Overview

Psychodynamic Treatment of Depression addresses the use of psychodynamic psychotherapy, both alone and in combination with cognitive-behavioral, interpersonal, and medication treatments, as a method for reducing the psychological vulnerabilities that may predispose patients to persistent symptoms or recurrence of depression. Thoroughly revised and with new material, the second edition reflects changes codified in the DSM-5 classification and is intended for use by students, residents, or clinicians who are trained in the practice of psychotherapy. The authors' extensive clinical experience is thoroughly mined to provide techniques for tailoring the psychodynamic psychotherapeutic approach to patients with depression, and important topics such as narcissistic injury and vulnerability, guilt, defense mechanisms, and suicidality are addressed. The book is written in an accessible style and structured logically to support the acquisition and enhancement of psychotherapeutic skills through the systematic exploration of the psychodynamic model of depression. The volume's noteworthy content and features are many: • Just as patients' responses to medications vary, responses to particular therapeutic interventions are different in different patients. Accordingly, the authors locate psychodynamic psychotherapy within the context of current treatments for depression, including indications and contraindications. • A multitude of detailed and compelling clinical vignettes clearly illustrate the dynamics and techniques and facilitate learning across diverse clinical roles and practice settings. • A chapter on psychodynamic approaches to depression with comorbid personality disorder has been added to the new edition, because these disorders have been found to have an adverse effect on treatment outcome, including diminished response to antidepressants, reduced adherence to treatment, and longer time period to achieve remission. There is a growing evidence base for the effectiveness of psychodynamic psychotherapy, both alone and in tandem with other treatment modalities. Psychodynamic Treatment of Depression offers a robust model of psychodynamic therapy for depression and the detailed strategies and techniques clinicians need to improve outcomes with this significant patient group.

Full Product Details

Author:   Fredric N. Busch, MD ,  Marie Rudden, MD ,  Theodore Shapiro, MD (Payne Whitney Hospital )
Publisher:   American Psychiatric Association Publishing
Imprint:   American Psychiatric Association Publishing
Edition:   Second Edition
Dimensions:   Width: 15.20cm , Height: 1.30cm , Length: 22.90cm
Weight:   0.345kg
ISBN:  

9781615370351

ISBN 10:   1615370358
Pages:   256
Publication Date:   16 May 2016
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Active
Availability:   Manufactured on demand  
We will order this item for you from a manufactured on demand supplier.

Table of Contents

PART I: Introduction and OverviewChapter 1. IntroductionChapter 2. Development of a Psychodynamic Model of DepressionChapter 3. Overview of Psychodynamic Psychotherapy for DepressionPART II: Techniques in Psychodynamic Treatment of DepressionChapter 4. Getting Started With Psychodynamic Treatment of DepressionChapter 5. The Middle Phase of TreatmentChapter 6. Addressing Narcissistic VulnerabilityChapter 7. Addressing Angry Reactions to Narcissistic InjuryChapter 8. The Severe Superego and GuiltChapter 9. Idealization and DevaluationChapter 10. Defense Mechanisms in Depressed PatientsChapter 11. The Termination PhasePART III: Special TopicsChapter 12. Psychodynamic Approaches to Depression With Comorbid Personality DisorderChapter 13. Managing Impasses and Negative Reactions to TreatmentChapter 14. Psychodynamic Approaches to SuicidalityChapter 15. Use of Psychodynamic Psychotherapy With Other Treatment ApproachesIndex

Reviews

As you know, depression is one of the most widespread sources of psychological and existential malaise, and one of the most complex challenges facing the clinician, psychologist-psychotherapist or doctor-psychiatrist. But over the last few decades there has been considerable progress in the treatment of depressive conditions, including the so-called major ones, that is, more severe: on the one hand psychopharmacology and, on the other, the development of psychotherapies, allowed to consider these situations with a certain optimism. The triad consisting of dynamic, cognitive-behavioral and interpersonal psychotherapies has been shown to be effective in the treatment of depression, but this book written by three prominent psychiatrists is, in particular, a single form of therapy, the one considered until recently less incisive: psychodynamic psychotherapy. Reading the text we realize that the psychodynamic approach emerges as a methodology of interest for numerous reasons. First of all it reduces the possibility of relapses and, in general, it allows to work by delimiting the patient's vulnerability - something that other therapies cannot guarantee -. It then allows you to work at a greater level of depth and analytics than CBT - Cognitive-Behavioral Therapy; from this point of view it should be noted that the cognitive-behavioral approach has been (and still is today) considered by many to be the first choice of therapy for a number of mental disorders, a belief that has spread even to doctors of base and which has numerous causes, but which today shows its limit more and more often. Finally, the dynamic approach allows to treat also the comorbid frameworks that, as every good clinician knows, constitute a relevant part of the patient's problem. But even compared to the typically medical, ie pharmacological, choice, the psychodynamic approach and, in general, psychotherapeutic, is emerging in a new light. In fact, the antidepressant drug therapies - as has been noticed recently and from several parts - can provoke a sort of drug dependence which, in turn, leads the patient to seek higher doses or other more effective drugs, essentially leading the subject to remain in the dysfunctional state. This is the so-called iatrogenic effect of drugs that, combined with addiction, can lead to a final paradoxical effect, that is to the chronicity of the state (anxious and / or depressive), rather than to its resolution. This observation is considerably resizing the efficacy of psychopharmacology in depression (and in other psychopathological situations), while certainly not neglecting the advantage that the patient can have, especially in the acute phases, to alleviate mental suffering and contain the heaviest manifestations of the morbid condition. What Fredric Busch, Marie Rudden and Theodore Shapiro propose takes on the identity of Focused Psychodynamic Psychotherapy, an approach based on illustrious historical precedents; in fact, in the first pages of the text are recalled the classic contributions of Sigmund Freud and Karl Abraham, and then many others - one for all: Sandor Rado, The Problem of Melancholia . International Journal of Psychoanalysis, IX, 420-438, 1928 - to compose the lines of development of what can be called the evolutionary and dynamic model of depression considered from the visual angle of psychoanalysis. Thus the first part of the book introduces the reader to the topic and proposes a global vision of the therapeutic process. The second part, composed of eight chapters, examines step by step all the phases of the therapy, from the construction of the therapeutic alliance to the conclusion of the process, addressing issues such as the management of the patient's narcissistic vulnerability, the severity of the Super Ego, the processes idealization and devaluation, and the defense mechanisms characteristic of depressed subjects. The third and final part deals with special issues such as the aforementioned problem of co-morbidity - on the treatment of obsessive and compulsive forms and similar conditions, see the recent book edited by Katharine A. Phillips, Dan J. Stein, Handbook on Obsessive-Compulsive and Related Disorders (American Psychiatric Publishing, 2015) - but also negative reactions to therapy that can occur at certain stages of treatment. The analysis continues to consider the problem-prince of the depressed patient, ie the risk of suicide. The last of the fifteen chapters of which the text is composed includes psychodynamic psychotherapy in the context of other therapeutic, pharmacological and psychological approaches. To underline the wealth of clinical examples that are a counterpoint to all the issues addressed by the three authors, who are all psychiatric doctors of psychoanalytic training. Fredric N. Busch, is a Clinical Professor of Psychiatry at Cornell University's Weill Medical College, and holds other psychoanalytic positions at the Columbia University Center for Psychoanalytic Training and Research in New York. Marie Rudden, has the title of Clinical Assistant Professor of Psychiatry at the Weill Medical College of Cornell University, and is a training analyst and supervisor at the Berkshire Psychoanalytic Institute. Theodore Shapiro, is professor emeritus of Psychiatry in Pediatrics at the Weill Medical College of Cornell University, and serves as a training analyst and supervisor at the prestigious New York Psychoanalytic Institute. -- Andrea Castiello d'Antonio , psychologist and psychotherapist, an extraordinary professor at the European University of Rome * NO. 55 *

The authors succeed in crafting a book that is as approachable and relevant as it is educational and progressive. Their balanced approach invites readers to examine their own interactions with patients and think critically about how applied psychodynamic principles could improve depressive symptoms. Of equal utility is the authors' inclusion of relevant areas of special concern, such as patients with comorbid personality disorders -- a cohort with whom it can be exceedingly frustrating and difficult to work. As a psychiatry resident, I found the case vignettes extremely useful as a practical way to explore the concepts of psychodynamics. While the authors obviously emphasize a psychological approach, they have a balanced view of mental illness and treatment. They clearly espouse the en vogue biopsychosociospiritual approach. Indeed, such a respectful and balanced view certainly builds a healthy bridge between psychiatry and psychology. I will continue to highly recommend this book to my colleagues, as it has already proven to be a valuable tool for my training. -- Cameron J. Risma, M.D. * Doody's Book Review *

As you know, depression is one of the most widespread sources of psychological and existential malaise, and one of the most complex challenges facing the clinician, psychologist-psychotherapist or doctor-psychiatrist. But over the last few decades there has been considerable progress in the treatment of depressive conditions, including the so-called major ones, that is, more severe: on the one hand psychopharmacology and, on the other, the development of psychotherapies, allowed to consider these situations with a certain optimism. The triad consisting of dynamic, cognitive-behavioral and interpersonal psychotherapies has been shown to be effective in the treatment of depression, but this book written by three prominent psychiatrists is, in particular, a single form of therapy, the one considered until recently less incisive: psychodynamic psychotherapy. Reading the text we realize that the psychodynamic approach emerges as a methodology of interest for numerous reasons. First of all it reduces the possibility of relapses and, in general, it allows to work by delimiting the patient's vulnerability - something that other therapies cannot guarantee -. It then allows you to work at a greater level of depth and analytics than CBT - Cognitive-Behavioral Therapy; from this point of view it should be noted that the cognitive-behavioral approach has been (and still is today) considered by many to be the first choice of therapy for a number of mental disorders, a belief that has spread even to doctors of base and which has numerous causes, but which today shows its limit more and more often. Finally, the dynamic approach allows to treat also the comorbid frameworks that, as every good clinician knows, constitute a relevant part of the patient's problem. But even compared to the typically medical, ie pharmacological, choice, the psychodynamic approach and, in general, psychotherapeutic, is emerging in a new light. In fact, the antidepressant drug therapies - as has been noticed recently and from several parts - can provoke a sort of drug dependence which, in turn, leads the patient to seek higher doses or other more effective drugs, essentially leading the subject to remain in the dysfunctional state. This is the so-called iatrogenic effect of drugs that, combined with addiction, can lead to a final paradoxical effect, that is to the chronicity of the state (anxious and / or depressive), rather than to its resolution. This observation is considerably resizing the efficacy of psychopharmacology in depression (and in other psychopathological situations), while certainly not neglecting the advantage that the patient can have, especially in the acute phases, to alleviate mental suffering and contain the heaviest manifestations of the morbid condition. What Fredric Busch, Marie Rudden and Theodore Shapiro propose takes on the identity of Focused Psychodynamic Psychotherapy, an approach based on illustrious historical precedents; in fact, in the first pages of the text are recalled the classic contributions of Sigmund Freud and Karl Abraham, and then many others - one for all: Sandor Rado, The Problem of Melancholia . International Journal of Psychoanalysis, IX, 420-438, 1928 - to compose the lines of development of what can be called the evolutionary and dynamic model of depression considered from the visual angle of psychoanalysis. Thus the first part of the book introduces the reader to the topic and proposes a global vision of the therapeutic process. The second part, composed of eight chapters, examines step by step all the phases of the therapy, from the construction of the therapeutic alliance to the conclusion of the process, addressing issues such as the management of the patient's narcissistic vulnerability, the severity of the Super Ego, the processes idealization and devaluation, and the defense mechanisms characteristic of depressed subjects. The third and final part deals with special issues such as the aforementioned problem of co-morbidity - on the treatment of obsessive and compulsive forms and similar conditions, see the recent book edited by Katharine A. Phillips, Dan J. Stein, Handbook on Obsessive-Compulsive and Related Disorders (American Psychiatric Publishing, 2015) - but also negative reactions to therapy that can occur at certain stages of treatment. The analysis continues to consider the problem-prince of the depressed patient, ie the risk of suicide. The last of the fifteen chapters of which the text is composed includes psychodynamic psychotherapy in the context of other therapeutic, pharmacological and psychological approaches. To underline the wealth of clinical examples that are a counterpoint to all the issues addressed by the three authors, who are all psychiatric doctors of psychoanalytic training. Fredric N. Busch, is a Clinical Professor of Psychiatry at Cornell University's Weill Medical College, and holds other psychoanalytic positions at the Columbia University Center for Psychoanalytic Training and Research in New York. Marie Rudden, has the title of Clinical Assistant Professor of Psychiatry at the Weill Medical College of Cornell University, and is a training analyst and supervisor at the Berkshire Psychoanalytic Institute. Theodore Shapiro, is professor emeritus of Psychiatry in Pediatrics at the Weill Medical College of Cornell University, and serves as a training analyst and supervisor at the prestigious New York Psychoanalytic Institute. -- Andrea Castiello d'Antonio�, psychologist and psychotherapist, an extraordinary professor at the European University of Rome * NO. 55 *

Author Information

Fredric N. Busch, M.D., is Clinical 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 the Berkshire Psychoanalytic Institute. 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.

Tab Content 6

Author Website:  

Customer Reviews

Recent Reviews

No review item found!

Add your own review!

Countries Available

All regions