The case for the psychotherapy written case: A 21st century argument.

BackgroundDespite psychodynamic psychotherapy's evidence base as a treatment for a heterogenous group of maladies, the psychodynamic psychotherapy written case (PWC) remains a controversial training assessment.ObjectiveThe purpose of this article is to re-evaluate the PWC in light of recent scientific and cultural developments.ConclusionThe PWC is a robust preliminary basis for learning both basic psychodynamic competencies but also generalizable skills in sustaining a therapeutic alliance, as well as wider clinical, systemic, and self-care applications, overlapping with the values of the recovery movement, trauma-informed, and person-centred care. It may also represent an aspect of psychiatric practice made more valuable because not replicated by AI.