Psychodynamic Psychiatry最新文献

Psychodynamic Psychotherapy for Obsessive-Compulsive Disorder: A Single-Case Report with Quantified Outcomes. 强迫症的心理动力学心理治疗：一个量化结果的单例报告。

Psychodynamic Psychiatry Pub Date : 2026-09-01 DOI: 10.1521/pdps.2026.54.3.496

Paolo Mandolillo, Vincenzo Maria Romeo

{"title":"Psychodynamic Psychotherapy for Obsessive-Compulsive Disorder: A Single-Case Report with Quantified Outcomes.","authors":"Paolo Mandolillo, Vincenzo Maria Romeo","doi":"10.1521/pdps.2026.54.3.496","DOIUrl":"10.1521/pdps.2026.54.3.496","url":null,"abstract":"Obsessive-compulsive disorder (OCD) remains a disabling condition for a subset of patients who fail to respond to first-line behavioral protocols. We report a measurement-informed psychodynamic psychotherapy case of an adult with DSM-5 OCD characterized by harm- and contamination-related intrusions with checking/washing rituals. The patient received psychodynamic treatment using clarification, confrontation, and interpretation, focused on defenses of isolation of affect, undoing, and intellectualization. Outcomes were tracked with gold-standard metrics. Obsessive-compulsive severity improved from Y-BOCS 26 (baseline) to 16 (posttreatment) (Δ = 10; -38.5%), meeting conventional response thresholds; GAF rose from 58 to 70 (Δ = +12). Dimensional burden (DOCS) decreased from 56 at baseline to 41 at a 24-month delayed follow-up, suggesting durability. No adverse events occurred. This case illustrates how psychodynamic psychotherapy for OCD could be paired with systematic outcome monitoring. Observed mechanisms of change include increased affect tolerance, reduced reliance on isolation/undoing, and enhanced capacity to mentalize conflict-laden meanings, with reductions in ritualizing and avoidance. Larger multicenter cohorts and manualized treatment trials are warranted to define effectiveness and mechanisms of change relative to exposure-based and combined integrative approaches.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"54 3","pages":"496-510"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding the Psychology, Genetics, and Neurobiology of Happiness with Clinical Implications. 理解心理学，遗传学和神经生物学的幸福与临床意义。

Psychodynamic Psychiatry Pub Date : 2026-09-01 DOI: 10.1521/pdps.2026.54.3.476

Ahron Friedberg, Sandra Sherman

{"title":"Understanding the Psychology, Genetics, and Neurobiology of Happiness with Clinical Implications.","authors":"Ahron Friedberg, Sandra Sherman","doi":"10.1521/pdps.2026.54.3.476","DOIUrl":"10.1521/pdps.2026.54.3.476","url":null,"abstract":"This article examines contested definitions of happiness, ranging from Freudian notions of unalloyed pleasure to more expansive ideas of satisfaction and contentment. More particularly, it considers how these approaches are interpreted through the specific disciplinary lenses of psychology, neurobiology, and genetics. It shows how, within each, there are disputes and areas of uncertainty, and it delineates the clinical implications of these approaches' largely siloed research agendas. By way of advancing such research agendas, it explores possibilities for how these approaches may, in combination, contribute to raising an individual's \"set-point\" of happiness, permitting greater life satisfaction notwithstanding trauma and disappointment. In this regard, it examines the psychological and physiological bases of resilience, as well as everyday activities that promote happiness. It highlights recent research demonstrating that happiness increases an individual's health and longevity. Finally, it looks at how psychodynamic psychiatrists can integrate an understanding of happiness into their practices, thereby increasing patients' ability to develop habits that promote happiness.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"54 3","pages":"476-495"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Updating Psychotherapy Work with the Future: Futures Thinking and the Futurizing Functions of Containment. 以未来更新心理治疗工作：未来思维和遏制的未来功能。

Psychodynamic Psychiatry Pub Date : 2026-09-01 DOI: 10.1521/pdps.2026.54.3.403

Janet L Lewis, Elizabeth Haase

{"title":"Updating Psychotherapy Work with the Future: Futures Thinking and the Futurizing Functions of Containment.","authors":"Janet L Lewis, Elizabeth Haase","doi":"10.1521/pdps.2026.54.3.403","DOIUrl":"https://doi.org/10.1521/pdps.2026.54.3.403","url":null,"abstract":"The acceleration of climate change and other global and political crises has created a state of \"permacrisis,\" confronting patients with significant distress about and need to grapple with complex and threatening futures emerging from ecological and social upheaval. A core task of psychotherapy has always been imagining alternative paths and self-definitions to improve future outcomes, formalized in approaches such as \"future-oriented therapy\" or \"future-directed therapy.\" Now the neurobiological and psychological mechanisms that support the process of thinking about potential futures are better understood. We review the neuropsychiatric basis of the human ability to think about the future and how the evolving field of Futures Thinking/Futures Literacy can be used in psychodynamic treatment to support patients' adaptation to increasing climate and global threats. Describing the four existing modes of Futures Thinking (quantitative forecasting, practicing with futures, experiments of social cocreation, and critical deconstruction of futures), we posit use of the psychodynamically understood process of containment as a fifth mode, essential in strengthening all modes of futures work by allowing individuals to generatively hold difficult or catastrophic possibilities. Applying the work of Bion, Winnicott, and Green, we describe the essential relationship of containment to experiential, emotional, psychological, and neurodevelopmental processes that undergird psychic understandings of time, identity consolidation, and future imagination. Containment has a \"futurizing\" function embedded within it, which is the creation of hope. The appreciation of containment's central role in engaging potential futures clarifies the therapeutic stance in a time of \"permacrisis.\"","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"54 3","pages":"403-427"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Distinguishing Mood Temperaments from Personality Disorders: Diagnostic and Clinical Implications. 从人格障碍中区分情绪气质：诊断和临床意义。

Psychodynamic Psychiatry Pub Date : 2026-09-01 DOI: 10.1521/pdps.2026.54.3.381

Mark L Ruffalo, Alex M Ray

{"title":"Distinguishing Mood Temperaments from Personality Disorders: Diagnostic and Clinical Implications.","authors":"Mark L Ruffalo, Alex M Ray","doi":"10.1521/pdps.2026.54.3.381","DOIUrl":"https://doi.org/10.1521/pdps.2026.54.3.381","url":null,"abstract":"Temperament refers to enduring, biologically rooted affective dispositions that influence how individuals experience and regulate emotion. Although central to classical psychiatry, from Kraepelin's manic-depressive illness to Akiskal's affective styles, temperaments have been largely excluded from modern nosology and psychoanalytic theory. This omission has contributed to diagnostic confusion, particularly in differentiating cyclothymic temperament from borderline personality disorder and hyperthymic temperament from narcissistic personality disorder. While these conditions share surface similarities, they diverge in etiology, structure, and treatment. Cyclothymia reflects subsyndromal, endogenous mood fluctuations, whereas borderline personality disorder involves identity disturbance, interpersonal hypersensitivity, and reliance on primitive defenses. Hyperthymia is characterized by persistent high energy, optimism, and risk-taking, while narcissistic personality disorder reflects structural personality pathology, defensive grandiosity, and vulnerabilities in self-esteem regulation. Clarifying these distinctions is essential for improving diagnostic accuracy, guiding treatment, and fostering dialogue between biological psychiatry and psychoanalysis.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"54 3","pages":"381-388"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Albert Schweitzer: A Reverence for Life, Empathy, and the Medical Vocation. 阿尔伯特·施韦策：对生命的敬畏、同理心和医学职业。

Psychodynamic Psychiatry Pub Date : 2026-09-01 DOI: 10.1521/pdps.2026.54.3.389

Eugenio M Rothe

引用次数: 0

Guilt over "Having a Life": Understanding and Addressing Separation/Disloyalty Guilt. 对“拥有生活”的内疚：理解和处理分离/不忠的内疚。

Psychodynamic Psychiatry Pub Date : 2026-09-01 DOI: 10.1521/pdps.2026.54.3.442

Francesco Gazzillo, David Kealy, Camilla Mannocchi, Marshall Bush

引用次数: 0

Therapeutic Relationship: A Factor for Substantial Change in Psychodynamic Psychotherapies and Psychoanalysis. 治疗关系：精神动力心理治疗和精神分析实质性变化的一个因素。

Psychodynamic Psychiatry Pub Date : 2026-09-01 DOI: 10.1521/pdps.2026.54.3.462

Milton Viederman

引用次数: 0

Examining Who Benefits from Short-Term Psychodynamic Psychotherapy for Depression: Insights from a Series of Individual Participant Data Meta-analyses. 研究谁能从短期心理动力心理治疗中受益：来自一系列个体参与者数据荟萃分析的见解。

Psychodynamic Psychiatry Pub Date : 2026-09-01 DOI: 10.1521/pdps.2026.54.3.373

Frederik J Wienicke, Ellen Driessen

{"title":"Examining Who Benefits from Short-Term Psychodynamic Psychotherapy for Depression: Insights from a Series of Individual Participant Data Meta-analyses.","authors":"Frederik J Wienicke, Ellen Driessen","doi":"10.1521/pdps.2026.54.3.373","DOIUrl":"10.1521/pdps.2026.54.3.373","url":null,"abstract":"Because little was known about who benefits specifically from short-term psychodynamic psychotherapy (STPP) for depression, we conducted an individual participant data meta-analysis project, collecting and combining raw datasets from 43 trials (N = 4,155) assessing its efficacy and examining participant baseline characteristics as moderators of outcome. Findings supported STPP's efficacy compared to control conditions and antidepressant medication, and when added to antidepressants. Episode duration and baseline severity moderated treatment outcome. Drawing on these findings and a decade of data collection experiences for this project, we outline seven recommendations for future research to further strengthen the field. The collective individual participant data meta-analysis database is available for use by others, pending original investigators' approval. Information on how it can be accessed is provided. Through continued collaboration, we hope to increase the scope of STPP research and contribute to a more precise understanding of which patients benefit most from this frequently used treatment.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"54 3","pages":"373-380"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Supervision in Transference-Focused Psychotherapy. 移情心理治疗的监督。

Psychodynamic Psychiatry Pub Date : 2026-09-01 DOI: 10.1521/pdps.2026.54.3.428

Stephan Doering, Frank Yeomans, Philipp Martius, Eve Caligor, Mathias Lohmer, Agnes Schneider-Heine, Nel Draijer, Luis Valenciano, Otto Kernberg

引用次数: 0

Internet-Delivered Affect Phobia Therapy for Neuroticism: Results from an Uncontrolled Pilot Study with 6-Month Follow-Up. 网络传递的影响恐惧症治疗神经质：来自6个月随访的非控制先导研究的结果。

Psychodynamic Psychiatry Pub Date : 2026-09-01 DOI: 10.1521/pdps.2026.54.3.511

Tomas Lindegaard, Matilda Berg, Anton Käll, Julia Lockman, Edvin Schönberg, Martin Björklund, Ronald J Frederick, Gerhard Andersson

{"title":"Internet-Delivered Affect Phobia Therapy for Neuroticism: Results from an Uncontrolled Pilot Study with 6-Month Follow-Up.","authors":"Tomas Lindegaard, Matilda Berg, Anton Käll, Julia Lockman, Edvin Schönberg, Martin Björklund, Ronald J Frederick, Gerhard Andersson","doi":"10.1521/pdps.2026.54.3.511","DOIUrl":"https://doi.org/10.1521/pdps.2026.54.3.511","url":null,"abstract":"Objective: Trait neuroticism both correlates with and predicts mental and physical health outcomes and has been characterized as a transdiagnostic risk factor for mental health problems. No previous studies have investigated if internet-delivered psychodynamic therapy (IPDT) can reduce levels of neuroticism. The aim of the present study was to investigate the preliminary effect of affect-focused IPDT on trait neuroticism in a sample with mixed anxiety and depressive symptoms. Methods: In total, 30 participants were included and assigned to 10 weeks of therapist-supported IPDT. Self-reported levels of neuroticism measured with the IPIP-NEO 300 were used as the primary outcome measure. Secondary measures of depression, anxiety, quality of life, neuroticism, treatment satisfaction, emotion regulation, and defense mechanism adaptiveness were also included. Results: Levels of neuroticism were significantly reduced following the intervention, Cohen's d = 0.64, [.19, 1.1], and these reductions were maintained at the 6-month follow-up. Significant effects were also found across the secondary outcome measures. Changes in defense mechanism adaptiveness significantly predicted changes in neuroticism, β =.63. Discussion: The results indicate that affect-focused IPDT shows promise in reducing trait neuroticism and that changes in defense mechanism adaptiveness may account for a substantial part of the observed effect. These results need to be replicated using a randomized controlled trial design.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"54 3","pages":"511-531"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0