary
Ann, Whyte, Ellen M., Gildengers, Ariel, Karp, Jordan, Lenze, Eric, Szanto, Katalin, Bensasi, Salem, &
Kupfer, David J. 2006. Maintenance treatment of major depression in old age. New England Journal of
Medicine, 354, 1130-1138.
Reynolds, Charles F., III, Frank, Ellen, Perel, James M., Imber, Stanley D., Cornes, Cleon, Miller, Mark D.,
Mazumdar, Sati, Houck, Patricia R., Dew, Mary Amanda, Stack, Jacqueline A., Pollock, Bruce G., &
Kupfer, David J. 1999. Nortriptyline and interpersonal psychotherapy as maintenance therapies for recurrent
major depression: A randomized controlled trial in patients older than fifty-nine years. Journal of the
American Medical Associations, 281, 39-45.
Depression in Medical Patients
Brown, Charlotte, Shulberg, Herbert C., Madonia, Michael J., Shear, M. Katherine, & Houck, Patricia R. 1996.
Treatment outcomes for primary care patients with major depression and lifetime anxiety disorders.
American Journal of Psychiatry, 153(10), 1293-1300.
Caron, Annalise, & Weissman, Myrna M. 2006. Interpersonal psychotherapy for the treatment of depression in
medical patients. Primary Psychiatry, 13(5), 43-50.
Lespérance, François, Frasure-Smith, Nancy, Koszycki, Diana, Laliberté, Marc-André, van Zyl, Louis T., Baker,
Brian, Swenson, John Robert, Ghatavi, Kayhan, Abramson, Beth L., Dorian, Paul, Guertin, Marie-Claude,
for the CREATE Investigators. 2007. Effects of citalopram and interpersonal psychotherapy on depression
in patients with coronary artery disease. Journal of the American Medical Association, 297, 367-379.
Markowitz, John C., Kocsis, James H., Fishman, Baruch, Spielman, Lisa A., Jacobsberg, Lawrence B., Frances,
Allen J., Klerman, Gerald L., & Perry, Samuel W. (1998). Treatment of HIV-positive patients with
depressive symptoms. Archives of General Psychiatry, 55, 452-457.
Complicated Grief
Shear, Katherine, Frank, Ellen, Houck, Patricia R., & Reynolds, III, Charles F. (2005). Treatment of
complicated grief: A randomized controlled trial. Journal of the American Medical Association, 293, 26012608.
Group IPT
Wilfley, Denise E., Mackenzie, K. Roy, Welch, R. Robinson, Ayres, Virginia E., & Weissman, Myrna M. 2000.
Interpersonal psychotherapy for group. New York: Basic Books.
Telephone IPT
Ransom, Dana, Heckman, Timothy Glenn, Anderson, Timothy, Garske, John, Holroyd, Kenneth, & Basta,
Tania. 2008. Telephone-delivered, interpersonal psychotherapy for HIV-infected rural persons with
depression: A pilot trial. Psychiatric Services, 59,871-877.
Miller, Lisa, & Weissman, Myrna M. 2002. Interpersonal psychotherapy delivered over the telephone to
recurrent depressives: A pilot study. Depression and Anxiety, 16, 114-117.
Donnelly, Jean M., Kornblith, Alice B., Fleishman, Stewart, Zuckerman, Enid, Raptis, George, Hudis, Clifford
A., Hamilton, Nicholas, Payne, David, Massie, Mary Jane, Norton, Larry, & Holland, Jimmie. 2000. A pilot
study of interpersonal psychotherapy by telephone with cancer patients and their partners. Psycho-Oncology,
9, 44-56.
Cultural Adaptations
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SOWO 753
Spring 2015
Bolton, Paul, Bass, Judith, Neugebauer, Richard, Verdeli, Helen, Clougherty, Kathleen F., Wrickmaratne, Priya,
Speelman, Liesbeth, Ndogoni, Lincoln, & Weissman, Myrna M. 2003. Group interpersonal psychotherapy
for depression in rural Uganda: A randomized controlled trial. Journal of the American Medical Association,
289, 3117-3124.
Verdeli, Helen, Clougherty, Kathleen F., Bolton, Paul, Speelman, Liesbeth, Ndogoni, Lincoln, Bass, Judith,
Neugebauer, Richard, & Weissman, Myrna M. 2003. Adapting group interpersonal psychotherapy for a
developing country: experience in rural Uganda. World Psychiatry, 2, 114-120.
APPLICATIONS FOR OTHER NON-MOOD DISORDERS
Substance Abuse
Carroll, Kathleen M., Rounsaville, Bruce J., & Gawin, Frank H. 1991. A comparative trial of psychotherapies
for ambulatory cocaine users: Relapse prevention and interpersonal psychotherapy. American Journal of
Drug and Alcohol Abuse, 17, 229-247.
Cherry, Sabrina, & Markowitz, John C. 1996. Interpersonal Psychotherapy. In J.S. Kantor (Ed.), Clinical
depression during addiction recovery: Process, diagnosis, and treatment (165-185). New York: Marcel
Dekker.
Rounsaville, Bruce J., Glazer, William, Wilber, Charles H., Weissman, Myrna M., & Kleber, Herbert D. 1983.
Short-term interpersonal psychotherapy in methadone-maintained opiate addicts. Archives of General
Psychiatry, 40, 629-636.
Eating Disorders
Agras, W. Stewart, Walsh, Timothy, Fairburn, Christopher G., Wilson, G. Terence, & Kraemer, Helena C.
2000. A multicenter comparison of cognitive-behavioral therapy and interpersonal psychotherapy for
bulimia nervosa. Archives of General Psychiatry, 57, 459-466.
Apple, Robin F. 1999. Interpersonal therapy for bulimia nervosa. Journal of Clinical Psychology, 55(6), 715725.
Arcelus, Jon, Whight, Debbie, Langham, Christopher, Baggott, Johnathan, McGrain, Lesley, Meadows, Lesley,
& Meyer, Caroline. 2009. A case series evaluation of a modified version of interpersonal psychotherapy
(IPT) for the treatment of bulimic eating disorders: A pilot study. European Eating Disorders Review, 17(4),
260-268.
Birchall, Helen. 1999. Interpersonal psychotherapy in the treatment of eating disorders. European Eating
Disorders Review, 7, 315-320.
Fairburn, Christopher G., Jones, Rosemary, Peveler, Robert C., Carr, Sally J., Solomon, Ruth A., O’Conner,
Marianne E., Burton, Jenny, & Hope, R.A. 1991. Three psychological treatments for bulimia nervosa: A
comparative trial. Archives of General Psychiatry, 48, 463-469.
Fairburn, Christopher G., Norman, Patricia A., Welch, Sarah L., O’Connor, Marianne E., Doll, Helen A. &
Peveler, Robert C. 1995. A prospective study of outcome in bulimia nervosa and the long-term effects of
three psychological treatments. Archives of General Psychiatry, 52, 304-312.
McIntosh, Virginia V.W., Jordan, Jennifer, Carter, Frances A., Luty, Suzanne E., McKenzie, Janice M., Bulik,
Cynthia M., Frampton, Christopher M.A., & Joyce, Peter R.. 2005. Three psychotherapies for anorexia
nervosa: A randomized controlled trial. American Journal of Psychiatry, 162, 741-747.
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Wilfley, Denise E., Welch, R. Robinson, Stein, Richard I., Spurrell, Emily Borman, Cohen, Lisa R., Saelens,
Brian E., Dounchis, Jennifer Zoler, Frank, Mary Ann, Wiseman, Claire V., & Matt, Georg E. 2002. A
randomized comparison of group cognitive-behavioral therapy and group interpersonal psychotherapy for
the treatment of overweight individuals with binge-eating disorder. Archives of General Psychiatry, 158,
638-640.
Wilson, G.T., Wifley, D.E., Agras, S., & Bryson, S.W. (2010). Psychological treatments of binge eating
disorder. Archives of General Psychiatry, 67, 94-101.
Anxiety Disorders
Bleiberg, Kathryn L., & Markowitz, John C. 2005. A pilot study of interpersonal psychotherapy for
posttraumatic stress disorder. American Journal of Psychiatry, 162, 181-183.
Cyranowski, Jill M., Frank Ellen, Shear, M. Katherine, Swartz, Holly A., Fagiollini, Andrea, Scott, John, &
Kupfer, David J. 2005. Interpersonal psychotherapy for depression with panic spectrum symptoms: a pilot
study. Depression and Anxiety, 21(3), 140-142.
Hoffart, A., Abrahmsen, G., Bonsaksen, T., Borge, F.M., Ramstad, R., Lipsitz, J., & Markowitz, John C. 2007.
A residential interpersonal treatment for social phobia. New York: Nova Science Publishers, Inc.
Krupnick, Janice L., Green, Bonnie L., Stockton, Patricia, Miranda, Jeanne, Krause, Elizabeth, & Mete,
Mihriye. 2008. Group interpersonal psychotherapy for low-income women with posttraumatic stress
disorder. Psychotherapy Research, 18(5), 497-507.
Lipsitz, Joshua D., Markowitz, John C., Cherry, Sabrina, & Fyer, Abby. 1999. An open trial of interpersonal
psychotherapy for social phobia. American Journal of Psychiatry, 156, 1814-1816.
Lipsitz, Joshua D., Gur, Merav, Miller, Nina L., Forand, Nicholas, Vermes, Donna, & Fyer, Abby J., 2006. An
open trial of interpersonal psychotherapy for panic disorder (IPT-PD). Journal of Nervous and Mental
Disease, 194(6): 440-445.
Borderline Personality Disorder
Markowitz, John C., Skodol, A.E., & Bleiberg, K. (2006). Interpersonal psychotherapy for borderline
personality disorder: Possible mechanisms of change. Journal of Clinical Psychology, 62, 432-444.
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