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Psychodynamic Psychiatry

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https://www.readbyqxmd.com/read/29244629/evolution-shame-and-psychotherapy
#1
Richard Brockman
Medea, the title character in Euripides' play, murdered her two sons in response to her husband Jason's abandonment. If her behavior can be understood, it is best understood in the context of shame. In an evolutionary context, shame is the affective response to the loss of one's place in the group. This response is related to the neurobiology of pain-not the acute pain experienced through the post-central gyrus, but the chronic, lingering pain that is experienced through the insular and cingulate cortices where homeostasis is regulated "from above...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29244628/the-neurobiology-of-attachment-from-infancy-to-clinical-outcomes
#2
Joanna Chambers
Attachment theory was developed by John Bowlby in the 1950s. He defined attachment as a specific neurobiological system that resulted in the infant connecting to the primary caretaker in such a way to create an inner working model of relationships that continues throughout life and affects the future mental health and physical health of the infant. Given the significance of this inner working model, there has been a tremendous amount of research done in animals as well as humans to better understand the neurobiology...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29244627/attachment-in-the-psychiatric-curriculum
#3
Jeffrey Katzman, Anilla Del Fabbro
Psychiatric trainees are expected to learn the fundamental concepts of psychodynamic psychotherapy, but they often struggle to understand and appreciate the relevance of this work. An introduction to attachment theory can go a long way toward assisting our trainees in understanding the relevance of psychodynamic psychiatry. To help programs develop this component of their curriculum, we summarize the history of the development of the attachment paradigm including the Strange Situation and Adult Attachment Interview (AAI), useful tools to teach these concepts, as well as ramifications of this work...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29244625/the-role-of-oxytocin-and-vasopressin-in-attachment
#4
C Sue Carter
Selective relationships and attachments are central to human health and well-being, both in current societies and during the course of evolution. The presence or absence of social bonds has consequences across the lifespan. The neurobiology of attachment is grounded in neuroendocrine substrates that are shared with reproduction and survival. Experimental studies of species, such as sheep or prairie voles, capable of showing selective social behaviors toward offspring or partners, have provided empirical evidence for the role of oxytocin and vasopressin in the formation of selective attachments...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29244624/the-effects-of-psychosocial-deprivation-on-attachment-lessons-from-the-bucharest-early-intervention-project
#5
Nathan A Fox, Charles A Nelson, Charles H Zeanah
The absence of typical caregiving, including warm and responsive parenting, has been suggested to significantly affect the young child's ability to form adaptive relationships with adults and peers. The Bucharest Early Intervention Project (BEIP), a randomized controlled trial of foster/family care for young children with a history of institutionalization has provided the context to assess these relationships. Here we review data from the BEIP with specific focus on attachment. The findings clearly show the importance of early family care on the emergence of attachment, on the prevention of psychopathology, and on links between brain and social behavior...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29244623/attachment-figure-s-regulation-of-infant-brain-and-behavior
#6
Regina M Sullivan
Altricial infants (i.e., requiring parental care for survival), such as humans and rats, form an attachment to their caregiver and receive the nurturing and protections needed for survival. Learning has a strong role in attachment, as is illustrated by strong attachment formed to non-biological caregivers of either sex. Here we summarize and integrate results from animal and human infant attachment research that highlights the important role of social buffering (social presence) of the stress response by the attachment figure and its effect on infant processing of threat and fear through modulation of the amygdala...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29244622/growing-up-with-attachment-theory-a-personal-view
#7
Richard Bowlby
No abstract text is available yet for this article.
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29244621/on-mourning-and-recovery-integrating-stages-of-grief-and-change-toward-a-neuroscience-based-model-of-attachment-adaptation-in-addiction-treatment
#8
R Andrew Chambers, Sue C Wallingford
Interpersonal attachment and drug addiction share many attributes across their behavioral and neurobiological domains. Understanding the overlapping brain circuitry of attachment formation and addiction illuminates a deeper understanding of the pathogenesis of trauma-related mental illnesses and comorbid substance use disorders, and the extent to which ending an addiction is complicated by being a sort of mourning process. Attention to the process of addiction recovery-as a form of grieving-in which Kubler-Ross's stages of grief and Prochaska's stages of change are ultimately describing complementary viewpoints on a general process of neural network and attachment remodeling, could lead to more effective and integrative psychotherapy and medication strategies...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29244620/calming-cycle-theory-and-the-co-regulation-of-oxytocin
#9
Martha G Welch, Robert J Ludwig
The biological functions of oxytocin in attachment and bonding between mother and infant in parturition and breastfeeding and between adults have been studied extensively. However, most current authors have proposed that infant attachment to the mother is learned through operant conditioning mechanisms via the infant's brain and central nervous system. We propose that oxytocin levels in the mother and infant are co-regulated by emotional connection or disconnection, and that the autonomic co-conditioning learning mechanism can be exploited to change a negative physiological and behavioral response between mother and infant into a positive one...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29244618/guest-editors-introduction
#10
Joanna Chambers, Richard Brockman
No abstract text is available yet for this article.
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28846511/personality-and-affect-when-the-central-nervous-system-is-sensitized-an-analysis-of-central-sensitization-syndromes-in-a-substance-use-disorder-population
#11
Lindsey C McKernan, Michael T M Finn, Erika R Carr
Functional somatic syndromes, or more recently termed central sensitivity syndromes (CSS), comprise a significant portion of the chronic pain population. Although it is evident that personality is intricately related to the pain experience, it has not been widely studied. This article examines the impact of CSS on the clinical presentation of individuals presenting to treatment for a substance use disorder (SUD), with an emphasis on personality and emotional functioning. We examined personality profiles of individuals presenting to treatment with SUD between three groups: those with a CSS (n = 30), non-CSS chronic pain (n = 79), and no pain (n = 232)...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28846510/psychological-mindedness-and-psychotherapy-process-in-short-term-group-therapy
#12
David Kealy, Carlos A Sierra-Hernandez, William E Piper, Anthony S Joyce, Rene Weideman, John S Ogrodniczuk
Psychological mindedness is regarded as an important patient characteristic that can influence the course of psychotherapy. The purpose of this study was to investigate the relationship between patients' capacity for psychological mindedness and aspects of the group psychotherapy process as experienced and rated by therapists and other group members. Participants were 110 patients who completed two forms of short-term group therapy for the treatment of complicated grief. Psychological mindedness was assessed at pretreatment by external raters using a video-interview procedure...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28846509/reliability-and-validity-of-the-interpersonal-guilt-rating-scale-15-a-new-clinician-reporting-tool-for-assessing-interpersonal-guilt-according-to-control-mastery-theory
#13
Francesco Gazzillo, Bernard Gorman, Marshall Bush, George Silberschatz, Cristina Mazza, Filippo Faccini, Valeria Crisafulli, Roberta Alesiani, Emma De Luca
This article introduces the Interpersonal Guilt Rating Scale-15 (IGRS-15), a brief clinician-rated tool for the clinical assessment of interpersonal guilt as conceived in Control-Mastery Theory (CMT; Silberschatz, 2015; Weiss, 1993), and its psychometric proprieties. The items of the IGRS-15 were derived from the CMT clinical and empirical literature about guilt, and from the authors' clinical experiences. Twenty-eight clinicians assessed 154 patients with the IGRS-15, the patient self-reported Interpersonal Guilt Questionnaire-67 (IGQ-67; O'Connor, Berry, Weiss, Bush, & Sampson, 1997), and the Clinical Data Form (CDF; Westen & Shedler, 1999)...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28846508/editorial
#14
Richard C Friedman
No abstract text is available yet for this article.
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28846507/assessing-distance-training-how-well-does-it-produce-psychoanalytic-psychotherapists
#15
Robert M Gordon, Jing Lan
How effective is psychoanalytic/psychodynamic distance training over the Internet? To assess this, we surveyed graduates of the 2-year and 4-year programs of the China America Psychoanalytic Alliance (CAPA). The main results of the 90 graduates' surveys showed that 77% of their work involves a psychoanalytic formulation of their cases as compared to other theoretical orientations. Graduates highly rated the effectiveness of their own psychoanalytic therapy over videoconferencing (VCON). Graduates' ratings of treatment with their patients over VCON positively correlated with years of psychoanalytic education, number of days a week in own treatment, years doing psychoanalytic treatment, and degree working with a psychoanalytic orientation...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28590210/book-reviews
#16
(no author information available yet)
No abstract text is available yet for this article.
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28590209/psychodynamic-treatment-of-combat-veterans-with-ptsd-at-risk-for-suicide
#17
Herbert Hendin
Posttraumatic stress disorder is a condition associated with suicide in both military personnel and combat veterans. Most veterans with PTSD, however, are not at risk of suicide. The major factor distinguishing those who attempted or were preoccupied with suicide is persistent severe guilt over behavior in combat while emotionally out of control. A 12-session short-term, psychodynamic psychotherapy, presented here, showed promise of success in dissipating the guilt from combat-related actions in veterans of the war in Vietnam...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28590208/borderline-patients-25-to-50-years-later-with-commentary-on-outcome-factors
#18
Michael H Stone
The current study concerns the long-term follow-up of 40 patients with borderline personality disorder. Sixteen were patients from the PI-500 study, formerly hospitalized at the New York State Psychiatric Institute. Twenty-four had been from the author's private practice 25 to 50 years ago. Twenty-one of the combined group had first been in treatment 50 years ago. This is believed to be the longest follow-up period recorded for borderline patients. The main results are that two-thirds of the patients eventually reached the level of either clinical remission or clinical recovery...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28590207/an-integrative-approach-to-treatment-resistant-obsessive-compulsive-disorder
#19
Luke Sy-Cherng Woon, Anita Kanapathy, Hazli Zakaria, C├ęsar A Alfonso
Obsessive-compulsive disorder (OCD) is a debilitating psychiatric disorder that often runs a chronic unremitting course. Treatment outcomes can be unsatisfactory despite the availability of various somatic and psychological therapies. Psychodynamic psychotherapy in combination with cognitive behavioral therapy (CBT) with exposure and response prevention (ERP) could help patients with treatment-resistant OCD achieve better outcomes. An integrative approach can help patients gain insight, strengthen the therapeutic alliance, improve treatment adherence, and provide symptomatic relief when other treatments seem insufficient or have failed...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28590206/letter-to-the-editor
#20
LETTER
Catherine Hickey
No abstract text is available yet for this article.
2017: Psychodynamic Psychiatry
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