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Anna Buchheim, Karin Labek, Svenja Taubner, Henrik Kessler, Dan Pokorny, Horst Kächele, Manfred Cierpka, Gerhard Roth, Oliver Pogarell, Susanne Karch
No abstract text is available yet for this article.
May 16, 2018: Psychotherapy and Psychosomatics
G N Christodoulou, M Margariti, N Christodoulou
The Delusional Misidentification Syndromes (DMSs) are characterized by defective integration of the normally The Delusional Misidentification Syndromes (DMSs) are characterized by defective integration of the normally fused functions of perception and recognition. The classical sub-types are: the syndromes of Capgras, Fregoli,Intermetamorphosis (mentioned in 3) and Subjective doubles. These syndromes occur in a clear sensorium and shouldbe differentiated from the banal transient misidentifications occurring in confusional states and in mania and from thenon-delusional misidentifications (e...
January 2018: Psychiatrikē, Psychiatriki
Marko Biberdzic, Karin Ensink, Lina Normandin, John F Clarkin
The concept of personality organization (PO) is central to current psychodynamic understanding of normal personality development as well as the development of personality disorders (PDs). However, individual differences in PO have primarily been studied in adult populations, and it remains unclear whether the clinical indicators of normal, neurotic and borderline PO manifest differently during adolescence. This study aimed to address the gaps in current knowledge regarding the potentially different manifestation of pathological PO in adolescence...
May 7, 2018: Journal of Adolescence
Noa Heiman, Rachel Davis, Brian Rothberg
Prevalence rates for depression among medical students are three times higher than the prevalence rates of depression in the general population. In order to understand these high prevalence rates, the authors discuss the underlying psychodynamics of a subset of medical students who seek therapy for depression and suicidality during their medical school years. Does medical school screen for people who are more prone to depression or does medical school cause high depression rates? The authors describe students with the combination of harsh/critical aspects from their early family life coupled with emotional misattunement of caregivers...
May 9, 2018: Medical Teacher
Falk Leichsenring, Allan Abbass, Mark J Hilsenroth, Patrick Luyten, Thomas Munder, Sven Rabung, Christiane Steinert
For psychotherapy of mental disorders, presently several approaches are available, such as interpersonal, humanistic, systemic, psychodynamic or cognitive behavior therapy (CBT). Pointing to the available evidence, proponents of CBT claim that CBT is the gold standard. Some authors even argue for an integrated CBT-based form of psychotherapy as the only form of psychotherapy. CBT undoubtedly has its strengths and CBT researchers have to be credited for developing and testing treatments for many mental disorders...
2018: Frontiers in Psychiatry
Thomas N Franklin
No abstract text is available yet for this article.
June 2018: Psychiatric Clinics of North America
Harsh K Trivedi
No abstract text is available yet for this article.
June 2018: Psychiatric Clinics of North America
Brian Johnson
Neurobiological engineering is the process of making models of brain function and psychoanalytic psychology as these interact in a social environment to hide complexity while remaining true to science. One-fourth of Americans are killed by drugs. The engineering model described is applied to psychodynamic therapy of addicted patients. It helps us understand why addiction is ubiquitous, hostile, malicious, and intractable. Drugs take over the will by changing the ventral tegmental dopaminergic SEEKING system...
June 2018: Psychiatric Clinics of North America
César A Alfonso, Marco Christian Michael, Sylvia Detri Elvira, Hazli Zakaria, Rasmon Kalayasiri, Aida Syarinaz A Adlan, Mahdieh Moinalghorabaei, Petrin Redayani Lukman, Mohammad San'ati, Katerina Duchonova, Timothy B Sullivan
Psychodynamic psychiatry remains a challenging subject to teach in underserved areas, where enthusiasm to learn is substantial. Besides logistical and psychiatric workforce shortcomings, sensible cultural adaptations to make psychodynamic psychiatry relevant outside of high-income countries require creative effort. Innovative pedagogical methods that include carefully crafted mentoring and incorporate videoconferencing in combination with site visits can be implemented through international collaborations. Emphasis on mentoring is essential to adequately train future psychodynamic psychotherapy supervisors...
June 2018: Psychiatric Clinics of North America
Katherine G Kennedy
Psychodynamic psychotherapy, also called psychodynamic therapy (PDT), is an effective mental health treatment that is currently under siege on several fronts. It is at risk of being effectively excluded from the future of American health care. Psychiatrists need to learn how to advocate for a future mental health care delivery system that assures their patients have access to PDT. This article examines the stigma against both psychiatrists and PDT, identifies some of the challenges to advocacy that psychiatrists face, and offers an approach to developing the necessary skills that psychiatrists need to advocate effectively for PDT...
June 2018: Psychiatric Clinics of North America
Fredric N Busch, Barbara L Milrod
The authors describe a psychodynamic psychotherapeutic approach to posttraumatic stress disorder (PTSD), trauma-focused psychodynamic psychotherapy. This psychotherapy addresses disruptions in narrative coherence and affective dysregulation by exploring the psychological meanings of symptoms and their relation to traumatic events. The therapist works to identify intrapsychic conflicts, intense negative affects, and defense mechanisms related to the PTSD syndrome using a psychodynamic formulation that provides a framework for intervention...
June 2018: Psychiatric Clinics of North America
Elizabeth Weinberg, David Mintz
Optimal patient care in psychiatry necessitates attention to the treatment relationship and to the patient's experience as an individual. The growth of patient-centered medicine has led to an increased appreciation of the importance of the biopsychosocial formulation, the personhood of both the patient and the physician, the autonomy and authority of the patient, and the therapeutic alliance. Patient-centered medicine, developed by the seminal psychoanalytic theorist Michael Balint, has its roots in psychodynamic concepts...
June 2018: Psychiatric Clinics of North America
Eric M Plakun
This article defines psychodynamic psychiatry as the intersection between general psychiatry and psychoanalysis as a theory of mind. Psychodynamic psychiatry is built on a biopsychosocial model for understanding and treating mental disorders. Currently, a narrower biomedical model is in ascendancy, but it has not lived up to its promise and is not supported by emerging science as robustly as is the biopsychosocial model. The "difficult patient" emerges in part from the limits of our treatment models and treatment methods...
June 2018: Psychiatric Clinics of North America
Richard G Hersh
Transference-focused psychotherapy (TFP) is one of the empirically validated treatments for patients with borderline personality disorder. TFP has roots in psychoanalytically informed psychotherapy, although important elements of the treatment have been adapted and refined for patients with significant personality disorder pathology. TFP's assessment process is informed by the structural interview, an approach that synthesizes standard DSM-5 nosology with the psychodynamic concept of the personality organization...
June 2018: Psychiatric Clinics of North America
Barry L Stern, Frank Yeomans
The authors describe the application of a twice-weekly exploratory psychotherapy, transference-focused psychotherapy (TFP), to patients with borderline personality disorder. The article describes the pathology of internal object relations that provides a framework for understanding borderline personality and how TFP establishes a treatment framework to address such pathology and set the stage for working at the level of internal psychological structure. An outline of the assessment and treatment protocol is described along with a case example to illustrate the same...
June 2018: Psychiatric Clinics of North America
Susan G Lazar
Psychodynamic treatment provides benefits for patients with personality disorders, chronic depressive and anxiety disorders, and chronic complex disorders, and its intensity and duration have independent positive effects. Obstacles to its provision include a bias privileging brief treatments, especially cognitive behavior therapy, seen as a gold standard of treatment, despite difficulties with the design of, and ability to generalize from, its supporting research and the diagnostic nosology of the illnesses studied...
June 2018: Psychiatric Clinics of North America
Glen O Gabbard
Psychodynamic psychiatry is a way of thinking that places the person at the heart of diagnostic understanding and treatment. This emphasis on unique characteristics of an individual is at odds with much of contemporary psychiatric thought, which is geared to identifying a set of criteria designed to identify discrete diagnostic categories with biological underpinnings. This article addresses component parts of the person that are linked to psychodynamic constructs and lie at the heart of diagnostic understanding and treatment in psychodynamic psychiatry...
June 2018: Psychiatric Clinics of North America
Richard C Friedman, Jennifer I Downey, César A Alfonso
Psychodynamic psychiatry emerged from psychoanalytic theory, but the influence of the latter has been only partial. Equally important are other disciplines outlined within is article. Modern psychodynamic publications and presentations should honor all of the foundational pillars of the field. In this way, the new area lends itself to bio-psycho-social integrations that remain a challenge for all researchers and clinicians who seek to understand and treat patients with mental disorders.
June 2018: Psychiatric Clinics of North America
S G Selvik, B Hummelen, U Romild, D R Langbehn, G Pedersen
Personality disorder (PD) is common among psychiatric patients, and diagnosing such disorders is of great importance for the choice of treatment. Diagnosing PD is a demanding and time-consuming process. The utilities of several PD screening instruments have been studied in different populations, but not in a population who receives long-term group psychotherapy. In the current study, we investigate the predictive properties of the Iowa Personality Disorder Screen (IPDS) in a sample of 694 psychiatric outpatients with and without PD who were admitted for psychodynamic long-term group therapy from 2012 to 2014...
May 3, 2018: Personality and Mental Health
Rüdiger Zwerenz, Katja Böhme, Astrid Wirth, Nicole Labitzke, Sergei Pachtchenko, Manfred E Beutel
BACKGROUND: In a previous RCT we established the efficacy of the psychodynamic online aftercare programme 'GSA-Online' ('Health Training Stress Management at the Workplace') for rehabilitants with work-related stress facing return to work after long-term sickness absence. The purpose of this trial is to implement it into routine care. METHODS/DESIGN: The study is performed in rehabilitation clinics with patients of different medical indications (psychosomatic, orthopedic and cardiological diseases)...
May 2, 2018: BMC Health Services Research
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