Psychodynamic Treatment of Depression

Psychodynamic Treatment of Depression

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Description

The advent of multiple effective psychopharmacologic interventions and targeted psychotherapeutic treatments has led to remarkable progress in the treatment of depression. Yet despite this progress, the treatment of depression often continues to be a struggle. Psychodynamic psychotherapy -- often used in combination with cognitive-behavioral, interpersonal, or medication treatments -- is one approach to reducing the neurophysiological and psychological vulnerabilities that may predispose patients to persistent symptoms or recurrence of depression. Though books on other treatment approaches to depression abound, this insightful volume is unique because it offers a psychotherapeutic approach to the dynamics observed in patients with depression that can sharpen clinicians' skills in treating this disorder. Intended for use by students, residents, or clinicians who are trained in the practice of psychotherapy and in the diagnosis of depression, the book describes how to tailor the psychodynamic psychotherapeutic approach to the treatment of patients with depression. The authors use many vivid clinical case vignettes based on their clinical work to illustrate common dynamic constellations and techniques for engaging patients in depression-focused psychodynamic psychotherapy. Because a major disparity exists between the widespread use of psychodynamic psychotherapy in clinical practice and the few systematic studies of this treatment, the authors recommend using this approach mainly in patients with mild or moderate major depression and dysthymic disorder. Using a structure that facilitates learning how to apply psychodynamic psychotherapy, the authors - Begin with an introduction placing psychodynamic psychotherapy within the context of current treatments for depression, including indications and contraindications highlighted by two case vignettes.- Review psychoanalytic theories and research on depression to develop a core set of depressive dynamics.- Focus on the techniques of psychodynamic psychotherapy as they specifically apply to treating patients with depression.- Highlight techniques to help patients recognize their vulnerability to the dynamics that form the core of the depressive experience, and illustrate how to work with these dynamics to help patients better manage their vulnerability.- Address topics of special concern in the psychotherapy of depression, including complex cases, treatment impasses, suicidality, and issues to consider when combining treatments. Useful for practitioners, students, and residents as a clinical guide for learning about psychodynamic psychotherapy and its adaptation for treatment of a specific disorder, this practical volume, with its fascinating clinical case vignettes, is also an invaluable text for courses on psychodynamic psychotherapy and psychotherapeutic treatment approaches to depression.show more

Product details

  • Paperback | 208 pages
  • 154.9 x 226.1 x 12.7mm | 45.36g
  • American Psychiatric Association Publishing
  • American Psychiatric Press Inc.
  • VA, United States
  • English
  • 3 line drawings, 14 tables
  • 158562084X
  • 9781585620845
  • 1,375,440

Review quote

Trainees in psychiatry especially can expect to sharpen their clinical (and psychotherapeutic) skills using what this book has to offer. Australian and New Zealand Journal of Psychiatry The authors provide an excellent succinct review of current and past psychoanalytic formulations of the dynamic conflicts underlying depression and apply these formulations to focused psychotherapeutic interventions with depressed patients. Numerous clinical examples are provided, and the relationship between theory and technique is clear. The Journal of Nervous and Mental Disease This excellent, marvelously crafted book is an effort to succinctly articulate a psychodynamic approach to the treatment of serious depression... It is a lucid, well-written text useful to mental health professionals beginning to work with seriously depressed patients, as well as to teachers of such clinicians... Indeed, it is exemplary in its presentation of psychoanalytic ideas in a balanced, yet positive way to a new generation of clinicians. It should whet their appetites for more. Journal of the American Psychoanalytic Association Psychodynamic Treatment of Depression is a clearly written book that is useful to all clinicians treating patients with depression. For the seasoned clinician, theory is interwoven into each chapter to help connect the authors' ideas to those of other writers. For the novice clinician, clinical vignettes are used to elucidate difficult theoretical and conceptual ideas. Psychologist-Psychoanalyst, the newsletter of the Division of Psychoanalysis of the American Psychological Associationshow more

Flap copy

The advent of multiple effective psychopharmacologic interventions and targeted psychotherapeutic treatments has led to remarkable progress in the treatment of depression.Yet despite this progress, the treatment of depression often continues to be a struggle.Though books on other treatment approaches to depression abound, this insightful volume is unique because it offers a psychotherapeutic approach to the dynamics observed in patients with depression that can sharpen clinicians' skills in treating this disorder. Written from the point of view of a psychodynamic theoretician and clinician, it describes how to tailor this approach to treat patients with depression, using many vivid clinical case vignettes to illustrate common dynamic constellations and techniques for engaging patients in depression-focused psychodynamic psychotherapy. Also addressed here are topics of special concern in the psychotherapy of depression, including complex cases, treatment impasses, suicidality, and issues to consider when combining treatments.Useful for practitioners, students, and residents as a clinical guide for learning about psychodynamic psychotherapy and its adaptation for treatment of a specific disorder, this practical volume, with its fascinating clinical case vignettes, is also an invaluable text for courses on psychodynamic psychotherapy and psychotherapeutic treatment approaches to depression.show more

About Fredric N. Busch

Fredric N. Busch, M.D., is Clinical Associate Professor of Psychiatry at Weill Medical College of Cornell University and on the faculty at the Columbia University Center for Psychoanalytic Training and Research in New York, New York. Marie Rudden, M.D., is Clinical Assistant Professor of Psychiatry at Weill Medical College of Cornell University, Training and Supervising Analyst at Berkshire Psychoanalytic Institute, and on the faculty at the New York Psychoanalytic Institute in New York, New York. Theodore Shapiro, M.D., is Emeritus Professor of Psychiatry in Pediatrics at Weill Medical College of Cornell University, and Training and Supervising Analyst at the New York Psychoanalytic Institute in New York, New York.show more

Table of contents

Part I: Introduction and Overview. Introduction. Development of a psychodynamic model of depression. Overview of psychodynamic psychotherapy for depression. Part II: Techniques in Psychodynamic Treatment of Depression. Getting started with psychodynamic treatment of depression. The middle phase of treatment. Addressing narcissistic vulnerability. Addressing angry reactions to narcissistic injury. The severe superego and guilt. Idealization and devaluation. Defense mechanisms in depressed patients. The termination phase. Part III: Special Topics. Managing impasses and negative reactions to treatment. Psychodynamic approaches to suicidality. Use of psychodynamic psychotherapy with other treatment approaches. Index.show more

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