Psychodynamic therapy

2020 ◽  
pp. 185-200
Author(s):  
Kevin S. McCarthy ◽  
Richard F. Summers
Keyword(s):  
Psychodynamic Psychotherapy ◽  
Psychodynamic Therapy ◽  
Dynamic Psychotherapy ◽  
Repressed Memories ◽  
Dynamic Therapy ◽  
And Shifts

From its early origins in the study of repressed memories and unconscious conflict to its more recent iterations as brief, relationship-focused treatments for increasingly diverse individuals, psychodynamic psychotherapy has adapted itself to the changing needs of its patients, practitioners, and the larger culture. At the same time, a clear tradition links the distinct phases of dynamic therapy. This chapter reviews seven articles that represent major themes and shifts in the work of dynamic therapy over the 125 years of its history. It presents the background for the genesis of each paper, the ways that the article responded to the context in which it arose, and the implications the article had for psychodynamic practice. Lastly, the chapter highlights how these landmark papers point to the continuing challenges and evolution of dynamic psychotherapy.

scholarly journals Integrating Cognitive Restructuring Within Psychodynamic Therapy for Erectile Dysfunction

2019 ◽  
Vol 1 (3-4) ◽  
pp. 277-279
Author(s):  
T. S. Sathyanarayana Rao ◽  
Sona Kakar
Keyword(s):  
Erectile Dysfunction ◽  
Psychodynamic Psychotherapy ◽  
Cognitive Restructuring ◽  
Psychodynamic Therapy ◽  
Sexual Inhibition ◽  
Developmental Experiences ◽  
Body Attitude ◽  
Sexual Dissatisfaction ◽  
Distorted Cognitions ◽  
Early Developmental

The behavior of a human being in sexual matters is often a prototype for the whole of his other modes of reaction in life. 1 Erectile dysfunction due to psychogenic cause has been a highly researched area. Psychoanalytically, it has been seen as a symptom of an underlying conflict due to early developmental experiences. The attitude of parents especially at the time of a child’s emerging sexuality is considered important in perpetuating sexual inhibition and symptom. Sexual dysfunction has been found to be closely linked to anxiety and guilt and fears of punishment. This pattern of disturbance permeates into other areas of a person’s life and may continue to perpetuate his symptoms. Negative body attitude and shame have been found closely linked to sexual dissatisfaction. In this paper, a case is discussed where a patient is undergoing psychodynamic psychotherapy for depression reported along with erectile dysfunction. Distorted cognitions related to his and the partner’s body were addressed along with both current and past conflicts related to his current symptomatology.

Psychodynamic psychotherapy

2013 ◽  
Author(s):  
Jane Garner
Keyword(s):  
Clinical Practice ◽  
Older People ◽  
Human Development ◽  
Psychodynamic Psychotherapy ◽  
Later Life ◽  
Physical Reality ◽  
Good Evidence ◽  
Psychodynamic Therapy ◽  
Younger Adults ◽  
Psychoanalytic Approach

Psychodynamic therapy is based on a psychoanalytic approach drawing on concepts of human development, relationships and experience. Psychoanalysis is both a technique of investigation and a theory of treatment, and it can help us understand aspects of clinical practice, for example the sometimes apparently irrational responses of patients, families or staff. This chapter explores how psychoanalysis has been relatively slow to encompass older people’s issues, but how it now contributes important insights about maturity and later life. Older people are less likely to be offered psychotherapy even though there is good evidence that they benefit from treatment as much as younger adults. In undertaking therapy with older people, there are particular issues to bear in mind, for example the physical reality of the patient and the setting, as well as the transference and counter transference issues that may arise around this stage of life.

scholarly journals What is it about dynamic psychotherapy?

2008 ◽  
Vol 32 (8) ◽  
pp. 313-315 ◽  
Author(s):  
Sarah E. Dracass ◽  
Taryn Tracey ◽  
Kamaldeep Bhui
Keyword(s):  
Royal College ◽  
Work Experience ◽  
Psychodynamic Psychotherapy ◽  
Local Level ◽  
Psychotherapy Training ◽  
Dynamic Psychotherapy ◽  
Medical Careers ◽  
Training Schemes ◽  
The Uk

The new Modernising Medical Careers agenda in the UK raises concerns about maintaining the standard of psychotherapy training (Mizen, 2007). In 1993 the Royal College of Psychiatrists made psychotherapy a mandatory rather than recommended work experience and there is now a competency portfolio outlining requirements for trainees. However, startling data have been revealed recently, showing that 91% of senior house officers did not meet the requirements of the Member of the Royal College of Psychiatrists (MRCPsych) exam regarding psychotherapy training and 23% were not even aware of them (Agarwal et al, 2007). the quality and variability of psychotherapy experience in training have been surveyed in several papers (Podlesjka & Stern 2003; Carley & Mitchison 2006; Pretorius & Goldbeck 2006), and some solutions to practical problems with its provision have been proposed, for example, consultation from a consultant psychotherapist, utilising feedback from trainees, and focusing on practicalities and logistics at a local level (Wildgoose et al, 2002; Mitchison 2007). However, little has been said about trainees' own experiences of undertaking supervised practice in psychodynamic psychotherapy. This paper discusses trainees' outlook on psychotherapy training schemes.

scholarly journals The Evidence-Base for Psychodynamic Psychotherapy With Children and Adolescents: A Narrative Synthesis

2021 ◽  
Vol 12 ◽  
Author(s):  
Nick Midgley ◽  
Rose Mortimer ◽  
Antonella Cirasola ◽  
Prisha Batra ◽  
Eilis Kennedy
Keyword(s):  
Children And Adolescents ◽  
Systematic Reviews ◽  
Psychodynamic Psychotherapy ◽  
Clinical History ◽  
Evidence Base ◽  
Small Sample ◽  
Psychodynamic Therapy ◽  
Narrative Synthesis ◽  
High Quality Research ◽  
Wide Range

Despite a rich theoretical and clinical history, psychodynamic child and adolescent psychotherapy has been slow to engage in the empirical assessment of its effectiveness. This systematic review aims to provide a narrative synthesis of the evidence base for psychodynamic therapy with children and adolescents. Building on two earlier systematic reviews, which covered the period up to 2017, the current study involved two stages: an updated literature search, covering the period between January 2017 and May 2020, and a narrative synthesis of these new studies with those identified in the earlier reviews. The updated search identified 37 papers (28 distinct studies). When combined with papers identified in the earlier systematic reviews, this resulted in a combined total of 123 papers (82 distinct studies). The narrative synthesis of findings indicates that there is evidence of effectiveness for psychodynamic therapy in treating a wide range of mental health difficulties in children and adolescents. The evidence suggests this approach may be especially effective for internalizing disorders such as depression and anxiety, as well as in the treatment of emerging personality disorders and in the treatment of children who have experience of adversity. Both the quality and quantity of empirical papers in this field has increased over time. However, much of the research demonstrates a range of methodological limitations (small sample sizes, lack of control groups etc.), and only 22 studies were Randomized Controlled Trials. Further high-quality research is needed in order to better understand the effectiveness of psychodynamic psychotherapy for children and young people.

scholarly journals Interaction structures in the psychodynamic therapy of a boy diagnosed with Asperger’s disorder: a single-case study

2015 ◽  
Vol 18 (2) ◽  
Author(s):  
Vera Regina Rohnelt Ramires ◽  
Cibele Carvalho ◽  
Fernanda Munhoz Driemeier Schmidt ◽  
Guilherme Pacheco Fiorini ◽  
Geoff Goodman
Keyword(s):  
Psychodynamic Psychotherapy ◽  
Outcome Measure ◽  
Child Psychotherapy ◽  
Single Case ◽  
Therapeutic Process ◽  
Psychodynamic Therapy ◽  
Mechanisms Of Change ◽  
Rorschach Variables ◽  
Patterns Of Interaction

It is important to investigate the outcomes of psychotherapy and, especially, its process. Regarding child psychodynamic psychotherapy, available studies are in smaller numbers. Therefore, we still do not fully know the mechanisms of change in treatments with this age group. The Child Psychotherapy Q-Set (CPQ) was designed to analyze the therapeutic process with children. It permits one to identify interaction structures (i.e., repetitive patterns of interaction) and how they change in the course of a treatment. Based on these assumptions, the aim of this study was to identify and to analyze the interaction structures in the psychodynamic therapy of a boy diagnosed with Asperger’s disorder and possible changes in his psychic organization. A mixed longitudinal study, based on the Systematic Case Study procedure, was performed. Approximately 30 months of the boy’s psychotherapy were analyzed using the CPQ. The Rorschach method was used as the outcome measure. Four interaction structures were identified, using the CPQ: Active, confident and lively child, competing with connected, mentalizing and accepting therapist; Withdrawn and defensive child with uncertain, unresponsive and didactic therapist; Accepting therapist with demanding, provocative and hostile child; and Reassuring, supportive, nondirective therapist with a compliant and not spontaneous child. Two interaction structures varied over time. Some changes in Rorschach variables were detected after two years of treatment.

Books Reconsidered: Fears and Phobias: Isaac M. Marks

1991 ◽  
Vol 159 (3) ◽  
pp. 450-451
Author(s):  
C. P. Seager
Keyword(s):  
Young Children ◽  
Clinical Psychiatry ◽  
Mentally Ill ◽  
Psychodynamic Psychotherapy ◽  
William James ◽  
Research Protocol ◽  
Physical Treatment ◽  
Dynamic Psychotherapy ◽  
Long Time ◽  
Better Than

A week may be a long time in politics, but how fares a book on an aspect of clinical psychiatry, published more than two decades ago? Isaac Marks wrote his book, Fears and Phobias, in 1969, at a time when a third intruder, behavioural psychotherapy, had intervened in the battle between physical treatment and psychodynamic psychotherapy as the two polarised options for correct care of the mentally ill and particularly for the neuroses. Eysenck had annoyed many by his study demonstrating that patients receiving dynamic psychotherapy did no better than those on the waiting list; psychoanalysis was an expensive way of passing the time until the condition resolved spontaneously. Clinical psychologists and a few psychiatrists began to take an interest in the work of Wolpe and looked back to the 1920s when William James and Mary Cover-Jones had demonstrated the induction and the treatment of fears in young children. No ethical committee would accept a research protocol on these lines today.

Goals of Psychodynamic Therapy

2019 ◽  
pp. 18-33
Author(s):  
Brian A. Sharpless
Keyword(s):  
Psychodynamic Therapy ◽  
Personality Change ◽  
Symptom Reduction ◽  
Specific Therapy ◽  
Therapy Goals ◽  
Dynamic Therapy ◽  
Meaning And Purpose

After briefly discussing the process of “translating” a patient’s desire for change into usable psychodynamic targets for change, eight specific therapy goals are described. These include several that have been discussed since the earliest days of psychoanalysis (e.g., the generation of insight, an increased ability to love and work, personality change) as well as the more transtheoretical goals of autonomy from the therapist and symptom reduction. Goals derived from existential versions of dynamic therapy are also considered (e.g., acceptance of that which cannot be changed; an increased sense of meaning and purpose). Specific suggestions for assessing clinical progress (e.g., questionnaires and interviews) and relevant citations are listed in a table and at the end of each section.

scholarly journals Die Affektphobietherapie

2021 ◽  
Author(s):  
Matthias Michal ◽  
Kristin Osborn
Keyword(s):  
Short Term ◽  
Dynamic Psychotherapy ◽  
Link Type ◽  
Dynamic Therapy

Zusammenfassung Hintergrund Ein zentraler Faktor psychischer Gesundheit ist die Fähigkeit, Affekte wahrnehmen und adaptiv regulieren zu können. Die Verbesserung dieser Fähigkeit ist ein Ziel der psychodynamischen Psychotherapie. Psychodynamische Behandlungsmodelle, die sich aus der gut validierten Tradition der „short-term dynamic psychotherapy“ (STDP) ableiten und die heute unter dem Dach der International Experiential Dynamic Therapy Association (https://iedta.net/) versammelt sind, legen auf besondere Weise den Behandlungsfokus auf das emotionale Erleben. Ein derartiges psychodynamisches transdiagnostisches Behandlungsmodell ist die Affektphobietherapie (APT). Ziel der Arbeit (Fragestellung) Ziel der Übersicht ist es, den Leser mit dem Behandlungsrational und der Evidenz der APT vertraut zu machen. Material und Methoden Es werden die theoretischen Grundlagen der APT, typische Interventionen und Prozessinstrumente beschrieben. Die Evidenz des APT-Modells wird als narrative Übersicht der Studienlage dargestellt. Ergebnisse und Schlussfolgerung Die APT ist ein evidenzbasiertes psychodynamisches Behandlungsmodell. Das Rational ist schulenübergreifend. Ein Selbsthilfeprogramm auf der Basis der APT wird von Patienten gut aufgenommen. Manualisierung, Fertigkeitenorientierung und Prozessinstrumente machen es zu einem vielversprechenden Modell für die Aus- und Fortbildung.

scholarly journals Dynamic psychotherapy supervision for psychiatric trainees

1998 ◽  
Vol 22 (1) ◽  
pp. 44-46
Author(s):  
Mig Kerr ◽  
Jan Birtle ◽  
Ann Bond ◽  
Sue Whitehouse ◽  
Simone England
Keyword(s):  
Psychotherapy Training ◽  
Psychotherapy Supervision ◽  
Dynamic Psychotherapy ◽  
Pilot Scheme ◽  
Dynamic Therapy ◽  
And Training

Following the recommendation by the College that all general psychiatric trainees have the opportunity for psychotherapy training, we describe a pilot scheme for supervised dynamic therapy, commenting on organisational and training issues.

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