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Psychodynamic Concepts in General Psychiatry

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This text brings together 37 nationally recognised psychodynamic psychiatrists who discuss in detail their understanding of how to work with specific types of patients. Separate chapters on clinical syndromes, including some of the most challenging that psychiatrists encounter - for example in self-destructive, post-traumatic and abused patients - provide both a historical review of dynamic perspectives and a discussion of differential diagnosis and treatment selection for each disorder. Clinical examples illustrating the underlying psychodynamic conflicts of patients with these disorders are presented as well. Also addressed in this volume are the psychological aspects of the settings in which therapy is practiced and the ways in which those settings affect both the psychiatrist and the patient. The final section contains chapters on current topics of particular relevance - the psychology of prescribing and taking medication, the meaning and impact of interruptions in treatment, and the provocative findings of new outcome research and cost-offset studies. The text closes with a recommended curriculum for training in psychodynamic psychiatry.
Basic Concepts. Basic principles of psychodynamic psychiatry. The psychodynamic formulation. The self as a clinical instrument. Clinical Settings. The inpatient unit. The emergency room. The medical hospital. The community clinic. The managed care setting. The outpatient psychotherapy clinic. Clinical Syndromes. The psychotic patient. The self-destructive patient. The narcissistic patient. The patient with a neurosis. The depressed patient. The substance-abusing patient. The panic patient. The posttraumatic patient. The depressed male homosexual patient. The patient with a history of childhood sexual abuse or incest. The psychosomatic patient. The patient with bulimia. The bereaved patient. The suicidal adolescent patient. The depressed geriatric patient. Special Topics. The psychology of prescribing and taking medication. Interruptions of treatment. Research in psychodynamic therapy. A recommended curriculum for psychodynamic psychiatry. Index.
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