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Psychodynamic Psychiatry

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https://www.readbyqxmd.com/read/29809116/psychodynamic-psychiatrists-experiences-of-being-stalked
#1
Douglas H Ingram
Despite the estimated 15% likelihood that a psychiatrist will become the victim of stalking, there is little formal recognition of its prevalence or its impact on well-being. Through narrative accounts, ten psychiatrists with psychodynamic orientations speak of their experiences including how each managed the anxieties consequent to stalking. These include a variety of adaptive psychic operations as well as concrete actions to curtail stalking.
2018: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29809115/the-suicidal-depressive-position-a-scientifically-informed-reformulation
#2
Golan Shahar
Despite considerable progress in depression research and treatment, the disorder continues to pose daunting challenges to scientists and practitioners alike. This article presents a novel conceptualization of the psychological dynamics of depression which draws from Melanie Klein's notion of the positions, reformulated using social-cognitive terms. Specifically, Klein's notion of position, consisting of anxieties (persecutory vs. "depressive"), defense mechanisms ("primitive"/split based vs...
2018: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29809114/training-in-good-psychiatric-management-for-borderline-personality-disorder-in-residency-an-aide-to-learning-supportive-psychotherapy-for-challenging-to-treat-patients
#3
Joel Bernanke, Benjamin McCommon
Given many competing demands, psychotherapy training to competency is difficult during psychiatric residency. Good Psychiatric Management for borderline personality disorder (GPM) offers an evidence-based, simplified, psychodynamically informed framework for the outpatient management of patients with borderline personality disorder, one of the most challenging disorders psychiatric residents must learn to treat. In this article, we provide an overview of GPM, and show that training in GPM meets a requirement for training in supportive psychotherapy; builds on psychodynamic psychotherapy training; and applies to other severe personality disorders, especially narcissistic personality disorder...
2018: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29809113/psychoanalytic-meta-theory-a-modern-ego-psychology-view
#4
Eric R Marcus
This article describes the meta-theory level of psychoanalytic theory and uses it to show the commonalities of the major metapsychologies.
2018: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29809112/psychodrama-and-the-treatment-of-narcissistic-and-borderline-patients
#5
Peter A Olsson
Psychiatric clinicians are faced with the challenge of remaining flexible and psychotherapeutically relevant to the broadening scope of patients with severe narcissistic and borderline personality disorders. Diagnostic sophistication among mental health professionals, increased availability of psychotherapy services, and economic pressures combine to cause the public to expect cost-effective, successful, and shorter duration of treatments. These treatment challenges are particularly poignant with the treatment of those narcissistic and borderline patients who have meager capacity for insight and limited verbal skills...
2018: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29809111/how-to-design-and-equip-a-mentalization-based-play-therapy-room
#6
Ulrich RĂ¼th, Astrid Holch
Designing and equipping a play therapy room as a differentiated tool in a psychodynamic approach to child psychotherapy is seldom discussed. This article sketches out the equipment and furnishing of a play therapy room to be used for mentalization-based psychodynamic psychotherapy and gives examples of the use of such a room in practice.
2018: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29809110/journal-prize-announcement-2017
#7
(no author information available yet)
No abstract text is available yet for this article.
2018: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29480787/redefining-identity-after-trauma-or-loss
#8
Mardi Horowitz
Individuals who experience trauma or loss perceive a seriously altered world. Survivors must revise their mental models of identity and adapt to new circumstances. When emotional disturbances lead to a person seeking treatment, useful therapy techniques include efforts at developing new self-concepts. A particular defense that can interfere with self-growth is dissociative shifting in a binary of self-states. Therapists can share observations of this obstacle and help patients form a balanced, nuanced, and coherent self-organization...
2018: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29480786/the-role-of-psychoeducation-in-psychodynamic-psychotherapy
#9
Fredric N Busch, Elizabeth L Auchincloss
Psychoanalysts have generally avoided discussion of psychoeducational interventions in the context of psychodynamic psychotherapy, despite education being a component of many psychoanalytic techniques. This wariness stems from Freud's early concerns about interventions that could be deemed "suggestion," and a misunderstanding of various aspects of neutrality, including viewing psychoeducational comments as over-gratifying or siding with the ego. Although potential pitfalls exist, the authors review clinical evidence and research that indicate the value of psychoeducational approaches for engaging patients in psychodynamic psychotherapy, considering alternative treatments, providing a psychodynamic formulation, and enhancing the therapeutic alliance...
2018: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29480785/psychoanalysis-today-a-pseudoscience-a-critique-of-the-arbitrary-nature-of-psychoanalytic-theories-and-practice
#10
Siegfried Zepf
The article centers on psychoanalysts' indifferent attitude to the mutually exclusivity of theoretical conceptualizations and the ensuing technical rules for treatment. In the author's view this indifference is due to psychoanalysts being business people for whom the exchange value of their service is essentially of greater interest than its utility value, which latter is only of interest as a means of realizing the former. The author argues that, as a consequence of the disparate coexisting conceptualizations being treated as equally valid, psychoanalysis becomes a science without truth, that is, a pseudoscience, and demonstrates that all attempts to appropriate the epithet ornans "scientific" to psychoanalysis by linking its concepts to findings in areas beyond its conceptual field have failed...
2018: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29480784/resilience-trauma-and-coping
#11
Ahron Friedberg, Dana Malefakis
The study and use of resilience is of the utmost importance to psychodynamic psychiatry. It is deeply ingrained in ideas about well-being and the treatment and care of patients. However, its neurobiology is incompletely understood, its terminology and relation to trauma and coping not well defined, and its efficacy underutilized in clinical practice. This article reviews the scientific literature on resilience, especially as it relates to trauma and coping. It also attempts to point the way for its greater application in psychiatry and mental health by utilizing resilience in more informed and individualized approaches...
2018: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29480783/psychodynamic-psychiatry-in-the-21st-century-constructing-a-comprehensive-science-of-experience
#12
Yakov Shapiro
Psychodynamic psychiatry is not limited to psychotherapy practice. It is defined by systematic attention to the "common factors" underlying both psychotherapy and psychopharmacology outcomes, which include the patient's subjective systems of meaning and the complex flow of the patient-provider relationship in addition to the patient's "objective" psychopathology. It allows for a non-reductionist milieu where the meaning of the illness and the full complexity of the treatment process can be explored in order to achieve a qualitative and lasting change in the patient's psychopathology...
2018: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29480782/preliminary-data-about-the-validation-of-a-self-report-for-the-assessment-of-interpersonal-guilt-the-interpersonal-guilt-rating-scales-15s-igrs-15s
#13
Francesco Gazzillo, Bernard Gorman, Emma De Luca, Filippo Faccini, Marshall Bush, George Silberschatz, Nino Dazzi
The aim of this article is to present validation data about a self-report rating scale for the assessment of interpersonal guilt according to Control-Mastery Theory (CMT; Silbershatz, 2005; Weiss, 1993; Weiss, Sampson, & The Mount Zion Psychotherapy Research Group, 1986), the Interpersonal Guilt Rating Scale-15s (IGRS-15s). In order to perform the validation of this tool in an Italian sample we have collected a sample of 645 nonclinical subjects. They had to complete the IGRS-15s, the Scale for the Measurement of the Impending Punishment (SMIP; Caprara et al...
2018: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29480781/race-in-supervision-let-s-talk-about-it
#14
Cathy R Schen, Alecia Greenlee
Addressing race and racial trauma within psychotherapy supervision is increasingly important in psychiatry training. A therapist's ability to discuss race and racial trauma in psychotherapy supervision increases the likelihood that these topics will be explored as they arise in the therapeutic setting. The authors discuss the contextual and sociocultural dynamics that contributed to their own avoidance of race and racial trauma within the supervisory relationship. The authors examine the features that eventually led to a robust discussion of race and culture within the supervisory setting and identify salient themes that occurred during three phases of the conversation about race: pre-dialogue, the conversation, and after the conversation...
2018: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29244629/evolution-shame-and-psychotherapy
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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