Psychodynamic Psychiatry最新文献

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Long-Term Psychodynamic Psychotherapy With a Patient With Dissociative Identity Disorder, Major Depressive Disorder, and Borderline Personality Disorder. 解离性身份障碍、重度抑郁症和边缘型人格障碍患者的长期心理动力学治疗。
Psychodynamic Psychiatry Pub Date : 2026-03-01 DOI: 10.1521/pdps.2026.54.1.110
Darien Alfa Cipta, Alvin Saputra, Karina Kalani, Reza Damayanti, Tiar Ilman Hernawan, Petrin Redayani Lukman, Sylvia Detri Elvira
{"title":"Long-Term Psychodynamic Psychotherapy With a Patient With Dissociative Identity Disorder, Major Depressive Disorder, and Borderline Personality Disorder.","authors":"Darien Alfa Cipta, Alvin Saputra, Karina Kalani, Reza Damayanti, Tiar Ilman Hernawan, Petrin Redayani Lukman, Sylvia Detri Elvira","doi":"10.1521/pdps.2026.54.1.110","DOIUrl":"10.1521/pdps.2026.54.1.110","url":null,"abstract":"<p><p>Dissociative identity disorder is a complex condition associated with severe trauma and disrupted attachment. This case report describes a young woman initially diagnosed with borderline personality disorder and major depressive disorder, later rediagnosed with comorbid dissociative identity disorder. This report details her treatment course with psychodynamic psychotherapy complemented by secondary strategies such as breathing and relaxation exercises. Prognostic implications are discussed, emphasizing how a diagnosis of dissociative identity disorder reshaped her treatment plan. The authors explore the psychodynamics of dissociation and its relational foundations, incorporating perspectives from Chefetz alongside other contributions to the understanding of dissociative identity disorder.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"54 1","pages":"110-125"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481828","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
Utilizing Transference-Focused Psychotherapy Interventions in Group Psychotherapy for Personality Disorders. 移情心理干预在人格障碍团体心理治疗中的应用。
Psychodynamic Psychiatry Pub Date : 2026-03-01 DOI: 10.1521/pdps.2026.54.1.49
Robert D F Nathan, John Ogrodniczuk, David Kealy, George Hadjipavlou, Connor Hawkins
{"title":"Utilizing Transference-Focused Psychotherapy Interventions in Group Psychotherapy for Personality Disorders.","authors":"Robert D F Nathan, John Ogrodniczuk, David Kealy, George Hadjipavlou, Connor Hawkins","doi":"10.1521/pdps.2026.54.1.49","DOIUrl":"10.1521/pdps.2026.54.1.49","url":null,"abstract":"<p><p>Transference-focused psychotherapy (TFP) is a modified form of psychoanalytic psychotherapy grounded in object relations theory. It was developed to treat borderline personality disorder but has been used with a broader range of personality pathology. Notable adaptations include establishing an explicit treatment contract; a grounding in the domains of work, intimacy, and creativity rather than strict free association; a more formalized structure for training and supervising therapists; and a staged approach to interpretation that focuses sequentially on the elucidation of dominant object relations dyads, role reversals, and in later stages insight into dyadic layering and unconscious motivations. This article suggests that, whereas the existing literature on transference-focused group psychotherapy (TFP-G) emphasizes the use of group-as-a-whole interpretations, the clinical application of TFP principles in group psychotherapy for personality pathology could draw from TFP's approach to interpretation in individual therapy to elaborate a range of interventions that could be deployed according to patient needs and abilities. This flexible approach could remain compatible with the object relations model of borderline personality organization elucidated by Kernberg, while drawing upon the strategies, techniques, and tactics of individual TFP to equip group therapists with a broader array of tools than have been proposed thus far. Doing so would improve the model's ease of application, enhance flexibility, and mitigate potential drawbacks of group approaches emphasizing whole-group interpretations. Such adaptations could be useful to TFP-G therapists per se and group therapists with an integrative approach.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"54 1","pages":"49-75"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481821","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
Misophonia as Disruption of Intimacy: A Psychoanalytic Perspective. 恐音症是亲密关系的破坏:精神分析的视角。
Psychodynamic Psychiatry Pub Date : 2026-03-01 DOI: 10.1521/pdps.2026.54.1.7
Simran Deep Singh
{"title":"Misophonia as Disruption of Intimacy: A Psychoanalytic Perspective.","authors":"Simran Deep Singh","doi":"10.1521/pdps.2026.54.1.7","DOIUrl":"10.1521/pdps.2026.54.1.7","url":null,"abstract":"<p><p>In this brief clinical review, I examine misophonia as a relational phenomenon rather than just a sensory or neurological problem. I highlight the primacy of sensory reception in early development. Psychodynamic formulations of misophonia describe it as a manifestation of disgust, fear of mental contamination, and interpersonal violence. I offer a brief literature review, and reconceptualize misophonia as a disruption of intimacy through perceived relational violence and breach of relational boundaries. I encourage clinicians and researchers to reimagine misophonia as symbolic of unspoken conflicts that interfere with intimacy and attunement, with implications for psychoanalytic psychotherapeutic work.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"54 1","pages":"7-12"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481813","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
Resistance of Psychoanalysts to Sexual Issues From 1880 to the Present. 1880年至今精神分析学家对性问题的抵制。
Psychodynamic Psychiatry Pub Date : 2026-03-01 DOI: 10.1521/pdps.2026.54.1.33
Mark J Blechner
{"title":"Resistance of Psychoanalysts to Sexual Issues From 1880 to the Present.","authors":"Mark J Blechner","doi":"10.1521/pdps.2026.54.1.33","DOIUrl":"10.1521/pdps.2026.54.1.33","url":null,"abstract":"<p><p>Psychoanalysts resist working with sexual issues in multiple ways. A strategy for modifying one's counterresistance is described, including collecting information about sexuality and gender identity, focusing on the patient's stated aims and wishes, and examining one's biases based on life experiences. Some notable examples of counterresistance in psychoanalytic history are described.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"54 1","pages":"33-48"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481842","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
Deciding to Retire From Psychiatric Practice. 决定从精神科退休。
Psychodynamic Psychiatry Pub Date : 2026-03-01 DOI: 10.1521/pdps.2026.54.1.1
Carolyn J Douglas
{"title":"Deciding to Retire From Psychiatric Practice.","authors":"Carolyn J Douglas","doi":"10.1521/pdps.2026.54.1.1","DOIUrl":"10.1521/pdps.2026.54.1.1","url":null,"abstract":"<p><p>I share my personal journey toward retirement, grappling with feelings of loss, relevance, and legacy, and finding renewed purpose through teaching yoga and learning <i>kirtan.</i> I review core findings about happiness from the Harvard Study of Adult Development, emphasizing that meaningful social connections are central to a good life and healthy aging. Despite having moments of self-doubt and inevitable experiences of loss, I highlight the lasting impact of even small acts of human connection, underscoring the profound importance of social relationships and shared humanity in giving life meaning.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"54 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481867","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
Guidance for Family Engagement With Patients With Borderline Personality Disorder: Integrating Principles From Transference-Focused Psychotherapy and Good Psychiatric Management. 边缘型人格障碍患者的家庭参与指导:来自移情心理治疗和良好精神病学管理的整合原则。
Psychodynamic Psychiatry Pub Date : 2026-03-01 DOI: 10.1521/pdps.2026.54.1.97
Giselle Appel, Secil Arac-Orhun, Richard Hersh
{"title":"Guidance for Family Engagement With Patients With Borderline Personality Disorder: Integrating Principles From Transference-Focused Psychotherapy and Good Psychiatric Management.","authors":"Giselle Appel, Secil Arac-Orhun, Richard Hersh","doi":"10.1521/pdps.2026.54.1.97","DOIUrl":"10.1521/pdps.2026.54.1.97","url":null,"abstract":"<p><p>Clinicians working with patients with primary or co-occurring personality disorder diagnoses are often confused about how to work most effectively with patients' families. While there are a variety of well-described interventions for working with families of patients with borderline personality disorder, these options are often unavailable or unaffordable. The goal of this article is to outline a set of simple, commonsense interventions for generalist providers informed by two evidence-based treatments for patients with borderline personality organization or other moderate to severe personality disorder presentations, transference-focused psychotherapy (TFP), and good psychiatric management for borderline personality disorder. Clinicians can benefit from familiarity with the guidance for working with families outlined in these modalities, even if they are not motivated to offer either of these two treatments themselves. The combination of TFP and good psychiatric management elements offers a clear and helpful road map for useful interventions in what can be thorny and complicated situations.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"54 1","pages":"97-109"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481847","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
Omnipotent Responsibility Guilt: Theoretical, Clinical, and Empirical Features. 全能责任罪:理论、临床和实证特征。
Psychodynamic Psychiatry Pub Date : 2026-03-01 DOI: 10.1521/pdps.2026.54.1.76
Francesco Gazzillo, Eleonora Fiorenza, Marta Rodini, Marshall Bush
{"title":"Omnipotent Responsibility Guilt: Theoretical, Clinical, and Empirical Features.","authors":"Francesco Gazzillo, Eleonora Fiorenza, Marta Rodini, Marshall Bush","doi":"10.1521/pdps.2026.54.1.76","DOIUrl":"10.1521/pdps.2026.54.1.76","url":null,"abstract":"<p><p>This article aims to give the reader an overview of the concept of omnipotent responsibility guilt, which, according to control-mastery theory (CMT), is the emotional manifestation of a set of pathogenic beliefs that make people believe that if they put their needs in the foreground and do not try to satisfy the needs of their important others, their significant others will suffer. These pathogenic beliefs were generally developed to adapt to early traumatic and adverse experiences, that is, experiences that disrupted the patient's sense of safety in acute, systematic, or chronic ways. In the case of people with omnipotent-responsibility-related pathogenic beliefs, among these experiences, we find parents with physical or psychological problems, parents who were victims of accidents, parents who were separated or were mourning some loss and wanted their children to take care of them, and situations where parents reversed their roles with their children. Omnipotent responsibility guilt correlates with different forms of psychopathology, such as depression, obsessive-compulsive disorders, and anxiety disorders, and with several transdiagnostic features, such as worry and low self-esteem. We describe some clinical exemplifications to show how, according to the CMT, patients with pathogenic beliefs supporting omnipotent responsibility guilt can try to become aware and disprove these pathogenic beliefs and master their traumas in psychotherapy, and how therapists can help them have the corrective emotional experiences they need to get better.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"54 1","pages":"76-96"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481863","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
A Positive Group Psychotherapy Intervention for Enhancing Mental Health: A Quantitative Study. 积极团体心理治疗干预促进心理健康:一项定量研究。
Psychodynamic Psychiatry Pub Date : 2026-03-01 DOI: 10.1521/pdps.2026.54.1.143
Ali Eryılmaz, Ekin Özbey Duygu, Erick Messias
{"title":"A Positive Group Psychotherapy Intervention for Enhancing Mental Health: A Quantitative Study.","authors":"Ali Eryılmaz, Ekin Özbey Duygu, Erick Messias","doi":"10.1521/pdps.2026.54.1.143","DOIUrl":"10.1521/pdps.2026.54.1.143","url":null,"abstract":"<p><p>Positive and transcultural psychotherapy is a humanistic and psychodynamic approach that integrates positive psychology principles with culturally sensitive and analytic methods. Rooted in both existential and psychodynamic traditions, positive and transcultural psychotherapy emphasizes the strengths and capacities of individuals across diverse cultural contexts. This study investigated the effectiveness of a structured, 24-session group psychotherapy program grounded in the principles of positive and transcultural psychotherapy. Employing a quantitative experimental design, the study involved two experimental groups and one control group assessed at different time intervals. Outcome measures included life satisfaction, positive and negative affect, depressive symptoms, and psychological distress related to current mental health concerns. Nonparametric analyses (Kruskal-Wallis and Mann-Whitney U tests) were conducted to assess group differences. Findings demonstrated statistically significant improvements in the experimental groups compared to the control group, particularly in posttest scores on negative affect, depression, and psychological discomfort. These results were consistent across both experimental groups. The study provides evidence for the efficacy of positive group psychotherapy within a transcultural framework. The significant reductions in depressive symptoms and emotional distress underscore the clinical value of incorporating strength-based, culturally informed group interventions into psychodynamic practice.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"54 1","pages":"143-163"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481810","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
Racialized Health Care Dynamics in Time-Limited Psychodynamic Psychotherapy: A Case of a Patient Awaiting Heart Transplantation. 时间限制的心理动力心理治疗中的种族化卫生保健动态:一例等待心脏移植的患者。
Psychodynamic Psychiatry Pub Date : 2026-03-01 DOI: 10.1521/pdps.2026.54.1.126
Nia M Harris, Bernadine H Han, Natasha Chriss, Janna S Gordon-Elliott, Karanbir Padda
{"title":"Racialized Health Care Dynamics in Time-Limited Psychodynamic Psychotherapy: A Case of a Patient Awaiting Heart Transplantation.","authors":"Nia M Harris, Bernadine H Han, Natasha Chriss, Janna S Gordon-Elliott, Karanbir Padda","doi":"10.1521/pdps.2026.54.1.126","DOIUrl":"10.1521/pdps.2026.54.1.126","url":null,"abstract":"<p><p>Racial inequities within both heart transplantation and psychotherapy access have been well documented. In this report, we describe the case of a patient from a racially/ethnically minoritized background awaiting heart transplantation for whom panic attacks significantly impacted his quality of life and presented a barrier to transplantation. This case illustrates the novel utilization of time-limited psychodynamic psychotherapy exploring racialized health care dynamics as a precipitant to psychological symptoms. We highlight how racialized treatment experiences can contribute to symptoms of panic directly and indirectly. The case emphasizes the importance of discussions about race, ethnicity, and culture within a therapeutic treatment relationship. We also recommend the use of time-limited psychodynamic psychotherapy as an effective mental health treatment in a medically complex transplant population.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"54 1","pages":"126-142"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481873","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
Psychotherapy with Patients Who Are Adopted. 被收养病人的心理治疗。
Psychodynamic Psychiatry Pub Date : 2025-12-01 DOI: 10.1521/pdps.2025.53.4.490
Eugenio M Rothe
{"title":"Psychotherapy with Patients Who Are Adopted.","authors":"Eugenio M Rothe","doi":"10.1521/pdps.2025.53.4.490","DOIUrl":"10.1521/pdps.2025.53.4.490","url":null,"abstract":"<p><p>The meaning of being adopted is a process that needs to be reworked throughout the life cycle. Therapists ought to be familiar with the concerns that are pertinent to patients who are adopted but must be careful not to place adoption at the center of the therapy if this is not why patients are seeking help. The object relations of the adopted person will play an important role in therapy, given that the person has two sets of parents, one real and another that may exist only in fantasy. The most commonly reported negative self-representations of patients in treatment who are adopted include feelings of being unwanted and therefore undesirable. In patients in which adoption plays a central role, there are seven core issues that can be used as a guideline in psychotherapy with an individual affected by adoption: loss, rejection, guilt and shame, grief, identity, intimacy, and control. It is very difficult to predict the risk for psychopathology and long-term outcomes of adoptees because of the many variables and their complex interplay, yet research findings reveal that the majority of adoptees are functioning well. Research studies support the advantage of adoption over placement in foster care, in institutions, or with uncaring, abusive, or neglectful biological parents.</p>","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"53 4","pages":"490-504"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145649695","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
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