It was also the first dissertation written by a woman that was psychoanalytically oriented. Kramer's training was in art, art education and psychoanalytically informed psychotherapy. German Talking Groups have been shown to be as effective as psychoanalytically oriented group therapy. Psychoanalytically based couples therapy has been promulgated and explicated by Fred Sander. Psychoanalytically oriented French feminism focused on visual and literary theory all along. In 1957, she married a psychoanalytically trained psychiatrist, Dr Seymour Pastron.