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Psychodynamically Informed Clinical Practice for Non-Psychotherapists

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Abstract

This chapter describes the application of short-term psychodynamic principles in general to work in medicine, psychology, social work and related disciplines. It is argued that a basic understanding of dynamic principles can enhance the functioning of healthcare providers. Not all mental health professionals have the opportunity to undertake systematic psychotherapy. Nevertheless they can benefit from understanding the concepts presented in this book. The ability to identify emotional cues, to understand relational patterns and to be aware of defences, transference and countertransference can enhance a clinician’s diagnostic and treatment performance. This knowledge and awareness can be an antidote to the objectification of patients,  and the avoidance of emotions.The use of STPP principles can lead to more authentic encounters with patients.

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References

  1. Krupnick JL, Sotsky SM, Simmens S, Moyer J, Elkin I, Watkins J, Pilkonis PA. The role of the therapeutic alliance in psychotherapy and pharmacotherapy outcome: findings in the National Institute of Mental Health Treatment of Depression Collaborative Research Program. J Consult Clin Psychol. 1996;64(3):532–9.

    Article  CAS  PubMed  Google Scholar 

  2. Meyer B, Pilkonis PA, Krupnick JL, Egan MK, Simmens SJ, Sotsky SM. Treatment expectancies, patient alliance, and outcome: further analyses from the National Institute of Mental Health Treatment of Depression Collaborative Research Program. J Consult Clin Psychol. 2002;70(4):1051–5.

    Article  PubMed  Google Scholar 

  3. Maunder RG, Hunter JJ. Can patients be ‘attached’ to healthcare providers? An observational study to measure attachment phenomena in patient-provider relationships. BMJ Open. 2016;6:e011068. https://doi.org/10.1136/bmjopen-2016-011068.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Maunder RG, Panzerb A, Viljoenc M, Owenc J, Humanc S, Hunterd JJ. Physicians’ difficulty with emergency department patients is related to patients’ attachment style. Soc Sci Med. 2006;63(2):552–62.

    Article  PubMed  Google Scholar 

  5. Ciechanowski PS, Katon WJ, Russo JE, Walker EA. The patient provider relationship: attachment theory and adherence to treatment in diabetes. Am J Psychiatr. 2001;158:29–35.

    Article  CAS  PubMed  Google Scholar 

  6. Ciechanowski PS, Russo JE, Katon WJ, Korff MV, Simon GE, Lin EH, et al. The association of patient relationship style and outcomes in collaborative care treatment for depression in patients with diabetes. Med Care. 2006;44:283–91.

    Article  PubMed  Google Scholar 

  7. Kidd T, Poole L, Elizabeth Leigh E, Ronaldson A, Jahangiri M, Steptoe A. Attachment anxiety predicts IL-6 and length of hospital stay in coronary artery bypass graft surgery (CABG) patients. J Psychosom Res. 2014;77(2):155–7.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Tutter A. J Am Psychoanalytic Assoc. 2006 Summer;54(3):781–804.

    Article  Google Scholar 

  9. Hahn RA. The nocebo phenomenon: concept, evidence, and implications for public health. Prev Med. 1997;26:607–11.

    Article  CAS  PubMed  Google Scholar 

  10. Balint M. The doctor, his patient and the illness. London: Pitman Med; 1957.

    Google Scholar 

  11. Winnicott D. Therapeutic consultations in child psychiatry. London: Hogarth Press; 1971.

    Google Scholar 

  12. Main TF. Traditional psychiatric defences against close encounter with patients. Can Psychiatr Assoc J. 1977;22:457–66.

    Article  CAS  PubMed  Google Scholar 

  13. Maltsberger JT, Buie DH. Countertransference hate in the treatment of suicidal patients. Arch Gen Psychiatry. 1974;30(5):625–33.

    Article  CAS  PubMed  Google Scholar 

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Eppel, A. (2018). Psychodynamically Informed Clinical Practice for Non-Psychotherapists. In: Short-Term Psychodynamic Psychotherapy. Springer, Cham. https://doi.org/10.1007/978-3-319-74995-2_9

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  • DOI: https://doi.org/10.1007/978-3-319-74995-2_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74994-5

  • Online ISBN: 978-3-319-74995-2

  • eBook Packages: MedicineMedicine (R0)

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