More than 30 years later, I remain amazed by the adaptability of IPT and wonder why it appears to be so adaptable. But in our study we seemed to be able to make IPT ‘fit’ all of these lives. In our clinical psychology clinic, I had many clients who for one reason or another just could not ‘get’ CT: they were too concrete to be able to think about their thoughts, too poorly educated to record them, too worried about where their next meal was coming from or whether they would still have a roof over their heads when next we met to find any mastery or pleasure experiences in their lives. Interpersonal psychotherapy worked! And it was flexible. Still, in comparison to CT, IPT seemed very ‘soft.’ It was what my social worker mother did with her clients, not really a psychotherapy.īeing an empiricist, slowly but surely I was converted by my clinical experiences, by those of our study therapists and, most of all, by the data emerging from our study. I then had the equally good fortune to receive individual supervision of two (impossibly difficult) cases from Bruce Rounsaville. The study therapists and I had the great fortune to have Gerald Klerman and Myrna Weissman do our didactic training.
We were about to initiate a study of maintenance therapies in recurrent depression using IPT, and I had been drafted to monitor therapist adherence to the model. I found the tightly linked theoretical rationale and strategies and tactics of cognitive therapy (CT)-especially as taught and supervised by a charismatic Marika Kovacs, fresh from Aaron Beck’s group-a firm landing place compared to the essentially model-free forms of psychotherapy that clinical psychology programs were teaching in the mid-70s.
When introduced to interpersonal psychotherapy, I was a deeply committed cognitive therapist. The First Author Reflects on Thirty Years of Experience with IPT We conclude with that although there have been myriad successful adaptations of IPT, there remain some conditions for which IPT adaptations have not been found to be efficacious. We then discuss IPT “in-laws,” those treatments that have married IPT with of other forms of psychotherapy for patients with bipolar disorder, panic symptomatology, and substance abuse. Focusing first on adaptations of the individual treatment model for subgroups of adult patients, we next describe further adaptations of four major off-shoots of IPT: interpersonal counseling (IPC), IPT for adolescents (IPT-A), group IPT (IPT-G) and most recently, brief IPT (IPT-B). We employed standard literature search techniques and surveyed participants on the International Society for Interpersonal Psychotherapy listserve ( com) to catalogue the multiple and highly creative ways in which Klerman’s and Weissman’s original concept of interpersonal psychotherapy (IPT) has been modified to meet the needs of a vast range of patient populations.
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